(30 days)
Not Found
No
The document describes a standard video endoscopy system and does not mention any AI or ML capabilities. The focus is on image visualization and capture, not analysis or interpretation using advanced algorithms.
No
The device is described as being used for examination/visualization and to aid in intubation, which are diagnostic and procedural aid functions, not therapeutic.
Yes
The device is described as being used for "endoscopic access and examination of the larynx, esophagus and gastro-esophageal junction," which falls under the definition of diagnostic purposes (examining to identify or investigate a condition).
No
The device description clearly outlines hardware components including a flexible endoscope, video processor, display monitor, and disposable sheaths. While software is mentioned for image visualization and capture, it is part of a larger hardware system.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for "endoscopic access and examination of the larynx, esophagus and gastro-esophageal junction" and to "aid in intubation." This describes a procedure performed on the patient's body, not a test performed on a sample taken from the patient's body.
- Device Description: The device is a flexible endoscope system used for visualization inside the body. This is consistent with an in-vivo diagnostic or therapeutic device, not an in-vitro diagnostic device.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in-vitro diagnostics.
In-vitro diagnostics are tests performed on samples taken from the human body to provide information about a person's health. This device is used for direct visualization within the body.
N/A
Intended Use / Indications for Use
The flexible trans-nasal video esophagoscope with digital video processor and disposable sheath system is intended for use in endoscopic access and examination of the larynx, esophagus and gastro-esophageal junction. The system can also be used to aid in intubation.
The flexible trans-nasal video esophagoscope with EndoSheath® System is intended for use in endoscopic access and examination of the larynx, esophagus and gastroesophageal junction. The system may also be used to aid in intubation.
The digital video processor is intended for use with the VSI flexible video scope.
Product codes (comma separated list FDA assigned to the subject device)
EOX
Device Description
The VSI flexible endoscope is a flexible endoscope with connections to a video processor and display monitor. The EndoSheath® Systems are sterile, single-use protective sheath systems, with or without a working channel, that are intended to cover the entire insertion tube of the videoscope. The digital video processors are used with the flexible videoscope for image visualization and capture.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
larynx, esophagus, gastro-esophageal junction
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)
This submission is a Special 510(k): Device Modification as described in FDA's guidance document entitled "The New 510(k) Paradigm - Alternate Approaches to Demonstrating Substantial Equivalence in Premarket Notifications." In support of this 510(k), Vision-Sciences has provided certification of compliance to 21 CFR 820.30 Design Control requirements, and a description of the internal Risk Analysis procedure. V & V activities, including scope/sheath/processor system functional and performance testing, and software validation was addressed through comprehensive Design Validation and Verification planning.
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.
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
§ 874.4710 Esophagoscope (flexible or rigid) and accessories.
(a)
Identification. An esophagoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the esophagoscope and is intended to examine or treat esophageal malfunction symptoms, esophageal or mediastinal disease, or to remove foreign bodies from the esophagus. When inserted, the device extends from the area of the hypopharynx to the stomach. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.
0
KO 72088
Vision-Sciences, Inc. Special 510(k) Premarket Notification: Device Modification July 27, 2007 Modified Trans-Nasal Esophagoscope with Digital Video Processor and Disposable EndoSheath® Systems
510(k) Summary
AUG 2 9 2007
| Owner's Name: | Vision-Sciences, Inc. |
|---|---|
| Address: | 40 Ramland Road South |
| Orangeburg, NY 10962 | |
| Telephone Number: | (845) 365-0600 |
| Fax Number: | (845) 365-0620 |
| Contact Person: | Lillian Quintero; Director QA/RA |
| Subject Device Name: | Modified Flexible Trans-Nasal Esophagoscope with Digital Video |
| Processor and Disposable EndoSheath® Systems | |
| Common/Usual Name: | Flexible video endoscope with video processor and disposable sheaths |
| Product Codes: | EOX |
| FDA Regulations: | 21 CFR 874.4710 |
| Device Classification: | Class II |
| Predicate Device Name: | Flexible Fiberoptic Trans-Nasal Esophagoscope with EndoSheath® |
| Systems | |
| Common/Usual Name: | Flexible fiberoptic endoscope with sheaths and accessories |
| Product Codes: | EOX |
| FDA Regulations: | 21 CFR 874.4710 |
| Device Classification: | Class II |
| Premarket Notification: | K031786 |
Device Description
The VSI flexible endoscope is a flexible endoscope with connections to a video processor and display monitor. The EndoSheath® Systems are sterile, single-use protective sheath systems, with or without a working channel, that are intended to cover the entire insertion tube of the videoscope. The digital video processors are used with the flexible videoscope for image visualization and capture.
Intended Use
The flexible trans-nasal video esophagoscope with digital video processor and disposable sheath system is intended for use in endoscopic access and examination of the larynx, esophagus and gastro-esophageal junction. The system can also be used to aid in intubation.
Performance Testing
This submission is a Special 510(k): Device Modification as described in FDA's guidance document entitled "The New 510(k) Paradigm - Alternate Approaches to Demonstrating Substantial Equivalence in Premarket Notifications." In support of this 510(k), Vision-Sciences has provided certification of compliance to 21 CFR 820.30 Design Control requirements, and a description of the internal Risk Analysis procedure. V & V activities, including scope/sheath/processor system functional and performance testing, and software validation was addressed through comprehensive Design Validation and Verification planning.
Conclusion
Based on the indications for use, technological characteristics, performance testing and comparison to predicate devices, the VSI flexible video TNE endoscope with digital video processors and disposable EndoSheath® Systems have been shown to be safe and effective for their intended use.
1
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Vision-Sciences, Inc. c/o Ms. Pamela Papineau, RAC Delphi Medical Device Consulting, Inc. 5 Whitcomb Ave. Ayer, MA 01432
AUG 2 9 2007
Re: K072088
Trade/Device Name: Flexible Trans-Nasal Esophagoscope with Digital Video Processor and Disposable EndoShealth® Systems
Regulation Number: 21 CFR 874.4710 Regulation Name: Esophagoscope (flexible or rigid) and accessories Regulatory Class: Class II Product Code: EOX Dated: July 27, 2007 Received: July 30, 2007
Dear Ms. Papineau:
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 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.
2
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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 vours.
M.B. Egelkus, MD
Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear. Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
3
Vision-Sciences, Inc. cial 510(k) Premarket Notification: Device Modification July 27, 2007 Modified Trans-Nasal Esophagoscope with Digital Video Processor and Disposable EndoSheath® Systems
510(k) Number (if known):
Device Name: Flexible Trans-Nasal Video Esophagoscope with Digital Video Processor and Disposable EndoSheath® Systems
Indications for Use:
The flexible trans-nasal video esophagoscope with EndoSheath® System is intended for use in endoscopic access and examination of the larynx, esophagus and gastroesophageal junction. The system may also be used to aid in intubation.
The digital video processor is intended for use with the VSI flexible video scope.
Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Per 21 CFR 801 Subpart D) OR
Over-the -Counter Use (Per 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)
Thabolil
(Division Sign-On)
Division of Ophthalmic Ear,
Division of Nose and Throat Devises
K072088
Number
510(k) Number
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