K Number
K233911
Device Name
VISULAS combi
Date Cleared
2024-09-06

(269 days)

Product Code
Regulation Number
886.4390
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

VISULAS combi is intended for use in photocoagulating and photodisrupting ocular tissues in the treatment of diseases of the eye, including:
• Photocoagulation of the retina

  • Trabeculoplasty
  • · Iridotomy
  • · Posterior capsulotomy
    · Posterior membranectomy

This device is Prescription Use (Rx) only.

Device Description

VISULAS combi is an ophthalmic laser used for standard photocoagulation treatments of ocular tissue with 532 nm wavelength and standard photodisruption treatments of ocular tissues at a wavelength of 1064 mm. VISULAS combi is operated in the following treatment modes:

  • single-spot mode (software license VERTE) -
  • multi-spot mode (software license VITE)
  • YAG disruption mode (software license YAG). -

VISULAS combi consists of a laser console, touch control panel, optional laser light applicators such as laser slit lamp or laser indirect ophthalmoscope, foot switch and instrument table. The device can also be used with various accessories, such as SL Imaging Solution, contact lenses or Applanation Tonometer.

AI/ML Overview

The provided text is a 510(k) premarket notification for the VISULAS combi ophthalmic laser. It focuses on demonstrating substantial equivalence to predicate devices rather than proving performance against specific acceptance criteria for a new device type through clinical studies. Therefore, much of the requested information, particularly regarding specific performance metrics, sample sizes for test sets, expert involvement for ground truth, MRMC studies, and detailed training set information, is not explicitly provided in this document.

However, based on the document, I can extract information related to the acceptance criteria in the context of demonstrating substantial equivalence and the types of studies performed.

Here's an analysis of the provided text:

1. A table of acceptance criteria and the reported device performance

The document primarily focuses on demonstrating substantial equivalence to predicate devices, VISULAS green (K232051) for photocoagulation and VISULAS yag (K230350) for photodisruption. The "acceptance criteria" are implied by the similarity to these predicate devices in terms of indications for use, technological characteristics, and principle of operation.

Criteria CategoryAcceptance Criteria (Implied by Predicate Equivalence)Reported Device Performance (VISULAS combi)
Indications for UseSame as predicate devices- Photocoagulation of the retina- Trabeculoplasty- Iridotomy- Posterior capsulotomy- Posterior membranectomy (combines indications of both predicates)
Laser TypeSolid state laser, frequency-doubled (for photocoagulation) Q-switched Nd:YAG laser (for photodisruption)- Photocoagulation: solid state laser, frequency-doubled- Photodisruption: Q-switched Nd:YAG laser
Wavelength532 nm (for photocoagulation) 1064 nm (for photodisruption)- Photocoagulation: 532 nm- Photodisruption: 1064 nm
Power/Energy50 to 1500 mW (photocoagulation) 9.0 mJ to 45.0 mJ (photodisruption)- Photocoagulation: 50 to 1500 mW- Photodisruption: Pulse Mode 1 (Single Pulse): 9.0 mJ to 13.0 mJPulse Mode 2 (Double Pulse): 18.0 mJ to 28.0 mJPulse Mode 3 (Triple Pulse): 29.0 mJ to 45.0 mJ
Pulse Duration/Length10 - 2500 ms and cw (photocoagulation) < 4 ns (photodisruption)- Photocoagulation: 10 - 2500 ms and cw- Photodisruption: < 4 ns
Laser Spot Size50 μm to 1000 μm (photocoagulation) 6.5 µm ± 20% in air (photodisruption)- Photocoagulation: 50 μm to 1000 μm (continuously adjustable)- Photodisruption: 6.5 µm ± 20% in air
Safety StandardsCompliance with relevant IEC and ANSI standards- ANSI/AAMI ES60601-1:2005/(R) 2012- ANSI Z80.36-2016- IEC 60601-1-2:2014- IEC 60825-1:2007- IEC 60601-2-22:2012- IEC 62133: 2012- IEC 60601-4-2
BiocompatibilityMeets ISO 10993-1 requirementsBiocompatibility testing on patient-contacting accessories conducted in accordance with ISO 10993-1, evaluating cytotoxicity and sensitization. Demonstrated equivalency to the predicate device.
SoftwareVerification and validation of software as per FDA guidanceSoftware 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." Demonstrated that the product works as designed.
Functional PerformanceMeets defined specificationsNon-clinical system testing evaluated system relevant to each specification. Functional and system-level testing showed the system met the defined specifications and demonstrated non-clinical equivalency to the predicate device.

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

The document does not describe specific clinical test sets with patient samples. The studies are primarily non-clinical: biocompatibility testing, laser safety, electrical safety, EMC, software V&V, and bench testing. These types of tests do not typically involve patient samples and thus, information on data provenance like "country of origin of the data" or "retrospective/prospective" is not applicable in the context of this submission. The device is being cleared based on substantial equivalence to existing devices through comparison of design and non-clinical performance.

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

The document does not detail clinical studies involving experts to establish ground truth for a test set. This type of information is typically required for AI/CADe devices or those relying on human interpretation of images/data. The current submission is for a medical laser, and its performance is evaluated based on technical specifications and safety standards, not clinical diagnostic accuracy.

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

Not applicable as there is no described clinical test set requiring expert adjudication.

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

Not applicable. The VISULAS combi is an ophthalmic laser for direct treatment (photocoagulation and photodisruption), not an AI-assisted diagnostic or interpretative device. Therefore, MRMC studies and AI assistance metrics are not relevant to this submission.

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

Not applicable. This device is a treatment laser, not an algorithm.

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

The "ground truth" for this device's acceptance is primarily based on compliance with established technical specifications, international safety standards (e.g., IEC, ANSI, ISO), and performance equivalence to predicate devices, as demonstrated through engineering tests (bench testing). For biocompatibility, the ground truth is established by the results of standardized biological evaluation tests (ISO 10993-1).

8. The sample size for the training set

Not applicable. This device is a hardware-based medical laser, not an AI/ML algorithm that requires a training set of data.

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

Not applicable, for the same reason as above.

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Image /page/0/Picture/0 description: The image contains 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.

September 6, 2024

Carl Zeiss Meditec AG Tanesha Bland Sr. Regulatory Affairs Specialist Carl Zeiss Meditec, Inc. 5300 Central Parkway Dublin, California 94568

Re: K233911

Trade/Device Name: VISULAS combi Regulation Number: 21 CFR 886.4390 Regulation Name: Ophthalmic Laser Regulatory Class: Class II Product Code: HQF Dated: August 2, 2024 Received: August 5, 2024

Dear Tanesha Bland:

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.

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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" (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 QS 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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 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-regulatory

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assistance/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,

Claudine H. Krawczyk -S

Claudine Krawczyk Assistant Director DHT1A: Division of Ophthalmic Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT, and Dental 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) K233911

Device Name VISULAS combi

Indications for Use (Describe)

VISULAS combi is intended for use in photocoagulating and photodisrupting ocular tissues in the treatment of diseases of the eye, including:

• Photocoagulation of the retina

  • Trabeculoplasty
  • · Iridotomy
  • · Posterior capsulotomy

· Posterior membranectomy

This device is Prescription Use (Rx) only.

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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Image /page/4/Picture/0 description: The image shows the word "ZEISS" in white text on a blue background. The text is in a bold, sans-serif font. The blue background is a solid color, and the word "ZEISS" is centered on the background. The bottom of the blue background is curved.

In accordance with 21 CFR 807.87(h) and (21 CFR 807.92), the 510(k) Summary for VISULAS combi is provided below.

SUBMITTER 1.

Applicant:Carl Zeiss Meditec AGGoeschwitzer Strasse 51-5207745 JenaGermany
ContactDr. Ling RenRegulatory Affairs ManagerCarl Zeiss Meditec AGGoeschwitzer Strasse 51-52 07745 Jena, GermanyPhone: +49 7364 2062845E-mail: tanesha.bland@zeiss.com (preferred)
Primary CorrespondentTanesha BlandSr. Regulatory Affairs SpecialistCarl Zeiss Meditec, Inc.5300 Central Parkway Dublin, CA 94568Phone: (925) 216-7963 Fax: (925) 557-4259E-mail: tanesha.bland@zeiss.com (preferred)
Date Prepared:August 30, 2024

Page 1 of 8

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SUBJECT DEVICE 2.

Device Trade Name:VISULAS combi
510(k) number:K233911
Classification:21CFR886.4390 laser, Ophthalmic
Regulatory Class:II
Product Code:HQF

PREDICATE DEVICE 3.

Table 1. Primary Predicate Device- VISULAS green

Predicate Device:VISULAS green
510(k) Number:K232051
Classification:21CFR886.4390 Laser, Ophthalmic
Regulatory Class:II
Product Code:HQF
Table 2. Secondary Predicate Device- VISULAS yag
Predicate Device:VISULAS yag
510(k) Number:K230350
Classification:21CFR886.4390 Laser, Ophthalmic
Regulatory Class:II
Product Code:HQF

DEVICE DESCRIPTION 4.

VISULAS combi is an ophthalmic laser used for standard photocoagulation treatments of ocular tissue with 532 nm wavelength and standard photodisruption treatments of ocular tissues at a wavelength of 1064 mm. VISULAS combi is operated in the following treatment modes:

  • single-spot mode (software license VERTE) -
  • multi-spot mode (software license VITE)
  • YAG disruption mode (software license YAG). -

VISULAS combi consists of a laser console, touch control panel, optional laser light applicators such as laser slit lamp or laser indirect ophthalmoscope, foot switch and instrument table. The device can also be used with various accessories, such as SL Imaging Solution, contact lenses or Applanation Tonometer.

ನ. INDICATIONS FOR USE

VISULAS combi is intended for use in photocoagulating and photodisrupting ocular tissues in the treatment of diseases of the eye, including

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Image /page/6/Picture/0 description: The image shows the word "ZEISS" in white letters against a blue background. The word is in a bold, sans-serif font. The blue background is a solid color, and the white letters stand out clearly against it. The logo is simple and modern.

  • . Photocoagulation of the retina
  • Trabeculoplasty
  • Iridotomy •
  • Posterior capsulotomy •
  • Posterior membranectomy .

This device is Prescription Use (Rx) only.

6. SUBSTANTIAL EQUIVALENCE TO PRIMARY PREDICATE

Table 1. Subject to Primary Predicate Device Comparison Table – Indications for Use

VISULAS combiVISULAS green
K numberSubject DeviceK232051
Legal manufacturerCarl Zeiss Meditec AGCarl Zeiss Meditec AG
Indications for Use StatementVISULAS combi is intended for usein photocoagulating andphotodisrupting ocular tissues in thetreatment of diseases of the eye,including• Photocoagulation of the retina• Trabeculoplasty• Iridotomy• Posterior capsulotomy• Posterior membranectomyVISULAS green is intended for usein photocoagulating ocular tissues inthe treatment of diseases of the eye,including• Photocoagulation of the retina• Trabeculoplasty• Iridotomy
General Laser Specifications
Laser typesolid state laser, frequency-doubledsolid state laser, frequency-doubled
Wavelength532 nm532 nm
Power (cw laser)50 to 1500 mW50 to 1500 mW
Length of pulse10 - 2500 ms and cw10 - 2500 ms and cw
Repeat modeyesyes
Laser spot size settings50 μm to 1000 μm50 μm to 1000 μm
Aiming beam620 - 650 nm620 - 650 nm
Types of laser applicatorsLSL, laser endoprobes, LIOLSL, laser endoprobes, LIO
Multi-spot treatment modeyesyes
Increments of power50-200 mW (10 mW steps), 200-500 mW (20 mW steps), 500-1500mW (50 mW steps)50-200 mW (10 mW steps), 200-500 mW (20 mW steps), 500-1500mW (50 mW steps)
Laser spot size settingContinuously adjustable from50 μm to 1000 μmContinuously adjustable from50 μm to 1000 μm
Conditions of Use
Site in the bodyeyeeye
Principle of operationPhotocoagulation of ocular tissuePhotocoagulation of ocular tissue

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Image /page/7/Picture/0 description: The image shows the word "ZEISS" in a bold, sans-serif font. The word is white and is set against a dark blue background. The bottom of the image shows a curved white shape, which appears to be part of a larger design element.

Table 2. Subject to Primary Predicate Device Comparison Table - Laser Slit Lamp

The Laser Slit Lamp (LSL) is an optional component of the VISULAS laser.

LSL green combiLSL green comfort
K numberComponent of subject deviceVISULAS combiComponent of predicate deviceVISULAS green (K232051)
Legal manufacturerCarl Zeiss Meditec AGCarl Zeiss Meditec AG
Design
Slit lamp typeZEISS typeZEISS type
Tube systemParallel or convergentParallel or convergent
Power supplyVia laser consoleVia laser console
Specifications
Slit width0 mm to 14 mm (continuously)0 mm to 14 mm (continuously)
Slit length1/3/5/9/14 mm1/3/5/9/14 mm
Slit image rotation0°, ±45°, 90°0°, ±45°, 90°
Magnification5 magnifications, in steps of 5x, 8x,12x, 20x, 32x5 magnifications, in steps of 5x, 8x,12x, 20x, 32x
Light sourceLED illumination, continuouslyadjustable brightnessLED illumination, continuouslyadjustable brightness
Micromanipulatoryesyes

The subject device VISULAS combi and the primary predicate device VISULAS green are both intended as ophthalmic lasers for photocoagulation treatments, the indications for use are within the same intended use as the predicate device and do not raise different questions of safety and effectiveness.

The subject device VISULAS combi and the primary predicate laser system share the same fundamental parameters and the same fundamental principle of operation:

Photocoagulation: Continuous wave operation in which thermal energy created by the absorption of the laser energy by the ocular tissue is causing coagulation.

For photocoagulation treatments, the subject device VISULAS combi is substantially equivalent to the primary predicate laser system presented in the 510(k) premarket notification in terms of indications for use and technological characteristics. Differences between subject devices do not raise any new issues of safety or effectiveness.

Table 3. Subject to Secondary Predicate Device Comparison Table - Indications for Use
VISULAS combiVISULAS yag
K numberSubject DeviceK230350
Legal manufacturerCarl Zeiss Meditec AGCarl Zeiss Meditec AG
Indications for Use StatementVISULAS combi is intended for usein photocoagulating andphotodisrupting ocular tissues in thetreatment of diseases of the eye,includingPhotocoagulation of the retina TrabeculoplastyVISULAS yag is intended for use inphotodisrupting ocular tissues in thetreatment of diseases of the eye,including Posterior capsulotomy Iridotomy Posterior membranectomy

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Page 5 of 8

Iridotomy Posterior capsulotomy Posterior membranectomy
General Laser Specifications
Optic principleQ-switched Nd:YAG laserQ-switched Nd:YAG laser
Wavelength of treatment beam1064 nm1064 nm
Pulse duration< 4 ns< 4 ns
Laser class in accordance withIEC 60825-144
Light hazard classification accordingto ISO 15004-2Group 2Group 2
Pulse Mode 1 (Single Pulse)9.0 mJ to 13.0 mJ, at max. 2.5 Hz9.0 mJ to 13.0 mJ, at max. 2.5 Hz
Pulse Mode 2 (Double Pulse)18.0 mJ to 28.0 mJ, at max. 1 Hz(burst frequency 33 kHz)18.0 mJ to 28.0 mJ, at max. 1 Hz(burst frequency 33 kHz)
Pulse Mode 3 (Triple Pulse)29.0 mJ to 45.0 mJ, at max. 1 Hz (2shots/ 2s) (burst frequency 33 kHz)29.0 mJ to 45.0 mJ, at max. 1 Hz (2shots/ 2s) (burst frequency 33 kHz)
Conditions of Use
Site in the bodyeyeeye
Principle of operationPhotodisruption of ocular tissuePhotodisruption of ocular tissue

Table 4. Subject to Reference Device Comparison Table - Laser Slit Lamp

The Laser Slit Lamp (LSL) is an optional component of the VISULAS laser.

LSL green combiLSL yag
K numberComponent of subject deviceVISULAS combiComponent of reference deviceVISULAS yag (K230350)
Legal manufacturerCarl Zeiss Meditec AGCarl Zeiss Meditec AG
Design
Laser beam guidanceFree beam arrangement in the head ofthe laser slit lampFree beam arrangement in the head ofthe laser slit lamp
Energy attenuation22 levels:2/4/6/8/10/12/14/16/20/24/28/32/36/40/42/48/56/60/6 4/70/80/100%22 levels:2/4/6/8/10/12/14/16/20/24/28/32/36/40/42/48/56/60/6 4/70/80/100%
YAG focus diameter6.5 µm ± 20% in air6.5 µm ± 20% in air
YAG laser beam divergence14° ± 20% (round angle)14° ± 20% (round angle)
YAG aiming beamDiode, 2-point / 4-point (switchable)660 nm to 680 nm, max. 150 µm at thecornea (class 1 in accordance withIEC 60825-1)Diode, 2-point / 4-point (switchable)660 nm to 680 nm, max. 150 µm at thecornea (class 1 in accordance withIEC 60825-1)
Focus shift between aiming andtherapy beam0/150/225/300 µm, toggle betweenanterior and posterior0/150/225/300 µm, toggle betweenanterior and posterior
Nominal Ocular Hazard Distance(NOHD) of YAG laser4 m4 m

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Image /page/9/Picture/0 description: The image shows the word ZEISS in a bold, sans-serif font. The word is white and is set against a dark blue background. The logo is simple and modern, and the contrast between the white text and the blue background makes it easy to read.

The subject device VISULAS combi and the secondary predicate device VISULAS yag are both intended as ophthalmic lasers for photodisruption freatments, the indications for use are within the same intended use as the reference device and do not raise different questions of safety and effectiveness. The subject device VISULAS combi and the reference laser system share fundamental parameters and the same fundamental principle of operation:

Photodisruption: At the focus point of the laser beam pressure and temperature are very high to result in the formation of a laser-induced plasma allowing tissue photodisruption to take place. As the plasma expands, it cools down rapidly; hence, the thermal effect on adjacent tissue is very low. The mechanical stress to adjacent tissue due to the shock wave accompanying the photodisruption expansion of the plasma results in an incisional effect.

For photoisruption treatments, the subject device VISULAS combi is substantially equivalent to the secondary laser system presented in the 510(k) premarket notification in terms of indications for use and technological characteristics. Differences between subject device and reference devices do not raise any new issues of safety or effectiveness.

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Image /page/10/Picture/0 description: The image shows the ZEISS logo. The logo consists of the word "ZEISS" in a bold, sans-serif font, set against a solid blue background. Below the word, there is a curved shape, also in blue, that suggests a lens or optical element. The overall design is clean and modern, reflecting the company's focus on precision optics and technology.

7. SUMMARY OF STUDIES

Biocompatibility Testing

ZEISS conducted biocompatibility testing on patient-contacting accessories in accordance with ISO 10993-1. The evaluations addressed cytotoxicity, sensitization, aligning with the recommendations delineated in the FDA guidance document "Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices -Part 1: Evaluation and Testing within a Risk Management Process". The testing performed aligns with current recognized standards and meets or exceeds testing performed on the predicate device. Biocompatibility testing demonstrated equivalency between the subject device and the predicate device.

Laser safety, electrical safety and electromagnetic compatibility (EMC)

VISULAS combi was evaluated against the following requirements and was found to comply with: · ANSI/AAMI ES60601-1:2005/(R) 2012

  • ANSI Z80.36-2016
  • · IEC 60601-1-2:2014
  • · IEC 60825-1:2007
  • IEC 60601-2-22:2012
  • IEC 62133: 2012
  • IEC 60601-4-2

Software Verification and Validation Testing

The software of this device is considered to have an Enhanced Documentation Level. Software verification and validation testing was conducted, and documentation 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." Verification and validation of VISULAS combi demonstrated that the product works as designed.

Bench Testing

Non-clinical system testing provided an evaluation of the system relevant to each of the system specifications. The functional and system level testing showed that the system met the defined specifications. ZEISS demonstrated non-clinical equivalency between the subject device and the predicate device.

Animal Testing

Not applicable. Animal studies are not necessary to establish the substantial equivalence of this device.

Clinical Data

Not applicable. Clinical studies are not necessary to establish the substantial equivalence of this device.

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CONCLUSION 8.

The VISULAS combi is substantially equivalent to the primary predicate device VISULAS green (K232051) and the secondary predicate device VISULA yag (K230350).

The VISULAS combi is similar in technological characteristics, performance, principles of operation, and has identical indications for use as the primary predicate device and the secondary predicate device. Any differences between the proposed device and the predicate devices do not raise any new issues.

Results of the non-clinical performance testing support a determination of substantial equivalence between the subject device and the predicate devices for the proposed intended use.

Thus, the VISULAS combi meets the requirements for substantial equivalence as compared to the predicate devices, VISULAS green (K232051) and VISULAS yag (K230350).

§ 886.4390 Ophthalmic laser.

(a)
Identification. An ophthalmic laser is an AC-powered device intended to coagulate or cut tissue of the eye, orbit, or surrounding skin by a laser beam.(b)
Classification. Class II.