K Number
K082581
Device Name
C-QUEST
Manufacturer
Date Cleared
2008-11-14

(70 days)

Product Code
Regulation Number
892.1200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The C-Quest system is a dual head system designed to acquire data for cardiac multislice images. The system is intended for use as a diagnostic imaging device. When used with the appropriate radio pharmaceuticals, images are produced representing the internal distribution of radioactivity in the body. The system allows you to acquire data from high resolution three dimensional, static, gated or dynamic images of biochemical and metabolic processes using approved radionuclides within the energy range of 60 – 170 keV such as Tc-99m or TI-201.
Device Description
A compact, dual-head dedicated cardiac camera system comprised of a gantry supporting a fixed 90 degree dual head detector and a patient table. The C-Quest system is operated through interaction with an acquisition and processing computer system (NuQuest) or dedicated handheld controller or touch screen.
More Information

Cardiocam K011611

Not Found

No
The document describes a standard cardiac imaging system and its components, with no mention of AI, ML, or related concepts in the intended use, device description, or other sections. The focus is on image acquisition and processing, which is typical for such devices and does not inherently imply AI/ML.

No
The device is described as a "diagnostic imaging device" designed to acquire data for "cardiac multislice images" and produce images representing the "internal distribution of radioactivity in the body." Its purpose is to aid in diagnosis, not to treat a condition.

Yes
The "Intended Use / Indications for Use" section explicitly states, "The system is intended for use as a diagnostic imaging device."

No

The device description explicitly states it is a "compact, dual-head dedicated cardiac camera system comprised of a gantry supporting a fixed 90 degree dual head detector and a patient table," indicating it includes significant hardware components beyond just software.

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.
  • Device Function: The C-Quest system is described as a "diagnostic imaging device" that acquires data for cardiac multislice images. It produces images representing the internal distribution of radioactivity in the body.
  • Modality: The input imaging modality is "Emission computed tomography," which is an in vivo imaging technique (performed on a living organism).
  • Anatomical Site: It focuses on "Cardiac applications" and other parts of the body, indicating it's used directly on the patient.

The device's function and how it interacts with the patient clearly place it in the category of an in vivo diagnostic imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The C-Quest system is a dual head system designed to acquire data for cardiac multislice images. The system is intended for use as a diagnostic imaging device. When used with the appropriate radio pharmaceuticals, images are produced representing the internal distribution of radioactivity in the body. The system allows you to acquire data from high resolution three dimensional, static, gated or dynamic images of biochemical and metabolic processes using approved radionuclides within the energy range of 60 – 170 keV such as Tc-99m or TI-201.

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

KPS

Device Description

A compact, dual-head dedicated cardiac camera system comprised of a gantry supporting a fixed 90 degree dual head detector and a patient table. The C-Quest system is operated through interaction with an acquisition and processing computer system (NuQuest) or dedicated handheld controller or touch screen.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cardiac applications, chest region and body extremities

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.

Cardiocam K011611

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

§ 892.1200 Emission computed tomography system.

(a)
Identification. An emission computed tomography system is a device intended to detect the location and distribution of gamma ray- and positron-emitting radionuclides in the body and produce cross-sectional images through computer reconstruction of the data. This generic type of device may include signal analysis and display equipment, patient and equipment supports, radionuclide anatomical markers, component parts, and accessories.(b)
Classification. Class II.

0

KC 823-81

Submitter: MEDX

C-Quest Premarket Notification: Traditional 510(k)

510(k) Summary

NOV 1 4 2008

Submitter Name:MEDX, Inc.
Submitter Address:3456 N. Ridge Avenue, Suite 100
Arlington Heights, IL 60004
Establishment Reg. #:1419459
Phone Number:847.463.2020
Fax Number:847.463.2019
Contact Person:Eric Ellingson
Date Prepared:02 September 2008
Device Trade Name:C-Quest System
Common NameCardiac Gamma Camera System
Classification Name,Emission Computed Tomography System
Number &
Product Code:892.1200
KPS
Predicate Devices:Cardiocam
Device Description
and Statement of
Intended UseDevice Description : A compact, dual-head dedicated cardiac camera
system comprised of a gantry supporting a fixed 90 degree dual head
detector and a patient table. The C-Quest system is operated
through interaction with an acquisition and processing computer
system (NuQuest) or dedicated handheld controller or touch screen.
Statement of Intended Use : C-Quest equipped with NuQuest
(hereinafter referred to as C-Quest system) forms an emission
computed tomography system intended to detect the location and
distribution of gamma-ray emission radionuclides in the body and
produce cross-sectional images through computer reconstruction of
the data. C-Quest system is primarily intended for cardiac
applications, however the C-Quest system design also supports
non-cardiac procedures of the patient's chest region and body
extremities
Summary of
TechnologicalThe C-Quest cardiology scintillation camera design comprises an open
gantry supporting a fixed 90 degree dual head detector and a patient
table. C-Quest is operated through interaction with an acquisition and

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Characteristicsprocessing computer system (NuQuest), or the C-Quest's dedicated handheld controller or touch screen. The patient table can perform vertical and horizontal (along long axis) motor-driven movement for patient positioning. Tomographic studies can be performed in a circular or elliptical orbit with or without gating. Each detector head consists of a rectangular Nal(TI) crystal, photo-multiplier tubes (PMTs) and the detector electronics. Planar static and dynamic studies can be performed. The C-Quest system supports gamma-ray emission radionuclides within the energy range of 60 - 170 keV.
ConclusionThe information discussed above demonstrates that C-Quest system performs as well as the predicate device
DeclarationsThis summary includes only information that is also covered in the body of the 510(k). This summary does not contain any puffery or unsubstantiated labeling claims. This summary does not contain any raw data, i.e., contains only summary data. This summary does not contain any trade secret or confidential commercial information. This summary does not contain any patient identification information

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Summary of Technical Characteristics

| Feature | C-Quest | Cardiocam
K011611 |
|-------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number | | |
| Manufacturer | MEDX | DANISH DIAGNOSTIC DEVELOPMENT
A/S |
| Classification # &
Product Code | KPS
892.1200 Emission computed
tomography system | KPS
892.1200 Emission computed
tomography system |
| Intended Use | The C-Quest system is a dual head
system designed to acquire data for
cardiac multi-slice images. The
system is intended for use as a
diagnostic imaging device. When
used with the appropriate radio
pharmaceuticals, images are
produced representing the internal
distribution of radioactivity in the
body. The system allows you to
acquire data from high resolution
three dimensional, static, gated or
dynamic imaged of biochemical and
metabolic processes using approved
radionuclides within the range of 60

  • 170 keV such asTc-99m, TI-201, or
    Co-57. | The Cardiocam system is a dual head
    system designed to acquire data for
    cardiac multi-slice images. The system is
    intended for use as a diagnostic imaging
    device. When used with the appropriate
    radio pharmaceuticals, images are
    produced representing the internal
    distribution of radioactivity in the body.
    The system allows you to acquire data
    from high resolution three dimensional,
    static, gated or dynamic imaged of
    biochemical and metabolic processes
    using Tc-99m, Ti-201, or Co-57. |
    | Mode of Action | Image acquisition of radioactive
    nucleotide distribution by scintillation
    cameras | Image acquisition of radioactive
    nucleotide distribution by scintillation
    cameras |
    | Design | Open gantry supporting a fixed 90
    degree dual head detector and a
    patient table | Open gantry supporting a fixed 90
    degree dual head detector and a patient
    table |
    | Method of Operation | Operated through interaction with an
    acquisition and processing computer
    system | Operated through interaction with an
    acquisition and processing computer
    system |
    | Intrinsic spatial
    resolution - Center
    FOV | FWHM: ≤3.5mm
    FWTM: ≤7.4mm | FWHM: ≤2.8mm
    FWTM: ≤2.9mm |
    | Intrinsic spatial
    resolution - Useful
    FOV | FWHM: ≤3.7mm
    FWTM: ≤7.6mm | FWHM: ≤5.4mm
    FWTM: ≤5.6mm |
    | Intrinsic Spatial
    Linearity - Center
    FOV | Differential: ≤0.4mm
    Integral: ≤0.8mm | Differential: 0.18mm
    Integral 0.38mm |
    | Intrinsic Spatial
    Linearity - Useful
    FOV | Differential: ≤0.5mm
    Integral: ≤1.0mm | Differential: 0.20mm
    Integral: 0.40mm |
    | Intrinsic Uniformity -
    Center FOV | Integral: +/- 2.5%
    Differential: +/- 1.5% | Integral: +/- 2.4%
    Differential: +/- 1.9% |
    | Intrinsic Uniformity -
    Useful FOV | Integral: +/- 3.0%
    Differential: +/- 2.0% | Integral: +/- 2.9%
    Differential: +/- 2.4% |

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three lines representing its wings and body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MEDX, Inc. % Mr. William Greenrose President & CEO Oserve America, Inc. 220 River Road CLAREMONT NH 03743

NOV 1 4 2008

Re: K082581

Trade/Device Name: C-Quest Regulation Number: 21 CFR 892.1200 Regulation Name: Emission computed tomography system Regulatory Class: II Product Code: KPS Dated: September 2, 2008 Received: September 5, 2008

Dear Mr. Greenrose:

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

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). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (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.

hope Mr. thang

Joyce M. Whang, Ph.D. Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

:

4.1 Indications for Use Statement

510(k) Number (if known):

K08258/

Device Name: C-Quest

Indications for Use:

The C-Quest system is a dual head system designed to acquire data for cardiac multislice images. The system is intended for use as a diagnostic imaging device. When used with the appropriate radio pharmaceuticals, images are produced representing the internal distribution of radioactivity in the body. The system allows you to acquire data from high resolution three dimensional, static, gated or dynamic images of biochemical and metabolic processes using approved radionuclides within the energy range of 60 – 170 keV such as Tc-99m or TI-201.

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

Concurrence of CDRH; Office of Device Evaluation (ODE)

Prescription
Use
(Per 21 CFR 801.109)
OR
Over-The-Counter
Use

(Optional Format 1-2-96)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices,
510(k) Number K082581

Section 4.0

CONFIDENTIAL