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The CardioOptics Augmentative Cardiac Optical Imaging System is intended to image and onical structures within the chambers of the heart and great vessels. The system is to be used in conjunction with fluoroscopic imaging. The system is also indicated for accessing the coronary sinus for pacemaker lead implantation. The system includes visualization means to image anatomical structures to augment navigation into the coronary sinus.

The CardioOptics Augmentative Cardiac Optical Imaging System is composed of a single-use catheter, accessories, and an Image Acquisition System. The system incorporates infrared light (IR) technology to provide visualization through flowing blood. This submission modifies the indications for use originally cleared in 510(k) No. K050808 to include visualization of the cardiac chambers and great vessels.

The CardioOptics Coronary Sinus Access (CSA™) System is intended to provide subclavian access to the right heart for accessing the coronary sinus and placing a quide sheath suitable for pacemaker lead implantation into the coronary sinus. The system includes visualization means to image anatomical structures to augment navigation.

The Coronary Sinus Access (CSA™) System provides a catheter and sheath system for providing percutaneous access to the coronary sinus. In addition, the catheter provides visualization to augment the user's ability to locate the coronary sinus for placement of a guide sheath. The system includes a sterile, single use Coronary Sinus Access Kit, which includes a deflecting tip catheter with visualization capability (FLAIR™ CS Catheter), a Guide Sheath Set including a dilator and sheath slitters, and a Sterile Sleeve to drape over the camera pod. The system also includes an Imaging Acquisition System to collect and display video images present in front of the catheter tip.

The KSEA Fiberscope is indicated for use to provide visualization of the pericardium and cardiac chambers during endoscopic heart surgery procedures.

The KSEA Fiberscope is a manually operated surgical device. The KSEA Fiberscope is flexible fiberoptic telescope which utilizes fiber-optic technology.

The Smith & Nephew Vascular VideoEndoscope is indicated for use in subcutanous endoscopy, specifically for endocopically gaining access to, ligating and/or harvesting vessels within the subcutaneous and subfascial surgical planes in the lower extremities.

The proposed Smith & Nephew Vascular VideoEndoscope is designed in an "L" shaped configuration as to have the horizontal optical train and working channel as the part that is introduced into the leg and the vertical shaft as a handle. The connecting cables and tubing are conveniently located far from the leg to minimize any interference with the surgeon's hand movements. The function of the Smith & Neohew Vascular VideoEndoscope is to create and maintain a subfascially working space, provide visualization of the working space, and provide access to hand instruments to the working space. The attachments utilize the same locking feature located on the endoscope which allows the Smith & Nephew Vascular VideoEndoscope to be used as a multi-purpose device.

The angioscopic valvulotome kit is intended to be used for venous valve incision and intravascular tributary identification during vein preparation for in-situ bypass.

The angioscopic valvulotome kit, intended to be used for venous valve incision and intravascular tributary identification during vein preparation for in-situ bypass, consists of commercially available components cleared under previous and/or separate 510k premarket notifications: the GORE EZE-Sit Valvulotome, an angioscope, and an irrigation system. All kit components will be used within their labeled and FDA-cleared indications; the only difference is that GORE will write a single Instructions for Use document to facilitate surgical use.