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Comparative Study of the NIDEK TONOREF III and the Haag-Streit Goldmann Manual Tonometer and Comparison of Pachymetry Values for NIDEK TONOREF III With the NIDEK CEM-530

Comparative Study of the NIDEK TONOREF III and the Haag-Streit Goldmann Manual Tonometer (Predicate) to Demonstrate Conformance to ANSI Z80.10-2014 Ophthalmic Instruments - Tonometers, to the FDA Guidance for Industry and FDA Staff, Tonometer-Premarket Notification [510(k)] Submissions, and to the Applicable Supplemental Information Sheet and Comparison of Pachymetry Values for NIDEK TONOREF III With the NIDEK CEM-530 (Predicate)

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03441477
Enrollment
225
Registered
2018-02-22
Start date
2017-12-17
Completion date
2019-01-16
Last updated
2023-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intraocular Pressure

Brief summary

The primary objective of this clinical study is to prove that tonometry values for NIDEK TONOREF III are comparable to the predicate device and to prove that the pachymeter function of NIDEK TONOREF III is equivalent to the predicate device. The secondary objective is to demonstrate that the test device is as safe as the predicate devices.

Interventions

The auto ref/kerato/tono/pachymeter TONOREF III is a medical device which measures objective refractive errors, corneal curvature radius, intraocular pressure and corneal thickness of the patient's eye.

Haag-Streit Goldmann Manual Tonometer measures intraocular pressure to aid in the screening and diagnosis of glaucoma

Nidek CEM-530 is a non-contact ophthalmic microscope, optical pachymeter, and camera used for examination of the corneal endothelium and for measurement of the thickness of the cornea.

Sponsors

Nidek Co. LTD.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. be at least 18 years of age of either sex and any race or ethnicity; 2. be willing and able to provide written informed consent prior to any study procedures being performed; 3. be willing and able to follow all instructions and attend all study visits;

Exclusion criteria

1. have only one functional eye; 2. have poor or eccentric fixation in either eye; 3. have corneal scarring or have had corneal surgery, including corneal laser surgery in either eye; 4. have microphthalmos in either eye; 5. have buphthalmos in either eye; 6. be a contact lens wearer, meaning having worn soft contact lenses within the past 3 months and/or rigid permeable gas lenses within the past 6 months; 7. have dry eyes, meaning having been diagnosed by a physician with dry eyes and currently using a prescribed medication or daily use of artificial tears; 8. be a lid squeezer - blepharospasm; 9. have nystagmus in either eye; 10. have keratoconus in either eye; 11. have any other corneal or conjunctival pathology or infection in either eye; 12. have a condition or a situation, which in the Investigator's opinion, may put the subject at increased risk, confound study data, or interfere significantly with the subject's study participation.

Design outcomes

Primary

MeasureTime frameDescription
Agreement of Intraocular Pressure1 dayAgreement of the measured IOP between the test device and the predicate device for the tonometer function of NIDEK TONOREF III. The mean difference and the standard deviation between these two devices are shown in the outcome measures table.
Agreement of Corneal Thickness1 dayAgreement of the measured corneal thickness between the test device and the predicate device for the pachymeter function of the NIDEK TONOREF III. The mean difference and the standard deviation between these two devices are shown in the outcome measure table.

Secondary

MeasureTime frameDescription
Number of Occurrences of Adverse Events1dayAny sight threatening adverse event associated with the test and predicate devices.

Countries

United States

Participant flow

Participants by arm

ArmCount
NIDEK TONOREF III Comparison
Adults, 18 years old or older, were enrolled in this study. Participants were measured by the NIDEK TONOREF III and the Haag-Streit GAT and the NIDEK CEM-530, or the NIDEK TONOREF III and the NIDEK CEM-530.
223
Total223

Baseline characteristics

CharacteristicNIDEK TONOREF III Comparison
Age, Continuous60.5 years
STANDARD_DEVIATION 13.1
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
210 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Iris Color
Black
8 Participants
Iris Color
Blue
49 Participants
Iris Color
Brown
126 Participants
Iris Color
Green
10 Participants
Iris Color
Grey
1 Participants
Iris Color
Hazel
28 Participants
Iris Color
Other
1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
8 Participants
Race (NIH/OMB)
Black or African American
46 Participants
Race (NIH/OMB)
More than one race
1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
168 Participants
Sex: Female, Male
Female
126 Participants
Sex: Female, Male
Male
97 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 225
other
Total, other adverse events
1 / 225
serious
Total, serious adverse events
0 / 225

Outcome results

Primary

Agreement of Corneal Thickness

Agreement of the measured corneal thickness between the test device and the predicate device for the pachymeter function of the NIDEK TONOREF III. The mean difference and the standard deviation between these two devices are shown in the outcome measure table.

Time frame: 1 day

Population: Subjects with 300-800 μm CCT (Predicate)

ArmMeasureValue (MEAN)Dispersion
NIDEK TONOREF III ComparisonAgreement of Corneal Thickness-7.1 μmStandard Deviation 8.31
Primary

Agreement of Intraocular Pressure

Agreement of the measured IOP between the test device and the predicate device for the tonometer function of NIDEK TONOREF III. The mean difference and the standard deviation between these two devices are shown in the outcome measures table.

Time frame: 1 day

Population: Data of subjects with 500-600µm CCT and ≤3D Astigmatism.

ArmMeasureValue (MEAN)Dispersion
NIDEK TONOREF III ComparisonAgreement of Intraocular Pressure0.3 mmHgStandard Deviation 3.45
Secondary

Number of Occurrences of Adverse Events

Any sight threatening adverse event associated with the test and predicate devices.

Time frame: 1day

Population: Adverse Events were monitored irrespective of specific device and therefore cannot be separated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
NIDEK TONOREF III ComparisonNumber of Occurrences of Adverse Events1 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026