(15 days)
Not Found
No
The summary does not mention AI, ML, or any related concepts like deep learning, neural networks, or specific algorithms associated with AI/ML processing. The description focuses on basic video capture and display.
No
The device is used for diagnostic and/or surgical procedures by providing internal video, not for treating a condition.
Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "for use during diagnostic and/or surgical procedures," directly indicating its role in diagnosis.
No
The device description explicitly states it consists of a camera head and a camera controller, which are hardware components.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for "diagnostic and/or surgical procedures when endoscopic video assistance is required." This describes a device used during a procedure to visualize internal structures, not a device used to test samples (like blood, urine, or tissue) outside the body to diagnose a condition.
- Device Description: The description confirms it's a camera system used with endoscopes, light sources, and displays. This aligns with a device for visualization during a procedure.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples, performing tests on samples, or providing diagnostic information based on the analysis of samples.
IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is used in vivo (inside the body) for visualization during a procedure.
N/A
Intended Use / Indications for Use
The Endoscopy Video Camera System is for use during diagnostic and/or surgical procedures when endoscopic video assistance is required.
Product codes
FET
Device Description
The Endoscopy Video Camera System consists of a camera head and a camera controller.
The system can be used with commercially available endoscopes and light sources and video monitors or head mounted displays.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Not Found
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)
Testing demonstrates that the modifications proposed herein do not adversely effect safety and effectiveness.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 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.
0
Image /page/0/Picture/0 description: The image shows the words "VIKING SYSTEMS" stacked on top of each other. The word "VIKING" is in a larger font than the word "SYSTEMS". The font is a sans-serif font, and the letters are outlined.
Endoscopy Video Camera System Special 510(k) June 3, 2008
JUN 2 0 2008
Kp8/585
7. 510(k) Summary
510(k) Summary for Endoscopy Video Camera System
According to the requirements of 21CFR 807.92, the following information provides sufficient detail to understand the basis for determination of substantial equivalence.
Submitter Name, Address, and Contact Information:
Christine Nichols RAC Regulatory Manager Vision Systems Group A Division of Viking Systems Inc. 134 Flanders Road Westboro, MA 01581 Ph: 508-366-3668 X8273
Device Name and Classincation:
| Proprietary Names: | Endoscopy Video Camera System |
|---|---|
| Classification name: | Endoscope and/Or Accessories, 21CFR 876.1500 |
| Comon/Usual names: | Endoscope and Accessories, KOG |
| Predicate Devices: | K941919 Oktas Endoscopy Video Camera |
Device Description:
The Endoscopy Video Camera System consists of a camera head and a camera controller.
The system can be used with commercially available endoscopes and light sources and video monitors or head mounted displays.
Intended Use:
The Endoscopy Video Camera System is for use during diagnostic and/or surgical procedures when endoscopic video assistance is required
Substantial Equivalence Information:
The proposed Endosocpy Video Camera System is substantially equivalent to the currently legally marketed Oktas Endoscopy Video Camera System (K941919) in terms of intended use, operating principle, and basic design. Testing demonstrates that the modifications proposed herein do not adversely effect safety and effectiveness.
1
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.
Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
JUN 2 0 2008
Vision Systems Group % Christine E. Nichols, RAC Consultant RCS 10 Greenlawn Avenue SOUTH GRAFTON MA 01560
Re: K081585
Trade/Device Name: Endoscopy Video Camera System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: FET Dated: June 3, 2008 Received: June 5, 2008
Dear Ms. Nichols:
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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your Apple rary, to fibe of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Image /page/1/Picture/10 description: This image is a circular logo that commemorates the centennial of the FDA from 1906-2006. The letters FDA are in the center of the logo in a bold, sans-serif font. The word "Centennial" is written below the letters FDA. The logo is surrounded by a circular border with stars and text.
Protecting and Promoting Public Health
2
Page 2
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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter.
| 21 CFR 876.xxxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|---|---|---|
| 21 CFR 884.xxxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 892.xxxx | (Radiology) | 240-276-0120 |
| Other | 240-276-0100 |
Also, please note the regulation entitled, "Mishranding 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 yours,
Nancy Brogdon
Nancy C. Brogdon Director, Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
3
6. Indications for Use Statement
Indication for Use
510(k) Number (11 known): Ko81585
Device Name: Endoscopy Video Camera System
Indications For Use:
The Endoscopy Video Camera System is for use during diagnostic and/or surgical procedures when endoscopic video assistance is required.
Prescription Use_ ਮ (21 CFR Part 801 Subpart D)
And/Or
Over the Counter Use (21 CFR Part 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of 1
Arzu K. Why
Division of Reproductive, Abdomin and Radiological I 510(k) Number