K Number
K041921
Date Cleared
2004-07-26

(10 days)

Product Code
Regulation Number
892.1000
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The GE 0.2T 6-inch GP Coil is a 2-turn solenoid receive only coil designed for MR imaging. The coil has a soft pad, which helps to place the position to be examined in the center of the coil and provides comfort as well. The coil is a general-purpose coil that can be used to image the Cervical Spine, the neck, shoulder, and other extremity anatomy. The coil connects to the Signa MRI system by way of the interface connector.

Device Description

The GE 0.2T 6-inch GP Coil is designed for MR imaging of general purpose of the human anatomy. The coil is a 2-turn solenoid coil in series that provides high signal to noise ratio. The coil has blocking networks to decouple the coil during body coil transmit condition.

AI/ML Overview

The provided text describes the 510(k) summary for the GE 0.2T 6-inch GP Coil, which is a magnetic resonance coil. However, the document does not contain information about acceptance criteria or a study proving the device meets those criteria in the context of a standalone algorithm for medical image analysis, human reader performance, or ground truth establishment relevant to AI/ML device descriptions.

The document primarily focuses on demonstrating substantial equivalence to a predicate device (GE Signa Profile 9 inch coil) for regulatory purposes. The "Summary of Studies" section only states:

"The 0.2T 6-inch GP coil is evaluated to the appropriate NEMA performance standards as well as the IEC 60601-1 International Medical Equipment Safety standard and labeling requirement of IEC 60601-2-33 Particular Requirements for Safety of Magnetic Resonance Equipment for Medical Diagnosis. Testing was performed to demonstrate that the design met predetermined acceptance criteria."

This statement confirms that testing was done to meet design acceptance criteria based on NEMA and IEC standards for electrical and safety performance of the MRI coil itself, not diagnostic performance metrics typically associated with AI/ML systems (e.g., sensitivity, specificity, AUC).

Therefore, based solely on the provided text, I cannot complete the requested tables and answer the questions for an AI/ML medical device submission. The device described is a physical medical component (an MRI coil), not a software algorithm that generates diagnostic outputs or assists human readers with interpretations.

If this were an AI/ML device, the information I would be looking for, but which is absent, would be:

  1. Table of Acceptance Criteria and Reported Device Performance: This would typically include metrics like sensitivity, specificity, AUC, accuracy, F1-score, and their respective thresholds.
  2. Sample size for the test set and data provenance: Number of cases, breakdown by imaging modality, disease prevalence, and demographic details.
  3. Number of experts used to establish ground truth & qualifications.
  4. Adjudication method for the test set.
  5. MRMC comparative effectiveness study: Effect size of human readers improving with AI vs. without AI assistance.
  6. Standalone performance study: Metrics like sensitivity, specificity, AUC, etc., for the algorithm alone.
  7. Type of ground truth used: e.g., histopathology, clinical follow-up, consensus of multiple experts.
  8. Sample size for the training set.
  9. How ground truth for the training set was established.

Conclusion based on the provided text:

The document describes the regulatory submission for a physical MR coil, not a diagnostic AI/ML software device. Therefore, the requested information regarding acceptance criteria and study details for AI/ML performance metrics (such as sensitivity, specificity, MRMC studies, or ground truth generation for diagnostic outputs) is not present in the provided text. The "acceptance criteria" mentioned pertain to the physical and electrical safety and performance of the coil itself as per NEMA and IEC standards.

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Image /page/0/Picture/1 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'G' and 'E' intertwined within a circular border. The letters are stylized and appear to be hand-drawn. The logo is black and white.

K041921

GE Healthcare Technologies

P.O. Box 414, Milwaukee, WI 53201

510(K) SUMMARY

This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of 21 CFR Part 807.92(c).

Applicant and Contact Information

Applicant & Initial Distributor:GE Healthcare Technologies3200 N. Grandview Blvd.Waukesha, WI 53188
Est. Registration No:2183553- [per 21 CFR 807.87(b)]
Corresponding Official:Larry A. Kroger, Ph.D.
Title:Senior Regulatory Programs Manager
Mailing Address:GE Healthcare Technologies W-400P.O. Box 414Milwaukee, WI 53201
Telephone:262-544-3894
Fax:262-548-4768
E-mail:Larry.Kroger@med.ge.com

Device Name

0.2T 6-inch GP Coil Magnetic Resonance Coil, 21 CFR 892.1000, 90-MOS

Marketed Device

The 0.2T 6-inch receive only GP coil is substantially equivalent to the currently marketed GE Signa Profile 9 inch coil (K972296), which is also a coil for 0.2T MR imaging.

Device Description

The GE 0.2T 6-inch GP Coil is designed for MR imaging of general purpose of the human anatomy. The coil is a 2-turn solenoid coil in series that provides high signal to noise ratio. The coil has blocking networks to decouple the coil during body coil transmit condition.

Indications for Use

The GE 0.2T 6-inch GP Coil is a 2-turn solenoid receive only coil designed for MR imaging. The coil has a soft pad, which helps to place the position to be examined in the center of the coil and provides comfort as well. The coil is a general-purpose coil that can be used to image the Cervical Spine, the neck, shoulder, and other extremity anatomy. The coil connects to the Signa MRI system by way of the interface connector.

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P.O. Box 414, Milwaukee, WI 53201

Image /page/1/Picture/2 description: The image shows the General Electric (GE) logo. The logo consists of the letters "GE" intertwined and enclosed within a circle. The letters and the circle are black, creating a bold and recognizable emblem.

Comparison with Predicate

The predicate device is the GE Signa Profile 9 inch coil (K972296). The coil is a similar design and technology. The main difference is the diameter of the coil.

Summary of Studies

The 0.2T 6-inch GP coil is evaluated to the appropriate NEMA performance standards as well as the IEC 60601-1 International Medical Equipment Safety standard and labeling requirement of IEC 60601-2-33 Particular Requirements for Safety of Magnetic Resonance Equipment for Medical Diagnosis. Testing was performed to demonstrate that the design met predetermined acceptance criteria.

Conclusion:

It is the opinion of GE that the 0.2T 6-inch GP Coil is substantially equivalent to the GE Signa Profile 9 inch coil (K972296). The GE 0.2T 6 inch GP Coil includes all the indications for use of that of the predicate device. The use of this device will not result in any new potential hazards.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle with its wings spread.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 6 2004

Larry A. Kroger, Ph.D. Senior Regulatory Programs Manager GE Medical Systems, LLC GE Healthcare Technologies P.O. Box 414, W-400 MILWAUKEE WI 53201

Re: K041921

Trade/Device Name: GE 0.2T 6 inch GP coil Regulatory Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II

Product Code: 90 MOS Dated: July 15, 2004 Received: July 16, 2004

Dear Dr. Kroger:

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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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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of the letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely vours,

Nancy C. Brygdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/4/Picture/0 description: The image shows the General Electric (GE) logo. The logo consists of the letters "GE" in a stylized, cursive font, enclosed within a circular shape. The circle is surrounded by a pattern of swirling lines, creating a dynamic and recognizable emblem for the company.

GE Healthcare Technologies P.O. Box 414, Milwaukee, WI 53201

STATEMENT OF INTENDED USE

510(k) Number (if known): _Ko4 /92 /

Device Name: 0.2T 6-inch GP Coil

Indications for Use:

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801-109)

OR

E-2

Over-The-Counter Use
Nancy Brogdon
(Division Sign-Off)
Division of Reproductive, Abdominal,and Radiological Devices 510(k) Number

§ 892.1000 Magnetic resonance diagnostic device.

(a)
Identification. A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).(b)
Classification. Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.