← Product Code [EOX](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOX) · K181292

# PrimeSight UNITY 9000 Video Processor, PrimeSight UNITY 9100 Video Processor (K181292)

_Cogentix Medical, Inc. · EOX · Nov 15, 2018 · Ear, Nose, Throat · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOX/K181292

## Device Facts

- **Applicant:** Cogentix Medical, Inc.
- **Product Code:** [EOX](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOX.md)
- **Decision Date:** Nov 15, 2018
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 874.4710
- **Device Class:** Class 2
- **Review Panel:** Ear, Nose, Throat

## Intended Use

The PrimeSight UNITY 9000 Series Video Processors, when used in conjunction with a Cogentix Medical flexible videoscope, are indicated for the display and management of video and images during trans-nasal esophagoscopy, cystoscopy, bronchoscopy and nasopharyngoscopy procedures.

## Device Story

Video processing unit for Cogentix Medical flexible videoscopes; inputs video signals from endoscope; transforms signals for display on integrated 19-inch touchscreen; outputs include live video and captured images; used in clinical settings by physicians; supports patient-centric file storage; enables zoom, white balance, and basic image functions; provides DICOM-formatted storage for EMR integration; replaces legacy DPU-5000 processor to address component obsolescence; includes air pump and stroboscopy interface in Airway Configuration (UVP-9100).

## Clinical Evidence

Bench testing only. No clinical data used. Testing included functional performance verification, mechanical requirements, usability evaluation (IEC 62366-1), image quality (ISO 12233), environmental/transport testing (ISO 9022, ISTA 3A), and electrical safety/EMC (IEC 60601 series).

## Technological Characteristics

Two-module system: All-in-one PC with 19-inch touchscreen and Camera Interface Module (CIM). Connectivity: DICOM support for EMR. Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-2-18, IEC 62304, ISO 14971, ISO 12233. Features: Integrated air pump and stroboscopy interface (UVP-9100 model).

## Regulatory Identification

An esophagoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the esophagoscope and is intended to examine or treat esophageal malfunction symptoms, esophageal or mediastinal disease, or to remove foreign bodies from the esophagus. When inserted, the device extends from the area of the hypopharynx to the stomach. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.

## Predicate Devices

- Flexible Trans-Nasal Video Esophagoscope with Digital Video Processor and Disposable EndoSheath Systems ([K072088](/device/K072088.md))
- Vision-Sciences CST-5000 Video Cystoscope with EndoSheath System ([K072180](/device/K072180.md))
- Vision Sciences BRS-5000 Video Bronchoscope with EndoSheath System, DPU-5000/DPU-5050 Video Processor and Accessories ([K091768](/device/K091768.md))
- Vision-Sciences ENT-5000 Video ENT Scope with EndoSheath Technology, Vision-Sciences DPU-5000/DPU-5050 Video Processor ([K102733](/device/K102733.md))

## Submission Summary (Full Text)

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November 15, 2018

Cogentix Medical, Inc. Christa Blaisdell Regulatory Affairs Specialist 40 Ramland Road South Orangeburg, NY 10962

Re: K181292

Trade/Device Name: PrimeSight™ UNITY 9000 Video Processor, PrimeSight™ UNITY 9100 Video Processor Regulation Number: 21 CFR 874.4710 Regulation Name: Esophagoscope (Flexible or Rigid) And Accessories Regulatory Class: Class II Product Code: EOX, FAJ, EOB, OCS, EOQ Dated: October 15, 2018 Received: October 16, 2018

Dear Christa Blaisdell:

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.

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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); medical device reporting of medical devicerelated adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see

https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm.

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/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). 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 (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely yours.

# Srinivas Nandkumar -S

for Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K181292

Device Name

PrimeSight™ UNITY 9000 Video Processor, PrimeSight™ UNITY 9100 Video Processor

Indications for Use (Describe)

The PrimeSight™ UNITY 9000 Series Video Processors, when used in conjunction with a Cogentix Medical flexible videoscope, are indicated for the display and management of video and images during trans-nasal esophagoscopy, cystoscopy, bronchoscopy and nasopharyngoscopy procedures.

Type of Use (Select one or both, as applicable)

| <div> <span style="font-size:16px">☒</span> Prescription Use (Part 21 CFR 801 Subpart D)    </div> |
|----------------------------------------------------------------------------------------------------|
| <div> <span style="font-size:16px">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C)    </div>  |

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# 510(k) Summary

#### General Information

Date Prepared:

Submitter Information:

Registration Number: Contact:

September 11, 2018

Cogentix Medical, Inc. 40 Ramland Road South Orangeburg, New York, 10962

#### 2242464

Christa Blaisdell Regulatory Affairs Specialist Cogentix Medical, Inc. Phone: 952-426-6161 Fax: 866-255-4522 Email: christa.blaisdell@cogentixmedical.com

### Alternate Contact:

Nicole Boser Director, Quality and Regulatory Affairs Cogentix Medical, Inc. Phone: 952-426-6141 Fax: 866-255-4522 Email: nicole.boser@cogentixmedical.com

### Device Information

Trade Name:

PrimeSight™ UNITY 9000 Video Processor, PrimeSight™ UNITY 9100 Video Processor

Common Name: Video Processor Esophagoscope (flexible or rigid) and accessories Classification Name: 21 CFR 874.4710 Regulation Number: Product Classification: Class II Primary Product Code: EOX Secondary Product Code(s): FAJ, OCS, EOQ, EOB Primary Predicate Device Flexible Trans-Nasal Video Esophagoscope with Digital Video Processor and Disposable EndoSheath Systems (K072088)

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| Secondary Predicate Device(s) | Vision-Sciences CST-5000 Video Cystoscope with EndoSheath<br>System (K072180)                                                          |
|-------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|
|                               | Vision Sciences BRS-5000 Video Bronchoscope with<br>EndoSheath System, DPU-5000/DPU-5050 Video Processor and<br>Accessories (K091768)  |
|                               | Vision-Sciences ENT-5000 Video ENT Scope with EndoSheath<br>Technology, Vision-Sciences DPU-5000/DPU-5050 Video<br>Processor (K102733) |

# Device Description

The PrimeSight™ UNITY 9000 and PrimeSight™ UNITY 9100 Video Processors (herein referred to as "UNITY 9000", "UNITY 9000 Processor" or "UNITY 9000 Series Video Processors") are video processing units designed to work exclusively with the Cogentix Medical TNE-5000, CST-5000, CST-5000i. BRS-5100 and ENT-5000 models of flexible videoscopes (herein referred to as "5000 Series Videoscopes") to display images and videos during endoscopic procedures. The UNITY 9000 Processor consists of two modules which are physically connected with a hinge mechanism. The all-inone computer (AIO PC) unit is used for the presentation and display of images and includes a large 19'' wide screen display with an integrated touchscreen. The Camera Interface Module (CIM) base unit allows for the connection of a videoscope or camera to the Processor, as well as any endoscopic peripherals being used during the procedure, as well as image processing.

There are two different model configurations available for the UNITY 9000. These models are offered specific to the type of endoscopic procedure being performed. The Base Configuration model (UVP-9000) supports urology and bronchoscopy applications, while the Airway Configuration model (UVP-9100) offers an integrated air pump for trans-nasal esophagoscopy and a stroboscopy interface for use during Ear, Nose, and Throat (ENT) stroboscopy examinations.

# Indications for Use

The PrimeSight UNITY 9000 Series Video Processors, when used in conjunction with a Cogentix Medical flexible videoscope, are indicated for the display and management of video and images during trans-nasal esophagoscopy, cystoscopy, bronchoscopy and nasopharyngoscopy procedures.

## Intended Use

| Cogentix Medical<br>Flexible Videoscope | Flexible Videoscope<br>Model Number | Endoscopy System Indication                                                                                                                     |
|-----------------------------------------|-------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|
| Trans-nasal<br>esophagoscope            | TNE-5000                            | For the display and management of video and<br>images during endoscopic examination of the<br>larynx, esophagus, and gastro-esophageal junction |
| Cystoscope                              | CST-5000<br>CST-5000i               | For the display and management of video and<br>images during endoscopic examination of the lower<br>urinary tract, including the bladder        |

The PrimeSight UNITY 9000 Series Video Processors are intended to be used with a Cogentix Medical flexible videoscope to form an endoscopy system utilized for the following indications:

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| Cogentix Medical<br>Flexible Videoscope | Flexible Videoscope<br>Model Number | Endoscopy System Indication                                                                                                                                                       |
|-----------------------------------------|-------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Bronchoscope                            | BRS-5100                            | For the display and management of video and<br>images during airway management of the trachea<br>and other major passages of the lungs and<br>endoscopic diagnosis of the airways |
| Nasopharyngoscope                       | ENT-5000                            | For the display and management of video and<br>images during endoscopic examination of the upper<br>airway, vocal cords and/or nasal passages                                     |

Additional information regarding the indication and intended use for each compatible flexible videoscope is contained within the User Manual specific to that device.

## Contraindications

There are no patient populations for which the PrimeSight UNITY 9000 Series Video Processors are contraindicated for.

## Comparison to Predicate Device

Cogentix Medical, Inc. (formerly Vision-Sciences, Inc.) holds the 510(k) clearances to market the current DPU-5000 Series Video Processor as part of its video endoscopy systems. These products were cleared for market through multiple 510(k) submissions, which include: the Flexible Trans-Nasal Video Esophagoscope with Digital Video Processor and Disposable EndoSheath Systems (K072088); the CST-5000 Video Cystoscope with EndoSheath System (K072180); the BRS-5000 Video Bronchoscope with EndoSheath System, DPU-5000/DPU-5050 Video Processor and Accessories (K091768); and, the ENT-5000 Video ENT Scope with EndoSheath Technology and DPU-5000/DPU-5050 Video Processor (K102733).

There are no significant differences in the intended use, mechanical and functional performance or the functional scientific technology between the UNITY 9000 Series Processors and the predicate device (DPU-5000). Both systems provide image presentation and capture and storage of pictures; provide the ability for the operator to store files under a patient centric directory; and allow controls on the endoscope to interface with the Processor for the purposes of zoom, white balance or other basic image functions of the system. The UNITY 9000 Processor simply provides an updated mechanical design which deals with parts obsolescence - and a new graphical interface when compared to its predicate. UNITY 9000 also introduces video capability and the ability to store images in a Digital Imaging and Communications in Medicine (DICOM) format for easier transposition to electronic medical records systems.

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## Summary of Testing

Bench testing and ISO standard compliance testing, as described below in Table 1.1 – Summary of Testing, was performed on the PrimeSight UNITY 9000 Series Video Processors. The results of this testing confirm that the UNITY 9000 Processor is safe and effective and performs in a manner making it substantially equivalent to its predicate device. Clinical data was not used to demonstrate substantial equivalence as the subject device and predicate device are so similar in design and functionality.

| Category                                                  | Evaluation Test Reports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Associated Standards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
|-----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Functional<br>Performance                                 | RPT-175-0020-VER – PrimeSight<br>Product Requirements Verification<br>Report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                                           | RPT-175-0021-VER – PrimeSight<br>Camera Interface Module Verification<br>Report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                                           | RPT-175-0023-VER – PrimeSight<br>Mechanical Requirements Verification<br>Report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | EN ISO 14971:2012 – Medical devices.<br>Application of risk management to medical<br>devices                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
|                                                           | TR 013-18 – Usability Evaluation of<br>UNITY 9000 Video Processor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | IEC 62366-1:2015 – Medical devices - Part 1:<br>Application of usability engineering to medical<br>devices                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |
|                                                           | TR 006-18 – PrimeSight UNITY 9000<br>Gap Verification                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | IEC 62304:2006+A1:2015 – Medical device<br>software – Software life cycle processes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|                                                           | TR 020-18 – Video Processor Image<br>Quality Performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | ISO 12233:2017 – Resolution and spatial<br>frequency responses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
| Software                                                  | RPT-175-0022-VER – PrimeSight User<br>Interface Software Requirements<br>Verification Report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|                                                           | RPT-175-0021-VER – PrimeSight<br>Camera Interface Module Verification<br>Report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| Environmental,<br>Shipping and<br>Transportation          |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | ISO 9022-1:2012 – Optics and photonics –<br>Environmental test methods - Part 1:<br>Definitions, extent of testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|                                                           | TR 032-17 – Environment and Transport<br>Testing of PrimeSight UNITY 9000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | ISO 9022-2:2015 – Optics and photonics –<br>Environmental test methods - Part 2: Cold,<br>heat and humidity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
|                                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | ISTA 3A:2008 – General Stimulation<br>Performance Tests                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
| Category                                                  | Evaluation Test Reports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Associated Standards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| Electrical Safety and<br>Electromagnetic<br>Compatibility | Report Number 103144900BOX-002 –<br>Cogentix Medical, Inc. Test Report –<br>EMC Testing – UVP-9100<br>Report Number 103480453BOX-001 –<br>Test Report – IEC 60601-1 Testing –<br>Endoscopic Video Processor<br>Report Number 103480453BOX-002 –<br>Test Report – IEC 60601-1-6 Testing –<br>Endoscopic Video Processor<br>Report Number 103480453BOX-003 –<br>Test Report – IEC 62304 Testing –<br>Endoscopic Video Processor<br>Report Number 103480453BOX-004 –<br>Test Report – IEC 60601-2-18 Testing –<br>Endoscopic Video Processor<br>Report Number 103480453BOX-005 –<br>Listing Constructional Data Report | IEC 60601-1:2005 + A1:2012 – Medical<br>electrical equipment. General requirements for<br>basic safety and essential performance<br>IEC 60601-2-18:2009 – Medical electrical<br>equipment – Part 2-18: Particular requirements<br>for the basic safety and essential performance<br>of endoscopic equipment<br>IEC 60601-1-2:2014 – Medical electrical<br>equipment. General requirements for basic<br>safety and essential performance. Collateral<br>Standard. Electromagnetic disturbances.<br>Requirements and tests<br>IEC 60601-1-6:2010 + A1:2013 – Medical<br>electrical equipment – Part 1-6: General<br>requirements for basic safety and essential<br>performance – Collateral standard: Usability<br>IEC 62304:2006+A1:2015 – Medical device<br>software – Software life cycle processes<br>EN ISO 14971:2012 – Medical devices.<br>Application of risk management to medical<br>devices |

## Table 1.1 – Summary of Testing

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# Conclusion

Cogentix Medical, Inc. believes that based on the data contained in this 510(k) related to the indications for use, technological characteristics, and performance testing, the PrimeSight UNITY 9000 Series Video Processors have demonstrated substantial equivalence to their predicate device and are considered to be safe and effective.

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**Source:** [https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOX/K181292](https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOX/K181292)

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