K Number
K243591
Device Name
OPTOVISION Endoscopic Light Source Unit
Manufacturer
Date Cleared
2025-02-19

(91 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Upon intravenous administration of ICG(Indocyanine green for injection) consistent with its approved label, the OPTOVISION provides real-time endoscopic visible and near-infrared fluorescence imaging. The OPTOVISION enable surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near-infrared imaging. Fluorescence imaging of biliary ducts with the OPTOVISION is intended for use with standard-of-care white light and, when indicated, intraoperative cholangioaraphy. The device is not intended for standalone use for biliary duct visualization. Upon interstitial administration and use of ICG consistent with its approved label, the OPTOVISION is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.
Device Description
OPTOVISION is an endoscopic light source that enables real-time endoscopic visible and nearinfrared fluorescence imaging minimally invasive surgical procedures. Near-infrared illumination is used for fluorescence imaging using indocyanine green (ICG). This device is largely composed of a power circuit, a control circuit, and a lighting lamp (light source). A power circuit provides power to the lighting lamp and cuts off the power in an emergency, a control circuit controls the light output (intensity)/other settings of light rays, and a light source unit irradiates light directly to the Light Guide Cable (K111342) for observation of the affected area. With the configuration above, the power input from the initial power source is transmitted to the light source unit and the main body, and rays of white light and near-infrared light are directly irradiated through the Light Guide Cable to the affected area for observation. This device is designed for use in the following applications: standard endoscopic visible-light imaging and near-infrared fluorescence imaging.
More Information

Not Found

No
The summary describes a light source and imaging system for fluorescence imaging, focusing on hardware components and imaging capabilities. There is no mention of AI, ML, or advanced image processing beyond basic illumination and visualization.

No
The device is used to perform intraoperative fluorescence imaging and visualization, which is a diagnostic rather than therapeutic function.

No

The document describes the device as an endoscopic light source used for real-time imaging during surgery, aiding surgeons in visualization rather than providing diagnostic information.

No

The device description explicitly states that the OPTOVISION is an endoscopic light source largely composed of a power circuit, a control circuit, and a lighting lamp (light source). This indicates it is a hardware device, not software-only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended to be used in vitro for the examination of specimens derived from the human body in order to provide information for diagnostic, monitoring or compatibility purposes. This includes reagents, calibrators, control materials, kits, instruments, apparatus, equipment, or systems.
  • OPTOVISION's Function: The OPTOVISION is an endoscopic light source that provides real-time imaging during surgery. It uses light (visible and near-infrared) to visualize structures within the body. It does not analyze specimens outside the body.
  • Intended Use: The intended use clearly describes its function as an imaging tool for surgeons during minimally invasive procedures to visualize vessels, bile ducts, and the lymphatic system. This is an in vivo application, not in vitro.

Therefore, the OPTOVISION falls under the category of a surgical imaging device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Upon intravenous administration of ICG(Indocyanine green for injection) consistent with its approved label, the OPTOVISION provides real-time endoscopic visible and near-infrared fluorescence imaging. The OPTOVISION enable surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near-infrared imaging. Fluorescence imaging of biliary ducts with the OPTOVISION is intended for use with standard-of-care white light and, when indicated, intraoperative cholangioaraphy. The device is not intended for standalone use for biliary duct visualization.

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

Product codes

OWN

Device Description

OPTOVISION is an endoscopic light source that enables real-time endoscopic visible and nearinfrared fluorescence imaging minimally invasive surgical procedures. Near-infrared illumination is used for fluorescence imaging using indocyanine green (ICG). This device is largely composed of a power circuit, a control circuit, and a lighting lamp (light source). A power circuit provides power to the lighting lamp and cuts off the power in an emergency, a control circuit controls the light output (intensity)/other settings of light rays, and a light source unit irradiates light directly to the Light Guide Cable (K111342) for observation of the affected area. With the configuration above, the power input from the initial power source is transmitted to the light source unit and the main body, and rays of white light and near-infrared light are directly irradiated through the Light Guide Cable to the affected area for observation. This device is designed for use in the following applications: standard endoscopic visible-light imaging and near-infrared fluorescence imaging.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

real-time endoscopic visible and near-infrared fluorescence imaging

Anatomical Site

vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), lymphatic system, including lymphatic vessels and lymph nodes.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeons to perform minimally invasive surgery

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 following performance data were provided in support of the substantial equivalence determination.

TestingMethodResult
Electrical SafetyES60601-1:2005/(R)2012 & A1:2012 C1:2009/(R)2012 & A2:2010/(R)2012 (Cons. Text) [Incl. AMD2:2021] IEC 60601-2-18: Edition 3.0 2009-08 IEC 60601-1-6 Edition 3.2 2020-07 CONSOLIDATED VERSIONPASS
Electromagnetic Compatibility (EMC) testIEC 60601-1-2 Edition 4.1 2020-09 CONSOLIDATED VERSIONPASS
UsabilityIEC 62366-1 Edition 1.1 2020-06 CONSOLIDATED VERSIONPASS
Photobiological SafetyIEC 62471 First edition 2006-07PASS
Software Validation & VerificationIEC 62304 Edition 1.1 2015-06 CONSOLIDATED VERSIONPASS
Performance - BenchIn accordance with device input specificationsPASS

All conducted tests demonstrated compliance with applicable standards, and no safety concerns were identified.

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.

K192292

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

Not Found

§ 876.1500 Endoscope and accessories.

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

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February 19, 2025

Optosurgical LLC Yoseph Kim Chief Executive Officer and R&D Administrator 6751 Columbia Gateway Dr, Suite 300 Office 313 Columbia, Maryland 21046

Re: K243591

Trade/Device Name: OPTOVISION Endoscopic Light Source Unit Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope And Accessories Regulatory Class: Class II Product Code: OWN Dated: October 31, 2024 Received: November 20, 2024

Dear Yoseph Kim:

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/cdrb/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.

1

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).

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 820.70) 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 (OS) 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.

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.

2

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,

Digitally signed by TANISHA TANISHA L. HITHE -S L. HITHE -> Date: 2025.02.19
16:05:57 -05'00'

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

Enclosure

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Indications for Use

Submission Number (if known)

K243591

Device Name

OPTOVISION Endoscopic Light Source Unit

Indications for Use (Describe)

Upon intravenous administration of ICG(Indocyanine green for injection) consistent with its approved label, the OPTOVISION provides real-time endoscopic visible and near-infrared fluorescence imaging. The OPTOVISION enable surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near-infrared imaging. Fluorescence imaging of biliary ducts with the OPTOVISION is intended for use with standard-of-care white light and, when indicated, intraoperative cholangioaraphy. The device is not intended for standalone use for biliary duct visualization.

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

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

l. 510(k) Submitter

Applicant: OPTOSURGICAL LLC. 6751 Columbia Gateway Drive Suite 300, Office 313, Columbia, MD 21046

Contact Person: Yoseph Kim / Chief Executive Officer and R&D Administrator Phone: +1-203-675-7089 Email: voseph.kim@optosurqical.com Date Prepared: February 17, 2025

II. Subject Device

  • Name of Device: OPTOVISION Endoscopic Light Source Unit ●
  • Common or Usual Name: Light Source, Illuminator ●
  • Classification Name: Confocal Optical Imaging ●
  • Regulation Name: Endoscope and accessories (21 CFR 876.1500) ●
  • Regulatory Class: II
  • Product Code: OWN ●

III. Predicate Device

  • Proprietary Name: AIM Light Source and SafeLight™ Cable ●
  • 510(k) Number: K192292
  • Common Name: Light Source, Illuminator ●
  • Classification Name: Confocal Optical Imaging & Fiberoptic light ureteral catheter .
  • & Light Source. Fiberoptic. Routine
  • Regulation Name: Endoscope and accessories & Fiberoptic light ureteral catheter ●
  • Regulation: 21 CFR 876.1500 & 21 CFR 876.4020 & 21 CFR 876.4020
  • Product Code: OWN, FSC, FCW ●

IV. Description

OPTOVISION is an endoscopic light source that enables real-time endoscopic visible and nearinfrared fluorescence imaging minimally invasive surgical procedures. Near-infrared illumination is used for fluorescence imaging using indocyanine green (ICG). This device is largely composed of a power circuit, a control circuit, and a lighting lamp (light source). A power circuit provides power to the lighting lamp and cuts off the power in an emergency, a control circuit controls the light output (intensity)/other settings of light rays, and a light source unit irradiates light directly to the Light Guide Cable (K111342) for observation of the affected area. With the configuration above, the power input from the initial power source is transmitted to the light source unit and the main body, and rays of white light and near-infrared light are directly irradiated through the Light Guide Cable to the affected area for observation. This device is designed for use in the following applications: standard endoscopic visible-light imaging and near-infrared fluorescence imaging.

V. Indications for Use

Upon intravenous administration of ICG (Indocyanine green for injection) consistent with its

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approved label, the OPTOVISION provides real-time endoscopic visible and near-infrared fluorescence imaging. The OPTOVISION enables surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile duct, common bile duct and common hepatic duct), using near-infrared imaging. Fluorescence imaging of biliary ducts with the OPTOVISION is intended for use with standard-of-care white light and, when indicated, intraoperative cholangiography. The device is not intended for standalone use for biliary duct visualization.

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

VI. Comparison of Technological Characteristics with the Predicate Device

The subject device is substantially equivalent to AIM Light Source and SafeLight™ Cable (K192292). The subject device has the same indications for use and technological characteristics as the predicate device. It also has identical specifications as the predicate device in almost all parameters. The imaging mode is a minor difference between the subject and predicate device [AIM Light Source and SafeLight™ Cable (K192292)]. However, these differences do not raise a question in substantial equivalence.

Subject devicePredicate DeviceComment
ManufacturerOPTOSURGICAL LLC.Stryker Endoscopy
Common or Usual NameLight Source, IlluminatorLight Source, Illuminator
Classification NameConfocal Optical ImagingConfocal Optical Imaging
Brand NameOPTOVISION Endoscopic
Light Source UnitAIM Light Source and
SafeLight™ Cable
Model NameOPSFI2241L10 & L11
Regulatory ClassIIII
CFR Regulation21 CFR 876.150021 CFR 876.1500
Product CodeOWNOWN, FSC, FCW
510(k) NumberK243591K192292
Intended UseEndoscopic white light and
near-infrared illumination
and imaging during
endoscopic procedures.Endoscopic white light and
near-infrared illumination
and imaging during
endoscopic procedures.Same as predicate
Indications for UseNOTE 1NOTE 2Similar to predicate
Although the predicate
device includes the
additional intended use of
transilluminating the ureter,
the subject device shares
the same intended use as
the predicate device in using
ICG fluorescence imaging
for real-time endoscopic
visible and near-infrared
fluorescence imaging of
vessels, blood flow, related
tissue perfusion, and bile
ducts.
This difference does not
raise different questions of
safety and effectiveness.
Subject device
An electronic driver controlsPredicate Device
An electronic driver controlsComment
Principles of Operationnear-infrared laser diode
which are combined through
dichroic mirrors and
projected onto an output
light collimator. A fiber
output bundle can be
inserted into the light source
to couple light to the distal
end and into an endoscope.Red/Green/Blue LEDs and a Red/Green/Blue LEDs and a
near-infrared laser diode
which are combined through
dichroic mirrors and
projected onto an output
light collimator. A fiber
output bundle can be
inserted into the light source
to couple light to the distal
end and into an endoscope.Same as predicate
Similar to predicate
ComponentsLight Source Unit
Light Guide CableLight Source and SafeLight
Cable
Camera System
Laparoscopes
IRIS Ureteral Kit
Imaging AgentThe OPTOVISION consists
of a Light Source Unit and
offers a light guide cable
(K111342). This light guide
cable is universally
manufactured by a third
party, and thus follows the
reprocessing procedures
established by the
respective manufacturer.
This difference does not
raise different questions of
safety and effectiveness, as
discussed above.
Safety StandardsIEC 60601-1
IEC 60601-2-18
IEC 60601-1-2
IEC 62471IEC 60601-1
IEC 60601-2-18
IEC 60601-1-2
IEC 60825-1Similar to predicate
Safety related to
OPTOVISION's light source
has been evaluated and
demonstrated in compliance
with IEC 62471.
This difference does not
raise different questions of
safety and effectiveness, as
discussed above.
Light Source / LaserRGB LEDsRGB LEDsSame as predicate
Infrared LaserInfrared LaserSimilar to predicate
Infrared Wavelengths808nm (used for NIR
fluorescence)806nm (used for NIR
fluorescence)
830nm (used for NIR
transillumination)Both the 808nm and 806nm
wavelengths are used for
NIR fluorescence imaging
with ICG, and the difference
between these wavelengths
is substantially the same in
terms of the functionality
provided by the subject
device and the predicate
device.
This difference does not
raise different questions of
safety and effectiveness, as
discussed above.
Subject devicePredicate DeviceComment
White LightManual
AutolightManual
AutolightSame as predicate
Imaging
ModeNIR
FluorescenceNIR
ખાટ
FUSIONENV
Contrast
OverlaySimilar to predicate
Both the subject device and
predicate device passed the
bench test criteria according
to the recognized consensus
standard EN/IEC 60601-1-2.
The "NIR" mode of the
subject device is functionally
equivalent to the "Contrast"
mode of the predicate
device, and the "FUSION"
mode of the subject device
is functionally equivalent to
the "Overlay" mode of the
predicate device. While the
subject device does not
support the "ENV" mode,
this does not result in any
technical differences in the
primary function of providing
NIR fluorescence imaging
using ICG between the two
devices.
This difference does not
raise different questions of
safety and effectiveness, as
discussed above.
Light Guide
CableSingle-Use/
ReusableReusableReusableSame as predicate
Type of UsePrescription UsePrescription UseSame as predicate

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NOTE 1: Upon intravenous administration of ICG (Indocyanine green for injection) consistent with its approved label, the OPTOVISION provides real-time endoscopic visible and near-infrared fluorescence imaging. The OPTOVISION enables surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near-infrared imaging of billiary ducts with the OPTOVISION is intended for use with standard-of-care white light and, when indicated, intraoperative cholangiography. The device is not intended for standalone use for biliary duct visualization.

Upon interstitial administration and use of ICG consistent with its approved label, the OPTOVISION is used to perform intraoperative fluorescence imaging and visualization of the lymphatic vessels and lymphatic vessels and lymph nodes.

NOTE 2: Upon intravenous administration of SPY AGENT™ GREEN (Indocyanine green for injection, USP), the AIM Light Source and SafeLight™ Cable is used with SPY AGENT GREEN to provide real-time endoscopic visible and near-infrared fluorescence imaging. The AlM Light Source and SafeLight Cable enable surgeons to perform minimally invasive surgery using standard endoscope visual light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic duct, common bile duct and common hepatic duct), using near-infrared imaging.

Fluorescence imaging of biliary ducts with the AIM Light Source and SafeLight Cable is intended for use with standardof-care white light and, when indicated, intraoperative cholangiography. The devices are not intended for standalone use for biliary duct visualization.

Upon interstitial administration of SPY AGENT GREEN (ICG drug product), the AIM Light Source and SafeLight Cable is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic

8

vessels and lymph nodes.

The AIM Light Source is also intended to transilluminate the ureter during open or laparoscopic surgical procedures.

VII. Performance Data

The following performance data were provided in support of the substantial equivalence determination.

TestingMethodResult
Electrical SafetyES60601-1:2005/(R)2012 & A1:2012
C1:2009/(R)2012 & A2:2010/(R)2012 (Cons. Text)
[Incl. AMD2:2021]
IEC 60601-2-18: Edition 3.0 2009-08
IEC 60601-1-6 Edition 3.2 2020-07
CONSOLIDATED VERSIONPASS
Electromagnetic Compatibility
(EMC) testIEC 60601-1-2 Edition 4.1 2020-09
CONSOLIDATED VERSIONPASS
UsabilityIEC 62366-1 Edition 1.1 2020-06 CONSOLIDATED
VERSIONPASS
Photobiological SafetyIEC 62471 First edition 2006-07PASS
Software Validation &
VerificationIEC 62304 Edition 1.1 2015-06 CONSOLIDATED
VERSIONPASS
Performance - BenchIn accordance with device input specificationsPASS

All conducted tests demonstrated compliance with applicable standards, and no safety concerns were identified.

VIII. Conclusions

Based on the information provided in this premarket notification, OPTOVISION Endoscopic Light Source Unit is substantially equivalent to the predicate device as described herein in safety and effectiveness. The OPTOVISION Endoscopic Light Source Unit has the same intended use and similar indications for use as its predicate device, AIM Light Source and SafeLight™ Cable (K192292). Further, the OPTOVISION Endoscopic Light Source Unit has very similar technological characteristics and principles of operation as its predicate device. AIM Light Source and SafeLight™ Cable (K192292). The minor technological differences between the subject and the predicate devices do not raise different questions of safety or effectiveness. Performance testing of the device has demonstrated that the device performs as intended and thus, is substantially equivalent.