K Number
K132381
Device Name
CLEARMRI HELIOS-RG8 COIL ACCESSORY KIT
Date Cleared
2014-04-04

(247 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of the ClearMRI Helios-RG8 Coil Accessory Kit is to enable the GE Signa Horizon Cx MR System to perform MR scans of the head or body utilizing newer FDA-cleared coils (up to 8 channels), without hindering its current capability utilizing the legacy GE FDA-cleared 4-channel coils. The ClearMRI Helios-RG8 Coil Accessory Kit inherits the same limitations of the GE Signa Horizon Cx MR system. The ClearMRI Helios-RG8 Coil Accessory Kit has only been validated for and is for use strictly with the GE Signa Horizon Cx MR System, software build 9.1.0311b. The ClearMRI Helios-RG8 Coil Accessory Kit allows the GE Signa Horizon Cx MR System to continue to produce transverse, sagittal, coronal and oblique images of the internal structures of the head or body with the GE Signa Horizon Cx MR System. The images produced reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. The NMR properties that determine the image appearance are proton density, spin lattice relaxation time (T1), spin-spin relaxation time (T2) and flow. When interpreted by a trained physician, these images provide information that can be useful in determining a diagnosis. The Helios-RG8 Coll Accessory Kit will support coil anatomies from Resonance Innovations, LLC: Long Bone Array in large (model 168GE1501). Accessories to medical devices are regulated under the same classification regulation as the device(s) with which they are intended to be used. The ClearMRI Helios-RG8 Coil Accessory Kit is intended to be used strictly as an accessory to the GE Signa Horizon Cx MR System, software build 9.1.0311b, and does not change the existing indications for the GE Signa Horizon Cx MR System (K962061).
Device Description
The ClearMRI Solutions, Inc. Helios-RG8 Coil Accessory Kit is designed as an accessory to a previously cleared GE Signa Horizon Cx MR (K962061), software build 9.1.0311b, receiver subsystem with the main modification allowing the operator to use newer RF receive coils with up to 8 channels. The accessory includes a digital receiver, multi-coil driver, and a computer system containing the ClearMRI software and functions in a similar way to the predicate device's comparable subsystem. The ClearMRI hardware is seamlessly background-driven from the GE Signa Horizon Cx system'. The ClearMRI Solutions Helios-RG8 Coil Accessory Kit includes a digital receiver, multi-coil driver and a computer system containing the ClearMRI software. The accessory kit is available as an add-on to a GE Signa Horizon Cx MR, software build 9.1.0311b, receiver subsystem that allows the operator to scan using a digital imaging system resulting in the benefits of newer multi-channel RF coils. The ClearMRI hardware is controlled by software running independently and in parallel with the GE Signa Horizon Cx System. It does not alter the existing operator workflow. The Helios-RG8 has no new technological characteristics that raise new safety or effectiveness questions.
More Information

Not Found

No
The document describes an accessory kit for an existing MR system that allows the use of newer multi-channel coils. It focuses on hardware components (digital receiver, multi-coil driver, computer system with software) and compatibility with the predicate device. There is no mention of AI, ML, or related concepts like training/test sets, performance metrics typically associated with AI/ML algorithms, or image processing beyond the basic function of producing MR images. The description emphasizes that it does not alter existing workflow or introduce new technological characteristics that raise new safety or effectiveness questions, which would likely be the case if AI/ML were involved.

No.
The device is an accessory kit for an MR system, used to produce images for diagnosis, not for therapy.

No

The device is an accessory kit that enables an existing MR system to utilize newer coils and produce images. While these images can be used by a trained physician to determine a diagnosis, the device itself is not making the diagnosis; it is an imaging system accessory.

No

The device description explicitly states that the accessory kit includes hardware components: a digital receiver, a multi-coil driver, and a computer system containing the software.

Based on the provided text, 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 Function: The ClearMRI Helios-RG8 Coil Accessory Kit is an accessory for an MRI system. Its purpose is to improve the imaging capabilities of the MRI system by allowing the use of newer, multi-channel coils.
  • Output: The device produces images of the internal structures of the head or body based on magnetic resonance properties. These are in vivo images, not in vitro test results from biological samples.
  • Intended Use: The intended use clearly states that the device is used to perform MR scans of the head or body to produce images that can be useful in determining a diagnosis when interpreted by a trained physician. This is consistent with the function of an imaging device, not an IVD.

The text describes a device that enhances an existing medical imaging system (MRI) for in vivo diagnostic imaging, not a device that performs tests on biological samples in vitro.

N/A

Intended Use / Indications for Use

The intended use of the ClearMRI Helios-RG8 Coil Accessory Kit is to enable the GE Signa Horizon Cx MR System to perform MR scans of the head or body utilizing newer FDA-cleared coils (up to 8 channels), without hindering its current capability utilizing the legacy GE FDA-cleared 4-channel coils. The ClearMRI Helios-RG8 Coil Accessory Kit inherits the same limitations of the GE Signa Horizon Cx MR system. The ClearMRI Helios-RG8 Coil Accessory Kit has only been validated for and is for use strictly with the GE Signa Horizon Cx MR System, software build 9.1.0311b. The ClearMRI Helios-RG8 Coil Accessory Kit allows the GE Signa Horizon Cx MR System to continue to produce transverse, sagittal, coronal and oblique images of the internal structures of the head or body with the GE Signa Horizon Cx MR System. The images produced reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. The NMR properties that determine the image appearance are proton density, spin lattice relaxation time (T), spin-spin relaxation time (T2) and flow. When interpreted by a trained physician, these images provide information that can be useful in determining a diagnosis.

The Helios-RG8 Coil Accessory Kit will support coil anatomies from Resonance Innovations, LLC: Long Bone Array in large (model 168GE1501).

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

LNH

Device Description

The ClearMRI Solutions, Inc. Helios-RG8 Coil Accessory Kit is designed as an accessory to a previously cleared GE Signa Horizon Cx MR (K962061), software build 9.1.0311b, receiver subsystem with the main modification allowing the operator to use newer RF receive coils with up to 8 channels. The accessory includes a digital receiver, multi-coil driver, and a computer system containing the ClearMRI software and functions in a similar way to the predicate device's comparable subsystem. The ClearMRI hardware is seamlessly background-driven from the GE Signa Horizon Cx system'.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

MR scans

Anatomical Site

head or body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained physician

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)

Nonclinical test data demonstrate that the device is safe and is substantially equivalent to the legally marketed predicate device.

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.

K962061

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

§ 892.1000 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.

0

510(k) Summary

K132381
Page 1 of 2

APR 0 4 2014

510(k) Summary

| Sponsor: | ClearMRI Solutions, Inc.
W315 S3283 Harvest View Drive
Waukesha WI 53189 |
|--------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact: | Mary Ann Ferguson, Project Manager
ClearMRI Solutions, Inc.
W315 S3283 Harvest View Drive
Waukesha WI 53189
Telephone: (978)-578-1196 |
| Date Prepared: | October 15, 2013 |
| Subject Device: | Trade Name: ClearMRI Helios-RG8 Coil Accessory Kit
Common/Usual Name: MRI Coil Accessory Kit
Classification Name: Magnetic resonance diagnostic device.
Regulation: 21 CFR §892.1000; Classification: II; Product Code: LNH |
| Predicate Devices: | General Electric Signa Horizon Cx Magnetic Resonance System
(K962061) |

Device Description:

The ClearMRI Solutions, Inc. Helios-RG8 Coil Accessory Kit is designed as an accessory to a previously cleared GE Signa Horizon Cx MR (K962061), software build 9.1.0311b, receiver subsystem with the main modification allowing the operator to use newer RF receive coils with up to 8 channels. The accessory includes a digital receiver, multi-coil driver, and a computer system containing the ClearMRI software and functions in a similar way to the predicate device's comparable subsystem. The ClearMRI hardware is seamlessly background-driven from the GE Signa Horizon Cx system'.

Intended Use:

The intended use of the ClearMRI Helios-RG8 Coil Accessory Kit is to enable the GE Signa Horizon Cx MR System to perform MR scans of the head or body utilizing newer FDA-cleared coils (up to 8 channels), without hindering its current capability utilizing the legacy GE FDAcleared 4-channel coils. The ClearMRI Helios-RG8 Coil Accessory Kit inherits the same limitations of the GE Signa Horizon Cx MR system. The ClearMRI Helios-RG8 Coil Accessory Kit has only been validated for and is for use strictly with the GE Signa Horizon Cx MR System, software build 9.1.0311b. The ClearMRI Helios-RG8 Coil Accessory Kit allows the GE Signa Horizon Cx MR System to continue to produce transverse, sagittal, coronal and oblique images of the internal structures of the head or body with the GE Signa Horizon Cx MR System. The images produced reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. The NMR properties that determine the image appearance are proton density, spin lattice relaxation time (TI), spin-spin relaxation time (T2) and flow. When interpreted by a trained physician, these images provide information that can be useful in determining a diagnosis.

ClearMRI Helios-RG8 Coil Accessory Kit

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1

KT32381
Page 2 of 2

The Helios-RG8 Coil Accessory Kit will support coil anatomies from Resonance Innovations, LLC: Long Bone Array in large (model 168GE1501).

Accessories to medical devices are regulated under the same classification regulation as the device(s) with which they are intended to be used. The ClearMRI Helios-RG8 Coil Accessory Kit is intended to be used strictly as an accessory to the GE Signa Horizon Cx MR System, software build 9.1.0311b, and does not change the existing indications for the GE Signa Horizon Cx MR System (K962061).

Technological Characteristics:

The ClearMRI Solutions Helios-RG8 Coil Accessory Kit includes a digital receiver, multi-coil driver and a computer system containing the ClearMRI software. The accessory kit is available as an add-on to a GE Signa Horizon Cx MR, software build 9.1.0311b, receiver subsystem that allows the operator to scan using a digital imaging system resulting in the benefits of newer multi-channel RF coils. The ClearMRI hardware is controlled by software running independently and in parallel with the GE Signa Horizon Cx System. It does not alter the existing operator workflow. The Helios-RG8 has no new technological characteristics that raise new safety or effectiveness questions.

Performance Data:

The ClearMRI Helios-RG8 device will support up to eight channel coils. The accessory kit was evaluated to the appropriate NEMA standards and IEC 60601 medical device safety standards as well as IEC 60601-1-2 EMI/EMC standards.

Substantial Equivalence:

The ClearMRI Solutions, Inc. (CMS) Helios-RG8 Coil Accessory Kit is designed as an add-on accessory to a GE Signa Horizon Cx MR, software build 9.1.0311b. receiver subsystem that allows the operator the use of newer RF coils (up to 8-channels). Accessories to medical devices are regulated under the same classification regulation as the device(s) with which they are intended to be used. The accessory kit does not significantly affect the performance of the legally marketed GE Signa Horizon Cx System, software build 9.1.0311b, and is therefore substantially equivalent. Nonclinical test data demonstrate that the device is safe and is substantially equivalent to the legally marketed predicate device.

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2

Image /page/2/Picture/0 description: The image shows a circular logo with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" written around the perimeter. Inside the circle is a symbol consisting of three curved lines that resemble a stylized human figure. The logo is black and white.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Flealth Service

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

April 4, 2014

ClearMRI Solutions, Inc. % Mr. Mark Job Responsible Third Party Official 1394 25" Street NW BUFFALO MN 55313

Rc: K132381

Trade/Device Name: ClearMRI Helios-RG8 Coil Accessory Kit Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: LNH Dated: March 20, 2014 Received: March 21. 2014

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. Please note: CDRH docs 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 I'DA '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 (OS) regulation (21 CFR Part 820): and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2-Mr. Job

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

http://www.fda.gov/MedicalDevices/Resources.forYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Michael D. O'Hara For

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

Enclosure

4

Indications for Use

Indications for Use

510(k) Number: K132381

Device Name:

ClearMRI Helios-RG8 Coil Accessory Kit

Indications for Use:

The intended use of the ClearMRI Helios-RG8 Coil Accessory Kit is to enable the GE Signa Horizon Cx MR System to perform MR scans of the head or body utilizing newer FDA-cleared coils (up to 8 channels), without hindering its current capability utilizing the legacy GE FDA-cleared 4-channel coils. The ClearMRI Helios-RG8 Coil Accessory Kit inherits the same limitations of the GE Signa Horizon Cx MR system. The ClearMRI Helios-RG8 Coil Accessory Kit has only been validated for and is for use strictly with the GE Signa Horizon Cx MR System, software build 9.1.0311b. The ClearMRI Helios-RG8 Coil Accessory Kit allows the GE Signa Horizon Cx MR System to continue to produce transverse, sagittal, coronal and oblique images of the internal structures of the head or body with the GE Signa Horizon Cx MR System. The images produced reflect the spatial distribution of protons (hydrogen nuclei) exhibiting magnetic resonance. The NMR properties that determine the image appearance are proton density, spin lattice relaxation time (T ), spin-spin relaxation time (T2) and flow. When interpreted by a trained physician, these images provide information that can be useful in determining a diagnosis.

The Helios-RG8 Coll Accessory Kit will support coil anatomies from Resonance Innovations, LLC: Long Bone Array in large (model 168GE1501).

Accessories to medical devices are regulated under the same classification regulation as the device(s) with which they are intended to be used. The ClearMRI Helios-RG8 Coil Accessory Kit is intended to be used strictly as an accessory to the GE Signa Horizon Cx MR System, software build 9.1.0311b, and does not change the existing indications for the GE Signa Horizon Cx MR System (K962061).

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 In Vitro Diagnostics and Radiological Health (OIR)

Michael D. O'Hara

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

K132381 510(k)

ClearMRI Helios-RG8 Coil Accessory Kit

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