(23 days)
Not Found
No
The document describes standard image processing techniques like format conversion, interpolation, scaling, and LUTs, but makes no mention of AI or ML.
No
This device is a printer/imager that produces hardcopy images for diagnostic use, not a device that provides therapy or treatment.
No
The device is a medical hardcopy dry imager that produces diagnostic quality images, but it does not perform the diagnosis itself. Its function is to provide hardcopy output of digital image source material for medical image diagnosis use and referral.
No
The device description explicitly states it is a "dry, thermal, grey scale and grev scale/color (Ci model) direct thermal printer/imagers" and mentions producing "continuous tone, diagnostic quality BM images on transmissive film and reflective incident light viewed media." This indicates a physical hardware component (the imager/printer) is integral to the device's function, not just software.
Based on the provided text, 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 Horizon XL is a medical hardcopy dry imager. Its function is to produce physical prints (hardcopy) of digital medical images acquired from various imaging modalities (X-ray, CT, MRI, etc.).
- Intended Use: The intended use is for creating hardcopy images for medical image diagnosis, referral, and surgical planning. This involves visualizing images already obtained from the patient, not analyzing biological samples from the patient.
- No Mention of Biological Samples: The description focuses entirely on the processing and printing of digital image data. There is no mention of handling or analyzing biological specimens.
Therefore, the Horizon XL falls under the category of medical imaging devices, not in vitro diagnostics.
N/A
Intended Use / Indications for Use
The intended uses of the Horizon XL are identical to the Codonics Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054); high resolution hard copy imaging of digital image source material combining color, film, reflective media in one imager. The hardcopy output includes however is not limited to, digital radiography, nuclear medicine, ultrasound, CT, MRI, CR and Radiation Therapy planning. Images are suitable for medical image diagnosis use and referral. The system is intended for use by medical radiologists, imaging modality specialists, and communications to referring physicians. The addition of 14" x 36" and 14" x 51" true size "long" film and (TBD) reflective Direct Vista Paper media permits digital direct orthopaedic application hardcopy including diagnosis and analysis of scoliosis, weight bearing spine/hip/knee, and long bone/hip Prosthetic and orthopedic appliances work-up and surgical planning. Horizon XL is applicable to true-size hardcopy of whole body CT, MRI and Angiographic and Venous flow imaging procedures.
Product codes (comma separated list FDA assigned to the subject device)
LMC
Device Description
The Horizon® Series Imagers are dry, thermal, grey scale and grev scale/color (Ci model) direct thermal printer/imagers. The devices produce continuous tone, diagnostic quality BM images on transmissive film and reflective incident light viewed media. The color images produced via dye-diffusion technology are photographic medical color matched quality.
The Horizon® XL provides the capability to image True Size Long films used in Orthopedic applications, particularly in spine and long bone studies. These have been traditionally performed utilizing contact-screen film radiography utilizing special long, light-sensitive x-ray films in special long film/screen cassettes. As more imaging departments and centers become committed to PACS implementation and the application of digital radiography (CR and DR) acquisition, Horizon® XL brings long films into the all-digital world.
Mentions image processing
Digital images input directly or via Local Area Network is managed via communication standards including however not limited to FTP, TCP/IP, and DICOM. Images of a variety of digital formats are managed via industry standard format conversion software and image rendering algorithms including however not limited to TIFF, GIF, PCX, BMP, PBM, PGM, PPM, XWD, JPEG, SunRaster, SGI, Targa, DICOM, DEFF, and Postscript. Interpolation and scaling of images without Lossy data compression is employed in this device to maintain data integrity. Validated digital linear and visual linear routines and verified industry/modality specific Look Up Tables (LUTs) are applied to optimize color and CRT image hardcopy display results.
Imaging is accomplished via directly-modulated discrete-element thin-laver linear thermal print head technology. The recording medium is either heat sensitive silver in the case of DV grey scale film and DV DirectView reflective record imaging, or thermal heat activated dvediffusion of color in the case of CV DirectView and Transparency/film record imaging. The action of heat on the grey scale media produces a black dye in the medium. The action of heat on the dye-diffusion media produces a precision mixing of colors, which diffuse the medium top layer. The image formation is accomplished without wet chemistry processing common to many laser film imaging systems in use today.
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
digital radiography, nuclear medicine, ultrasound, CT, MRI, CR
Anatomical Site
spine, hip, knee, long bone, whole body
Indicated Patient Age Range
Not Found
Intended User / Care Setting
medical radiologists, imaging modality specialists, and communications to referring physicians.
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)
In the code implementation, electrical compliance tests, simulation, printer resolution pattern testing, and clinical studies, results and outcomes have been thoroughly reviewed with proper operation and intended functions verified. The device passed a series of electrical safety tests including UL 2601-1, CAN/CSA-C22.2 No 601.1-M90, IEC EN-60601-1. TUV/EN-60950:1992 and EN 60950/A1:1993. The devices comply with electromagnetic standards defined in EN-60601-1-2. Clinical tests have documented effective application and expected results consistent with predicate devices currently in commercial distribution.
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.
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
§ 892.2040 Medical image hardcopy device.
(a)
Identification. A medical image hardcopy device is a device that produces a visible printed record of a medical image and associated identification information. Examples include multiformat cameras and laser printers.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern). The 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
Kocoyyo
:
MAR 16 - 30
Attachment 1 Summary of Safety and Effectiveness
- Attachments labeled "CONFIDENTIAL" as follows: Codonics, Inc. regards the information defined as part of this Attachment to be a trade secret and confidential in nature.
1
Kok 0440
Image /page/1/Picture/1 description: The image shows the logo for Codonics. The logo consists of a geometric shape on the left and the word "CODONICS" in bold, sans-serif font on the right. Below the word "CODONICS" is the tagline "We bring the future into focus" in a smaller, italicized font. The logo is black and white.
510(k) Summary-Special 807.92(c) Submitter Information: 807.92(a)(1) 1 1.1 Submitter: Codonics, Inc. 17991 Englewood Drive Middleburg Heights, Ohio 44130 1.2 Manufacturing Facility: Same as above 1.3 Representative: Not applicable at this time 1.4 Contact: Alan DeSantis, Phone:(440) 243-1198 / Fax : (440) 243-1334 17991 Englewood Drive Middleburg Heights, Ohio 44130 1.5 Date: February 17, 2006 Device Name 807.92(a)(2) & 807.92(a)(3) N 2.1 Camera, Multiformat, Radiological 2.2 Classification Name: Medical Image Hardcopy Devices Classification Number: 892.2040 2.3 Classification Code: LMC Horizon® Series MEDICAL IMAGE HARDCOPY MULTIMEDIA 2.4 Trade/Proprietary Name: PRINTERS Device Modification to Cleared Device K021054 Model Horizon XL- Long Film Imager Model Horizon XL-X Various Models TBD Horizon® Series Medical Hardcopy Dry Imagers (premarket 2.5 Predicate Devices: notification K021054 3 Device Description 807.92(a)(4)
3.1 Function
The Horizon® Series Imagers are dry, thermal, grey scale and grev scale/color (Ci model) direct thermal printer/imagers. The devices produce continuous tone, diagnostic quality BM images on transmissive film and reflective incident light viewed media. The color images produced via dye-diffusion technology are photographic medical color matched quality.
2
The Horizon® XL provides the capability to image True Size Long films used in Orthopedic applications, particularly in spine and long bone studies. These have been traditionally performed utilizing contact-screen film radiography utilizing special long, light-sensitive x-ray films in special long film/screen cassettes. As more imaging departments and centers become committed to PACS implementation and the application of digital radiography (CR and DR) acquisition, Horizon® XL brings long films into the all-digital world.
3.2 Scientific Concepts:
Digital images input directly or via Local Area Network is managed via communication standards including however not limited to FTP, TCP/IP, and DICOM. Images of a variety of digital formats are managed via industry standard format conversion software and image rendering algorithms including however not limited to TIFF, GIF, PCX, BMP, PBM, PGM, PPM, XWD, JPEG, SunRaster, SGI, Targa, DICOM, DEFF, and Postscript. Interpolation and scaling of images without Lossy data compression is employed in this device to maintain data integrity. Validated digital linear and visual linear routines and verified industry/modality specific Look Up Tables (LUTs) are applied to optimize color and CRT image hardcopy display results.
Imaging is accomplished via directly-modulated discrete-element thin-laver linear thermal print head technology. The recording medium is either heat sensitive silver in the case of DV grey scale film and DV DirectView reflective record imaging, or thermal heat activated dvediffusion of color in the case of CV DirectView and Transparency/film record imaging. The action of heat on the grey scale media produces a black dye in the medium. The action of heat on the dye-diffusion media produces a precision mixing of colors, which diffuse the medium top layer. The image formation is accomplished without wet chemistry processing common to many laser film imaging systems in use today.
3.3 Physical And Performance Characteristics:
The Horizon® XLSeries Imagers are high resolution hard copy imagers of digital image source material substantially equivalent to the Codonics Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054) in system function and intended uses. The technology and applications are substantially equivalent to models of printers already cleared to market by the FDA, with the added capability to image 14" x 36" and 14" x 51" true size film and (TBD) reflective media. The Horizon® Series Imagers output diagnostic quality hardcopy images from digital sources over LAN: indirect or direct digital capture devices including Computed Radiography (CR) and Digital Radiography (DR). A multitude of digital formats include TIFF, GIF, PCX, BMP, PBM, PGM, PPM, XWD, JPEG, SunRaster, SGI, Targa, DICOM, DEFF, and Postscript. Lossy data compression is not employed in this device.
The system software is used to control the image management and machine functions. including densitometry compensation of printing power with film & media characteristics.
4 Device Intended Use:
807.92(a)(5)
- 4.1 The intended uses of the Horizon XL is identical to the Codonics Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054) as a combined color, film, reflective media imager. The hardcopy output includes however is not limited to, digital radiography. nuclear medicine, ultrasound, CT, MRI, CR and Radiation Therapy planning. Images are suitable for medical image diagnosis use and referral. The system is intended for use by medical radiologists, imaging modality specialists, and communications to referring physicians. The addition of 14" x 36" and 14" x 51" true size "long" film " film permits digital direct orthopaedic application hardcopy including diagnosis and analysis of scoliosis, weight
3
bearing spine/hip/knee, and long bone/hip Prosthetic and orthopedic appliances work-up and surgical planning. Horizon XL is applicable to true-size hardcopy of whole body CT, MRI and Angiographic and Venous flow imaging procedures.
Device Technological Characteristics: 807.92(a)(6) 5
- 5.1 The characteristics of the Horizon XL model imagers compare substantially to the Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054) in system function and intended uses. The technology and applications are substantially equivalent to models of printers already cleared to market by the FDA, with the added convenience of combining multi-sized color and grey scale film and reflective media with capability to image 14" x 36" and 14" x 51" true size "long" film for digital direct orthopaedic application hardcopy. Additional image memory, film transport software to permit longer film handling, modified film and film feed trays, mechanical extender arms to direct long film output to the external catch bin have been added to the standard Horizon Series imagers. Differences of note do not affect safety and effectiveness of the device, general radiographic imaging intended uses, or application methods. The device operates in a manner substantially equivalent to other cleared 892.2040 devices in this category.
e Testing and Equivalence: 807.92(b)(1), 807.92(b)(2) & 807.92(b)(3)
6.1 In the code implementation, electrical compliance tests, simulation, printer resolution pattern testing, and clinical studies, results and outcomes have been thoroughly reviewed with proper operation and intended functions verified. The device passed a series of electrical safety tests including UL 2601-1, CAN/CSA-C22.2 No 601.1-M90, IEC EN-60601-1. TUV/EN-60950:1992 and EN 60950/A1:1993. The devices comply with electromagnetic standards defined in EN-60601-1-2. Clinical tests have documented effective application and expected results consistent with predicate devices currently in commercial distribution.
Codonics believes the Horizon XL Model Imagers to be substantially equivalent to Medical Image Hardcopy Devices currently in commercial distribution in the U.S. We have selected Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054) as the predicate device for our claim of substantial equivalence, Attachment 6 contains information describing these predicate devices and provides a comparison of the Horizon XL Imagers to the predicate device and describes how any differences of note are substantially equivalent.
7 Hazard Analysis and Safety Concerns
- 7.1 Hazard analysis on this product has been performed throughout the definition, design, and testing phases of the product development and implementation. This process has emphasized:
- Identification of potential hazards, their causes and their effects .
- Development of methodologies to control the occurrence of hazards and to constrain their . effects:
- . Determine any effect on patient safety and system effectiveness
The potential hazards associated with this software product are not different than those of the Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054) image components. These are primarily related to the failure of computer system components, and may be variously obviated by decisions taken by the end users of the product. None of the failures are expected to materially contribute to patient death or injury.
It is our conclusion that no hardware or software component, operating in a properly configured environment, whose latent design defect would be expected to result in death or injury of the patient. Thus the "level of Concern" is "Minor".
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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains an abstract image of an eagle. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are written around the edge of the circle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAR 1 6 1303
Mr. Alan DeSantis Director, Quality and Regulatory Affairs Codonics. Inc. 17991 Englewood Drive MIDDLEBURG HEIGHTS OH 44130
Re: K060440
Trade/Device Name: Horizon® XL Medical Long Film Imager, Image Hardcopy Multimedia Printers Regulation Number: 21 CFR 892.2040 Regulation Name: Medical image hardcopy device Regulatory Class: II Product Code: LMC Dated: February 17, 2006 Received: February 21, 2006
Dear Mr. DeSantis:
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.
5
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 |
| Other | 240-276-0100 |
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 vours.
T. Manayle. Brigeton
Naney C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Inclosure
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510(k) Number (if known): _
Horizon® XL MEDICAL Long Film Imager IMAGE HARDCOPY Device Name: MULTIMEDIA PRINTERS
Model Horizon XL- Long Film Imager Models:
Indications For Use:
The intended uses of the Horizon XL are identical to the Codonics Horizon® Series Medical Hardcopy Dry Imagers (premarket notification K021054); high resolution hard copy imaging of digital image source material combining color, film, reflective media in one imager. The hardcopy output includes however is not limited to, digital radiography, nuclear medicine, ultrasound, CT, MRI, CR and Radiation Therapy planning. Images are suitable for medical image diagnosis use and referral. The system is intended for use by medical radiologists, imaging modality specialists, and communications to referring physicians. The addition of 14" x 36" and 14" x 51" true size "long" film and (TBD) reflective Direct Vista Paper media permits digital direct orthopaedic application hardcopy including diagnosis and analysis of scoliosis, weight bearing spine/hip/knee, and long bone/hip Prosthetic and orthopedic appliances work-up and surgical planning. Horizon XL is applicable to true-size hardcopy of whole body CT, MRI and Angiographic and Venous flow imaging procedures.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use _ V (Per 21 CFR 801.109) OR
Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________
(Optional Format 1-2-96)
David A. Severson
Division Sian-Off Division of Reproductive, Abdominal and Radiological Devices 510(k) Number