K Number
K080847
Device Name
RFVISION, MODEL 9.9D
Date Cleared
2008-08-06

(133 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The RFVision 9.9D is a high resolution, digital imaging system designed for digital videography. It is intended to replace conventional film techniques in multipurpose or dedicated applications when general fluoroscopy, interventional fluoroscopy or angiography or cardiac imaging procedures are performed. The RFVision 9.9D allows the operator to view and enhance digital fluoroscopic images. High resolution digital spot images may be acquired at single or rapid acquisition rates. Images may be viewed and enhanced enabling the operator to bring out diagnostic details.
Device Description
RFVision 9.9 D is an advanced remote controlled 90/90 Digital RF system with floating table top for radiographic and fluoroscopy procedures. Reliable, time tested generator. High quality image intensifier and digital imaging system improves diagnostic capabilities assures filmless operations and smooth integration in digital PACS environment.
More Information

Not Found

No
The summary describes digital image processing and enhancement, which are common features in modern imaging systems and do not inherently indicate the use of AI/ML. There is no mention of AI, ML, deep learning, or related concepts.

No
This device is an imaging system used for diagnosis, not for treating diseases or conditions.

Yes

Explanation: The device is described as improving diagnostic capabilities and enabling the operator to "bring out diagnostic details" from images, which directly relates to the process of diagnosis.

No

The device description clearly states it is a "Digital RF system with floating table top for radiographic and fluoroscopy procedures" and includes components like a "generator" and "image intensifier," indicating it is a hardware system with integrated software, not a software-only device.

Based on the provided information, the RFVision 9.9D is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states it's a digital imaging system for fluoroscopy, interventional fluoroscopy, angiography, and cardiac imaging procedures. These are procedures performed on the patient's body using imaging techniques, not on samples taken from the body.
  • Device Description: The description reinforces its use as a "Digital RF system with floating table top for radiographic and fluoroscopy procedures." This describes a system used for imaging the patient directly.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.

IVD devices are used to examine specimens obtained from the human body to provide information for diagnosis, monitoring, or screening. The RFVision 9.9D is an imaging system used to visualize structures within the body.

N/A

Intended Use / Indications for Use

The RFVision 9.9D is a high resolution, digital imaging system designed for digital videography. It is intended to replace conventional film techniques in multipurpose or dedicated applications when general fluoroscopy, interventional fluoroscopy or angiography or cardiac imaging procedures are performed.

The RFVision 9.9D allows the operator to view and enhance digital fluoroscopic images. High resolution digital spot images may be acquired at single or rapid acquisition rates. Images may be viewed and enhanced enabling the operator to bring out diagnostic details.

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

90 JAA, OWB

Device Description

RFVision 9.9 D is an advanced remote controlled 90/90 Digital RF system with floating table top for radiographic and fluoroscopy procedures. Reliable, time tested generator. High quality image intensifier and digital imaging system improves diagnostic capabilities assures filmless operations and smooth integration in digital PACS environment.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic X-Ray

Anatomical Site

Not Found

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)

The results of bench, test laboratory and clinical testing indicates that the new device is as safe and effective as the predicate devices.

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.

K061173

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

§ 892.1650 Image-intensified fluoroscopic x-ray system.

(a)
Identification. An image-intensified fluoroscopic x-ray system is a device intended to visualize anatomical structures by converting a pattern of x-radiation into a visible image through electronic amplification. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). An anthrogram tray or radiology dental tray intended for use with an image-intensified fluoroscopic x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9. In addition, when intended as an accessory to the device described in paragraph (a) of this section, the fluoroscopic compression device 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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AUG - 6 2008

510(k) Summary 510(k) Number K080847 Almana Medical Imaging P.O. Box 3568 Alkhobar 31952 Kingdom of Saudi Arabia T: +966 3 8679400 F: +966 3 8962421 Date Prepared: May 11, 2008 Contact: Mohammed Irfanullah Farooqui, Sales and Marketing Manager

  • l . Identification of the Device: Proprietary-Trade Name: RFVision 9.9D Image Intensified Fluoroscopic System Classification Name: Image intensified fluoroscopic system, Product Code 90 JAA FOND Common/Usual Name: Fluoroscopic X-Ray
    1. Equivalent legally marketed device: K061173, Device Name: Cpivision Digital Imaging System, Communications & Power Industries Canada, Inc.
    1. Indications for Use (intended use) The RFVision 9.9D is a high resolution, digital imaging system designed for digital videography. It is intended to replace conventional film techniques in multipurpose or dedicated applications when general fluoroscopy, interventional fluoroscopy or angiography or cardiac imaging procedures are performed. The RFVision 9.9D allows the operator to view and enhance digital fluoroscopic images. High rcsolution digital spot images may be acquired at single or rapid acquisition rates. Images may be viewed and enhanced enabling the operator to bring out diagnostic details.
    1. Description of the Device: RFVision 9.9 D is an advanced remote controlled 90/90 Digital RF system with floating table top for radiographic and fluoroscopy procedures. Reliable, time tested generator. High quality image intensifier and digital imaging system improves diagnostic capabilities assures filmless operations and smooth integration in digital PACS environment.
    1. Safety and Effectivencss, comparison to predicate device. The results of bench, test laboratory and clinical testing indicates that the new device is as safe and effective as the predicate devices.

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6. Substantial Equivalence Chart
CharacteristicK061173, Device Name: CPIVision Digital Imaging System, Communications & Power Industries Canada, Inc.Almana RFVision 9.9D Image Intensified Fluoroscopic System
Intended Use:The CPIVision is a high resolution, digital imaging system designed for digital videography. It is intended to replace conventional film techniques in multipurpose or dedicated applications when general fluoroscopy, interventional fluoroscopy or angiography or cardiac imaging procedures are performed. The CPIVision allows the operator to view and enhance digital fluoroscopic images. High resolution digital spot images may be acquired at single or rapid acquisition rates. Images may be viewed and enhanced enabling the operator to bring out diagnostic details...SAME
Performance Standard21 CFR 1020.30SAME
GeneratorCommunications & Power Industries Canada, IncSAME
Electrical safetyElectrical Safety per IEC-60601. UL listedSAME, CSA listed

ర్ Substantial Equivalence Chart

7. Conclusion

Alter analyzing both bench and user testing data as well as external laboratory testing to applicable standards, it is the conclusion of Almana Medical Imaging that the RFVision Fluoroscopic Systems are as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering them substantially equivalent to the predicate devices.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with its wings spread, symbolizing protection and care. The eagle is positioned to the right of a circular inscription that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". The logo is rendered in black and white.

Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993

FEB 1 9 2013

Almana Medical Imaging % Mr. Daniel Kamm, P.E. Regulatory Engineer, Submission Correspondent Kamm & Associates PO Box 7007 DEERFIELD IL 60015

Re: K080847

Trade/Device Name: RFVision 9.9D Image Intensified Fluoroscopic System Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulatory Class: II Product Code: OWB and JAA Dated: July 21, 2008 Received: July 23, 2008

Dear Mr. Kamm:

This letter corrects our substantially equivalent letter of August 6, 2008.

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indications for Use 510(k) Number (if known): K080847

Device Name: RFVision 9.9D Image Intensified Fluoroscopic System

Indications For Use:

The RFVision 9.9D is a high resolution, digital imaging system designed for digital videography. It is intended to replace conventional film techniques in multipurpose or dedicated applications when general fluoroscopy, interventional fluoroscopy or angiography or cardiac imaging procedures are performed.

The RFVision 9.9D allows the operator to view and enhance digital fluoroscopic images. High resolution digital spot images may be acquired at single or rapid acquisition rates. Images may be viewed and enhanced enabling the operator to bring out diagnostic details.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hulu Revi

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

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