K Number
K071037
Device Name
SPY INTRA-OPERATIVE IMAGING SYSTEM, MODEL SP2000
Date Cleared
2007-05-10

(28 days)

Product Code
Regulation Number
892.1600
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For use in intraoperative visual assessment of the coronary vasculature and bypass grafts during coronary artery bypass (CABG) surgery.
Device Description
The SPY Imaging System: SP2000 is currently cleared for intraoperative visual assessment of the coronary vasculature and grafts during coronary artery bypass graft (CABG) surgery. The Novadaq Technologies SPY Intra-operative Imaging System consists of 2 components: the SPY Imaging Device; and the SPY Paq®
More Information

Not Found

No
The summary does not mention AI, ML, or any related terms, nor does it describe any features or performance metrics typically associated with AI/ML-powered devices.

No.
The device is used for visual assessment during surgery, which is a diagnostic or imaging function, not a therapeutic intervention.

Yes
The device is used for "intraoperative visual assessment of the coronary vasculature and bypass grafts," which involves evaluating the current state of these structures to inform surgical decisions, fitting the definition of a diagnostic device.

No

The device description explicitly states it consists of two components: the SPY Imaging Device and the SPY Paq®, indicating hardware components are involved.

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. They are used outside of the body ("in vitro").
  • Device Function: The description clearly states the device is used for "intraoperative visual assessment of the coronary vasculature and bypass grafts during coronary artery bypass (CABG) surgery." This involves imaging the structures within the patient's body during surgery.
  • Input Modality: The input modality is a "Fluorescent Angiographic System," which is an imaging technique performed on the living patient.
  • Anatomical Site: The anatomical site is the "coronary vasculature and bypass grafts," which are internal structures.

The device is an in vivo imaging system used during surgery, not a test performed on a sample outside the body.

N/A

Intended Use / Indications for Use

For use in intraoperative visual assessment of the coronary vasculature and bypass grafts during coronary artery bypass (CABG) surgery.

Product codes

90 IZI

Device Description

The SPY Imaging System: SP2000 is currently cleared for intraoperative visual assessment of the coronary vasculature and grafts during coronary artery bypass graft (CABG) surgery.

The Novadaq Technologies SPY Intra-operative Imaging System consists of 2 components:

  • · the SPY Imaging Device; and
  • = the SPY Paq®

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary vasculature and bypass grafts

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K042961, K060867

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1600 Angiographic x-ray system.

(a)
Identification. An angiographic x-ray system is a device intended for radiologic visualization of the heart, blood vessels, or lymphatic system during or after injection of a contrast medium. 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

8071037

510(k) Summary

Trade Name:SPY® Intra-operative Imaging System
Model Number:SP2000MAY 10 200
Common Name:Fluorescent Angiographic System
Classification:21 CFR 892.1600
Product Code:90 IZI
Classification:Class II
Manufacturer:Novadaq® Technologies Inc.
2585 Skymark Avenue
Suite 306
Mississauga, Ontario
Canada
L4W 4L5
905.629.3822 ext. 240
Contact Name:Allison Manners
Vice President - Regulatory and Clinical Affairs

Date 510(k) Summary Prepared: April 9, 2007

Legally Marketed Predicate Devices:

The Novadaq SPY Imaging System had received FDA 510(k) clearance for market in January 2005 (K042961) and subsequently received 510(k) clearance for a labeling change in May 2006 (K060867).

Device Description:

The SPY Imaging System: SP2000 is currently cleared for intraoperative visual assessment of the coronary vasculature and grafts during coronary artery bypass graft (CABG) surgery.

The Novadaq Technologies SPY Intra-operative Imaging System consists of 2 components:

  • · the SPY Imaging Device; and
  • = the SPY Paq®

1

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 1 0 2007

Ms. Allison Manners Vice President, Regulatory and Clinical Affairs Novadaq Technologies Inc. 2585 Skymark Avenue Suite 306 Mississauga, Ontario Canada L4W 4L5

Re: K071037

Trade Name: SPY® Intraoperative Imaging System Regulation Number: 21 CFR 892.1600 Regulation Name: Angiographic X-Ray System Regulatory Class: Class II (two) Product Code: IZI Dated: April 11, 2007 Received: April 12, 2007

Dear Ms. Manners:

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). You may not market this device, however, until such time as the new drug application for the drug indocyanine green manufactured by PULSION® Medical Systems is approved for human use by The Center for Drug Evaluation and Research, FDA. When the device is marketed, it will be subject to the general controls provisions of the Federal Food, Drug, and Cosmetic Act (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.

However, you are responsible to determine that the medical devices you use as components in the SPY® Intraoperative Imaging System have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the Act), or were on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments.

Image /page/1/Picture/10 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features the department's name encircling a symbol composed of four stylized human profiles facing right. The profiles are stacked vertically, with the top profile being the largest and each subsequent profile decreasing in size. The overall design is simple and conveys a sense of unity and service.

2

Page 2 – Ms. Allison Manners

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.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification subject to approval of the indocyanine green manufactured by PULSION® Medical Systems. 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (240) 276-0120. 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 (240) 276-3150,

or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Blommer for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

3

Indications for Use

510(k) Number (if known):

SPY® Intra-operative Imaging System: SP2000 Device Name:

Indications for Use:

For use in intraoperative visual assessment of the coronary vasculature and bypass grafts during coronary artery bypass (CABG) surgery.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (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)

Blammima

Division of Cardio 510ik) Nu

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