K Number
K072737
Device Name
CSCS-001A CALCIUM SCORING PACKAGE
Date Cleared
2007-10-05

(8 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CSCS-001A is a non-invasive post processing package that can be used to evaluate calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease. This software can be used to generate both DiCOM reports and hard copy reports for the purpose of monitoring disease state over time.
Device Description
This device is a non-invasive post processing package that allows the user to process volume sets to evaluate calcified plaque in the coronary arteries. These regions of interest can be selected manually or semi-automatically. Using multiple algorithms this software will calculate the calcium score. The software also provides hard copy reports or adds the data to the DiCOM file to allow tracking of the patient,
More Information

Not Found

No
The summary mentions "multiple algorithms" for calculating the calcium score and "semi-automatic" selection of regions of interest, but there is no explicit mention of AI, ML, deep learning, or any related concepts. The description of the device's functionality aligns with traditional image processing and algorithmic approaches for calcium scoring.

No
The device is described as a "non-invasive post processing package" used to "evaluate calcified plaques" and "monitor disease state over time." This indicates a diagnostic or evaluative purpose, rather than directly treating or mitigating a disease.

Yes
The device evaluates calcified plaques in coronary arteries to assess the risk of coronary artery disease and monitors disease state over time, which are diagnostic activities.

Yes

The device description explicitly states it is a "non-invasive post processing package" and "software," and the intended use describes its function as generating reports and processing volume sets, all indicative of a software-only function operating on existing imaging data.

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 Description: The description clearly states that the CSCS-001A is a "non-invasive post processing package" that processes "volume sets" from "Computed Tomography (CT)" scans. This involves analyzing medical images, not biological samples.
  • Intended Use: The intended use is to "evaluate calcified plaques in the coronary arteries" based on these images. This is a diagnostic process based on imaging data, not laboratory testing of biological specimens.

Therefore, the device falls under the category of medical imaging software or a picture archiving and communication system (PACS) component, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CSCS-001A is a non-invasive post processing package that can be used to evaluate calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease. This software can be used to generate both DiCOM reports and hard copy reports for the purpose of monitoring disease state over time.

Product codes (comma separated list FDA assigned to the subject device)

JAK

Device Description

This device is a non-invasive post processing package that allows the user to process volume sets to evaluate calcified plaque in the coronary arteries. These regions of interest can be selected manually or semi-automatically. Using multiple algorithms this software will calculate the calcium score. The software also provides hard copy reports or adds the data to the DiCOM file to allow tracking of the patient,

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary arteries

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): 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.

GE Smart Score (K020929), Siemens Syngo Calcium Scoring (K990436), Vital Images Vscore (K001682)

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

§ 892.1750 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

Toshiba America Medical Systems, Inc. 510(k) Pre-market Notification; CSCS-001A Calcium Scoring Package

510(k) Summary

OCT 5 2007
Date:September 24, 2007
Submitter's Name:Toshiba America Medical Systems, Inc.
Submitter's Address:P.O. Box 2068, 2441 Michelle Drive,
Tustin, CA 92781-2068
Submitter's Contact:Paul Biggins, Director Regulatory Affairs
(714)730-5000
Establishment Registration
Number:2020563
Device Proprietary Name:CSCS-001A Calcium Scoring Package
Common Name:Scanner, Computed Tomography, X-Ray
[Fed. Reg. No. 892.1750, Pro. Code: 90JAK]
Regulatory Class:II (per 21 CFR 892.1750)
Performance Standard:21 CFR Subchapter J,
Federal Diagnostic X-ray Equipment Standard
Predicate Device(s):GE Smart Score (K020929)
Siemens Syngo Calcium Scoring (K990436)
Vital Images Vscore (K001682)
Reason For SubmissionNew device

Description of this Device:

This device is a non-invasive post processing package that allows the user to process volume sets to evaluate calcified plaque in the coronary arteries. These regions of interest can be selected manually or semi-automatically. Using multiple algorithms this software will calculate the calcium score. The software also provides hard copy reports or adds the data to the DiCOM file to allow tracking of the patient,

Indication for Use:

The CSCS-001A is a non-invasive post processing package that can be used to evaluate calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease. This software can be used to generate both DiCOM reports and hard copy reports for the purpose of monitoring disease state over time.

1

Toshiba America Medical Systems, Inc. 510(k) Pre-market Notification; CSCS-001A Calcium Scoring Package

Technological Characteristics:

This device is similar to the predicate device in uses and applications. The primary difference is in the method used to obtain final results. This device and the predicate devices are post processing software packages.

Safety and Effectiveness Concerns:

This device is designed and manufactured under the Quality System Regulations as outlined in 21 CFR § 820. Additionally this device is in conformance with the applicable parts of the IEC 60601-1 international safety standard.

Substantial Equivalence:

Based upon the above considerations TAMS believes that this device, CSCS-001A, Cardiac Scoring software, is substantially equivalent to the predicate devices and other devices already marketed in the US. This device and other similar marketed devices are post processing software that provide visual and numeric data. Additionally, this device has the same indications of previously marketed devices.

2

Image /page/2/Picture/0 description: The image shows a circular logo with text around the perimeter and a stylized eagle in the center. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA". The eagle is depicted with three curved lines representing its wings and a flowing line for its body.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

Toshiba America Medical Systems, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

Re: K072737

Trade/Device Name: CSCS-001A, Calcium Scoring Package Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: JAK Dated: September 26, 2007 Received: September 27, 2007

Dear Mr. Job:

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/9 description: The image is a circular logo with the text "1906-2006" at the top. The letters "PA" are in the center of the logo, with the word "Centennial" underneath. There are three stars below the word "Centennial". The logo appears to be a commemorative emblem for a centennial celebration.

classing and Promoting Public Scaller

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/odriv/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

Toshiba America Medical Systems, Inc. Pre-Market Notification 510(k) for CSCS-001A Cardiac Scoring Package

Indications for Use

510(k) Number (if known):

CSCS-001A, Calcium Scoring Package Device Name:

Indications for Use

The CSCS-001A is a non-invasive post processing package that can be used to evaluate calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease. This software can be used to generate both DiCOM reports and hard copy reports for the purpose of monitoring disease state over time.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (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)

Herbert Perman

Page 1 of

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number