NOVAVISION, MODEL 2.0

K023623 · Novavision, Inc. · HPT · Apr 22, 2003 · Ophthalmic

Device Facts

• Record ID: K023623
• Device Name: NOVAVISION, MODEL 2.0
• Applicant: Novavision, Inc.
• Product Code: HPT · Ophthalmic
• Decision Date: Apr 22, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.1605
• Device Class: Class 1
• Attributes: Software as a Medical Device, Therapeutic

Indications for Use

NovaVision™ is intended for the diagnosis and improvement of visual functions in patients with impaired vision that may result from trauma, stroke, inflammation, surgical removal of brain tumors or brain surgery, and may also be used to improve visual function in patients with amblyopia.

Device Story

NovaVision consists of two software programs: Diagnosis Software for clinicians to assess visual deficits and create therapy programs; Therapy software for patient home use. Device presents visual stimuli on computer screen; patient responds to stimuli. System collects/interprets diagnostic data; generates patient-specific visual training tasks. Clinicians use output to monitor progress and adjust therapy. Home-based training aims to improve visual function in patients with neurological or amblyopic vision impairment.

Clinical Evidence

Two clinical studies confirmed effectiveness/reliability of diagnosis software; five clinical studies confirmed safety/effectiveness of patient therapy software. Third-party study correlates therapy software with improved vision in amblyopia patients.

Technological Characteristics

Computer-based software system. Presents visual stimuli on standard computer screen. Enables home-based training. Replaces physical light board hardware used in predicate devices.

Indications for Use

Indicated for patients with impaired vision resulting from trauma, stroke, inflammation, brain tumor surgery, or brain surgery, and patients with amblyopia.

Regulatory Classification

Identification

A perimeter is an AC-powered or manual device intended to determine the extent of the peripheral visual field of a patient. The device projects light on various points of a curved surface, and the patient indicates whether he or she sees the light.

Predicate Devices

• DynaVision 2000 (K911938)
• AA-1 System for the Treatment of Amblyopia (K012530)

Submission Summary (Full Text)

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July 22, 2021

NovaVision, Inc. Navroze S. Mehta President and CEO 3701 Fau Boulevard Suite 210 Boca Raton, Florida 33431

Re: K023623

Trade/Device Name: NovaVision, Model 2.0 Regulation Number: 21 CFR 886.1605 Regulation Name: Perimeter Regulatory Class: Class I Product Code: HPT

Dear Navroze S. Mehta:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated April 22, 2003. Specifically, FDA is updating this SE Letter as an administrative correction corresponding to the correct classification regulation number, regulation name, regulatory class, and product code.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Elvin Ng, OHT1: Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices, [phone], [e-mail].

Sincerely,

# Charles Chiang -S

for Elvin Ng

Assistant Director Retinal and Diagnostic Devices Team DHT1A: Division of Ophthalmic Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# APR 2 2 2003

Mr. Navroze S. Mehta President and CEO NovaVision Inc. 3701 Fau Boulevard Suite 210 Boca Raton, Florida 33431

Re: K023623

Trade/Device Name: NovaVision Model 2.0 Regulation Number: Unclassified Regulation Name: Attention Task Performance Recorder Regulatory Class: Unclassified Product Code: LQD Dated: February 13, 2003 Received: February 19, 2003

Dear Mr. Mehta:

We have reviewed your Section 510(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) that 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 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's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your Section 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 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Muriam C. Provost

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### III. Indications for Use Statement

Applicant: NovaVision, Inc.

510(k) Number (if known): K023623

Device Name: NovaVision™

Indications For Use: NovaVision™ is intended for the diagnosis and improvement of visual functions in patients with impaired vision that may result from trauma, stroke, inflammation, surgical removal of brain tumors or brain surgery, and may also be used to improve visual function in patients with amblyopia.

Muriam C. Provost

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K023623

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/k023623

#### X. 510(k) Summary

This 510(k) summary is submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 C.F.R. § 807.92.

| 510(k) Submitter | NovaVision, Inc.<br>Reservoir Place, Suite 205<br>1601 Trapelo Road<br>Waltham, MA 02451 |
|------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Contact: Bernhard A. Sabel, Ph.D.<br>Tel: [phone]<br>Fax: [phone] |
| Date summary<br>was prepared | October 25, 2002 |
| Trade Name | NovaVision™ |
| Common Name | Attention Task Performance Recorder |
| Classification Name | Recorder, attention task performance |
| Product code | LQD |
| Predicate Devices | DynaVision 2000 (K911938)<br>AA-1 System for the Treatment of Amblyopia (K012530) |
| Description | NovaVision™ consists of two computer software<br>programs: (1) one intended for health care professionals -<br>for the precise diagnosis of patients' visual deficiencies,<br>the development of patient-specific therapy programs, and<br>the analysis of results of patient therapy (NovaVision™<br>Diagnosis Software and Training Program); and (2) one<br>intended for patients - therapeutic software for use by<br>patients in their homes to train and improve impaired visual<br>functions (NovaVision™-Therapy). |
| Intended Use | NovaVision™ is intended for the diagnosis and<br>improvement of visual functions in patients with impaired<br>vision that may result from trauma, stroke, inflammation,<br>surgical removal of brain tumors or brain surgery, and may<br>also be used to improve visual function in patients with<br>amblyopia. |

## Comparison of technological characteristics to predicate device

NovaVision™ is substantially equivalent to the DynaVision 2000. These systems have the same intended use/indications, target population, and functionality, i e , the diagnosis and improvement of visual functions in patients with impaired vision by repetitively

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presenting visual stimuli. NovaVision™ consists of different technology than the Dynavision 2000. but these differences do not raise new questions of safety and effectiveness, and NovaVision™ has been demonstrated to be as safe and effective as the Dynavision 2000.

NovaVision™ presents visual stimuli on a computer screen, while the Dynavision 2000 presents visual stimuli on a large light board. Further, NovaVision™'s computerization of visual stimuli makes it possible for patients to train at home.

NovaVision™ is also substantially equivalent to the AA-1 System for the Treatment of Amblyopia, a device consisting of software and accessories that is intended to treat amblyopia in patients nine years or older. Both devices consist of software that (1) collects and interprets diagnostic information concerning the extent of visual deficits in the form of patient responses to visual diagnostic tests: (2) reports diagnostic information useful for further diagnosis or treatment: and (3) presents visual training tasks individualized to each patient's specific diagnosis.

### Clinical performance data and support of substantial equivalence determination

Two clinical studies have confirmed the effectiveness and reliability of NovaVision™ Diagnosis Software and Training Program in diagnosing patients' visual deficiencies, and five clinical studies have confirmed the safety and effectiveness of patient use of NovaVision™-Therapy to improve visual functions. Moreover, reference to a third-party clinical study strongly correlates with the capabilities of NovaVision™-Therapy to improve the vision of patients with amblyopia.