VX120 Ophthalmic Diagnostic Device

K143086 · Luneau Sas · HKX · Jun 1, 2015 · Ophthalmic

Device Facts

• Record ID: K143086
• Device Name: VX120 Ophthalmic Diagnostic Device
• Applicant: Luneau Sas
• Product Code: HKX · Ophthalmic
• Decision Date: Jun 1, 2015
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.1930
• Device Class: Class 2

Intended Use

The VX120 is a multi-function diagnostic device combining wavefront aberometer, corneal topographer, retro-illuminator, tonometer and pachymeter, indicated for: Measuring the refraction of the eye giving both lower and higher order aberrations Measuring the shape of the cornea Retro-illumination imaging of the eye Measuring the intraocular pressure without contacting the eye for glaucoma evaluation. Photographing the eye and taking images of the eye to evaluate the thickness of the cornea.

Device Story

VX120 is a multi-function ophthalmic diagnostic platform integrating five measurement units: Shack-Hartmann wavefront aberrometer for refraction/aberrations; Placido disk corneal topographer for keratometry/shape; retro-illuminator for ocular opacities; Scheimpflug camera for pachymetry; and air-puff non-contact tonometer for intraocular pressure (IOP). Device is desk-mounted, operated by eye care professionals in clinical settings. System is fully automated, handling alignment and focusing via single command. Inputs include optical signals from eye; outputs include digital images, refraction data, corneal maps, and IOP measurements displayed on integrated LCD. Clinicians use output to evaluate glaucoma, corneal thickness, and refractive status. Benefits include comprehensive diagnostic data from single platform, streamlining clinical workflow.

Clinical Evidence

Clinical evaluation conducted per ISO8612:2010 and ANSI Z80.10-2009 for tonometer function; device met requirements excluding eyes with >3D astigmatism. Bench testing for tonometer showed accuracy ±2mmHg, SD ±1.2mmHg. Pachymetry comparison study against Pentacam showed no statistically significant difference in Central Corneal Thickness (CCT) measurements. Electrical safety (IEC60601-1), EMC (IEC60601-1-2), and optical hazard (IEC60825-1, Class 1) testing performed.

Technological Characteristics

Multifunctional platform; Shack-Hartmann aberrometer; Placido disk topographer; Scheimpflug pachymeter; air-puff tonometer. Illumination: 720nm/880nm IR LEDs, 455nm blue LED (UV-free). CMOS camera. Connectivity: integrated LCD, printer, data storage. Power: 100-240V AC. Software: Moderate level of concern, verified per IEC62304. Risk management per ISO14971. Ophthalmic standards: ISO15004-1/2.

Indications for Use

Indicated for patients requiring eye refraction measurement (lower/higher order aberrations), corneal shape analysis, retro-illumination imaging, intraocular pressure measurement for glaucoma evaluation, and corneal thickness evaluation. Contraindicated for patients with >3 diopters of corneal astigmatism for tonometer function.

Regulatory Classification

Identification

A tonometer and accessories is a manual device intended to measure intraocular pressure by applying a known force on the globe of the eye and measuring the amount of indentation produced (Schiotz type) or to measure intraocular tension by applanation (applying a small flat disk to the cornea). Accessories for the device may include a tonometer calibrator or a tonograph recording system. The device is intended for use in the diagnosis of glaucoma.

Predicate Devices

• Keeler Pulsair Desktop Tonometer (K093298)
• Pentacam, Scheimplug camera (K030719)

Reference Devices

• VX110 (510(k) exempt)

Submission Summary (Full Text)

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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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized graphic of three overlapping human profiles facing to the right, representing the department's focus on people and health.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 1, 2015

LUNEAU SAS Ms. Isabelle Durand Quality/RA Manager 1 avenue de Malaguet CS 9001 Prunay le Gillon 28360 Gellainville Cedex France

Re: K143086

Trade/Device Name: VX120 Ophthalmic Diagnostic Device Regulation Number: 21 CFR 886.1930 Regulation Name: Ophthalmic Diagnostic Device Regulatory Class: Class II Product Code: HKX Dated: April 30, 2015 Received: May 1, 2015

Dear Ms. Durand:

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. 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 requirements, including, but not limited to: registration and listing (21

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CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act 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/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kesia Y. Alexander -A

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

# Indications for Use

510(k) Number (if known) K143086

Device Name VX120

Indications for Use (Describe)

The VX120 is a multi-function diagnostic device combining wavefront aberometer, corneal topographer, retro-illuminator, tonometer and pachymeter, indicated for:

Measuring the refraction of the eye giving both lower and higher order aberrations

Measuring the shape of the comea

Retro-illumination imaging of the eye

Measuring the intraocular pressure without contacting the eye for glaucoma evaluation

Photographing the eye and taking images of the eye to evaluate the thickness of the cornea.

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

> Prescription Use (Part 21 CFR 801 Subpart D)

_ Over-The-Counter Use (21 CFR 801 Subpart C)

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## 510(k) Summary

## VX120 ophthalmic diagnostic device

May 19th, 2015

#### l. SUBMITTER

LUNEAU SAS 1 avenue de Malaguet 28360 Prunay le Gillon France Phone : [phone] Fax: [phone]

Contact person: Isabelle Durand

#### II. DEVICE

Name of Device: VX120 Common name: Ophthalmic diagnostic device Classification: tonometer , AC powered Requlatory class: II Product code: HKX Regulation number: 886.1930

#### III. PREDICATE DEVICES

The VX120 is claimed to be substantially equivalent to the following currently marketed devices: Keeler Pulsair Desktop Tonometer Manufacturer: Keeler Ltd . FDA K093298 issued Dec 10, 2010. Product code: HKX

Pentacam, Scheimplug camera Manufacturer: Oculus Optikgeraete GmbH, Germany FDA K030719 issued Sept 16, 2003. Product code: MXK

The VX120 is equivalent for other functions not subject to 510(k) to the following device: VX110: combined wave front aberrometer, corneal topographer and retroillumination device.

Manufacturer: Luneau SAS 510(k) exempt, regulation number 886.1760 Product code: HKO

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#### IV. DEVICE DESCRIPTION

The VX120 is a multifunctional ophthalmic diagnostic device.

The VX120 combined wavefront aberrometer, corneal topographer, retro illumination device, Scheimpflug pachymeter, and non-contact tonometer is a single platform that contains five different measurement units.

The wavefront aberrometer works on the Shack-Hartmann principle and is used as an advanced autorefractometer that measures both lower and higher order aberrations of the refraction of the eye.

Retro illumination is used to image ocular opacities.

The corneal topographer uses a Placido disk to measure keratometry and the detailed shape of the cornea.

The Scheimpflug pachymeter measures the thickness of the central cornea by illuminating it with a slit of light and photographing it using the Scheimpflug technique. An air puff non-contact tonometer is included for measurement of the intraocular pressure.

The device is fully automated and a number of different measurements can be performed by a single command including alignment and focusing.

#### V. INDICATIONS FOR USE

The VX120 is a multi-function diagnostic device combining wavefront aberometer, corneal topographer, retro-illuminator, tonometer and pachymeter, indicated for:

Measuring the refraction of the eye giving both lower and higher order aberrations Measuring the shape of the cornea

Retro-illumination imaging of the eye

Measuring the intraocular pressure without contacting the eye for glaucoma evaluation. Photographing the eye and taking images of the eye to evaluate the thickness of the cornea.

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### VI. COMPARISON OF INTENDED USE AND TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICES

- 1. The Tonometer function of the VX120 is claimed to be substantially equivalent to the following currently marketed device: Keeler Pulsair Desktop Tonometer,Keeler Ltd . UK, K093298
The tonometer function of VX120 and the Pulsair Desktop Tonometer have the same intended use, they are indicated to be used to aid with the glaucoma evaluation. They measure intraocular pressure without contact with the eye by applying an air puff to the eye. VX120, is not indicated in patients with less than 3 diopters of corneal astigmatism. The maximum IOP that can be measured with this device is 44 mmHg.

| Comparison of non-contact tonometer Technological characteristics | | |
|-------------------------------------------------------------------|----------------------------------------|-----------------------------------------------------------|
| | Pulsair tonometer | Vx120 |
| Type | Air Puff Non Contact<br>Tonometer | Air Puff Non Contact Tonometer |
| Illumination | 720nm 1W LED | 720nm 1W LED |
| Measurement Range | 5 to 50mmHg | 7 to 44mmHg |
| Displayed Scale | Direct in mmHg | Direct in mmHg |
| Air Puff Generation | Vacuum Diaphragm Pump<br>(Type: NPK04) | Vacuum Diaphragm Pump<br>(Type: NPK04) |
| Accuracy | ±2 mmHg | ±2 mmHg |
| Pressure of Air Expelled<br>from Tonometer | 30mmHg & 70mmHg | 30mmHg & 70mmHg |
| Power Supply | 100-240 V AC, 50/60 Hz, 400 W | 100-240 V AC, 50/60 Hz, 400 W |
| Measurement Method | Opto Electronic | Opto Electronic |
| User Interface | Factory Set / User Changeable | Factory Set / User Changeable |
| Printer | Built in | Built in |
| Data Display | Single line 16 characters LCD | Full Colour LCD |
| Data storage capability | | Results and patient information |
| Mounting Options | Desk mounted | Desk mounted |
| Dimensions (W×L×H) | 450mmx435mmx245mm | 312mm × 530mm × 570mm |
| Weight | 16 kg | 25 kg |
| Software Level of Concern | Moderate | Moderate |
| Reliance on Standards | ISO8612:2001 | Full clinical trial conducted in<br>2014 to ISO18612:2010 |

- 2. The pachymeter function of the VX120 is claimed to be substantially equivalent to the following currently marketed device: Pentacam Scheimpflug Camera, OCULUS Optikgeraete GmbH, Germany; K 030719
The pachymeter function of the VX120 has the same intended use than Pentacam for photographing the eye and taking images of the anterior segment of the eye to evaluate the thickness of the cornea.

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The Pentacam and the VX120 systems are based on the Scheimpflug Principle for slit image photography. The measurement systems use blue light (UV-free) through a slit to illuminate the eye, and a Camera for photography. The devices take a series of images of the anterior segment of the eye and analyse the images, selected by the software.

| Comparison of pachymeter technological characteristics | | |
|--------------------------------------------------------|------------------------------------------------------------|-----------------------------------------------------------------------------|
| | Pentacam | VX120 |
| Manufacturer | Oculus Optigerate GmbH | Luneau |
| Measurement principle | Scheimpflug principle for<br>slit image photography | Scheimpflug principle for<br>slit image photography |
| Observation illumination | Infrared LED 800nm for<br>pupil illumination | Infrared LED 880nm for<br>pupil and corneal<br>illumination |
| Flash output illumination | Blue LED light (UV free)<br>475nm, max 2.5W power<br>input | Blue LED light (UV free)<br>455nm, max 1.2W power<br>input |
| Camera | CCD camera | CMOS camera |
| Display | Data digital, displayed on<br>a CPU | Data digital, displayed on<br>LCD screen |
| Image resolution | 800 × 600 pixels | 1600 × 1000 pixels |
| Measuring points | 500 per image | 300 per surface (2<br>surfaces per image) |
| Image size | 5.6x 4.5 mm | 3.5 x 2.2 mm |
| Photographic range | 0° to 360° | Fixed slit position 180° |
| Photographic series | 1 to 50 images | 5 images |
| Exposure control | Fixed during calibration,<br>max 2.5Wsec power input | Fixed during calibration,<br>max 50mW for 300 mS<br>(0.015Wsec) power input |
| Slit length | 14mm fixed | 8mm fixed |
| Power supply | External 110/220 VAC,<br>50/60Hz | 100-240 VAC, 50/60Hz |
| Power consumption | 50VA | 400W |
| Power requirement | 25VDC, 2A / 5VDC, 2A | |
| Weight | 9 kg | 25 kg |

The systems contain

- . similar optical systems,
- . a similar source of illumination for observation and photography,
- a camera as a photographic medium, . Both systems use the same device features like a
- . head stabilizing device
- fixation target ●
- alignment control mechanism. ●

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#### VII. PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence determination:

- 1. Electrical safety and EMC testing were conducted on the VX120. The device complies with IEC60601-1:2006, and the IEC60601-1-2 for EMC.
- 2. Software verification and validation testing was done according to IEC62304.
- 3. Risk management: VX120 was evaluated according to ISO14971: 2009. All risks have been reduced to safe levels thus there is no conflict between risk and benefit.
- 4. Tests for ophthalmic products: VX120 was evaluated in accordance with ISO15004-1:2009 and ISO15004-2:2007 standards and was found to meet all requirements of the standards. For optical hazards, VX120 was evaluated in accordance with IEC60825-1: 2008: the result is VX120 is laser class 1.
- 5. Tests for tonometers:
- a. Bench testing:

Accuracy and repetability tests have been performed ; the accuracy is equivalent to ±2mmHg or better and the standard deviation is ±1.2 mmHg or better.

- b. Clinical evaluation: VX120 was evaluated in accordance with ISO8612:2010 and ANSI Z80.10-2009 and was found to meet all requirements of the standards if eyes with astigmatism >3mm are excluded.
- 6. Tests for pachymetry:

A comparison study of Central Corneal Thickness measurements done with VX120 and Pentacam shows that there was no significant statistical difference between measurements of CCT with VX120 and the Pentacam.

#### VIII. CONCLUSIONS

The VX120 is substantially equivalent to the predicate devices for its tonometry and pachymetry functions. The VX120 has the same intended use, technological characteristics, and principles of operation as its predicate devices.

The VX120 other functions are equivalent to VX110

The technological differences between the VX120 and its predicates raise no new issues of safety and effectiveness. Performance data demonstrates that the VX120 is as safe and effective as the predicate devices for tonometry and pachymetry functions.