K241916 · Optmed, Inc. · KMF · Sep 27, 2024 · General Hospital
Device Facts
Record ID
K241916
Device Name
TearRepair Liquid Skin Protectant
Applicant
Optmed, Inc.
Product Code
KMF · General Hospital
Decision Date
Sep 27, 2024
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.5090
Device Class
Class 1
Attributes
Therapeutic
Indications for Use
TearRepair is intended to be used in areas exposed to mechanical forces such as friction and shear from bedding, clothing, shoes, or any material that may damage the skin. TearRepair can also be used to protect skin exposed to irritation from moisture such as urine, feces, digestive juices, perspiration, and wound drainage. TearRepair can also help protect the skin against irritation caused by adhesive products.
Device Story
TearRepair is a single-use, sterile liquid skin protectant. Healthcare providers apply the device by squeezing the applicator walls to crush an internal glass ampoule, releasing a methylidene malonate monomer. The liquid flows to a domed polyolefin/PP applicator tip and is applied to the skin. Upon contact, the liquid polymerizes to form a transparent, flexible film that adheres to skin contours. The film protects against friction, shear, and moisture-related irritation. The film wears off naturally as the skin regenerates. The device is intended for clinical use to prevent skin damage and irritation.
Clinical Evidence
No clinical data. Substantial equivalence is supported by bench testing, including mechanical testing (adhesive, shear, and tensile strength), heat of polymerization, moisture vapor transmission rate, setting time, and applicator functionality. Biocompatibility testing was conducted per ISO 10993 standards, including cytotoxicity, sensitization, irritation, acute systemic toxicity, material-mediated pyrogenicity, subacute toxicity, and implantation.
Indicated for adults over 21 requiring skin protection from mechanical forces (friction/shear), moisture (urine, feces, digestive juices, perspiration, wound drainage), and irritation from adhesive products.
Regulatory Classification
Identification
A liquid bandage is a sterile device that is a liquid, semiliquid, or powder and liquid combination used to cover an opening in the skin or as a dressing for burns. The device is also used as a topical skin protectant.
Predicate Devices
Marathon No Sting Liquid Skin Protectant (K133443)
Submission Summary (Full Text)
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September 27, 2024
OptMed, Inc. % Allison Komiyama VP, MedTech Innovations Ram+ 2790 Mosside Blvd. Suite 800 Monroeville, Pennsylvania 15146
Re: K241916
Trade/Device Name: TearRepair Liquid Skin Protectant Regulation Number: 21 CFR 880.5090 Regulation Name: Liquid Bandage Regulatory Class: Class I, reserved Product Code: KMF Dated: June 28, 2024 Received: July 1, 2024
Dear Allison Komiyama:
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 (the 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 available 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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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
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For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Yu-chieh Chiu -S
Yu-Chieh Chiu, Ph.D. Assistant Director DHT4B: Division of Plastic and Reconstructive Surgery Devices OHT4: Office of Surgical and Infection Control 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) K241916
Device Name TearRepair Liquid Skin Protectant
#### Indications for Use (Describe)
TearRepair is intended to be used in areas exposed to mechanical forces such as friction and shear from bedding, olothing. shoes, or any material that may damage the skin. TearRepair can also be used to irritation from moisture such as urine, feces, digestive juices, perspiration, and wound drainage. TearRepair can also help protect the skin against irritation caused by adhesive products.
| 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
### DATE PREPARED
September 23, 2024
#### MANUFACTURER AND 510(k) OWNER
OptMed. Inc. 745 Fifth Ave., Suite 500 New York, New York 10151 Telephone: Official Contact: Nitasha Yajnik, Associate Director, Quality and Regulatory Assurance
#### REPRESENTATIVE/CONSULTANT
Allison C. Komiyama, Ph.D., RAC (RQM+) Lucie Dalet, Ph.D. (RQM+) Bhoomika Joyappa (Medical Device Academy, Inc.) Telephone: +1 (412) 816-8139 Email: akomiyama@rqmplus.com ldalet@rqmplus.com
#### DEVICE INFORMATION
| Proprietary Name/Trade Name: | TearRepair Liquid Skin Protectant |
|------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Bandage, Liquid |
| Regulation Number: | 21 CFR 880.5090 |
| Class: | I |
| Product Code: | KMF |
| Premarket Review: | Office of Surgical and Infection Control Devices (OHT4)<br>Infection Control and Plastic and Reconstructive Surgery<br>Devices (DHT4B) |
| Review Panel: | General & Plastic Surgery |
#### PREDICATE DEVICE IDENTIFICATION
TearRepair is substantially equivalent to the following predicate:
| 510(k) Number | Predicate Device Name / Manufacturer | Primary<br>Predicate |
|---------------|-----------------------------------------------------------------------------------------|----------------------|
| K133443 | Marathon No Sting Liquid Skin Protectant/ Advanced<br>Medical Solutions (Plymouth) Ltd. | ✓ |
The predicate device has not been subject to a design related recall.
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## DEVICE DESCRIPTION
TearRepair Liguid Skin Protectant is a rapid-drying liquid barrier film for the protection of the skin. It is applied as a liquid and dries within minutes, adhering to the contours of the skin to form a transparent flexible film. TearRepair will wear off, naturally, and is provided as a singleuse, sterile device provided as Rx Only.
### INDICATIONS FOR USE
TearRepair is intended to be used in areas exposed to mechanical forces such as friction and shear from bedding, clothing, shoes, or any material that may damage the skin. TearRepair can also be used to protect skin exposed to irritation from moisture such as urine, feces, digestive juices, perspiration, and wound drainage. TearRepair can also help protect the skin against irritation caused by adhesive products.
#### COMPARISON OF TECHNOLOGICAL CHARACTERISTICS
OptMed, Inc. believes that the TearRepair is substantially equivalent to the predicate device based on the information summarized here:
The subject device has a similar design and uses similar materials as the device cleared in K133443. The subject device has the similar intended use and similar technological characteristics to the devices cleared in K133443. The device has similar instrumentation to the device cleared in K133443. These technological characteristics have undergone testing to ensure the device is as safe and effective as the predicates.
| | Subject Device<br><i>TearRepair Liquid Skin<br/>Protectant</i> | Primary Predicate<br>Device<br><i>Marathon No Sting Liquid<br/>Skin Protectant</i> | Comparison |
|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | OptMed, Inc. | Advanced Medical<br>Solutions | N/A |
| 510(k)<br>Number | TBD | K133443 | N/A |
| Device Image | Image: TearRepair Liquid Skin Protectant | Image: Marathon No Sting Liquid Skin Protectant | N/A |
| Single-Use | Yes | Yes | Equivalent |
| Patient<br>Population | Adults over the age of 21 | Unknown | Equivalent |
| | Subject Device<br>TearRepair Liquid Skin<br>Protectant | Primary Predicate<br>Device<br>Marathon No Sting Liquid<br>Skin Protectant | Comparison |
| Indications<br>for Use | TearRepair is intended to be<br>used in areas exposed to<br>mechanical forces such as<br>friction and shear from<br>bedding, clothing, shoes, or<br>any material that may<br>damage the skin. TearRepair<br>can also be used to protect<br>skin exposed to irritation<br>from moisture such as urine,<br>feces, digestive juices,<br>perspiration, and wound<br>drainage. TearRepair can<br>also help protect the skin<br>against irritation caused by<br>adhesive products. | Marathon No Sting Liquid<br>Skin Protectant helps<br>protect skin exposed to<br>Irritation from moisture<br>such as urine, feces,<br>digestive juices,<br>perspiration, and wound<br>drainage.<br>Marathon No Sting<br>Liquid Skin Protectant<br>can also be used in areas<br>that are exposed to<br>friction and shear from<br>bedding, clothing, shoes,<br>or any material that will<br>rub against the skin.<br>Marathon No Sting<br>Liquid Skin Protectant<br>helps protect the skin<br>against Irritation caused<br>by adhesive products. | Equivalent |
| Type of Use | Prescription (Rx Only) | Prescription (Rx Only) | Equivalent |
| Operating<br>Principle | The healthcare provider<br>actuates the device by<br>squeezing the applicator<br>walls, crushing the glass<br>ampoule within allowing<br>the adhesive to flow to the<br>application tip. The<br>adhesive is applied as a<br>liquid and polymerizes,<br>adhering to the contours of<br>the skin to form a<br>transparent, flexible film.<br>TearRepair wears off<br>naturally as the skin<br>regenerates. | The adhesive is accessed<br>by crushing the glass<br>ampoule. This is<br>achieved by holding it<br>vertically with the tip<br>upper most, and then the<br>glass ampoule is broken<br>by squeezing the<br>applicator walls between<br>finger and thumb.<br>The adhesive is<br>expressed by inverting<br>the applicator and gently<br>squeezing the applicator<br>body until the adhesive<br>wets the tip of the<br>applicator. The adhesive | Equivalent |
| | Subject Device<br><i>TearRepair Liquid Skin<br/>Protectant</i> | Primary Predicate<br>Device<br><i>Marathon No Sting Liquid<br/>Skin Protectant</i> | Comparison |
| | | is applied to the required<br>area as a thin film and<br>allowed to polymerize<br>solid. | |
| Monomer | Methylidene malonate | Cyanoacrylate | Similar; both are<br>monomer/polymer<br>materials; does<br>not raise issues of<br>safety and<br>effectiveness based on<br>performance,<br>biocompatibility,<br>sterilization and<br>shelf-life testing. |
| Dispenser | Applicator sleeve<br>containing a glass<br>ampoule that, when<br>crushed, allows for<br>expressing the adhesive<br>through the tip;<br>Polyolefin/PP Molded tip | Applicator sleeve<br>containing a glass<br>ampoule that, when<br>crushed, allows for<br>expressing the adhesive<br>through the tip; Sponge<br>applicator | Similar;<br>applicator tip of<br>subject device is<br>made of a<br>polyolefin/PP<br>molded part while<br>the predicate<br>device has a<br>sponge applicator.<br>Performance<br>testing does not<br>raise new issues<br>of safety and<br>effectiveness. |
| Outer Plastic<br>Tube | Yes | Yes | Equivalent |
| Applicator Tip<br>Shape | Domed | Deerfoot | Similar;<br>applicator<br>functionality<br>testing<br>performed to<br>support<br>equivalent |
| | Subject Device<br>TearRepair Liquid Skin<br>Protectant | Primary Predicate<br>Device<br>Marathon No Sting Liquid<br>Skin Protectant | Comparison |
| | | | performance to<br>the predicate. |
| Adhesive | Yes | Yes | Equivalent |
| Stability and<br>Shelf-life | Real Time Aged Product Environmental Conditioning and Distribution Testing Product Stability Testing Package integrity | Unknown; Redacted from<br>510(k). | Similar; testing<br>demonstrates that<br>the device is<br>substantially<br>equivalent to<br>predicate |
| Sterilization | Gamma Irradiation | EtO | Similar; both<br>products sterilized<br>according to<br>validated processes |
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## SUMMARY OF NON-CLINICAL TESTING
No FDA performance standards have been established for TearRepair. The following tests were performed to demonstrate safety based on current industry standards:
Bench Testing:
- Mechanical Testing/Adhesive strength testing
- Heat of Polymerization .
- Moisture Vapor Transmission Rate .
- . Setting Time of Liquid Skin Protectant
- Applicator Functionality
Biocompatibility:
- Cytotoxicity (ISO 10993-5)
- Sensitization (ISO 10993-10) ●
- Irritation (ISO 10993-10) ●
- . Acute systemic toxicity (ISO 10993-11)
- Material-mediated pyrogenicity (ISO 10993-11, USP <151>)
- Subacute toxicity (ISO 10993-11) .
- . Implantation (ISO 10993-6)
The results of these tests indicate that TearRepair is substantially equivalent to the predicate device.
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#### CONCLUSION
Based on the testing performed, including wound closure strength, shear strength, and tensile strength, and biocompatibility testing, it can be concluded that the subject device does not raise different questions of safety or effectiveness compared to the predicate devices. The similar indications for use, technological characteristics, and performance characteristics for the proposed TearRepair are assessed to be substantially equivalent to the predicate device.
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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.