K Number
K013602
Device Name
HNC-63-INT NEUROVASCULAR ARRAY COIL
Manufacturer
Date Cleared
2001-11-20

(20 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the head and neck, that can be interpreted by a trained physician.
Device Description
Model HNC-63-INT Neurovascular Array Coil
More Information

Not Found

Not Found

No
The summary describes a passive hardware component (an MRI coil) and contains no mention of AI, ML, or image processing capabilities.

No.
The device is used to produce diagnostic images, not to provide therapy.

No

This device is described as an array coil to be used with a Magnetic Resonance Scanner to produce images, not to interpret them or make a diagnosis itself. The interpretation of these images for diagnostic purposes is explicitly stated to be done by a trained physician.

No

The device description explicitly states "Model HNC-63-INT Neurovascular Array Coil," which is a hardware component used in conjunction with an MRI scanner.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to produce diagnostic images of the head and neck using a Magnetic Resonance Scanner. This is a medical imaging device used in vivo (on a living patient), not in vitro (on samples taken from the body).
  • Device Description: The device is described as a "Neurovascular Array Coil," which is a component used with an MRI scanner to acquire images.
  • Input Imaging Modality: The input is from a Magnetic Resonance Scanner, which is an imaging modality used on the patient.

IVD devices are typically used to examine specimens such as blood, urine, tissue, etc., outside of the body to provide information for diagnosis, monitoring, or screening. This device operates directly on the patient to generate images.

N/A

Intended Use / Indications for Use

To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the head and neck, that can be interpreted by a trained physician.

Product codes

90 MOS

Device Description

Model HNC-63-INT Neurovascular Array Coil

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Magnetic Resonance Scanner

Anatomical Site

head and neck

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained physician

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

Not Found

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

§ 892.1000 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.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 2 0 2001

Mr. Thomas Schubert President MRI Devices Corporation 1515 Paramount Drive WAUKESHA WI 53186

Re: K013602

Trade/Device Name: Model HNC-63-INT Neurovascular Array Coil Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 MOS Dated: October 26, 2001 Received: October 31, 2001

Dear Mr. Schubert:

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 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.

1

This letter will allow you to begin marketing your device as described in your 510(k) premarket I his rector will anow you to or substantial equivalence of your device to a legally marketed noutication. The I Dri include of baceline 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 If you desire specific do Compliance at one of the following numbers, based on the regulation number at the top of this 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 Office of Compilance at (301) 22th on" (21 CFR Part 807.97). Other general information on by received to premailer nothers in the Division of Small Manufacturers, your responsibilities and consumer at its toll-free number (800) 638-2041 or (301) 443-6597 meeriational and Ocess http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Henry C. Snodgin

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

Enclosure

2

NOV 2, 0 2001

Section C - Statement of Indications for Use:

Applicant: MRI Devices Corporation KOJ 3602 510(k) number (if known): Model HNC-63-INT Neurovascular Array Coil Device Name:

Indications for use:

To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the head and neck, that can be interpreted by a trained physician.

Concurrence of CDRH, Office of Device Evaluation (ODE)

lanews Broadon

(Division Sign-Om
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number. K013602

Prescription Use __ or Over-The-Counter Use
(Per 21 CFR 801.109)

(Optional Format 1-2-96)