K Number
K073099
Device Name
FMRI HARDWARE SYSTEM
Manufacturer
Date Cleared
2007-11-20

(18 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The fMRI Hardware System is a stimulus presentation and response collection system intended to be used by trained professionals to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast.
Device Description
The fMRI Hardware System is a stimulus presentation and response collection system intended to be used by trained professionals to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast. The system presents audio and video stimuli to the patient and the patient gives feedback through a pair of handheld grips. A synchronization module synchronizes the Stimuli PC (not a part of the system) to the MR scanner. The System consists of four subsystems: AudioSystem, VisualSystem, ResponseGrip and a SyncBox.
More Information

MindState Functional Data Acquisition Device (fDAD), K043290

Not Found

No
The summary describes a hardware system for presenting stimuli and collecting responses during fMRI. There is no mention of AI or ML in the intended use, device description, or specific sections for AI/ML mentions. The system's function is described as facilitating stimulation and response collection, not analyzing data or making decisions based on learned patterns.

No.
The system is described as a stimulus presentation and response collection system for fMRI, which is used for imaging and not directly for treating a disease or condition. The Intended Use explicitly states it's "to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast," indicating a diagnostic or research purpose, not therapeutic.

No

The device is a stimulus presentation and response collection system for fMRI, not a device that processes data to provide a medical diagnosis. It facilitates the imaging process rather than interpreting the results.

No

The device description explicitly states it consists of four hardware subsystems: AudioSystem, VisualSystem, ResponseGrip, and a SyncBox.

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

Here's why:

  • Intended Use: The intended use is to facilitate auditory and visual stimulation and collect responses during fMRI imaging. This is a system used in conjunction with an imaging modality to gather physiological data, not a test performed on a biological sample to diagnose a condition.
  • Device Description: The description confirms it's a stimulus presentation and response collection system, not a device that analyzes biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, tissue, or other biological samples, which is a core characteristic of IVDs.

Therefore, the fMRI Hardware System described is a medical device used in the process of functional imaging, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The fMRI Hardware System is a stimulus presentation and response collection system intended to be used by trained professionals to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast.

Product codes

LNH

Device Description

The fMRI Hardware System is a stimulus presentation and response collection system. The system presents audio and video stimuli to the patient and the patient gives feedback through a pair of handheld grips. A synchronization module synchronizes the Stimuli PC (not a part of the system) to the MR scanner. The System consists of four subsystems: AudioSystem, VisualSystem, ResponseGrip and a SyncBox. The System is intended to support fMRI studies. This technique is useful when determining certain diseases, gaining more information about a patient's condition or investigating cognitive functions. The technique is also used to patients suffering from a brain tumor in both the pre-operative and post-operative stage by examining the area of the brain affected. The System is used to present the stimuli necessary to provoke physiological processes in the brain. Visual and auditory stimuli and manual responses from the patient are of primary interest. As the timing of the data is critical to make sure that the correct MR image of the brain activity is linked to the stimuli presented, it is included in the System a synchronization unit connected between the MR-scanner and the PC running the stimuli software to make sure that the synchronization is correct.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

functional MR Imaging (fMRI) based on BOLD contrast.

Anatomical Site

brain

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained professionals

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

The NordicNeuroLab fMRI system has been tested for function and safety and fulfills all requirement specifications.

Key Metrics

Not Found

Predicate Device(s)

MindState Functional Data Acquisition Device (fDAD), K043290

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1000 Magnetic resonance diagnostic device.

(a)
Identification. A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).(b)
Classification. Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

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NordicNeuroLab Bergen, Norway

K073099
Page 1 of 3

510(k) Summary

Submitter: NordicNeuroLab AS

Contact Information: Constance G. Bundy
C. G. Bundy Associates, Inc.
6470 Riverview Terrace NE
Minneapolis, Minnesota 55432 USA

NOV 2 0 2007

Phone: (763) 574-1976 Fax: (763) 571-2437 E-mail: cgbundy@attglobal.net

Submission Date: 09.18.2007

| Device Name and Classification: | fMRI Hardware System,
Nuclear Magnetic Resonance Imaging
Class II
Product Code: LNH |

-------------------------------------------------------------------------------------------------------------------------------

Equivalent Device Identification: MindState Functional Data Acquisition Device (fDAD)

Device Description:

Intended Use

The fMRI Hardware System is a stimulus presentation and response collection system intended to be used by trained professionals to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast.

System Overview

The system presents audio and video stimuli to the patient and the patient gives feedback through a pair of handheld grips. A synchronization module synchronizes the Stimuli PC (not a part of the system) to the MR scanner. The System consists of four subsystems: AudioSystem, VisualSystem, ResponseGrip and a SyncBox.

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NordicNeuroLab Bergen. Norway

KC73099
Page 2 of 3

The System is intended to support fMRI studies. fMRI stands for functional Magnetic Resonance Imaging. This technique is useful when determining certain diseases, gaining more information about a patient's condition or investigating cognitive functions. The technique is also used to patients suffering from a brain tumor in both the pre-operative and post-operative stage by examining the area of the brain affected. The System is used to present the stimuli necessary to provoke physiological processes in the brain. Visual and auditory stimuli and manual responses from the patient are of primary interest. As the timing of the data is critical to make sure that the correct MR image of the brain activity is linked to the stimuli presented, it is included in the System a synchronization unit connected between the MR-scanner and the PC running the stimuli software to make sure that the synchronization is correct. The stimuli presenting PC is not a part of the system.

Figure 1 presents the complete configuration of the hardware system. All signals entering or leaving the scanner room are received and transmitted by use of fiber optics. The system allows video and audio signals from the stimuli PC to enter the shielded scanner room and to be presented to the subject lying inside the MR. The subject responds to the stimuli by using the handheld grips.

Image /page/1/Figure/4 description: The image shows a diagram of a technical room setup with various components. The setup includes a Stimuli PC connected to a SyncBox and a ResponseGrip Interface. A Communication Console is connected to a Fiber Optic Transmitter, which is linked to a Rack inside a Faraday Cage. The Rack contains an Electrostatic Energizer, a Fiber Optic Receiver, an OLED Interface, and a Power Supply, all contributing to the functionality of the technical room.

Figure 1: Complete configuration

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KC73099
Page 3 of 3

Sub-system components and description

1. Visual system

The VisualSystem allows video signals from the stimulus presentation PC to enter the shielded scanner room and to be presented to the patient.

2. AudioSystem

The AudioSystem allows auditory signals from the stimulus presentation PC to enter the scanner room and to be presented to the patient. A communication console allows the operator to adjust the sounds from the PC and to speak to the patient through a built-in microphone.

3. ReponseGrip

The purpose of this component is to collect patient responses during an fMRI study. The ResponseGrip consists of two hand-held grips with two buttons each. The patient holds a grip in each hand. By pressing the two buttons, one for the index finger and one for the thumb, the patient can respond to the presented stimuli. The ResponseGrip is connected to an optical-electrical adapter which converts light to electrical signals. The electrical signal is fed to the stimuli PC by using standard PC signals. The ResponseGrip is based on fiber-optics and contains no electronics. All parts are plastic.

4. SyncBox

The SyncBox synchronizes stimulus presentation with the acquisition sequence.

Statement of Substantial Equivalence: The NordicNeuroLab fMRI System is substantially equivalent to the MindState Functional Data Acquisition Device (IDAD), K043290. The two devices have the same intended use and use similar components to achieve the intended use.

Summary of Testing: The NordicNeuroLab fMRI system has been tested for function and safety and fulfills all requirement specifications.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus, which is a symbol of medicine and health, with three lines representing the three branches of government. The logo is surrounded by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 2 0 2007

Nordic NeuroLab AS % Mr. Daniel W. Lehtonen Responsible Third Party Official Intertek Testing Services 2307 E. Aurora Rd., Unit B7 TWINSBURG OH 44087

Re: K073099

Trade/Device Name: fMRI Hardware System Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: LNH Dated: October 31, 2007 Received: November 2, 2007

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 (PMA), 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.

4

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 Center for Devices and Radiological Health's (CDRH's) 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
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 vours.

Nancy C. Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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NordicNeuroLab Bergen, Norway

Indications for Use

510(k) Number (if known): _ Ko7 30 9 >

Device Name: fMRI Hardware System

Indications for Use:

The fMRI Hardware System is a stimulus presentation and response collection system intended to be used by trained professionals to facilitate auditory and visual stimulation to be used in functional MR Imaging (fMRI) based on BOLD contrast.

Prescription Use X (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page of

Aomi Thi Nhong

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

NordicNeuroLab AS - Traditional 510(k) fMRI Hardware System