K Number
K132289
Device Name
GEMSS MEDICAL SYSTEMS SURGICAL MOBILE FLUOROSCOPIC X-RAY SYSTEM
Date Cleared
2014-06-16

(328 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The SPINEL 3G, Surgical Mobile Fluoroscopic X-ray system, is indicated for use in generating fluoroscopic / radioscopic images of human anatomy. This device is not intended for interventional quided procedure & mammographic applications.
Device Description
The Image Intensified Fluroscopic X-ray System consists of a high voltage (HV) inverter generator, a tube support unit, an X-ray beam limiting device, mobile cart, a detector, operating software, and a tube, and is primarily used in a hospital for diagnosis of diseases in skeletal, respiratory and urinary systems such as the skull, spinal column, chest, abdomen, extremities, and other body parts. This device is not intended for interventional quided procedure & mammographic applications.
More Information

Not Found

No
The document does not mention AI, ML, or any related terms like deep learning or neural networks. The description focuses on standard X-ray system components and image processing, which is a broad term that doesn't necessarily imply AI/ML.

No
The device is described as an X-ray system used for generating images for diagnosis, not for treating diseases or conditions.

Yes
The device description explicitly states it is "primarily used in a hospital for diagnosis of diseases."

No

The device description explicitly lists multiple hardware components including a generator, tube support unit, beam limiting device, mobile cart, detector, and tube, in addition to operating software.

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

Here's why:

  • Intended Use: The intended use is to generate fluoroscopic/radioscopic images of human anatomy for diagnosis of diseases. This involves imaging the body directly, not analyzing samples taken from the body (like blood, urine, or tissue).
  • Device Description: The device components (X-ray generator, tube, detector, etc.) are all related to generating and capturing X-ray images of the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other components typically associated with in vitro diagnostics.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, or treatment of a disease or condition. This device operates by imaging the body directly using X-rays.

N/A

Intended Use / Indications for Use

The SPINEL 3G, Surgical Mobile Fluoroscopic X-ray system, is indicated for use in generating fluoroscopic / radioscopic images of human anatomy. This device is not interventional guided procedure & mammographic applications.

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

JAA, OXO

Device Description

The Image Intensified Fluroscopic X-ray System consists of a high voltage (HV) inverter generator, a tube support unit, an X-ray beam limiting device, mobile cart, a detector, operating software, and a tube, and is primarily used in a hospital for diagnosis of diseases in skeletal, respiratory and urinary systems such as the skull, spinal column, chest, abdomen, extremities, and other body parts. This device is not intended for interventional quided procedure & mammographic applications.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic X-ray

Anatomical Site

human anatomy, skeletal, respiratory and urinary systems such as the skull, spinal column, chest, abdomen, extremities, and other body parts.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospital, emergency room, operation room, cast room

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)

Electrical, mechanical, environmental safety and performance testing according to FDA recognized standards were performed. All test results were satisfactory.

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.

K032761

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.

0

Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing movement or connection.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

October 10, 2014

GEMSS Medical Systems Co., Ltd. % Mr. Harvey Knauss Delphi Consulting Group 11874 South Evelyn Circle HOUSTON TX 77071

Re: K132289 Trade/Device Name: Spinel 3G Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulatory Class: II Product Code: JAA, OXO Dated: May 22, 2014 Received: May 23, 2014

Dear Mr. Knauss:

This letter corrects our substantially equivalent letter of June 16, 2014.

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

1

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Sm. 7)

for

Janine M. Morris Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K132289

Device Name

Spinel 3G

Indications for Use (Describe)

The SPINEL 3G, Surgical Mobile Fluoroscopic X-ray system, is indicated for use in generating fluoroscopic / radioscopic images of human anatomy. This device is not interventional guided procedure & mammographic applications.

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

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

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Robert A. Ochs

3

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: May 22, 2014

1. Company and correspondent making the submission:

  • Company Name: GEMSS MEDICAL SYSTEMS Co., LTD.

  • Address : 61,Dunchon-daero 541(obaeksasibil), Jungwon-gu, Seongnam-si, yeonggi-do, Korea

  • Telephone : +82-31-764-7321~3

  • ► Fax: +82-31-764-7324
  • Contact: Mr. Sangwoo Lee

  • Internet: http://www.gemss-medical.com

2. General information for predicate & proposed device

Predicate deviceProposed device
ManufacturerUnited Radiology Systems, Inc.GEMSS MEDICAL SYSTEMS Co., LTD.
510(k) numberK032761
(Decision Date - May. 14. 2004)K132289
Common NameSurgical Mobile Fluoroscopic X-ray
SystemSurgical Mobile Fluoroscopic X-ray
System
Trade/proprietary
nameKMC-950SPINEL 3G
Classification rule21CFR 892.165021CFR 892.1650
Classification NameImage Intensified Fluroscopic X-ray
SystemImage Intensified Fluroscopic X-ray
System
Product codeJAA & OXO & OWBJAA & OXO

3. Description:

3.1 General:

The Image Intensified Fluroscopic X-ray System consists of a high voltage (HV) inverter generator, a tube support unit, an X-ray beam limiting device, mobile cart, a detector, operating software, and a tube, and is primarily used in a hospital for diagnosis of diseases in skeletal, respiratory and urinary systems such as the skull, spinal column, chest, abdomen, extremities, and other body parts. This device is not intended for interventional quided procedure & mammographic applications.

3.2 Product features:

The SPINEL 3G is a solution to produce radiological images of patient during medical operations. This inverter control X-ray unit visualizes the anatomical structure on screen, which is obtained by X-ray fluoroscopy and the image intensifier. This system can be applied in emergency room, operation room, cast room or etc. of hospital.

4

The SPINEL 3G has following features.

The high voltage generation circuit uses the method of inverter with a high power of 12kVA, to ensure that stable X-Ray with small amount of ripples are obtained.

The X-Ray tube system uses the X-Ray tube with rotating anode, thus enabling to obtain high-quality images necessary for the longtime operation or diagnosis.

Control panel adopting TACT key, B/W LCD and touch screen for excellent controllability,

Soft but solid motions of the large size C-Arm, which has a 768mm radius, gives facility to perform an operation.(Depth:692mm)

For fluoroscopy, the collimator is used to reduce an unnecessary irradiation of X-Ray.

Using the built-in SNAP SHOT mode, the image quality is improved further, and it has built-in DIS (Digital Interface System).

The SPINEL 3G has PACS connectivity with DICOM 3.0.

Thermal sensor prevents the tube from overheating. If the tube is overheated, thermal sensor attached to the exterior of it warns the system and 'Tube Limit' sign will be displayed on the touch screen. Then the machine can work again by the time the tube gets cooled.

4. Intended use

SPINEL 3G is intended to be used as a universal diagnostic imaging system and fluoroscopic studies. Using an Image intensifier and CCD camera, it can perform a range of applications including general fluoroscopy, diagnostic fluoroscopy. SPINEL 3G, Mobile Fluoroscopy System is designed to provide fluoroscopic of the patient during diagnostic, surqical procedures. Examples of clinical application may include horologic, orthopedic, neurologic, critical care and emergency room procedures.

5. Indications for use

The SPINEL 3G, Surgical Mobile Fluoroscopic X-ray system, is indicated for use in generating fluoroscopic / radioscopic images of human anatomy. This device is not intended for interventional quided procedure & mammographic applications.

6. Comparison with predicate device:

Predicate deviceProposed device
Model nameKMC-950SPINEL 3G
510(k) numberK032761K132289
510(k) ownerUnited Radiology
Systems, Inc.GEMSS Medical Systems
Co., Ltd.
X-ray TubeModel nameVarian:RAD-99Toshiba:E7833X,
Varian:RAD-99
ManufacturerVarianToshiba/Varian
Anode TypeRotatingRotating
Heat Capacity300,000 HU300,000HU
Predicate deviceProposed device
Anode heat cooling15kHU/min15kHU/min
Focal Size0.3 mm / 0.6 mm0.3 mm / 0.6 mm
Model nameHTC-120HTC-120
ManufacturerPOSKOMPOSKOM
X-ray GeneratorX-ray Generator TypeHigh frequency / inverter
typeHigh frequency / inverter
type
Power Output12.0 kVA12.0 kVA
FluoroscopickV range40 to 125 kV40 to 120 kV
ModeSee below different
discussionSee below different
discussion
mA range0.5 to 5 mA0.2 to 10 mA
See below different
discussionSee below different
discussion
Pulse FluoroYesYes
ABS functionYesYes
Snap Shot8.0 mA shot available8.0 mA shot available
Boost Shot20.0 mA sot available20.0 mA shot available
Image
IntensifierModel nameThales:TH9428HP2Toshiba:E5830SD-P4A,
Thales:TH9438QX
ManufacturerThalesToshiba/Thales
Size9"9"
Magnification9" / 6" / 4.5"9" / 6" / 4.5"
Model nameRS-138EDRLUNA-1K
CameraManufacturerRAYSISGEMSS Medical Systems
Co., Ltd.
Type1/2" CCD1/2" CCD
active pixel512X5121024X1024
C-armManufacturerCOMED Medical Systems
Co., Ltd.GEMSS Medical Systems
Co., Ltd.
SID950 mm1000 mm
Range of C-arm Rail
Rotation115° (90° / 25°)135° (90° / 45°)
Range of the Liner FR-
arm Movement200 mm200 mm
Range of the Linear T-
arm Movement500 mm500 mm
Range of Swing-arm
Rotation± 12.5°± 12.5°
Range of Stay-arm
Rotation360°± 225°
ImageStorage CapacityDigitalHDD 500G
ProcessingImage Matrix size5,000 Imagesstore more than 35,000
pictures
(1 image is approximately
2MB)
Monitor Size17"19"
Predicate deviceProposed device
CollimatorModel nameKMC-950CMKMC-950CMR1
ManufacturerCOMED Medical Systems
Co., Ltd.GEMSS Medical Systems
Co., Ltd.
CollimatorMotor control / rotationMotor control / rotation
Power RequirementsDC 24VDC 24V

5

6

GEMSS MEDICAL SYSTEMS CO., LTD., believes that the SPINEL 3G is substantially equivalent to the KMC-950 of United Radiology Systems, Inc. The SPINEL 3Gdescribed in this 510(k) has the similar intended use and similar technical and construction characteristics as the KMC-950 of United Radiology Systems, Inc.

7. Safety, EMC and Performance Data:

Electrical, mechanical, environmental safety and performance testing according to FDA recognized standards were performed. All test results were satisfactory. Applied standards are as follows:

  • IEC60601-1:2005

  • IEC60601-1-2:2007

  • IEC60601-1-3:2008

  • IEC60601-2-28:2010

  • IEC60601-2-54:2009

  • NEMA PS 3.1-3.20

  • ISO14971:2012

And, EPRC requlation was satisfactory.

  • ▷ 21CFR1020.32
    In addition, FDA guidance was satisfactorily considered.

  • Guidance for the Submissions of 510(k)s for Solid State X-ray Imaging Devices

8. Conclusions:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification GEMSS MEDICAL SYSTEMS CO., LTD. concludes that the SPINEL 3G is safe and effective and substantially equivalent to predicate devices as described herein.