K Number
K974243
Device Name
KERATOME SYSTEM
Date Cleared
1998-01-20

(69 days)

Product Code
Regulation Number
886.4370
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Insight Technologies Instruments, Model K-1000 Keratome System is designed to produce a corneal flap.
Device Description
The model K-1000 keratome features a high speed, low torque nitrogen driven motor, which drives a reciprocating surgical blade will be a single-use, disposable device that will be filed under a separate 510k. The keratome head is preset to produce a corneal resection approximately 160 microns in depth with the corresponding blade insertion and flap diameter of approximately 10.0mm. The model K-1000 keratome system is battery operated and may also operate from its charger. The power unit provides on/off footswitch controls for the keratome head and drive assembly, and suction to the suction ring. Analog gauges located on the front panel of the unit indicate nitrogen pressure and suction level supplying the appropriate connectors.
More Information

Not Found

No
The device description focuses on mechanical components and controls (motor, blade, suction, gauges, footswitch) and does not mention any computational or algorithmic features indicative of AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" sections are explicitly marked as "Not Found".

Yes
The device is used to produce a corneal flap, which is a surgical alteration of the body, indicating a therapeutic purpose.

No
The device is a surgical keratome system designed to create a corneal flap, which is a therapeutic rather than a diagnostic function. It is used to prepare the eye for other procedures, not to diagnose a condition.

No

The device description explicitly details hardware components such as a motor, surgical blade, battery, power unit, footswitch controls, and analog gauges.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "produce a corneal flap." This is a surgical procedure performed directly on a patient's eye.
  • Device Description: The device is a surgical instrument (a keratome) used for cutting tissue.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, or tissue samples) outside of the body to provide information for diagnosis, monitoring, or screening. This device does not perform any such analysis of specimens.

This device is a surgical instrument used for a specific procedure on a living patient.

N/A

Intended Use / Indications for Use

The Insight Technologies Instruments, Model K-1000 Keratome System is designed to produce a corneal flap.

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

86 HMY

Device Description

The model K-1000 keratome features a high speed, low torque nitrogen driven motor, which drives a reciprocating surgical blade will be a single-use, disposable device that will be filed under a separate 510k. The keratome head is preset to produce a corneal resection approximately 160 microns in depth with the corresponding blade insertion and flap diameter of approximately 10.0mm.

The model K-1000 keratome system is battery operated and may also operate from its charger. The power unit provides on/off footswitch controls for the keratome head and drive assembly, and suction to the suction ring. Analog gauges located on the front panel of the unit indicate nitrogen pressure and suction level supplying the appropriate connectors.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

corneal

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)

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.

K970377, K935342

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 for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 886.4370 Keratome.

(a)
Identification. A keratome is an AC-powered or battery-powered device intended to shave tissue from sections of the cornea for a lamellar (partial thickness) transplant.(b)
Classification. Class I.

0

KCI14243

510K Summary Insight Technologies Instruments, LLC. Model K-1000 Keratome System

JAN 2 0 1998

Insight Technologies Instruments, LLC. 16 Higgins Drive Milford, CT 06460 Tel: 203-874-1832 Fax: 203-877-3762

Submitters Name:

Charles Vassallo

Charles Vassallo

22 Dec 97

Date

Ref: 510K Premarket Notification

To: Document Control Clerk:

This summary of 510K safety and effectiveness information is being submitted for the Insight This banninaly of of of of the more, which an equivalence determination could be based.

Trade/Proprietary Name:Model K-1000 Keratome System
Common/Usual Name:Keratome
Classification Name:Keratome
Establishment Registration Number:In process at FDA

Performance Standard:

Designed and tested following the suggested guidelines ANSI/AAMI ES1-1993. The low frequency leakage currents are well within the safe current limits for electromedical apparatus.

1

The Insight Technologies Instruments, LLC, Model K-1000 Keratome is simular in design construction, and function to the devices as marketed by:

  • Plancon Instruments, . ANTONY FRANCE 92160 Lamellar Keratoplastv System Model L.K.S. Reference 510k: K970377
  • S.C.M.D. Keratomes of Arizona. FTN. HILLS. AZ 85268 TurboKeratome System by SCMD Model MLK Reference 510k: K935342

Descriptive Comparison:

Refer to "Attachment 1" for similarities and differences between the Insight Technologies Instruments LLC, Model K-1000 and the above predicated instruments.

Characteristics:

The model K-1000 keratome features a high speed, low torque nitrogen driven motor, which drives a reciprocating surgical blade will be a single-use, disposable device that will be filed under a separate 510k. The keratome head is preset to produce a corneal resection approximately 160 microns in depth with the corresponding blade insertion and flap diameter of approximately 10.0mm.

The model K-1000 keratome system is battery operated and may also operate from its charger. The power unit provides on/off footswitch controls for the keratome head and drive assembly, and suction to the suction ring. Analog gauges located on the front panel of the unit indicate nitrogen pressure and suction level supplying the appropriate connectors.

Certification of Standards:

Insight Technologies Instruments certifies that the model K-1000 keratome will be manufactured according to ANSI/AAMIES 1-1993 "American National Standard for Electrical Safety" standard. It will also follow guidelines set by IEC 601-1, "Medical Electrical Equipment"

Certification of Safety and Effectiveness:

When used according to the manufacturers' instructions, there are no adverse safety indications for the model K-1000 keratome.

Components that come in direct contact with tissue are made of surgical stainless steels commonly found in other surgical devices. These components can be steam sterilized using gravity displacement at 250 degrees for 30 minutes

2

Directions for Use:

Insight Technologies Instruments will enclose an operator's manual with every system. The power unit stenciling is located on the front and rear panels identify the system indicators, controls, fuse, and connectors. Affixed to the rear panel will be a self-stick label identifying the input power requirements, model number, part number, and serial number.

Labeling:

The head and drive assembly labeling will consist of the company logo. The individual footswitches will be identified with a self-stick label.

Sterilization Methodology:

The user can sterilize the keratome head, turbine, stop ring, and suction ring using steam.

3

"Attachment 1"

Comparison Chart Insight Technologies Instruments, LLC. Model K-1000 Keratome System

CharacteristicITI Model K-1000PlanconS.C.M.D.
Turbine:Nitrogen GasNitrogen GasNitrogen Gas
Oscillatory Speed:14,000 rpm14,000 rpm14,000-20,000 rpm
Blade Direction:Oscillatory SidewaysOscillatory SidewaysOscillator Sideways
Blade Angle25°25°25°
Suction Ring:Single, 10.0mm3.5 to 10.5mm3.5 to 10.5mm
Console Dimensions:11 x 9 x 8 inches
(28 x 23 x 20cm)11.8 x 9.3 x 6.3 inches
(30 x 23.5 x 16cm)15 x 18 x 9 inches
(38 x 46 x 23cm)
Console Weight:20lbs (9kg)18lbs(8kg)19lbs (kg)
Mains Power Protection:3.15 amp, slo-blo fusenonenone
Input Voltage:12 volts DC12 volts DC12 volts DC
Charger:110 volts AC @ 60 Hz110 volts AC @ 60 Hz
100 volts AC @ 60 Hz110 volts AC 60Hz

. •

:

4

Image /page/4/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. In the center of the seal is a stylized image of an eagle with its wings spread, with three human profiles incorporated into the design of the eagle's body. The overall design is simple and conveys a sense of official authority.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 20 1998

Mr. Charles Vassallo Insight Technologies Instruments 16 Higgins Drive Milford, CT 06460

Re: K974243 Trade Name: Model K-1000 Keratome System Regulatory Class: I Product Code: 86 HMY Dated: November 10, 1997 Received: November 12, 1997

Dear Mr. Vassallo:

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 (for the indications for use stated in the enclosure) 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 Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Mr. Charles Vassallo

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 Ralph Rosenthal

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

Enclosure

6

Indications for Use Insight Technologies Instruments, LLC. Model K-1000 Keratome System

510(k) Number (if known):

Device Name: Model K-1000 Keratome System

The Insight Technologies Instruments, Model K-1000 Keratome System is designed to produce a corneal flap.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Denis L. M Carthy
(Division Sign-Off)
Division of Ophthalmic Devices
510(k) Number. __

Prescription Use ✓_ OR Over The Counter Use _
(Per 21 CFR 801.109) (Optional Format 1-2-96)