K Number
K061848
Device Name
HYPERSPECTRAL TISSUE OXYGENATION MEASUREMENT SYSTEM, MODEL OXY VU1
Manufacturer
Date Cleared
2006-11-08

(131 days)

Product Code
Regulation Number
870.2700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OxyVu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System is intended for use by healthcare professionals as a non-invasive tissue oxygenation measurement system that reports an approximate value of: - oxygen saturation (HT-Sat), - oxyhemoglobin level (HT-Oxy), and - deoxyhemoglobin (HT-Deoxy) level in superficial tissue. The OxyVu-1 system displays two-dimensional color-coded images of tissue oxygenation of the scanned surface and reports hyperspectral tissue oxygenation measurements for selected tissue regions. The OxyVu-1 system is indicated for use to determine oxygenation levels in superficial tissues for patients with potential circulatory compromise.
Device Description
The OxyVu-1 system is based on hyperspectral imaging technology. The technology performs spectral analysis at each point in a two-dimensional scanned area producing an image displaying information derived from the analysis. For the OxyVu-1 system, the spectral analysis determines in superficial tissues approximate values of oxygen saturation (HT-Sat), oxyhemoglobin levels (HT-oxy), and deoxyhemoglobin levels (HT-deoxy). The OxyVu-1 system displays the tissue oxygenation in a two-dimensional, color-coded image. The system consists of: - System console: cart, system electronics, CPU, monitor, keyboard, pointing device and printer. - Hyperspectral instrument head with support arm: broadband illuminator, camera and spectral filter for collecting hyperspectral imaging cube. - Single use OxyVu Check Pads and Targets: The OxyVu Check Pad is used to perform an instrument check prior to patient measurements. The OxyVu Target is placed within the intended field of view and is used as a fiduciary mark for image registration and for focusing.
More Information

Not Found

No
The summary describes a device based on hyperspectral imaging and spectral analysis to determine tissue oxygenation levels. While it involves image processing and data analysis, there is no mention of AI, ML, or related concepts like training sets, test sets, or performance metrics typically associated with AI/ML algorithms. The description focuses on the physical components and the underlying spectral analysis technology.

No.
The device is a diagnostic measurement system that provides information (oxygen saturation, oxyhemoglobin, deoxyhemoglobin levels) about tissue oxygenation, but it does not treat or directly improve a patient's health condition.

Yes

The device is intended for use to determine oxygenation levels in superficial tissues for patients with potential circulatory compromise, which is a diagnostic purpose.

No

The device description explicitly lists hardware components such as a system console (cart, electronics, CPU, monitor, etc.), a hyperspectral instrument head (illuminator, camera, spectral filter), and single-use check pads and targets. This indicates it is a hardware-based system with integrated software, not a software-only device.

Based on the provided information, the OxyVu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the human body. The definition of an IVD typically involves the examination of specimens such as blood, urine, tissue, or other bodily fluids outside of the body (in vitro).
  • The OxyVu-1 system is a non-invasive device. It measures tissue oxygenation directly on the surface of the body without taking any samples.
  • The intended use and device description clearly state it's a non-invasive tissue oxygenation measurement system. It uses hyperspectral imaging to analyze superficial tissue in situ.

Therefore, the OxyVu-1 system falls under the category of a non-invasive medical device rather than an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The OxyVu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System is intended for use by healthcare professionals as a non-invasive tissue oxygenation measurement system that reports an approximate value of: oxygen saturation (HT-Sat), oxyhemoglobin level (HT-Oxy), and deoxyhemoglobin (HT-Deoxy) level in superficial tissue. The OxyVu-1 system displays two-dimensional color-coded images of tissue oxygenation of the scanned surface and reports hyperspectral tissue oxygenation measurements for selected tissue regions.

The OxyVu-1 system is indicated for use to determine oxygenation levels in superficial tissues for patients with potential circulatory compromise.

Product codes

MUD

Device Description

The OxyVu-1 system is based on hyperspectral imaging technology. The technology performs spectral analysis at each point in a two-dimensional scanned area producing an image displaying information derived from the analysis. For the OxyVu-1 system, the spectral analysis determines in superficial tissues approximate values of oxygen saturation (HT-Sat), oxyhemoglobin levels (HToxy), and deoxyhemoglobin levels (HT-deoxy). The OxyVu-1 system displays the tissue oxygenation in a two-dimensional, color-coded image.

The system consists of:

  • System console: cart, system electronics, CPU, monitor, keyboard, pointing . device and printer.
  • Hyperspectral instrument head with support arm: broadband illuminator, . camera and spectral filter for collecting hyperspectral imaging cube.
  • Single use OxyVu Check Pads and Targets: The OxyVu Check Pad is used . to perform an instrument check prior to patient measurements. The OxyVu Target is placed within the intended field of view and is used as a fiduciary mark for image registration and for focusing.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Hyperspectral Imaging

Anatomical Site

superficial tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare professionals

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)

Based on equivalent intended uses and technologies and on comparable results in clinical testing, the Oxy Vu-1 Hyperspectral Tissue Oxygenation Measurement System is substantially equivalent to the Inspectra Model 325 Tissue Spectrometer System.

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

Not Found

Predicate Device(s)

K053618, K042020, K023933, K012759

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2700 Oximeter.

(a)
Identification. An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the text "HyperMed" in a bold, sans-serif font. There are two overlapping line graphs above the text. The graphs have peaks and valleys, and they appear to be related to the text. The overall image has a technical or scientific feel.

NOV - 8 2006

510(k) Summary OxyVu-1 Hyperspectral Tissue Oxygenation Measurement System (June 28, 2006)

Submittal information:

Post-approval contact: Jenny Freeman, MD, President, Hypermed, Inc. Hypermed, Inc. 305 Second Avenue Suite B Waltham, MA 02451

Phone: 781-647-0009

510(k) prepared by Chas Burr, President, Chas Burr Q/R Systems, Inc. Phone: 781-789-1646 Fax: 781-723-2422

Device name and classification

Proprietary Name: OxyVu-1 Hyperspectral Tissue Oxygenation Measurement System Hyperspectral Tissue Oxygenation Measurement System Common Name: Classification Name: Tissue Saturation Oximeter Classification Panel: Cardiovascular CFR Section: 21 CFR 870.2700 Class: II Product Code: MUD

Substantial Equivalence

The Oxy Vu-1 system is substantially equivalent to the Inspectra Tissue Spectrometer System, Model 325 manufactured by Hutchinson Technology, Inc. The Inspectra system was cleared in 510(k)'s K053618, K042020, K023933, and K012759.

Device Description

The OxyVu-1 system is based on hyperspectral imaging technology. The

1

technology performs spectral analysis at each point in a two-dimensional scanned area producing an image displaying information derived from the analysis. For the OxyVu-1 system, the spectral analysis determines in superficial tissues approximate values of oxygen saturation (HT-Sat), oxyhemoglobin levels (HToxy), and deoxyhemoglobin levels (HT-deoxy). The OxyVu-1 system displays the tissue oxygenation in a two-dimensional, color-coded image.

The system consists of:

  • System console: cart, system electronics, CPU, monitor, keyboard, pointing . device and printer.
  • Hyperspectral instrument head with support arm: broadband illuminator, . camera and spectral filter for collecting hyperspectral imaging cube.
  • Single use OxyVu Check Pads and Targets: The OxyVu Check Pad is used . to perform an instrument check prior to patient measurements. The OxyVu Target is placed within the intended field of view and is used as a fiduciary mark for image registration and for focusing.

Intended Use

The OxyVu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System is intended for use by healthcare professionals as a non-invasive tissue oxygenation measurement system that reports an approximate value of:

  • . oxygen saturation (HT-Sat),
  • . oxyhemoglobin level (HT-Oxy), and
  • . deoxyhemoglobin (HT-Deoxy) level

in superficial tissue. The OxyVu-1 system displays two-dimensional color-coded images of tissue oxygenation of the scanned surface and reports hyperspectral tissue oxygenation measurements for selected tissue regions.

The OxyVu-1 system is indicated for use to determine oxygenation levels in superficial tissues for patients with potential circulatory compromise.

Comparison with the Predicate Device

OxyVu-1Inspectra Model 325
MeasuresOxygen saturation
Oxyhemoglobin level
Deoxyhemoglobin levelOxygen saturation
Method of
MeasurementSpectral analysis at specific wavelengths of light returned from target tissue.
Output DisplayNumeric
Two-dimensional color map of
approximate tissue oxygenationNumeric

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Similarities and Differences

Oth devices use spectral analysis to determine oxygenation levels in near-surface tissues. The Clyckly, I systems Both devices use spectral analysis to decomment on the hemoglobin. The OxyVu-l system a display numeric values of the approximate oxygen and deoxyhemoglobin levels necessary for the oxygen saturation calculation.

The hyperspectral scanning method used by the OxyVu-1 system provides two-dimensional mapping of color-coded oxygenation levels.

Basis of Substantial Equivalence

Based on equivalent intended uses and technologies and on comparable results in clinical testing, the Oxy Vu-1 Hyperspectral Tissue Oxygenation Measurement System is substantially equivalent to the Inspectra Model 325 Tissue Spectrometer System.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV - 8 2006

HyperMed, Inc. c/o Mr. Chas Burr Chas Burr Q/R Services, Inc. 11 Mystic Avenue Winchester, MA 01890-2920

Re: K061848

Trade Name: Oxy Vu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System Regulation Number: 21 CFR 870.2700 Regulation Name: Tissue saturation oximeter Regulatory Class: Class II Product Code: MUD Dated: October 11, 2006 Received: October 13, 2006

Dear Mr. Burr:

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 cither 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.

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Page 2 - Mr. Chas Burr

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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

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

Enclosure

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Indications for Use

510(k) Number (if known): __ 対応 Kole1048

Device Name: OxyVu-1 Hyperspectral Tissue Oxygenation Measurement System

Indications for Use:

The OxyVu-1 Hyperspectral Tissue Oxygenation (HTO) Measurement System is intended for use by healthcare professionals as a non-invasive tissue oxygenation measurement system that reports an approximate value of:

  • oxygen saturation (HT-Sat), �
  • oxyhemoglobin level (HT-Oxy), and .
  • deoxyhemoglobin (HT-Deoxy) level

in superficial tissue. The OxyVu-1 system displays two-dimensional color-coded images of tissue oxygenation of the scanned surface and reports hyperspectral tissue oxygenation measurements for selected tissue regions.

The OxyVu-1 system is indicated for use to determine oxygenation levels in superficial tissues for patients with potential circulatory compromise.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH/Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K061848

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