K190372 · Meditrina, Inc. · HIH · May 16, 2019 · Obstetrics/Gynecology
Device Facts
Record ID
K190372
Device Name
Aveta System
Applicant
Meditrina, Inc.
Product Code
HIH · Obstetrics/Gynecology
Decision Date
May 16, 2019
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 884.1690
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Aveta System is intended for intrauterine use by trained gynecologists to permit viewing of the cervical canal and the uterine cavity, provide liquid distension of the uterus and monitor the volume differential between the irrigation fluid flowing into and out of the uterus during diagnostic and surgical procedures to resect and remove tissue such as submucous myomas, endometrial polyps and retained products of conception.
Device Story
The Aveta System is an integrated hysteroscopic platform for diagnostic and operative procedures. It consists of a controller with integrated fluid management, a disposable hysteroscope, and a mechanical resecting device. The controller uses a dual peristaltic pump to manage saline inflow/outflow, maintaining intrauterine pressure and monitoring fluid deficit. The hysteroscope features a CMOS sensor and LED light source for visualization, with images processed by the controller and displayed on an external monitor. For surgery, a motorized resecting handset oscillates a mechanical tip to remove tissue under suction. The system is used in clinical settings by gynecologists. The controller provides real-time feedback on pressure and fluid volume, allowing the physician to adjust parameters during the procedure. This integrated control helps maintain a clear view and safe operating environment, facilitating the removal of intrauterine pathologies while minimizing fluid-related risks.
Clinical Evidence
Bench testing only. Performance data included software verification/validation (IEC 62304), biocompatibility (ISO 10993-1), sterilization validation (ISO 11135, ISO 11137), packaging validation (ASTM D4169), accelerated aging (ASTM F1980), electrical safety/EMC (IEC 60601-1, 60601-1-2, 60601-2-18), and usability testing (IEC 62366). Functional testing confirmed system integrity, pressure control, fluid deficit monitoring, and tissue resection capabilities.
Technological Characteristics
Integrated system with CMOS-based disposable hysteroscope and LED illumination. Controller uses dual peristaltic pumps for fluid management (inflow/outflow) and pressure control (30-120 mmHg). Mechanical resection via motorized handset. Materials include stainless steel blades. Connectivity includes external monitor output. Sterilization via validated methods for disposable and reusable components. Software follows IEC 62304 standards.
Indications for Use
Indicated for trained gynecologists performing diagnostic and surgical hysteroscopy to view the cervical canal and uterine cavity, provide uterine distension, and resect/remove tissue including submucous myomas, endometrial polyps, and retained products of conception.
Regulatory Classification
Identification
A hysteroscope is a device used to permit direct viewing of the cervical canal and the uterine cavity by a telescopic system introduced into the uterus through the cervix. It is used to perform diagnostic and surgical procedures other than sterilization. This generic type of device may include obturators and sheaths, instruments used through an operating channel, scope preheaters, light sources and cables, and component parts.
Predicate Devices
Truclear Operative Hysteroscope 5C and Sheath 5C (K152143)
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May 16, 2019
Meditrina, Inc. Csaba Truckai President & CEO 1601 S. De Anza Blvd, Suite 165 Cupertino, CA 95014
Re: K190372
Trade/Device Name: Aveta System Regulation Number: 21 CFR 884.1690 Regulation Name: Hysteroscope and accessories Regulatory Class: Class II Product Code: HIH, HIG Dated: February 14, 2019 Received: February 15, 2019
Dear Csaba Truckai:
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 statutes and regulations administered by other Federal agencies. You must comply with all the Act's
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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/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (OS) 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 mediation-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.
Sharon M. Andrews Assistant Division Director DHT3B: Division of Reproductive. Gynecology and Urology Devices OHT3: Office of Gastrorenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K190372
Device Name Aveta System
Indications for Use (Describe)
The Aveta System is intended for intrauterine use by trained gynecologists to permit viewing of the cervical canal and the uterine cavity, provide liquid distension of the uterus and monitor the volume differential between the irrigation fluid flowing into and out of the uterus during diagnostic and surgical procedures to resect and remove tissue such as submucous myomas, endometrial polyps and retained products of conception.
| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------------------------------------|------------------------------------------------------------------------------|
| <div> <span> </span> Prescription Use (Part 21 CFR 801 Subpart D) </div> | <div> <span> </span> Over-The-Counter Use (21 CFR 801 Subpart C) </div> |
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# K190372: 510(k) Summary
### I. Submitter Information
| Submitter name: | Meditrina, Inc.<br>1601 S. De Anza Blvd, Suite 165<br>Cupertino, CA 95014 |
|-----------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Csaba Truckai<br>President & CEO<br>Mobile: (415) 215-7233<br>Office: (408) 471-4877<br>Fax: (408) 609-3342<br>csabat@hermesinnovations.com |
| Date Prepared: | 14 February 2019 |
### II. Product Classification
| Device Name: | Aveta System | |
|---------------------------|------------------------------|----------------|
| Common Name: | Hysteroscope | Subject Device |
| Regulation: | 21 CFR 884.1690 | |
| Regulation Name: | Hysteroscope and accessories | |
| Class: | II | |
| Product Code: | HIH | |
| Additional Product Codes: | HIG | |
### III. Predicate Device Information
| Predicate Devices | Manufacturer | Predicate Device Names | 510(k)# | Clearance Date |
|-------------------------------------------------------|--------------------------------------------------------|-------------------------------------------------------------------|---------|-------------------|
| PREDICATE<br>DEVICE (System)<br>( <i>see NOTE 1</i> ) | Smith & Nephew<br>(Truclear<br>Morcellation<br>System) | Truclear Operative<br>Hysteroscope 5C and<br>Sheath 5C | K152143 | September 2, 2015 |
| | | Hysteroscopic Fluid<br>Management System<br>( <i>see NOTE 2</i> ) | K123732 | April 4, 2013 |
| | | Truclear Morcellator<br>System and Truclear<br>Morcellators | K132015 | March 18, 2005 |
NOTE 1: The Smith & Nephew Truclear Morcellation System (Controller, Hysteroscope and Fluid Management System) was originally cleared under K031787 as a system. Since the original
clearance each system component has been modified per the 510(k) clearances noted above. NOTE 2: Originally cleared as IUR Fluid Management System / Hysteroscopy Pump HM6 by W.O.M. World of Medicine AG under K123732.
Predicate has not been a subject of a design related recall.
#### IV. Device Description
The Aveta System is an integrated system which allows for visualization of the cervical canal and the uterine cavity for the purpose of performing diagnostic and operative hysteroscopic procedures.
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The Aveta System consists of the components listed in Table 1. The system includes a Controller with integrated fluid management which incorporates a dual peristaltic pump design to control the continuous inflow and outflow of saline to provide fluid distention of the uterine cavity. The Controller provides continuous monitoring of the intrauterine pressure to the set pressure, as well as monitoring of the volume differential between saline inflow from the uterus. The Controller connects to a sterile, single use Disposable Hysteroscope via a Reusable Hysteroscope Handset that allows visualization of the cervical canal and the uterine cavity and displays the images obtained from the hysteroscope on a standard monitor. For operative procedures, the Aveta System includes a sterile, mechanical Disposable Resecting Device powered by a motorized, Reusable Resecting Handset which is inserted through the sterile hysteroscope working channel to resect and remove endometrial polyps, submucous myomas and retained products of conception under suction.
| Aveta System Component | Functions Performed |
|-----------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Aveta Controller with Integrated<br>Fluid Management | • Hysteroscopic image / video processing / storing recorded images<br>• Fluid Management with irrigation and aspiration functions<br>• Controls saline inflow and outflow for insufflation of the uterine<br>cavity for visualization<br>• Monitors and maintains intrauterine pressure to set pressure<br>• Monitors volume differential (fluid deficit)<br>• Controls Mechanical Resecting Device oscillation (Preset speed)<br>• Displays image/video and procedural information on external<br>monitor |
| Aveta Disposable Hysteroscope<br>(with tubing and fluid management<br>cassette) | • Visualization of uterine cavity<br>• Provides conduits/lumens for fluid inflow and outflow<br>• Provides membrane in fluid inflow line to enable intrauterine<br>pressure monitoring/control using pressure transducer in Controller<br>• Includes cassette for proper connection with Controller pumps<br>• Provides conduit for Disposable Resecting Device for operative<br>hysteroscopy<br>• Provides user interface for intrauterine set pressure and fluid deficit<br>limit adjustments, and recording of images |
| Aveta Reusable Hysteroscope<br>Handset | |
| Aveta Disposable Resecting Device<br>Aveta Reusable Resecting Handset | • Mechanically resects and removes tissue under suction<br>• Includes motor to provide oscillation of resection tip |
| Additional Aveta System<br>Components / Accessories<br>• Monitor<br>• Waste Management Kit<br>• Scale<br>• Roll Stand | • Displays image, procedural parameters and notifications<br>• Collects tissue for pathology and stores the outflow fluid waste<br>• Measures waste fluid / leaked fluid lost from cervix / hysteroscope<br>• Mounts Controller and Monitor |
## Table 1. Aveta System Components
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# V. Indications for Use
| Comparison of Indications for Use | |
|-------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device | Indications For Use |
| Aveta System<br>(Subject Device) | The Aveta Diagnostic and Therapeutic Hysteroscopy System is intended<br>for intrauterine use by trained gynecologists to permit viewing of the<br>cervical canal and the uterine cavity, provide liquid distension of the uterus<br>and monitor the volume differential between the irrigation fluid flowing<br>into and out of the uterus during diagnostic and surgical procedures to<br>resect and remove tissue such as submucous myomas, endometrial polyps<br>and retained products of conception. |
| Predicate System Component: | |
| Truclear™ Morcellator System<br>and Truclear™ Morcellators<br>(K152143) | For intrauterine use by trained gynecologists to hysteroscopically resect and<br>remove tissue such as submucous myomas, endometrial polyps and retained<br>products of conception. |
| Predicate System Component: | |
| Hysteroscopic Fluid<br>Management System<br>(K123732) | To provide liquid distension of the uterus for diagnostic and operative<br>hysteroscopy, and to monitor the volume differential between the irrigation<br>fluid flowing into and out of the uterus. |
| Predicate System Component: | |
| Truclear™ Operative<br>Hysteroscope 5C and Sheath 5C<br>(K132015) | To permit viewing of the cervical canal and uterine cavity for the purpose<br>of performing diagnostic and surgical procedures. |
#### Comparison of Indications for Use
Although the subject device does not have identical indications compared to the individual predicate devices, the subject device has the same general intended use as each of the respective predicate components: 1) to permit viewing of the cervical canal and the uterine cavity during diagnostic and operative procedures, 2) to provide liquid distension of the uterus and monitor fluid volume differential, and 3) to resect and remove tissue such as submucous myomas, endometrial polyps, and retained products of conception. When comparing each component function of the subject device to the indications of the respective predicate components, the subject and predicate devices have the same intended use.
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### VI. Comparison of Technological Characteristics with the Predicate Device
Aveta System and the predicate system have similar technological characteristics in terms of basic operating principle and basic design features with minor differences.
## Technological Comparison of Aveta System with Predicate System
| | Subject Device | Predicate Devices (System)<br>[Original K031787] | | | Reference Device | |
|-------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| 510k# | TBD | K132015 | K123732 | K152143 | K123151 | |
| Manufacturer: | Meditrina Inc. | Smith and Nephew, Inc. | | | Endosee<br>Corporation<br>(Cooper Surgical) | |
| Device Names | Aveta System | Truclear™<br>Morcellator<br>System and<br>Truclear™<br>Morcellators | Hysteroscopic<br>Fluid<br>Management<br>System | Truclear™<br>Operative<br>Hysteroscope 5C<br>and Sheath 5C | Endosee®<br>U-Scope Model 8000 | |
| CONTROLLER FUNCTIONS | | | | | | |
| Hysteroscope Functions | | | | | | |
| Visualization<br>and Image<br>Processing | CMOS sensor and light<br>source in Hysteroscope<br>and image processed by<br>the Controller<br>microprocessor | N/A | N/A | Regular Optics<br>with CCD sensor<br>and light source<br>and camera;<br>images process by<br>Controller | CMOS sensor, and<br>light source in<br>Hysteroscope and<br>image processed by<br>internal<br>microprocessor in<br>reusable handset | |
| Viewing<br>Functions | Controller connects to<br>a separate Monitor for<br>diagnostic and<br>operative information;<br>Screen displays IU<br>pressure, fluid deficit<br>with graphical user<br>interface. | N/A | Pressure and<br>Fluid Deficit<br>data is<br>displayed on<br>the unit.<br>Image is<br>displayed on<br>the Monitor. | N/A | Monitor integrated in<br>the Reusable<br>Handset Camera | |
| Fluid Management Functions | | | | | | |
| Fluid<br>Distention | Continuous flow of<br>saline/fluid | N/A | Same | N/A | Saline inflow | |
| Irrigation for<br>Distention | Peristaltic pump with<br>dual pressure sensors<br>for irrigation of fluids | N/A | Same | N/A | N/A | |
| Aspiration | Peristaltic pump for<br>aspiration of fluids and<br>for resected tissue and<br>fluids | N/A | Facility<br>vacuum pump<br>provides<br>suction for<br>aspiration of<br>resected tissue<br>and fluids | N/A | N/A | |
| Intrauterine<br>Pressure<br>Measurements | Obtains two<br>independent<br>intrauterine pressure<br>measurements by<br>sensing pressure of the<br>irrigation tube | N/A | Same | N/A | N/A | |
| Set Pressure<br>Range | 30-120 mmHg | N/A | 15-120 mmHg | N/A | N/A | |
| Set Pressure<br>User<br>Adjustments | Allows user to<br>increase/decrease the<br>set pressure | N/A | Same | N/A | N/A | |
| | Subject Device | Predicate Devices (System)<br>[Original K031787 | | | Reference Device | |
| 510k# | TBD | K132015 | K123732 | K152143 | K123151 | |
| Manufacturer: | Meditrina Inc. | Smith and Nephew, Inc. | | | Endosee<br>Corporation<br>(Cooper Surgical) | |
| Device Names | Aveta System | Truclear™<br>Morcellator<br>System and<br>Truclear™<br>Morcellators | Hysteroscopic<br>Fluid<br>Management<br>System | Truclear™<br>Operative<br>Hysteroscope 5C<br>and Sheath 5C | Endosee®<br>U-Scope Model 8000 | |
| Pressure Relief<br>for<br>overpressure<br>risk mitigation | Reverse rotation of<br>irrigation peristaltic<br>pump at 150 mmHg | N/A | Same | N/A | N/A | |
| Over Pressure<br>Controls | Above 100 mmHg<br>requires positive action<br>by the user with two<br>presses to confirm<br>setting is intentional up<br>to 120 mmHg max.<br>Display Notification<br>appears. | N/A | Same | N/A | N/A | |
| User Pressure<br>Adjustments to<br>Set Pressure | 5 mmHg at a time up to<br>120 mmHg max. | N/A | Same | N/A | N/A | |
| Fluid Deficit<br>Measurement<br>(Weight based<br>measurement<br>which includes<br>aspirated fluid<br>and fluid<br>leaking from<br>cervix) | Obtains difference<br>between three<br>independent weight<br>measurement sensors to<br>determine the Fluid<br>Deficit: 1) Irrigation<br>minus 2) Aspiration<br>and 3) fluid lost from<br>cervix as measured by<br>scale | N/A | Obtains<br>difference<br>between two<br>independent<br>weight<br>measuring<br>sensors to<br>determine<br>Fluid Deficit | N/A | N/A | |
| Flow Rate | 180-500 mL/min preset<br>fixed flow rates | N/A | 30-<br>700mL/min<br>user adjustable | N/A | N/A | |
| Mechanical Resection Functions | | | | | | |
| Mechanical<br>Resecting<br>Device | Connects to the<br>Disposable or Reusable<br>Resecting Handset by<br>an electrical connection<br>to provide a dc motor<br>control with a preset<br>programmed motor<br>oscillation speed. | Same | N/A | N/A | N/A | |
| HYSTEROSCOPE SYSTEM | | | | | | |
| Disposable Hysteroscope | | | | | | |
| Irrigation and<br>Aspiration<br>Lumens | Independent sterile<br>saline irrigation and<br>aspiration lumens | N/A | N/A | Same | Independent sterile<br>irrigation lumen. No<br>aspiration lumen | |
| Insertion OD | 5.5 mm | N/A | N/A | 5.7 mm | Oval - 3.8mm x 4.6<br>mm | |
| Working<br>Length | 224 mm | N/A | N/A | 205 mm | 287 mm | |
| | Subject Device | Predicate Devices (System)<br>[Original K031787] | | | Reference Device | |
| 510k# | TBD | K132015 | K123732 | K152143 | K123151 | |
| Manufacturer: | Meditrina Inc. | Smith and Nephew, Inc. | | | Endosee<br>Corporation<br>(Cooper Surgical) | |
| Device Names | Aveta System | Truclear™<br>Morcellator<br>System and<br>Truclear™<br>Morcellators | Hysteroscopic<br>Fluid<br>Management<br>System | Truclear™<br>Operative<br>Hysteroscope 5C<br>and Sheath 5C | Endosee®<br>U-Scope Model 8000 | |
| Illumination | LEDs<br>(Light Emitting Diode) | N/A | N/A | Fiber optic | LED<br>(Light Emitting<br>Diode) | |
| Working<br>Channel | 3.5 mm working<br>channel | N/A | N/A | 3 mm working<br>channel | No working channel | |
| Camera | Digital CMOS Camera | N/A | N/A | Fiberoptic image<br>guide coupled to<br>External CCD<br>(not part of the<br>system) | Same | |
| Proximal<br>Connection (to<br>Camera and<br>Light<br>Controls) | Entire device including<br>the cable and handset is<br>sterile in one package | N/A | N/A | Mechanical<br>connection to the<br>reusable remote<br>camera head and<br>light cable | Electromechanical<br>connection at the<br>proximal end to<br>Reusable Handle | |
| Reusable Hysteroscope Handset | | | | | | |
| Image<br>Processing | Processes images<br>generated by the<br>Disposable<br>Hysteroscope CMOS<br>sensor | N/A | N/A | No images<br>processing<br>capabilities.<br>Images are<br>processed by the<br>external CCD<br>video camera<br>attached to<br>Endoscope eye<br>piece (not part of<br>the system) | Same | |
| User Controls | · Set Pressure Controls<br>• Fluid Deficit Limit<br>Controls<br>· Image capture<br>capability<br>· Mode Selection with<br>preprogrammed<br>flowrates for each<br>Mode | N/A | · Set Pressure<br>Controls<br>• Fluid<br>Deficit<br>Limit<br>Controls<br>· Flow Rate<br>Adjustment | · Light, Image<br>adjustments<br>and Image<br>Capture using<br>compatible<br>device | · Image capture<br>button.<br>· Increase<br>illumination<br>power button.<br>· ON/OFF button.<br>· Touch screen for<br>patient ID, time<br>set entry | |
| RESECTING SYSTEM | | | | | | |
| Disposable Resecting Device | | | | | | |
| Cutting<br>Window | 8 mm | 7 mm | N/A | N/A | N/A | |
| Blade Material | Stainless steel | Same | N/A | N/A | N/A | |
| Working<br>Length | 328 mm | 357 mm | N/A | N/A | N/A | |
| Insertion OD | 3.4 mm | 2.9 mm | N/A | N/A | N/A | |
| | Subject Device | Predicate Devices (System)<br>[Original K031787] | | | Reference Device | |
| 510k# | TBD | K132015 | K123732 | K152143 | K123151 | |
| Manufacturer: | Meditrina Inc. | Smith and Nephew, Inc. | | | Endosee<br>Corporation<br>(Cooper Surgical) | |
| Device Names | Aveta System | Truclear™<br>Morcellator<br>System and<br>Truclear™<br>Morcellators | Hysteroscopic<br>Fluid<br>Management<br>System | Truclear™<br>Operative<br>Hysteroscope 5C<br>and Sheath 5C | Endosee®<br>U-Scope Model 8000 | |
| Device<br>Rotation for<br>Resection | Rotatable distal portion<br>of the hub allows the<br>user to orient the<br>resection window<br>towards the target<br>tissue | Not rotatable.<br>User must turn<br>Resecting Handset<br>to orient window<br>direction for<br>resection | N/A | N/A | N/A | |
| Aspiration<br>During<br>Resection | Aspiration is provided<br>via peristaltic suction<br>pump | Aspiration<br>provided by<br>facility vacuum<br>pump | N/A | N/A | N/A | |
| Tissue<br>Collection | Tissue catch provided<br>for resected tissue<br>chips | Same | N/A | N/A | N/A | |
| Disposable (Sterile) and Reusable (Steam Sterilizable) Resecting Handset | | | | | | |
| Resection<br>Mechanism | Mechanical | Mechanical | N/A | N/A | N/A | |
| User Controls | Handset Controls | Foot Switch<br>Controls | N/A | N/A | N/A | |
| Mechanical<br>Connection | Locks Disposable<br>Resecting Device | Locks Disposable<br>Resecting Device | N/A | N/A | N/A | |
| Rotational<br>Speed | 1500 RPM<br>(pre-set - not user<br>adjustable) | 100 - 2500 RPM<br>(user adjustable) | N/A | N/A | N/A | |
| WASTE MANAGEMENT KIT | | | | | | |
| How Provided | Non-sterile, Single-Use | N/A | Facility<br>provided (Not<br>part of the<br>system). Non-<br>sterile, Single-<br>Use | N/A…
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.