DOCUMENTING LASER SLIT LAMP, DP 2010

K012873 · Bausch & Lomb, Inc. · HJO · Nov 19, 2001 · Ophthalmic

Device Facts

• Record ID: K012873
• Device Name: DOCUMENTING LASER SLIT LAMP, DP 2010
• Applicant: Bausch & Lomb, Inc.
• Product Code: HJO · Ophthalmic
• Decision Date: Nov 19, 2001
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.1850
• Device Class: Class 2

Intended Use

The Documenting Laser Slit Lamp is a diagnostic instrument using an AC-powered slit lamp biomicroscope designed to examine the eye through a control diaphragm a thin, intense beam of light.

Device Story

The Documenting Laser Slit Lamp is a non-invasive, handheld diagnostic instrument used by clinicians to examine the anterior eye segment. It utilizes an AC-powered slit lamp biomicroscope to project a thin, intense beam of light through a control diaphragm. The device incorporates an illumination system and an image-capturing system to record slit lamp photography. Captured images are processed by an integrated computer system, allowing the clinician to view, store, and retrieve still photographs or video sequences of the eye. This documentation assists healthcare providers in clinical assessment and monitoring of ocular conditions.

Clinical Evidence

Bench testing only. The device was tested to and meets EN/IEC 601 safety and electromagnetic compatibility standards.

Technological Characteristics

Handheld diagnostic instrument; AC-powered slit lamp biomicroscope; optical system with illumination for observation and photography; image-capturing system; computer-based display and storage; meets EN/IEC 601 safety and EMC standards.

Indications for Use

Indicated for the examination of the eye using an AC-powered slit lamp biomicroscope and a control diaphragm to project a thin, intense beam of light.

Regulatory Classification

Identification

An AC-powered slitlamp biomicroscope is an AC-powered device that is a microscope intended for use in eye examination that projects into a patient's eye through a control diaphragm a thin, intense beam of light.

Special Controls

*Classification.* Class II (special controls). The device, when it is intended only for the visual examination of the anterior segment of the eye, is classified as Group 1 per FDA-recognized consensus standard ANSI Z80.36, does not provide any quantitative output, and is not intended for screening or automated diagnostic indications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

Predicate Devices

• Talia Laser Slit Lamp (K930518)
• Anterior Eye-Segment Analysis System (K991284)

Submission Summary (Full Text)

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Section 15

K012873

## SUMMARY OF SAFETY AND EFFECTIVENESS

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CRF 807.92.

- 1. Submitter's name, address, telephone number, contact person, and date summary prepared
- a. Bausch & Lomb, Inc. 9342 Jeronimo Rd. Irvine, CA 92618
- b. Contact Person:

Penni L. Pannell Manager, Regulatory Affairs

Sture L Pannell

C. Date Summary Prepared:

b.

August 24, 2001

- 2. Name of device, including trade name and classification name:
- Trade/Proprietary Name: a.
- Documenting Laser Slit Lamp Classification Name: Ophthalmic Slit Lamp
- 3. Identification of the predicate device or legally marketed device or devices to which substantial equivalence is being claimed:

| Company: | Talia Technology, LTD. |
|---------------|--------------------------------------|
| Device: | Talia Laser Slit Lamp |
| 510(k) | K930518 |
| Date Cleared: | January 25, 1994 |
| Company: | Nidek Incorporated |
| Device: | Anterior Eye-Segment Analysis System |
| 510(k) | K991284 |
| Date Cleared: | August 6, 1999 |

- 4. A description of the device that is the subject of the 510(k), including explanation of how the device functions, basic scientific concepts, significant

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## physical and performance characteristics (design, material, physical properties):

The Documenting Laser Slit Lamp is a non-invasive, hand held diagnostic instrument designed to take photographs of the anterior eye segment using an AC- powered slit lamp biomicroscope. The system contains an illumination device, image-capturing device used for slit image photography. The image is captured on the computer, viewed as still photographs or in a series of images in a video format. The patient data and images are displayed, stored and retrievable.

#### ડ. Statement of intended use:

The Documenting Laser Slit Lamp is a diagnostic instrument using an AC-powered slit lamp biomicroscope designed to examine the eye through a control diaphragm a thin, intense beam of light.

### Statement of how the technological characteristics of the device compare to 6. those of the predicate or legally marketed device.

The intended use for all three devices is to examine and take photographs of the eye. All devices utilize the same or similar operating principles, in that they contain an optical system, a source of illumination for observation, source of illumination for photography and photographic mediums.

#### 7. Brief summary of nonclinical tests and results:

The Documenting Laser Slit Lamp has been tested to and meets the EN/IEC 601 safety and electromagnetic compatibility standards.

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Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features the department's emblem, which is a stylized representation of an eagle or bird in flight, composed of three curved lines. The emblem is positioned to the right of the text, which is arranged in a circular pattern around the emblem. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Penni L. Pannell Manager, Regulatory Affairs Bausch & Lomb 9342 Jeronimo Road Irvine, CA 92618

NOV 1 9 2001

Re: K012873

Trade/Device Name: Documenting Laser Slit Lamp, DP 2010 Regulation Number: 21 CFR 886.1850 Regulation Name: Slit Lamp Regulatory Class: I I Product Code: HJO Dated: August 24, 2001 Received: August 27, 2001

Dear Ms. Pannell:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 - Ms. Penni L. Pannell

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

A. Ralph Rosenthal

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

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NOV 1 9 2001

Page _________________________________________________________________________________________________________________________________________________________________________ of of ________________________________________________________________________________________________________________________________________________________________________

K012873

510(k) Number (if known):

Device Name: Documenting Laser Slit Lamp

Indications for Use:

The Documenting Laser Slit Lamp is a diagnostic instrument using an AC-povered slit The Documenting Laser Ont Lamp to a and intense beam of light.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daryl Kaufman

(Division Sign-Off) Division of Ophthalmic Devices 510(k) Number_KO12823