K Number
K221861
Device Name
FloNavi Endoscopic Fluorescence Imaging System
Date Cleared
2023-02-18

(236 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Upon intravenous administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is intended to provide real-time endoscopic visible and near-infrared fluorescence imaging. During minimally invasive surgery, the FloNavi Endoscopic Fluorescence Imaging System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts, using near-infrared imaging. Upon interstitial administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.
Device Description
The proposed system, FloNavi Endoscopic Fluorescence Imaging System (FloNavi System) is comprised of an image processing unit, a camera head, and a light source (including a flexible light guide cable). There are two models of the proposed system. The primary components of each model are provided in Table 1. Model 1: Image Processing Unit: OPTO-CAM214K, Camera Head: OPTO-CHD214KE/OPTO-CHD214KH, Light Source: OPTO-LED214K Model 2: Image Processing Unit: OPTO-CAM2100, Camera Head: OPTO-CHD2100, Light Source: OPTO-LED2100 FloNavi Endoscopic Fluorescence Imaging System is capable of providing real-time endoscopic visible and near-infrared fluorescence imaging. During surgical procedures, FloNavi may be operated to provide visualization similar to that provided by conventional imaging systems used in surgical endoscopy. The area of interest is illuminated with visible light from the light source and the resulting reflecting light is imaged by the camera and displayed on the video monitor. When used with the VIS-only laparoscopes, the System is only capable of the conventional mode of visualization described herein. To provide NIR fluorescence imaging, FloNavi is used with the imaging agent, indocyanine green (ICG). The patient is injected with ICG imaging agent. The ICG fluoresces when illuminated through the laparoscope with NIR excitation light from the light source, and the fluorescence response is then imaged with the camera, processed and displayed on a video monitor. The proposed system is designed to be used with rigid endoscopes, monitors and other ancillary equipment.
More Information

No
The summary describes image processing for visualization but does not mention AI, ML, or related concepts like training or test sets for algorithmic performance.

No
The device is an imaging system used for visualization during surgery, not for treatment or therapy.

Yes
Explanation: The device provides "real-time endoscopic visible and near-infrared fluorescence imaging" and enables "visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts." It also performs "intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes." This information is used by surgeons to make assessments during surgery, which is a diagnostic capability.

No

The device description explicitly states that the system is comprised of an image processing unit, a camera head, and a light source, which are all hardware components.

Based on the provided text, the FloNavi Endoscopic Fluorescence Imaging System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The FloNavi system is used for real-time imaging within the human body during surgery.
  • The intended use describes imaging of anatomical structures and physiological processes within the patient. This is in contrast to IVD devices which analyze samples like blood, urine, or tissue outside the body.
  • The device description details components for endoscopic imaging (camera, light source, image processing unit) used directly on the patient.

The FloNavi system is a medical imaging device used for surgical guidance and visualization, not for diagnostic testing of biological samples.

N/A

Intended Use / Indications for Use

Upon intravenous administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is intended to provide real-time endoscopic visible and near-infrared fluorescence imaging. During minimally invasive surgery, the FloNavi Endoscopic Fluorescence Imaging System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts, using near-infrared imaging.

Upon interstitial administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.

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

GCJ, IZI

Device Description

The proposed system, FloNavi Endoscopic Fluorescence Imaging System (FloNavi System) is comprised of an image processing unit, a camera head, and a light source (including a flexible light guide cable).

There are two models of the proposed system. The primary components of each model are provided in Table 1.

FloNavi Endoscopic Fluorescence Imaging System
Model 1: Image Processing Unit: OPTO-CAM214K; Camera Head: OPTO-CHD214KE/OPTO-CHD214KH; Light Source: OPTO-LED214K
Model 2: Image Processing Unit: OPTO-CAM2100; Camera Head: OPTO-CHD2100; Light Source: OPTO-LED2100

Except slight differences in appearance, other differences between components of either model are shown in Table 2.

Image Processing Unit
Item: OPTO-CAM214K; OPTO-CAM2100
Video outputs: DVI, HDMI, 4x3G-SDI, 12G-SDI; SDI, DVI, CVBS, S-VIDEO
Video output resolution: 4096 x 2160p, 3840 x 2160p, 1920 x 1080p, 50/60Hz; 1920 x 1080p, 720 x 576i, 50/60Hz
Size (mm): 403370150; 403370150
Weight (kg): 9 +/- 15%; 9 +/- 15%

Camera Head
Item: OPTO-CHD214KH; OPTO-CHD214KE; OPTO-CAM2100
Image sensor: 4K CMOS sensor assembly; 4K CMOS sensor assembly; HD CMOS sensor assembly
Focusing mechanism: Manual; Motor-driven; Manual
Weight (kg): 0.6 +/- 15%; 0.5 +/- 15%

Light Source
Item: OPTO-LED214K; OPTO-LED2100
Size (mm): 403370150; 403370150
Weight (kg): 11 +/- 15%; 11 +/- 15%
Light guide cable: Diameter: 4.5mm; Diameter: 4.8 mm

FloNavi Endoscopic Fluorescence Imaging System is capable of providing real-time endoscopic visible and near-infrared fluorescence imaging.

During surgical procedures, FloNavi may be operated to provide visualization similar to that provided by conventional imaging systems used in surgical endoscopy. The area of interest is illuminated with visible light from the light source and the resulting reflecting light is imaged by the camera and displayed on the video monitor. When used with the VIS-only laparoscopes, the System is only capable of the conventional mode of visualization described herein.

To provide NIR fluorescence imaging, FloNavi is used with the imaging agent, indocyanine green (ICG). The patient is injected with ICG imaging agent. The ICG fluoresces when illuminated through the laparoscope with NIR excitation light from the light source, and the fluorescence response is then imaged with the camera, processed and displayed on a video monitor.

The proposed system is designed to be used with rigid endoscopes, monitors and other ancillary equipment. The compatible rigid endoscope is O-Mec laparoscopes 690 Series (Model: 690-331030H), which was cleared under K201151.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Endoscopic visible light, Near-infrared fluorescence imaging

Anatomical Site

vessels, blood flow and related tissue perfusion, major extra-hepatic bile ducts, lymphatic system (lymphatic vessels and lymph nodes)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Intended User: Physicians
Care Setting: Healthcare facility/hospital

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)

The non-clinical test results demonstrated that the proposed device complies with the following standards:

  • AAMI/ANSI ES 60601-1:2005/(R)2012 Medical Electrical Equipment- Part 1: . General requirements for basic safety and essential performance.
  • 60601-1-2:2014 Medical electrical equipment- Part 1-2: General IEC . requirements for basic safety and essential performance- Collateral standard: Electromagnetic compatibility- Requirements and tests.
  • IEC 60601-2-18:2009 Medical electrical equipment Part 2-18: Particular . requirements for the basic safety and essential performance of endoscopic equipment
  • IEC 60825:2014 Safety of laser products Part 1: Equipment classification and . requirements was assessed and showed that subject device is a Class 3R laser device.
  • IEC 62471:2006 Photobiological safety of lamps and lamp systems .

Performance testing was conducted on imaging performance and light source performance to support the marketing claims and to confirm that safety and effectiveness of the FloNavi Endoscopic Fluorescence Imaging System is at least equivalent to the predicate 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.

K182606

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.

K160044, K123956

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

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

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February 18, 2023

Guangdong OptoMedic Technologies, Inc. % Joyce Yang Consultant Shenzhen Joyantech Consulting Co., Ltd. 1713A, 17th Floor, Block A, Zhongguan Times Square Nanshan District Shenzhen, Guangdong 518100 China

Re: K221861

Trade/Device Name: FloNavi Endoscopic Fluorescence Imaging System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope And Accessories Regulatory Class: Class II Product Code: GCJ, IZI Dated: January 13, 2023 Received: January 17, 2023

Dear Joyce Yang:

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.

1

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 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 (QS) 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 medical devices and radiation-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.

Jianting Wang -S

Jianting Wang Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K221861

Device Name

FloNavi Endoscopic Fluorescence Imaging System

Indications for Use (Describe)

Upon intravenous administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is intended to provide real-time endoscopic visible and near-infrared fluorescence imaging. During minimally invasive surgery, the FloNavi Endoscopic Fluorescence Imaging System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts, using near-infrared imaging.

Upon interstitial administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.

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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3

510(k) Summary - K221861

Date of Summary prepare: February 7, 2023

1. Submission Sponsor

Applicant Name:Guangdong OptoMedic Technologies, Inc.
Address:Suite 503, Building A, Golden Valley Intellicreation
Community, No.2 Yonganbei Street, Daxu,
Guicheng, Nanhai, 528200, Foshan, Guangdong,
P.R.China
Contact person:Jane Guo
Phone:+86 (757) 8670 2920
Email:guoweijuan@optomedic.com

2. Submission correspondent

Name:Shenzhen Joyantech Consulting Co., Ltd
Address:1713A, 17th Floor, Block A, Zhongguan Times
Square, Nanshan District, Shenzhen
518000
Contact person:Joyce Yang
Phone:+86-755-86069197
Email:joyce@cefda.com

3. Device Identification

Trade Name:FloNavi Endoscopic Fluorescence Imaging System
Common or Usual Name:Endoscopic Imaging System
Model:OPTO-CAM214K, OPTO-CHD214KE, OPTO-CHD214KH, OPTO-LED214K;
OPTO-CAM2100, OPTO-CHD2100, OPTO-LED2100;
Classification name:Endoscope and accessories
Review Panel:Gastroenterology/Urology
Product Code:GCJ
Device Class:Class II
Regulation Number:21 CFR § 876.1500

Legally Marketed Predicate Device 4.

Predicate Device:
Trade Name:PINPOINT Endoscopic Fluorescence Imaging
System
Regulation number:21 CFR § 876.1500
Regulation class:Class II

4

Regulation name:Endoscope and accessories
510(k) Number:K182606
Product Code:GCJ; IZI
Manufacturer:Novadaq Technologies ULC.
Reference Device:
Trade Name:Image 1 SPIES System
Regulation number:21 CFR § 876.1500
Regulation class:Class II
Regulation name:Endoscope and accessories
510(k) Number:K160044
Product Code:FET
Manufacturer:Karl Storz Endoscopy America, Inc.
Trade Name:Power LED 175
Regulation number:21 CFR § 876.1500
Regulation class:Class II
Regulation name:Endoscope and accessories
510(k) Number:K123956
Product Code:FCW, NTN
Manufacturer:Karl Storz Endoscopy America, Inc.

Device Description 5.

The proposed system, FloNavi Endoscopic Fluorescence Imaging System (FloNavi System) is comprised of an image processing unit, a camera head, and a light source (including a flexible light guide cable).

There are two models of the proposed system. The primary components of each model are provided in Table 1.

| FloNavi Endoscopic
Fluorescence

Imaging SystemPrimary component
Model 1Image Processing Unit: OPTO-CAM214K
Camera Head: OPTO-CHD214KE/OPTO-CHD214KH
Light Source: OPTO-LED214K
Model 2Image Processing Unit: OPTO-CAM2100
Camera Head: OPTO-CHD2100
Light Source: OPTO-LED2100
Table 1 System Model and primary component
------------------------------------------------------

5

Except slight differences in appearance, other differences between components of either model are shown in Table 2.

Image Processing Unit
ItemOPTO-CAM214KOPTO-CAM2100
Video outputsDVI, HDMI, 4×3G-SDI, 12G-SDISDI, DVI, CVBS, S-VIDEO
Video output resolution$4096 \times 2160p, 3840 \times 2160p, 1920 \times 1080p, 50/60Hz$$1920 \times 1080p, 720 \times 576i, 50/60Hz$
Size (mm)403370150403370150
Weight (kg)9±15%9±15%
Camera Head
ItemOPTO-CHD214KHOPTO-CHD214KEOPTO-CAM2100
Image sensor4K CMOS sensor assembly4K CMOS sensor assemblyHD CMOS sensor assembly
Focusing mechanismManualMotor-drivenManual
Weight (kg)0.6±15%0.5±15%
Light Source
ItemOPTO-LED214KOPTO-LED2100
Size (mm)403370150403370150
Weight (kg)11±15%11±15%
Light guide cableDiameter: 4.5mmDiameter: 4.8 mm

FloNavi Endoscopic Fluorescence Imaging System is capable of providing real-time endoscopic visible and near-infrared fluorescence imaging.

During surgical procedures, FloNavi may be operated to provide visualization similar to that provided by conventional imaging systems used in surgical endoscopy. The area of interest is illuminated with visible light from the light source and the resulting reflecting light is imaged by the camera and displayed on the video monitor. When used with the VIS-only laparoscopes, the System is only capable of the conventional mode of visualization described herein.

6

To provide NIR fluorescence imaging, FloNavi is used with the imaging agent, indocyanine green (ICG). The patient is injected with ICG imaging agent. The ICG fluoresces when illuminated through the laparoscope with NIR excitation light from the light source, and the fluorescence response is then imaged with the camera, processed and displayed on a video monitor.

The proposed system is designed to be used with rigid endoscopes, monitors and other ancillary equipment. The compatible rigid endoscope is O-Mec laparoscopes 690 Series (Model: 690-331030H), which was cleared under K201151.

Intended Use/ Indications for Use

Upon intravenous administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is intended to provide realtime endoscopic visible and near-infrared fluorescence imaging. During minimally invasive surgery, the FloNavi Endoscopic Fluorescence Imaging System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts, using near-infrared imaging.

Upon interstitial administration and use of an ICG consistent with its approved label, the FloNavi Endoscopic Fluorescence Imaging System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.

Comparison itemSubject Device (K221861)Predicate Device(K182606)
Product NameFloNavi
Fluorescence
Imaging SystemPINPOINT
Fluorescence Imaging System
Product CodeGCJGCJ, IZI
Regulation Number21 CFR § 876.150021 CFR § 876.1500
ClassificationClass IIClass II
Type of usePrescription UsePrescription Use
Comparison itemSubject Device (K221861)Predicate Device(K182606)
Intended use &
Indication s for UseUpon intravenous
administration and use of
an ICG consistent with its
approved label, the FloNavi
Endoscopic Fluorescence
Imaging System is intended
to provide real-time
endoscopic visible and
near-infrared fluorescence
imaging. During minimally
invasive surgery, the
FloNavi Endoscopic
Fluorescence Imaging
System enables surgeons
to perform minimally
invasive surgery using
standard endoscopic visible
light as well as visual
assessment of vessels,
blood flow and related
tissue perfusion, and at
least one of the major extra-
hepatic bile ducts, using
near-infrared imaging.
Upon interstitial
administration and use of
an ICG consistent with its
approved label, the FloNavi
Endoscopic Fluorescence
Imaging System is used to
perform intraoperative
fluorescence imaging and
visualization of the
lymphatic system, including
lymphatic vessels and
lymph nodes.Upon intravenous administration of
TRADENAME (ICG drug product),
the PINPOINT Endoscopic
Fluorescence Imaging System is
used with TRADENAME to perform
intraoperative fluorescence
angiography, and it is also indicated
for use in fluorescence imaging of
biliary ducts, and when indicated,
during intraoperative
cholangiography.
The PINPOINT Endoscopic
Fluorescence Imaging System is
indicated for use to provide real time
endoscopic visible and near-infrared
fluorescence imaging. The
PINPOINT System enables
surgeons to perform minimally
invasive surgery using standard
endoscope visible light as well as
visual assessment of vessels, blood
flow and related tissue perfusion,
and at least one of the major extra-
hepatic bile ducts (cystic duct,
common bile duct or common
hepatic duct), using near infrared
imaging.
Fluorescence imaging of biliary
ducts with the PINPOINT System is
intended for use with standard
of care white light, and when
indicated, intraoperative
cholangiography. The device is not
intended for standalone use for
biliary duct visualization.
Upon interstitial administration of
TRADENAME (ICG drug product),
the PINPOINT System is
used to perform intraoperative
fluorescence imaging and
visualization of the lymphatic
system,
including lymphatic vessels and
lymph nodes.
Applicable userPhysiciansPhysicians
Environment of useHealthcare facility/hospitalHealthcare facility /hospital
Single use / ReusableReusableReusable
Sterile /non-sterileMarketed as non-sterileMarketed as non-sterile
Device System
components- Image Processing Unit
  • Camera Head
  • Light Source | - Endoscopic video processor /
    illuminator (VPI)
  • Laparoscope | |
    | Comparison item | Subject Device (K221861) | Predicate Device(K182606) | |
    | | - Light Guide Cable | - Camera head | |
    | | | - Light guide cable | |
    | Video output signals | OPTO-CAM214K:
    DVI, HDMI, 4×3G-SDI,
    12G-SDI | HD-SDI, DVI | |
    | Video output signals | OPTO-CAM2100:
    SDI, DVI, CVBS, S-VIDEO | | |
    | Video output resolution | OPTO-CAM214K:
    4096×2160p; 3840×2160p;
    1920×1080p | 1920×1080 | |
    | Video output resolution | OPTO-CAM2100:
    1920×1080p; 720×576i | | |
    | Voltage | 110-240V~ | 100-240V~ | |
    | Frequency | 50/60 Hz | 50/60 Hz | |
    | Power consumption | Image Processing Unit:
    150VA
    Light Source: 200VA | 300VA | |
    | Image sensors | OPTO-CHD214KE/OPTO-
    CHD214KH :
    4K CMOS sensor assembly | CMOS HD sensor assembly | |
    | Image sensors | OPTO-CHD2100:
    HD CMOS sensor assembly | | |
    | Aspect ratio | 16:9 | 16:9 | |
    | Light sources | - Visible (VIS): Light-
    emitting diode array
  • Near infrared (NIR): NIR
    laser diode | - Visible (VIS): Light-emitting diode
    array
  • Near infrared (NIR): NIR laser
    diode | |
    | Light guide
    cable | Transmission
    spectrum | Visible + NIR | Visible + NIR |
    | | Fiber
    diameter | OPTO-LED214K: 4.5mm;
    OPTO-LED2100: 4.8 mm | 4.9 mm |
    | | Length | 3 m/3.5m | 3 m |
    | | Sterilization | Autoclave | Autoclave |
    | Type of
    protection
    against electric shock
    (as per IEC 60601-1) | Class I | Class I | |
    | Comparison item | Subject Device (K221861) | Predicate Device(K182606) | |
    | Degree of protection
    against electric shocks
    (as per IEC 60601-1) | CF-type | CF-type | |
    | Laser classification
    (as per IEC 60825-1) | Class 3R | Class 3R | |
    | Radio
    frequency
    emissions
    (as per CISPR 11) | Group 1, Class A | Group 1, Class A | |

Table 3 Technological characteristics comparison

6. Technological characteristics comparison

7

8

9

Summary of Technological Characteristics:

As shown in the comparison table, the proposed system and its predicate has the same intended use and indications for use and similar technological characteristics.

7. Summary of non-clinical testing

The non-clinical test results demonstrated that the proposed device complies with the following standards:

  • AAMI/ANSI ES 60601-1:2005/(R)2012 Medical Electrical Equipment- Part 1: . General requirements for basic safety and essential performance.
  • 60601-1-2:2014 Medical electrical equipment- Part 1-2: General IEC . requirements for basic safety and essential performance- Collateral standard: Electromagnetic compatibility- Requirements and tests.
  • IEC 60601-2-18:2009 Medical electrical equipment Part 2-18: Particular . requirements for the basic safety and essential performance of endoscopic equipment
  • IEC 60825:2014 Safety of laser products Part 1: Equipment classification and . requirements was assessed and showed that subject device is a Class 3R laser device.
  • IEC 62471:2006 Photobiological safety of lamps and lamp systems .

Performance testing was conducted on imaging performance and light source performance to support the marketing claims and to confirm that safety and effectiveness of the FloNavi Endoscopic Fluorescence Imaging System is at least equivalent to the predicate device.

8. Brief discussion of clinical tests

No clinical tests were performed.

9. Conclusions

The subject device and the predicate device have the same intended use, similar technological characteristics. The technological differences will not cause safety and effectiveness problems for the subject device as compared to its predicate device. Performance tests demonstrate that the FloNavi Endoscopic Fluorescence Imaging

10

System performs according to specifications and functions as intended. Therefore,
the proposed system is substantially equivalent to its predicate device.