K Number
K011987
Device Name
MODIFIED M-IV MAMMOGRAPHY SYSTEM
Date Cleared
2001-07-11

(15 days)

Product Code
Regulation Number
892.1710
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Modified M-IV Mammography System is intended to produce radiographic images of the breast. It is suitable for reasons of images for initial examination for screening and diagnostic mammography. Screening mammography involves the production of images for initial examination for reasons of images for initial examination for Screening mainmography inverves the production of magnified images for more thorough examination of areas of the breast determined suspicious mages for more morough oxamilasses in the sampression views, and the unrough sereening manilies are . . . . . . . production of images used by a physician in preparation for biopsy.
Device Description
Modified M-IV Mammography System
More Information

Not Found

Not Found

No
The summary does not mention AI, ML, or any related concepts, and the device description is very basic.

No
The device is described as an imaging system for diagnostic purposes (producing radiographic images of the breast), rather than for treating a disease or condition.

Yes
The device is described as producing radiographic images of the breast for "initial examination for screening and diagnostic mammography," and for "more thorough examination of areas of the breast determined suspicious," as well as "in preparation for biopsy," all of which indicate a diagnostic purpose.

No

The device description explicitly states "Modified M-IV Mammography System," which is a hardware system used to produce radiographic images. The summary does not mention any software component as the primary or sole function of the device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The Modified M-IV Mammography System produces radiographic images of the breast. This is an in vivo imaging technique, meaning it takes images of the body inside the body.
  • Intended Use: The intended use clearly states it produces radiographic images for screening and diagnostic mammography. This involves imaging the breast directly, not analyzing samples taken from the breast or body.

Therefore, based on the provided information, the Modified M-IV Mammography System is a medical imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Modified M-IV Mammography System is intended to produce radiographic images of the breast. It is specifically useable as to reasons of images for initial examination for screening and diagnostic mammography. Screening mammography involves the production of magnified images for more thorough examination of areas of the breast determined suspicious images for more thorough examinations in the compression views, and the production of images used by a physician in preparation for biopsy.

Product codes

IZH

Device Description

Not Found

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Radiographic

Anatomical Site

Breast

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1710 Mammographic x-ray system.

(a)
Identification. A mammographic x-ray system is a device intended to be used to produce radiographs of the breast. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

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Safety and Effectiveness 510(k) Summary Section 5.0

  • The Modified M-IV Mammography Systems have been designed for 1. classification to Underwriters Laboratories, Inc. (UL) to Standard 187.
  • The Modified M-IV Mammography Systems have been designed for 2. classification by Underwriters Laboratories, Inc. to Canadian Standards Association, CSA Standard C22,2 No. 114.
  • The Modified M-IV Mammography Systems have been designed for 3. certification to International Electrotechnical Commission Standard IEC-601-1
  • The Modified M-IV Mammography Systems are tested and conform to the 4. Federal Performance Standards for Ionizing Radiation Emitting Products, defined in 21CFR 1000.
  • The American College of Radiology (ACR) in Reston, Virginia, conducts a રે. nationwide program that accredits providers of mammography services. To qualify for ACR accreditation, the mammography device at a provider site must meet ACR standards for image quality and operation within radiation dose limits. The Modified M-IV Mammography Systems have been designed to meet the requirements for ACR accreditation.
  • A comprehensive Operator's Manual provided with each system is user friendly 6. and comprehensive, thus ensuring safe and effective operation of the Modified M-IV Mammography Systems.

This information is provided pursuant to the requirements of the Safe Medical Devices Act of 1990 (SMDA).

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is positioned within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the circumference of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 1 2001

Mr. Roaida Rizkallah Regulatory Specialist Lorad, A Hologic Company 36 Apple Ridge Road DANBURY CT 06810

Re: K011987

Modified M-IV Mammography System Dated: June 22, 2001 Received: June 26, 2001 Regulatory Class: II 21 CFR 892.1710/Procode: 90 IZH

Dear Mr. Rizkallah:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the we have reviewed your Section JTQ(F) notifications for use stated in the enclosure) to legally marketed predicate devices device is substantially colurations 16, 1976, the enactment date of the Medical Device Amendments, or to devices marketed in meestale continetec provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, that have been recassified in accordance will the provisions of the Act. The general controls provisions of the Act include requirements for annual registration of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class III (Premarket Approval) it may be subject 11 your device is classince (SC ubove pairs offecting your device can be found in the Code of Federal Regulations, to such additional controls. Existing major regulations areemination assumes compliance with the Current Cood Manufacturing I tue 21, Patis 600 to 693. A Subsamany equintion (QS) for Medical Devices: General regulation (21 CFF Part Practice requirentents, as set tour in the Quality Dystom togeneral (FDA) will verify such assumptions. Friday 620) and that, through periodic Q5 mispection. In addition, FDA may publish further announcements to comply with the Use in the Federal Register. Please note: this response to your premarket notification submission does not concerning your device in the Pockal Register. Trease nown response under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding THIS leder will allow you to ocgally 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 and additionally 809.10 for in vitin If you desire specific advice to your device of Compliance at (301) 594-4639. Additionally, for questions on the promotion undentising 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 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 1638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Nancy C Brogdon

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

Enclosure (s)

2

510(k) Number (if known):

Device Name: Modified M-IV Mammography System

Intended Use:

The Modified M-IV Mammography System is intended to produce radiographic images The Modifical M-1 v Wianinograpily of of or screening and diagnostic mammography. of the breast. Tits specific meetable as to reasons of images for initial examination for Screening mainmography inverves the production of magnified images for more thorough examination of areas of the breast determined suspicious mages for more morough oxamilasses in the sampression views, and the unrough sereoning manilies are ... . . . .
production of images used by a physician in preparation for biopsy.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use 21 CFR 801.109

OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________

David C. Lyon

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological D 510(k) Number

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