K Number
K050622
Device Name
HRW-63-8 WRIST ARRAY COIL; HRW-127-8 WRIST ARRAY COIL
Date Cleared
2005-04-08

(29 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the wrist and hand that can be interpreted by a trained physician.
Device Description
Models HRW-63-8 and HRW-127-8 Wrist Array Coils
More Information

Not Found

Not Found

No
The summary describes a hardware component (MRI coil) and does not mention any software or processing capabilities that would suggest AI/ML.

No
The document states the device is "to produce diagnostic images," indicating a diagnostic rather than therapeutic purpose.

Yes
The "Intended Use / Indications for Use" states that the device is "to produce diagnostic images" which are then interpreted by a physician. This directly indicates a diagnostic purpose.

No

The device description explicitly states "Models HRW-63-8 and HRW-127-8 Wrist Array Coils," which are hardware components used in conjunction with an MRI scanner.

No, 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. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: This device is a Magnetic Resonance (MR) coil. Its function is to be used in conjunction with an MR scanner to produce images of the wrist and hand. It does not analyze samples taken from the body.
  • Intended Use: The intended use is to produce diagnostic images that are interpreted by a physician. This is a function of an imaging device, not an IVD.

Therefore, based on the provided information, this device falls under the category of a medical imaging accessory, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the wrist and hand that can be interpreted by a trained physician.

Product codes

MOS

Device Description

Models HRW-63-8 and HRW-127-8 Wrist Array Coils

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Magnetic Resonance Scanner

Anatomical Site

wrist and hand

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)

Not Found

Reference Device(s)

Not Found

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling a symbol. The symbol is a stylized representation of an eagle or bird, with three curved lines forming its body and wings. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Public Health Service

2005 APR 8

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Thomas Schubert Chief Technology Officer MRI Devices Corporation N27 W23676 Paul Rd PEWAUKEE WI 53072

Re: K050622 Trade/Device Name: Models HRW-63-8 and HRW-127-8 Wrist Array Coils Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: MOS Dated: March 7, 2005 Received: March 10, 2005

Dear Mr. Schubert:

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 (Premarket Approval), 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.

1

This Ictter 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/industry/support/index.html.

Sincerely yours,

Nancy C. Hogdon

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

Enclosure

2

Koro622

Special 5 10(K) Application, Device Modification Special 510(K) Application, Device Modification
Models HRW-63-8 and HRW-127-8 Wrist Array Coils, March 7, 2005

Page 3

Section C – Statement of Indications for Use

Applicant: MRI Devices Corporation 510(k) number (if known): 510(k) number (if known): ____________________________________________________________________________________________________________________________________________________

Indications for use:

To be used in conjunction with a Magnetic Resonance Scanner to producediagnostic
To be used in control be a be interpreted by a trained physician. To be used in conjunction with a Magictic Resolulios bearn
images of the wrist and hand that can be interpreted by a trained physician.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

Over-The-Counter Use or

(Per 21 CFR 801.109) (Optional Format 1-2-96)

Nancy Boydon

(Division Sign-Off) ( Division of Reproductive. Abdominal, ano Radiological Devices DSDG 510(k) Number __