K Number
K243020
Device Name
MIDASVu
Manufacturer
Date Cleared
2024-12-02

(66 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MIDASVu is indicated for use in diagnostic and operative arthroscopic and endoscopic procedures to provide illumination and visualization of interior cavity joints and other body cavities through a natural or surgical opening.
Device Description
MIDASVu is an advanced imaging system comprised of sterile, single-use scopes (0° and 30° viewing angle) and a reusable tablet. The scopes include camera and image capture features with LED light source. The distal tip of the scopes contains the camera, illumination, and imaging optics. The scopes are available in three lengths: 60mm, 90mm, and 120mm. The scopes and tablet work in concert as a system to acquire, display and record an intra-articular image as well as store images and video taken during the procedure.
More Information

Not Found

No
The document describes a standard imaging system with image processing hardware, but there is no mention of AI, ML, or related concepts like deep learning, training sets, or performance metrics typically associated with AI/ML algorithms.

No.

The device is indicated for diagnostic and operative procedures to provide illumination and visualization, not for treating a disease or condition.

Yes

The 'Intended Use / Indications for Use' section explicitly states that "The MIDASVu is indicated for use in diagnostic and operative arthroscopic and endoscopic procedures".

No

The device description explicitly states that the system is comprised of sterile, single-use scopes with camera, image capture, and LED light source features, and a reusable tablet. This indicates the presence of significant hardware components beyond just software.

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

Here's why:

  • Intended Use: The intended use is for "diagnostic and operative arthroscopic and endoscopic procedures to provide illumination and visualization of interior cavity joints and other body cavities". This describes a device used in vivo (within the living body) for direct visualization during medical procedures.
  • Device Description: The description details a system for acquiring, displaying, and recording images from within the body. It involves scopes inserted into body cavities.
  • Input Imaging Modality: The input is "Optical (arthroscopic/endoscopic)", which is a method of imaging within the body.
  • Anatomical Site: The anatomical sites are "interior cavity joints and other body cavities", which are locations within the living body.

IVD devices are specifically designed to examine specimens (like blood, urine, tissue) outside of the body (in vitro) to provide information about a patient's health. The MIDASVu operates inside the body to provide visual information during a procedure.

N/A

Intended Use / Indications for Use

The MIDASVu is indicated for use in diagnostic and operative arthroscopic and endoscopic procedures to provide illumination and visualization of interior cavity joints and other body cavities through a natural or surgical opening.

Product codes

HRX, GCJ

Device Description

MIDASVu is an advanced imaging system comprised of sterile, single-use scopes (0° and 30° viewing angle) and a reusable tablet. The scopes include camera and image capture features with LED light source. The distal tip of the scopes contains the camera, illumination, and imaging optics. The scopes are available in three lengths: 60mm, 90mm, and 120mm. The scopes and tablet work in concert as a system to acquire, display and record an intra-articular image as well as store images and video taken during the procedure.

Mentions image processing

A lens is located on the distal tip of the scope, which forms the image onto the CMOS sensor (400 x 400 pixels) and the digital signal is transmitted via electrical wires to image processing hardware.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

interior cavity joints and other body cavities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 MIDASVu underwent non-clinical testing to confirm safety, effectiveness, and performance. Electrical safety and EMC testing met IEC 60601 standards, while software validation ensured intended functionality. Biocompatibility testing per ISO 10993 confirmed material safety, and performance and environmental tests verified durability under stress. Software and cybersecurity measures were validated. Results demonstrate the device is as safe and effective as the predicate for its intended use.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K181982

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 888.9.

0

December 2, 2024

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

IntraVu, Inc. Jenna Rapoport VP, Quality 610 Price Ave Redwood City, California 94063

Re: K243020

Trade/Device Name: MIDASVu Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX, GCJ Dated: August 27, 2024 Received: September 27, 2024

Dear Jenna Rapoport:

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" (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).

1

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.

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-devices/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 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).

2

Sincerely,

Image /page/2/Picture/3 description: The image shows a digital signature. The signature includes the name "JESSE MUIR -S" on the left side of the image. On the right side, it states "Digitally signed by JESSE MUIR -S" followed by the date "2024.12.02" and the time "14:41:29 -05'00'".

Jesse Muir, Ph.D. Assistant Director DHT6C: Division of Restorative, Repair, and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below.

Submission Number (if known)

K243020

Device Name

MIDASVu

Indications for Use (Describe)

The MIDASVu is indicated for use in diagnostic and operative arthroscopic and endoscopic procedures to provide illumination and visualization of interior cavity joints and other body cavities through a natural or surgical opening.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

IlntraVu®

K243020

MIDASVU

510(K) SUMMARY

DateNovember 26, 2024
Submitter:IntraVu Inc.
Address:610 Price Avenue
Redwood City, CA 94063
Contact Person:Jenna Rapoport
Telephone:650-771-9373
Email:jenna@intravu.com
Device Trade Name:MIDASVu
Common Name:Arthroscope
Classification Name
and Number:Arthroscope
21 CFR 888.1100
Device Classification:II
Product Code:HRX
Legally Marketed
Predicate Device:MIDAScope and Introducer Kit, and MIDASystem (K181982)
Product Code HRX, 21 CFR 888.1100
Description of the
MIDASVuMIDASVu is an advanced imaging system comprised of sterile,
single-use scopes (0° and 30° viewing angle) and a reusable tablet.
The scopes include camera and image capture features with LED
light source. The distal tip of the scopes contains the camera,
illumination, and imaging optics. The scopes are available in three
lengths: 60mm, 90mm, and 120mm. The scopes and tablet work in
concert as a system to acquire, display and record an intra-articular
image as well as store images and video taken during the
procedure.
Indications for Use of
the MIDASVuMIDASVu is indicated for use in diagnostic and operative
arthroscopic and endoscopic procedures to provide illumination and
visualization of interior cavity joints and other body cavities through
a natural or surgical opening.

5

118

MIDASVU 510(K) SUMMARY

Performance Data: The MIDASVu underwent non-clinical testing to confirm safety, effectiveness, and performance. Electrical safety and EMC testing met IEC 60601 standards, while software validation ensured intended functionality. Biocompatibility testing per ISO 10993 confirmed material safety, and performance and environmental tests verified durability under stress. Software and cybersecurity measures were validated. Results demonstrate the device is as safe and effective as the predicate for its intended use. None

Results of Clinical Studies:

Summary of Technological Characteristics:

IntraVu, Inc: MIDAScope and Introducer Set, and MIDASystem (K181982)IntraVu, Inc: MIDASVu
ComponentsDisposable scope + reusable systemSame
UsageSingle use, disposable scope and reusable systemSame
Scope
Imaging OpticsScope contains camera, illumination (LED light source) and imaging opticsSame
Scope ShaftRigid stainless-steel shaftSame
SterilitySterile (ethylene oxide), SAL 10-6Same
RigidityRigidSame
Maximum Insertion Portion width1.5 mmSimilar
Working Lengths60 mm, 90 mm, and 120 mmSame
Field of View (FOV)90° in airSimilar
Direction of ViewDifferent, due to addition of 30° scope
Optics and Image AcquisitionA lens is located on the distal tip of the scope, which forms the image onto the CMOS sensor (400 x 400 pixels) and the digital signal is transmitted via electrical wires to image processing hardware. Light fibers run in the shaft to provide illumination from an LED that is housed inside the disposable handle.Same
Scope to System ConnectionThe MIDAScope is connected via a proximal (permanently attached) electrical cable and proximal electrical connector to the MIDASystem for viewing.Same

6

MIDASVU

510(K) SUMMARY

| | IntraVu, Inc: MIDAScope and Introducer Set, and
MIDASystem (K181982) | IntraVu, Inc: MIDASVu |
|------------------|---------------------------------------------------------------------------------------------------------------------------------|--------------------------|
| | Tablet | |
| Electrical Power | The reusable MIDASystem with integrated LCD monitor
provides power to the scope via a cable from the scope to
the system. | Same |
| Display Type | HD touch screen; color LCD | Same |
| Resolution | 1024 x 768 (124 pixels per inch) | Same |
| Media Capture | None | Different, added feature |
| Data Transfer | None | Different, added feature |

The IntraVu's MIDASVu is substantially equivalent to the predicate Conclusion: device, IntraVu's MIDAScope and Introducer Kit, and MIDASystem (510(k) Number: K181982). Both devices share the same intended use, fundamental design, and core technology. The MIDASVu includes minor enhancements that do not affect the established safety and efficacy of the device. Non-clinical testing, including performance testing and safety assessments, demonstrated that the MIDASVu performs comparably to the predicate device and meets all applicable requirements. Therefore, the MIDASVu is as safe and effective as the predicate for its intended use.