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Opiovue iVue 510(K) PremarketNoti~fication
Optovue, Incorporated iVue
APR 2 2 2010
This 510(k) summary for the iVue is submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92 General Information Manufacturer: Optovue, Inc. 45531 Northport Loop West, Fremont, CA 94538 Phone: (510) 623-8868 Fax: (510) 623-8668 Registration No.: 3005950902 Azirmun Jamal Regulatory Manager Optovue, Inc. Phone: (510)623-8868 x1 88 e-mail: azirnunjamal~optovue.com
Device Information Classification: Trade Name: Common Name: Classification Name: Predicate Devices (1) RTVue (K062552) (2) CA (K071250) Intended Use The iVue is an optical coherence tomography system indicated for the in vivo imaging and measurement of the retina, retinal nerve fiber layer, optic disc, cornea, and anterior chamber of the eye as an aid in the diagnosis and management of ocular diseases. Class 11 iVue Optical Coherence Tomography (OCT) Ophthalmoscope, a-c powered (21 CFR§ 886.1570)
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Optovue iVue S 10(K) Premarket Notification
ivue is a modification of its predicate device RTVue (K062552). The intent of use, system performance, majority sub-assemblies, and key components of the iVue are all the same as RTVue. The intention of this redesign is to make the size of the iVue more compact and more affordable. iVue also has a cornea lens adapter, like the predicate device CA (K071250), which can be attached to the front of the instrument to enable the iVue to image the cornea and anterior chamber of the eye. iVue, based on the same Optical Coherence Tomography (OCT) technology that is using in the predicate device RTVue (K062552) and CA (K071250), is a non-invasive diagnostic device for viewing the ocular tissue structure with micrometer range resolution. Both iVue and RTVue are designed and manufactured by Optovue Inc. A brochure of the RTVue and CA system is in appendices [I]. Like RTVue, iVue is a computer controlled ophthalmic imaging system. RTVue uses a desktop computer while iVue uses a laptop computer. The device scans a patient's eye and uses a low coherence interferometer to measure the reflectivity of the retinal tissue. The cross sectional retinal tissue structure is composed of sequence of A-scans. It has a traditional patient and instrument interface like most ophthalmic devices. The patient will rest their head on the forehead and chin rest while the operator uses joystick to align the device to patient's eye. The computer has a graphic user interface for acquiring and analyzing the image. iVue also has similar scan patterns and analysis functions as used in RTVue. Safety The power of the scanning beam entering into patient's pupil is at same level as predicate devices. There is no change in the safety from previously submitted devices, the RTVue (K062552) and CA (K071250). A copy of the previous safety analysis for RTVue is attached in the Appendix [2]. The analysis was completed by an international recognized expert in the field of optical radiation hazards and safety, Dr. Dave Sliney. Effectiveness The predicate device has been routinely used in clinic. Numerous clinical papers and data have been published over last 2 years. Since there is no performance change, the effectiveness in clinical use is the same as predicate devices. A clinical comparison report and the IRB approved test protocol are attached in the premarket notification. Substantial Equivalence The iVue is substantially equivalent to the predicate devices identified previously. The iNue is substantially equivalent to the predicate devices with regard to intended use, operating principle, function, material, and energy source. The only difference from the predicate device is that the iVue is more compact in size.
Performance Data (a) Non-clinic tests:
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Optovue iVue 5 10(K) Premarket Notification
The iVue has had accuracy tests, optical emission safety analysis, electrical safety, electromagnetic
compatibility test, and software validation tests. (b) Clinical tests: Description of Precision Study. Subject Selection Criteria and Pathologies Instruments: Two types of Fourier Domain OCT devices were used in the study. The iVue device is a new OCT device and is compared to the predicate device, the RTVue. For the study, three iWues were paired with three RTVues with three different operators and results were compared in normal eyes, and eyes with retina pathology, cornea pathology, and glaucoma. Scans: The iWue device has three scan patterns optimized to evaluate three ocular pathologies, namely, i) Cornea scan, ii) Retina scan, and iii) Glaucoma scan. These scan patterns were compared to three equivalent RTVue scans, i) Pachymetry scan, ii) EMMS scan, and iii) ONH scan, respectively. The measurements and parameters calculated from these respective scans were the same. Both eyes were scanned in each subject. Subjects: Four types of subjects were enrolled in the study at two clinical sites, namely I) normal healthy eyes with no ocular pathology, 2) glaucoma patients, 3) retina patients, and 4) cornea patients. Normal subjects were free from ocular pathology as determined by the Principal Investigator (PI) at each clinical site. Glaucoma patients were diagnosed as having glaucoma by the PI at each site. Retina patients included subjects with any type of retina pathology diagnosed by the PI. Retina pathologies included but were not limited to, AMD, DME, and ERM. Cornea patients included subjects with any type of cornea pathology as diagnosed by the PI, or cornea alteration including LASIK. There were 4 normal subjects, 4 cornea patients, 4 retina patients, and 4 glaucoma patients enrolled for each pair of iVue and RTVue devices. There were 3 pairs of iVue and RTVue devices at 2 clinical sites. At one site, there were 2 iVues systems, 2 RTVues systems and 2 operators at different times. In total, there were 16 subjects enrolled for each of the 3 pairs of iVue and RTVue devices; a total of 48 subjects were included in the study. Selection Criteria: All data was carefully reviewed for completeness and quality in two levels, namely, the subject level and the individual scan level. At the subject level, the CRF was carefully reviewed to qualify each subject against all inclusion and exclusion criteria by comparing the study protocol with the CRE. At the individual scan level, the data was reviewed for quality to ensure data meeting inclusion criteria was accepted. In a clinical environment, only scans with acceptable quality should be used. In order to match our analysis with acceptable clinical results, we reviewed and excluded all scans in the study with poor image quality. Image quality is based on a number of factors, including overall signal strength, localized weak signals, eye blink, data out of boundary, and data off-center. Due to the selection criteria, the sample size for each scan type varies. Precision Results
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The following tables provide the precision results for the iVue scans. The data in the table includes the number of scans per subject group, the overall mean, the standard deviation, the repeatability standard deviation (Median value of subfields with the minimum subfield value and the maximum subfield value), and reproducibility standard deviation (Median value of subfields with the minimum subfield value and the maximum subfield value). i) Glaucoma Scan Results (Normals and Glaucoma Patients)
The following table shows the overall precision results with the Glaucoma scan for average RNFL thickness for normals and glaucoma patients.
Avg RNFL It of Scans Mean (Overall SD) SD* (Min, Max) Reproducibility SD** (Min, Max) estimate
-Overall -Repeatability
Normal Patients 72 100.26 (8.32) 1.30 (1.30, 1.30) 1.30 (1.30, 1.30)
Glaucoma Patients 65 85.94 (14.40) 1.09 (1.09, 1.09) 7.03 (7.03, 7.03)
*efraeof the standard deviation among measurements taken on the same subject using the same operator and devcein hesame testing session with repositioning. **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites. The following table shows the overall precision results with the Glaucoma scan for the average of 16 sectors for normals and glaucoma patients.
16 RNFL Sectors # of Scans Overall Mean (Overall SD) Repeatability SD* (Min, Max) Reproducibility SD** (Min, Max)
Normal Patients 72 100.26 (16.33) (3.74, 5.82) 5.29 (4.27, 14.04)
GlauoaPtes 65 85.94 (18.68) 3.58 (3.58, 6.13) 7.56 (3.58, 17.32)
*estimate of the standard deviation among measurements taken on the same subject using the same operator and device in the same testing session with repositioning **estimnate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites. ii) Retina Scan Results (Normals, Retina Patients and Glaucoma Patients) The following table shows the overall precision results with the Retina scan for full retinal thickness in the fovea for normals, retina patients, and glaucoma patients (since inner retinal layer is affected by the disease of glaucoma, the precision results of retina scan on glaucoma patients are produced below).
Full Retina Fovea Iof Scans Overall Mean (Overal SD Repeatabilit SD* (Min, Max) Reproducibility SD** (Min, Max)
Normal Patients 72 247.00 (26.03) 2.54 (2.54, 2.54) 17.41 (17.41, 17.41)
Retina Patients 71 269.28 (70.95) 4.41 (4.41, 4.41) 13.73 (113.73, 13.73)
Platients 67 247.93 (21 ,20) 3.33 (3.33, 3.33) 3.3(3333)
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Optovue i Vue 5 10(K) Premarket Notification
*estimate of the standard deviation among measurements taken on the same subject using the same operator and device in the same testing session with repositioning &quot;*estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the reproducibility estimates were impacted by mean thickness difference between subjects in different sites. The following table shows the overall precision results with the Retina scan for full retinal thickness in the periphery (average over 8 sectors outside the fovea) for normals, retina patients, and glaucoma patients. Full Retina Peripheral Normal Patients Retina Patients Platients
67 71 72 #of Scans 281.55 (24.90) 298.35 (30.99) 295.03 (16.95) Overall Mean (Overall SD) 2.24 (2.24, 3.33) 2.60 (2.60, 4.1 1) 1.89 (1.89, 3.04) Repeatability SD* (Min, Max) 2.99 (2.24, 8.95) 3.1 8 (2.60, 4.1 1) (1.89, 10.10) Reproducibility SD** (Min, Max) *estimate of the standard deviation among measurements taken on the same subject using the same operator and device in the same testing session with repositioning **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites.
The following table shows the overall precision results with the Retina scan for inner retinal thickness in the fovea for normals, retina patients, and glaucoma patients. Inner Retina Fovea Normal Patients Retina Patients Glaucoma Patients
67 71 72 #ofScans 72.35 (10.28) 77.88 (20.64) 72.91 (14.36) Overall Mean (Overall SD) 1.99 (1.99, 1.99) 3.14 (3.14, 3.14) 2.94 (2.94, 294) Repeatability SID* (Min, Max) 1.99 (1.99, 1.99) 3.14 (3.14, 3.14) 8.96 (8.96, 8.96) Reproducibility SD** (Min, Max) *estimate of the standard deviation among measurements taken on the same subject using the same operator and device in the same testing session with repositioning **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the reproducibility estimates were impacted by mean thickness difference between subjects in different sites. The following table shows the overall precision results with the Retina scan for inner retinal thickness in the periphery (average over 8 sectors outside the fovea) for normals, retina patients, and glaucoma patients. NrmalPatints InnerRetia Peipheal atients Inner Rtina PeipheralNormal Glaucoma etin Patents Retina atientsPatients
67 71 72 #ofScans 1673 (12.05) 117.37 (13.83) 118.01 (9.37) SD) Overall Mean (Overall 1.88 (1.88, 2.83) 1.91 (1.91, 3.41) 1.45 (1.45, 2.82) Repeatability SWJ Mma, Mx 2.37 (1.88, 2.83) 3.26 (1.91, 5.20) 3.19 (2.22, 5.32) D** (Min, Max) Reprloduciiit the same operator and *estimate of the standard deviation among measurements taken on the same subject using device in the same testing session with repositioning **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites.
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Optovue iVue S510(K) Premnarket Notification
iii) Cornea Scan Results (Normals and Cornea Patients) The following table shows the overall precision results with the Cornea scan for central 0-2 mm cornea thickness for normals and cornea patients. Cornea Patients Normal Patients Central Cornea 0-2 mm 72 70 of Scans 531.80 (48.20) 549.83 (20.85) Mean (Overall SD) 3.58 (3.58, 3.58) 1.71 (1.71, 1.71) Repeatability SD* (Min, Max) 14.52 (14.52, 14.52) 1.71 (1.71, 1.71) esiaeReproducibility SD** (Min, Max) among measurements taken on the same subject using the same operator and *siaeof the standard deviation device in the same testing session with repositioning **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites.
-# -Overall
The following table shows the overall precision results with the Cornea scan for 2-5 mm cornea thickness measurements for normals and cornea patients. Cornea Patients Normal Patients Cornea 2-5 mm 72 70 # of Scans 559.10 (49.50) 569.23 (22.10) Overall Mean (Overall SD) 5.27 (5.27, 7.79) 2.42 (2.42, 5.44) Repeatability STY (Min, Max) 21.38 (14.29, 29.19 (2.42, 5.44) 4.04 Reproducibility SD** (Min, Max) *'estimate of the standard deviation among measurements taken on the same subject using the same operator and device in the same testing session with repositioning **estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites. The following table shows the overall precision results with the Cornea scan for 5-6 mm cornea thickness measurements for normals and cornea patients. Cornea 5-6 mm Normal Patients Cornea Patients ]
72 70 559.81 (49.69) 590.93 (24.55) Overall Mean (Overall SD) 6.50 (6.50, 11.72) 3.63 (3.63, 7.55) Repeatability SD* (Min, Max) 24.31 (13.97, 38.47) 7.55) 5.77 (3.63, Reproducibility SD** (Min, Max) *estimate of the standard deviation among measurements taken on the same subject using the same operator and
~#of Scans
device in the same testing session with repositioning
**estimate of the standard deviation among measurements taken on different subjects using different operators and devices, including repeatability; in some cases the maximum reproducibility estimates were impacted by mean thickness difference between subjects in different sites. Agreement Results The following tables provide the overall agreement results for the iVue scans compared to the RTVue scans. The data in the table includes the overall mean differences averaged across all measurements for that scan pattern (with the minimum and maximum differences provided in parentheses) and the
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standard deviation of the differences (with the minimum and maximum standard deviations provided in parentheses).
Glaucoma LOA Results
The following table shows the overall agreement results for average RNFL thickness measurement in the iVue Glaucoma scan and the RTVue ONH scan for normals and glaucoma patients.
IAvg RNFL
Mean Differences (Min, Max) Estimated STDEV (Min, Max)
Normal Patiet -0.55 (-0.61, -0.49) 2.25 (2.12, 2.38)
luoaPtet -0.52 (-0.87, -0.18) 1.74 (1.71, 1.76)
The following table shows the overall agreement results for the 16 sector RNFL thickness measurement in the iVue Glaucoma scan and the RTVue ONH scan for normals and glaucoma patients. 116 RNFL Sector Averages Differences Mean Mm, Max-0.55 Estimated STDEV (Min, Max) Normal Patients (-8.00, 4.49) 8.16 (6.26, 11.01)
IGlaucoma Patient~s
-0.53 (-7.19, 4.25) 7.61 (5.01, 10.39)
ii) Retina LOA Results The following table shows the overall agreement results for full retina fovea thickness measurement in the iVue Retina scan and the RTVue BMMS scan for normals, glaucoma patients, and retina patients Full Retina Fovea Differences Mean Mm, Max2.64 Estimated STDEV (Min, Max) Normal Patients (1.91, 3.37) 13.79 (3.39, 4.20) Glaucoma Patients 1.99 (1.64, 2.35) 4.88 (4.60, 5.16) Retina Patients 2.14 (1.13, 3.14) 6.00 (5.36, 6.64)
The following table shows the overall agreement results for full retina peripheral thickness measurements in the iVue Retina scan and the RTVue EMM5 scan for normals, glaucoma patients, and retina patients. Full Retina Periphery
INormal Patients I
M, Max Estimate STDEV 348 (2.28 4.92)
Glaucoma Patients .56 (3.6, 5.34)
IRetina Patients
4.54 (3.70, 5.51)
The following table shows the overall agreement results for inner retina fovea thickness measurement in the iVue Retina scan and the RTVue EMM5 scan for normals, glaucoma patients, and retina patients.
~NormalPtet Inner Retina Fovea Max MeanDfferenes Mm264 (1.1, 3.7) M, Estimate STDEV 379 (3.39 4.20) Max
luoaPtet 1.7 (1.581.82) .15 (3.5, 4.79)
Retina Patients 2.39(.2286 4.73 (4.61, 4.86)
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Optovue iVue 5 10(K) Premarket Noti(fication
The following table shows the overall agreement results for inner retina peripheral thickness measurements in the iVue Retina scan and the RTVue EMM5 scan for normals, glaucoma patients, and retina patients.
Ilnner Retina Peripher FMean Differences Max-0.27 Estimated STDEV Max3.48
iii) Cornea LOA Results
Normal Patients (-3.48, 3.21) (2.28, 4.92)
IGlaucoma Pat ients
-0.50 (-3.22, 2.17) 4.05 (2.70, 5.94)
Retina Patients -026 (-2.10, 2.18) 4.28 (2.93, 5.91)
The following table shows the overall agreement results for the central 0-2mm cornea thickness measurement in the iVue Cornea scan and the RTVue Pachymretry scan for normals and cornea patients.
I0-2 mm
Central Cornea Mean Differences (Min, Max) STDEV iM,Max) Estimate
Normal Patients -04-.6,-.3 5.25 (4.86, 5.63)
Cornea Patients
-1.04 (-1.41, -0.67)~ 15.70 (5.63, 5.78)
The following table shows the overall agreement results for the central 2-5 mm cornea thickness measurement in the iWue Cornea scan and the RTVue Pachymetry scan for normals and cornea patients.
I2-5 mm Cornea
Mean Differences (Min, Max)12 Max Estimated STDEVMm,
Normal Patients -. 4 .5 7.93 (414,11.71)
m orea Patients 0.07 (-4.01, 3.72) 12.35 (7.81, 16.64)
The following table shows the overall agreement results for the central 5-6 mm cornea thickness measurement in the iVue Cornea scan and the RTVue Pachymetry scan for normals and cornea patients.
5-6mm Cornea Mean Diffrences (Min, Max) :: Estimated STDEV (Min, Max)
Normal Patients 2.71 (1.4 5.05) 10.27 (5.39, 13.32)
cornea Patients 1.79 (-3.15, 8.29) 15.28 (8.99, ~21.8~4)]
The evidence from the clinical performance data study demonstrates that the iVue is substantially equivalent to the predicate device, the RTVue.
Conclusion As described in this 5 10(k) Summary, comprehensive testing and analysis was conducted on the iWue to ensure that the device is safe and effective for its intended use when used in accordance with its instructions for use.
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10903 New Hamptshire Avenlue Document MailI Ceniter - W066-G609 Silver Spring-, MD 20993-0002
Optovue,,Inc c/o Ms. Azimun Jamal Manager of Quality/Regulatory 45531 Northport Loop W. Fremont, CA. 94538 Re: K091404 Trade/Device Name: iVue Model iVuelOO Regulation Number: 21 CFR 8 86.15 70 Regulation Name: Ophthalmoscope Regulatory Class: Class II Product Code: HLI Dated: April 19, 2010 Received: April 20, 201 0 Dear Ms. Jamal:
We have reviewed your Section 5 10(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) thai do not require approval of a premarket approval application (PMA). 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. Please note: CDRJA does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. if your device is classified (see above) into either class II (Special Controls) or class Ill (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations,JTitle 2 1, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act'siequirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CER 803); good manufacturing practice requirements as set
Page 2 - Ms. Azinnun Janai forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 53 1-542 of the Act); 21 CER 1000-1050. If you desire specific advice for your device on our labeling regulation (21 CER Part 801), please go to http:H/ww.fda.gov/AboutFDA/CentersOffices/CDRHICDRHOffices/ucm1I 15809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, &quot;Misbranding by reference to prernarket notification&quot; (21 CER Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://\vww.fda.gov/MedicalDevices/Safetv/ReportaProblem/default.htmn for the CDRH-' s Office of Surveillance and Biometrics/Division of Postmarket Surveillance. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (30 1) 796-71 00 or at its Internet address http://www.fda.jgov/MedicalDevices/ResourcesforYou/Inidustr-ydefault.htmn. Sincerely yours,
Malvina B. EydelnIm9M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure
510(k) Number (if known): K091404 Device Name: iVue indications for Use: 'The iVue is an optical coherence tomography system indicated for the in viva imaging and measurement of the retina, retinal nerve fiber layer, optic disk, cornea, and anterior chamber of the eye as an aid in the diagnosis and management of ocular diseases
(Part 21 OFR 801 Subpart D)
Division Of phih,?-,H, \_OlOgicaIand Ear, Nose and Throa,
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