(15 days)
The HERMES® O.R. Control Center and Port Expander is indicated for use with Stryker Endoscopy 882 Camera, Stryker Quantum 5000 Light Source, Stryker SE5 Shaver, WOM 20L Insufflator, WOM 2.0L Arthroscopy Pump, Stryker Total Performance System, Berchtold Surgical Lights, Steris Amsco Table Model SP3085, Steris Amsco Table Model SP3085, AESOP®HR (HERMES-Ready™), Valleylab Force FX™ Electrosurgical Unit, Smith & Nephew Dyonics® Access 15 Arthroscopic Fluid Irrigation System, Smith & Nephew Dyonics® Vision 635 Digital Image Management System, and Skytron Stellar Series O.R. Lights. It can be used in general laparoscopy, nasopharyngoscopy, ear endoscopy, and sinuscopy where a laparoscope/endoscope is indicated for use. A few examples of the more common endoscopic surgeries are laparoscopic cholecystectomy, laparoscopic hernia repair, laparoscopic appendectomy, laparoscopic pelvic lymph node dissection, laparoscopically assisted hysterectorny, laparoscopic & thoracoscopic anterior spinal fusion, decompression fixation, wedge resection, lung biopsy, pleural biopsy, dorsal sympathectomy, pleurodesis, internal mammary artery dissection for coronary artery bypass, coronary artery bypass grafting where endoscopic visualization in indicated and examination of the evacuated cardiac chamber during performance of valve replacement.
The HERMES O.R. Control Center is a computer-driven system whose basic function is to offer the surgeon the additional option of voice control for ancillary devices. The intent of the HERMES O.R. Control Center is to allow for simplified and more direct control of medical device settings by the physician, thereby eliminating the necessity of using the various interfaces existing on ancillary devices, or relying on verbal communications between the surgeon and other personnel in the operating room in order to adjust the surgical equipment.
The HERMES® O.R. Control Center is a computer-driven system designed to provide surgeons with voice control over ancillary medical devices, thereby simplifying device adjustments and reducing reliance on manual interfaces or verbal communication with other operating room personnel.
Here's an overview of its acceptance criteria and the studies performed:
1. Acceptance Criteria and Reported Device Performance:
The provided document lists several international and internal standards the device was tested against. It doesn't explicitly state quantitative performance metrics or acceptance thresholds for these in a comparative table format. Instead, it indicates compliance with these standards.
| Acceptance Criteria Category | Standard/Test | Reported Device Performance |
|---|---|---|
| Electrical Safety | IEC 601-1, IEC 601-1 Amendment 1, IEC 601-2-18, UL 2601-1, CAN/CSA-C22.2 No. 601.1 | Passed/Compliant with all specified electrical safety standards. |
| Electromagnetic Compatibility (EMC) | EN55022/A1 (Conducted Emission), EN55022/A1 (Radiated Emission), EN61000-4-2 (Electrostatic Discharge), EN61000-4-3 and EN50140 (RF Immunity), EN61000-4-4 (EFT/Bursts Immunity), EN61000-4-5 (Surge Immunity), EN61000-4-6 (Conducted Immunity), EN 60601-1-2 (Emissions and Immunity Test Measurements) | Passed/Compliant with all specified EMC standards, indicating no undue electromagnetic interference and robust operation in typical surgical environments. |
| System Functionality | VA-23763 (CMI System Functional Testing) | Performed as intended, demonstrating proper control of integrated devices and voice command recognition. (Details not provided in the summary) |
| Software Verification & Validation | CP-15345 (CMI Software Verification and Validation) | Software operated without critical errors and met design specifications. (Details not provided in the summary) |
| Environmental Testing | VA 19795 (CMI Environmental Testing) | Withstood specified environmental conditions (e.g., temperature, humidity) without operational failure. (Details not provided in the summary) |
2. Sample Size for Test Set and Data Provenance:
The document does not specify a sample size for a "test set" in the context of clinical performance or diagnostic accuracy. The tests listed are primarily engineering and compliance standards (e.g., electrical safety, EMC, software verification), which typically involve testing the device itself against predefined specifications rather than a set of patient data.
3. Number of Experts for Ground Truth and Qualifications:
This information is not applicable and not provided in the document as the device is a control system, not a diagnostic or AI-driven system requiring expert-established ground truth for image or data interpretation.
4. Adjudication Method for Test Set:
This information is not applicable and not provided as the device is a control system, not a diagnostic or AI-driven system requiring adjudication of results.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
An MRMC study was not conducted and is not applicable for this device. The HERMES® O.R. Control Center is a device control system, not an AI-assisted diagnostic tool that would improve human reader performance. Its purpose is to simplify control of other surgical devices, not to aid in diagnosis or interpretation.
6. Standalone Performance (Algorithm Only without Human-in-the-loop):
The concept of "standalone performance" as it pertains to an algorithm interpreting data does not directly apply here. The HERMES system's core function is voice control, which is inherently a human-in-the-loop interaction. However, the "CMI System Functional Testing" (VA-23763) and "CMI Software Verification and Validation" (CP-15345) would assess the device's internal algorithms and functionalities independently of a surgeon's specific use case, ensuring it accurately recognizes commands and sends correct signals. The document does not provide specific metrics from these tests.
7. Type of Ground Truth Used:
The "ground truth" for this device would be tied to its functional performance and compliance with engineering standards:
- Compliance with International Standards: The device's operation was measured against the established parameters and requirements of standards like IEC 601-1 for electrical safety, and EN series for EMC.
- Design Specifications: For internal functional testing and software validation, the "ground truth" would be the predefined design specifications and expected behavior of the system, such as accurately interpreting voice commands and correctly controlling integrated medical devices.
The document does not refer to clinical outcomes, pathology, or expert consensus in the same way a diagnostic AI might.
8. Sample Size for Training Set:
This information is not provided and is not directly applicable in the context of traditional machine learning training sets. While the voice recognition component would have been developed using a dataset, this document focuses on regulatory compliance and does not detail the development process of the voice recognition module.
9. How Ground Truth for Training Set was Established:
This information is not provided. If voice recognition software was indeed a core component that required training, the ground truth for that training data would typically involve annotated audio samples where specific voice commands are correctly labeled with their intended actions. However, the document provided does not delve into the specifics of the voice recognition training.
{0}------------------------------------------------
024294
000024
HERMES® O.R. Control Center 510(k) Summary
In accordance with 21 CFR section 807.92 Computer Motion, Inc. (CMI) is submitting the following 510(k) Summary:
- Submitter Information
Computer Motion, Inc. 130-B Cremona Drive Goleta, CA 93117
Contact: Cathy Stupak, Ph.D. Prepared: 12/23/02
- Name of Device:
| Proprietary Name: | Modification to HERMES® O.R. Control Center |
|---|---|
| Common Name: | HERMES |
| Product Code: | GCJ |
| Classification Name: | Laparoscope for Use in General and Plastic Surgery |
| Regulation Number: | 876.1500 |
| Regulation Class: | Class II. |
- 3)This device is substantially equivalent to the HERMES O.R. Control Center, K.973700, and the more recent 510(k) for HERMES control of the Dyonics® Vision 635 Digital Image Management System, K023095.
-
- The HERMES O.R. Control Center is a computer-driven system whose basic function is to offer the surgeon the additional option of voice control for ancillary devices.
The intent of the HERMES O.R. Control Center is to allow for simplified and more direct control of medical device settings by the physician, thereby eliminating the necessity of using the various interfaces existing on ancillary devices, or relying on verbal communications between the surgeon and other personnel in the operating room in order to adjust the surgical equipment.
-
- The HERMES® O.R. Control Center and Port Expander is indicated for use with Stryker Endoscopy 882 Camera, Stryker Quantum 5000 Light Source, Stryker SE5 Shaver, WOM 20L Insufflator, WOM 2.0L Arthroscopy Pump, Stryker Total Performance System, Berchtold Surgical Lights, Steris Amsco Table Model SP3085, AESOP®HR (HERMES-Ready™), Valleylab Force FX™ Electro-surgical Unit, Smith & Nephew Dyonics® Access 15 Arthroscopic Fluid Irrigation System, Smith & Nephew Dyonics® Vision 635 Digital Image Management System, and Skytron Stellar Series O.R. Lights. It can be used in general laparoscopy, nasopharyngoscopy, ear endoscopy, and sinuscopy where a laparoscope/endoscope is indicated for use. A few
{1}------------------------------------------------
examples of the more common endoscopic surgeries are laparoscopic cholecystectomy, laparoscopic hernia repair, laparoscopic appendectomy, laparoscopic pelvic lymph node dissection, laparoscopically assisted hysterectomy, laparoscopic & thoracoscopic anterior spinal fusion, decompression fixation, wedge resection, lung biopsy, pleural biopsy, dorsal sympathectomy, pleurodesis, internal mammary artery dissection for coronary artery bypass, coronary artery bypass grafting where endoscopic visualization in indicated and examination of the evacuated cardiac chamber during performance of valve replacement. The users of the HERMES O.R Control Center are general surgeons, gynecologists, cardiac surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons, ENT surgeons and urologists.
| Test | Title |
|---|---|
| IEC 601-1 | International Standard for MedicalElectrical Equipment |
| IEC 601-1 Amendment 1 | International Standard for MedicalElectrical Equipment |
| IEC 601-2-18 | International Standard for MedicalElectrical Equipment |
| UL 2601-1 | Underwriters Laboratory |
| CAN/CSA-C22.2 No. 601.1 | Medical Electrical Equipment Part 1,General Requirements for Safety,General Instructions Part 1 |
| EN55022/A1 | Conducted Emission |
| EN55022/A1 | Radiated Emission |
| EN61000-4-2 | Electrostatic Discharge |
| EN61000-4-3 and EN50140 | RF Immunity |
| EN61000-4-4 | EFT/Bursts Immunity |
| EN61000-4-5 | Surge Immunity |
| EN61000-4-6 | Conducted Immunity |
| EN60601--1 | International Standard for MedicalElectrical Equipment |
| EN60601-1-1 | General Requirements for Safety –Collateral Standard |
| EN 60601-1-2 | Emissions and Immunity TestMeasurements |
| VA-23763 | CMI System Functional Testing |
| CP-15345 | CMI Software Verification andValidation |
| VA 19795 | CMI Environmental Testing |
- The HERMES O.R. Control Center has been tested to the following standards:
{2}------------------------------------------------
Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol featuring three abstract human profiles facing to the right, with flowing lines suggesting movement or connection.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 0 8 2003
Computer Motion, Inc. Cathy Stupak, Ph.D. Regulatory Specialist 130-B Cremona Drive Santa Barbara, California 93117
Re: K024294
Trade/Device Name: Modification to Hermes® Operating Room Control Center Regulation Number: 876.1500 Regulation Name: Laparoscope, General and Plastic Surgery Regulatory Class: Class II Product Code: GCJ Dated: December 23, 2002 Received: December 24, 2002
Dear Dr. Stupak:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in
{3}------------------------------------------------
Page 2 - Dr. Cathy Stupak
the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.qov/cdrh/dsma/dsmamain.html
Sincerely yours,
Miriam C. Provost
fol Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{4}------------------------------------------------
INDICATION FOR USE STATEMENT
510(k) Number (if known): K024254
Device Name:
Modification to HERMES® O.R. Control Center
The HERMES® O.R. Control Center and Port Expander is indicated for use with Stryker Endoscopy 882 Camera, Stryker Quantum 5000 Light Source, Stryker SE5 Shaver, WOM 20L Insufflator, WOM 2.0L Arthroscopy Pump, Stryker Total Performance System, Berchtold Surgical Lights, Steris Amsco Table Model SP3085, Steris Amsco Table Model SP3085, AESOP®HR (HERMES-Ready™), Valleylab Force FX™ Electrosurgical Unit, Smith & Nephew Dyonics® Access 15 Arthroscopic Fluid Irrigation System, Smith & Nephew Dyonics® Vision 635 Digital Image Management System, and Skytron Stellar Series O.R. Lights. It can be used in general laparoscopy, nasopharyngoscopy, ear endoscopy, and sinuscopy where a laparoscope/endoscope is indicated for use. A few examples of the more common endoscopic surgeries are laparoscopic cholecystectomy, laparoscopic hernia repair, laparoscopic appendectomy, laparoscopic pelvic lymph node dissection, laparoscopically assisted hysterectorny, laparoscopic & thoracoscopic anterior spinal fusion, decompression fixation, wedge resection, lung biopsy, pleural biopsy, dorsal sympathectomy, pleurodesis, internal mammary artery dissection for coronary artery bypass, coronary artery bypass grafting where endoscopic visualization in indicated and examination of the evacuated cardiac chamber during performance of valve replacement. The users of the HERMES O.R. Control Center are general surgeons, gynecologists, cardiac surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons, ENT surgeons and urologists.
(PLEASE NO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CRDH, Office of Device Evaluation (ODE)
Miriam C. Provost
sion Sign-Off) Divion of General, Restorative and Neurological Devices
Number K024294
OR Over-the-Counter
Prescription Use (per 21 CFR 801.109)
Over-the-Counter Use (Optional Format 1-2-96)
§ 876.1500 Endoscope and accessories.
(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.