K Number
K132534
Device Name
VICTUS FEMTOSECOND LASER PLATFORM
Date Cleared
2014-02-14

(185 days)

Product Code
Regulation Number
886.4390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VICTUS Femtosecond Laser Platform is indicated for use for: - The creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea - For anterior capsulotomy during cataract surgery - The creation of cuts / incisions in the cornea in patients undergoing cataract surgery or other ophthalmic treatment requiring cuts / incisions in the cornea.
Device Description
The VICTUS Femtosecond Laser Platform (VICTUS) is a precision ophthalmic surgical laser and is cleared for use in the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea and for patients undergoing anterior capsulotomy during cataract surgery (via K120426). In addition, the VICTUS has been cleared for patients undergoing cataract surgery or other ophthalmic treatment requiring penetrating arcuate cuts / incisions in the cornea (via K122386). This 510(k) expands the arcuate corneal incision by allowing the ability for primary and secondary corneal incisions. These cuts/incisions are performed for patients undergoing cataract surgery to allow direct access into the eye. The correct position and shape of the cuts is verified by the video image. The expansion of the corneal incision indication is supported by software version 2.7 SP2. In addition, an increased diameter patient interface is being introduced (referred to as PI125). The PI125 is a universal PI that allows the use for either corneal or cataract procedures. User request for a smaller diameter patient interface that can be used for both cataract and corneal procedures resulted in the qualification of the existing cataract patient interface as a universal smaller diameter patient interface. Lastly, the bottom end of the pulse duration range has been modified to be lower than that previously cleared in K120426 and K122386. For all indications for use, laser pulses are delivered through a sterile disposable Patient Interface, consisting of a contact lens and suction clip to provide suction. The contact lens and suction clip assembly creates a reference surface for depth control and fix the eve relative to the delivery of the laser beam. Surgical effects are produced by scanning thousands of individual pulses, producing continuous incisions. The location of the tissue photodisruption is controlled by a fixed laser beam focused through a scanning optic system to the desired location. The fundamental scientific technology remains the same as previously cleared for the VICTUS Femtosecond Laser Platform under K120426 and K122386.
More Information

No
The summary describes a laser platform for ophthalmic surgery and mentions image verification, but there is no mention of AI or ML in the device description, intended use, or performance studies.

Yes
The device is described as an ophthalmic surgical laser used to create cuts and incisions during various eye surgeries, which are therapeutic interventions.

No
The device is a surgical laser used for creating cuts and incisions in the cornea and for anterior capsulotomy during cataract surgery. While it uses video imaging to verify the position and shape of cuts, its primary function is therapeutic (performing surgery), not diagnostic (identifying or characterizing a disease or condition). The image processing is for guiding the surgical procedure, not for diagnostic purposes.

No

The device description clearly states it is a "precision ophthalmic surgical laser" and involves the delivery of "laser pulses" through a "sterile disposable Patient Interface, consisting of a contact lens and suction clip". These are physical hardware components, not solely software. While software is mentioned as supporting an expanded indication, the core device is a laser platform with associated hardware.

Based on the provided information, the VICTUS Femtosecond Laser Platform is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is used for surgical procedures on the eye (corneal flap creation, anterior capsulotomy, corneal cuts/incisions). These are procedures performed on the patient's body, not on samples taken from the patient's body.
  • Device Description: The description details a surgical laser platform used to create incisions in the eye. It describes the mechanism of action as delivering laser pulses to tissue, which is a surgical intervention.
  • Lack of IVD Characteristics: An IVD device is typically used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening. The VICTUS does not perform any such analysis on patient samples.

While the device uses video imaging to verify the position and shape of cuts, this is for surgical guidance and verification during the procedure, not for analyzing biological samples for diagnostic purposes.

Therefore, the VICTUS Femtosecond Laser Platform is a surgical device, not an IVD device.

N/A

Intended Use / Indications for Use

The VICTUS Femtosecond Laser Platform is indicated for use for:

  • · the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea.
  • for anterior capsulotomy during cataract surgery. .
  • the creation of cuts / incisions in the cornea in patients undergoing cataract . surgery or other ophthalmic treatment requiring cuts / incisions in the cornea.

Product codes

OOE, HQF

Device Description

The VICTUS Femtosecond Laser Platform (VICTUS) is a precision ophthalmic surgical laser and is cleared for use in the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea and for patients undergoing anterior capsulotomy during cataract surgery (via K120426). In addition, the VICTUS has been cleared for patients undergoing cataract surgery or other ophthalmic treatment requiring penetrating arcuate cuts / incisions in the cornea (via K122386).

This 510(k) expands the arcuate corneal incision by allowing the ability for primary and secondary corneal incisions. These cuts/incisions are performed for patients undergoing cataract surgery to allow direct access into the eye. The correct position and shape of the cuts is verified by the video image. The expansion of the corneal incision indication is supported by software version 2.7 SP2.

In addition, an increased diameter patient interface is being introduced (referred to as PI125). The PI125 is a universal PI that allows the use for either corneal or cataract procedures. User request for a smaller diameter patient interface that can be used for both cataract and corneal procedures resulted in the qualification of the existing cataract patient interface as a universal smaller diameter patient interface. Lastly, the bottom end of the pulse duration range has been modified to be lower than that previously cleared in K120426 and K122386.

For all indications for use, laser pulses are delivered through a sterile disposable Patient Interface, consisting of a contact lens and suction clip to provide suction. The contact lens and suction clip assembly creates a reference surface for depth control and fix the eve relative to the delivery of the laser beam. Surgical effects are produced by scanning thousands of individual pulses, producing continuous incisions. The location of the tissue photodisruption is controlled by a fixed laser beam focused through a scanning optic system to the desired location.

The fundamental scientific technology remains the same as previously cleared for the VICTUS Femtosecond Laser Platform under K120426 and K122386.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cornea

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)

A variety of test procedures were conducted to demonstrate the performance of the modified VICTUS Platform in support of this premarket submission. The collected data were evaluated by comparing the mean values to the specified acceptance criteria and their 95% confidence intervals. Four different materials were used for the bench performance testing: porcine eyes, agarose gel, polyethylene terephthalate (PETG), and polymethyl methacrylate (PMMA). Testing was performed using the new larger diameter patient interface and results were substantially equivalent to the previously cleared patient interface. The new larger diameter patient interface is also representative for the existing cataract patient interface (use in corneal and cataract applications) as both have identical radius of curvature.

The testing showed that laser-assisted primary and secondary incisions performed with the VICTUS Femtosecond Laser Platform resulted in highly reproducible and accurate depth, diameter, and angle. Assessment of the larger diameter patient interface shows substantially equivalent results as compared to the predicate patient interfaces.

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

Not Found

Predicate Device(s)

VICTUS Femtosecond Laser Platform (K120426 and K122386), LenSx Laser System (K120732)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.4390 Ophthalmic laser.

(a)
Identification. An ophthalmic laser is an AC-powered device intended to coagulate or cut tissue of the eye, orbit, or surrounding skin by a laser beam.(b)
Classification. Class II.

0

K132534

SECTION 5 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

FE3 1 4 2014

510(k) Summary of safety and effectiveness ડ.

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

| APPLICANT: | Technolas Perfect Vision GmbH
Messerschmittstr. 1 +3
80992 Munich, Germany
Tel: 49 174 3494062 |
|---------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| CONTACT: | Ken Nehmer
Sr. Manager, Regulatory Affairs
Technolas Perfect Vision
c/o 1025 Sanchez Street
San Francisco, CA 94114
Ph: 415-297-0408
Email: ken.nehmer@bausch.com |
| TRADE NAME: | VICTUS Femtosecond Laser Platform |
| COMMON NAME: | Ophthalmic Laser |
| CLASSIFICATION
NAME: | Laser, Ophthalmic |
| DEVICE
CLASSIFICATION: | Class II |
| PRODUCT CODE | OOE (Ophthalmic Femtosecond Laser)
HQF (Laser, Ophthalmic) |
| PREDICATE
DEVICES: | VICTUS Femtosecond Laser Platform (K120426 and
K122386)
LenSx Laser System (K120732) |

SUBSTANTIALLY EQUIVALENT TO

510(k) NUMBERPRODUCT TRADE NAMEMANUFACTURER
K120426VICTUS Femtosecond LaserTechnolas Perfect Vision
K122386PlatformGmbH
K120732LenSx Laser SystemAlcon LenSx, Inc.

1

Description of the Device Subject to Premarket Notification

The VICTUS Femtosecond Laser Platform (VICTUS) is a precision ophthalmic surgical laser and is cleared for use in the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea and for patients undergoing anterior capsulotomy during cataract surgery (via K120426). In addition, the VICTUS has been cleared for patients undergoing cataract surgery or other ophthalmic treatment requiring penetrating arcuate cuts / incisions in the cornea (via K122386).

This 510(k) expands the arcuate corneal incision by allowing the ability for primary and secondary corneal incisions. These cuts/incisions are performed for patients undergoing cataract surgery to allow direct access into the eye. The correct position and shape of the cuts is verified by the video image. The expansion of the corneal incision indication is supported by software version 2.7 SP2.

In addition, an increased diameter patient interface is being introduced (referred to as PI125). The PI125 is a universal PI that allows the use for either corneal or cataract procedures. User request for a smaller diameter patient interface that can be used for both cataract and corneal procedures resulted in the qualification of the existing cataract patient interface as a universal smaller diameter patient interface. Lastly, the bottom end of the pulse duration range has been modified to be lower than that previously cleared in K120426 and K122386.

For all indications for use, laser pulses are delivered through a sterile disposable Patient Interface, consisting of a contact lens and suction clip to provide suction. The contact lens and suction clip assembly creates a reference surface for depth control and fix the eve relative to the delivery of the laser beam. Surgical effects are produced by scanning thousands of individual pulses, producing continuous incisions. The location of the tissue photodisruption is controlled by a fixed laser beam focused through a scanning optic system to the desired location.

The fundamental scientific technology remains the same as previously cleared for the VICTUS Femtosecond Laser Platform under K120426 and K122386.

Indications for Use

The VICTUS Femtosecond Laser Platform is indicated for use for:

  • · the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea.
  • for anterior capsulotomy during cataract surgery. .
  • the creation of cuts / incisions in the cornea in patients undergoing cataract . surgery or other ophthalmic treatment requiring cuts / incisions in the cornea.

2

Technical Characteristics Comparison

The design principle of the VICTUS Platform is fundamentally the same as that previously cleared for VICTUS under K120426 and K122386. The VICTUS Platform mode of operation is the same as the previously cleared VICTUS Femtosecond Laser Platform cleared in KI20426 and K122386, and the LenSx Laser System cleared in K120732. all of which deliver femtosecond pulses to produce a pattern of photodisruption to create cuts / separation in ophthalmic tissue. The VICTUS Platform delivers femtosecond pulses to produce a pattern of photodisruption for creation of primary and secondary cuts / incisions in the cornea, as does the LenSx predicate system.

The means of fixation of the patient contact portion of the VICTUS Platform is substantially equivalent to that present in the VICTUS Femtosecond Laser Platform cleared in K120426 and K122386, and the LenSx Laser cleared in K120732. All of these predicate systems use suction vacuum to affix a suction ring to the corneal surface prior to use.

The VICTUS Platform mode of operation and the technology used to create the cutting action are similar or identical to these previously mentioned devices, and therefore substantially equivalent to these legally marketed predicate devices.

Performance Data

The VICTUS Femtosecond Laser Platform has undergone testing and is in compliance with applicable safety standards as listed in the following table.

StandardTitle
EN ISO 60601-1Medical electrical equipment - Part I: General requirements
for safety
EN ISO 60601-1-2Medical electrical equipment - Part 1: General requirements
for safety; 2. Collateral standard: electromagnetic
compatibility; requirements and tests
EN ISO 60601-1-4Medical electrical equipment - Part 1-4: General requirements
for safety: Collateral standard: Programmable electrical
medical systems
EN ISO 60601-2-22Medical electrical equipment - Part 2: Particular requirements
for the safety of diagnostic and therapeutic laser equipment

The VICTUS Femtosecond Laser Platform has been found to perform equivalently to the predicate devices in patients undergoing ophthalmic surgery or other treatment requiring penetrating arcuate cuts / incisions in the cornea. The VICTUS Femtosecond Laser Platform and the predicate devices therefore have similar performance profiles.

3

Non-Clinical Performance Data

A variety of test procedures were conducted to demonstrate the performance of the modified VICTUS Platform in support of this premarket submission. The collected data were evaluated by comparing the mean values to the specified acceptance criteria and their 95% confidence intervals. Four different materials were used for the bench performance testing: porcine eyes, agarose gel, polyethylene terephthalate (PETG), and polymethyl methacrylate (PMMA). Testing was performed using the new larger diameter patient interface and results were substantially equivalent to the previously cleared patient interface. The new larger diameter patient interface is also representative for the existing cataract patient interface (use in corneal and cataract applications) as both have identical radius of curvature.

The testing showed that laser-assisted primary and secondary incisions performed with the VICTUS Femtosecond Laser Platform resulted in highly reproducible and accurate depth, diameter, and angle. Assessment of the larger diameter patient interface shows substantially equivalent results as compared to the predicate patient interfaces.

Basis for Determination of Substantial Equivalence

The technological characteristics of the VICTUS Femtosecond Laser Platform are substantially equivalent to the technological characteristics of the VICTUS Femtosecond Laser Platform (K120426 and K122386), and the LenSx Laser (K120732).

The proposed expansion of the indication for use of primary and secondary incisions for the VICTUS Femtosecond Laser Platform is very similar to the indications for use cleared for the LenSx Laser in K120732: both include creation of corneal cuts/incisions during cataract surgery.

4

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 symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

February 14, 2014

Public Health Service

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

Technolas Perfect Vision GmbH % Mr. Ken Nehmer Sr. Manager, Regulatory Affairs, Americas 1025 Sanchez Street San Francisco, CA 94114

Re: K132534

Trade/Device Name: VICTUS Femtosecond Laser System Regulation Number: 21 CFR 886.4390 Regulation Name: Ophthalmic laser Regulatory Class: II Product Code: OOE. HOF Dated: January 9, 2013 Received: January 10, 2013

Dear Mr. Nehmer:

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. 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 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

5

Page 2 - Mr. Ken Nehmer

(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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Kesia YAlexander -S

for 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

6

Indications for Use

510(k) Number (if known): K132534

Device Name: VICTUS Femtosecond Laser Platform

Indications For Use:

The VICTUS Femtosecond Laser Platform is indicated for use for:

  • The creation of a corneal flap in patients undergoing LASIK surgery or other . treatment requiring initial lamellar resection of the cornea
  • For anterior capsulotomy during cataract surgery .
  • The creation of cuts / incisions in the cornea in patients undergoing cataract ● surgery or other ophthalmic treatment requiring cuts / incisions in the cornea.

X ____________________________________________________________________________________________________________________________________________________________________________ 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)

Date: Ka N. To 2014.02.11 17:18:48 -05'00'

.

(Division Sign-Off) Division of Ophthalmic and Ear, Nose, and Throat Devices K132534 510(k) Number:

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