K Number
K222587
Device Name
PatCom Distal Chip Endoscope
Date Cleared
2023-07-28

(336 days)

Product Code
Regulation Number
874.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Patcom Distal Chip Endoscope is indicated when endoscopic visualization in the regions of mouth, nasal cavity, and upper airway is required.
Device Description
The PatCom Distal Chip Endoscope is a portable video endoscope for visualization in the reqions of the mouth, nasal cavity, and upper airway. It is made up of the grip section and insertion tube. It requires connection via USB to a laptop computer, and gains power from the USB ports which supplies 5V of electricity with a maximum current of 0.5A. This is sufficient to power the endoscope. The endoscope does not need an external CCU for image processing, as the processing is done directly on the device on a small chip. It converts the light and color information received by the image sensor into binary numbers (patterns of zeros and ones). The USB Video Class (UVC) driver is a Microsoft-provided AVStream minidriver that provides driver support for USB Video Class devices. When a device uses UVC, it does not need to support their own driver, but instead works automatically with the system-supplied driver. It is compatible to all Windows and Mac computers, with a simple plug and play feature. The visualization from the distal chip is projected onto the computer monitor, at a resolution of 720px1280p high definition. The insertion tube portion of the device is used for visualization within the natural orifices of the mouth and the nasal cavities and in the upper airway anatomy. The light emitted by the LED light source at the distal end of the tip is illuminated into the body cavity of the subject, and the image is displayed onto a screen. The grip section of the device contains a control knob for moving the distal end of the insertion tube bend up or down, up to 130 degrees in either direction. The proximal end of the grip section contains the USB connector, for plug and play with a computer, for power and to provide visualization of the camera chip found at the distal end of the insertion tube.
More Information

Not Found

No
The description focuses on basic image processing (converting light/color to binary) and standard video drivers (UVC). There is no mention of AI, ML, or any advanced algorithms for image analysis or interpretation.

No
The device is described as an endoscope for visualization purposes only; it does not mention any therapeutic function or treatment.

No

The device is an endoscope used for visualization, which is a tool for observation. While the observation can be part of a diagnostic process, the device itself does not perform analysis or interpretation of the images to render a diagnosis. It simply captures and displays images.

No

The device description clearly states it is a portable video endoscope made up of a grip section and insertion tube, which are physical hardware components. While it utilizes software for image processing and connectivity, it is not solely software.

Based on the provided information, the Patcom Distal Chip Endoscope is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, tissue) taken from the human body to provide information about a person's health. This testing is done outside the body (in vitro).
  • Patcom Endoscope Function: The Patcom Distal Chip Endoscope is used for direct visualization of internal body cavities (mouth, nasal cavity, upper airway) inside the body. It provides real-time images of the anatomy.

The device's function is purely for visualization and examination of internal structures, not for analyzing biological specimens. Therefore, it falls under the category of a medical device used for diagnostic imaging or examination, but not an IVD.

N/A

Intended Use / Indications for Use

The Patcom Distal Chip Endoscope is indicated when endoscopic visualization in the regions of mouth, nasal cavity, and upper airway is required.

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

EOB

Device Description

The PatCom Distal Chip Endoscope is a portable video endoscope for visualization in the regions of the mouth, nasal cavity, and upper airway. It is made up of the grip section and insertion tube. It requires connection via USB to a laptop computer, and gains power from the USB ports which supplies 5V of electricity with a maximum current of 0.5A. This is sufficient to power the endoscope. The endoscope does not need an external CCU for image processing, as the processing is done directly on the device on a small chip. It converts the light and color information received by the image sensor into binary numbers (patterns of zeros and ones). The USB Video Class (UVC) driver is a Microsoft-provided AVStream minidriver that provides driver support for USB Video Class devices. When a device uses UVC, it does not need to support their own driver, but instead works automatically with the system-supplied driver. It is compatible to all Windows and Mac computers, with a simple plug and play feature. The visualization from the distal chip is projected onto the computer monitor, at a resolution of 720px1280p high definition.

The insertion tube portion of the device is used for visualization within the natural orifices of the mouth and the nasal cavities and in the upper airway anatomy. The light emitted by the LED light source at the distal end of the tip is illuminated into the body cavity of the subject, and the image is displayed onto a screen.

The grip section of the device contains a control knob for moving the distal end of the insertion tube bend up or down, up to 130 degrees in either direction.

The proximal end of the grip section contains the USB connector, for plug and play with a computer, for power and to provide visualization of the camera chip found at the distal end of the insertion tube.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mouth, nasal cavity, and upper airway

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare professionals who have received adequate training in handling nasopharyngoscopes.
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)

Performance Characteristics: The two devices have been submitted to an external accredited laboratory for extensive comparative imaging testing, such as Field of View (FOV, Depth of Field (DOF), Optimum Working Distance, Noise and Dynamic Range, Geometric Distortion, Image Intensity Uniformity (IIU), Color Performance and Latency Assessment for testing the Quality of the real-time video feed.

The tests conducted were performed in compliance with the following regulations:
ISO 8600-1 (2005-05-1): Optics and photonics-Medical endoscopes and endotherapy devices-Part 1: General Requirements
ISO 8600-3 (2019-8): Determination of field of view and direction of view of endoscopes with optics
ISO 8600-5 (2020-10): Determination of optical resolution of rigid endoscopes with optics
ISO 15739 (2017-05): Photography-Electronic still-picture imaging-Noise measurements
ISO 12233 (2023-02): Photography-Electronic still picture imaging-Resolution and spatial frequency responses

All tests results have been determined to support both devices to be substantially equivalent.

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.

K132009

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

§ 874.4760 Nasopharyngoscope (flexible or rigid) and accessories.

(a)
Identification. A nasopharyngoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the nasopharyngoscope and is intended to examine or treat the nasal cavity and nasal pharynx. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel and flexible plastic. This generic type of device includes the antroscope, nasopharyngolaryngoscope, nasosinuscope, nasoscope, postrhinoscope, rhinoscope, salpingoscope, flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biospy brush, rigid biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 28, 2023

H&A Mui Enterprises Inc. Tammy Mui Operations Manager 145 Traders Blvd. E., Unit #34 Mississauga. Ontario L4Z 3L3 Canada

Re: K222587

Trade/Device Name: PatCom Distal Chip Endoscope Regulation Number: 21 CFR 874.4760 Regulation Name: Nasopharyngoscope (Flexible Or Rigid) And Accessories Regulatory Class: Class II Product Code: EOB Dated: June 27, 2023 Received: June 28, 2023

Dear Tammy Mui:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

1

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,

Joyce C. Lin -S

for Shu-Chen Peng, Ph.D. Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K222587

Device Name PatCom Distal Chip Endoscope

Indications for Use (Describe)

The Patcom Distal Chip Endoscope is indicated when endoscopic visualization in the regions of mouth, nasal cavity, and upper airway is required.

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

Image /page/3/Picture/0 description: The image shows the logo for Mui Scientific. The logo consists of a circle with a dot in the center and three smaller circles around the perimeter. To the right of the logo is the text "Mui Scientific" in a bold, serif font.

Division of
H&A Mui
Enterprises Inc.

145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 www.muiscientific.com Email: mail@muiscientific.com Website:

July 28, 2023

510(k) Summary

Summary prepared by:

Contact Person: Tammy Mui Title: Operations Manager Manufacturer: H&A Mui Enterprises Inc., o/a Mui Scientific Address: 145 Traders Blvd. East, Unit #33-34, Mississauga, Ontario, Canada L4Z 3L3 Phone: (905) 890-5525 Fax: (905) 890-3523 Email: tammy.mui@muiscientific.com

Trade name: PatCom Distal Chip Endoscope Common name: Nasopharyngoscope Classification name: Nasopharyngoscope (flexible or rigid) (as per CFR 874.4760) Class: 2 Review Panel: Ear Nose & Throat Product Code: EOB

Predicate Device510(k) NumberManufacturer
Schoelly CMOS Video
NasopharyngoscopeK132009Schoelly Fiberoptic GmbH

An agreement exists between the following companies: Note:

  • Zhongshan Wesee Meditech Co., Ltd (the actual manufacturer of the endoscopes) 1.
    1. H&A Mui Enterprises Inc, o/a Mui Scientific (the virtual manufacturer of the endoscopes for Canada, the United States, and the EU)
  • PatCom Medical Inc (the exclusive distributor for Canada and the United States only) 3.

Indications for Use:

The Patcom Distal Chip Endoscope is indicated when endoscopic visualization in the regions of mouth, nasal cavity, and upper airway is required.

Intended Use:

The PatCom Distal Chip Endoscope is a video endoscope used for visualization to aid in diagnosis in the regions of mouth, nasal cavity, and upper airway.

4

Image /page/4/Picture/0 description: The image shows a circular diagram with a central dot and five smaller circles evenly spaced around the perimeter of a larger circle. The central dot is solid black, and the smaller circles are outlined in black. The larger circle is also outlined in black, creating a symmetrical and geometric design.

145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 www.muiscientific.com Email: mail@muiscientific.com Website:

It is to be used only by healthcare professionals who have received adequate training in handling nasopharyngoscopes.

As the indicated location of use is not considered a sterile environment: sterility of these medical devices is not required

This device is for transient use (under 24 hrs), and will come in direct contact with the patient's mucosal lining.

Device Description:

The PatCom Distal Chip Endoscope is a portable video endoscope for visualization in the reqions of the mouth, nasal cavity, and upper airway. It is made up of the grip section and insertion tube. It requires connection via USB to a laptop computer, and gains power from the USB ports which supplies 5V of electricity with a maximum current of 0.5A. This is sufficient to power the endoscope. The endoscope does not need an external CCU for image processing, as the processing is done directly on the device on a small chip. It converts the light and color information received by the image sensor into binary numbers (patterns of zeros and ones). The USB Video Class (UVC) driver is a Microsoft-provided AVStream minidriver that provides driver support for USB Video Class devices. When a device uses UVC, it does not need to support their own driver, but instead works automatically with the system-supplied driver. It is compatible to all Windows and Mac computers, with a simple plug and play feature. The visualization from the distal chip is projected onto the computer monitor, at a resolution of 720px1280p high definition.

The insertion tube portion of the device is used for visualization within the natural orifices of the mouth and the nasal cavities and in the upper airway anatomy. The light emitted by the LED light source at the distal end of the tip is illuminated into the body cavity of the subject, and the image is displayed onto a screen.

The grip section of the device contains a control knob for moving the distal end of the insertion tube bend up or down, up to 130 degrees in either direction.

The proximal end of the grip section contains the USB connector, for plug and play with a computer, for power and to provide visualization of the camera chip found at the distal end of the insertion tube.

The PatCom Distal Chip Endoscope is substantially equivalent to the Schoelly CMOS Video Nasopharyngoscope, manufactured by Schoelly Fiberoptic GmbH. The Schoelly Nasopharyngoscope has already been approved for the US market since 2014. Similar to the PatCom Distal Chip Endoscope, their nasopharyngoscope also has a grip section, insertion tube section, and a manual knob for angulation of the tip, and are both used for visualization and diagnosis within the nose, mouth and throat.

The Schoelly Nasopharyngoscope has been selected as an equivalent device based on a detailed comparison of intended use, technological, imaging and biological characteristics. The intended use of PatCom Distal Chip Endoscope was considered the same as the predicate device, but small differences were identified for structure and technological characteristics. Rationales have been provided to ensure that these differences do not raise any additional safety or performance risks of the PatCom Distal Chip Endoscope compared with equivalent

5

Image /page/5/Picture/0 description: The image shows the logo for Mui Scientific. The logo consists of a circular graphic to the left of the text "Mui Scientific". The graphic is a circle with a dot in the center and five smaller circles around the perimeter.

Division of
H&A Mui
Enterprises Inc.

145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

device. Data generated from performance studies undertaken has also been used for comparison and to substantiate that it is safe to extrapolate data from equivalent devices. The main difference between the submitted device and the predicate device is the power supply. The distal end of the grip section contains the USB connector, for plug and play with a laptop computer, for power and to provide visualization of the distal chip found at the end of the insertion tube. I It requires connection via USB to a laptop computer, and gains power from the USB ports which supplies 5V of electricity with a maximum current of 0.5A. This is sufficient to power the endoscope. The device does not need an external CCU for image processing, as the processing is done directly on the device on a small chip. It converts the light and color information received by the image sensor into binary numbers (patterns of zeros and ones). The USB Video Class (UVC) driver is a Microsoft-provided AVStream minidriver that provides driver support for USB Video Class devices. When a device uses UVC, it does not need to support their own driver, but instead works automatically with the system-supplied driver. It is compatible to all Windows and Mac computers, with a simple plug and play feature. The visualization from the distal chip is projected onto the computer monitor, at a resolution of 720px1280p high definition. The predicate device, however, requires connection to a control unit for power, which in turn, is powered by connection to a 110V outlet.

Predicate DeviceSubject Device
Trade nameSchoelly CMOS Video
NasopharyngoscopePatCom Distal Chip Endoscope
510K holderSchoelly Fiberoptic GmbHMui Scientific
510K
numberK132009K222587
ManufacturerSchoelly Fiberoptic GmbHMui Scientific
Indications
For UseThe Schoelly CMOS Video
Nasopharyngoscope System may only
be used by persons with an appropriate
medical qualification and who are
acquainted with the rhino/laryngoscopic
technique. The endoscope is used for
endoscopic diagnosis within the nasal
lumens and airway anatomy, and is
intended to provide visualization via a
video monitor.The Patcom Distal Chip Endoscope is
indicated when endoscopic
visualization in the regions of mouth,
nasal cavity, and upper airway is
required.
Environment
of UseHealthcare facility/hospitalHealthcare facility/hospital
DiscussionIn comparing the Indication for Use of the predicate and the proposed device, we
found they are general similar, but utilizing different terminology for the same
physical anatomy structures (lumens/cavity, airway anatomy/upper airway).
According to the description above, the clinical application of the Distal Chip
Endoscope and the equivalent device are essentially identical and does not pose
a significant issue of safety or efficacy.
Technical Specifications
Power SupplyEndoscope is powered by a 5V d.c., obtained from the USB connection
control unit. The control unit
is powered by standard
110V outlet via an IEC cablewith a laptop computer
Field of View
angle85°110°
Direction of
view
Depth of Field6 - 60mm6-60mm
Insertion Tube
outer diameter
(mm)3.8mm3.2mm
Instrument
ChannelNo channelNo channel
ConfigurationLight-Emitting (LED),
Endoscope UP/DOWN
angulation control knob,
Bending sectionLight-Emitting (LED), Endoscope UP/DOWN
angulation control knob, Bending section
Working length300mm340mm
Angulation
rangeUP130° Down130°UP130° Down130°
Source of
examination
lightLEDLED
SoftwareUnknown level of concern
(possibly low); image
processing done on external
control unit; proprietary
driver requiredLow level of concern; image processing done
on internal chip in endoscope; standard USB
Video Class (UVC) driver
DiscussionThe biggest difference between the proposed and predicate device exists in
the aspect of power supply. While the predicate device requires power from a
control box that is directly connected to a 110V outlet, the submission device
requires only a small amount of power via USB from a laptop computer. The
electrical safety of the PatCom Distal Chip Endoscope is further supported
by the successful completion of the required electrical testing. For software,
both contain image processing firmware and require a driver to connect
imaging to a monitor. The difference lies in where the image processing
chip is located, and what type of driver is required for the display monitor, of
which the PatCom Distal Chip Endoscope is simpler (with the chip directly
embedded within the endoscope) and easier to use (with the ability to plug
and play and use any standard UVC driver. The other minor differences
noted reflect enhanced features, such as having a wider field of view angle
for better visualization, a smaller insertion tube outside diameter for safer
intubation and patient comfort, and longer working length to allow for
improved maneuverability. Therefore, these minor differences are not
considered to raise different questions of safety and effectiveness compared
to the predicate device.
Performance
CharacteristicsThe two devices have been submitted to an external accredited laboratory for
extensive comparative imaging testing, such as Field of View (FOV, Depth of
Field (DOF), Optimum Working Distance, Noise and Dynamic Range,
Geometric Distortion, Image Intensity Uniformity (IIU), Color Performance and
Latency Assessment for testing the Quality of the real-time video feed.
The tests conducted were performed in compliance with the following
regulations:
ISO 8600-1 (2005-05-1): Optics and photonics-Medical endoscopes
and endotherapy devices-Part 1: General Requirements
ISO 8600-3 (2019-8): Determination of field of view and direction of
view of endoscopes with optics
ISO 8600-5 (2020-10): Determination of optical resolution of rigid
endoscopes with optics
ISO 15739 (2017-05): Photography-Electronic still-picture imaging-
Noise measurements
ISO 12233 (2023-02): Photography-Electronic still picture imaging-
Resolution and spatial frequency responses
All tests results have been determined to support both devices to be
substantially equivalent.
Material Characteristics
Material:
Bending sectionStainless steelStainless steel
OuterInsertion
TubeUndefined "plastic materials"TPU
coverOperation handleUndefined “plastic materials”ABS
Disposable or
notReuseable (high-level disinfection
reprocessing)Reuseable (high-level
disinfection reprocessing)
DiscussionFrom the material characteristics compared above, we can see that most of
the characteristics are the same, except the exact type of plastics used for the
predicate device are undefined. The plastic material for the operation handle
would only make skin contact with the user, but the plastic material covering
the insertion tube would make direct mucosal membrane contact within the
patient during the visualization. Concerning the Biocompatibility of the outer
cover material of insertion tube which contacts the patients, we conducted a
biocompatibility test, including Skin sensitization, Intracutaneous reactivity
and in Vitro Cytotoxicity per ISO 10993-1:2018, ISO 10993-5:2009, ISO
10993-10:2021. From result of the test, we can arrive at a conclusion that
outer cover material of insertion tube is safe and biocompatible and does not
raise different issues of safety or effectiveness.

Below is a comparison table of the PatCom Distal Chip Endoscope with the predicate device:

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Image /page/6/Picture/0 description: The image shows a black and white diagram of a chemical structure. The structure consists of a central black dot surrounded by four white circles. Each white circle is connected to the central dot by a curved line. The overall arrangement of the circles and lines creates a symmetrical pattern around the central dot.

Division of
H&A Mui Enterprises Inc. 145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

7

Image /page/7/Picture/0 description: The image shows a black and white diagram. There is a black dot in the center of the image. Surrounding the dot are four circles connected by curved lines.

Division of
H&A Mui

Enterprises Inc.

145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

8

Image /page/8/Picture/0 description: The image shows a circular diagram with a central dot and four smaller circles arranged around the outer edge. The central dot is solid black, while the outer circles are white with black outlines. A thick black line connects the outer circles, forming a closed loop around the central dot.

Division of H&A Mui Enterprises Inc. 145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

Below is a summary of the tests performed:

| Evaluation

DescriptionSummary
Biological
EvaluationEvaluation of the biocompatibility
of the materials contained within
the device
Usability
EvaluationEvaluation of the usability of the
device, it's IFU, and labels.
Lifetime
ValidationValidation of the lifetime claims
for the device.
Reprocessing
EvaluationEvaluation of the reprocessing for
the device, and validation of the
cleaning and high-level
disinfection processes.
Electrical
Safety
EvaluationEvaluation of the electrical safety
testing of the device.
Software
EvaluationEvaluation of the software and its
validation.
Design
Verification
and ValidationEvaluation of the design of the
device.
Imaging
EvaluationEvaluation of the imaging of the
device, and its comparison to the
predicate device.

Non-Clinical Bench Performance Testing

Mui Scientific

List of Applicable Standards

ReferenceDescription
MDR Regulation (EU) 2017/745European Medical Device Regulations
EN ISO 13485:2016Medical devices – Quality management systems – System
requirements for regulatory purposes.
EN ISO 14971:2019 including
deviations from EN ISO
14971:2012Medical devices – Application of risk management to
medical devices
EN ISO 15223-1:2021Medical Devices – Symbols to be used with medical device
labels, labelling and information to be supplied – Part
1:General requirements
EN ISO 20417:2021Information supplied by the manufacturer of medical
devices
EN/IEC 60601-1-2:2014-(Ed.4.0)Electromagnetic disturbances requirements and tests
(EMC)
EN 60601-1:2015/A1:2013Medical electrical equipment — General requirements for
basic safety and essential performance
FCC Part 15 Subpart B:2015Title 47 of the Code of Federal Regulations that covers
EMC and is regulated by the Federal Communications
Commission (FCC).
ICES-003:2020 Issue 7Information Technology Equipment
CAN/CSA C22.2 No.60601-1:2014
(R2022)The Canadian Electrical Code, Part II,
ANSI/AAMI/IEC 60601-1-
2:2014/A1:2021an American national standard that is equivalent to IEC
60601-1
IEC 60601-1-6 Ed. 3.1 b:2013General requirements for basic safety and essential
performance: Usability
IEC 62304:2006/Amd 1:2015Medical device software - software life cycle processes
EN ISO 10993-1:2018Biological evaluation of medical devices Part 1: Evaluation
and testing
EN ISO 10993-5:2009Biological evaluation of medical devices Part 5: Tests for in
vitro cytotoxicity
EN ISO 10993-10:2021Biological evaluation of medical devices Part 10: Tests for
irritation and skin sensitization
EN ISO 20695:2020Catheters other than intravascular catheters -Test methods
for common properties
EN IEC 62366-1:2015Part 1: Application of usability engineering to medical
devices
MEDDEV 2.12-1 rev 8, December
2013Guidelines on a Medical Device Vigilance System.
MEDDEV 2.7/1: rev. 4, June 2016Clinical evaluation: A guide for manufacturers and notified
bodies.
MEDDEV 2.12/2 rev. 2 January
2012Post market clinical follow-up studies; A guide for
manufacturers and notified bodies
MDCG 2020-13CER Report Template
MDCG 2020-5Clinical Evaluation - Equivalence A guide for
manufacturers and notified bodies
MDCG 2020-6Regulation (EU) 2017/745: Clinical evidence needed for
medical devices previously CE marked under Directives
93/42/EEC or 90/385/EEC
MDCG 2020-7Post-market clinical follow-up (PMCF) Plan Template A
guide for manufacturers and notified bodies
MDCG 2020-8Post-market clinical follow-up (PMCF) Evaluation Report
Template A guide for manufacturers and notified bodies
MDCG 2019-9Summary of safety and clinical performance A guide for
manufacturers and notified bodies
ISO/IEC 17050-1:2007Conformity assessment - Supplier's declaration of
conformity - Part 1: General requirements
ANSI/AAMI ES60601-
1:2005/A2:2021Medical electrical equipment - Part 1: General
requirements for basic safety and essential performance

9

Image /page/9/Picture/0 description: The image shows the logo for Mui Scientific. The logo consists of a circular graphic to the left of the text "Mui Scientific". The graphic is a circle with a dot in the center and four smaller circles around the perimeter. A line is drawn from each of the smaller circles to the center dot.

Division of
H&A Mui Enterprises Inc. 145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

10

Image /page/10/Picture/0 description: The image shows a circular diagram with a central black dot and five smaller white circles arranged around the perimeter. A thick black line forms a circle connecting the outer white circles. The overall design is simple and geometric, with a focus on circular shapes and contrasting colors.

Division of H&A Mui Enterprises Inc.

145 Traders Blvd. E., Unit #34, Mississauga, ON, Canada, L4Z 3L3 Tel: (905) 890-5525 Toll Free: 1-800-303-6611 Fax: (905) 890-3523 Website: www.muiscientific.com Email: mail@muiscientific.com

Non-Clinical Non-Performance Evaluations

| Evaluation

DescriptionSummary
Literature
ReviewSupports the safety and
effectiveness of the device
through the review of existing
literature.
Risk AnalysisAssesses and reviews all the
possible risks of the device, and
any mitigation taken.

Conclusion:

All the non-clinical tests and evaluations that have been implemented either by the Original Manufacturer (WeSeeMed) or by Mui Scientific met the pre-defined criteria and showed that this device is as safe and effective as the predicate within its intended use.