K Number
K031172
Device Name
SPIRIT III TOTALSENSE CARDIAC COIL
Date Cleared
2003-05-29

(45 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Spirit III TotalSENSE Cardiac Coil is a receive-only phased array RF coil, used for obtaining diagnostic images of the cardiovascular system in Magnetic Resonance Imaging Systems. The Spirit III Total SENSE Cardiac Coil is designed for use with the Intera 3.0T MRI system manufactured by Philips Medical Systems, Inc. The indications for use are the same as for standard MR Imaging. The Spirit III TotalSENSE Cardiac Coil is designed to provide Magnetic Resonance Images of the cardiovascular system. The Spirit III TotalSENSE Cardiac Coil is designed for use with the Philips 3.0T Intera MR scanner manufactured by Philips Medical Systems, Inc. Anatomic Regions: cardiovascular system Nuclei Excited: Hydrogen The indications for use are the same as for standard imaging: The 3.0T MRI system is indicated for use as an NMR device that produces images that: (1) correspond to the distribution of protons exhibiting NMR signal, (2) depend upon NMR parameters (proton density, spin lattice relaxation time T1, spin-spin relaxation time T2) and (3) display the soft tissue structure of the head and whole body. When interpreted by a trained physician, these images yield information that can be useful in the determination of a diagnosis.
Device Description
The Spirit III TotalSENSE Cardiac Coil is a six element receive only phased array coil. The coil is composed of a flexible top piece and a rigid bottom piece. The flexible top piece allows for imaging of patients of different sizes. The open, patient friendly design minimizes claustrophobic effects and maximizes patient comfort. The coil elements and accessory electronics are enclosed in flexible and rigid plastic housings, which are fire rated. All rigid plastic housing parts have a high impact and tensile strength.
More Information

No
The description focuses on the physical characteristics and function of an RF coil for MRI, with no mention of AI or ML for image processing or analysis.

No
The device is used for obtaining diagnostic images of the cardiovascular system, which aids in diagnosis rather than directly treating a condition.

No

The device is a component of an MRI system (a receive-only coil) and is used to obtain images that are then interpreted by a physician to make a diagnosis. It does not perform the diagnosis itself.

No

The device is described as a physical RF coil with flexible and rigid plastic housings, containing coil elements and accessory electronics. This clearly indicates a hardware component, not a software-only device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Spirit III TotalSENSE Cardiac Coil is an accessory for an MRI system. Its function is to receive radiofrequency signals from the patient's body during an MRI scan to produce images. It does not analyze biological samples.
  • Intended Use: The intended use is to obtain diagnostic images of the cardiovascular system using MRI. This is an in vivo (within the living body) diagnostic procedure, not an in vitro one.

The device is a component of an imaging system used for diagnosis, but it does not perform the type of laboratory testing that defines an IVD.

N/A

Intended Use / Indications for Use

The Spirit III TotalSENSE Cardiac Coil is a receive-only phased array RF coil, used for obtaining diagnostic images of the cardiovascular system in Magnetic Resonance Imaging Systems. The Spirit III Total SENSE Cardiac Coil is designed for use with the Intera 3.0T MRI system manufactured by Philips Medical Systems, Inc. The indications for use are the same as for standard MR Imaging.

The Spirit III TotalSENSE Cardiac Coil is designed to provide Magnetic Resonance Images of the cardiovascular system. The Spirit III TotalSENSE Cardiac Coil is designed for use with the Philips 3.0T Intera MR scanner manufactured by Philips Medical Systems, Inc.

Anatomic Regions: cardiovascular system
Nuclei Excited: Hydrogen

The indications for use are the same as for standard imaging:

The 3.0T MRI system is indicated for use as an NMR device that produces images that: (1) correspond to the distribution of protons exhibiting NMR signal, (2) depend upon NMR parameters (proton density, spin lattice relaxation time T1, spin-spin relaxation time T2) and (3) display the soft tissue structure of the head and whole body. When interpreted by a trained physician, these images yield information that can be useful in the determination of a diagnosis.

Product codes

90 MOS

Device Description

The Spirit III TotalSENSE Cardiac Coil is a six element receive only phased array coil. The coil is composed of a flexible top piece and a rigid bottom piece. The flexible top piece allows for imaging of patients of different sizes. The open, patient friendly design minimizes claustrophobic effects and maximizes patient comfort. The coil elements and accessory electronics are enclosed in flexible and rigid plastic housings, which are fire rated. All rigid plastic housing parts have a high impact and tensile strength.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Magnetic Resonance Imaging

Anatomical Site

cardiovascular system, head and whole body

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)

K024187

Reference Device(s)

K023650

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

Ko 3 1172

MAY 2 9 2003

SUMMARY OF SAFETY AND EFFECTIVENESS

1. Device Name:Magnetic Resonance Imaging Accessory
2. Proprietary Name:Spirit III TotalSENSE Cardiac Coil
3. Classification:Class II
4. Establishment Registration #:1529041
5. Manufacture Facility Location:USA Instruments, Inc.,
1515 Danner Drive
Aurora, Ohio 44202, USA
Telephone: 330-562-1000; Fax: 330-562-1422.
6. Performance Standard:No applicable performance standards have been
issued under Section 514 of the Food, Drug and
Cosmetic Act.
7. Intended Use:The Spirit III TotalSENSE Cardiac Coil is a receive-
only phased array RF coil, used for obtaining
diagnostic images of the cardiovascular system in
Magnetic Resonance Imaging Systems. The Spirit III
Total SENSE Cardiac Coil is designed for use with
the Intera 3.0T MRI system manufactured by Philips
Medical Systems, Inc. The indications for use are
the same as for standard MR Imaging.
8. Device Description:The Spirit III TotalSENSE Cardiac Coil is a six
element receive only phased array coil. The coil is
composed of a flexible top piece and a rigid bottom
piece. The flexible top piece allows for imaging of
patients of different sizes. The open, patient friendly
design minimizes claustrophobic effects and
maximizes patient comfort. The coil elements and
accessory electronics are enclosed in flexible and
rigid plastic housings, which are fire rated. All rigid
plastic housing parts have a high impact and tensile
strength.

Please turn over

1

9. Safety and Effectiveness
-------------------------------------

| Spirit III TotalSENSE Cardiac Coil Product
Features | Comparison to predicate device or other 510(k)
cleared products |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|
| Intended Use: imaging of the
cardiovascular system | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Indications for Use: Identical to routine
MRI imaging. | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Coil Enclosure Material:
Flame Retardant Polyurethane
Vinyl Coated EVA foam
Flame Retardant Polycarbonate | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Coil Design: Receive-only phased array
coil. | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Decoupling:
Switching diode decoupling. | -Similar to the Insight Plus 9000 Phased Array Torso
and Pelvis Coil manufactured by USA Instruments, Inc.
(K023650) |
| Prevention of RF Burns: Does not transmit
RF power: decoupling isolates the coil
elements from RF fields during RF
transmission; coil elements and circuitry are
enclosed in a non-conductive housing. | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Radio Frequency Absorption: Coil is a
receive only coil and does not transmit RF
power. | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |
| Formation of Resonant Loop: Decoupling
isolates the coil elements from RF fields
during RF transmission; length of cable and
stiffness does not permit looping. | -Similar to the Spirit III TotalSENSE Cardiac Coil
manufactured by USA Instruments, Inc. (K024187). |

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an emblem featuring a stylized eagle or bird-like figure with three horizontal lines extending from its head, representing feathers or wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 9 2003

Ms. Christie Shumaker Manager, QA and Regulatory USA Instruments, Inc. 1515 Danner Drive AURORA OH 44202

Re: K031172

Trade/Device Name: Spirit III TotalSENSE Cardiac Coil Regulation Number: 21 CFR §892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 MOS Dated: April 11, 2003 Received: April 22, 2003

Dear Ms. Shumaker:

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. Iisting 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.

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) 594-4610
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 vours.

Nancy Brogdon
Nancy C. Brogdon

Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name: Spirit III TotalSENSE Cardiac Coil

Indications for Use: The Spirit III TotalSENSE Cardiac Coil is designed to provide Magnetic Resonance Images of the cardiovascular system. The Spirit III TotalSENSE Cardiac Coil is designed for use with the Philips 3.0T Intera MR scanner manufactured by Philips Medical Systems, Inc.

Anatomic Regions: cardiovascular system Nuclei Excited: Hydrogen

The indications for use are the same as for standard imaging:

The 3.0T MRI system is indicated for use as an NMR device that produces images that: (1) correspond to the distribution of protons exhibiting NMR signal, (2) depend upon NMR parameters (proton density, spin lattice relaxation time T1, spin-spin relaxation time T2) and (3) display the soft tissue structure of the head and whole body. When interpreted by a trained physician, these images yield information that can be useful in the determination of a diagnosis.

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

Concurrence of CDRH, Office of Device Evaluation (ODE) OR Over-The-Counter Use Prescription Use (Optional Format 1-2-96) (Per 21 CFR 801.109)