K Number
K971853
Device Name
ENDOVIEW SPPHIRE LENS SET
Date Cleared
1997-08-06

(78 days)

Product Code
Regulation Number
886.1385
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For magnification during vitreoretinal surgery.
Device Description
The Endoview™ Sapphire Contact Lens Set consists of one sterilization container, one lens ring (either infusion or non-infusion), and one each of the following lenses: Plano Concave, Symmetric Concave-Concave, Asymmetric Concave, Prism 15° - Concave, Prism 30° Concave, and a Prism Concave-Concave Lens. The lenses, rings and sterilization container may be sold separately or as a set. During vitreoretinal surgery, the surgeon requires the aid of a contact lens in order to visualize the posterior segment of the eye. First, the ring is sewn onto the sclera to hold the lens in place on the cornea. The customer has the option of choosing a ring with an infusion port, which eliminates the need for the surgeon to constantly place irrigant on the corneal. Once the ring is in place, the surgeon places one of the lenses in the ring in order to visualize the posterior segment of the eye. The surgeon changes the lenses during the case depending on where visualization is required.
More Information

No
The device description and intended use are purely mechanical/optical, and there is no mention of AI, ML, image processing, or data analysis.

No.
The device is described as a set of contact lenses and a ring for magnification and visualization during vitreoretinal surgery, not for treating a condition or disease.

No

This device is used for magnification and visualization during vitreoretinal surgery, not for diagnosing a medical condition.

No

The device description explicitly details physical components (sterilization container, lens ring, various lenses) and their use in a surgical procedure, indicating it is a hardware medical device.

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

Here's why:

  • Intended Use: The intended use is "For magnification during vitreoretinal surgery." This describes a surgical tool used for visualization during a medical procedure performed directly on a patient.
  • Device Description: The description details a set of contact lenses and rings used to aid the surgeon in visualizing the posterior segment of the eye during surgery. This is a physical device used for direct interaction with the patient's anatomy.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. This device does not perform any such tests on biological samples.

The device is clearly a surgical instrument used in vivo (within the living body) to facilitate a surgical procedure, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

For magnification during vitreoretinal surgery.

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

HDQ, HJK

Device Description

The Endoview™ Sapphire Contact Lens Set consists of one sterilization container, one lens ring (either infusion or non-infusion), and one each of the following lenses: Plano Concave, Symmetric Concave-Concave, Asymmetric Concave, Prism 15° - Concave, Prism 30° Concave, and a Prism Concave-Concave Lens. The lenses, rings and sterilization container may be sold separately or as a set.

During vitreoretinal surgery, the surgeon requires the aid of a contact lens in order to visualize the posterior segment of the eye. First, the ring is sewn onto the sclera to hold the lens in place on the cornea.

The customer has the option of choosing a ring with an infusion port, which eliminates the need for the surgeon to constantly place irrigant on the corneal. Once the ring is in place, the surgeon places one of the lenses in the ring in order to visualize the posterior segment of the eye. The surgeon changes the lenses during the case depending on where visualization is required. Most lenses on the market have been manufactured from quartz and high refractive index plastic because of their low cost and good refractive properties. However, these materials can be easily scratched, chipped and damaged during normal cleaning, handling and sterilization. Single Crystal Sapphire, on the other hand, is an ideal material for ophthalmic surgery because of its wide transmission band, extreme hardness and excellent chemical resistance.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

posterior segment of the eye, cornea

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Surgeon, clinical setting (vitreoretinal 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)

Not Found

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.

K902496

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.

K853129, K860852, K861744

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

§ 886.1385 Polymethylmethacrylate (PMMA) diagnostic contact lens.

(a)
Identification. A polymethylmethacrylate (PMMA) diagnostic contact lens is a device that is a curved shell of PMMA intended to be applied for a short period of time directly on the globe or cornea of the eye for diagnosis or therapy of intraocular abnormalities.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo for American Medical Devices, Inc. The logo consists of the letters "A MDI" in a bold, sans-serif font. The "A" is in a white box, while the "MDI" is in a black box. To the right of the logo, the words "AMERICAN MEDICAL DEVICES, Inc." are stacked vertically.

AUG - 6 1997

K971853

May 16, 1997

Premarket Notification [510(k)] Summary

Submitter: American Medical Devices, Inc 1100 Northside Drive Atlanta, GA 30318 Phone: (404) 815-5233 (404) 815-5235 Fax:

Official Correspondent: Frank J. Tighe

Trade Name: Endoview™ Sapphire Lens Set

Common Name: Surgical Contact Lens Set

Registration Number: We have registered but have not received our application back as of this date.

Class: Class II

Class Name: Unknown

Panel: Ophthalmic

Product Code: 86HDQ

Device Description

The Endoview™ Sapphire Contact Lens Set consists of one sterilization container, one lens ring (either infusion or non-infusion), and one each of the following lenses: Plano Concave, Symmetric Concave-Concave, Asymmetric Concave, Prism 15° - Concave, Prism 30° Concave, and a Prism Concave-Concave Lens. The lenses, rings and sterilization container may be sold separately or as a set.

During vitreoretinal surgery, the surgeon requires the aid of a contact lens in order to visualize the posterior segment of the eye. First, the ring is sewn onto the sclera to hold the lens in place on the cornea.

Page 1 Summary

Toll-FreeDirectFacsimileInternet
800-793-1473404-815-5233404-815-5235ftighe@americanmedicaldevices.com

1

The customer has the option of choosing a ring with an infusion port, which eliminates the need for the surgeon to constantly place irrigant on the corneal. This type of ring device is currently available from Ocular Instruments (510(k) 902496. Once the ring is in place, the surgeon places one of the lenses in the ring in order to visualize the posterior segment of the eye. The surgeon changes the lenses during the case depending on where visualization is required. Most lenses on the market have been manufactured from quartz and high refractive index plastic because of their low cost and good refractive properties. However, these materials can be easily scratched, chipped and damaged during normal cleaning, handling and sterilization. Single Crystal Sapphire, on the other hand, is an ideal material for ophthalmic surgery because of its wide transmission band, extreme hardness and excellent chemical resistance.

Substantial Equivalence Comparison
American Medical
Devices, Inc.DORCGrieshaberOcular
Instruments
Flat Lens for
Central viewingXXXX
15 degree lens for mid-
Peripheral viewingXXXX
30 degree lens for wide
field viewingXXXX
Bi-concave lens
For air filled phakik
PatientsXXXX
Shipped Non SterileXXXX
Sterilize with either ETO
Or steamXXXX
Sterilization ContainerXXXX
Infusion Lens RingXXXX
Lens Ring**XXXX

Statement of indications for use. For magnification during vitreoretinal surgery.

** All lens sets have lens rings. American Medical Devices, Inc and Ocular Instruments offer a lens ring with an infusion port.

Page 2 Summary

2

Image /page/2/Picture/0 description: The image shows the logo for American Medical Devices, Inc. The logo is divided into two sections. The left section has a white background with the letter "A" in black, and a black background with the letters "MDI" in white. The right section has the words "AMERICAN MEDICAL DEVICES, Inc." stacked on top of each other in black.

Sterility

The Device is shipped non-sterile to the user. The user may either ETO or steam sterilize the lenses according AAMI or USP Standards. ETO and Steam Sterilization of Sapphire in Ophthalmic Devices has been performed since the mid 1980's A user instruction sheet is included with each lens set (See Page 4 of this summary), which instructs the user to clean the lenses immediately after used with warm soapy water. In addition, the instructions clearly state to only sterilize thoroughly cleaned instruments and to Steam or ETO sterilize the lenses prior to use according to AAMI or USP standards.

Packaging

The device is shipped in a high temperature plastic sterilization container, which contains a custom-molded cavity to secure the lenses and ring during sterilization.

Materials Used in Manufacture

Lenses - The lenses are manufactured from sapphire. Sapphire has been approved for use in ophthalmic devices since the mid-1980s with product code 86HNN and with the following 510(k)s: K853129 Rudolph Beaver Inc. Beaver Multipurpose Sapphire Knife. K860852 Med-Tech Development Corp. Sapphire Blade Surgical Knife. K861744 Keeler Instruments. Inc., Sapphire Knife Blade. These lenses are non-invasive and only contact the cornea during the surgical procedure whereas the sapphire knives are invasive and are used to make an entry into the cornea and actually enter the anterior chamber of the eve.

Sterilzation Container: Manufactured from high temperature plastic. The Ocular Instruments and DORC sterilization containers are also manufactured from high temperature plastic.

Lens Ring: Aluminum. Ocular Instruments, Grieshaber, and DORC all use aluminum for their lens rings

Page 3 Summary
Toll-FreeDirectFacsimileInternet
800-793-1473404-815-5233404-815-5235ftighe@americanmedicaldevices.com

3

Image /page/3/Picture/0 description: The image shows the logo for American Medical Devices, Inc. The logo consists of two parts: a square divided into two halves, with the left half being white and the right half being black, and the letters "AMDI" in bold black font on the square. To the right of the square is the text "AMERICAN MEDICAL DEVICES, Inc." in a bold, sans-serif font.

ENDOVIEW™ SAPPHIRE CONTACT LENS SET

USER, CLEANING AND STERILIZATION INSTRUCTIONS

THIS DEVICE IS NON STERILE

Device Description

The Endoview™ Sapphire Contact Lens Set consists of one sterilization container, one lens ring (either infusion or non-infusion), and one each of the following lenses: Plano Concave, Symmetric Concave-Concave, Asymmetric Concave-Concave, Prism 15° - Concave, Prism 30° Concave, and a Prism Concave-Concave Lens. The lenses, rings and sterilization container may be sold separately or as a set.

During vitreoretinal surgery, the surgeon requires the aid of a contact lens in order to visualize the posterior segment of the eye. First, the ring is sewn onto the sclera to hold the lens in place on the cornea. The customer has the option of choosing a ring with an infusion port, which eliminates the need for the surgeon to constantly place irrigant on the corneal. Once the ring is in place, the surgeon places one of the lenses in the ring in order to visualize the posterior segment of the eye. The surgeon changes the lenses during the case depending on where visualization is required. Most lenses on the market have been manufactured from quartz and high refractive index plastic because of their low cost and good refractive properties. However, these materials can be easily scratched, chipped and damaged during normal cleaning, handling and sterilization. Single Crystal Sapphire, on the other hand, is an ideal material for ophthalmic surgery because of its wide transmission band, extreme hardness and excellent chemical resistance.

Statement of indications for use. For magnification during vitreoretinal surgery.

CLEANING

Clean the lenses immediately after use with warm soapy water.

STERILIZATION THIS DEVICE IS NON STERILE.

Only sterilize the product after it has been thoroughly cleaned. ETO or steam sterilize the product prior to use according AAMI or USP Standards.

Summary Page 4
Toll-FreeDirectFacsimileInternet
800-793-1473404-815-5233404-815-5235ftighe@americanmedicaldevices.com

4

Image /page/4/Picture/0 description: The image shows the logo for American Medical Devices, Inc. On the left side of the logo, the letter "A" is in white on a black square, and the letters "MDI" are in black on a white square. To the right of the square logo, the words "AMERICAN MEDICAL DEVICES, Inc." are stacked on top of each other.

ENDOVIEW™ SAPPHIRE LENS SET CONTENTS

Trade or proprietary or model name

Model Number

1.EndoviewTM Sapphire Lens Set (Consisting of 1 each of the following)**600.00
2.EndoviewTM Flat Sapphire Lens (Machemer)600.01
3.EndoviewTM 15° Prism Sapphire Lens (Tolentino)600.02
4.EndoviewTM 30° Prism Sapphire Lens (Tolentino)600.03
5.EndoviewTM Biconcave Sapphire Lens (Landers)600.04
6.EndoviewTM Asymmetric Biconcave Sapphire Lens (de Juan)600.05
7.EndoviewTM 30° Biconcave Sapphire Lens (Woldoff,Tano)600.06
8.EndoviewTM Sapphire Lens Set Sterilization Container600.07
9.EndoviewTM Infusion Lens Ring**600.08
10.EndoviewTM Lens Ring**600.09

**The customer has the option of choosing the lens ring with or without infusion.

Summary Page 5
Toll-FreeDirectFacsimileInternet
800-793-1473404-815-5233404-815-5235ftighe@americanmedicaldevices.com

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG - 6 1997

American Medical Devices, Inc. c/o Mr. Frank |. Tighe 1100 Northside Drive Atlanta, GA 30318

Re: K971853 Trade Name: Endoview™ Sapphire Lens Set Regulatory Class: II Product Code: 86 HJK Dated: May 16, 1997 Received: May 20, 1997

Dear Mr. Tighe:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent to 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 (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS)inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Flectronic Product Radiation Control provisions, or other Federal laws or regulations.

6

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your-device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

A Rosyl Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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(510(k) Number (if known):

Device Name: Endoview™ Sapphire Lens Set

Indications for Use:

For magnification during vitreoretinal surgery.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel W. C. Brown, Ph.D.

Prescription Use ズ (Per 21 CFR 801.109) (Division Sign-Off) Division Ophthalmic Devices 510(k) Number

Over-The-Counter Use

(Optional Format 1-2-96)

| 1 011-1 rec

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