K Number
K041494
Device Name
OLYMPUS INTEGRATED ENDOSURGERY SYSTEM ENDOALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) SOFTWARE VERSION 2
Date Cleared
2004-07-01

(27 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2)"has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interfocking operation of the ancillary equipment.
Device Description
The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2" has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment. Addition of the operating function for ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSuro-IU) enables the following: - The operating function for ancillary equipment operates the additional ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSurg-IU) by Nurse's control panel and voice control. The voice control function enables the subject device to control the ancillary equipment by voice. You will find the details for voice commands and voice controllable equipment in "Standard set and ancillary equipment" and "Operation by voice control" in G. Device Description and Comparison. The intended use of the EndoALPHA is to enable a central system to control various pieces of ancillary equipment. However, the approved indications for use for each separate ancillary device dictate the type of procedures that may be performed. This information is included in the instruction manual for each anciliary piece of equipment.
More Information

Not Found

No
The document describes a control unit for integrating and operating various pieces of ancillary equipment, including voice control. While voice recognition is mentioned, there is no indication of AI or ML being used for this function or any other aspect of the device's operation. The performance studies focus on basic voice recognition and control panel functionality, not complex learning or adaptive behaviors.

No.
The device is a control unit for endosurgery that operates other ancillary equipment, rather than directly providing therapy itself.

No
The device is described as a control unit for an integrated endosurgery system, enabling central operation and control of ancillary equipment. It does not perform diagnostic functions itself, but rather facilitates surgical procedures by managing different pieces of equipment.

No

The device description explicitly states it is a "CONTROL UNIT FOR ENDOSURGERY UCES-2)" and describes its function in controlling various pieces of ancillary equipment, indicating it is a hardware component that integrates and controls other hardware devices. While it includes software for control and voice recognition, it is not solely software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: The description clearly states the device is designed for "central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment" used with an endoscope. This is focused on controlling surgical equipment, not on analyzing biological samples to diagnose or monitor a medical condition.
  • Device Description: The description reinforces the intended use by detailing how it controls various pieces of ancillary equipment used in endosurgery.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

The device is a control system for surgical equipment used in endosurgery, which falls under the category of surgical devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2" has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment.

Product codes

78 KOG, GCJ, FAL, 78 FCG, 78 FEH, 79 FWF, 79 GEI, 85 HIF, 90 IYO, 90 ITX, 90 LFL, FEO

Device Description

The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2" has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment.

Addition of the operating function for ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSuro-IU) enables the following:

  • The operating function for ancillary equipment operates the additional ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSurg-IU) by Nurse's control panel and voice control.
    The voice control function enables the subject device to control the ancillary equipment by voice. You will find the details for voice commands and voice controllable equipment in "Standard set and ancillary equipment" and "Operation by voice control" in G. Device Description and Comparison.

The intended use of the EndoALPHA is to enable a central system to control various pieces of ancillary equipment. However, the approved indications for use for each separate ancillary device dictate the type of procedures that may be performed. This information is included in the instruction manual for each anciliary piece of equipment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Risk analysis was carried out in accordance with ISO14971: 2000. Design verifications were performed based on this risk assessment.

  • Modification: Voice operation function for additional ancillary equipment

    • Test performed:
      1. Voice recognition test: Confirmed whether voice recognition is performed correctly by some sample voice data.
      2. Wrong recognition test: Confirmed whether EndoALPHA doesn't work by some noise in operation room.
    • Acceptance criteria:
      1. Recognize all words that are in specifications.
      2. Never do wrong recognition.
  • Modification: Operating function for additional ancillary equipment

    • Test performed:
      1. Nurse's control panel operation test: Confirmed whether the Nurse's control panel operation is performed correctly.
      2. Surgeon's controller operation test: Confirmed whether the Nurse's control panel operation is performed correctly.
    • Acceptance criteria:
      1. All the operations that are in specification operate.
      2. All the operations that are in specification operate.

Key Metrics

Not Found

Predicate Device(s)

K022270

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

K041494

SMDA 510(k) SUMMARY

pg 1 of 3

This summary of 510(k) safety and effective information is being submitted in accordance with the requirements of SMDA 1990 and 21CFR Section 807.93.

A. General Information

| 1. Applicant: | Olympus Corporation
34-3 Hirai Hinode-machi
Nishitama-gun, Tokyo 190-0182, Japan
Registration No.: 3003637092 |
|------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2. Initial Importer: | Olympus America Inc.
Two Corporate Center Drive, Melville, NY 11747-3157
Registration No.: 2429304 |
| 3. Submission Correspondent: | Tina Steffanie-Oak
Associate Manager, Regulatory Affairs/Clinical Monitor
Olympus America Inc.
Two Corporate Center Drive, Melville, NY 11747-3157
TEL: 631-844-5477
FAX: 631-844-5416
Registration No.: 2429304 |

B. Device Identification

1. Trade Name:OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES- 2) Software Version 2
2. Common Name:ENDOSURGERY SYSTEM
    1. Classification:

| Regulation

NumberRegulation NameProduct Code
21 CFR 876.1500Endoscope and accessories78 KOG, GCJ, and
FAL
21 CFR 876.1075Gastroenterology-urology biopsy instrument78 FCG
21 CFR 876.4300Endoscopic electrosurgical unit and accessories78 FEH
21 CFR 878.4160Surgical camera and accessories79 FWF
21 CFR 878.4400Electrosurgical cutting and coagulation device
and accessories79 GEI
21 CFR 884.1730Laparoscopic insufflator85 HIF
21 CFR 892.1560Ultrasonic pulsed echo imaging system90 IYO
21 CFR 892.1570Diagnostic ultrasonic transducer90 ITX
UnclassifiedUltrasonic Surgical Instrument90 LFL
UnclassifiedLithotriptor UltrasonicFEO
  1. Class:

1

No41494 Bager 2 ag 3

C. Predicate Device Information

    1. Trade Name:
      #K022270 OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) ENDOSURGERY SYSTEM
    1. Common Name:
    1. Classification:

| Regulation

NumberRegulation NameProduct Code
21 CFR 876.1500Endoscope and accessories78 KOG, GCJ, and
FAL·
21 CFR 876.1075Gastroenterology-urology biopsy instrument78 FCG
21 CFR 876.4300Endoscopic electrosurgical unit and accessories78 FEH
21 CFR 878.4160Surgical camera and accessories79 FWF
21 CFR 878.4400Electrosurgical cutting and coagulation device
and accessories79 GEI
21 CFR 884.1730Laparoscopic insufflator85 HIF
21 CFR 892.1560Ultrasonic pulsed echo imaging system90 IYO
21 CFR 892.1570Diagnostic ultrasonic transducer90 ITX
UnclassifiedUltrasonic Surgical Instrument90 LFL
  1. Class: Class II

D. Device Description

The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2" has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment.

Addition of the operating function for ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSuro-IU) enables the following:

  • The operating function for ancillary equipment operates the additional ancillary equipment (UES-40, OTV-SP1C, LUS-2, DSR-45, UPA-P100MD and SonoSurg-IU) by Nurse's control panel and voice control.
    The voice control function enables the subject device to control the ancillary equipment by voice. You will find the details for voice commands and voice controllable equipment in "Standard set and ancillary equipment" and "Operation by voice control" in G. Device Description and Comparison.

The intended use of the EndoALPHA is to enable a central system to control various pieces of ancillary equipment. However, the approved indications for use for each separate ancillary device dictate the type of procedures that may be performed. This information is included in the instruction manual for each anciliary piece of equipment.

E. Intended Use of the Device

The "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CON I KOL UNIT FOR ENDOSURGERY UCES-2) Software Version 2" has been designed to be used with an Olympus and ancillary equipment for central operation, central display, automatic initial setting, interlocking operation of the ancillary equipment.

2

This is the same intended use as previously cleared one for the "OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2)".

F. Summary Including Conclusions Drawn from Non-Clinical Tests

The risk analysis was carried out in accordance with established in-house acceptance criteria based on ISO14971: 2000. The design verifications that were performed as a result of this risk analysis assessment are listed below. Refer to Attachment 3 for more details.

ModificationTest performedAcceptance criteria
Voice
operation
function for
additional
ancillary
equipment1. Voice recognition test
We confirmed whether the voice
recognition is performed correctly by
some sample voice data.1. Recognize all words that are
in specifications.
2. Wrong recognition test
We confirmed whether EndoALPHA
doesn't work by some noise in
operation room.2. Never do wrong recognition.
Operating
function for
additional
ancillary
equipment1.Nurse's control panel operation test
We confirmed whether the Nurse's
control panel operation is performed
correctly.1.All the operations that are in
specification operate.
2.Surgeon's controller operation test
We confirmed whether the Nurse's
control panel operation is performed
correctly.2.All the operations that are in
specification operate.

3

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal is circular and contains the department's name around the perimeter. In the center of the seal is an emblem featuring an eagle with its wings spread, symbolizing protection and strength. The eagle is a stylized representation, with flowing lines suggesting movement and dynamism.

Public Health Service

JUL 0 1 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Tina Steffanie-Oak Associate Manager, Regulatory Affairs/Clinical Monitor Olympus America, Inc. Two Corporate Center Drive MELVILLE NY 11747-3157

Re: K041494

Trade/Device Name: OLYMPUS INTEGRATED ENDOSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2 See Attachment 1 Regulation Number: 21 CFR §876.1500 Regulation Name: Endoscope and accessories

Regulatory Class: II Product Code: 78 KOG and GCJ Dated: May 24, 2004 Received: June 4, 2004

Dear Ms. Steffanie-Oak:

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 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 nean 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 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.

4

This letter will allow you to begin marketing your device as described in your Section 510(k) i his letter will anow you to begin market. By bstantial equivalence of your device to a legally premaired predication. The PDF ancing
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 If you desire specific advice to: your don't the following numbers, based on the regulation number at the top of the letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Additionally, 101 questions on the promote the regulation entitled, "Misbranding Other of Compliance at (301) 57 × (027.97) you may obtain. Other general by reletence to premarket nonitode (r the Act may be obtained from the Division of Small Information on your responsional and Consumer Assistance at its toll-free number (800) 638-2041 or Manufacturers, International and Socies.
(301) 443-6597 or at its Internet address http://www.fda.gov/cdch/dsmaldsmamain.html.

Sincerely yours,

Nancy C. Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

ATTACHMENT 1

K041494 OLYMPUS ENDOALPHA INTEGRATED ENDOSURGCRY SYSTEM

Regulatory Class: II 21 CFR 876.1500; Procode: 78 KOG, GCJ,

  • UCES-2 Software Version 2, .
  • MAJ-1347 EndoALPHA system cable for UPA-P100MD .
  • MAJ-1175 Nurse's control panel for EndoALPHA .
  • MAJ-1176 Universal display for EndoALPHA .
  • MAJ-1140 Surgeon's controller for EndoALPHA .
  • MAJ-1141 System Interface cable for EndoALPHA .
  • MAJ-1142 I/F cable; .
  • . MAJ-1143 EndoALPHA system cable for electrosurgical unit
  • MAJ-1144 Surgeon's controller holder for EndoALPHA; ●
  • . MAJ-972 Long communication cable for boom mount EndoALPHA
  • MAPC-10 PC card adapter .
  • M-XD512PIXD256P/128P/64P132P/16P: xD-Picture Card .
  • DSR-45 Sony Digital video recorder .

6

K 041494

841494 510(k) Number(if known): Not assigned yet Device Name: OLYMPUS INTEGRATED ENDSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2) Software Version 2

Indications for Use:

The "OLYMPUS INTEGRATED ENDSURGERY SYSTEM EndoALPHA (CONTROL UNIT FOR ENDOSURGERY UCES-2)"has been designed to be used with an Olympus endoscope and ancillary equipment for central operation, central display, automatic initial setting, interfocking operation of the ancillary equipment.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

OR

Prescription Use J

(Per 21 CFR 801.109)

Over-The-Counter Use J

David lh. Lyram

(Optional Format 1-2-96)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K041494