K Number
K043262
Device Name
GE SIGNA EXCITE MR SURGICAL OPTION
Manufacturer
Date Cleared
2005-01-12

(49 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The MR Surgical Option when integrated with the GE Signa® 3.0T or 1.5T magnetic resonance scanner (previously cleared K041476) can be used to produce head and whole body magnetic resonance images that are high resolution, high signal-to-noise ratio, with short scan times. The Signa® Excite MR system with Surgical Option is indicated for use as a diagnostic imaging device to produce axial sagittal, coronal and oblique images, spectroscopic images, and/or spectra, dynamic images of the internal structures and organs of the entire body, including, but not limited to, head, neck, TMJ, spine, breast, heart, abdomen, pelvis, joints, prostate, blood vessels, and musculoskeletal regions of the body. The images produced by the Signa® Excite system with Surgical Option reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis. The GE Signa® Excite system with Surgical Option can provide MR images at various stages of a surgical procedure, and provides the capability to transfer a patient to the MR system table directly from a surgical table, or patient transport system. Images can be obtained using the MR scanner body coil, or local surface coils, and the surface coils used with the integrated system may / can accommodate sterile draping for surgical procedures.
Device Description
The GE Signa® Excite MR Surgical Option is a MR table and transfer board that allows the patient to be moved from a surgical table to the MR scanner without changing the patient's position. It can be used in conjunction with a surgical table and other MR compatible equipment, such as but not limited to, patient monitoring equipment, IV pole, patient restraints, patient positioning accessories, and skull clamps that can be mounted to the patient transfer board, to facilitate ease of movement between the MR and operating rooms. The GE Signa® Excite MR Surgical Option can be used with single, or multiple surgical tables. The option will seamlessly integrate patient transfer from a surgical table and facilitate imaging within the GE Signa® Excite MR system. The patient, once transferred onto the MR system table, can then be scanned in the same manner as with traditional routine MR imaging. This device allows the GE Signa® Excite MR system to be utilized in a configuration of an integrated Surgical / MR suite.
More Information

Not Found

No
The device description focuses on a physical transfer system for patients between surgical and MR tables, and the intended use describes the standard diagnostic imaging capabilities of the MR system itself. There is no mention of AI or ML in the provided text.

No
The device is described as a diagnostic imaging device used to produce images for assistance in diagnosis, not for therapeutic purposes.

Yes

The "Intended Use / Indications for Use" section explicitly states, "The Signa® Excite MR system with Surgical Option is indicated for use as a diagnostic imaging device to produce axial sagittal, coronal and oblique images, spectroscopic images, and/or spectra, dynamic images of the internal structures and organs of the entire body... These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis."

No

The device description explicitly states it is a "MR table and transfer board," which are hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that this device is a "MR table and transfer board" that facilitates the movement of a patient between a surgical table and an MR scanner. Its primary function is related to patient positioning and transfer for imaging purposes.
  • Intended Use: The intended use is to produce and interpret magnetic resonance images of the internal structures of the body. This is an in vivo (within the living body) diagnostic process, not an in vitro process.
  • Lack of Mention of Samples: There is no mention of collecting or analyzing samples from the patient.

Therefore, the GE Signa® Excite MR Surgical Option is a medical device used for in vivo diagnostic imaging, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The MR Surgical Option when integrated with the GE Signa® 3.0T or 1.5T magnetic resonance scanner (previously cleared K041476) can be used to produce head and whole body magnetic resonance images that are high resolution, high signal-to-noise ratio, with short scan times. The Signa® Excite MR system with Surgical Option is indicated for use as a diagnostic imaging device to produce axial sagittal, coronal and oblique images, spectroscopic images, and/or spectra, dynamic images of the internal structures and organs of the entire body, including, but not limited to, head, neck, TMJ, spine, breast, heart, abdomen, pelvis, joints, prostate, blood vessels, and musculoskeletal regions of the body. The images produced by the Signa" Excite system with Surgical Option reflect the spatial distribution of protons (hydrogen nucle) exhibiting magnetic resonance. These images and/or spectra when interpreted by a trained musician yield information that may assist in diagnosis. The GE Signa" Excite system with Surgical phynelan fretarine MR images at various stages of a surgical procedure, and provides the capability to transfer a patient to the MR system table directly from a surgical table, or patient transport system. Images can be obtained using the MR scamer body coil, or local surface coils, and the surface coils used with the integrated system may / can accommodate sterile draping for surgical procedures.

Product codes (comma separated list FDA assigned to the subject device)

90 LNH

Device Description

The GE Signa® Excite MR Surgical Option is a MR table and transfer board that allows the patient to be moved from a surgical table to the MR scanner without changing the patient's position. It can be used in conjunction with a surgical table and other MR compatible equipment, such as but not limited to, patient monitoring equipment, IV pole, patient restraints, patient positioning accessories, and skull clamps that can be mounted to the patient transfer board, to facilitate ease of movement between the MR and The GE Signa® Excite MR Surgical Option can be used with single, or multiple surgical tables. operating rooms. The option will seamlessly integrate patient transfer from a surgical table and facilitate imaging within the GE Signa® Excite MR system. The patient, once transferred onto the MR system table, can then be scanned in the same manner as with traditional routine MR imaging. This device allows the GE Signa® Excite MR system to be utilized in a configuration of an integrated Surgical / MR suite.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Magnetic Resonance

Anatomical Site

head, neck, TMJ, spine, breast, heart, abdomen, pelvis, joints, prostate, blood vessels, and musculoskeletal regions of the body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained physician, surgical procedures

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)

The GE Signa® Excite MR Surgical Option has been evaluated to the appropriate IEC 60601-1 International Medical Equipment Safety standard and IEC 60061-2-33 Particular Requirements for Safety of Magnetic Resonance Equipment for Medical Diagnosis.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K041476

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

JAN 1 2 2005

510(K) SUMMARY

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

| Submitter: | GE Healthcare
PO Box 414
Milwaukee, WI 53201 |
|-----------------|-------------------------------------------------------------|
| Contact Person: | Larry A. Kroger Ph.D.
Senior Regulatory Programs Manager |
| Telephone: | 262-544-3894 |
| Fax: | 262-548-4768 |
| Date Prepared: | November 12, 2004 |

Device Name:

GE Signa® Excite MR Surgical Option

Marketed Device:

The GE Signa® Excite MR Surgical Option is substantially equivalent to the currently marketed Signa" 1.5T and 3.0T MR Excite System (K041476). The main difference is a modification to the table cradle that allows a separate transfer board to be transferred onto the MR Signa® table or patient transporter to enable traditional MR scanning of the patient.

Device Description:

The GE Signa® Excite MR Surgical Option is a MR table and transfer board that allows the patient to be moved from a surgical table to the MR scanner without changing the patient's position. It can be used in conjunction with a surgical table and other MR compatible equipment, such as but not limited to, patient monitoring equipment, IV pole, patient restraints, patient positioning accessories, and skull clamps that can be mounted to the patient transfer board, to facilitate ease of movement between the MR and The GE Signa® Excite MR Surgical Option can be used with single, or multiple surgical tables. operating rooms. The option will seamlessly integrate patient transfer from a surgical table and facilitate imaging within the GE Signa® Excite MR system. The patient, once transferred onto the MR system table, can then be scanned in the same manner as with traditional routine MR imaging. This device allows the GE Signa® Excite MR system to be utilized in a configuration of an integrated Surgical / MR suite.

Indications for Use:

The MR Surgical Option when integrated with the GE Signa® 3.0T or 1.5T magnetic resonance scanner (previously cleared K041476) can be used to produce head and whole body magnetic resonance images that are high resolution, high signal-to-noise ratio, with short scan times. The Signa® Excite MR system with Surgical Option is indicated for use as a diagnostic imaging device to produce axial sagittal, coronal and oblique images, spectroscopic images, and/or spectra, dynamic images of the internal structures and organs of the entire body, including, but not limited to, head, neck, TMJ, spine, breast, heart, abdomen, pelvis, joints, prostate, blood vessels, and musculoskeletal regions of the body. The images produced by

1

the Signa" Excite system with Surgical Option reflect the spatial distribution of protons (hydrogen nucle) exhibiting magnetic resonance. These images and/or spectra when interpreted by a trained musician yield information that may assist in diagnosis. The GE Signa" Excite system with Surgical phynelan fretarine MR images at various stages of a surgical procedure, and provides the capability to transfer a patient to the MR system table directly from a surgical table, or patient transport system. Images can be obtained using the MR scamer body coil, or local surface coils, and the surface coils used with the integrated system may / can accommodate sterile draping for surgical procedures.

Comparison with Predicate Device:

The GE Signa® Excite MR Surgical Option utilized the same of the previously cleared Signa " 1.5T and 3.0T Excite MR System (K041476) with the main difference being a modification to the cradle that allows a separate transferred onto the MR Signa" table from a surgical table or patient transporter to enable traditional MR scanning of the patient.

Summary of Studies:

The GE Signa® Excite MR Surgical Option has been evaluated to the appropriate IEC 60601-1 International Medical Equipment Safety standard and IEC 60061-2-33 Particular Requirements for Safety of Magnetic Resonance Equipment for Medical Diagnosis.

The GE Signa® Excite MR Surgical Option utilizes the currently marketed Signa® 1.5T and 3.0T Excite MR System (K041476). The modified table cradle in the Surgical Option adds the capability to allow a separate transfer board to be transferred onto the MR Signa® table from an operating table or patient transporter.

Conclusion:

It is the opinion of GE that the GE Signa® Excite MR Surgical Option is substantially equivalent to the Signa® Excite 1.5T and Signa® Excite 3.0T Magnetic Resonance System Tables. Usage of the GE Signa® Excite MR Surgical Option and any potential hazards of the modified table cradle have been addressed and do not present any safety concerns.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the department's name around the perimeter. In the center of the circle is an abstract symbol that resembles an eagle or a stylized human figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 2 2005

Larry A. Kroger, Ph.D. Senior Regulatory Programs Manager GE Healthcare W-400, P.O. Box 414 MILWAUKEE WI 53201

Re: K043262

Trade/Device Name: GE Signa® Excite MR Surgical Option Regulation Number: 21 CFR §892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 LNH Dated: November 23, 2004 Received: November 24, 2004

Dear Dr. Kroger:

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.

3

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 this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). You may obtain other general information on your responsibilities under the Act 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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510(k) Number (if known): _

Device Name: GE Signa Excite MR Surgical Option

Indications For Use:

The MR Surgical Option when integrated with the GE Signa® 3.0T or 1.5T magnetic resonance scanner (previously cleared K041476) can be used to produce head and whole body magnetic seanner (previously viat are high resolution, high signal-to-noise ratio, with short scan times. The Signal Excite MR system with Surgical Option is indicated for use as a diagnostic imaging device to produce axial sagittal, coronal and oblique images, spectroscopic images, and/or de rece to produce anni if the internal structures and organs of the entire body, including, but .. peetin, a finance mage of, TMJ, spine, breast, heart, abdomen, pelvis, joints, prostate, blood vessels, and musculoskelal regions of the body. The images produced by the Signa® Excite vessem with Surgical Option reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis. The GE Signa® Excite system with Surgical Ontion can provide MR images at various stages of a surgical procedure, and provides Burgear Spiren a transfer a patient to the MR system table directly from a surgical table, or patient transport system. Images can be obtained using the MR scanner body coil, or local surface coils, and the surface coils used with the integrated system may / can accommodate sterile draping for surgical procedures.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
David G. Severson
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
K043262

| Prescription Use

21 CFR 801.109)✓ OR Over-The-Counter Use (Per
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