K Number
K163558
Device Name
Synapsys Ulmer Video Nystagmograph
Manufacturer
Date Cleared
2017-03-23

(94 days)

Product Code
Regulation Number
882.1460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Ulmer Video Nystagmograph System is intended for use by the physician as an aid for the detection and diagnosis of vestibular disorders. The Ulmer VNG detects and displays eye position and movement in response to a number of vestibular stimulations i.e. saccadic test, smooth pursuit, optokinetic nystagmus, caloric tests and kinetic vestibular tests. The Ulmer VNG records and analyses the bilateral, monocular, horizontal and vertical aspects of eye position and movement. This device is intended to be used in a doctor's office or health care facility to obtain recorded data of nystagmus by directly observing eye motion by video cameras. The resulting recorded data is evaluated by a trained physician and considered along with other relevant data in diagnosing vestibular disorders.
Device Description
The Ulmer VNG is a video nystagmograph system composed by a software and hardware components. The software has optional modules: Caloric, Saccade, Slow Pursuit, Kinetic, Optokinetic, Nystagmus (Nystagmus, Gaze or Vertical Subjective modules). It is provided on a CD Rom and activated with a key licensing. The hardware components correspond to a video acquisition unit. The video acquisition unit is composed by different camera goggles/masks in order to allow the visualization of the movement of one or both eye of the patient. The types of cameras included are as follows: - -Type VNS (goggle camera wired), - -Type WNS (goggle camera wireless using Wifi), and - -Type VISIO (goggle camera for visual free field). For Kinetic Test, an optional stimulator system can be used and is composed by a speed sensor velocimeter and a rotating chair. The modified Ulmer VNG system is a modification of the previously cleared Synapsys Ulmer VNG System (K982103) which allows use of a wireless camera (using Wifi). The advantage of a wireless camera system resides in both ergonomics: manoeuvers made easier without being disturbed by cable presence; and portability: makes possible to bring a VNG system (PC laptop + wireless camera) to the patient unlike other fixed wired systems.
More Information

Not Found

No
The document describes a system for recording and analyzing eye movements using video cameras and software modules for specific vestibular tests. It mentions "analysis" of eye position and movement, but there is no indication or mention of AI, ML, or related concepts like deep learning, neural networks, or training/test sets for algorithmic development. The focus is on the hardware (cameras) and software for data acquisition and display, with analysis being performed by a trained physician.

No.
The device is used for detection and diagnosis of vestibular disorders by recording and analyzing eye movements, not for treatment or therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device "is intended for use by the physician as an aid for the detection and diagnosis of vestibular disorders." It further explains that the device records and analyzes eye movement, with the resulting data "evaluated by a trained physician and considered along with other relevant data in diagnosing vestibular disorders."

No

The device description explicitly states that the Ulmer VNG system is composed of both software and hardware components, including video acquisition units (camera goggles/masks) and an optional stimulator system.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Ulmer Video Nystagmograph System directly observes and records eye movement in response to stimuli. It does not analyze samples taken from the body.
  • Intended Use: The intended use is to aid in the detection and diagnosis of vestibular disorders by analyzing eye movements, which is a physiological response, not a sample analysis.

Therefore, the Ulmer Video Nystagmograph System is a medical device used for physiological measurement and analysis, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Ulmer Video Nystagmograph System is intended for use by the physician as an aid for the detection and diagnosis of vestibular disorders. The Ulmer VNG detects and displays eye position and movement in response to a number of vestibular stimulations i.e. saccadic test, smooth pursuit, optokinetic nystagmus, caloric tests and kinetic vestibular tests. The Ulmer VNG records and analyses the bilateral, monocular, horizontal and vertical aspects of eye position and movement. This device is intended to be used in a doctor's office or health care facility to obtain recorded data of nystagmus by directly observing eye motion by video cameras. The resulting recorded data is evaluated by a trained physician and considered along with other relevant data in diagnosing vestibular disorders.

Product codes (comma separated list FDA assigned to the subject device)

GWN

Device Description

The Ulmer VNG is a video nystagmograph system composed by a software and hardware components.
The software has optional modules: Caloric, Saccade, Slow Pursuit, Kinetic, Optokinetic, Nystagmus (Nystagmus, Gaze or Vertical Subjective modules). It is provided on a CD Rom and activated with a key licensing.
The hardware components correspond to a video acquisition unit. The video acquisition unit is composed by different camera goggles/masks in order to allow the visualization of the movement of one or both eye of the patient. The types of cameras included are as follows:

  • -Type VNS (goggle camera wired),
  • -Type WNS (goggle camera wireless using Wifi), and
  • -Type VISIO (goggle camera for visual free field).
    For Kinetic Test, an optional stimulator system can be used and is composed by a speed sensor velocimeter and a rotating chair.
    The modified Ulmer VNG system is a modification of the previously cleared Synapsys Ulmer VNG System (K982103) which allows use of a wireless camera (using Wifi).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

video cameras

Anatomical Site

eye

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician, doctor's office or health care facility

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 Performance Data: Electrical safety and electromagnetic compatibility testing and software internal verification confirm that product specifications of the modified Ulmer VNG system are met. These are equivalent to those of the predicate device. The testing results support that the device's change for integration of an additional Wifi camera does not affect the safe and effective use of the device as compared to the unmodified predicate device. Verification testing of the modified Ulmer VNG system, in accordance with design controls, demonstrated the device is safe and effective for its intended use. Verification testing was performed to the following:

  • AAMI/ANSI ES 60601-1:2005(R)2012 - Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
  • . AAMI/ANSI IEC 60601-1-2:2014 - Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests
  • AAMI ANSI IEC 62304:2006 Medical device software Software life cycle processes ●
    The device passed all testing and software verification and is determined to be substantially equivalent to the unmodified Ulmer VNG Synapsys' device.

Clinical Performance Data: There was no human clinical testing required to support the medical device as the intended use is the same as the predicate device. These types of devices, including the predicate devices, have been on the market for many years with proven safety and efficacy for the device. The non-clinical testing detailed in this submission supports the substantial equivalence of the device.

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.

K982103

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

§ 882.1460 Nystagmograph.

(a)
Identification. A nystagmograph is a device used to measure, record, or visually display the involuntary movements (nystagmus) of the eyeball.(b)
Classification. Class II (performance standards).

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Image /page/0/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 features three human profiles facing right, overlaid on top of each other. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus symbol.

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

March 23, 2017

Synapsys SA % Ms. Rachel Paul Senior Consultant, QA & RA Emergo Europe Consulting Prinsessegracht 20 The Hague, 2514AP NL

Re: K163558

Trade/Device Name: Synapsys Ulmer Video Nystagmograph Regulation Number: 21 CFR 882.1460 Regulation Name: Nystagmograph Regulatory Class: Class II Product Code: GWN Dated: March 6, 2017 Received: March 9, 2017

Dear Ms. Paul:

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.

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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 devicerelated 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 Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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.

Eric A. Mann -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

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Indications for Use

510(k) Number (if known) K163558

Device Name Synapsys Ulmer VNG

Indications for Use (Describe)

The Ulmer Video Nystagmograph System is intended for use by the detection and diagnosis of vestibular disorders. The Ulmer VNG detects and displays eye position and movement in response to a number of vestibular stimulations i.e. saccadic test, smooth pursuit, optokinetic nystagmus, caloric tests. The Ulmer VNG records and analyses the bilateral, monocular, horizontal and vertical aspects of eye position and movement. This device is intended to be used in a doctor's office or health care facility to obtain recorded data of nystagmus by directly observing eye motion by video cameras. The resulting recorded data is evaluated by a trained physician and considered along with other relevant data in diagnosing vestibular disorders.

Type of Use (Select one or both, as applicable)X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary (Special 510(k))

Ulmer VNG

K163558

1. Submission Sponsor

Synapsys S.A.

2 Rue Marc Donadille

Hotel Technoptic

13013 Marseille

FRANCE

Contact: Laetitia Baconnier

Title: Purchasing and QA&RA Manager

Email: l.baconnier@synapsys.fr

Office number: +33(4) 91 11 75 75

2. Submission Correspondent

Emergo Europe Consulting

Prinsessegracht 20

The Hague

2514AP

The Netherlands

Contact: Rachel Paul

Title: Senior Consultant, QA&RA

Email: project.management@emergogroup.com

Cellphone number: 00 33 6 89 83 16 09

Office number: +31 (0) 70 345 8570

Direct number: +31 (0) 70 850 8249

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3. Date Prepared

December 16, 2016

4. Device Identification

Trade/Proprietary Name:Synapsys Ulmer Video Nystagmograph
Common/Usual Name:-Ulmer VNG
Classification Name:-Nystagmograph
Regulation Number:-882.1460
Product Code:GWN
Device Class:Class II
Classification Panel:Neurology

5. Legally Marketed Predicate Device(s)

K982103, Ulmer VNG, Synapsys Incorporated.

6. Indication for Use Statement

The Ulmer Video Nystagmograph System is intended for use by the physician as an aid for the detection and diagnosis of vestibular disorders. The Ulmer VNG detects and displays eye position and movement in response to a number of vestibular stimulations i.e. saccadic test, smooth pursuit, optokinetic nystagmus, caloric tests and kinetic vestibular tests. The Ulmer VNG records and analyses the bilateral, monocular, horizontal and vertical aspects of eye position and movement. This device is intended to be used in a doctor's office or health care facility to obtain recorded data of nystagmus by directly observing eye motion by video cameras. The resulting recorded data is evaluated by a trained physician and considered along with other relevant data in diagnosing vestibular disorders.

7. Device Description

The Ulmer VNG is a video nystagmograph system composed by a software and hardware components.

The software has optional modules: Caloric, Saccade, Slow Pursuit, Kinetic, Optokinetic, Nystagmus (Nystagmus, Gaze or Vertical Subjective modules). It is provided on a CD Rom and activated with a key licensing.

The hardware components correspond to a video acquisition unit. The video acquisition unit is composed by different camera goggles/masks in order to allow the visualization of the movement of one or both eye of the patient. The types of cameras included are as follows:

  • -Type VNS (goggle camera wired),

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  • -Type WNS (goggle camera wireless using Wifi), and
  • -Type VISIO (goggle camera for visual free field).

For Kinetic Test, an optional stimulator system can be used and is composed by a speed sensor velocimeter and a rotating chair.

The modified Ulmer VNG system is a modification of the previously cleared Synapsys Ulmer VNG System (K982103) which allows use of a wireless camera (using Wifi).

The advantage of a wireless camera system resides in both ergonomics: manoeuvers made easier without being disturbed by cable presence; and portability: makes possible to bring a VNG system (PC laptop + wireless camera) to the patient unlike other fixed wired systems.

8. Substantial Equivalence Discussion

The following table compares the modified Ulmer VNG to the unmodified predicate device with respect to indications for use, principles of operation, technological characteristics, and performance testing. The comparison of the devices provides more detailed information regarding the basis for the determination of substantial equivalence, and supports that the subject device, as modified, does not raise any new issues of safety or effectiveness than the predicate device.

ManufacturerSynapsys SASynapsys IncDevice Comparison
Trade NameUlmer VNGUlmer VNG (Predicate)
510(k) NumberUnknown at this dateK982103N/A
Product CodeGWNGWNSame
Regulation Number882.1460882.1460Same
Regulation NameNystagmographNystagmographSame
Indications for UseThe Ulmer Video
Nystagmograph System is
intended for use by the
physician as an aid for the
detection and diagnosis of
vestibular disorders. The
Ulmer VNG detects and
displays eye position and
movement in response to a
number of vestibular
stimulations i.e. saccadic test,
smooth pursuit, optokinetic
nystagmus, caloric tests and
kinetic vestibular tests. TheThe Ulmer Video
Nystagmograph System is
intended for use by the
physician as an aid for the
detection and diagnosis of
vestibular disorders. The
Ulmer VNG detects and
displays eye position and
movement in response to a
number of vestibular
stimulations i.e. saccadic test,
smooth pursuit, optokinetic
nystagmus, caloric tests and
kinetic vestibular tests. TheSame
ManufacturerSynapsys SASynapsys IncDevice Comparison
Trade NameUlmer VNGUlmer VNG (Predicate)
Ulmer VNG records and
analyses the bilateral,
monocular, horizontal and
vertical aspects of eye
position and movement. This
device is intended to be used
in a doctor's office or health
care facility to obtain
recorded data of nystagmus
by directly observing eye
motion by video cameras. The
resulting recorded data is
evaluated by a trained
physician and considered
along with other relevant data
in diagnosing vestibular
disorders.Ulmer VNG records and
analyses the bilateral,
monocular, horizontal and
vertical aspects of eye
position and movement. This
device is intended to be used
in a doctor's office or health
care facility to obtain
recorded data of nystagmus
by directly observing eye
motion by video cameras. The
resulting recorded data is
evaluated by a trained
physician and considered
along with other relevant data
in diagnosing vestibular
disorders.
Mechanism of ActionEye movements are elicited
by visual stimulators then
they are recorded and
analyzed for detecting
nystagmus (involuntary
movements of the eyeball) by
using a video sensor
computer acquisition system.
All camera goggles/masks use
infrared light.Eye movements are elicited
by visual stimulators then
they are recorded and
analyzed for detecting
nystagmus (involuntary
movements of the eyeball) by
using a video sensor
computer acquisition system.
All camera goggles/masks use
infrared light.Same
Technological
characteristicsThe Ulmer VNG is composed
by:
-a software with optional
modules (caloric, saccade,
slow pursuit, kinetic,
optokinetic, nystagmus)
-a goggle camera:
• Type VNS (goggle
camera wired)
• Type WNS (goggle
camera wireless)
• Type VISIO (goggle
camera for visual
free field)The Ulmer VNG is composed
by:
-a software with optional
module (caloric, saccade, slow
pursuit, kinetic, optokinetic,
nystagmus)
-a goggle camera:
• Type VNS (goggle
camera wired)
• Type VISIO (goggle
camera for visual
free field)An additional google
camera has been
integrated into the
system. Contrary to the
others existing cameras,
this new camera is
wireless and uses Wifi
connection. The modified
Ulmer VNG passed the
electrical safety and
electromagnetic
compatibility testing
requirements applicable
and the residual risks
were found acceptable.
The benefits associated
ManufacturerSynapsys SASynapsys IncDevice Comparison
Trade NameUlmer VNGUlmer VNG (Predicate)
-an acquisition video system
For Kinetic test: Speed sensor
and Rotating Chair (optional)-an acquisition video system
For Kinetic test: Speed sensor
and Rotating Chair (optional)with the device excess
each of the residual risks.
ConfigurationComputer system with basic
requirements processor and a
Wireless cardComputer system with basic
requirements processorDue to the integration of
a wireless camera, a
wireless card is needed.
The wireless card
required in the computer
system configuration
does not introduce new
risk.
Camera
goggles/masksVNS masks
VISIO masks
WNS masksVNS masks
VISIO masksDue to the integration of
a new wireless camera, a
new WNS mask has been
introduced. No new risk
was introduced with the
WNS mask as the
material used in contact
with the patient (foam) is
unchanged, the infrared
LEDs used are the same
for a same distance
eye/LED. This
modification does not
raise new questions of
safety and effectiveness.
CamerasAnalogic cameras (VNS3X)
Numeric cameras (VNS4X)
Analog masks (Visio USB
50/100 /200Hz)
Wireless cameras (WNS)
Battery for Wireless cameraAnalogic cameras (VNS3X)
Numeric cameras (VNS4X)
Analog masks (Visio USB
50/100 /200Hz)A wireless camera has
been introduced into the
system. A battery is
provided with. The
residual risks introduced
by the use of a battery
were found to be minor
and acceptable. The
benefits associated with
the use of the device
exceed this residual risk.
Environment in
which Ulmer VNG
can be used-The device must be used in a
room suitable for medical
examinations.-The device must be used in a
room suitable for medical
examinations.Same
ManufacturerSynapsys SASynapsys IncDevice Comparison
Trade NameUlmer VNGUlmer VNG (Predicate)
-Temperature: 10-35°C
-Humidity: 30-90%
-Pressure: 800-1060 hPa-Temperature: 10-35°C
-Humidity: 30-90%
-Pressure: 800-1060 hPa
Transport and
storage conditionsTransport and storage
conditions:Transport and storage
conditions:Same
Storage temperature: -10°C to
+55°CStorage temperature: -10°C to
+55°C
Humidity: 10 to 95%Humidity: 10 to 95%
Pressure: 700 to 1060hPaPressure: 700 to 1060hPa
Shelf Life5 years5 yearsSame
Complies with ISO
10993-1YesYesSame
Electrical Safety
Testing PassedYesYesSame

Table 5A - Comparison of Characteristics

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9. Non-Clinical Performance Data

Electrical safety and electromagnetic compatibility testing and software internal verification confirm that product specifications of the modified Ulmer VNG system are met. These are equivalent to those of the predicate device. The testing results support that the device's change for integration of an additional Wifi camera does not affect the safe and effective use of the device as compared to the unmodified predicate device. Verification testing of the modified Ulmer VNG system, in accordance with design controls, demonstrated the device is safe and effective for its intended use. Verification testing was performed to the following:

  • AAMI/ANSI ES 60601-1:2005(R)2012 - Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
  • . AAMI/ANSI IEC 60601-1-2:2014 - Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests
  • AAMI ANSI IEC 62304:2006 Medical device software Software life cycle processes ●

The device passed all testing and software verification and is determined to be substantially equivalent to the unmodified Ulmer VNG Synapsys' device.

10. Clinical Performance Data

There was no human clinical testing required to support the medical device as the intended use is the same as the predicate device. These types of devices, including the predicate devices, have been on the

9

market for many years with proven safety and efficacy for the device. The non-clinical testing detailed in this submission supports the substantial equivalence of the device.

11. Statement of Substantial Equivalence

By definition, a device is substantially equivalent to a predicate device has the same intended use and the same technological characteristics as the previously cleared predicate device; or the device has the same intended use and different technological characteristics, but can be demonstrated to be substantially equivalent to the predicate device, and does not raise additional questions regarding its safety and effectiveness.

As such, the Ulmer VNG System, as modified, is determined to be substantially equivalent to the Synapsys Ulmer VNG predicate device.