K Number
K050190
Device Name
APOLLO
Date Cleared
2005-03-25

(57 days)

Product Code
Regulation Number
892.1980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indication for use of the APOLLO is: radiology and fluoroscopy investigations when installed in conjunction with adequate image intensifier, image acquisition systems, X-ray generators and X-ray tubes.
Device Description
Remote controlled radiology table, collimator and spot film device
More Information

Not Found

No
The summary describes a remote-controlled radiology table, collimator, and spot film device, which are mechanical and imaging components, with no mention of AI or ML capabilities.

No
The device is described as a remote-controlled radiology table, collimator, and spot film device, used for radiology and fluoroscopy investigations, which are diagnostic imaging procedures rather than therapeutic interventions.

Yes
The device is indicated for "radiology and fluoroscopy investigations," which are procedures used to diagnose medical conditions through imaging.

No

The device description explicitly states it is a "Remote controlled radiology table, collimator and spot film device," which are hardware components.

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

Here's why:

  • Intended Use: The intended use clearly states "radiology and fluoroscopy investigations". These are imaging procedures performed on a patient's body, not tests performed on samples taken from the body (which is the core of IVD).
  • Device Description: The device is described as a "Remote controlled radiology table, collimator and spot film device". These are components of an X-ray imaging system, not devices used for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other elements typically associated with in vitro diagnostics.

Therefore, the APOLLO device, as described, falls under the category of medical imaging equipment rather than an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Remote controlled radiology table, collimator and spot film device.
The indication for use of the APOLLO is: radiology and fluoroscopy investigations when installed in conjunction with adequate image intensifier, image acquisition systems, X-ray generators and X-ray tubes.

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

KXJ, IXL, and KPW

Device Description

The equipment is classified as a class II device since it is composed of the following three components: radiological table (CFR892.1980): class I, spot film device (CFR892.1670): class II, X-ray beam limiting device (CFR 892-1610): class II

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

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): 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.

K032046

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

§ 892.1980 Radiologic table.

(a)
Identification. A radiologic table is a device intended for medical purposes to support a patient during radiologic procedures. The table may be fixed or tilting and may be electrically powered.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 892.9.

0

Image /page/0/Picture/0 description: The image shows a logo for Villa Sistemi Medicali. The logo features a stylized letter 'V' above the company name. The text 'VILLA' is in a larger font size than 'SISTEMI MEDICALI', which is stacked below it.

MAR 2 5 2005

Koso190

Attachment 1 - 510 (k) SUMMARY

510(k) summary for APOLLO

Identification

| Applicant | Villa Sistemi Medicali S.p.A.
Via delle Azalee 3,
20090 BUCCINASCO - Milan- Italy
Registration Number: 8021091 |
|-------------------------------|----------------------------------------------------------------------------------------------------------------------------|
| Contact Person | dr. Roberto Daglio – QA Director |
| Telephone (applicant) | + 39 02 48859233 |
| Designated Agent
in the US | Veronica Meredith
Del Medical Imaging
11550 West King Street
Franklin Park
Illinois 60131
Tel. 847-288-7000 |
| Manufacturing site | Villa Sistemi Medicali S.p.A.
Via delle Azalee 3,
20090 BUCCINASCO - Milan - Italy |

Trade name: APOLLO

Common name: APOLLO R/F remote controlled table

Classification:

The equipment is classified as a class II device since it is composed of the following three components:

radiological table (CFR892.1980): class I

spot film device (CFR892.1670): class II

X-ray beam limiting device (CFR 892-1610): class II

1

150190

Substantial equivalent device: the APOLLO is defined as Substantially Equivalent (SE) to the Philips Medical Systems OMNIDIAGNOST ELEVA, manufactured by Philips Medical Systems and cleared by FDA with K032046

The following table compares the APOLI.O and the predicate device

APOLLOPhilips Omnidiagnost Eleva
Intended useRemote controlled radiology
table, collimator and spot film
deviceRemote controlled radiology
system inclusive of remote
controlled table, collimator,
spot film device, image
intensifier system
Working height (table
top center to
floorplate)600 -1400 mm840 -1140 mm
Table tilt movement-90° - +90°-90° - +90°
Table tilt speed4.5 -6.5°/secVariable 2-4.5°/sec
Table top suspensionTwo sides suspensionSingle side (left or right)
Table top material2379x750 Plastic laminate or
carbon fiber2250 x 660 mm carbon fiber
Table top movementPatient remain stationary
during all scan movmentsPatient remain stationary
during all scan movments
Table top absorptionPlastic: