K Number
K983567
Device Name
IMAGE TECHNOLOGIES STERICAM, COUPLER-DRAPE AND TROVIEW IMAGING SYSTEM
Manufacturer
Date Cleared
1999-01-07

(86 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Image Technologies Corporation SteriCam and TroView Imaging System consists of a CCD camera, coupler and a computer-based documentation system. The SteriCam is intended to attach to a standard commercially available endoscope for visualization of body cavities, hollow organs, and canals. The System includes a Coupler-Drape Assembly which is intended to couple the SteriCam to a standard commercially available endoscope. The TroView System is intended to provide documentation/storage of the image in the field of view of the SteriCam.
Device Description
The Image Technologies Corporation's SteriCam, SteriCam Coupler-Drape and TroView Imaging System consists of a CCD camera, coupler and a computer based documentation system. The SteriCam takes the image that normally would be seen by the naked eye, and displays it on a color monitor. The SteriCam provides imaging through standard commercially available endoscopes and is designed to be used with the sterile SteriCam Coupler-Drape. The Coupler-Drape includes a sterile drape component. The SteriCam is placed within the sterile drape of the Coupler-Drape to prevent contamination in the sterile field. The video signal cable connects the SteriCam to the TroView Documentation System. The SteriCam Coupler-Drape's distal end attaches to the eyepiece of a conventional endoscope and uses the SteriCam CCD camera to display the image on the computer monitor. The SteriCam Coupler-Drape simply connects the conventional endoscope to the SteriCam. The SteriCam Coupler-Drape is sterile and includes the drape so that the non-sterile SteriCam Camera and cable are covered during the surgical procedures. Although the SteriCam Coupler-Drape attaches to various endoscopes, it is designed to be used only with the SteriCam camera. The TroView System is a non-sterile reusable unit that is intended to provide real time image displays as well as storage of the image in the field of view of the SteriCam. As the TroView receives and displays the SteriCam digitized video output, the images can be adjusted for brightness, hue, contrast and saturation. The TroView System allows for printing to a dedicated printer or saving the image in to a 1.44 MB 3.5" floppy disk or other storage medium. A software based zoom is also permitted. A sterile disposable Remote Controller is also offered with the TroView System which permits remote control access to key camera and computer functions. The Remote Controller looks and performs identically to the controller pad located on the faceplate of the computer. The physician is able to place the sterile Remote Controller in the sterile field whereas the faceplate of the computer is non-sterile and situated outside the sterile field.
More Information

Not Found

Not Found

No
The description focuses on basic image capture, display, and storage with standard image adjustments (brightness, hue, contrast, saturation) and a software zoom. There is no mention of algorithms that learn from data or perform complex analysis, which are characteristic of AI/ML.

No.
The device is described as an imaging system intended for visualization and documentation of body cavities, hollow organs, and canals via an endoscope. There is no mention of it providing treatment or therapy.

No

The device is an imaging system designed for visualization and documentation of body cavities, hollow organs, and canals via an endoscope. It displays and stores images but does not perform any diagnostic analysis or interpretation on these images.

No

The device description explicitly includes hardware components such as a CCD camera, coupler, and a computer-based documentation system, in addition to software.

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

Here's why:

  • Intended Use: The intended use is for visualization of body cavities, hollow organs, and canals using an endoscope and for documentation/storage of these images. This is a direct visualization and documentation system for internal anatomy.
  • Device Description: The device captures and displays images from an endoscope. It processes these images for display and storage.
  • Lack of In Vitro Testing: There is no mention of the device being used to examine specimens in vitro (outside of the body), such as blood, tissue samples, or other bodily fluids. IVDs are specifically designed for testing these types of samples to provide diagnostic information.

The device is a medical imaging and documentation system used in vivo (within the body) during endoscopic procedures.

N/A

Intended Use / Indications for Use

The Image Technologies Corporation's SteriCam, Coupler-Drape and TroView Imaging System consists of a CCD camera, coupler and a computer-based documentation system. The SteriCam is intended to attach to a standard commercially available endoscope for visualization of body cavities, hollow organs, and canals. The SteriCam Coupler is intended to couple the SteriCam to the standard commercially available endoscope. The TroView System is intended to provide documentation/storage of the image in the field of view of the SteriCam camera.

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

GCJ

Device Description

The Image Technologies Corporation's SteriCam, SteriCam Coupler-Drape and TroView Imaging System consists of a CCD camera, coupler and a computer based documentation system. The SteriCam takes the image that normally would be seen by the naked eye, and displays it on a color monitor. The SteriCam provides imaging through standard commercially available endoscopes and is designed to be used with the sterile SteriCam Coupler-Drape. The Coupler-Drape includes a sterile drape component. The SteriCam is placed within the sterile drape of the Coupler-Drape to prevent contamination in the sterile field. The video signal cable connects the SteriCam to the TroView Documentation System.

The SteriCam Coupler-Drape's distal end attaches to the eyepiece of a conventional endoscope and uses the SteriCam CCD camera to display the image on the computer monitor. The SteriCam Coupler-Drape simply connects the conventional endoscope to the SteriCam. The SteriCam Coupler-Drape is sterile and includes the drape so that the non-sterile SteriCam Camera and cable are covered during the surgical procedures. Although the SteriCam Coupler-Drape attaches to various endoscopes, it is designed to be used only with the SteriCam camera.

The TroView System is a non-sterile reusable unit that is intended to provide real time image displays as well as storage of the image in the field of view of the SteriCam. As the TroView receives and displays the SteriCam digitized video output, the images can be adjusted for brightness, hue, contrast and saturation. The TroView System allows for printing to a dedicated printer or saving the image in to a 1.44 MB 3.5" floppy disk or other storage medium. A software based zoom is also permitted.

A sterile disposable Remote Controller is also offered with the TroView System which permits remote control access to key camera and computer functions. The Remote Controller looks and performs identically to the controller pad located on the faceplate of the computer. The physician is able to place the sterile Remote Controller in the sterile field whereas the faceplate of the computer is non-sterile and situated outside the sterile field.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

body cavities, hollow organs, and canals

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)

Image Quality testing was performed on the SteriCam, Coupler-Drape, and TroView System using the USAF 1951 Test Target designed to MIL-STD-150. The results showed that the TroView System resulted in a resolution of 3.17 lines per mm, which is comparable to that of the predicate devices.

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

Resolution: 3.17 lines per mm

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.

Not Found

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

§ 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

7 1999 .IAN

K983567

510(k) Summary Image Technologies Corporation SteriCam, Coupler-Drape and TroView System

1. SPONSOR

Image Technologies Corporation 27 Wormwood Street Boston, MA 02210-1625 Telephone: 617-428-7595 Facsimile: 617-428-7599

Contact Person: Lunn Sawyer

Date Prepared: October 9, 1998

DEVICE NAME 2.

Classification Name: Endoscopes and accessories, 21 CFR 876.1500 TroCam/TroView Endoscopy System Proprietary Name:

3. INTENDED USE

The Image Technologies Corporation's SteriCam, Coupler-Drape and TroView Imaging System consists of a CCD camera, coupler and a computer-based documentation system. The SteriCam is intended to attach to a standard commercially available endoscope for visualization of body cavities, hollow organs, and canals. The SteriCam Coupler is intended to couple the SteriCam to the standard commercially available endoscope. The TroView System is intended to provide documentation/storage of the image in the field of view of the SteriCam camera.

4. DEVICE DESCRIPTION

The Image Technologies Corporation's SteriCam, SteriCam Coupler-Drape and TroView Imaging System consists of a CCD camera, coupler and a computer based documentation system. The SteriCam takes the image that normally would be seen by the naked eye, and displays it on a color monitor. The SteriCam provides

1

imaging through standard commercially available endoscopes and is designed to be used with the sterile SteriCam Coupler-Drape. The Coupler-Drape includes a sterile drape component. The SteriCam is placed within the sterile drape of the Coupler-Drape to prevent contamination in the sterile field. The video signal cable connects the SteriCam to the TroView Documentation System.

The SteriCam Coupler-Drape's distal end attaches to the eyepiece of a conventional endoscope and uses the SteriCam CCD camera to display the image on the computer monitor. The SteriCam Coupler-Drape simply connects the conventional endoscope to the SteriCam. The SteriCam Coupler-Drape is sterile and includes the drape so that the non-sterile SteriCam Camera and cable are covered during the surgical procedures. Although the SteriCam Coupler-Drape attaches to various endoscopes, it is designed to be used only with the SteriCam camera.

The TroView System is a non-sterile reusable unit that is intended to provide real time image displays as well as storage of the image in the field of view of the SteriCam. As the TroView receives and displays the SteriCam digitized video output, the images can be adjusted for brightness, hue, contrast and saturation. The TroView System allows for printing to a dedicated printer or saving the image in to a 1.44 MB 3.5" floppy disk or other storage medium. A software based zoom is also permitted.

A sterile disposable Remote Controller is also offered with the TroView System which permits remote control access to key camera and computer functions. The Remote Controller looks and performs identically to the controller pad located on the faceplate of the computer. The physician is able to place the sterile Remote Controller in the sterile field whereas the faceplate of the computer is non-sterile and situated outside the sterile field.

5. PERFORMANCE TESTING

Image Quality testing was performed on the SteriCam, Coupler-Drape, and TroView System using the USAF 1951 Test Target designed to MIL-STD-150. The results showed that the TroView System resulted in a resolution of 3.17 lines per mm, which is comparable to that of the predicate devices.

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

7 1999 JAN

Mary McNamara-Cullinane, RAC Staff Consultant Medical Device Consultants, Inc. 49 Plain Street North Attleboro, Massachusetts 02760

K983567 Re:

Trade Name: Image Technologies SteriCam, Coupler-Drape and TroView Imaging System Regulatory Class: II Product Code: GCJ Dated: October 9, 1998 Received: October 13, 1998

Dear Ms. McNamara-Cullinane:

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 requirement, as set forth in the Quality System Regulation (OS) 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.

3

Page 2 - Ms. Mary McNamara-Cullinane, RAC

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) 594-4595. 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,

Celia M. Witten, Ph.D., M.D.
Director
Division of General and
Restorative Devices
Office of Device Evaluation

Center for Devices and Radiological Health

Enclosure

4

0(k) Number (if known): 1983567

Image Technologies SteriCam, Coupler-Drape and TroView Imaging Device Name: System

Indications For Use:

The Image Technologies Corporation SteriCam and TroView Imaging System consists of a CCD camera, coupler and a computer-based documentation system. The SteriCam is intended to attach to a standard commercially available endoscope for visualization of body cavities, hollow organs, and canals. The System includes a Coupler-Drape Assembly which is intended to couple the SteriCam to a standard commercially available endoscope. The TroView System is intended to provide documentation/storage of the image in the field of view of the SteriCam.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use Over-The-Counter Use (Per 21 CFR 801.109) (Division Sign-Off) Division of General Restorative Devices 1983356 510(k) Number

Image Technologies Corporation 510(k) 10/9/98 SteriCam, Coupler-Drape, and TroView System

CONFIDENTIAL