K Number
K091935
Device Name
LIPIVIEW OCULAR SURFACE INTERFEROMETER
Manufacturer
Date Cleared
2009-10-23

(115 days)

Product Code
Regulation Number
886.1120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LipiView® Ocular Surface Interferometer is an ophthalmic imaging device that is intended for use by a physician in adult patients to capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented.
Device Description
The LipiView® Ocular Surface Interferometer is a bench-top imaging device containing a computer system and electronics, chin rest and forehead rest, camera and zoom lens, illuminator and a touch screen display. The LipiView® Interferometer operates on the principle of white light interferometry and provides an interferometry color assessment of the tear film by specular reflection. The computer system captures a video image file that is recorded over time since the interference pattern changes as the tear film is distributed across the cornea during blinking. The video image of the ocular surface may be viewed on the computer screen display and in a printed report.
More Information

No
The summary describes standard image processing techniques and does not mention AI or ML.

No
The device is described as an "ophthalmic imaging device" used to capture, archive, manipulate, and store digital images of the tear film. Its purpose is diagnosis and monitoring, not direct treatment.

Yes

The device is intended for use by a physician to capture, archive, manipulate, and store digital images of specular observations of the tear film, which can be visually monitored and photographically documented. This process helps in assessing the tear film, which is a diagnostic activity.

No

The device description explicitly states it is a "bench-top imaging device containing a computer system and electronics, chin rest and forehead rest, camera and zoom lens, illuminator and a touch screen display," indicating it includes significant hardware components beyond just software.

Based on the provided information, the LipiView® Ocular Surface Interferometer is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is used to "capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented." This describes an imaging device used for visual assessment and documentation of a physical structure (the tear film) on the surface of the eye.
  • Device Description: The description details a bench-top imaging device that uses white light interferometry to assess the tear film. It captures video images of the ocular surface.
  • Anatomical Site: The device operates on the "Ocular surface and tear film."
  • Lack of In Vitro Testing: There is no mention of the device being used to test samples of human origin (like blood, urine, tissue, etc.) outside of the body. IVD devices are specifically designed for such testing.

The LipiView® is an ophthalmic imaging device used for in-vivo observation and documentation of the tear film on the eye's surface. This falls under the category of medical devices used for diagnosis or monitoring based on imaging and visual assessment, not in-vitro testing of biological samples.

N/A

Intended Use / Indications for Use

The LipiView® Ocular Surface Interferometer is an ophthalmic imaging device that is intended for use by a physician in adult patients to capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented.

Product codes

HKI, HJO

Device Description

The LipiView® Ocular Surface Interferometer is a bench-top imaging device containing a computer system and electronics, chin rest and forehead rest, camera and zoom lens, illuminator and a touch screen display. The LipiView® Interferometer operates on the principle of white light interferometry and provides an interferometry color assessment of the tear film by specular reflection. The computer system captures a video image file that is recorded over time since the interference pattern changes as the tear film is distributed across the cornea during blinking. The video image of the ocular surface may be viewed on the computer screen display and in a printed report.

Mentions image processing

Analogous software features include image enhancement, alignment, comparison, animation, capture/save and print.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

White light interferometry

Anatomical Site

Ocular surface, tear film, cornea

Indicated Patient Age Range

adult patients

Intended User / Care Setting

Physician, in-office exam

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)

The LipiView® Ocular Surface Interferometer conforms to the requirements under the applicable standards for slit lamp biomicroscopes; optical radiation safety; electrical safety; and material flammability. In addition, the LipiView® Interferometer is designed and will be manufactured in compliance with voluntary consensus standards for risk management and quality management systems. The LipiVicw Interferometer software was developed and tested in compliance with FDA Guidance documents for software validation in medical devices.

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

Not Found

Predicate Device(s)

K980295, K973064

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.1120 Ophthalmic camera.

(a)
Identification. An ophthalmic camera is an AC-powered device intended to take photographs of the eye and the surrounding area.(b)
Classification. Class II (special controls). The device, when it is a photorefractor or a general-use ophthalmic camera, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

0

K691935

510(k) SUMMARY

PREPARATION DATE:September 30, 2009
APPLICANT:TearScience, Inc.
1101G Aviation Parkway
Morrisville, NC 27560
Tel: (919) 467-4007
Fax: (919) 467-3300
OCT 23 2009
CONTACT PERSON:Christy Stevens, OD
Vice President, Clinical and Regulatory Affairs
DEVICE TRADE NAME:LipiView® Ocular Surface Interferometer
COMMON NAME:Ophthalmic Imaging Device
CLASSIFICATION NAMES:Ophthalmic Camera (21 CFR 886.1120) and
AC-powered Slit Lamp Biomicroscope (21 CFR 886.1850)
DEVICE CLASSIFICATION:Class II
PRODUCT CODES:HKI and HJO
PREDICATE DEVICES:1. OphthaVision Imaging System, MRP Group, Inc.
(K980295; cleared May 19, 1998;
Product Code HKI; 21 CFR 886.1120; Class II)
2. Tearscope-Plus, Keeler Instruments, Inc.
(K973064; cleared April 7, 1998;)

DEVICE DESCRIPTION:

The LipiView® Ocular Surface Interferometer is a bench-top imaging device containing a computer system and electronics, chin rest and forehead rest, camera and zoom lens, illuminator and a touch screen display. The LipiView® Interferometer operates on the principle of white light interferometry and provides an interferometry color assessment of the tear film by specular reflection. The computer system captures a video image file that is recorded over time since the interference pattern changes as the tear film is distributed across the cornea during blinking. The video image of the ocular surface may be viewed on the computer screen display and in a printed report.

INTENDED USE

The LipiView® Ocular Surface Interferometer is an ophthalmic imaging device that is intended for use by a physician in adult patients to capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented.

1

SUBSTANTIAL EQUIVALENCE TO THE PREDICATE DEVICES

The intended use and technologic characteristics of the LiviView Interferometer are substantially equivalent to the OphthaVision Imaging System (K980295) and Tearscope-Plus (K973064). All three devices are prescription devices for imaging use by a physician during an in-office exam.

The LipiView Interferometer and the OphthaVision Imaging System are intended to capture, archive, and manipulate digital images of the imaging focal plane with the LipiView Interferometer is at the ocular surfacc and tear film, whereas the OphthaVision Imaging System can be used for intraocular imaging. Both devices provide a means to store digital images to allow a physician to monitor and photographically document conditions.

The LipiView® Ocular Surface Interferometer has similar technological characteristics to the OphthaVision Imaging System. Both devices use a digital camera. Microsoft Windows-based software, computer, monitor, graphical user interface, user controls, printer support, image storage drives, and AC power source. Both devices allow the user to select functions to process, analyze, archive and retrieve images. Analogous software features include image enhancement, alignment, comparison, animation, capture/save and print. The two devices store data in a similar Lossless file format,

Furthermore, the LipiView Interferometer and the Tearscope-Plus have the same intended use to observe the tear film by specular reflection. Both devices allow the physician to observe tear film. The LipiView® Interferometer has similar technological characteristics to the Tearscope-Plus. Both devices use a diffuser and low-level white light to illuminate the eye on an angle and view real-time tear film dynamics. Both devices show the interference patterns for evaluation of the colors observed in the tear film. The LipiView Interferometer and Tearscope-Plus are required to meet optical radiation safety standards.

The LipiView® Interferometer, OphthaVision Imaging System and Tearscope-Plus are all AC-powered devices that are required to meet electrical safety and electromagnetic compatibility standards. All three devices do not contact the patient's eye.

The LipiView Interferometer includes a chin rest support system to position the patient's head during imaging, whereas the OphthaVision Imaging System and the f earscope-Plus are used with a slit lamp biomicroscope that provides a chin rest support to position the patient's head. The chin rest support materials for the LipiView Interferometer are widely used in ophthalmic slit lamp biomicroscopy products and are known for biocompatibility. Therefore, this difference does not raise new questions of safety and effectiveness. In addition, the LipiView® Ocular Surface Interferometer conforms to disinfection of patient contact surfaces for slit lamp biomicroscopes.

Minor differences in technology between the predicate devices and the LipiView Interferometer do not raise new questions of safety and effectiveness and are supported by performance testing to applicable standards and software verification and validation. Table 5-1 compares the LipiView® Interferometer to the predicate devices.

2

PERFORMANCE TESTING:

The LipiView® Ocular Surface Interferometer conforms to the requirements under the applicable standards for slit lamp biomicroscopes; optical radiation safety; electrical safety; and material flammability. In addition, the LipiView® Interferometer is designed and will be manufactured in compliance with voluntary consensus standards for risk management and quality management systems. The LipiVicw Interferometer software was developed and tested in compliance with FDA Guidance documents for software validation in medical devices.

CONCLUSIONS:

The LipiView® Ocular Surface Interferometer has comparable intended use and technologic characteristics to the predicate devices. Minor technological differences between the LipiView® Interferometer and the predicate devices do not raise new questions of safety and effectiveness and are supported by performance testing, TearScience has demonstrated through its evaluation of the LipiView Ocular Surface Interferometer that the device is substantially equivalent to the predicate devices.

3

Comparison FeatureLipiView® Ocular Surface Interferometer (K980295)OphthaVision Imaging System (K980295)Tearscope-Plus (K973064)
Indications For UseThe LipiView® Ocular Surface Interferometer is an ophthalmic imaging device that is intended for use by a physician in adult patients to capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented.The OphthaVision Imaging System is intended for use to capture, archive, and manipulate digital images of the eye obtained through use of an ophthalmic camera.Specular observation of the tear film
Prescription/OTC DevicePrescription diagnosticPrescription diagnosticPrescription diagnostic
Method of Operation
Ophthalmic ImagingOphthalmic camera with digital imaging system
Graphical User Interface
Touchscreen user control
Microsoft Windows-based softwareOphthalmic camera with digital imaging system
Graphical User Interface
Mouse, keyboard and joystick user controls
Microsoft Windows-based softwareNo software imaging capability
Method of Operation
Tear Film ObservationReal-time tear film dynamics based on interference pattern from specular reflection
Provides isolated tear film view and interferometric color analysisNoneReal-time tear film dynamics based on interference pattern from specular reflection
Illumination
SourceAngled Class I white LEDs with diffuserNo direct illumination source
Used with a slit lamp for illuminationAngled cold cathode light with diffuser
May be used with a slit lamp, which provides additional illumination
Exposure ParametersIlluminates lower half of eye
Exposure and level of illumination complies with ISO 15004-2 Group 1 instrument for safetyNot applicableIlluminates full eye including pupil
Exposure level not specified
Required to comply with safety standard
Brightness ControlNo brightness control adjustment by userNot applicableHigh and low level brightness control
Material FlammabilityMaterials near light source comply with UL 94V-1Not applicableNot specified
Maximum Temperature of
Held or Accessible PartsAmbient temperature of parts of device held by operator or accessible to patientNot applicableAmbient temperature of parts of device held by operator or accessible to patient

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus, which is a symbol featuring a staff with two snakes entwined around it. The caduceus is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

Christy Stevens, OD VP, Clinical & Regulatory Affairs Tearscience, Inc. 1101 G Aviation Parkway Morrisville, NC 27560

Re: K091935

Trade/Device Name: LipiView Ocular Surface Interferometer Regulation Number: 21 CFR 886.1120 Regulation Name: Ophthalmic Camera Regulatory Class: II Product Code: HKI, HJO Dated: October 5, 2009 Received: October 6, 2009

Dear Dr. Stevens;

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. Iisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

OCT 2:3 2009

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

5

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH0ffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Rulthim, m for
Melvin R. Fuhrman, M.D.

Malvina B. Eydelman, M Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

INDICATIONS FOR USE

510(k) Number:

K091935

Device Name: LipiView® Ocular Surface Interferometer

Indications for Use:

The LipiView® Ocular Surface Interferometer is an ophthalmic imaging device that is intended for use by a physician in adult patients to capture, archive, manipulate and store digital images of specular (interferometric) observations of the tear film, which can be visually monitored and photographically documented.

Prescription Use X (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Rostase

Page of

(Division Sign-Off) (Division Sign-DIT)
Division of Ophthalmic, Neurological and Ear,
Division of Ophthalmic, Neurological and Ear, Division.
Nose and Throat Devices

$\qquad k07,935$

510(k) Number