K Number
K071717
Device Name
GE OEC ALTITUDE
Manufacturer
Date Cleared
2007-07-05

(13 days)

Product Code
Regulation Number
892.1600
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This device is intended to be used for generating fluoroscopic images of human anatomy for the diagnostic, surgical and interventional angiography and cardiology procedures of circulatory vascular system.
Device Description
Not Found
More Information

Not Found

No
The summary does not mention AI, ML, or any related terms, and the device description and performance study sections are not found, providing no evidence of AI/ML integration.

No
The device is used for generating images for diagnostic, surgical, and interventional procedures, but it does not directly provide therapy. It is an imaging device.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is used for generating fluoroscopic images "for the diagnostic, surgical and interventional angiography and cardiology procedures." The term "diagnostic" indicates its primary function.

No

The summary describes a device for generating fluoroscopic images, which inherently involves hardware (an X-ray system). There is no mention of the device being solely software for processing or analyzing images from an existing system.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for generating fluoroscopic images of human anatomy for diagnostic, surgical, and interventional procedures. This involves imaging the body directly, not testing samples taken from the body.
  • Input Imaging Modality: The input is fluoroscopic images, which are generated by passing X-rays through the patient.
  • Anatomical Site: The device is used on human anatomy and the circulatory vascular system, which are parts of the living body.
  • IVD Definition: In vitro diagnostics are tests performed on samples such as blood, urine, or tissue that have been taken from the human body to detect diseases, conditions, or infections.

This device is an imaging device used in vivo (within the living body), not in vitro (in glass/outside the body).

N/A

Intended Use / Indications for Use

/ This device is intended to be used for generating fluoroscopic images of human anatomy for the diagnostic, surgical and interventional angiography and cardiology procedures of circulatory vascular system.

/ This device is operated and used by the physicians, X-ray technologist and radiologists.

/ This device can be used in conjunction with a mobile or fixed surgical table.

Product codes

90IZI

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic images

Anatomical Site

human anatomy, circulatory vascular system

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physicians, X-ray technologist and radiologists.

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)

K943545, K955395

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

207,717

Medical Systems Division,

Quality Assurance Department

1,Nishinokyo-Kuwabaracho.Nakagyo-ku,Kyoto 604-8511, Japan Phone: +81-75-823-1307 Fax: +81-75-823-1377

January 31, 2007

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850

JUL - 5 2007

Re: Abbreviated Premarket Notification 510(k) Submission

To Whom It May Concern:

In accordance with section 510(k) of the Federal Food, Drug and Cosmetic Act, Shimadzu Corporation is hereby submitting this Premarket notification prior to marketing the GE OEC Altitude SYSTEM in the United States.

| DEVICE CLASSIFICATION:
CLASSIFICATION PANEL:
CLASSIFICATION NAME(S):
PRODUCT CODE:
COMMON NAME:
PROPRIETARY NAME:
PREDICATE DEVICE: | Class II by CFR 892.1600
Radiology
Angiographic X-ray System
90IZI
GE OEC Altitude
Shimadzu Corporation
Shimadzu Angiosigma NEO which consists of
MH-100 (K943545) and DAR-2400-15B/30B
(K955395). |
|-------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| The Official Contact is: | Mr. Akira Shigeyasu
Manager, Quality Assurance Department
Medical Systems Division
Shimadzu Corporation
1, Nishinokyo-Kuwabaracho
Nakagyo-ku, Kyoto 604-8511, Japan
Phone: +81-75-823-1307 / Fax: +81-75-823-1377
e-mail: sigeyasu@shimadzu.co.jp |
| The owner is located at: | Shimadzu Corporation
1, Nishinokyo-Kuwabaracho, Nakagyo-ku
Kyoto 604-8511, Japan |

The manufacturing facility:

Shimadzu Corporation

Please direct any additional questions or requests for information to our official contact.

Respectfully,

1

510(K) Notification Submission, GE OEC Altitude

Abbreviated 510K

Date: Our Reference:

Food and Drug Administration Center for Devices and Radiological Health Office of Device Evaluation Document Mail Center (HFZ-401) 9200 Corporate Blvd. Rockville, Maryland 20850

Re: Abbreviated 510(k) Notification Angiographic X-ray System GE OEC Altitude

Dear Sir or Madam:

This submission is being made in compliance with Section 510(k) of the Food, Drug and Cosmetic Act as amended by the Medical Device Amendments of 1976, the Safe Medical Devices Act of 1990 and the Food, Drug administration Modernization Act of 1997, and the Office of Device Evaluation guidance for Abbreviated 510(K) requirement far Digital Radiography System. The enclosed information is being submitted for our Angiographic X-ray System, GE OEC Altitude. Two copies of this Premarket Notification are being submitted in accordance with 21 CFR 807.

The purpose of this submission is to notify FDA , in accordance with the 510(K) provisions of the Act, of our intent to introduce this modified device.

A Table of Contents for the submission is located immediately following this letter. Should you have any questions or require additional information, please feel free to contact:

Thank you for your attention to this matter. Sincerely yours.

Akira Shizeyasan

Akira Shigeyasu Manager, Quality Assurance Medical Systems Division Shimadzu Corporation Kyoto Japan

Technical Responsibilities: cc. O.Sasaki

2

Image /page/2/Picture/0 description: The image shows a logo for the Department of Health & Human Services USA. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter of the circle. Inside the circle is a stylized graphic consisting of three curved lines that resemble a person's profile. The lines are stacked on top of each other, with the bottom line having a wavy end.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

JUL - 5 2007

Shimadzu Corporation % Mr. Tamas Borsai Division Manager, Medical Division TÜV Rheinland of North America 12 Commerce Road NEWTON CT 06470

Re: K071717

Trade/Device Name: GE OEC Altitude Regulation Number: 21 CFR 892.1600 Regulation Name: Angiographic x-ray system Regulatory Class: II Product Code: IZI Dated: June 20, 2007 Received: June 22, 2007

Dear Mr. Borsai:

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.

Image /page/2/Picture/10 description: The image shows a circular logo with the text "1906-2006" at the top. The letters "FDA" are prominently displayed in the center of the logo. Below the letters, the word "Centennial" is written in a cursive font. Three stars are arranged in a horizontal line beneath the word "Centennial".

Protesting and Promoting Public Health

3

Page 2 -

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 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.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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/cdrl/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 SECTION XIII:

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: GE OEC Altitude

Indications for use:

/ This device is intended to be used for generating fluoroscopic images of human anatomy for the diagnostic, surgical and interventional angiography and cardiology procedures of circulatory vascular system.

/ This device is operated and used by the physicians, X-ray technologist and radiologists.

/ This device can be used in conjunction with a mobile or fixed surgical table.

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (Part 21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of Reproductive. Abdominal a Radiological Devices 510(k) Number

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