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510(k) Data Aggregation

    K Number
    K234037
    Date Cleared
    2024-02-09

    (50 days)

    Product Code
    Regulation Number
    886.1930
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K981432

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The CATS-L® Tonometer Prism is intended to be used with Goldmann type tonometers for the measurement of intraocular pressure of the human eye.

    Device Description

    The CATS-L Tonometer Prism is used as an optical image prism for Goldmann applanation style tonometers. The CATS-L prism is made of PMMA, the corneal contact diameter is 6.28 mm, and the total length of the prism is 29.28 mm.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study that proves the device meets them, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestStandardAcceptance CriteriaReported Device Performance
    Area of ApplanationANSI Z80.10-2018 A1.1Diameter of $3.06 \pm 0.02$ mmMet acceptance criteria
    Surface of Pressure Body – surface imperfectionsANSI Z80.10-2018 A1.2Free from surface imperfections that could damage the eyeMet acceptance criteria
    Surface of Pressure Body – DiameterANSI Z80.10-2018 A1.2Diameter minimum of 6.0 mmMet acceptance criteria
    Surface of Pressure Body – FlatnessANSI Z80.10-2018 A1.6Flat with a tolerance of 10 or fewer fringes over the 4-mm central diameterMet acceptance criteria

    2. Sample size used for the test set and the data provenance:

    • Sample Size: Five samples of the CATS-L tonometer prisms were evaluated.
    • Data Provenance: The document does not specify the country of origin. The study is described as "design verification bench testing," implying a prospective, controlled laboratory setting rather than retrospective patient data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    This information is not provided in the document. The testing described is bench testing against specified engineering standards, not a clinical study involving human experts establishing ground truth from patient data.

    4. Adjudication method for the test set:

    This information is not applicable as the testing was bench testing against engineering standards, not a clinical study requiring expert adjudication of results.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    A multi-reader multi-case (MRMC) comparative effectiveness study was not done. This device is a tonometer prism, which is a physical accessory for measuring intraocular pressure, not an AI or imaging diagnostic tool. Therefore, the concept of human readers improving with AI assistance is not relevant to this device.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    A standalone performance study of an algorithm was not done. This device is a physical medical device accessory, not a software algorithm. The "performance data" refers to bench testing of the physical properties against engineering standards.

    7. The type of ground truth used:

    The ground truth used was based on engineering standards specified in ANSI Z80.10-2018. Specifically, sections A1.1, A1.2, and A1.6 for various physical and optical properties of the tonometer prism.

    8. The sample size for the training set:

    This information is not applicable. This is a physical medical device, not an AI or machine learning model that requires a training set.

    9. How the ground truth for the training set was established:

    This information is not applicable as there is no training set for this device.

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    K Number
    K163343
    Manufacturer
    Date Cleared
    2017-03-21

    (112 days)

    Product Code
    Regulation Number
    886.1930
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K063873, K981432

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Icare HOME tonometer is a prescription device intended as an adjunct to the routine clinical monitoring of intraocular pressure (IOP) of adult patients.

    Device Description

    The Icare HOME Tonometer is a home-use handheld, battery operated device. The Icare HOME tonometer technology is based on the previously cleared Icare tonometer model TA011 (K063873), which has been commercially distributed in the United States, Europe and many other countries worldwide. The measurement method, the measurement algorithm and technology of the two models are identical and both models use the same disposable probe tip. The Icare HOME tonometer utilizes the rebound method to measure intraocular pressure. A small (1.8 mm diameter), light (26.5 mg), sterile, single-use probe tip makes brief and gentle contact with the eye. The device measures the deceleration of the magnetized probe and the rebound time during contact with the eye and calculates the IOP from these parameters. Deceleration of the probe is slower at low IOP compared to high IOP. A single measurement sequence includes six measurements for both measurement modes. The probe moves to the cornea and returns to the neutral position during each of the six measurements. After the six measurements the tonometer calculates the final IOP and stores it with other information in the tonometer's memory, including date, time, eye identification (right or left) and measurement quality i.e., the standard deviation of the six individual measurements. The Icare HOME Tonometer can record over one thousand measurement results. The physician can transfer this recorded measurement information to a computer through a USB cable.

    AI/ML Overview

    Here's an analysis of the provided text, extracting information related to acceptance criteria and the study proving the device meets them:

    Device: Icare HOME Tonometer (K163343/S001)
    Intended Use: Prescription device intended as an adjunct to the routine clinical monitoring of intraocular pressure (IOP) of adult patients.


    1. Table of Acceptance Criteria and Reported Device Performance

    The provided document doesn't explicitly state "acceptance criteria" in a tabulated format with pass/fail. Instead, it describes various tests and their "acceptable" outcomes. I've extrapolated these into a table based on the success statements. Note that some criteria are qualitative (e.g., "acceptable", "meets standards"), reflecting the regulatory language.

    Aspect TestedAcceptance Criteria (Implicitly Stated)Reported Device Performance
    Bench Performance - Accuracy (vs. Manometer)Differences between Icare HOME tonometer and manometer values at each pressure should be less than +/- 3 mmHg.Differences were less than +/- 3 mmHg across the range.
    Bench Performance - Precision (Standard Deviation)Standard deviations and coefficients of variation should be consistently low.Standard deviations and coefficients of variation for each Icare Home tonometer were consistently low (0-8%) across the measurement range, specifically 16 to
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    K Number
    K060780
    Device Name
    TONOMETER DIATON
    Date Cleared
    2006-04-06

    (15 days)

    Product Code
    Regulation Number
    886.1930
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K981432, K021937

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Diaton Tonometer is intended to measure intraocular pressure (IOP). The device is intended for use as an aid in the diagnosis of glaucoma and for monitoring IOP.

    Device Description

    Tonometer diaton. This new IOP measuring method through the eyelid in the sclera area, unique to our device, eliminates completely any effect on the mucous eye membrane.

    AI/ML Overview

    Here's an analysis of the provided text regarding the Diaton Tonometer, focusing on acceptance criteria and the study that proves the device meets those criteria:

    Diaton Tonometer Acceptance Criteria and Performance Study

    The provided document describes the predicate device comparison and technological characteristics but does not explicitly define quantitative acceptance criteria for the Diaton Tonometer's performance in a standalone study. Instead, the "Conclusion" section states that the "results of the comparison medical tests of Tonometer diaton and Goldmann tonometer demonstrated their high coincidence degree in the whole range with the compared devices." This suggests that the acceptance criteria were based on demonstrating substantial equivalence to the predicate device (Goldmann Manual Tonometer) in terms of IOP measurement accuracy.

    Given the information, we can infer the reported device performance and the implicit acceptance criteria based on its equivalence to the Goldmann Tonometer.


    1. Table of Acceptance Criteria and Reported Device Performance

    Parameter/CriteriaAcceptance Criteria (Inferred from Substantial Equivalence to Goldmann Tonometer)Reported Device Performance
    IOP Measurement AccuracyHigh coincidence with Goldmann Manual Tonometer across its measurement range."The results of the comparison medical tests of Tonometer diaton and Goldmann tonometer demonstrated their high coincidence degree in the whole range with the compared devices. We achieved the same results from all devices." (This implies a level of accuracy comparable to the Goldmann Tonometer, which is the gold standard).
    Measurement RangeComparable to or suitable for clinical needs (5-60 mmHg specified).5-60 mm Hg
    Time of Single MeasurementEfficient for clinical use.3 seconds (not more)
    Painless diagnosticsYesAchieved without anesthetics and antiseptics
    Elimination of infection riskYesAchieved
    Independence from cornea's crookednessYesAchieved
    Evaluation of IOP in patients after corneal operationsYesAchieved
    IOP measurement in childrenYesAchieved
    Monitoring of Glaucoma treatmentYesAchieved

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the sample size of patients or eyes used in the "comparison medical tests." It vaguely refers to "medical tests."

    Data Provenance: The company is based in Ryazan, Russia (Ryazan State Instrument-Making Enterprise), so it's highly probable the study data originated from Russia. The document does not specify if the study was retrospective or prospective, but clinical comparison tests are typically prospective.


    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    The document refers to "comparison medical tests" where the Diaton Tonometer was compared to the Goldmann Tonometer. The Goldmann Tonometer is considered the clinical gold standard for IOP measurement. While it doesn't explicitly state "experts" establishing ground truth, the comparison implies that the Goldmann measurements served as the reference standard, which would typically be performed by trained ophthalmologists or technicians.

    Qualifications of Experts: Not specified. However, for a Goldmann Tonometer, the measurements are performed by trained personnel, likely ophthalmologists, optometrists, or ophthalmic technicians.


    4. Adjudication Method for the Test Set

    The document does not describe any specific adjudication method for the test set. It simply states that the results of the Diaton Tonometer were compared to those of the Goldmann Tonometer.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No, an MRMC comparative effectiveness study is not mentioned. The study described is a comparison study between the Diaton Tonometer and a predicate device (Goldmann Tonometer) for direct measurement. It does not evaluate how human readers improve with or without AI assistance, as the Diaton Tonometer itself is a measurement device, not an AI-assisted diagnostic tool for human readers.


    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was Done

    Yes, the study described is essentially a standalone performance assessment of the Diaton Tonometer. It measures the device's ability to determine IOP independently and then compares those measurements to a predicate device. The device provides an objective reading on an LCD screen without requiring human interpretation other than reading the displayed value.


    7. The Type of Ground Truth Used

    The ground truth used was the measurement obtained from the Goldmann Manual Tonometer. The Goldmann Tonometer is widely considered the clinical gold standard for intraocular pressure measurement. Therefore, the ground truth is based on a clinical gold standard measurement.


    8. The Sample Size for the Training Set

    The document does not mention a separate "training set" or "training data." As this is a medical device for direct measurement rather than an AI/machine learning algorithm requiring training, the concept of a training set is not applicable in the context described. The focus is on the performance of the device itself (hardware and its embedded algorithm, if any) against a known standard.


    9. How the Ground Truth for the Training Set Was Established

    As noted in point 8, there is no mention of a "training set" in the context of this device. Therefore, how its ground truth was established is not applicable. The device's measurement mechanism and calibration would have been established during its development and manufacturing, but this is distinct from establishing ground truth for a dataset used to train an AI model.

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