K Number
K173474
Device Name
RetiCapture
Manufacturer
Date Cleared
2018-07-27

(260 days)

Product Code
Regulation Number
886.1120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
RetiCapture is a digital hand-held (portable) eye-fundus camera used to record digital photographs and video of fundus of the human eye and surrounding area.
Device Description
RetiCapture is a hand-held digital ophthalmic camera that together with the optics modules used to capture digital images and video of fundus and surrounding area of the human eye. RetiCapture has an LED light source visible white light and infrared light. Light target LED's are used to eye position fixation during imaging. Image data is stored on the Flash memory card using 5 megapixel CMOS sensor and transferred to the PC by using USB connection. Device has rechargeable battery.
More Information

No
The summary describes a standard digital fundus camera for image and video capture, storage, and transfer. There is no mention of any analytical or interpretive functions that would typically involve AI/ML. The performance studies focus on safety and basic device functionality, not algorithmic performance.

No
The device is a camera used to record digital photographs and video of the fundus of the human eye, which is a diagnostic function, not a therapeutic one.

No

The device is described as an eye-fundus camera used to record digital photographs and video of the fundus. While it captures data that may be used for diagnosis, the device itself is an imaging tool, not one that performs diagnostic analysis or interpretation.

No

The device description explicitly details hardware components such as an LED light source, CMOS sensor, flash memory card, USB connection, and rechargeable battery, and the performance studies include testing of hardware aspects like photobiological safety and electromagnetic compliance.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. These tests are performed outside of the body.
  • RetiCapture's Function: RetiCapture is an imaging device that captures digital photographs and video of the fundus of the human eye. It is used to visualize the internal structures of the eye in vivo (within the living body).
  • No Sample Analysis: The description does not mention any analysis of biological samples. The device's function is purely for capturing images of a part of the body.

Therefore, RetiCapture falls under the category of an ophthalmic imaging device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

RetiCapture is a digital hand-held (portable) eye-fundus camera used to record digital photographs and video of fundus of the human eye and surrounding area.

Product codes

HKI

Device Description

RetiCapture is a hand-held digital ophthalmic camera that together with the optics modules used to capture digital images and video of fundus and surrounding area of the human eye. RetiCapture has an LED light source visible white light and infrared light. Light target LED's are used to eye position fixation during imaging. Image data is stored on the Flash memory card using 5 megapixel CMOS sensor and transferred to the PC by using USB connection. Device has rechargeable battery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fundus 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

Non-clinical tests: Measurement of Photobiological safety of lamps and lamp systems were performed. Other performance, such as electromagnetic compliance, and etc, were tested using following consensus standards:

  • Basic safety and essential performance of the RetiCapture is tested and evaluated according to IEC 60601-1:2005 (Third Edition) + CORR.1:2006 + CORR.2:2007 + A1:2012. All the results presented here demonstrated general requirements for basic safety and essential performance.
  • -Effect to the device by electromagnetic disturbances were tested and evaluated according to EN 60601-1-2:2007. All the results presented here demonstrated the requirements and tests for electromagnetic disturbances.
  • -Photobiological safety of lamps and lamp systems of medical devices is evaluated according to FDA-recognized consensus standard, IEC 62471:2006 (First Edition). All the results presented here demonstrated the Photobiological safety of lamps and lamp systems of the RetiCapture.
  • Risk management was recorded by referring to ISO 14971:2012. -
  • -Fundamental requirements and test methods for light hazard protection of RetiCapture is evaluated according to FDA-recognized consensus standard, ISO 15004-2 First Edition.
  • -Extensive software testing and validation have been conducted to ensure that RetiCapture performs to acceptable level, repeatedly and reliably referring to consensus standard IEC 62304:2006 and ISO 14971:2012.
  • -Ophthalmic instruments of RetiCapture were tested and evaluated according to FDArecognized consensus standard ISO 10940:2009.

Key Metrics

Not Found

Predicate Device(s)

K120982

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.

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July 27, 2018

Ilooda Co., Ltd. % Mina Joo Assistant Manager BT Solutions. Inc. Unit 502, 148 Yeoksam-ro Gangnam-gu Seoul, 06249 Republic of Korea

Re: K173474

Trade/Device Name: RetiCapture Regulation Number: 21 CFR 886.1120 Regulation Name: Ophthalmic Camera Regulatory Class: Class II Product Code: HKI Dated: June 6, 2018 Received: June 8, 2018

Dear Mina Joo:

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 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.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Bradley S. Cunningham -A

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) K173474

Device Name RetiCapture

Indications for Use (Describe)

RetiCapture is a digital hand-held (portable) eye-fundus camera used to record digital photographs and video of fundus of the human eye and surrounding area.

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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5. 510(k) Summary

1. General Information

Applicant/Submitter:ILOODA Co., Ltd.
Address:120, Jangan-ro, 458beon-gil, Jangan-gu
Suwon-Si, Gyeonggi-do, 16200
Republic of Korea
Tel) +82-31-278-4660
Fax) +82-31-278-4661
Contact Person:Mina Joo, BT Solutions, Inc.
Address:Unit 502, 148 Yuksamro, Gangnam-gu, Seoul,
Republic of Korea
Tel) +82.2.538.9140
Email) smanager@btsolutions.co.kr
Preparation Date:July-24-2018

2. Device Name and Code

Device Trade Name:RetiCapture
Common Name:Ophthalmic Camera
Classification Name:Ophthalmic camera
Product Code:HKI
Regulation Number:886.1120
Classification:Class II
Review Panel:Ophthalmic

3. Predicate Devices

RetiCapture is substantially equivalent to the following devices

ApplicantDevice Name510(k) Number
Medimaging Integrated
Solution Inc.MiiS Horus Scope DEC 100K120982

Table 5 1 Predicate devices

4

4. Device Description

RetiCapture is a hand-held digital ophthalmic camera that together with the optics modules used to capture digital images and video of fundus and surrounding area of the human eye. RetiCapture has an LED light source visible white light and infrared light. Light target LED's are used to eye position fixation during imaging. Image data is stored on the Flash memory card using 5 megapixel CMOS sensor and transferred to the PC by using USB connection. Device has rechargeable battery.

5. Indications / Intended Use

RetiCapture is a digital hand-held (portable) eye-fundus camera used to record digital photographs and video of fundus of the human eye and surrounding area.

6. Technical Characteristics in Comparison to Predicate Devices

RetiCapture is substantially equivalent to the following legally marketed predicate devices

Predicate DeviceProposed Device
510(K) NumberK120982K173474
ManufacturerMedimaging Integrated Solution Inc.ILOODA CO., LTD
Device NameMiiS Horus Scope DEC 100RetiCapture
Clearance Date:Sep 17,2012N/A
Classification /Class II/21 CFR 886.1120 OphthalmicClass II/21 CFR 886.1120 Ophthalmic
RegulationCameraCamera
Product CodeHKIHKI
Intended Use/
Indications for
UseMiiS 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 areaRetiCapture is a digital hand-
held(portable) eye-fundus camera used
to record digital photographs and video
of fundus of the human eye and
surrounding area
Intended forPrescription UsePrescription Use
Observation light
Sourcewhite & IR LEDwhite & IR LED
Diopter-20D ~ +20D-20D ~ +20D
FOV (Field of
view)40°50°
Resolutions1920x10803072x1728
Storage
mediaSD CARDSD CARD
Image data
formatJPEG (Still picture)
H.264(Video)JPEG (Picture),
Full HD (Video)
LCD Display3.5" full color LCD5" full color TFT-LCD
PowerRechargeable Li-ion battery
3.7VRechargeable Li-ion battery
3.7V

7. Performance Data

5

RetiCapture

510(k) Summary

Non-clinical tests: Measurement of Photobiological safety of lamps and lamp systems were performed. Other performance, such as electromagnetic compliance, and etc, were tested using following consensus standards:

  • Basic safety and essential performance of the RetiCapture is tested and evaluated according to IEC 60601-1:2005 (Third Edition) + CORR.1:2006 + CORR.2:2007 + A1:2012. All the results presented here demonstrated general requirements for basic safety and essential performance.
  • -Effect to the device by electromagnetic disturbances were tested and evaluated according to EN 60601-1-2:2007. All the results presented here demonstrated the requirements and tests for electromagnetic disturbances.
  • -Photobiological safety of lamps and lamp systems of medical devices is evaluated according to FDA-recognized consensus standard, IEC 62471:2006 (First Edition). All the results presented here demonstrated the Photobiological safety of lamps and lamp systems of the RetiCapture.
  • Risk management was recorded by referring to ISO 14971:2012. -
  • -Fundamental requirements and test methods for light hazard protection of RetiCapture is evaluated according to FDA-recognized consensus standard, ISO 15004-2 First Edition.
  • -Extensive software testing and validation have been conducted to ensure that RetiCapture performs to acceptable level, repeatedly and reliably referring to consensus standard IEC 62304:2006 and ISO 14971:2012.
  • -Ophthalmic instruments of RetiCapture were tested and evaluated according to FDArecognized consensus standard ISO 10940:2009.

8. Substantial Equivalence

The intended use of the RetiCapture is within the scope of the predicate device. RetiCapture, from both a design and clinical perspective, uses similar or identical technology as the cited predicate device and has the same intended uses. Based upon the overall performance characteristics for the RetiCapture, ILOODA Co., Ltd., believes that no significant differences exist in usage of its underlying technological principles between RetiCapture and the cited predicate device.

9. Conclusions

On the basis of the information provided in this Summary, ILOODA Co., Ltd., believes that RetiCapture is substantially equivalent to legally commercialized predicate device for the purposes of this 510 (k) submission.