WINSTATION RETINAL IMAGER

K982689 · Ophthalmic Imaging Systems · HKI · Oct 23, 1998 · Ophthalmic

Device Facts

• Record ID: K982689
• Device Name: WINSTATION RETINAL IMAGER
• Applicant: Ophthalmic Imaging Systems
• Product Code: HKI · Ophthalmic
• Decision Date: Oct 23, 1998
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.1120
• Device Class: Class 2

Intended Use

The WinStation Retinal Imager™ has the same intended use as other fundus cameras. It is specifically used to produce color or black and white images of the retina (fundus imaging) and anterior segment (slit lamp imaging), and fluorescein and ICG angiographic images in a non-invasive manner. The WinStation Retinal Imager™ will be operated by doctors and technicians in ophthalmic and optometric offices and other locations that are under the direction of a licensed physician in which it is appropriate to perform ocular imaging procedures. Fundus photography and slit lamp imaging is the standard of care for documentation of the patient's eye.

Device Story

WinStation Retinal Imager captures color/B&W retinal (fundus) and anterior segment (slit lamp) images, plus fluorescein and ICG angiographic images; non-invasive. Operated by doctors/technicians in ophthalmic/optometric offices under physician direction. Device functions as standard-of-care documentation tool for ocular health. Output allows clinicians to visualize and document eye structures to support clinical decision-making and patient monitoring.

Clinical Evidence

No clinical data provided; substantial equivalence based on technological and intended use comparison to existing fundus camera devices.

Technological Characteristics

Fundus camera system for ocular imaging; supports color, B&W, and angiographic (fluorescein/ICG) modalities. Designed for clinical office use. Specific materials and software architecture details not provided.

Indications for Use

Indicated for patients requiring ocular imaging, including fundus photography, slit lamp imaging, and fluorescein or ICG angiography for documentation of the retina and anterior segment.

Regulatory Classification

Identification

An ophthalmic camera is an AC-powered device intended to take photographs of the eye and the surrounding area.

Special Controls

*Classification.* Class II (special controls). The device, when it is a photorefractor or a general-use ophthalmic camera, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol that resembles three human profiles or stylized birds in flight, stacked on top of each other.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 3 1998

Mr. Steven R. Verdooner President Ophthalmic Imaging Systems, Inc. 221 Lathrop Way Suite I Sacramento, CA 95815

Re: K982689 Trade Name: WinStation Retinal Imager Regulatory Class: II Product Code: 86 HKI Dated: September 29, 1998 Received: September 30, 1998

Dear Mr. Verdooner:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations .

{1}------------------------------------------------

Page 2 - Mr. Steven R. Verdooner, President

This letter will allow you to begin marketing your device as described in your 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 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" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

| | Page_ of of | |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|--|
| 510(k) Number (if known):K982689 · · · ¹ ¹ · ·<br>------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | | |
| WinStation Retinal Imager<br>Device Name: _________________________________________________________________________________________________________________________________________________________________<br>Status Canada Career Station Company Company Come of Children | | |

Indications For Use:

## STATEMENT OF INDICATIONS FOR USE

The WinStation Retinal Imager™ has the same intended use as other fundus cameras. It is specifically used to produce color or black and white images of the retina (fundus imaging) and anterior segment (slit lamp imaging), and fluorescein and ICG angiographic images in a non-invasive manner.

The WinStation Retinal Imager™ will be operated by doctors and technicians in ophthalmic and optometric offices and other locations that are under the direction of a licensed physician in which it is appropriate to perform ocular imaging procedures. Fundus photography and slit lamp imaging is the standard of care for documentation of the patient's eye.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

Denis L. McCarthy

(Division Sign-Off) Division of Ophthalmic Devices 510(k) Number .