K Number
K052839
Device Name
CT PERFUSION 4
Manufacturer
Date Cleared
2006-03-10

(154 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CT perfusion 4 is an image analysis software package that allows the user to produce dynamic image data and to generate information with regard to changes in image intensity over time. It supports the analysis of CT Perfusion images, obtained by cine imaging (in the head and body) after the intravenous injection of contrast, in calculation of the various perfusion-related parameters (i.e. regional blood flow, regional blood volume, mean transit time and capillary permeability). The results are displayed in a user-friendly graphic format as parametric images. This software will aid in the assessment of the extent and type of perfusion, blood volume and capillary permeability changes, which may be related to stroke or tumor angiogenesis and the treatment thereof.
Device Description
CT Perfusion 4 is an image analysis software package that allows the evaluation of dynamic CT data following an injection of a compact bolus of contrast material, generating information with regards to changes in image intensity over time. It provides a quick and reliable assessment of the type and extent of perfusion disturbances by providing qualitative information on various perfusion related parameters. The results are displayed in a user-friendly graphic format as parametric images (single image calculated from a set of time course images at a single location).
More Information

Not Found

No
The summary describes standard image analysis techniques for calculating perfusion parameters from CT data and does not mention AI or ML.

No.
The "Intended Use" section states that the software "will aid in the assessment of the extent and type of perfusion... which may be related to stroke or tumor angiogenesis and the treatment thereof" but it does not directly treat or diagnose. It is an image analysis software that aids in assessment rather than providing a therapeutic function.

Yes

Explanation: The device is image analysis software that helps assess perfusion changes related to stroke or tumor angiogenesis, which are diagnostic purposes. It also takes CT images, processes them, and outputs parameters related to blood flow, blood volume etc. all of which are used in a diagnostic manner.

Yes

The device is explicitly described as an "image analysis software package" and its function is to process existing CT perfusion images to generate parametric images and perfusion-related parameters. There is no mention of any associated hardware component being part of the device itself.

Based on the provided information, 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.
  • Device Function: The description clearly states that CT Perfusion 4 is an image analysis software package that processes CT Perfusion images. These images are obtained through a medical imaging procedure (CT scan) performed on the patient's body, not on a sample taken from the body.
  • Input: The input is imaging data (CT images), not biological samples.
  • Output: The output is processed imaging data and calculated parameters related to perfusion, displayed as parametric images.

Therefore, because the device analyzes medical images obtained directly from the patient's body rather than performing tests on biological samples, it falls outside the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

CT perfusion 4 is an image analysis software package that allows the user to produce dynamic image data and to generate information with regard to changes in image intensity over time. It supports the analysis of CT Perfusion images, obtained by cine imaging (in the head and body) after the intravenous injection of contrast, in calculation of the various perfusion-related parameters (i.e. regional blood flow, regional blood volume, mean transit time and capillary permeability). The results are displayed in a user-friendly graphic format as parametric images.

This software will aid in the assessment of the extent and type of perfusion, blood volume and capillary permeability changes, which may be related to stroke or tumor angiogenesis and the treatment thereof.

Product codes

JAK

Device Description

CT Perfusion 4 is an image analysis software package that allows the evaluation of dynamic CT data following an injection of a compact bolus of contrast material, generating information with regards to changes in image intensity over time. It provides a quick and reliable assessment of the type and extent of perfusion disturbances by providing qualitative information on various perfusion related parameters. The results are displayed in a user-friendly graphic format as parametric images (single image calculated from a set of time course images at a single location).

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT

Anatomical Site

head and body

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)

K010042

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows a black and white logo of General Electric (GE). The logo consists of the letters 'G' and 'E' intertwined within a circular border. The letters are stylized with curved lines, giving the logo a classic and recognizable appearance. The logo is simple and iconic, representing the well-known multinational conglomerate.

MAR 1 0 2006

GE Healthcare

K052839

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of 21 CFR Part 807.87(h).

  • June 27 2005 Date Prepared
  • Submitter Larry A. Kroger, Ph.D. Senior Regulatory Programs Manager Tel: (262) 544-3894 Fax: (262) 544-4768 GE Healthcare W-400 3000 North Grandview Blvd. Waukesha, WI 53188 USA

K010042

PRODUCT IDENTIFICATION

Name:CT Perfusion 4
Classification Name:Accessory to Computed Tomography System
Manufacturer:GE Medical Systems S.C.S
283, rue de la Minière
78533 Buc Cedex, FRANCE
Distributor:General Electric Medical Systems S.C.S, Buc, France.
Marketed Devices:The CT Perfusion 4 is substantially equivalent to the devices listed below
Model:CT Perfusion 2
Manufacturer:GE Medical Systems S.C.S., Buc, France

Device Description:

510(k) #:

CT Perfusion 4 is an image analysis software package that allows the evaluation of dynamic CT data following an injection of a compact bolus of contrast material, generating information with regards to changes in image intensity over time. It provides a quick and reliable assessment of the type and

1

K052839

extent of perfusion disturbances by providing qualitative information on various perfusion related parameters.

The results are displayed in a user-friendly graphic format as parametric images (single image calculated from a set of time course images at a single location).

Indications for Use:

CT perfusion 4 is an image analysis software package that allows the user to produce dynamic image data and to generate information with regard to changes in image intensity over time. It supports the analysis of CT Perfusion images, obtained by cine imaging (in the head and body) after the intravenous injection of contrast, in calculation of the various perfusion-related parameters (i.e. regional blood flow, regional blood volume, mean transit time and capillary permeability). The results are displayed in a user-friendly graphic format as parametric images.

This software will aid in the assessment of the extent and type of perfusion, blood volume and capillary permeability changes, which may be related to stroke or tumor angiogenesis and the treatment thereof.

Comparison with Predicate:

CT Perfusion 4 images as compared with the CT Perfusion 2 device are obtained by CT scanning after an injection of contrast media. CT Perfusion 4 is a software post-processing device and as such does not affect the dosage characteristics or the imaging performance of GEMS CT scanners. The algorithms used to calculate the perfusion parameters are similar to CT Perfusion 2 device. The functional features of the CT Perfusion 4 software package are substantially equivalent to that of the following device:

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Adverse Effects on Health:

The potential hazards are identified in a risk management summary (hazard analysis) and are controlled by:

  • · Software Development, Validation and Verification Process to ensure performance to specifications, Federal Regulations and user requirements.
  • · Adherence to industry and international standards.

Conclusions:

CT Perfusion 4 does not result in any new potential safety risks and performs as well as devices currently on the market. GE considers features of the CT Perfusion 4 to be equivalent to those of CT Perfusion 2 (K010042).

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 0 2006

GE Healthcare c/o Mr. Daniel W. Lehtonen Responsible Third Party Official Intertek Testing Services NA, Inc. 70 Codman Hill Road BOXBOROUGH MA 017190

Re: K052839

Trade/Device Name: CT Perfusion 4 Regulation Number: 21 CFR §892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: JAK Dated: February 14, 2006 Received: February 15, 2006

Dear Mr. Lehtonen:

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.

3

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis leter will and it you to organ .
The fication. The FDA Inding of substantial equivalence of your device to a legally premative notification: " The Previous 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 rryou desire sponne davies to ge 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 I hour may obtain other general information on your responsibilities under the Act from the 601:57). I od may octurers, 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

4

Indications for Use

510(k) Number (if known): K052839 Device Name: CT Perfusion 4 Indications for Use:

CT perfusion 4 is an image analysis software package that allows the user to produce dynamic image data and to generate information with regard to changes in image intensity over time. It supports the analysis of CT Perfusion images, obtained by cine imaging (in the head and body) after the intravenous injection of contrast, in calculation of the various perfusion-related parameters (i.e. regional blood flow, regional blood volume, mean transit time and capillary permeability). The results are displayed in a user-friendly graphic format as parametric images.

This software will aid in the assessment of the extent and type of perfusion, blood volume and capillary permeability changes, which may be related to stroke or tumor angiogenesis and the treatment thereof.

Prescription Use × Over-The-Counter Use AND/OR (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

David Lee Segerson

510(k) Number

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