Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525

Q: Who is the manufacturer of Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525?

Richard Wolf Medical Instruments Corporation filed the 510(k) submission for Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525 (K200617).

Q: What is the FDA product code for Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525?

FET. It is classified under 21 CFR 876.1500 as a Class 2 device in the Gastroenterology, Urology panel.

Q: What is the regulatory pathway for Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525?

510(k) clearance (submission type: Traditional).

Q: What are the predicate devices for Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525?

LOGIC 4K CAMERA CONTROLLER (5525301) (K180583).

Q: Who can help prepare an FDA 510(k) submission like Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525?

Innolitics — a medical-device software consultancy — provides regulatory and engineering support for FDA 510(k) submissions. See https://innolitics.com/services/510ks/ or contact https://innolitics.com/contact.

K200617 · Richard Wolf Medical Instruments Corporation · FET · Jun 23, 2020 · Gastroenterology, Urology

Device Facts

Record ID	K200617
Device Name	Logic HD Camera Controller, Logic HD Lite Camera Controller, Logic 4K Camera Contoller, Adapter for Controller 5525
Applicant	Richard Wolf Medical Instruments Corporation
Product Code	FET · Gastroenterology, Urology
Decision Date	Jun 23, 2020
Decision	SESE
Submission Type	Traditional
Regulation	21 CFR 876.1500
Device Class	Class 2

Intended Use

The Logic HD Camera Controller and the Logic 4K Camera Controller have been designed for high-definition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controllers are used in conjunction with other video equipment and endoscopic accessories. The Logic HD lite Camera Controller has been designed for high-definition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controller is used in conjunction with other video equipment and endoscopic accessories.

Device Story

ENDOCAM Logic 5525 Camera Controller series (4K, HD, HD Lite) functions as an endoscopic video imaging system; processes video signals from endoscopic cameras for display; used in diagnostic and therapeutic interventions. Operated by specialized medical personnel in clinical settings. Device configures data streams, manages user interaction, and provides image processing/archiving via a user interface. Output displayed for physician use to guide endoscopic procedures. Benefits include high-definition visualization for improved diagnostic and therapeutic accuracy. Device is non-sterile, reusable, and requires cleaning/reprocessing between uses.

Clinical Evidence

No clinical studies or animal testing were performed. Substantial equivalence is supported by bench testing, including software verification and validation, and electromagnetic compatibility/electrical safety testing (IEC 60601 series).

Technological Characteristics

Endoscopic video imaging system; reusable; non-sterile. Compliance with IEC 60601-1 (general safety), IEC 60601-1-2 (EMC), IEC 60601-1-6 (usability), and IEC 60601-2-18 (endoscopic equipment). Software-based image processing and configuration. Minor level of concern software.

Indications for Use

Indicated for high-definition video endoscopy for diagnostic and therapeutic interventions in patients requiring endoscopic procedures. Used by specialized medical personnel.

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

LOGIC 4K CAMERA CONTROLLER (5525301) (K180583)

Related Devices

K180583 — LOGIC 4K CAMERA CONTROLLER, LOGIC 4K CAMERA HEAD · Richard Wolf Medical Instruments Corporation · Jun 28, 2018
K211332 — D Camera Controller · Richard Wolf Medical Instruments Corporation · Oct 1, 2021
K250462 — UL UHD-Clear View 4K Camera System (UL-3Chip 4K) · Univlabs Technologies Private Limited · Aug 11, 2025
K161204 — ENDOCAM Flex HD Camera System 5521 · Richard Wolf Medical Instruments Corporation · Jan 11, 2017
K130423 — THE RICHARD WOLF ENDOCAM LOGIC HD CAMERA SYSTEM 5525 · Richard Wolf Medical Instruments Corp. · Apr 3, 2013

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. Underneath the square are the words "U.S. FOOD & DRUG ADMINISTRATION" in blue. June 23, 2020 Richard Wolf Medical Instruments Corporation Michael Loiterman US Head of Regulatory- OA/OC 353 Corporate Woods Parkway Vernon Hills, IL 60061 Re: K200617 > Trade/Device Name: ENDOCAM Logic 5525 Camera Controller: LOGIC 4K CAMERA CONTROLLER / LOGIC HD CAMERA CONTROLLER / LOGIC HD LITE CAMERA CONTROLLER Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: FET Dated: May 29, 2020 Received: June 2, 2020 Dear Michael Loiterman: 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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: CDRH 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 III (PMA), it may be subject to 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 {1}------------------------------------------------ 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); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems. For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, for Shani P. Haugen, Ph.D. Assistant Director DHT3A: Division of Renal, Gastrointestinal, Obesity and Transplant Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ ### Indications for Use 510(k) Number (if known) K200617 ### Device Name ENDOCAM Logic 5525 Camera Controller: LOGIC 4K CAMERA CONTROLLER / LOGIC HD CAMERA CONTROLLER / LOGIC HD LITE CAMERA CONTROLLER Indications for Use (Describe) ENDOCAM Logic 5525 Camera Controller: ### LOGIC HD CAMERA CONTROLLER / LOGIC 4K CAMERA CONTROLLER: The Logic HD Camera Controller and the Logic 4K Camera Controller have been designed for high-definition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controllers are used in conjunction with other video equipment and endoscopic accessories. ### LOGIC HD LITE CAMERA CONTROLLER: The Logic HD lite Camera Controller has been designed for high-definition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controller is used in conjunction with other video equipment and endoscopic accessories. | Type of Use (Select one or both, as applicable) | |-------------------------------------------------| |-------------------------------------------------| > Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C) ### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Image /page/3/Picture/1 description: The image shows the text "K200617 Page 1 of 5" at the top. Below the text is the Richard Wolf logo. The logo has the word "RICHARD" in black, with the word "WOLF" in red below it. To the right of the text is a graphic of a dog. ### 5 510(k) Summary #### l Submitter Richard Wolf Medical Instruments Corporation 353 Corporate Woods Parkway Vernon Hills, IL 60046 Phone:(847) 913 1113 Fax: (847) 913 0924 Contact Person, Title: Michael Loiterman Date Prepared: March 6, 2020 ## Legal Manufacturer Richard Wolf GmbH Pforzheimer Straße 32 75438 Knittlingen #### ll Device The ENDOCAM Logic 5525 Camera Controller: LOGIC 4K CAMERA CONTROLLER / LOGIC HD CAMERA CONTROLLER / LOGIC HD LITE CAMERA CONTROLLER go under the common name "endoscopic video imaging system". The following table lists all devices for which clearance is requested: | | Trade name | Model Number(s) | Product classification name | Regulation Number and Name | Prod uct Code | Dev ice Class | Review Panel | |-----------------------------------------|---------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|---------------------------------------------|---------------------|---------------------|------------------------------------| | ENDOCAM Logic 5525 Camera Controller | LOGIC HD LITE CAMERA CONTROLLER | 5525201 | Endoscopic Video Imaging System/ Component, Gastroenterolo gy-Urology | 876.1500 Endoscope and Accessories | FET | II | Gastro- enterology / Urology | | | LOGIC HD CAMERA CONTROLLER | 5525101 5525102 5525103 5525104 5525105 5525106 5525107 5525108 | | | | | | | | LOGIC 4K CAMERA CONTROLLER | 5525201 | | | | | | {4}------------------------------------------------ Image /page/4/Picture/2 description: The image is a logo for Richard Wolf. The words "RICHARD WOLF" are stacked on top of each other, with "RICHARD" in black and "WOLF" in red. To the right of the words is a white square with rounded corners, inside of which is a black drawing of a dog with a nail being hammered into its head. #### �� Predicate Device Name of Predicate Device: LOGIC 4K CAMERA CONTROLLER (5525301) 510(k) Number: K180583 Regulatory Class: II Product Code: FET Manufacturer: Richard Wolf GmbH The predicate has not been subject to a design-related recall. #### 5.1 Device Description #### 5.1.1 Subject Device Identification | ENDOCAM Logic 5525 Camera Controller | Type number | Description | |-----------------------------------------|-------------|------------------------------------| | | 5525301 | LOGIC 4K CAMERA CONTROLLER | | | 5525101 | LOGIC HD CAMERA CONTROLLER | | | 5525102 | | | | 5525103 | | | | 5525104 | | | | 5525105 | | | | 5525106 | | | | 5525107 | | | | 5525108 | | | | 5525201 | LOGIC HD LITE CAMERA CONTROLLER | ENDOCAM Logic 5525 Camera Controller describes all Richard Wolf ENDOCAM Logic Camera Controllers, by name LOGIC 4K CAMERA CONTROLLER, LOGIC HD CAMERA CONTROLLER and LOGIC HD Lite CAMERA CONTROLLER. The main purpose of the ENDOCAM Logic 5525 Camera Controller is identifying the applied part(s) and configuring the data stream, managing the interaction and providing an access point for the user. #### 5.1.2 Subject device characteristics The ENDOCAM Logic 5525 Camera Controller contains software which is classified as a minor Level of Concern. The main features of the software are configuration of the image processing, archiving and providing different views and a user interface to the user. The ENDOCAM Logic 5525 Camera Controller is not intended to contact the patient directly or indirectly. The ENDOCAM Logic 5525 Camera Controller is delivered non-sterile. The devices are reusable and do require cleaning and reprocessing during their use-life, i.e. users are required to clean and disinfect the device before every application and before returning for repairs. Methods of cleaning and reprocessing are detailed in the Instruction for Use. The ENDOCAM Logic 5525 Camera Controller is exclusively intended for use by specialized medical personnel and must only be used by medically qualified and adequately trained persons. {5}------------------------------------------------ # 05 510(k) Summary Image /page/5/Picture/2 description: The image shows the logo for Richard Wolf. The words "RICHARD WOLF" are stacked on top of each other, with "RICHARD" in black and "WOLF" in red. To the right of the words is a black and white graphic of a dog with a nail in its mouth. #### 5.2 Indications for Use ENDOCAM Logic 5525 Camera Controller: ### LOGIC HD CAMERA CONTROLLER / LOGIC 4K CAMERA CONTROLLER The Logic HD Camera Controller and the Logic 4K Camera Controller have been designed for highdefinition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controllers are used in conjunction with other video equipment and endoscopic accessories. ### LOGIC HD LITE CAMERA CONTROLLER The Logic HD lite Camera Controller has been designed for high-definition video endoscopy and can be used for both diagnostic and therapeutic interventions. The Camera Controller is used in conjunction with other video equipment and endoscopic accessories. {6}------------------------------------------------ # 05 510(k) Summary #### 5.3 Comparison of Technological Characteristics with the Predicate Device The ENDOCAM Logic 5525 Camera Controller has the same intended use as the predicate device. It also has equivalent technical characteristics and design as the predicate device. The operating principle, mechanical design, dimensions and device material are equivalent or the same. There is only one major difference to the predicate device: The software version was upgraded from Version 2.0.1 (predicate device) to Version 2.0.8. #### 5.4 Performance Testing The same testing that was used for the predicate device to prove performance and functionality was applied to the subject devices. #### 5.4.1 Software verification and validation The documentation was prepared for a Minor Level of Concern. The following Guidance documents were used to prepare the required documentation: - . Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices (May 11, 2005) - Off-The Shelf Software Use in Medical Devices (September 27, 2019) - Cybersecurity for Networked Medical Devices Containing Off-the-Shelf (OTS) Software . (January 14, 2005) - . Content of Premarket Submissions for Management of Cybersecurity in Medical Devices (October 2, 2014) - . General Principles of Software Validation (January 11, 2002) - . Deciding when to submit a 510(k) for a Software Change to an Existing Device (Oct. 25, 2017) All changes that were made, including new features, were verified and validated, if needed with the respective application part. It could be shown that these changes do not raise new questions regarding safety or performance and that the ENDOCAM Logic 5525 Camera Controller is substantial equivalent to the LOGIC 4K Camera Controller (predicate device, K180583). {7}------------------------------------------------ # 05 510(k) Summary Image /page/7/Picture/2 description: The image shows the logo for Richard Wolf. The words "RICHARD" and "WOLF" are stacked on top of each other. "RICHARD" is in black, and "WOLF" is in red. To the right of the text is a logo of a dog with a nail gun pointed at its head, all inside of a square with rounded corners. #### Electromagnetic Compatibility and Electrical Safety 5.4.2 Electromagnetic compatibility testing proved compliance with the following standards for ENDOCAM Logic 5525 Camera Controller - . IEC 60601-1:2005, IEC 60601-1:2005/AMD1:2012; Medical electrical equipment - Part 1: General requirements for basic safety and essential performance - . IEC 60601-1-6:2010 + A1:2013 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability - . IEC 60601-1-2:2014 Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic disturbances - Requirements and tests - IEC 60601-2-18:2009 Medical electrical equipment Part 2-18: Particular requirements for ● the basic safety and essential performance of endoscopic equipment It could be shown that the changes do not raise new questions regarding safety or performance and that the ENDOCAM Logic 5525 Camera Controller is substantial equivalent to the LOGIC 4K CAMERA CONTROLLER (predicate device K180583). #### 5.4.3 Performance and Operational testing The efficacy and safety of Richard Wolf's ENDOCAM Logic 5525 Camera Controller is documented by the verification and validation testing, which confirms that the product meets all the requirements and specifications for overall design, basic safety and essential performance, and that the design inputs and specifications are met. Functional testing was performed on the ENDOCAM Logic 5525 Camera Controller to prove the performance of the devices. To demonstrate that the ENDOCAM Logic 5525 Camera Controller is working properly during operation and that functionality is still given after specified storage and transport conditions, testing was performed. #### 5.4.4 Animal testing No animal testing was performed on the ENDOCAM Logic 5525 Camera Controller (LOGIC HD LITE, LOGIC HD and LOGIC 4K CAMERA CONTROLLER). #### 5.4.5 Clinical studies No clinical studies were performed on the ENDOCAM Logic 5525 Camera Controller (LOGIC HD LITE, LOGIC HD and LOGIC 4K CAMERA CONTROLLER). #### 5.5 Conclusions ENDOCAM Logic 5525 Camera Controller (LOGIC HD LITE, LOGIC HD and LOGIC 4K CAMERA CONTROLLER) and their accessories have the same indications for use as the predicate device. The nonclinical tests demonstrate that the devices are as safe, as effective, and perform as well as or better than the legally marketed device. Therefore, the ENDOCAM Logic 5525 Camera Controller has been deemed to be substantially equivalent to the legally marketed device.