(139 days)
HeartNavigator is a tool to assist the user with the treatment of structural heart diseases using minimal invasive interventional techniques. In addition to the conventional live fluoroscopy it provides the user with tools to plan and guide the procedure using 3D image data.
The HeartNavigator software tool is intended to be used in combination with the primary predicate device Allura X-ray system (K130638) to assist cardiac surgeons and interventional radiologists with the planning and treatment of structural heart diseases using minimal invasive interventional techniques. In addition to conventional live fluoroscopy HeartNavigator provides the user with tools to plan and guide the procedure using 3D image data; by enabling the use of previously acquired DICOM cardiac CT data of the patient in conjunction with the X-ray image data from the Allura X-ray system. While HeartNavigator Release 1.0 (K111245) and Release 2.0 share the same technological characteristics, HeartNavigator Release 2.0 offers enhancements to existing functions, i.e., (1) automatic anatomical distance measurements, and (2) tracking movements of the table and L-arm of the connected Allura X-ray system during live guidance. The modifications represented by HeartNavigator Release 2.0 do not affect the safety and effectiveness of the device.
Here's a summary of the acceptance criteria and the study details for the HeartNavigator Release 2.0 based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance:
The provided document does not explicitly list specific quantitative "acceptance criteria" in a table format with corresponding "reported device performance" metrics related to the device's diagnostic or clinical accuracy. Instead, it states that "The test results demonstrate that HeartNavigator Release 2.0 meets the acceptance criteria, and is adequate for its intended use."
The performance data mentioned is more about adherence to international standards and internal verification/validation processes.
| Acceptance Criteria Category | Reported Device Performance |
|---|---|
| General Performance | "Meets the acceptance criteria, and is adequate for its intended use." |
| Regulatory Standards | Conforms to: - IEC 62366 (Usability Engineering) - IEC 62304 (Medical Device Software Life Cycle) - ISO 14971 (Risk Management) - NEMA PS 3.1-3.2 (DICOM Set) |
| Equivalence to Predicate | "Performs as well or better than the secondary predicate device HeartNavigator Release 1.0 (K111245)." |
2. Sample Size Used for the Test Set and Data Provenance:
The document does not specify a distinct "test set" and its sample size for evaluating the device's clinical performance. The performance data section refers to "Non-clinical verification and validation tests" which were likely internal engineering and software tests.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:
Not applicable. The document does not describe a clinical study involving human experts establishing ground truth for a test set.
4. Adjudication Method for the Test Set:
Not applicable. No clinical test set or adjudication method is described.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
No MRMC comparative effectiveness study is mentioned in the provided text. The submission focuses on substantial equivalence based on non-clinical performance and internal verification/validation.
6. Standalone (Algorithm Only Without Human-in-the-Loop) Performance:
The document describes HeartNavigator as a "tool to assist the user" and "intended to be used in combination with the primary predicate device Allura X-ray system." This indicates it's an assistive device meant for human-in-the-loop use. There is no information provided about standalone algorithm performance without human interaction.
7. Type of Ground Truth Used:
For the "non-clinical verification and validation tests," the ground truth would have been established by the requirement specifications themselves (e.g., software functions performing as designed, calculations being accurate). There is no mention of clinical ground truth (like pathology, expert consensus, or outcomes data) being used for the performance evaluation described.
8. Sample Size for the Training Set:
Not applicable. The description of HeartNavigator Release 2.0 does not suggest it is a machine learning or AI-based device that would require a "training set" in the context of typical AI device development. The enhancements are described as "automatic anatomical distance measurements, and (2) tracking movements of the table and L-arm," which can be rule-based or algorithmic without extensive machine learning training data.
9. How Ground Truth for the Training Set Was Established:
Not applicable, as no training set is indicated.
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JUN 1 0 2014
K140138
Page 1 of 2
510(k) Summary of Safety and Effectiveness
This 510(k) Summary of Safety and Effectiveness has been prepared in accordance with Code of Federal Regulations, Title 21 CFR, Part 807.92.
| Date Prepared: | May 23, 2014 |
|---|---|
| Manufacturer: | Philips Medical Systems Nederland B.V.Veenpluis 4-65684 PC BestThe Netherlands |
| Contact Person: | Hans VeningsTelephone: +31 61 1348827 |
| Device Name: | HeartNavigator Release 2.0 |
| Classification: | |
| Classification regulation: | 21 CFR, Part 892.1650 |
| Classification name: | Image-intensified fluoroscopic x-ray system |
| Classification panel: | Radiology |
| Device classification: | Class II |
| Primary Product Code: | OWB |
| Secondary Product Code: | LLZ |
| Primary' PredicateDevice: | |
| Trade name: | AlluraClarity Xper FD series X-ray system |
| Manufacturer: | Philips Medical Systems Nederland B.V. |
| FDA clearance: | K130638 (June 28, 2013) |
| Classification regulation: | 21 CFR, Parts 892.1650 |
| Classification name: | Image-intensified fluoroscopic x-ray system |
| Classification panel: | Radiology |
| Device classification: | Class II |
| Product Code: | OWB |
| Secondary PredicateDevice: | |
| Trade name: | HeartNavigator Release 1.0 |
| Manufacturer: | Philips Medical Systems Nederland B.V. |
| FDA clearance: | K111245 (July 29, 2011) |
| Classification regulation: | 21 CFR, Parts 892.2050 |
| Classification name: | Picture archiving and communications system |
| Classification panel: | Radiology |
| Device classification: | Class II |
| Product Code: | LLZ |
1 The HeartNavigator software medical device is an accessory to the AlluraClarity Xper FD series X-ray system. The AlluraClarity Xper FD Series X-ray system will be abbreviated as Allura X-ray system in this 510(k) Summary of Safety and Effectiveness. -
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K140138
Page 2 of 2
HeartNavigator is a tool to assist the user with the treatment of structural heart Indications for Use: diseases using minimal invasive interventional techniques. In addition to the conventional live fluoroscopy it provides the user with tools to plan and guide the procedure using 3D image data.
Device Description: The HeartNavigator software tool is intended to be used in combination with the primary predicate device Allura X-ray system (K130638) to assist cardiac surgeons and interventional radiologists with the planning and treatment of structural heart diseases using minimal invasive interventional techniques. In addition to conventional live fluoroscopy HeartNavigator provides the user with tools to plan and guide the procedure using 3D image data; by enabling the use of previously acquired DICOM cardiac CT data of the patient in conjunction with the X-ray image data from the Allura X-ray system. While HeartNavigator Release 1.0 (K111245) and Release 2.0 share the same technological characteristics, HeartNavigator Release 2.0 offers enhancements to existing functions, i.e., (1) automatic anatomical distance measurements, and (2) tracking movements of the table and L-arm of the connected Allura X-ray system during live guidance. The modifications represented by HeartNavigator Release 2.0 do not affect the safety and effectiveness of the device.
Performance Data:
The HeartNavigator conforms to the following international standards:
- IEC 62366 Application of usability engineering to medical devices (2007); .
- IEC 62304 Medical device software Software life cycle processes (2006); .
- ISO 14971 Application of risk management to medical devices (2007); .
- . NEMA PS 3.1-3.2 Digital Imaging and Communications in Medicine (DICOM) Set (2011).
Non-clinical verification and validation tests were performed with respect to the requirement specifications, including software verification and validation. The test results demonstrate that HeartNavigator Release 2.0 meets the acceptance criteria, and is adequate for its intended use.
Substantial Equivalence Conclusion:
Substantial equivalence was demonstrated with non-clinical performance (verification and validation) testing, which complied with the requirements specified in the international, FDA-recognized consensus standards. The results of these tests demonstrate that the HeartNavigator Release 2.0 software medical device is safe, effective and performs as well or better than the secondary predicate device HeartNavigator Release 1.0 (K111245).
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. 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 an eagle with its wings spread.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center . WO66-G609 Silver Spring, MI) 20993-0002
June 10, 2014
Philips Medical Systems Nederland B.V. % Michael Davion, MA, RAC Senior Consultant Biomed Research, Inc. 3959 Van Dyke Road, Suite 245 LUTZ FL 33558
Re: K140138 Trade/Device Name: HeartNavigator Release 2.0 Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulatory Class: II Product Code: OWB, LLZ Dated: March 8, 2014 Received: March 13, 2014
Dear Mr. Dayton:
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 for and starsing 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 cither 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 r rease of a 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 (2 l CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse cvents) (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.
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Page 2 - Mr. Michael Dayton
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" (2) 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 Biometries/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.
Sincercly 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
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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: December 31, 2013 See PRA Statement on last page.
510(k) Number (if known) K140138
Device Name HeartNavigator Release 2.0
Indications for Use (Describe)
HeartNavigator is a tool to assist the user with the treatment of structural heart diseases using minimal invasive interventional techniques. In addition to the conventional live fluoroscopy it provides the user with tools to plan and guide using 3D image data.
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)
Sm.h.7)
FORM FDA 3881 (9/13)
nor Servers (10) | 443 PSC Pub
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§ 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.