(256 days)
Use of the Artemis 123 Biomagnetometer is indicated for the patient whose physician believes that information about the magnetic fields produced by that patient's brain and information about the location of the sources of those magnetic fields could contribute to diagnosis or therapy planning.
The Tristan Technologies Artemis 123 Biomagnetometer (hereinafter referred to as the "Artemis 123") utilizes superconducting signal pickup coils and Superconducting Quantum Interference Devices (SQUIDs) to detect and amplify magnetic fields produced by electrical activity in brain. The Artemis 123 consists of a sensor unit, an electronics subsystem for preliminary amplification, filtering, and analog to digital conversion of the signals from each SQUID, an electronics rack containing power supplies to power the electronics subsystem, a computer to control the operation of the electronic subsystem and the SQUIDs and to acquire and store the signal values collected by the system, and a patient table which accommodates and facilitates the optimal positioning of the head of a human being adjacent to the sensor unit.
The Tristan Technologies Artemis 123 Biomagnetometer is indicated for use for the patient whose physician believes that information about the magnetic fields produced by that patient's brain and information about the location of the sources of those magnetic fields could contribute to diagnosis or therapy planning.
The study presented focuses on demonstrating technological equivalence to a predicate device, the Magnes 2500 WH Biomagnetometer System, rather than establishing specific clinical acceptance criteria based on a disease diagnosis or therapy planning outcome. Therefore, the "acceptance criteria" and "device performance" in the context of this submission relate to these technological equivalence metrics.
1. Table of Acceptance Criteria and Reported Device Performance
| Feature/Metric | Acceptance Criterion (Equivalent to Magnes 2500 WH) | Reported Device Performance (Artemis 123) |
|---|---|---|
| Sensitivity (Hospital Environment) | Noise level above 100 Hz well below 10 fT/√Hz (characteristic form of Magnes 2500) | Average noise showed the same characteristic form as that of the Magnes 2500, with the noise level above 100 Hz being well below the specification of 10 fT/√Hz. |
| Source Localization (Phantom) | Localization of a magnetic dipole source within 5 mm of the actual location (equivalent to Magnes 2500 WH performance) | Determination of the location of each dipole (from two dipolar sources) to within 5 mm of the actual location. This performance is also equivalent to the localization of dipoles in a phantom with the Magnes 2500 WH system. |
| Underlying Technology | Superconducting magnetometry | Superconducting magnetometry |
| Refrigeration Method | Solid conduction from liquid helium | Solid conduction from liquid helium |
| Data Flow | SQUID output digitized, stored on hard drive | SQUID output digitized, stored on hard drive |
| Indications for Use | Use for patients whose physician believes information about brain magnetic fields and their sources could contribute to diagnosis or therapy planning. | Use for patients whose physician believes information about brain magnetic fields and their sources could contribute to diagnosis or therapy planning. |
| Safety Standard | IEC-60601-1 | IEC 60601-1 |
| Average coil-to-coil spacing | 25 mm | 25 mm |
| Superconducting Amplifiers | dc SQUID | dc SQUID |
2. Sample Size for Test Set and Data Provenance
- Sample Size:
- Sensitivity Test: The noise spectra of all channels (123 pickup coils) were recorded from the Artemis 123.
- Source Localization Test: The magnetic field values were recorded for each of the Artemis 123 channels (123 pickup coils) from a phantom containing two dipolar sources.
- Data Provenance: Non-clinical tests conducted at the Children's Hospital of Philadelphia, USA. These tests were for "research use only" and the results were published in the peer-reviewed journal Frontiers Human Neuroscience on March 3, 2014. The data is retrospective in the context of this 510(k) submission, as it was published prior to the submission date.
3. Number of Experts and Qualifications for Ground Truth
This study did not involve human expert interpretation of brain magnetic field data for establishing ground truth. The "ground truth" for the non-clinical tests was established by:
- Sensitivity: The intrinsic noise characteristics of the device in an empty measurement environment, compared against the known specifications and characteristic noise form of the predicate device.
- Source Localization: The known actual locations of the two dipolar sources within the phantom. The "expertise" here lies in the precise engineering and construction of the phantom and the placement of the known sources.
4. Adjudication Method
Not applicable. This study did not involve human interpretation or subjective assessments that would require an adjudication method. The measurements were objective physical quantities (noise levels, localized source positions).
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No MRMC comparative effectiveness study was done. This submission focuses on the technological equivalence of the device's physical performance characteristics (sensitivity and source localization) compared to a predicate device, not on the impact of AI or the device on human reader performance in a clinical diagnostic setting.
6. Standalone Performance (Algorithm Only without Human-in-the-loop performance)
Yes, the performance evaluated was standalone performance of the device's physical sensing and localization capabilities.
- Sensitivity: The Artemis 123 was activated, and noise spectra were recorded and analyzed directly from its channels in an empty room.
- Source Localization: The Artemis 123 directly recorded magnetic fields from a phantom, and an algorithm fitted these values to a dipole source model to determine location, without human intervention in the interpretation process of the raw data for localization.
7. Type of Ground Truth Used
- Sensitivity: Based on the known specification (10 fT/√Hz) and characteristic noise profile of the predicate device (Magnes 2500 WH) as the comparative "ground truth."
- Source Localization: Physical ground truth established by the known and precise locations of dipolar sources within a specially constructed phantom.
8. Sample Size for the Training Set
No training set information is provided or relevant in this context. The study describes non-clinical performance evaluations of a physical device, not the training of an AI algorithm or machine learning model.
9. How Ground Truth for the Training Set was Established
Not applicable, as no training set was used.
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:
6185 Cornerstone Court East, Suite 106 San Diego, CA 92121 USA . Phone: +1 (858) 550-2700 Fax: +1 (858) 550-2799 http://www.tristantech.com
510(k) SUMMARY
K133419 JUL 2 1 2014
882.1400)
This 510(k) Summary is being submitted pursuant to the requirements of 21 CFR 807.92(c).
| 1. | Submitted By: | Tristan Technologies, Inc. | |
|---|---|---|---|
| Eugene C Hirschkoff, consultant | |||
| 6185 Cornerstone Ct., Ste 106 | |||
| San Diego, CA 92121 | |||
| (619)992-6301 | |||
| Contact Person: | Douglas N. Paulson, Ph.D. | ||
| Tristan Technologies, Inc. | |||
| 6185 Cornerstone Ct., Stc. 106 | |||
| San Diego, CA 92121 | |||
| (858) 550-2700 | |||
| Date prepared: | July 17, 2014 | ||
| 2. | Name of Device: | Trade Name: Artemis 123 Biomagnetometer | |
| Common Name: Magnetic Encephalograph | |||
| Regulation Name: Electroencephalograph (21 CFR | |||
| Product Code: OLY |
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-
- Predicate device:
The Artemis 123 Biomagnetometer is substantially equivalent to the Magnes 2500 WH Biomagnetometer System formerly manufactured and marketed by Biomagnetic Technologies, Inc., San Diego, CA. K962317
- Predicate device:
-
- Description of Device:
The Tristan Technologies Artemis 123 Biomagnetometer (hereinafter referred to as the "Artemis 123") utilizes superconducting signal pickup coils and Superconducting Quantum Interference Devices (SQUIDs) to detect and amplify magnetic fields produced by electrical activity in brain. The Artemis 123 consists of a sensor unit, an electronics subsystem for preliminary amplification, filtering, and analog to digital conversion of the signals from each SQUID, an electronics rack containing power supplies to power the electronics subsystem, a computer to control the operation of the electronic subsystem and the SQUIDs and to acquire and store the signal values collected by the system, and a patient table which accommodates and facilitates the optimal positioning of the head of a human being adjacent to the sensor unit
- Description of Device:
ડ. Indications for Use:
The Tristan Technologies Artemis 123 Biomagnetometer is indicated for use for the patient whose physician believes that information about the magnetic fields produced by that patient's brain and information about the location of the sources of those magnetic ficids could contribute to diagnosis or therapy planning.
6. Substantial Equivalence:
The Tristan Technologies Artemis 123 utilizes superconducting signal pickup coils and Superconducting Quantum Interference Devices (SQUIDs) to detect and amplify magnetic fields produced by electrical activity in brain. . The sensor comprises an array of 135 passive superconducting pickup coils, cach of which is connected to a SQUID. The array is contained within an evacuated housing along with an insulated container for the cryogen liquid helium. The pickup coils and SQUIDs are refrigerated by solid thermal conduction to the cryogen. This is the identical technologies and methods of operation as used in the predicate device, the Magnes 2500 WH. The vacuum container is configured to have a helmet-like external shape at the top. This shape is sized and oriented to accommodate the positioning of the head of a human being lying in a supine position into the helmet-like shape. The pickup coils are positioned within the vacuum container to as to be in close proximity to the helmet-like shape, and thus when in use, to be in close proximity to the head of
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the human being. This is also the identical method used in the Magnes 2500 WH although the latter was capable of being positioned to accommodate heads of human beings in the seated position as well as in a supine position.
For both the Artemis 123 and the Magnes 2500 WH, the output of cach SQUID is a voltage the value of which is proportional to the magnetic ficld at the corresponding The voltage from each SQUID is amplified, filtered and digitized by pickup coil. signal processing electronics. The digitized signals are conveyed to a computer hard drive. The hard drive thus contains data comprising the voltage from each SQUID recorded as a function of time. This data is available to the user of the system for analysis and interpretation. The Artemis 123 as well as the Magnes 2500 WH may be operated by a physician, it may also be operated by a technologist working under the direction and supervision of a physician.
The following is a tabular comparison of the features and characteristics of the Magnes 2500 WH and the Artemis 123.
| ElementIndications for use | Magnes 2500 WHUse of the Magnes 2500 WHis indicated for thepatient whose physicianbelieves that inform-ation about themagnetic fieldsproduced by thepatient's brain andinformation aboutthe location of thesources of thosemagnetic fields couldcontribute to diagnosisor therapy planning. | Artemis 123Use of the Artemis 123is indicated for thepatient whose physicianbelieves that inform-ation about themagnetic fieldsproduced by thepatient's brain andinformation aboutthe location of thesources of thosemagnetic fields couldcontribute to diagnosisor therapy planning. |
|---|---|---|
| Underlying technology | Superconductingmagnetometry | Superconductingmagnetometry |
| Detectorarchitecture | 148 pickup coilsarranged inhelmet configuration | 123 pickup coilsarranged inhelmet configuration |
| 13 offset pickup coils | 12 offset pickup coils |
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| as reference channels | as reference channels | |
|---|---|---|
| Pickup coil design | Two sets of magnetometercoils | One set ofgradiometer coils |
| Average coil-to-coilspacing | 25 mm | 25 mm |
| Superconductingamplifiers | dc SQUID | de SQUID |
| Refrigeration method | Solid conduction fromliquid helium | Solid conduction fromliquid helium |
| Data flow | SQUID outputdigitized, stored onhard drive | SQUID outputdigitized, stored onhard drive |
| Data acquisition | 16 bits/channel2 kHz sample rate | 24 bits/channel5 kHz sample rate |
| Host computer | Sun SPARCStation 20Sun operating system | PC workstationMS Windows |
| Software | Proprietary dataacquisition software;LabView® libraries | LabVIEW® basedacquisition software |
| Sensitivity | 10 femtoTesla/ $\sqrt$ Hzaverage over channels | 10 femtoTesla/ $\sqrt$ Hzaverage over channels |
| Patient interface | Provided patient tablepatient supine orseated | Provided patient tablepatient supine |
| Where used | Hospital or clinic | Hospital or clinic |
| Safety standard | IEC-60601-1 | IEC 60601-1 |
7. Non-clinical test results
A prototype of the Artemis 123 was installed at the Children's Hospital of Philadelphia for research use only. Non-clinical tests of the device performance were conducted by hospital staff. These results were published in the pecr-reviewed journal Frontiers Human Neuroscience on 3 March 2014. Those results demonstrate the of technological equivalence of the Artemis 123 to the Magnes 2500 with respect to sensitivity in a hospital environment and with respect to source localization in a phantom magnetic source.
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To compare the sensitivity of the Artemis 123 in a hospital environment to that of the predicate device, the system was activated in the empty magnetically shielded room (MSR) and noise spectra of the output of all channels were recorded. The spectra of all channels were averaged together and that average spectrum is presented in the reference above. The average noise showed the same characteristic form as that of the Magnes 2500, with the noise level above 100 Hz being well below the specification of 10 fT/vHz.
A second non-clinical test was conducted to record the magnetic ficld produced by a phantom containing two dipolar sources at known locations. The dipolar sources were each activated with a 40 Hz driving current, the magnetic field values recorded for cach of the Artemis 123 channels, and those values fit to the model of a single The results was a determination of the location of cach dipole to dipole source. within 5 mm of the actual location. This performance is also equivalent to the localization of dipoles in a phantom with the Magnes 2500 WH system.
8. Conclusions:
The Artemis 123 uses the identical underlying technology as the Magnes 2500 WH, employing superconducting pickup coils to measure and record the magnetic field at an array of locations around the surface of the head of a patient and placing the recorded values into a storage device for later review and examination by a user. The materials and methods used to construct the two systems are the same. The method of use of the two systems is the same. The indications for use of the Artemis 123 are the same as that of the Magnes 2500 WH. The primary difference between the two systems is the smaller physical size of the helmet of the Artemis 123 compared with that in Magnes 2500 WH. The sensitivity of the two systems in a noisy hospital environment is equivalent. The ability of each system to localize a dipolar source in a phantom is also equivalent. For these reasons, Tristan Technologies submits that the Artemis 123 is substantially equivalent to the Magnes 2500 WH.
Any questions regarding the 510(k) summary may be directed to the contact person noted.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MI) 20993-0002
July 21, 2014
Tristan Technologies, Inc. % Dr. Eugene C. Hirschkoff 3365 Calle Margarita Encinitas. CA 92024
Re: K133419
Trade/Device Name: Artemis 123 Biomagnetometer Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: Class II Product Code: OL.Y Dated: June 2, 2014 Received: June 17, 2014
Dear Dr. Hirschkoff:
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. Insting 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 vou: 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 is 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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set
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Page 2 - Dr. Eugene Hirschkoff
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.
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/ResourcesforYou/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/ReportalProblem/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,
Carlos L. Pena -5
Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
Indications for Use
Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.
510(k) Number (if known) K133419
Device Name Artemis 123 Biomagnetometer
Indications for Use (Describe)
Use of the Aremis 123 Biomagnetometer is indicated for the patient whose that information about the magnetic fields produced by that patient's brain and information about the sources of those magnetic fields could contribute to diagnosis or therapy planning.
Type of Use (Select one or both, as applicable)
2 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)
Carlos L. Pena -S
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§ 882.1400 Electroencephalograph.
(a)
Identification. An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.(b)
Classification. Class II (performance standards).