K Number
K231107
Device Name
Bronchoscope System
Date Cleared
2024-02-15

(302 days)

Product Code
Regulation Number
874.4680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Single-use Bronchoscopes have been designed to be used with the Monitor for Single-Use Endoscopy, endotherapy accessories and other ancillary equipment for endoscopy within the airways and tracheobronchial tree. The Bronchoscope System is for use in a hospital environment. The Single-use Bronchoscope is a disposable device designed for use in adults.
Device Description
The Bronchoscope System consists of Single-use Bronchoscope (Model: BC12-1, BC12-2, BC20-1, BC20-2, BC22-1, BC22-2, BC22-3, BC28-1, BC28-2, BC28-3) to be introduced within the airways or tracheobronchial tree and Monitor for Single-Use Endoscopy (Model: P1-A, P1-C, P1-C, P1-D, P1-E, P2-A, P2-B, P2-C, P2-D, P2-E) for clinical image processing. The Single-use Bronchoscope is inserted through the airways and tracheobronchial tree during Bronchoscopy. The Monitor provides power and processes the images for medical electronic endoscope. The Single-use Bronchoscope is a sterile single use flexible bronchoscope. The Monitor for Single-Use Endoscopy is a reusable monitor. The light emitted by the LED cold light source at the distal tip of the disposable video Bronchoscope is irradiated into the body cavity, and the light reflected from the cavity enters the optical system and is captured by the CMOS image sensor. The CMOS acquisition image is controlled by the CMOS drive circuit, and the RGB video signal is output to the Monitor for Single-Use Endoscopy via the VI circuit. The Monitor receives video signals from the endoscope, processes the video signals and outputs the processed video signal. The Monitor also controls the brightness of the LEDs on the endoscope.
More Information

Not Found

No
The description focuses on standard image processing and hardware components, with no mention of AI/ML algorithms or related performance metrics.

No.
The device is described as being used with "endotherapy accessories," but its primary function as described in both "Intended Use" and "Device Description" is for visualization within the airways and tracheobronchial tree ("Single-use Bronchoscope is inserted through the airways and tracheobronchial tree during Bronchoscopy" and "processes the images for medical electronic endoscope"). It does not explicitly state that the device itself delivers therapeutic treatment.

No
The device is an endoscope used for visualization within the airways and tracheobronchial tree. While it aids in examining the body, its described use is for direct observation and image processing, not for performing a diagnostic function itself (e.g., analyzing data to provide a diagnosis or risk assessment). The intended use focuses on providing visual access and enabling endotherapy accessories.

No

The device description clearly outlines both hardware components (Single-use Bronchoscope, Monitor for Single-Use Endoscopy) and software components (image processing, control of LEDs). The performance studies also include hardware-specific testing (electrical safety, biocompatibility, mechanical characteristics).

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This typically involves tests performed outside the body on samples like blood, urine, tissue, etc.
  • Device Function: The description clearly states that the Single-use Bronchoscope is introduced within the airways and tracheobronchial tree for direct visualization. It captures images of the internal anatomy.
  • Intended Use: The intended use is for endoscopy within the airways and tracheobronchial tree, which is a procedure for direct visual examination of internal body structures.

The device is an endoscope system used for direct visualization within the body, not for testing specimens outside the body.

N/A

Intended Use / Indications for Use

The Single-use Bronchoscopes have been designed to be used with the Monitor for Single-Use Endoscopy, endotherapy accessories and other ancillary equipment for endoscopy within the arways and tracheobronchial tree. The Bronchoscope System is for use in a hospital environment.

The Single-use Bronchoscope is a disposable device designed for use in adults.

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

EOQ

Device Description

The Bronchoscope System consists of Single-use Bronchoscope (Model: BC12-1, BC12-2, BC20-1, BC20-2, BC22-1, BC22-2, BC22-3, BC28-1, BC28-2, BC28-3) to be introduced within the airways or tracheobronchial tree and Monitor for Single-Use Endoscopy (Model: P1-A, P1-C, P1-C, P1-D, P1-E, P2-A, P2-B, P2-C, P2-D, P2-E) for clinical image processing. The Single-use Bronchoscope is inserted through the airways and tracheobronchial tree during Bronchoscopy. The Monitor provides power and processes the images for medical electronic endoscope.

The Single-use Bronchoscope is a sterile single use flexible bronchoscope. The Monitor for Single-Use Endoscopy is a reusable monitor.

The light emitted by the LED cold light source at the distal tip of the disposable video Bronchoscope is irradiated into the body cavity, and the light reflected from the cavity enters the optical system and is captured by the CMOS image sensor. The CMOS acquisition image is controlled by the CMOS drive circuit, and the RGB video signal is output to the Monitor for Single-Use Endoscopy via the VI circuit. The Monitor receives video signals from the endoscope, processes the video signals and outputs the processed video signal. The Monitor also controls the brightness of the LEDs on the endoscope.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Optical (CMOS image sensor)

Anatomical Site

Airways and tracheobronchial tree

Indicated Patient Age Range

Adults

Intended User / Care Setting

Use in a hospital environment by trained surgical physicians who are familiar with endoscopic procedures.

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)

Non-Clinical Tests:

  • Electrical Safety and Electromagnetic Compatibility Summary: The system complies with IEC 60601-1 and IEC60601-2-18 for safety and IEC 60601-1-2 for EMC.
  • Bench Testing Summary:
    • Optical performance testing according to ISO 8600 series.
    • Mechanical characteristics were performed compared with the predicate device.
    • Color feature separation and photobiological safety test.
    • Color performance (color reproduction), optical performance (resolution, depth of view and image intensity uniformity), SNR and dynamic test compared with the predicate device.
  • Biocompatibility Summary: Evaluated in accordance with FDA guidance "Use of International Standard ISO 10993-1," and ISO 10993-1. Tests performed: Cytotoxicity, Sensitization, Intracutaneous reactivity/irritation, Pyrogen, Acute systemic toxicity.
  • Sterilization and shelf life testing: Sterilization method validated according to ISO11135. Shelf life validated.
  • Software Verification and Validation Testing: Conducted as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." Software considered a "moderate" level of concern.
  • Cybersecurity: Conducted according to FDA's Guidance: Cybersecurity in Medical Devices: Quality System Considerations and Content of Premarket Submissions.
  • Package Validation: Conducted according to ISO 11607-1:2019 and ISO 11607-2:2019, ASTM F88/F88M-15, ASTM F 1929-15. Transport and shipping testing as per ASTM D4169-16.

Clinical Testing:
Based on the similarities of the device specifications, intended use, indications for use between the Bronchoscope System and its predicate device, no clinical studies were needed to support this 510(k) Premarket Notification.

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.

K191828

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

§ 874.4680 Bronchoscope (flexible or rigid) and accessories.

(a)
Identification. A bronchoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the bronchoscope and is intended to examine or treat the larynx and tracheobronchial tree. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the rigid ventilating bronchoscope, rigid nonventilating bronchoscope, nonrigid bronchoscope, laryngeal-bronchial telescope, flexible foreign body claw, bronchoscope tubing, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps, flexible biopsy curette, and rigid bronchoscope aspirating tube, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.

0

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February 15, 2024

Hunan Endoso Life Technology Co., Ltd. % Kyra Kang Director Landlink Healthcare Technology (Shanghai) Co., Ltd. Room 1308, Baohua International Plaza 555 West Guangzhong Road Shanghai, 200072 China

Re: K231107

Trade/Device Name: Bronchoscope System Regulation Number: 21 CFR 874.4680 Regulation Name: Bronchoscope (Flexible Or Rigid) And Accessories Regulatory Class: Class II Product Code: EOQ Dated: January 16, 2024 Received: January 17, 2024

Dear Kyra Kang:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

1

(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Shuchen Peng -S

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

2

Indications for Use

510(k) Number (if known) K231107

Device Name Bronchoscope System

Indications for Use (Describe)

The Single-use Bronchoscopes have been designed to be used with the Monitor for Single-Use Endoscopy, endotherapy accessories and other ancillary equipment for endoscopy within the arways and tracheobronchial tree. The Bronchoscope System is for use in a hospital environment.

The Single-use Bronchoscope is a disposable device designed for use in adults.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510(k) Summary

Date Prepared:February 13, 2024
Manufacturer:Hunan Endoso Life Technology Co., Ltd.
The 4th floor, Building 10, Innovation and
Entrepreneurship Center, No. 31, Dongfeng Road,
Economic and Technological Development Zone,
Xiangtan, Hunan Province 411200, P. R. China
Contact Person:Wang Fu
RA Manager
Hunan Endoso Life Technology Co., Ltd.
Tel: (86) 0731-52331999
Email: services@endoso.com.cn
Or wangfu@endoso.com.cn
Submission Correspondent:Ms.Kyra Kang
Landlink Healthcare Technology (Shanghai) Co.,
Ltd.
Email: kyra.kang@landlink-health.com
Identification of the Device:
Proprietary/Trade Name:Single-use Bronchoscope, Monitor for Single-Use
Endoscopy, Bronchoscope System
Model:Single-use bronchoscope: BC12-1, BC12-2,
BC20-1, BC20-2, BC22-1, BC22-2, BC22-3,
BC28-1, BC28-2, BC28-3
Monitor for Single-Use Endoscopy:
P1-A, P1-B, P1-C, P1-D, P1-E, P2-A, P2-B, P2-C,
P2-D, P2-E
Common or Usual Name:Bronchoscope (flexible or rigid) and accessories
Classification Name:Bronchoscope (flexible or rigid) and accessories
(21 CFR 874.4680)
Product Code:EOQ
Device Class:Class II

Identification of the Legally Marketed Predicate Device:

Trade Name:Vathin® Video Bronchoscope System
Classification Name:Bronchoscope (flexible or rigid) and accessories
(21 CFR 874.4680)
Product Code:EOQ
Device Class:Class II
Submitter/510(k) Holder:Hunan Vathin Medical Instrument Co., Ltd.

4

Clearance:

K191828

This predicate has not been subject to a design-related recall.

Device Description:

The Bronchoscope System consists of Single-use Bronchoscope (Model: BC12-1, BC12-2, BC20-1, BC20-2, BC22-1, BC22-2, BC22-3, BC28-1, BC28-2, BC28-3) to be introduced within the airways or tracheobronchial tree and Monitor for Single-Use Endoscopy (Model: P1-A, P1-C, P1-C, P1-D, P1-E, P2-A, P2-B, P2-C, P2-D, P2-E) for clinical image processing. The Single-use Bronchoscope is inserted through the airways and tracheobronchial tree during Bronchoscopy. The Monitor provides power and processes the images for medical electronic endoscope.

The Single-use Bronchoscope is a sterile single use flexible bronchoscope. The Monitor for Single-Use Endoscopy is a reusable monitor.

The light emitted by the LED cold light source at the distal tip of the disposable video Bronchoscope is irradiated into the body cavity, and the light reflected from the cavity enters the optical system and is captured by the CMOS image sensor. The CMOS acquisition image is controlled by the CMOS drive circuit, and the RGB video signal is output to the Monitor for Single-Use Endoscopy via the VI circuit. The Monitor receives video signals from the endoscope, processes the video signals and outputs the processed video signal. The Monitor also controls the brightness of the LEDs on the endoscope.

Indications for Use:

The Single-use Bronchoscopes have been designed to be used with the Monitor for Single-Use Endoscopy, endotherapy accessories and other ancillary equipment for endoscopy within the airways and tracheobronchial tree. The Bronchoscope System is for use in a hospital environment.

The Single-use Bronchoscope is a disposable device designed for use in adults.

Substantial Equivalence:

The Bronchoscope System employs the same fundamental scientific technology as its predicate device, as below table:

Subject DevicePredicate DeviceComparison
K NumberK231107K191828
Single-use Bronchoscope:Vathin®H-SteriScope™ I
Single-use flexible Video
Bronchoscope:
ModelBC12-1, BC12-2, BC20-1,
BC20-2, BC22-1, BC22-2,
BC22-3, BC28-1, BC28-2,BCV1-01 BCV1-02
BCV1-C1 BCV1-C2/
Subject DevicePredicate DeviceComparison
K NumberK231107K191828
BC28-3BCV1-H1 BCV1-H2
Monitor for Single-Use
Endoscopy :
P1-A, P1-B, P1-C, P1-D,
P1-E, P2-A, P2-B, P2-C,
P2-D, P2-EBCV1-K1 BCV1-K2
BCV1-M1 BCV1-M2
BCV1-O1 BCV1-O2
BCV1-S1 BCV1-S2
BCV1-U1 BCV1-U2
BCV1-W1 BCV1-W2
Vathin®VisionCenter™ I
Digital Video Processor:
DVP-A1
ManufacturerHunan Endoso Life
Technology Co., Ltd.Hunan Vathin Medical
Instrument Co., Ltd./
Classification
NameBronchoscope (flexible or
rigid) and accessoriesBronchoscope (flexible or
rigid) and accessories/
Product CodeEOQEOQ/
Indications
For Use:The Single-use
Bronchoscope have been
designed to be used with the
Monitor for Single-Use
Endoscopy, endotherapy
accessories and other
ancillary equipment for
endoscopy within the
airways and
tracheobronchial tree. The
Bronchoscope System is for
use in a hospital
environment.
The Single-use
Bronchoscope is a
disposable device designed
for use in adults.The Vathin®H-SteriScopeᵀ
M I Single-use flexible
Video Bronchoscope have
been designed to be used
with the Vathin® Vision
Center™ I Digital Video
Processor,
endotherapy accessories
and other ancillary
equipment for endoscopy
within the airways and
tracheobronchial tree.
The Vathin® Video
Bronchoscope System is
for use in a hospital
environment.Similar¹
Working
place/UserUse in a hospital
environment by trained
surgical physicians who are
familiar with endoscopic
procedures.Use in a hospital
environment by trained
surgical physicians who
are familiar with
endoscopic procedures.Same
PopulationAdultsAdultsSame
TechnologyThe Single-useThe Flexible bronchoscopeSame
Subject DevicePredicate DeviceComparison
K NumberK231107K191828
bronchoscope is inserted
through the airways and
tracheobronchial tree during
Bronchoscopy. Anatomical
images are transmitted to the
user by the Monitor for
Single-Use Endoscopy with
a CMOS chip at the distal
end of the endoscope and
the images showing on the
monitor.is inserted through the
airways and
tracheobronchial tree
during Bronchoscopy.
Anatomical images are
transmitted to the user by
the video processor with a
CMOS chip at the distal
end of the endoscope and
the images showing on a
monitor.
Physical Characteristics
Type of ScopeFlexibleFlexibleSame
Distal end
outer diameter≤2.9mm (8.7 Fr)≤3.1mm (9.3 Fr)Similar2
Insertion
Section length600mm600/700mmSimilar3
Optical Characteristics
Type of
ImagerCMOSCMOSSame
Direction of
ViewforwardforwardSame
Depth of Field3mm~50mm3mm~30mmSimilar4
Light SourceInternal LEDInternal LEDSame
Patient Contacting Materials
General
material type
of main
patient-contact
partPebax, polyamide, Stainless
Steel, Epoxy glue, glass,
Polycarbonate, PTFE, PETPebax, PTFE, LCP, TPU,
Fluoro elastomers,
Epoxy glue, glassDifferent5
Duration and
type of contact"Surface -Mucosal
Membrane" with a contact
duration of "Limited (