K Number
K102791
Device Name
EASYSUITE SURGICAL LIGHT CONTROL (ESLC)
Date Cleared
2010-11-23

(57 days)

Product Code
Regulation Number
878.4580
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
EasySuite™ Surgical Light Control (ESLC) allows the control of surgical lighting during a surgical procedure from the EasySuite™ touch panel user interface.
Device Description
The EasySuite™ Surgical Light Control (ESLC) is an optional function in the EasySuite™, which is an integrated operating room system for configurable communication of images from sources to displays within the operating room for management of audio systems, and for control of devices such as room lights. The ESLC function allows control of surgical lights from the EasySuite™ touch panel user interface.
More Information

Not Found

No
The description focuses on a control system for surgical lights via a touch panel interface, with no mention of AI or ML capabilities.

No
The device controls surgical lighting and operates room systems; it does not directly treat or diagnose a medical condition.

No

Explanation: The device description states that the EasySuite™ Surgical Light Control (ESLC) allows control of surgical lighting and is an optional function within an integrated operating room system for managing various room functionalities. There is no mention of the device being used to identify, detect, or monitor any medical conditions, diseases, or physiological states.

No

The device description explicitly states that the ESLC is an "optional function in the EasySuite™, which is an integrated operating room system". This indicates that the ESLC is part of a larger hardware system (the EasySuite™) and is not a standalone software-only device. The control is exercised through a "touch panel user interface", which is a hardware component.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to control surgical lighting during a surgical procedure. This is a function related to the physical environment of the operating room, not the analysis of biological samples from the human body.
  • Device Description: The device is described as a function within an integrated operating room system for managing communication, audio, and control of devices like room lights and surgical lights. This aligns with controlling the surgical environment, not performing diagnostic tests on patient samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting diseases, conditions, or states of health, or providing information for diagnosis, monitoring, or treatment decisions based on sample analysis.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide diagnostic information. The EasySuite™ Surgical Light Control (ESLC) does not fit this description.

N/A

Intended Use / Indications for Use

EasySuite™ Surgical Light Control (ESLC) allows the control of surgical lighting during a surgical procedure from the EasySuite™ touch panel user interface.

Product codes

FTA

Device Description

The EasySuite™ Surgical Light Control (ESLC) is an optional function in the EasySuite™, which is an integrated operating room system for configurable communication of images from sources to displays within the operating room for management of audio systems, and for control of devices such as room lights.
The ESLC function allows control of surgical lights from the EasySuite™ touch panel user interface.
ESLC is an optional function in the EasySuite™ integrated operating room ESLC system. (The EasySuite™ system includes a touch panel user interface for quick routing of surgical images to displays within the operating room and for convenient control of room video cameras, surgical cameras, ambient lighting, and surgical lights. EasySuite™ also includes an audio management system and a single point of entry for querying surgical charts and image archives.)
The EasySuite™ Surgical Light Control (ESLC) is a software application.

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)

Non-Clinical Verification and validation testing was performed by Image Stream personnel. The verification and validation confirmed that the ESLC application meets specified requirements.

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

Not Found

Predicate Device(s)

K081698

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4580 Surgical lamp.

(a)
Identification. A surgical lamp (including a fixture) is a device intended to be used to provide visible illumination of the surgical field or the patient.(b)
Classification. Class II (special controls). The device, when it is an operating room lamp, a surgical instrument light, a surgical floor standing light, an endoscopic surgical light, a surgical light connector, a ceiling mounted surgical light, a surgical light carrier, surgical light accessories, a surgical lamp, a remote illuminator, or an incandescent surgical lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.

0

Attachment 3

510 (k) Summary

K102791

Date preparedSeptember 22, 2010
510(k) OwnerImage Stream Medical, Inc.
One Monarch Drive
Littleton, MA
01460
NOV 2 3 2010
Phone: (978) 486-8494
Fax: (978) 428-2694
ContactBeth Cyr, Director of Quality Assurance
Trade nameEasySuite™ Surgical Light Control
Common nameSurgical Light Accessory
Classification nameClassification Name: Light, Surgical, Accessories
Classification Panel: General & Plastic Surgery
CFR Section: 21 CFR 878.4580
Class: 2
Product Code: FTA
Predicate deviceMainStream™ OR Surgical Light Control (MSLC), which was cleared to
market in 510(k) # K081698.
Device descriptionThe EasySuite™ Surgical Light Control (ESLC) is an optional function in the
EasySuite™, which is an integrated operating room system for configurable
communication of images from sources to displays within the operating room
for management of audio systems, and for control of devices such as room
lights.

!

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1

The ESLC function allows control of surgical lights from the EasySuite™ touch panel user interface.

EasySuite™ Surgical Light Control (ESLC) allows the control of surgical lighting during a surgical procedure from the EasySuite™ touch panel user Intended use interface.

ESLC is an optional function in the EasySuite™ integrated operating room ESLC system. (The EasySuite™ system includes a touch panel user interface for Description quick routing of surgical images to displays within the operating room and for convenient control of room video cameras, surgical cameras, ambient lighting, and surgical lights. EasySuite™ also includes an audio management system

and a single point of entry for querying surgical charts and image archives.)

| Comparison to
the predicate

deviceControl Platform
Function
Primary control of surgical
MSLCESLC
Control PlatformCrestronMicrosoft Windows
Standard Embedded
FunctionControl of surgical lights from a convenient
integrated operating room system. Control is
defined by setting the light intensity or the lights on
or off.
Primary control of surgical
lightsThe surgical light controls from the surgical light
system manufacturer take precedence over the
integrated system.
Calculations performedNone
Primary purpose of integrated
operating room system.The system is primarily medical video image
routing and communication system, which also
controls functions such as ambient lighting.
Sterile fieldNo components are used in the sterile field.

Image Stream Medical EasySuite Special 510k

2

The EasySuite™ Surgical Light Control (ESLC) is a software application. Verification Non-Clinical and validation testing was performed by Image Stream personnel. The verification and Tests validation confirmed that the ESLC application meets specified requirements.

The ESLC is substantially equivalent to the MainStreamTM OR Surgical Light Conclusion Control (MSLC), which was cleared to market in 510(k) # K081698.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged in a circular pattern around the symbol. The caduceus is depicted with three vertical lines that form the staff and the snakes are represented by curved lines.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring. MD 20993-0002

Image Stream Medical, Inc. % Ms. Beth Cyr Director of Quality Assurance One Monarch Drive Littleton, Massachusetts 01460

NOV 2 3 2010

Re: K102791

Trade/Device Name: EasySuite™ Surgical Light Control Regulation Number: 21 CFR 878.4580 Regulation Name: Surgical lamp Regulatory Class: Class II Product Code: FTA Dated: November 09, 2010 Received: November 10, 2010

Dear Ms. Cyr:

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. Ilsting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

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

4

Page 2 - Ms. Beth Cyr

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 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.

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/CDRH/CDRHOffices/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/ReportalProblem/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 vours. Mark N. Melkerson

Director Division of Surgical, Orthopedic And Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Attachments

Attachment 1

NOV 2 3 2010

Indications for Use Statement

10 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000

510(k) Number (if known)# K102791
Device NameEasySuite™ Surgical Light Control
Indications for UseEasySuite™ Surgical Light Control (ESLC) allows the control of surgical lighting during a surgical procedure from the EasySuite™ touch panel user interface.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801. 109)XOROver-The-Counter Use
Neil R. Ogden for mxm (Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices
510(k) NumberK102791