K Number
K051145
Device Name
CRITIVIEW
Manufacturer
Date Cleared
2006-01-18

(259 days)

Product Code
Regulation Number
870.2100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CritiView is indicated for in-vivo monitoring of changes in NADH redox state and microvascular perfusion in tissue. Changes in the measured parameters, blood flow change, blood volume change, and NADH concentration change provide information on tissue metabolic activity. The CritiView uses a pencil style probe which is in contact with the tissue(s) to be measured / monitored. The device may be used for up to eight (8) hours per twenty-four (24) hour period. Tissues which may be monitored are: brain, liver, kidney, intestine, testis, skin. Note that heart may not be used, as the heart beating motion may not provide a reliable probe contact surface. Environment of use include - hospital - OR, ICU, Emergency Departments, High Dependency Units Institutions
Device Description
The CritiView device carries out certain in-vivo, spectroscopic measurements and displays them as a trend. The parameters measured are blood flow change, blood volume change, and NADH concentration change. It is a multi-parametric monitoring device intended for the measurement of tissue metabolic state. The CritiView device consists of NADH Fluorometer and Doppler Flowmeter. The CritiView device is a modification of the predicate, Tissue Spectroscope (K992529).
More Information

No
The summary describes a device that performs spectroscopic measurements and displays trends. There is no mention of AI, ML, or any related concepts in the intended use, device description, or specific sections for AI/ML information.

No
The device is for monitoring tissue metabolic activity and does not provide therapy.

Yes
The device is indicated for "in-vivo monitoring of changes in NADH redox state and microvascular perfusion in tissue" and provides "information on tissue metabolic activity," which are diagnostic functions. It monitors "blood flow change, blood volume change, and NADH concentration change" to assess "tissue metabolic state."

No

The device description explicitly states that the CritiView device consists of a "NADH Fluorometer and Doppler Flowmeter" and uses a "pencil style probe which is in contact with the tissue(s)". These are hardware components, indicating it is not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly states "in-vivo monitoring of changes in NADH redox state and microvascular perfusion in tissue." "In-vivo" means within a living organism. IVD devices are used to examine specimens taken from the body (in vitro - in glass/outside the body).
  • Device Description: The description reinforces the in-vivo nature of the measurements, stating it "carries out certain in-vivo, spectroscopic measurements."
  • Method of Measurement: The device uses a probe that is in direct contact with the tissue, which is characteristic of in-vivo monitoring, not in-vitro testing of samples.

Therefore, the CritiView is an in-vivo monitoring device, not an in-vitro diagnostic device.

N/A

Intended Use / Indications for Use

CritiView is indicated for in-vivo monitoring of changes in NADH redox state and microvascular perfusion in tissue. Changes in the measured parameters, blood flow change, blood volume change, and NADH concentration change that provide information on tissue metabolic activity.

The CritiView uses a pencil style probe which is in contact with the tissue to be measured / monitored. The device may be used up to eight (8) hours per twenty-four (24) hour period.

Tissues which may be monitored are brain, liver, kidney, intestine, testis, skin. Note that heart may not be used, as the heart beating motion may not provide a reliable probe contact surface.

Product codes

DPW, KHO

Device Description

The CritiView device carries out certain in-vivo, spectroscopic measurements and displays them as a trend. The parameters measured are blood flow change, blood volume change, and NADH concentration change. It is a multi-parametric monitoring device intended for the measurement of tissue metabolic state. The CritiView device consists of NADH Fluorometer and Doppler Flowmeter. The CritiView device is a modification of the predicate, Tissue Spectroscope (K992529).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

brain, liver, kidney, intestine, testis, skin

Indicated Patient Age Range

Neonate/infant, pediatrics, and adults.

Intended User / Care Setting

Hospital - OR, ICU, Emergency Departments, High Dependency Units Institutions

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)

Not Found

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

Not Found

Predicate Device(s)

K992529

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2100 Cardiovascular blood flowmeter.

(a)
Identification. A cardiovascular blood flowmeter is a device that is connected to a flow transducer that energizes the transducer and processes and displays the blood flow signal.(b)
Classification. Class II (performance standards).

0

KOS 1145

Attachment $2.1

| | Page 1 of 2
14-Dec-05 |
|----------------------------------------------------------------------|------------------------------------------------------------------------------------|
| CritiSense Ltd.
11 Ben Gurion St.
Givat Shmuel 54101
Israel | Tel - +972-3-5325553
Fax - +972-3-5325251 |
| Official Contact: | Dalia Givony - Manager Regulatory |
| Proprietary or Trade Name: | CritiView |
| Common/Usual Name: | Cardiovascular blood flowmeter |
| | Fluorometer for clinical use |
| Classification Name: | Cardiovascular blood Flowmeter (DPW) |
| | Fluorometer for clinical use (KHO) |
| Device: | CritiView |
| Predicate Devices: | Tissue Spectroscope, Vital Medical - K992529 (Vital
Medical became CritiSense). |

510(k) Summary of Safety and Effectiveness

Device Description:

The CritiView device carries out certain in-vivo, spectroscopic measurements and displays them as a trend. The parameters measured are blood flow change, blood volume change, and NADH concentration change. It is a multi-parametric monitoring device intended for the measurement of tissue metabolic state. The CritiView device consists of NADH Fluorometer and Doppler Flowmeter. The CritiView device is a modification of the predicate, Tissue Spectroscope (K992529).

Indications for Use:

CritiView is indicated for in-vivo monitoring of changes in NADH redox state and microvascular perfusion in tissue. Changes in the measured parameters, blood flow change, blood volume change, and NADH concentration change that provide information on tissue metabolic activity.

The CritiView uses a pencil style probe which is in contact with the tissue to be measured / monitored. The device may be used up to eight (8) hours per twenty-four (24) hour period.

Tissues which may be monitored are brain, liver, kidney, intestine, testis, skin. Note that heart may not be used, as the heart beating motion may not provide a reliable probe contact surface.

1

Summary of Safety and Effectiveness Page 2 of 2 14-Dec-05

Patient Population:

The device is intended for the monitoring of tissue metabolic activity of hospitalized patients. i.e., neonate/infant, pediatrics, and adults.

Summary of Specifications:

CritiView
Indications for useIn-vivo monitoring of changes in NADH redox state and
microvascular perfusion in tissue. Changes in the measured
parameters, blood flow change, blood volume change, and NADH
concentration change that provide information on tissue metabolic
activity.
Environments of useHospital - OR, ICU, Emergency Departments, High Dependency
Units Institutions
Patient PopulationHospitalized patients - Neonate/infant, pediatrics, adults.
ContraindicationsSame as Tissue Spectroscope
Laser ClassClass 1 Laser Device
Measurement TechniqueAbsorption, reflection and fluorescence spectrometry
Light Source & WavelengthUV LED 375nm
UV LED 375nm
NIR Laser Diode 785nm
Means for light transmissionIn-vivo, fiber optic probe
Measured parameters1. Blood Flow [%] Doppler Shift
  1. Blood Volume [%] of change
  2. NADH concentration [%] of change |
    | Power Requirements | 110 to 240V ±10 |
    | Method of measurement / probe | Direct tissue contact / Pencil type probe |
    | Duration of use | Eight (8) hours per twenty-four (24) hours period |

Differences Between Other Legally Marketed Predicate Devices:

There are no significant differences between the CritiView and the predicate – Tissue Spectroscope, K992529

.

2

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle or bird-like symbol with three curved lines forming its body and head. The logo is encircled by the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 8 2006

CritiSense Ltd. c/o Mr. Paul E. Dryden President ProMedic, Inc. 6329 W. Waterview Ct. McCordsville, IN 46055-9501

K051145 Trade Name: CritiSense CritiView Regulation Number: 21 CFR 870.2100 Regulation Name: Cardiovascular Blood Flowmeter Regulatory Class: Class II (two) Product Code: DPW and KHO Dated: December 14, 2005 Received: December 15, 2005

Dear Mr. Dryden:

Re:

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.

3

Page 2 - Mr. Paul E. Dryden

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 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 (240) 276-0120. 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/industry/support/index.html.

Sincerely yours,

Brimmer for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Attachment S2.1

Page 1 of 1

.

510(k) Number:K051145
Device Name:CritiView
Indications for Use:CritiView is indicated for in-vivo monitoring of changes
in NADH redox state and microvascular perfusion in tissue.
Changes in the measured parameters, blood flow change,
blood volume change, and NADH concentration change
provide information on tissue metabolic activity.
The CritiView uses a pencil style probe which is in contact
with the tissue(s) to be measured / monitored. The device
may be used for up to eight (8) hours per twenty-four (24)
hour period.
Tissues which may be monitored are: brain, liver, kidney,
intestine, testis, skin. Note that heart may not be used, as
the heart beating motion may not provide a reliable probe
contact surface.
Environment of use include - hospital - OR, ICU,
Emergency Departments, High Dependency Units
Institutions
Prescription Use XX

Prescription (Per CFR 801.109)

·

Concurrence of CDRH, Office of Device Evaluation (ODE)

Blhumman

(Division Sign-Off) Division of Cardiovascular Devices 510(k) Number