K Number
K170470
Device Name
Digital Eye Anterior Camera
Date Cleared
2017-10-06

(232 days)

Product Code
Regulation Number
886.1850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MiiS Horus+ Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualization and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area.
Device Description
MiiS Horus* Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualize and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. It is a Li-ion battery-powered optical device. It brings more complete medical records about the static photos as well as the dynamic videos. MiiS Horus* Scope DEA 200 has an LED light source with visible white light. The device is designed with high-resolution lens and 5M pixels CMOS Sensor, faithful rendering color of the anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. The device can store pictures or videos in SD memory card, or via the USB transfer pictures or videos to a computer. In addition to rendering images in the 3.5-inch full color TFT-LCD, through the AV output, you can connect the device to the big screen (TV, LCD screen) showing the pictures or videos. Below includes a summary of the technical information used in the substantial equivalence comparison. It is more efficient and suitable for many different applications, such as electronic filing.
More Information

No
The summary describes a digital imaging device for capturing photos and videos of the eye's anterior segment. There is no mention of AI, ML, image processing beyond basic visualization and storage, or any performance studies related to algorithmic analysis of images.

No
The device is used for non-invasive illumination, magnification, visualization, and recording of the anterior segment of the human eye, which are diagnostic functions, not therapeutic.

No

This device is for non-invasive illumination, magnification, visualization, and recording of digital photographs and video of the anterior segment of the human eye. It does not perform any analysis or interpretation of the images to diagnose a condition.

No

The device description explicitly states it is a "digital hand-held slit lamp system" and a "Li-ion battery-powered optical device" with an "LED light source," "high-resolution lens," and "5M pixels CMOS Sensor." It also mentions storing data on an "SD memory card" and transferring via "USB," and connecting to a "big screen" via "AV output." Furthermore, the performance studies section mentions testing "software (S/W) and hardware (H/W)." These details clearly indicate the device includes significant hardware components and is not software-only.

Based on the provided information, the MiiS Horus+ Scope DEA 200 is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD devices are used to examine specimens taken from the human body. The intended use and device description clearly state that the MiiS Horus+ Scope DEA 200 is used for non-invasive visualization of the anterior segment of the human eye. It does not involve the collection or analysis of biological samples.
  • The device is an optical imaging system. It uses illumination, magnification, and digital recording to visualize the eye directly. This is characteristic of an in vivo diagnostic device, not an in vitro one.

Therefore, the MiiS Horus+ Scope DEA 200 falls under the category of an ophthalmic diagnostic device used for direct examination of the eye, not an IVD.

N/A

Intended Use / Indications for Use

MiiS Horus+ Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualization and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area.

Product codes

HJO, HKI

Device Description

MiiS Horus* Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualize and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. It is a Li-ion battery-powered optical device. It brings more complete medical records about the static photos as well as the dynamic videos. MiiS Horus* Scope DEA 200 has an LED light source with visible white light. The device is designed with high-resolution lens and 5M pixels CMOS Sensor, faithful rendering color of the anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. The device can store pictures or videos in SD memory card, or via the USB transfer pictures or videos to a computer. In addition to rendering images in the 3.5-inch full color TFT-LCD, through the AV output, you can connect the device to the big screen (TV, LCD screen) showing the pictures or videos. Below includes a summary of the technical information used in the substantial equivalence comparison. It is more efficient and suitable for many different applications, such as electronic filing.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Digital photography and video

Anatomical Site

anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area

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)

In this submission, the nonclinical tests were conducted, such as software (S/W) and hardware (H/W), EMC, safety and light hazard. The results of this testing indicate that the MiiS Horus+ scope DEA 200 is equivalent to predicate device.

No clinical studies were performed.

The MiiS Horus Scope DEA 200 was tested according to 15004-2:2007 to determine acceptable light safety limits for both the illumination and background lights. The test results demonstrate the DEA 200 is in compliance with the of Group 2 instrument requirements provided by the standard.

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

Not Found

Predicate Device(s)

K063640, K120982

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.1850 AC-powered slitlamp biomicroscope.

(a)
Identification. An AC-powered slitlamp biomicroscope is an AC-powered device that is a microscope intended for use in eye examination that projects into a patient's eye through a control diaphragm a thin, intense beam of light.(b)
Classification. Class II (special controls). The device, when it is intended only for the visual examination of the anterior segment of the eye, is classified as Group 1 per FDA-recognized consensus standard ANSI Z80.36, does not provide any quantitative output, and is not intended for screening or automated diagnostic indications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

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October 6, 2017

Medimaging Integrated Solution Inc. (miis) % Yi-Ying Chen Engineer 1F, No.7, R&D Rd. II Hsinchu Science Park Hsinchu, Taiwan 30076 (R.O.C.)

Re: K170470

Trade/Device Name: Digital Eye Anterior Camera Regulation Number: 21 CFR 886.1850 Regulation Name: AC-Powered Slitlamp Biomicroscope Regulatory Class: Class II Product Code: HJO, HKI Dated: August 24, 2017 Received: August 29, 2017

Dear Yi-Ying Chen:

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.

1

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.

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 (DICE) 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 (DICE) 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.

Bradley S. Cunningham -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

2

Indications for Use

510(k) Number (if known) K170470

Device Name MiiS Horus+ Scope DEA 200

Indications for Use (Describe)

MilS Horus+ Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualization and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image contains a single, large, uppercase letter 'K' in a simple, sans-serif font. The letter is black and stands out against a white background. The letter is centered in the image and takes up most of the space. The image is simple and clear.

Image /page/3/Picture/1 description: The image contains the logo for MiiS. The logo is a circular target with alternating black and white rings. The text "MiiS" is written in blue below the target.

K170470

510(k) Summary

Prepared: October 1, 2017

| Submitter/Owner's
Name/ Address | Medimaging Integrated Solution Inc. (MiiS)
1F, No.7, R&D Rd. II, Hsinchu Science Park, Hsinchu, Taiwan
30076 (R.O.C.) |
|------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Hsu, Chih-Lu (COO) |
| Telephone: Fax: | +886-3-5798860 Ext: 1110 |
| Email Address: | +886-3-5798821
luu@miis.com.tw |

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Image /page/4/Picture/1 description: The image is a logo with a circular design at the top and the word "MiiS" in blue at the bottom. The circular design consists of concentric rings divided into alternating black and white segments, resembling a target or a stylized eye. The word "MiiS" is written in a bold, sans-serif font, with a blue color that stands out against the white background. The entire logo is enclosed within a rounded square with a thin blue border.

K170470

Device Identification:

Trade/Device Name MiiS Horus Scope DEA 200 Regulation Number: 21 CFR 886.1850 Regulation Name: AC-powered slit lamp biomicroscope Regulatory Class: Class II Product Code: HJO, HKI

Predicate Device:

    1. K063640
      Trade/Device Name: Kowa SL-15 Slit Lamp Regulation Number: 21 CFR 886.1850 Regulation Name: AC-powered slit lamp biomicroscope Regulatory Class: Class II Product Code: HJO
    1. K120982
      Trade/Device Name: MiiS Horus Scope DEC 100 Regulation Number: 21 CFR 886.1120 Regulation Name: Ophthalmic Camera Regulatory Class: Class II Product Code: HKI

Description of Device:

MiiS Horus* Scope DEA 200 is a digital hand-held slit lamp system indicated for non-invasive illumination, magnification, visualize and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. It is a Li-ion battery-powered optical device. It brings more complete medical records about the static photos as well as the dynamic videos. MiiS Horus* Scope DEA 200 has an LED light source with visible white light. The device is designed with

high-resolution lens and 5M pixels CMOS Sensor, faithful rendering color of the anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area. The device can store pictures or videos in SD memory card, or via the USB transfer pictures or videos to a computer. In addition to rendering images in the 3.5-inch full color TFT-LCD, through the AV output, you can connect the device to the big screen (TV, LCD screen) showing the pictures or videos. Below includes a summary of the technical information used in the substantial equivalence comparison. It is more efficient and suitable for many different applications, such as electronic filing.

5

Image /page/5/Picture/1 description: The image shows a logo for MiiS. The logo is a rounded square with a white background. Inside the square is a circular target-like design with alternating black and white sections. Below the target design, the text "MiiS" is written in blue, with a line underneath it.

Indications for Use:

MiiS Horus+ Scope DEA 200 is a digital hand-held slit lamp system indicated for noninvasive illumination, magnification, visualization and to record digital photographs and video of anterior segment (including cornea, anterior chamber, and lens) of the human eye and surrounding area.

Substantial Equivalence Summary

Key technological seminaries and differences between the ICON and the predicates:

| Device | K170470 | K063640
Predicate Device | K120982
Predicate Device |
|--------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Model name | MiiS Horus+ Scope
DEA 200 | KOWA SL-15 | MiiS Horus Scope
DEC 100 |
| Intended use | MiiS Horus+ Scope DEA 200 is
a digital hand-held slit lamp
system indicated for non-
invasive illumination,
magnification, visualization and
to record digital photographs
and video of anterior segment
(including cornea, anterior
chamber, and lens) of the
human eye and surrounding
area. | KOWA SL-15 is an ophthalmic
device indicated for
non-invasive illumination,
magnification and observation
of the human eye. It consists of
a hand-held, battery powered
slit-lamp biomicroscope with
viewing and illumination
optical systems and an
AC-powered stand. | MiiS Horns Scope DEC 100 is
a digital hand-held eye-fundus
camera used to record digital
photographs and video of
fundus of the human eye and
surrounding area. |
| Slit Lamp | | | |
| Slit selection | Turret-type switching | Turret-type switching | |
| Slit length | 10 mm Fixed | 12 mm Fixed | |
| Slit Width | $≤$ 0.2, 0.2, 0.5, 2, 5,
10 mm | 0.1, 0.2, 0.8 mm and
$ ⌀ $ 12mm spot | |
| Slit projection
angle | $ \pm $ 45 degree (+/- 5%) | 60 degree for
Horizontal | |
| Filter | Blue, Green | Blue | None |
| Digital Camera | | | |
| Picture/Video | Built-in | Supports electronic image
with the optional camera
connection adapter
(C-mount). | Built-in |
| Image sensor | CMOS | CCD | CMOS |

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Image /page/6/Picture/1 description: The image shows a logo for Miis. The logo is a circular target with alternating black, white, and gray sections. The word "Miis" is written in blue, bold letters below the target.

Magnification10X / 16X10X / 16X0.25X
DisplayDisplay on the TFT-LCD or
connect to and display on
computerConnect to and display on
the camera and computer
display.Display on the TFT-LCD or
connect to and display on
computer
Image storageSD card and could be transfer
to user's computerUser's computerSD card and could be transfer
to user's computer
Light Source
TypeWhite LEDHalogen LampWhite LED and Infrared LED
Maximum
Output power2.9V, 1.0 W7.5V, 15 W2.9V, 1.0 W
Light Intensity
AdjustmentSix selection: 0B, 1B, 2B, 3B,
4B, 5B
From 0 mw /cm2 to 19.12 mw/cm2Three selection: Full, 1/2 and
1/4Sixteen selection:
0B, 1B, 2B, 3B, 4B, 5B, 6B, 7B,
8B, 9B, 10B, 11B, 12B, 13B,
14B, 15B
White
LED Infrared
LED Cornea 338.21
mw/cm2 3.11
mw/cm2 Retina 3.88
mw/cm2 0.036
mw/cm2
External lightBackground LightNoneNone
System
Power SourceLithium-ion rechargeable
batteryLithium-ion rechargeable
batteryLithium-ion rechargeable
battery
Appearance
Outline
DrawingImage: microscopeImage: microscopeImage: microscope

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Image /page/7/Picture/1 description: The image is a logo with a circular target-like design at the top and the word "MiiS" in blue at the bottom. The target design consists of concentric circles divided into alternating black and white quadrants. The word "MiiS" is in a bold, sans-serif font and is underlined with a blue line. The entire logo is set against a white background with a rounded blue border.

Substantial Equivalence Discussion

Similarities:

  • MiiS Horus scope DEA 200 and the primary predicate device, KOWA SL-15, have the i same intended use. DEA 200 has similar specifications to KOWA SL-15, such as the working distance, slit length, slit width, filters, light weight and magnification function.
  • Both MiiS Horus scope DEA 200 and secondary predicate device, MiiS Horus scope -DEC 100 are Medimaging Integrated Solution Inc. (MiiS)'s products. They have same concept of design for image sensor, display function and image storage.

Differences:

  • The Major differences are the Changes in light sources and optical system. Optical radiation hazard evaluation was performed that these changes will not affect the device safety.

Nonclinical and Clinical Tests

In this submission, the nonclinical tests were conducted, such as software (S/W) and hardware (H/W), EMC, safety and light hazard. The results of this testing indicate that the MiiS Horus+ scope DEA 200 is equivalent to predicate device.

No clinical studies were performed.

Optical Performance

The MiiS Horus Scope DEA 200 was tested according to 15004-2:2007 to determine acceptable light safety limits for both the illumination and background lights. The test results demonstrate the DEA 200 is in compliance with the of Group 2 instrument requirements provided by the standard.

Conclusion

Substantial equivalence comparison and bench performance tests support the conclusion of substantial equivalence of MiiS Horus* Scope DEA 200 to the predicate devices (KOWA SL-15 and MiiS Horus Scope DEC 100).