K Number
K190719
Manufacturer
Date Cleared
2019-08-30

(163 days)

Product Code
Regulation Number
882.1480
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Artemis™ Eye System is indicated to provide visualization and illumination of intracranial tissue and fluids during diagnostic and therapeutic procedures.

Device Description

The Artemis Eye System is indicated to provide visualization and illumination of intracranial tissue and fluids during diagnostic and therapeutic procedures. The System consists of two components:

  • Artemis Eye a single-use neuro-endoscope consisting of a camera, two pathways for . irrigation and/or drain, and a working channel for a surgical tool.
  • Artemis Eye Tablet a reusable component that connects to the Artemis Eye and . displays live imaging captured by the Artemis Eye camera.
AI/ML Overview

This document is a 510(k) summary for the Penumbra Artemis Eye System, a neurological endoscope. It focuses on demonstrating substantial equivalence to a predicate device, rather than providing detailed acceptance criteria and study results for algorithm performance.

Therefore, many of the requested details about acceptance criteria for device performance, especially those related to AI or algorithm performance, cannot be extracted directly from this document. The document primarily discusses non-clinical testing for manufacturing, safety, and physical performance of the neuro-endoscope itself.

Here's what can be extracted based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance (Non-AI/Algorithm Related):

The document does not present a formal table of acceptance criteria with corresponding performance for the overall device's clinical efficacy or algorithm performance. Instead, it describes various non-clinical tests passed.

CategoryTest/CriterionReported Performance/Result
SterilizationBe sterile in accordance with EN ISO 11135:2014Proved to be sterile
BiocompatibilityIn Vitro Cytotoxicity (ISO Elution Test)Non-Toxic
Sensitization (Magnusson-Kligman Method)Non-Sensitizing
Irritation (Intracutaneous Reactivity - ISO Intracutaneous (Intradermal) Injection Test)Non-Irritant
Systemic Toxicity (Acute - ISO Acute Systemic Injection Test)Non-Toxic
Material Mediated Pyrogen (USP Material-Mediated Rabbit Pyrogen Test)Non-pyrogenic
Hemo-compatibility (In-Vitro Hemolysis - ASTM Method)Non-Hemolytic
Coagulation (PT and PTT Test)Non-Thrombogenic
Bench-Top Performance (Design Verification)Evaluate physical and mechanical properties; demonstrate substantial equivalenceAll tests (Dimensional/visual inspection, Design Feature Testing, Simulated Use, Destructive Testing) passed successfully
Shelf-lifeMaintain device performance for the duration of labeled shelf-life (12 months)Test results confirm device stability for the proposed shelf-life
Software V&VComply with "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"Documentation provided as recommended; software considered a "major" level of concern
Electrical Safety/EMCComply with requirements of IEC/EN 60601-1, IEC/EN 60601-1-2, IEC 60601-1-6, and IEC/EN 62366System complies with the requirements

2. Sample size used for the test set and the data provenance:

  • This information is not provided in the document. The document describes non-clinical engineering and safety tests rather than performance evaluations on a patient test set.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • This information is not provided as the document does not describe a clinical study or an AI/algorithm-based performance evaluation involving expert ground truth.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

  • This information is not provided as there is no mention of a test set requiring adjudication in this document.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • No, an MRMC comparative effectiveness study is not mentioned in this document. This document is for a neurological endoscope, not an AI-assisted diagnostic tool in the typical sense that would involve human readers.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • This document is for a physical medical device (neuro-endoscope) with associated software for display. It does not describe a standalone algorithm performance in the context of diagnostic AI. The software is for displaying live imaging, not for autonomous analysis or diagnosis.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

  • This information is not applicable in the context of this document, as it focuses on the substantial equivalence of device components and safety, not on diagnostic accuracy against a ground truth.

8. The sample size for the training set:

  • This information is not provided as the document does not describe the development or training of an AI algorithm.

9. How the ground truth for the training set was established:

  • This information is not applicable as the document does not describe the development or training of an AI algorithm.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

August 30, 2019

Penumbra, Inc. Aditi Kolla Regulatory Affairs Specialist One Penumbra Place Alameda, California 94502

Re: K190719

Trade/Device Name: Artemis Eye System Regulation Number: 21 CFR 882.1480 Regulation Name: Neurological Endoscope Regulatory Class: Class II Product Code: GWG Dated: July 30, 2019 Received: August 1, 2019

Dear Aditi Kolla:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Matthew Krueger Assistant Director DHT5A: Division of Neurosurgical. Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K190719

Device Name Artemis™ Eye System

Indications for Use (Describe)

The Artemis™ Eye System is indicated to provide visualization and illumination of intracranial tissue and fluids during diagnostic and therapeutic procedures.

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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Image /page/3/Picture/1 description: The image shows the word "Penumbra" in a bold, red font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern, with a focus on the company name and a stylized initial.

1 510(k) Summary

(as required by 21 CFR 807.92)

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990,

Penumbra, Inc. is providing the summary of Substantial Equivalence for the Artemis™ Eye System.

1.1 Sponsor/Applicant Name and Address

Penumbra, Inc. One Penumbra Place Alameda, CA 94502 USA

1.2 Sponsor Contact Information

Aditi Kolla Regulatory Affairs Specialist Phone: (510) 995-2010 FAX: (510) 217-6414 Email: akolla@penumbrainc.com

Date of Preparation of 510(k) Summary 1.3

August 29, 2019

Device Trade or Proprietary Name 1.4

Artemis™ Eye System

Primary Device Classification 1.5

Regulatory Class: II Classification Panel: Neurology Common Name: Neurological Endoscope Classification Name: Endoscope, neurological Regulation Number: 21 CFR 882.1480 Product Code: GWG

1.6 Predicate & Reference Devices

510(k)NumberClearance DateDeviceName ofManufacturer
Predicate Device
K002572November 16,2000Medtronic HighResolution ChannelNeuroendoscopeMedtronic PS Medical

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Image /page/4/Picture/1 description: The image shows the logo for Penumbra, a healthcare company. The word "Penumbra" is written in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern.

510(k)NumberClearance DateDeviceName ofManufacturer
K162475September 16,2016Trice Mi-eye 2, Mi-eye 2MonitorTrice Medical Inc.

1.7 Predicate Comparison

Table 1: Predicate Device Comparison
--------------------------------------------
AttributePredicate DeviceSubject Device
Trade NameMedtronic High ResolutionChannel NeuroendoscopePenumbra Artemis Eye System
510(k) No.K002572To be determined
ClassificationClass II, GWG (882.1480)Class II, GWG (882.1480)
Indications For UseThe High Resolution ChannelNeuro-endoscope is indicated fordiagnostic and intraoperativeprocedures where the physiciandesires direct vision of intracranialtissue where cerebrospinal fluid(CSF) may be contacted.The Artemis Eye System isindicated to provide visualizationand illumination of intracranialtissue and fluids during diagnosticand therapeutic procedures.
Intended UseIntended for visualization ofintracranial tissue during diagnosticand intraoperative procedures.SAME
PortabilityHand-HeldSAME
WeightNot published in the 510(k)Summary≤ 300 g
Video OutputLCD monitorSAME
Illumination LightSource1 mm CAMLite Light CableSurface Mount LED
Neuroendoscope ProbeMaterialStainless SteelSAME
Working Length13 cm or 21.6 cm15 cm
Total Length17.2 cm or 25.8 cm25 cm
Working Tube/ProbeOD4.2 mm6 mm
Working ChannelDiameter2.15 mm3.1 mm
Camera ResolutionHigh (30,000 optical fibres) orStandard (10,000 optical fibres)200 pixels x 200 pixels

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Image /page/5/Picture/1 description: The image shows the word "Penumbra" in a red font, followed by a red circle with a white "P" inside. The word "Penumbra" is written in a sans-serif font. The "P" in the circle is also in a sans-serif font. The logo is likely for a company or organization called Penumbra.

Table 1: Predicate Device Comparison
AttributePredicate DeviceSubject Device
Trade NameMedtronic High ResolutionChannel NeuroendoscopePenumbra Artemis Eye System
Video Output/ TabletDimensionsNot Applicable31.0 x 20.0 x 3.8 cm(12.2 x 7.9 x 1.5 in.)
Display ScreenResolutionNot Applicable≥ 1920 pixels x 1280 pixels
Video Output/ TabletBattery LifeNot Applicable3 hours (may vary based uponusage)
AccessoriesPeelaway Introducer SheathStopcock
Neuro-Endoscope UseSingle-UseSAME
SterilizationEOSAME
Shelf-Life36-MonthsArtemis Eye: 12-Month datacurrently available

Device Description 1.8

The Artemis Eye System is indicated to provide visualization and illumination of intracranial tissue and fluids during diagnostic and therapeutic procedures. The System consists of two components:

  • Artemis Eye a single-use neuro-endoscope consisting of a camera, two pathways for . irrigation and/or drain, and a working channel for a surgical tool.
  • Artemis Eye Tablet a reusable component that connects to the Artemis Eye and . displays live imaging captured by the Artemis Eye camera.

1.9 Indications for Use

The Artemis™ Eye System is indicated to provide visualization and illumination of intracranial tissue and fluids during diagnostic and therapeutic procedures.

1.10 Summary of Non-Clinical Data

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, a summary of any information regarding substantial equivalence of the devices follows.

Included in this section is a summary description of the testing, which substantiates the performance of the subject Artemis Eye System.

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1.10.1 Sterilization

The subject Artemis Eye has proved to be sterile in accordance with EN ISO 11135:2014.

1.10.2 Biocompatibility Testing

Biocompatibility test studies were selected in accordance Guidance for Industry and FDA Staff: Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" (issued June 16, 2016). All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices. The following tests were successfully conducted on the patient-contacting Artemis Eye component of the subject device:

TestMethodResults
In Vitro CytotoxicityISO Elution Test (MEM Extract)Non-Toxic
SensitizationMagnusson-Kligman MethodNon-Sensitizing
Irritation (IntracutaneousReactivity)ISO Intracutaneous (Intradermal)Injection TestNon-Irritant
Systemic Toxicity (Acute)
Acute Systemic ToxicityISO Acute Systemic Injection TestNon-Toxic
Material MediatedPyrogenUSP Material-Mediated RabbitPyrogen TestNon-pyrogenic
Hemo-compatibility
In-Vitro HemolysisASTM Method (Indirect & DirectContact)Non-Hemolytic
CoagulationPT and PTT TestNon-Thrombogenic

1.10.3 Bench-Top Performance (Design Verification)

Performance testing was conducted to evaluate the physical and mechanical properties of the Artemis Eye System and to demonstrate substantial equivalence to the predicate device. The following tests were performed and all tests passed successfully:

  • Dimensional / visual inspection ●
  • . Design Feature Testing
  • . Simulated Use
  • Destructive Testing .

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1.10.4 Shelf-life

The physical and mechanical performance of the Artemis Eye was evaluated for 12 months through accelerated aging studies to demonstrate device stability for the duration of the labeled shelf-life. Test results confirm the subject device will maintain device performance for the entirety of the proposed shelf-life.

1.10.5 Software Verification & Validation

Software verification and validation testing and documentation for the Artemis Eye System was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" (issued May 11, 2005). The software for this device was considered as a "major" level of concern.

1.10.6 Electrical Safety/EMC Testing

Electrical safety and EMC testing were conducted on the Artemis Eye System. The system complies with the requirements of IEC/EN 60601-1, IEC/EN 60601-1-2, IEC 60601-1-6, and IEC/EN 62366.

1.11 Summary of Substantial Equivalence

The subject Artemis Eye System is substantially equivalent to the predicate device. The subject device has an identical intended use as the predicate device. The subject and the predicate devices differ slightly in regards to minor technological variations, while maintaining the same fundamental scientific technology. However, these differences do not raise different questions of safety and effectiveness.

The device testing described in the 510(k) Summary demonstrate the subject devices are substantially equivalent to the predicate device in regards to operating principle, fundamental technology and device performance. It also demonstrates the Artemis Eye System should perform as intended in the specified use conditions.

§ 882.1480 Neurological endoscope.

(a)
Identification. A neurological endoscope is an instrument with a light source used to view the inside of the ventricles of the brain.(b)
Classification. Class II (performance standards).