K Number
K023008
Device Name
UNIVERSAL SYSTEM, MODEL QV-800
Date Cleared
2002-11-13

(65 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Quantum Medical Imaging, LLC Universal System is a stationary radiographic imaging system used for acquiring radiographic images of various anatomical regions of the human body.
Device Description
The QV-800 Universal System is a walland floor-mounted column with an attached "swivel-arm". The QV-800 Universal System's "swivel-arm" design allows the x-ray tube and image receptor to remain in constant alignment as the arm is rotated and as the image receptor is anqulated. The QV-800 Universal System is designed for use in hospitals, imaging centers, and clinics.
More Information

No
The summary describes a mechanical radiographic imaging system with no mention of AI/ML features or image processing capabilities that would typically utilize such technology.

No
The device is described as an "imaging system used for acquiring radiographic images," indicating its purpose is diagnostic, not therapeutic.

No

The device is described as an imaging system used for acquiring radiographic images. It does not describe any function related to interpreting or analyzing those images to provide a diagnosis.

No

The device description clearly states it is a "stationary radiographic imaging system" with physical components like a "wall and floor-mounted column" and a "swivel-arm," indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is to acquire radiographic images of the human body. This is an in vivo (within the living body) imaging process, not an in vitro (outside the living body) diagnostic test performed on biological samples.
  • Device Description: The device is a stationary radiographic imaging system. This aligns with medical imaging equipment used on patients, not laboratory equipment used for analyzing samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on laboratory tests.

Therefore, the Quantum Medical Imaging, LLC Universal System is a medical imaging device, not an IVD.

N/A

Intended Use / Indications for Use

The Quantum Medical Imaging, LLC Universal System is a stationary radiographic imaging system used for acquiring radiographic images of various anatomical regions of the human body.

Product codes

90KPR

Device Description

The QV-800 Universal System is a walland floor-mounted column with an attached "swivel-arm". The QV-800 Universal System's "swivel-arm" design allows the x-ray tube and image receptor to remain in constant alignment as the arm is rotated and as the image receptor is anqulated. The QV-800 Universal System is designed for use in hospitals, imaging centers, and clinics.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Radiographic

Anatomical Site

various anatomical regions of the human body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospitals, imaging centers, and clinics

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)

Cares Built Flex-Rav THESEON (unknown 510(k) number) System, Pausch COSMOS-2 Universal X-Ray Unit (K870856)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1680 Stationary x-ray system.

(a)
Identification. A stationary x-ray system is a permanently installed diagnostic system intended to generate and control x-rays for examination of various anatomical regions. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A radiographic contrast tray or radiology diagnostic kit intended for use with a stationary x-ray system 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

NOV 1 3 2002

SECTION 2

K023008

SUMMARY AND CERTIFICATION

510(k) SUMMARY

Submitted by:

Scott Matovich Quantum Medical Imaging, LLC. 2905 Veterans Memorial Highway Ronkonkoma, NY 11779 USA

September 3, 2002

This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

1. Contact Person:

Mark Camirand Director of Q.A./Compliance Phone: (631) 567-5800, (631) 567-5074 (fax)

2. Device Name and Classification:

Trade Name: Classification Name: Classification Panel: CFR Section: Device Class: Device Code:

QV-800 Universal System Stationary X-ray System Radiology 21 CFR §892.1680 Class II 90KPR

3. Intended Use:

The Quantum Medical Imaging, LLC Universal System is a stationary radiographic imaging system used for acquiring radiographic images of various anatomical regions of the human body.

1

4. Substantially Equivalent Devices:

Quantum Medical Imaging, LLC. believes the QV-800 Universal System is substantially equivalent to the following commercially distributed devices: Cares Built Flex-Rav THESEON (unknown 510(k) number) System and Pausch COSMOS-2 Universal X-Ray Unit (K870856).

5. Device Description:

The QV-800 Universal System is a walland floor-mounted column with an attached "swivel-arm". The QV-800 Universal System's "swivel-arm" design allows the x-ray tube and image receptor to remain in constant alignment as the arm is rotated and as the image receptor is anqulated. The QV-800 Universal System is designed for use in hospitals, imaging centers, and clinics.

6. Summary of Technological Characteristics as Compared with Predicate Device(s):

The QV-800 Universal System has verv similar technoloqical characteristics as the predicate devices. The QV-800 Universal System fulfills its design requirements by providing the operator with the ability to perform safe and effective radiographic examinations.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Scott Matovich President Quantum Medical Imaging, LLC 2905 Veterans Memorial Highway RONKONKOMA NY 11779

Re: K023008

Trade/Device Name: Universal System QV-800 Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: 90 KPR Dated: September 3, 2002 Received: September 9, 2002

Dear Mr. Matovich:

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.

Image /page/2/Picture/11 description: The image shows a partial view of a logo or emblem. On the left side, a portion of text is visible, reading 'DEPARTMENT OF HEALTH' arranged in a curved manner. To the right, there are three stylized, curved lines that appear to be a design element of the logo. The overall image is in black and white.

Trade/D

3

This letter will allow you to begin marketing your device as described in your 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 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 by reference to premarket notification" (21 CFR Part 807.97). 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 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

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Page 1 of 1

510(k) Number (if known): KO23008

QV-800 Universal System Device Name: ______________

Indications for Use:

The QV-800 Universal System is a stationary radiographic imaging system used for acquiring radiographic images of various anatomical regions of the human body.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)


Prescription Use

Chint A. bepm

(Optional Format 3-10-98)

(Division Sign-Off) Division of Don - 1 : 510(K) Number ___