(83 days)
Not Found
No
The summary describes a standard video gastroscope and video processor system. There is no mention of AI, ML, or any advanced image processing beyond basic color frame compilation for display. The performance studies section also does not indicate any evaluation of algorithmic performance metrics typically associated with AI/ML.
Yes
The device description states it contains "two working channels through which biopsy devices, or other devices, may be introduced," and it is supplied with "two biopsy forceps," indicating its use for therapeutic procedures like biopsies. The intended use also mentions "therapeutic access."
Yes
Explanation: The device is intended to provide "optical visualization ... of the Upper Gastrointestinal Tract" and to be used "when indications consistent with the requirement for procedure(s) are observed," which means it is used to identify medical conditions and aid in diagnosis.
No
The device description clearly details hardware components such as a flexible insertion tube, control body, umbilicus, light carrying bundles, CCD, working channels, and a video processor with a xenon lamp and color wheel. While the video processor is software-controlled, the device itself is a physical endoscope system.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to provide optical visualization and therapeutic access to the Upper Gastrointestinal Tract. This involves directly examining the inside of the body.
- Device Description: The device is a gastroscope, which is an endoscope used for internal examination. It uses light and a CCD to capture images of the internal anatomy.
- Lack of In Vitro Activity: IVD devices are designed to examine specimens outside of the body (in vitro) to provide information about a patient's health. This device operates inside the body (in vivo).
The device is a medical device used for diagnostic and therapeutic procedures performed directly on the patient, not on a sample taken from the patient.
N/A
Intended Use / Indications for Use
The EG-3800T, Video Gastroscope, is intended to provide optical visualization (via a video monitor) of, and therapeutic access to, the Upper Gastrointestinal Tract. The Upper Gastrointestinal Tract includes, but is not limited to, the organs; tissues; and subsystems: Esophagus, Stomach, Duodenum, and Small Bowel. The instrument is introduced per orally when indications consistent with the requirement for procedure(s) are observed in Adult and Pediatric patient populations.
Product codes
FDS
Device Description
The EG-3800T, Video Gastroscope, must be used with a Video Processor (a software controlled device). The endoscope has a flexible insertion tube, a control body, and umbilicus. The umbilicus provides connection to the video processor. The control body includes controls for up/ down/ left/ right angulation, air/water delivery, suction, two (2) accessory inlet ports, and a suction channel selector. The device contains light carrying bundles, to illuminate the body cavity, and a charge couple device (CCD) to collect image data. The instrument contains two (2) working channels through which biopsy devices, or other devices, may be introduced (the instrument is supplied with two biopsy forceps). The Video Processor contains a 300 watt xenon lamp which provides white light that is filtered, via a Red, Green, Blue color wheel, and is focused at the connected video endoscope lightguide prong. The endoscope light carrying bundles present the color strobes to the body cavity and the CCD collects image data for each strobe of color. The video processor stores the CCD information until all three color strobes are completed and a full color frame is compiled. Image data and other screen display information are formatted and presented to the video outputs of the video processor for display.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
optical visualization
Anatomical Site
Upper Gastrointestinal Tract (Esophagus, Stomach, Duodenum, and Small Bowel)
Indicated Patient Age Range
Adult and Pediatric patient populations.
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
The submission for substantial equivalence was not based on an assessment of clinical performance data.
Key Metrics
Not Found
Predicate Device(s)
Reference Device(s)
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.
0
DOCUMENT NUMBER: KS034.B7 DATE PREPARED: 08-07-96
PAGE 1 OF 1 PREPARED BY: PAUL SILVA
510(K) SUMMARY DEVICE: EG-3800T, VIDEO GASTROSCOPE
1. SUBMITTER INFORMATION: Pentax Precision Instrument Corporation 30 Ramland Road
Orangeburg, NY, 10962 TEL: (914)-365-0700
2. NAME OF DEVICE:
Trade Name: EG-3800T, Video Gastroscope Classification Name: Gastroscope, Gastro- Urology (78FDS), 876.1500
3. PREDICATED DEVICE(S) INFORMATION:
| 1. FG-36TA, Fiber Gastroscope | Pentax | K833924 |
|---|---|---|
| 2. EC-3800TL, Video Colonoscope | Pentax | K951579 |
| 3. EPM-3300, Video Processor | Pentax | K934918 |
4. DEVICE DESCRIPTION:
The EG-3800T, Video Gastroscope, must be used with a Video Processor (a software controlled device). The endoscope has a flexible insertion tube, a control body, and umbilicus. The umbilicus provides connection to the video processor. The control body includes controls for up/ down/ left/ right angulation, air/water delivery, suction, two (2) accessory inlet ports, and a suction channel selector. The device contains light carrying bundles, to illuminate the body cavity, and a charge couple device (CCD) to collect image data. The instrument contains two (2) working channels through which biopsy devices, or other devices, may be introduced (the instrument is supplied with two biopsy forceps). The Video Processor contains a 300 watt xenon lamp which provides white light that is filtered, via a Red, Green, Blue color wheel, and is focused at the connected video endoscope lightguide prong. The endoscope light carrying bundles present the color strobes to the body cavity and the CCD collects image data for each strobe of color. The video processor stores the CCD information until all three color strobes are completed and a full color frame is compiled. Image data and other screen display information are formatted and presented to the video outputs of the video processor for display.
ડ. INTENDED USE:
The EG-3800T, Video Gastroscope, is intended to provide optical visualization (via a video monitor) of, and therapeutic access to, the Upper Gastrointestinal Tract. The Upper Gastrointestinal Tract includes, but is not limited to, the organs; tissues; and subsystems: Esophagus, Stomach, Duodenum, and Small Bowel. The instrument is introduced per orally when indications consistent with the requirement for procedure(s) are observed in Adult and Pediatric patient populations.
COMPARISON TO PREDICATED DEVICE(S): ર્.
The submission for substantial equivalence included EG-3800T literature including specifications, the identification of standard set components, and identification of optional accessories, comparision tables were provides to illustrate the comparisons to the predicated devices. The submission for substantial equivalence was not based on an assessment of clinical performance data.
SEP 18
.