K Number
K042742
Device Name
HEIDELBERG RETINA TOMOGRAPH II / ROSTOCK CORNEA MODULE (HRT II / RCM)
Date Cleared
2004-10-13

(9 days)

Product Code
Regulation Number
886.1850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Imaging and observation of the cellular layers of the anterior segment of the human eye, for the diagnosis and management of anterior segment diseases.
Device Description
The system consists of the HRT II laser scanning camera, the Rostock Cornea Module optics, a mount with headrest, a power supply, and a personal computer. For an examination, the Rostock Cornea Module optics is placed on the laser scanning camera, positioned in front of the patient's eye, in contact with the cornea. The contact surface is a sterile PMMA plate. Images of the anterior segment are acquired, displayed on the computer monitor and stored on the hard drive of the computer from where the images can be retrieved at a later time. The system operates by illuminating the cornea of the eye under examination and detecting the light reflected or backscattered from the cornea. The light detection system has a confocal optical arrangement, resulting in a shallow depth of focus. In consequence a two-dimensional image acquired with this system can be considered as an optical section through the corneal layer located at the current focal plane. In addition, by moving the focal plane step by step, a sequence of section images at different locations of the focal plane can be acquired. This sequence of section images provides a layer-by-layer three-dimensional image. The acquired images are displayed on the computer monitor and stored on the computer's hard disk for later use.
More Information

Not Found

No
The description focuses on image acquisition and storage, with no mention of AI/ML for image analysis or interpretation.

No
The device is described as an imaging and observation system used for diagnosis and management, not for treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is for "diagnosis and management of anterior segment diseases."

No

The device description explicitly lists hardware components including a laser scanning camera, optics, mount, power supply, and a personal computer, indicating it is a hardware-based system with associated software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: This device is an imaging system that directly examines the cellular layers of the anterior segment of the human eye in vivo (within the living body). It uses confocal microscopy to acquire images of the eye's structure.
  • Lack of Sample Analysis: The device does not analyze a sample taken from the body. It is a diagnostic imaging tool that interacts directly with the patient's eye.

Therefore, while it is a diagnostic device used for the diagnosis and management of anterior segment diseases, it falls under the category of in vivo diagnostic imaging rather than in vitro diagnostics.

N/A

Intended Use / Indications for Use

The intended use of the Heidelberg Retina Tomograph II / Rostock Cornea Module is to provide three-dimensional images and observation of the cellular layers of the anterior segment.
Imaging and observation of the cellular layers of the anterior segment of the human eye, for the diagnosis and management of anterior segment diseases.

Product codes (comma separated list FDA assigned to the subject device)

MXK

Device Description

The system consists of the HRT II laser scanning camera, the Rostock Cornea Module optics, a mount with headrest, a power supply, and a personal computer. For an examination, the Rostock Cornea Module optics is placed on the laser scanning camera, positioned in front of the patient's eye, in contact with the cornea. The contact surface is a sterile PMMA plate. Images of the anterior segment are acquired, displayed on the computer monitor and stored on the hard drive of the computer from where the images can be retrieved at a later time.
The system generates images by scanning the cornea of the eye under examination and detecting the light reflected or backscattered from the cornea. The light detection system has a confocal optical arrangement, so that a two-dimensional image acquired within its focal plane can be considered as an optical section through the corneal layer located at the current focal plane. In addition, by moving the focal plane step by step, a sequence of section images at different locations of the focal plane can be acquired. This sequence of images provides a layer-by-layer three-dimensional image. The acquired images are displayed on the computer monitor and stored on the computer's hard disk for later use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Confocal microscopy (laser scanning)

Anatomical Site

Anterior segment of the human eye, cornea.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The HRT II / RCM has been tested according to IEC 60601-1 and EC 60601-1-2, and was found to meet all requirements. The system is a laser product of Class 1 according to 21 CFR Part 1040 Section 1040.10 and IEC 60825-1:1993+A2:2001.
The evaluation of the devices with respect to intended use, technological characteristics, and safety and effectiveness resulted in substantial equivalence.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K012416

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 886.1850 AC-powered slitlamp biomicroscope.

(a)
Identification. An AC-powered slitlamp biomicroscope is an AC-powered device that is a microscope intended for use in eye examination that projects into a patient's eye through a control diaphragm a thin, intense beam of light.(b)
Classification. Class II (special controls). The device, when it is intended only for the visual examination of the anterior segment of the eye, is classified as Group 1 per FDA-recognized consensus standard ANSI Z80.36, does not provide any quantitative output, and is not intended for screening or automated diagnostic indications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

0

JE 1 3 21114

510(k) Summary of Safety and Effectiveness

Manufacturer and Submitter

Company Name:Heidelberg Engineering GmbH
Company Address:Gerhart-Hauptmann-Strasse 30
69221 Dossenheim, Germany
phone: +49 / 6221 / 64 643 0
fax: +49 / 6221 / 64 63 62
Contact Person:Dr. Gerhard Zinser
Date Summary Prepared:August 30, 2004
Device
Trade/Device Name:Heidelberg Retina Tomograph II / Rostock Cornea Module
(HRT II / RCM)
Common/Usual Name:Corneal Microscope
Classification Name:AC-powered Slit-Lamp Biomicroscope
Regulation Number:21 CR 886.1850
Product Code:MXK
Classification Panel:Ophthalmic

Substantial Equivalence

Classification Panel:

Classification:

The HRT II / RCM is substantially equivalent to a slit-lamp biomicroscope, a preamend-The FIXT 11 / RONA is buondinations of Secon 2" device, a Class II device that received 510(k) market clearance on October 26, 2001, document control number K012416,

Class II device

Device Description

The system consists of the HRT II laser scanning camera, the Rostock Cornea Module optics, a mount with headrest, a power supply, and a personal computer. For an examinaoptivs, a modily with nead sollule optics is placed on the laser scaming camera, positioned in front of the patient's eye, in contact with the cornea. The contact surface is a sterile PMMA plate. Images of the anterior segment are acquired, displayed on the comsterner monitor and stored on the hard drive of the computer from where the images can be retrieved at a later time.

Iceric ved at a faror thire. the cornea of the eye under examination and detecting the light reflected or backscattered from the cornea. The light detection system has a confocal optical arrangement, scatched nom all depth of focus. In consequence a two-dimensional image acquired windness in sincer as an optical section through the corneal layer located at the current Can be considered as an option result in addition, by moving the focal plane step by step, a sequence of section images at different locations of the focal plane can be acquired. This sequence of seculor mages a layer-by-layer three-dimensional image. The acquired im-Sequence of mages provides a the computer monitor and stored on the computer's hard disk for later use.

1

Intended Use

The intended use of the Heidelberg Retina Tomograph II / Rostock Cornea Module is to The intended use of the netotoorg results + cannogior ======================================================================================================================== of the anterior segment.

Comparison of similarities and differences
HRT II / RCMNidek Confoscan 2 *Slit-Lamp Biomicro-
scope
Indications for useImaging and observation
of the cellular layers of
the anterior segment of
the human eye, for the
diagnosis and manage-
ment of anterior segment
diseases.As a diagnostic tool for
observation of the cell
layers of the anterior
parts of the eye.Imaging and observation
of the anterior segment
of the eye for diagnostic
purposes.
Corneal contactYes. Polymethyl-
methacrylate (PMMA)
plate.Not in normal use; how-
ever, corneal contact
with the microscope lens
front surface can occur.No
Working distance cornea
to objective0 (in contact)1.98 mmca. 50 mm
Corneal contact sensing
and warning featureNot applicable.YesNot applicable.
Pre-sterilized contact
surfaceYes. Single use PMMA
plate.No. Microscope lens
disinfected according to
instructions for use.Not applicable.
Front surface area75 mm2 (PMMA plate)16.6 mm2 (microscope
lens)Not applicable.
FocusManually variable.FixedNot applicable.
Focus adjustment range1 mmNot applicable.Not applicable.
Adjustment directionDevice is adjusted hori-
zontally while the patient
is sitting straight in front
of the device.Device is adjusted hori-
zontally while the patient
is sitting straight in front
of the device.Device is adjusted hori-
zontally while the patient
is sitting straight in front
of the device.
Working positionHorizontalHorizontalHorizontal
Optical setupConfocal microscopeSlit-confocal microscopeConventional micro-
scope.
Type of scanning aper-
turePointSlitNot applicable.
Scanning meansResonant and galvano-
metric scanning motors.Stepper motor.Not applicable.
Light sourceClass I diode laser, 670
nm wavelength.Halogen lamp.Tungsten lamp (typical).
Microscope lens63x water immersion40x water immersionNot applicable.
Lateral optical resolution2 microns1 micronca. 10 microns
Optical depth resolution4 microns10 micronsca. 10 microns
DetectorAvalanche photodiode.CCD camera, mono-
chrome.Examiner observes im-
age through an ocular, or
photographic film, or
CCD camera
Lateral field of view0.4 mm x 0.4 mmNot known; approxi-
mately 0.4 mm x 0.4 mmUp to 8 mm.
Lateral digital resolution1 micron/pixel(Not known.)Not applicable.
Digital depth resolution2 micron/pixelNot applicable.Not applicable.
Image acquisition time24 msec(Not known.)Not applicable.
Acquisition of three-
dimensional imagesYesNoNo
Microscope lens magni-
fication63x40xca. 16x
Magnification on screen
(15", 1024x768 pixels)300x500xca. 100x
Image storageDirectly into PC RAM,
then to PC hard drive.Directly into PC RAM,
then to PC hard drive.Not applicable.
Image compression
methodJPG, loss-free(Not known.)Not applicable.
Cell density measure-
ment softwareYesYesNo
Corneal profile meas-
urementOptical sectioning, by
shifting the focal plane
of the confocal imaging
system.Optical sectioning, by
recording of average
scatter from different
depth locations.No
Operating and image
management softwareHeidelberg Eye ExplorerNAVISNot applicable.
Physical layoutLift table, PC, mount
with headrest, optical
head are separate com-
ponents.Lift table, PC, and opti-
cal head integrated into
one piece.Lift table, mount with
headrest, optical head and
separate components.

Technological Characteristics Compared to Predicate Device

2

K042742

510(k) Summary of Safety and Effectiveness

Conclusions from Performance Testing

The HRT II / RCM has been tested according to IEC 60601-1 and EC 60601-1-2, and I he HKT 117 KCM has becirements. The system is a laser product of Class 1 according to
was found to meet all requirements. The system is a laser product of Class 1 according was found to moot an requent 1040.10 and IEC 60825-1:1993+A2:2001.

21 CFR Parl 1040 Section 1040.10 and ESC 80023 11491 images resulted in substantial I he evaluation of the devices with respect to intended use, technological characteristics, and safety and effectiveness.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird with three curved lines representing its wings or feathers. The bird is positioned above a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 3 2004

Heidelberg Engineering GmbH c/o TUV America, Inc. Mr. Stefan Preiss 1775 Old Highway 8 New Brighton, MN 55112-1891

Re: K042742

: K042742
Trade/Device Name: Heidelberg Retina Tomograph II / Rostock Cornea Module (HRT II / RCM) Regulation Number: 21 CFR 886.1850 Regulation Name: AC-powered Slit-Lamp Biomicroscope Regulatory Class: Class II Product Code: MXK Dated: September 30, 2004 Received: October 4, 2004

Dear Mr. Preiss:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 310(x) premainter is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the Chelosure) to regars actiment date of the Medical Device Amendments, or to commerce prior to May 26, 1776, the encordance with the provisions of the Federal Food, Drug, devices that have been reclassined in accessfire approval of a premarket approval application (PMA). and Cosment AC. (Act) that do not require appro the general controls provisions of the Act. The You may, merciole, market the devices, courses, coursements for annual registration, listing of general controls provisions of the 110 110 110 1100 1100 bitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your device is classified (see above) ins. Existing major regulations affecting your device can may be subject to such additional controller Linestigations, Title 21, Parts 800 to 898. In addition, FDA may be found in the Code of Peachar Ing your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I Dri- 3 issuates or wouldevice complies with other requirements of the Act that TDA has made a determinations administered by other Federal agencies. You must of any Federal statutes and regularions and limited to: registration and listing (21 Comply with an the 71ct 31equirements, need 801); good manufacturing practice requirements as set CTK I at 807); aboning (21 CFR Part 820); and if applicable, the electronic form in the quality systems (QD) regulations (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) 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) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

A. Palgi Korenthol

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

U.S. Food and Drug Administration

E

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Indications for Use

510(k) Number (if known): KO4Z742

Device Name:

Heidelberg Retina Tomograph "" / Rostock Cornea Module

Indications for Use: Imaging and observation of the cellular layers of the anterior segment of the human eye, for the diagnosis and management of anterior segment diseases.

Evenette T. Beem

510(k) Number K042742

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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