K Number
K041932
Device Name
OEC OLYMPUS FLUOROSCOPIC IMAGING SYSTEM
Date Cleared
2004-08-18

(30 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OEC Olympus Mobile Fluoroscopy System is designed to provide fluoroscopic and spot-film images of the patient during diagnostic, surgical and interventional procedures. Examples of clinical application may include cholangiography, endoscopy, urologic, orthopedic, neurologic, vascular, cardiac, critical-care and emergency room procedures. The system may be used for other imaging applications at the physicians discretion.
Device Description
The OEC Olympus Mobile Fluoroscopy System is an image intensified fluoroscopic system consisting of a mobile C-arm and OEC Workstation. The C-arm supports the high-voltage generator, x-ray tube, x-ray controls, and image intensifier. The C-arm is designed to perform linear and rotational motions that allow the user to position the xray imaging components at various angles and distances with respect to the patient. The OEC workstation is a mobile platform that supports image display monitors, image processing and recording devices. Interfaces are provided for optional peripheral devices such as thermal or laser printers and VCR's. Video outputs are compatible with RS-170 format for domestic markets, CCIR format for international markets and DICOM 3.0. An auxiliary connection is provided for a angiographic injector system to facilitate synchronization of angiographic images during contrast media injections.
More Information

No
The document describes a standard fluoroscopy system with image processing capabilities, but there is no mention of AI or ML in the intended use, device description, or any of the performance study sections.

No
This device is an imaging system designed to provide fluoroscopic and spot-film images for diagnostic and procedural guidance, not for direct therapeutic intervention.

Yes

The "Intended Use / Indications for Use" section explicitly states that the system is "designed to provide fluoroscopic and spot-film images of the patient during diagnostic, surgical and interventional procedures." The mention of "diagnostic" directly indicates its use for diagnosis.

No

The device description explicitly states it consists of a mobile C-arm and OEC Workstation, which are hardware components.

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

Here's why:

  • IVD devices are used to examine specimens taken from the human body. This device is used to image the patient directly using X-rays.
  • The intended use and device description clearly describe an imaging system for visualizing internal structures of the patient. It's used during procedures on the patient, not for analyzing samples from the patient.

The OEC Olympus Mobile Fluoroscopy System is a medical imaging device, specifically a fluoroscopy system.

N/A

Intended Use / Indications for Use

The OEC Olympus Mobile Fluoroscopy System is designed to provide fluoroscopic and spot-film images of the patient during diagnostic, surgical and interventional procedures. Examples of clinical application may include cholangiography, endoscopy, urologic, orthopedic, neurologic, vascular, cardiac, critical-care and emergency room procedures. The system may be used for other imaging applications at the physicians discretion.

Product codes

90 JAA, IZL

Device Description

The OEC Olympus Mobile Fluoroscopy System is an image intensified fluoroscopic system consisting of a mobile C-arm and OEC Workstation. The C-arm supports the high-voltage generator, x-ray tube, x-ray controls, and image intensifier. The C-arm is designed to perform linear and rotational motions that allow the user to position the xray imaging components at various angles and distances with respect to the patient. The OEC workstation is a mobile platform that supports image display monitors, image processing and recording devices.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic X-ray

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

K021049, K024012

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1650 Image-intensified fluoroscopic x-ray system.

(a)
Identification. An image-intensified fluoroscopic x-ray system is a device intended to visualize anatomical structures by converting a pattern of x-radiation into a visible image through electronic amplification. 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). An anthrogram tray or radiology dental tray intended for use with an image-intensified fluoroscopic 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. In addition, when intended as an accessory to the device described in paragraph (a) of this section, the fluoroscopic compression device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

Koti937

AUG 1 8 2004

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.

Date:July 14, 2004
Name of Submitter:GE OEC Medical Systems, Inc.
384 Wright Brothers Drive
Salt Lake City, UT 84116
801-536-4668
Corresponding Official:Jeff Wagner
Manager, Regulatory Affairs
Device Proprietary Name:OEC Olympus Mobile Fluoroscopy System
Classification Name:Image Intensified Fluoroscopic X-ray System with Image
Processing System
Common/Usual Names:Fluoroscopic Imaging System
Substantial Equivalence:The OEC Olympus Mobile Fluoroscopy System is substantially
equivalent to the:
• OEC 9800 Plus Digital Mobile Imaging System (K021049)
marketed by GE OEC Medical Systems, Inc.
• OEC 9800 E/CV+ Digital Mobile Systems (K024012)
marketed by GE OEC Medical Systems, Inc.

1

Indications for Use

The OEC Olympus Mobile Fluoroscopy System is designed to provide fluoroscopic and spot-film images of the patient during diagnostic, surgical and interventional procedures. Examples of clinical application may include cholangiography, endoscopy, urologic, orthopedic, neurologic, vascular, cardiac, critical-care and emergency room procedures. The system may be used for other imaging applications at the physicians discretion.

General Description

The OEC Olympus Mobile Fluoroscopy System is an image intensified fluoroscopic system consisting of a mobile C-arm and OEC Workstation. The C-arm supports the high-voltage generator, x-ray tube, x-ray controls, and image intensifier. The C-arm is designed to perform linear and rotational motions that allow the user to position the xray imaging components at various angles and distances with respect to the patient. The OEC workstation is a mobile platform that supports image display monitors, image processing and recording devices.

Interfaces are provided for optional peripheral devices such as thermal or laser printers and VCR's. Video outputs are compatible with RS-170 format for domestic markets, CCIR format for international markets and DICOM 3.0. An auxiliary connection is provided for a angiographic injector system to facilitate synchronization of angiographic images during contrast media injections.

2

Product Standards

The OEC Olympus Mobile Fluoroscopy System is designed in accordance with product safety and performance requirements established in the following standards:

21 CFR 1020.30-32Federal Performance Standard for Diagnostic X-ray Systems
ANSI/NFPA 70 & 99National Electrical Code and Standard for Health Care Facilities
UL 60601Medical Electrical Equipment
CSA-C22.2 No. 601.1-
M90Medical Electrical Equipment
IEC 60601-1Medical Electrical Equipment, General Requirements for Safety
IEC 60601-1-2Medical Electrical Equipment, Electromagnetic Compatibility
IEC 60601-1-3Medical Electrical Equipment, Radiation Protection in Diagnostic
X-ray
IEC 60601-1-4Medical Electrical Equipment, Programmable Electrical Medical
Systems
IEC 60601-2-7Medical Electrical Equipment, HV/X-ray Generators
IEC 60601-2-28Medical Electrical Equipment, X-ray Tube and Source Assemblies
IEC 60601-2-32Medical Electrical Equipment, Safety of Associated X-ray
Equipment
93/42/EEC - Annex 1Essential Requirements of the Medical Devices Directive

This concludes this 510(k) Summary.

GE OEC MEDICAL SYSTEMS, INC.

Jeff Wagner

Jeff Wagner Manager, Regulatory Affairs

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of an eagle with three lines extending from its head.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 8 2004

Mr. Jeff Wagner Manager, Regulatory Affairs GE OEC Medical Systems, Inc. General Electric Company 384 Wright Brothers Drive SALT LAKE CITY UT 84116-2862 Re: K041932 Trade/Device Name: OEC Olymups Mobile Fluoroscopy System Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: II Product Code: 90 JAA and IZL Dated: July 14, 2004 Received: July 19, 2004

Dear Mr. Wagner:

We have reviewed your Section 510(k) premarket notification of intent to market the device We nave roviously four over wined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encreativent of the enactment date of the Medical Device Amendments, or to conniner or provision to may 20, 2017 accordance with the provisions of the Federal Food, Drug, devices that have ooon require approval of a premarket approval application (PMA). and Cosmolo Flor (110.) that the device, subject to the general controls provisions of the Act. The r ou may, iter erovisions 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 If your device is elabilion (von a 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 that I Dri has hastou a severations administered by other Federal agencies. You must comply of any I back is 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 quality by sentrol provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

4

Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to ought marketing of substantial equivalence of your device to a legally premarket notheation. The PDA miding of easification 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 advice to your 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 Adultionally, for questions on the problems as a so, please note the regulation entitled, "Misbranding Other of Othphanos at ( notification" (21CFR Part 807.97) you may obtain. Other gencral by receive to premarked notificancer (er the Act may be obtained from the Division of Small Information on your responsional and Consumer Assistance at its toll-free number (800) 638-2041 or 14andfulerer of , meethant address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Nancy C. Boyden

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

Enclosure

5

Indications For Use Statement

Applicant:GE OEC Medical Systems, Inc.
510(k) No. (if known):
Device name:OEC Olympus Mobile Fluoroscopy System
Indications for use:The OEC Olympus Mobile Fluoroscopy System is designed to provide
fluoroscopic and spot-film images of the patient during diagnostic,
surgical and interventional procedures. Examples of clinical application
may include cholangiography, endoscopy, urologic, orthopedic,
neurologic, vascular, cardiac, critical-care and emergency room
procedures. The system may be used for other imaging applications at
the physicians discretion.

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

| Prescription Use

(Per 21 CFR 801.109)
---------------------------------------------

OR

Over-The-Counter _______

(Optional Format 1-2-96)

Concurrence of CDRH Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Reproductive, Abdominal, and Radiological Devices
510(k) NumberK041932