K Number
K071756
Date Cleared
2007-08-15

(48 days)

Product Code
Regulation Number
876.1500
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Endohub-1.0 Endoscopic Video Camera with Video Capture is intended to be used as an endoscopic video camera in a variety of endoscopic surgical procedures, including but not limited to; orthopedic, laparoscopic, urologic, sinuscopic and plastic surgical procedures. The device is also intended to be used as an accessory for microscopic surgery.

Device Description

The Endohub-1.0 Endoscopic Video Camera System is a video camera system which consists of a Camera Control Unit [CCU] and Camera Head. The Endohub-1.0 Camera System is used in conjunction with an endoscope to allow for visualization during minimally invasive surgical procedures. Sterilization of the camera head may be required prior to use. The camera head may be steam sterilized. The camera head may utilize 1CCD or 3CCD image sensors, and employ either fixed or variable focal length optics. The Endohub-1.0 Camera System incorporates an image capture system which allows for the capture of streaming video or still video images.

AI/ML Overview

The provided text describes a 510(k) summary for the Endohub-1.0 Endoscopic Video Camera System. This type of regulatory submission establishes substantial equivalence to a predicate device and does not typically include detailed performance studies with acceptance criteria, sample sizes, expert-adjudicated ground truth, or multi-reader multi-case studies as would be seen for AI/ML device submissions.

Based on the provided information:

1. Table of Acceptance Criteria and Reported Device Performance:

The document does not specify quantitative acceptance criteria or provide a table of performance metrics. The claim for the Endohub-1.0 is based on substantial equivalence to a predicate device.

2. Sample Size Used for the Test Set and Data Provenance:

No test set with a specific sample size or data provenance is mentioned. The device's performance is assumed to be equivalent to the predicate device based on its design and intended use.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications:

Not applicable. The submission does not describe a study involving human experts establishing ground truth for a test set.

4. Adjudication Method for the Test Set:

Not applicable. There is no mention of a test set requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size:

No MRMC comparative effectiveness study is mentioned. This type of study is more common for diagnostic or AI-powered devices, not for basic endoscopic video camera systems demonstrating substantial equivalence to existing technology.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

Not applicable. This device is a video camera system, not an algorithm. Its function is to capture and display images for human interpretation during surgical procedures.

7. The Type of Ground Truth Used:

Not applicable. The submission does not define a "ground truth" as would be relevant for a diagnostic or AI device. The equivalence is based on the functional aspects of the video camera system.

8. The Sample Size for the Training Set:

Not applicable. There is no mention of a training set as this is not an AI/ML device.

9. How the Ground Truth for the Training Set Was Established:

Not applicable. As there is no training set for an AI/ML model, no ground truth establishment is described.

Summary of Device Acceptance Criteria and Study Information from the Provided Text:

The Endohub-1.0 Endoscopic Video Camera System’s acceptance is based on demonstrating substantial equivalence to a legally marketed predicate device (Linvatec Corporation's Autoclavable 3-CCD Digital Camera System, K031098). The study supporting this acceptance is a comparative analysis against the predicate, focusing on:

  • Indications for Use: The Endohub-1.0 is intended for use as an endoscopic video camera in various surgical procedures (orthopedic, urologic, sinuscopic, plastic, and microscopic surgery) and allows for presentation of endoscopic images onto video monitors. This is stated to be equivalent to the predicate.
  • Basic Design: The system consists of a Camera Control Unit (CCU) and Camera Head, similar to the predicate.
  • Energy Delivered: Not specified, but implied to be equivalent.
  • Biocompatibility: Implied to be equivalent.
  • Performance: Implied to be equivalent, meaning it performs its function of capturing and displaying video for endoscopic procedures to a similar standard as the predicate. No specific quantitative performance metrics are provided.
  • Standards Used: Compliance with IEC 60601-1, IEC 60601-2-18, and IEC 60601-1-2 for safety and electromagnetic compatibility forms part of the acceptance criteria.
  • Materials: Implied to be equivalent.
  • Safety and Effectiveness: No significant differences that would raise concerns regarding safety or effectiveness compared to the predicate.
  • Labeling: Implied to be equivalent.

The submission concludes that there are "no significant differences in the new device which raise issues of safety or effectiveness," leading to the FDA's determination of substantial equivalence. This regulatory pathway does not require the extensive performance studies typically associated with novel or AI-powered devices.

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K071756

Image /page/0/Picture/2 description: The image is an oval-shaped logo with a dark background and light-colored text. The text appears to be a company name or slogan, but it is difficult to read due to the image quality. There is also a graphic above the text, which could be a mountain range or a stylized design element.

Pointe Conception Medical, Inc 121 E. Mason Street Santa Barbara, California 93101

AUG 15 2007

June 20, 2007

Modified -- 510(k) Summary As required by section 807.92(c)

Endohub-1.0 Endoscopic Video Camera with Video Capture

In accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92, Pointe Conception Medical, Incorporated is hereby submitting the 510(k) summary of the Safety and Effectiveness for the Endohub-1.0 Endoscopic Video Camera System 510(k) number K071756

1. Submitter [510(k) owner]

Pointe Conception Medical, Incorporated. 121 E. Mason Street Santa Barbara, California 93101

2. Company Contact

William C. Haack VP. Enaineering 805-884-0403 Ext. 103 805-884-00260 [FAX] wchaack@pc-medical.com

3. Submitted Device Information

Endoscopic Video Camera System Common Name: Endohub-1.0 Endoscopic Video Camera System with Video Capture Trade Name: Classification Name: Endoscope And/Or Accessories

Classification Information 4.

Classification:Class II
Classification Regulation:876.1500
Classification Product Code:KOG
FDA Subsequent Product Code:GCJ

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K071756

5. Legally Marketed Predicate Devices

Information on devices to which substantial equivalence is claimed
510(k) NumberDevice DescriptionManufacturerSubstantial Equivalence Comments
K031098Autoclavable 3-CCD Digital Camera SystemLinvatec Corporation

6. Submitted Device Description

The Endohub-1.0 Endoscopic Video Camera System is a video camera system which consists of a Camera Control Unit [CCU] and Camera Head. The Endohub-1.0 Camera System is used in conjunction with an endoscope to allow for visualization during minimally invasive surgical procedures. Sterilization of the camera head may be required prior to use. The camera head may be steam sterilized. The camera head may utilize 1CCD or 3CCD image sensors, and employ either fixed or variable focal length optics. The Endohub-1.0 Camera System incorporates an image capture system which allows for the capture of streaming video or still video images.

7. Intended Use

The Endohub-1.0 Endoscopic Video Camera System is intended to be used as an endoscopic video camera in a variety of endoscopic surgical procedures, including but not limited to; orthopedic, urologic, sinuscopic and plastic surgical procedures. The device is also intended to be used as an accessory for microscopic surgery.

The Endohub-1.0 system allows for presentation of the endoscopic images onto video monitors.

8. Substantial Equivalence

The Endohub-1.0 Endoscopic Video Camera System is substantially equivalent to the predicate video camera system [K031098-Linvatec Corporation-Autoclavable 3-CCD Digital Camera System] in regard to indications for use, basic design, energy delivered, biocompatibility, performance, standards used, materials, safety and effectiveness and labeling.

There are no significant differences in the new device which raise issues of safety or effectiveness. Accordingly, Pointe Conception Medical, Incorporated believes that the Endohub-1.0 Endoscopic Video Camera System is substantially equivalent to the predicate devices currently on the market.

9. Standards Compliance

The Endohub-1.0 Endoscopic Video Camera System has been tested and found to comply with the relevant international Medical Device Standards for Safety.

IEC 60601-1Medical Electrical Equipment, General Standards
IEC 60601-2-18Medical Electrical Equipment, Particular Requirements for Endoscopic Equipment
IEC 60601-1-2Medical Electrical Equipment, Requirements for Electromagnetic Compatibility

Image /page/1/Picture/15 description: The image shows a logo for a company called "DC Medical". The logo consists of a vertical line on the left, followed by the letters "DC" in a stylized font. The letters "Medical" are written in a smaller font below the "DC".

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K07156

.

William C. Haack VP Engineering Pointe Conception Medical 121 E. Mason Street Santa Barbara, California 93101 Phone: 805-884-0403 Ext. 103 805-884-0260 FAX: wchaack@pc-medical.com

REF: Endohub-1.0 Endoscopic Video System 510(k) summary

.

:

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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 caduceus, which is a symbol often associated with healthcare. The caduceus is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA", which is arranged in a circular fashion around the logo.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 15 2007

Pointe Conception Medical, Inc. % Mr. William C. Haack VP Engineering 121 E. Mason Street Santa Barbara, California 93101

Re: K071756

Trade/Device Name: Endohub-1.0 Endoscopic Video Camera with Video Capture Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: GCJ Dated: June 26, 2007 Received: June 28, 2007

Dear Mr. Haack:

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

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Page 2 - Mr. William C. Haack

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) 276-0115. 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,

for Dattom

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K071756

Indications for Use

510(k) Number (if known):

Device Name: Endohub-1.0 Endoscopic Video Camera with Video Capture

Indications For Use:

The Endohub-1.0 Endoscopic Video Camera with Video Capture is intended to be used as an endoscopic video camera in a variety of endoscopic surgical procedures, including but not limited to; orthopedic, laparoscopic, urologic, sinuscopic and plastic surgical procedures. The device is also intended to be used as an accessory for microscopic surgery.

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of General, Restorative,
and Neurological Devices

510(k) Number: K071706

Page 1 of 1

§ 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.