K080788 · Lucid, Inc. · PSN · Sep 17, 2008 · General, Plastic Surgery
Device Facts
Record ID
K080788
Device Name
VIVASCOPE SYSTEM, MODEL 1500, 3000
Applicant
Lucid, Inc.
Product Code
PSN · General, Plastic Surgery
Decision Date
Sep 17, 2008
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4580
Device Class
Class 2
Indications for Use
The VivaScope® System is intended to acquire, store, retrieve, display and transfer in vivo images of tissue, including blood, collagen and pigment, in exposed unstained epithelium and the supporting stroma for review by physicians to assist in forming a clinical judgment.
Device Story
Reflectance confocal microscope; captures in vivo images of skin tissue (epidermis/dermis) via optical sectioning. Uses 830 nm low-power infrared laser (Class I) to illuminate tissue; pinhole aperture rejects out-of-focus light. Produces horizontal optical sections of skin layers; optional macroscopic color imaging via VivaCam. System includes imager (arm-mounted or handheld), display, PC, and cart. Operated by clinicians in clinical settings. Images stored/retrieved via VivaScan software; supports DICOM communication. Provides high-resolution visualization of cells, collagen, fibrin, and blood flow. Assists physicians in forming clinical judgments; does not provide automated diagnosis.
Clinical Evidence
No clinical data. Substantial equivalence based on technological characteristics and bench testing confirming compliance with safety standards.
Indicated for physicians to acquire, store, retrieve, display, and transfer in vivo images of unstained epithelium and supporting stroma (including blood, collagen, and pigment) to assist in clinical judgment.
Regulatory Classification
Identification
A surgical lamp (including a fixture) is a device intended to be used to provide visible illumination of the surgical field or the patient.
Special Controls
*Classification.* Class II (special controls). The device, when it is an operating room lamp, a surgical instrument light, a surgical floor standing light, an endoscopic surgical light, a surgical light connector, a ceiling mounted surgical light, a surgical light carrier, surgical light accessories, a surgical lamp, a remote illuminator, or an incandescent surgical lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
March 10, 2017
Lucid, Inc. c/o Mr. James Joy Quality Assurance and Regulatory Manager 2320 Brighton Henrietta Town Line Road Rochester, New York 14623
Re: K080788
Trade/Device Name: VivaScope® System Regulation Number: 21 CFR 878.4580 Regulation Name: Surgical lamp Regulatory Class: II Product Code: PSN Dated: September 5, 2008 Received: September 8, 2008
Dear Mr. Joy:
This letter corrects our substantially equivalent letter of September 17, 2008.
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 CFR Part 807); labeling (21 CFR Part 801 ); medical device reporting (reporting of medical
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Page 2 - Mr. James Joy
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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
# Jennifer R. Stevenson -S
For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known):
Device Name:
VivaScope® System
Indications for Use:
The VivaScope® System is intended to acquire, store, retrieve, display and transfer in vivo images of tissue, including blood, collagen and pigment, in exposed unstained epithelium and the supporting stroma for review by physicians to assist in forming a clinical judgment.
Prescription Use J X (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
ision Sign-Off) Division of General, Restorative, and Neurological Devices
Page 1 of 1
**510(k) Number** k080677
ﺪ
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SEP 1 7 2008
K080788
# 510(k) Summary
Submiller: Lucid, Inc. 2320 Brighton Henrictta Town Line Road Rochester, New York 14623 Telephone (585) 239-9800 Fax (585) 239-9806
- Contact: James Joy Quality Assurance Manager Telephone (585) 239-9800 Fax (585) 239-9806
- Date Prepared: March 17, 2008
- VivaScope® System Proprietary Name:
- Common Name: In vivo confocal reflectance microscope
Classification Name: Light, Surgical, Floor Standing (21 CFR 878.4580, Product Code FSS)
### 510(k) Numbers and Product Codes of Equivalent Devices
MicroDERM® 510(k) Number: K()40)171 Product Code: FSS CFR Section: 878.4580 Visiomed AG, Ft. Lauderdale, FL
SiaScope II 510(k) Number: K023729 Product Code: FSS CFR Section: 878.4580 Astron Clinica, Ltd., Crofton, MD
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#### Intended Usc
The VivaScope® System is intended to acquire, store, retrieve, display and transfer in vivo images of tissue, including blood, collagen and pigment, in exposed unstained epithelium and the supporting stroma for review by physicians to assist in forming a clinical judgment.
#### Device Description
The VivaScope System is a reflectance confocal microscope, full color macroscopic imager, and software that captures images of in vivo tissue specimens from the exposed surface of the tissue, through the unstained epithelium and into the superficial supporting stroma. It provides non-invasive in vivo images of the epithelium and supporting stroma. The VivaScope® System does NOT provide automated analysis or diagnosis of the images it produces. It is capable of imaging cells in the epidermis of skin and the fibrous tissue (primarily collagen and fibrin) in the dermis. In addition, it is possible to visualize circulation of blood cells (including both erythrocytes and leukocytes) in capillaries and other small vessels.
The VivaScope System produces horizontal sections of the skin using safe, low power infrared laser light at nominal wavelength of 830 nm (CDRH laser Class I). Horizontal sections make it straightforward to view the various layers of the skin in sequence, from the outer surface of the stratum comeum, through the granular, spinous and basal layers, to the level of the superficial reticular dermis.
The VivaScope® System produces high resolution images of the skin using confocal laser scanning microscopy. The key feature of confocal microscopy is the ability to produce in-focus images of thick specimens called "optical sectioning". The system is able to accomplish this by having the point source laser light, the illuminated spot in the sample, and the pinhole all lie in optically conjugate [ocal planes. The size of the pinhole (located in front of the photodiode) is matched to the size of the illuminated spot to reject out of focus light allowing for imaging of thin optical sections.
The VivaScope® System can image, display, store, retrieve, import and export in vivo confocal
and macroscopic color images using the VivaScan operating software and supportin hardware. Images are saved and stored using standard lossless image compression algorithms. Images are communicated to other devices using DICOM standard functionality that is incorporated into the VivaScan® operating software.
The VivaScope® System is comprised of four (4) major functional components: an imager, a display, a PC and a cart. A VivaScope® System will have either a VivaScope® arm mounted imaging head or a VivaScope® handheld imaging head, or both, and optionally, a VivaCam® full color macroscopic imaging head.
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## Conclusion
The VivaScope System has the same intended use as its predicates and similar indication. All of the devices provide in vivo images of the skin for physician diagnostic review and referral purposes, and are capable of imaging the skin's components, including pigment, blood and/or collagen.
Additionally, the VivaScope® System's technological characteristics are very similar to the predicates, except for the light source. The VivaScope System has the same major functional components as the predicates, i.e., imager, display, computer and cart, and uses the same operating principle, i.e., reflected light, to capture images of the skin. It also has the same technological capabilities in that it is capable of acquiring, storing, displaying and transmitting images.
The main difference in technology relates to the light source: the VivaScope® System uses laser as its light source and the predicate devices use LEDs. This difference, however, does not raise new types of safety or effectiveness questions, because the laser allows the VivaScope® System, like its predicates, to produce detailed images of the skin and its cnergy output is within the range of its predicates and complies with the FDA's safety requirements. Further, the VivaScope® System conforms to the same FDA and internationally recognized safety standards as the predicates.
For the forgoing reasons, the VivaScope® System is substantially equivalent to the predicate devices.
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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.
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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.
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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.