K Number
K032350
Date Cleared
2004-02-20

(205 days)

Product Code
Regulation Number
884.2980
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Infrared Sciences BreastScan IR™ System is intended for viewing and recording heat patterns generated by the human body in the hospital, acute care settings, outpatient surgery, healthcare practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel. The patient populations include adult. The device is for adjunctive diagnostic screening for detection of breast cancer and diseases affecting blood perfusion or reperfusion of tissue or organs. This device is intended for use by qualified healthcare personnel trained in its use.

Device Description

The BreastScan IR ™ System is a new, non-invasive procedure offered to women, of any age, to determine current breast health by measuring various temperature parameters in the breast. Designed exclusively by Infrared Sciences Corp., BreastScan IR ™ System has demonstrated its effectiveness as an adjunctive tool for the doctor to use along with mammography, ultrasound, or clinical examination. The entire procedure takes approximately 10 minutes with the results immediately available, to assist in the doctor's determination of breast health. The results are analyzed by proprietary algorithms and then presented in a non-subjective report. The procedure does not involve any compression of the breast, or touching of the breast in any way. The patient simply sits in a chair, facing an infrared camera for a few minutes.

Components of the system include:
Infrared System Device
Color Inkjet Printer
TVNCR
Medical Cart
BreastScan IR Server
Air Cooling Device
Patient Chair

AI/ML Overview

The provided text is a 510(k) summary for the Infrared Sciences BreastScan IR™ System. It discusses the device's description, intended use, and comparison to a predicate device. However, it explicitly states "Discussion of Clinical Tests Performed: Not applicable."

Therefore, based only on the provided document, the following information cannot be extracted:

  • Acceptance criteria and reported device performance (Table 1): No clinical performance data or acceptance criteria are discussed.
  • Sample size for the test set and data provenance: No clinical studies were performed.
  • Number of experts and their qualifications for ground truth establishment: No clinical studies were performed.
  • Adjudication method for the test set: No clinical studies were performed.
  • Multi-reader multi-case (MRMC) comparative effectiveness study: No clinical studies were performed.
  • Standalone (algorithm-only) performance: No clinical studies were performed.
  • Type of ground truth used: No clinical studies were performed.
  • Sample size for the training set: No information on algorithm training data is provided.
  • How ground truth for the training set was established: No information on algorithm training data is provided.

The document only discusses non-clinical tests for substantial equivalence, such as compliance with IEC-60601-1 and IEC 60601-1-2, and software validation. It concludes that the device is substantially equivalent to the predicate device based on its intended use and similar characteristics, and that differences in technological characteristics do not raise new questions of safety or effectiveness.

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FEB 2 0 2004

Page 1 of 3

Exhibit # 1

510(K) SUMMARY

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

The assigned 510(k) number is 032350

Submitter's Identification: 1.

Infrared Sciences Corp. 380 Townline Road Hauppauge, NY 11788

Contact: Mr. Anthony Trotta Principal Engineer

Date Summary Prepared: July 29, 2003

Name of the Device: 2.

Infrared Sciences BreastScan IR™ System

Predicate Device Information: 3.

K#990416, OmniCorder BioScan System, OmniCorder Technologies, Inc., Stony Brook. NY

Device Description: 4.

The BreastScan IR ™ System is a new, non-invasive procedure offered to women, of any age, to determine current breast health by measuring various temperature parameters in the breast. Designed exclusively by Infrared Sciences Corp., BreastScan IR ™ System has demonstrated its effectiveness as an adjunctive tool for the doctor to use along with mammography, ultrasound, or clinical examination. The entire procedure takes approximately 10 minutes with the results immediately available, to assist in the doctor's determination of breast health. The results are analyzed by proprietary algorithms and then presented in a non-subjective report. The procedure does not involve any compression of the breast, or touching of the breast in any way. The patient simply sits in a chair, facing an infrared camera for a few minutes.

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K032350

Page 2 of 3

Components of the system include:

Infrared System Device

Color Inkjet Printer

TVNCR

Medical Cart

BreastScan IR Server

Air Cooling Device

Patient Chair

Intended Use: . 5.

The Infrared Sciences BreastScan IR™ System is intended for viewing and recording heat patterns generated by the human body in the hospital, acute care settings, outpatient surgery, healthcare practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel. The patient populations include adult. The device is for adjunctive diagnostic screening for detection of breast cancer and diseases affecting blood perfusion or reperfusion of tissue or organs. This device is intended for use by qualified healthcare personnel trained in its use.

Comparison to Predicate Devices: 6.

A Comparison Chart Outlining Similarities and Differences Follows:

FeatureBreastScan IR™ SystemBioScan System
Intended UseVisualization/Documentationof Temperature Patternsand Changes – Adult OnlyVisualization/Documentationof Temperature Patternsand Changes - Adult,Pediatric and Neonatal
Method of Data CollectionNon-Contact PassiveInfrared EmissionsNon-Contact PassiveInfrared Emissions
Collection InstrumentInfrared CameraInfrared Camera
Data ProcessingCPU with CustomAlgorithmsCPU with CustomAlgorithms
Measurement ParametersAllows for Static andAllows for Static

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K032350
Page 3 of 3

Dynamic Measurement ofMeasurement of Thermal
Thermal PatternsPatterns
StorageHard DiskHard Disk
Detector TypeFocal Plane ArrayFocal Plane Array
Detector Resolution320 x 240 Pixels256 x 256 Pixels
Thermal Sensitivity0.08°C0.05°C
Camera Output14 Bit Digital14 Bit Digital
DisplayMonitor, TV, PrinterMonitor, TV, Printer
User InterfaceKeyboard, Mouse, On-Keyboard, Mouse, On-
System Controlssystem Controls

Discussion of Non-Clinical Tests Performed for Determination of 7. Substantial Equivalence are as follows:

The device will comply with IEC-60601-1 and IEC 60601-1-2. Software validation was performed.

Discussion of Clinical Tests Performed: 8.

Not applicable

9. Conclusions:

The subject device has the same intended use and similar characteristics as the predicate device. Moreover, documentation supplied in this submission demonstrates that any difference in their technological characteristics do not raise any new questions of safety or effectiveness. Thus, the Infrared Sciences BreastScan IR™ System is substantially equivalent to the predicate device.

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird with three curved lines representing its body and wings. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 0 2004

Infrared Sciences Corp. % Ms. Susan D. Goldstein-Falk Official Correspondent mdi Consultants. Inc. 55 Northern Blvd., Suite 200 GREAT NECK NY 11021

Re: K032350 Trade/Device Name: Infrared Sciences BreastScan IRTM System Regulation Number: 21 CFR 884.2980 Regulation Name: Telethermographic system Regulatory Class: I Product Code: 90 LHQ Dated: December 17, 2003 Received: December 18, 2003

Dear Ms. Goldstein-Falk:

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. Ilsting 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 yours,

Nancy C. Brigdon

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

Enclosure

Page 2

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Exhibit B

Page _ 1

510(k) Number (if known): ___________________________________________________________________________________________________________________________________________________

Device Name: Infrared Sciences BreastScan IR™ System

Indications For Use:

The Infrared Sciences BreastScan IR™ System is intended for viewing and recording heat patterns generated by the human body in the hospital, acute care settings, outpatient surgery, healthcare practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel. The patient populations include adult. The device is for adjunctive diagnostic screening for detection of breast cancer and diseases affecting blood perfusion or reperfusion of tissue or organs. This device is intended for use by qualified healthcare personnel trained in its use.

(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)
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OR

Over-The Counter Use (Optional Format 1-2-96)
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(Division Sign-Off)
Division of Reproductive, Abdominal, and Radiological Devices
510(k) NumberK032350

§ 884.2980 Telethermographic system.

(a)
Telethermographic system intended for adjunctive diagnostic screening for detection of breast cancer or other uses —(1)Identification. A telethermographic system for adjunctive diagnostic screening for detection of breast cancer or other uses is an electrically powered device with a detector that is intended to measure, without touching the patient's skin, the self-emanating infrared radiation that reveals the temperature variations of the surface of the body. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(2)
Classification. Class I (general controls).(b)
Telethermographic system intended for use alone in diagnostic screening for detection of breast cancer or other uses —(1)Identification. A telethermographic system for use as the sole diagnostic screening tool for detection of breast cancer or other uses is an electrically powered device with a detector that is intended to measure, without touching the patient's skin, the self-emanating infrared radiation that reveals the temperature variations of the surface of the body. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(2)
Classification. Class III.(3)
Date PMA or notice of completion of a PDP is required. As of the enactment date of the amendments, May 28, 1976, an approval under section 515 of the act is required before the device described in paragraph (b)(1) may be commercially distributed. See § 884.3.