K Number
K152697
Device Name
INFX-8000C, V6.20
Date Cleared
2016-01-15

(116 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
This device is a digital radiography/fluoroscopy system used in a diagnostic and interventional angiography configuration. The system is indicated for use in diagnostic and angiographic procedures for blood vessels in the heart, brain, abdomen and lower extremities.
Device Description
INFX-8000C, V6.20, is an X-ray system that is capable of radiographic and fluoroscopic studies and is used in an interventional setting. The system consists of a C-arm, which is equipped with an X-ray tube, beam limiter and X-ray receptor, X-ray controller, computers with system and processing software, and a patient radiographic table.
More Information

Not Found

No
The document describes a standard X-ray system with processing software and does not mention AI, ML, or any related technologies. The performance studies focus on traditional imaging metrics.

No
The device is described as a diagnostic and interventional angiography system, designed for imaging blood vessels and performing procedures, not for providing therapy.

Yes
The "Intended Use / Indications for Use" section explicitly states that "The system is indicated for use in diagnostic and angiographic procedures".

No

The device description explicitly states the system consists of hardware components including a C-arm, X-ray tube, beam limiter, X-ray receptor, X-ray controller, and a patient radiographic table, in addition to computers and software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This testing happens outside the body (in vitro).
  • Device Function: The description clearly states this device is an X-ray system used for diagnostic and interventional angiography. It uses X-rays to create images of blood vessels within the body.
  • No Specimen Testing: There is no mention of collecting or analyzing any biological specimens. The device directly interacts with the patient's body to generate images.

Therefore, based on the provided information, this device falls under the category of a medical imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

This device is a digital radiography/fluoroscopy system used in a diagnostic and interventional angiography configuration. The system is indicated for use in diagnostic and angiographic procedures for blood vessels in the heart, brain, abdomen and lower extremities.

Product codes

OWB, JAA

Device Description

INFX-8000C, V6.20, is an X-ray system that is capable of radiographic and fluoroscopic studies and is used in an interventional setting. The system consists of a C-arm, which is equipped with an X-ray tube, beam limiter and X-ray receptor, X-ray controller, computers with system and processing software, and a patient radiographic table.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

heart, brain, abdomen and lower extremities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Interventional setting

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

This submission contains test data that demonstrates the system modifications result in performance that is equal to or better than the predicate system. Testing included spatial resolution, low contrast resolution, dynamic range, DQE, MTF, artifacts/contrast/dynamic range of DS and horizontal streak noise. The results of this testing demonstrate equivalent or increased performance when compared to the predicate device.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Testing included spatial resolution, low contrast resolution, dynamic range, DQE, MTF, artifacts/contrast/dynamic range of DS and horizontal streak noise. The results of this testing demonstrate equivalent or increased performance when compared to the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K113052

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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Image /page/0/Picture/1 description: The image is a circular seal for the U.S. Department of Health & Human Services. The seal features the department's name in a circular arrangement around the perimeter. In the center is the department's logo, which consists of a stylized caduceus symbol with three intertwined figures representing people.

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

January 15, 2016

Toshiba Medical Systems Corporation % Ms. Janine Reyes Manager, Regulatory Affairs Toshiba America Medical Systems, Inc. 2441 Michelle Drive TUSTIN CA 92780

Re: K152697

Trade/Device Name: INFX-8000C, V6.20 Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulatory Class: II Product Code: OWB, JAA Dated: December 16, 2015 Received: December 18, 2015

Dear Ms. Reyes:

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.

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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.

Michael O'Hara For

Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K152697

Device Name INFX-8000C, V6.20

Indications for Use (Describe)

This device is a digital radiography/fluoroscopy system used in a diagnostic and interventional angiography configuration. The system is indicated for use in diagnostic and angiographic procedures for blood vessels in the heart, brain, abdomen and lower extremities.

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)

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510(k) - SUMMARY OF SAFETY AND EFFECTIVENESS

1. CLASSIFICATION and DEVICE NAME:

Classification Name:lmage-Intensified Fluoroscopic X-Ray System
Requlation Number:21 CFR 892.1650 (Class II)
Product CodeOWB - Interventional Fluoroscopic X-ray System (primary)
JAA - System, X-Ray, Fluoroscopic, Image-Intensified (secondary)
Trade Proprietaryİnfinix
Name:
Model Number:INFX-8000C, V6.20

2. ESTABLISHMENT REGISTRATION: 9614698

3. CONTACT PERSON, U.S. AGENT and ADDRESS:

Official Correspondent/U.S. Agent:

Paul Biggins Director, Regulatory Affairs (714) 730-5000 Fax: (714) 730-1310 paul.biggins@toshiba.com

Contact Person:

Janine Reyes Manager, Regulatory Affairs (714) 669-7853 Fax: (714) 730-1310 janine.reyes@toshiba.com

Establishment Name and Address:

Toshiba America Medical Systems, Inc. (TAMS) 2441 Michelle Drive Tustin, CA. 92780

4. MANUFACTURING SITE

Toshiba Medical Systems Corporation (TMSC) 1385 Shimoishigami Otawara-shi, Tochigi 324-8550, Japan Contact: Akinori Hatanaka

5. DATE PREPARED:

September 18, 2015

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6. TRADE NAME(S):

INFX-8000C, V6.20 [Infinix CC-i]

7. COMMON NAME:

Image-Intensified Fluoroscopic X-Ray System Interventional Fluoroscopic X-Ray System System, X-Ray, Fluoroscopic, Image-Intensified

8. DEVICE CLASSIFICATION:

Class II (per 21 CFR 892.1650)

9. PRODUCT CODE / DESCRIPTION:

Primary Product Code: OWB - Interventional Fluoroscopic X-Ray System Secondary Product Code: JAA - System, X-Ray, Fluoroscopic, Image-Intensified

10. PERFORMANCE STANDARD:

This device conforms to applicable Performance Standards for Ionizing Radiation Emitting Products [21 CFR Subchapter J, Federal Diagnostic X-ray Equipment Standard].

11. PREDICATE DEVICE:

INFX-8000C, w/Spot Fluoroscopy Option (K113052)

TABLE 1: Predicate Device

ProductMarketed by510(k) NumberClearance Date
INFX-8000C, w/Spot
Fluoroscopy OptionToshiba America Medical
SystemsK113052November 22, 2011

12. REASON FOR SUBMISSION:

Modification of a cleared device

13. SUBMISSION TYPE:

Traditional 510(k)

14. DEVICE DESCRIPTION:

INFX-8000C, V6.20, is an X-ray system that is capable of radiographic and fluoroscopic studies and is used in an interventional setting. The system consists of a C-arm, which is equipped with an X-ray tube, beam limiter and X-ray receptor, X-ray controller, computers with system and processing software, and a patient radiographic table.

15. SUMMARY OF INTENDED USES:

This device is a digital radiography/fluoroscopy system used in a diagnostic and interventional angiography configuration. The system is indicated for use in diagnostic and angiographic procedures for blood vessels in the heart, brain, abdomen and lower extremities.

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16. SUMMARY OF CHANGE(S)

This submission is to report the following items have been changed:

  • a. The current flat panel detectors have been modified for improved DQE performance, model numbers are:
    • i. Model Number: Old TFP-800A; new TFP-800A/C1 (20cm x 20cm)
    • ii. Model Number: Old TFP-1216A; new TFP-1216A/C1 (30cm x 40cm)
        1. Scintillator thickness increased
        1. ADC Bus from 14 to 16 bits
        1. ASIC improvements
        1. DQE performance enhancement
  • b. New C-arm support assembly (CAS-930A)

TABLE 2: Changes to INFX-8000C since 510(k) Clearance (K113052)

TABLE 2: Changes to INFX-8000C since 510(k) Clearance (K113052)
ChangePredicate Device:
INFX-8000C, with Spot Fluoroscopy
Option (K113052)Subject Device:
INFX-8000C, V6.20
C-arm Support**CAS-830B/A1CAS-830B /A1
CAS-930A
C-arm Sliding
Angle**RAO 90° LAO 50°RAO 90° LAO 50°
RAO 120° LAO 90°
SID Range*90cm to 120cm
(30cm x 40cm FPD, 20cm x 20cm FPD)90cm to 120cm
(30cm x 40cm FPD)
90cm to 125cm
(20cm x 20cm FPD, 30cm x 30cm FPD)
X-ray Tube
Assembly*Liquid metal bearing
Ball bearingLiquid metal bearing
Anode Heat
Storage Capacity*3.0MHU (Liquid metal bearing)
1.8MHU (Ball bearing)3.0MHU (Liquid metal bearing)
Focal Spot Size*0.5/0.8 mm (Liquid metal bearing)
0.3/0.6/1.0 mm (Liquid metal bearing)
0.3/0.5/0.8 mm (Ball bearing)
0.3/0.6/1.0 mm (Ball bearing)0.5/0.8 mm (Liquid metal bearing)
0.3/0.6/1.0 mm (Liquid metal bearing)
0.4/0.6/0.9 mm (Liquid metal bearing)
Beam Limiting
DeviceCardiac: 230mm x 230mm Maximum
(on the plane 870 mm from the focus)
Angiography: 406mm x 406mm Maximum
(on the plane 930 mm from the focus)Cardiac: 340mm x 340mm Maximum
(on the plane 900 mm from the focus)
Angiography: 400mm x 400mm Maximum
(on the plane 900 mm from the focus)
X-ray Exposure
Field*
Detector Size20cm x 20cm
30cm x 40cm20cm x 20cm**
30cm x 40cm**
30cm x 30cm*
DQE**65% or more (0 lp/mm)
(20cm x 20cm, 30cm x 40cm)65% or more (0 lp/mm) or 77%±5% (0 lp/mm)
(20cm x 20cm, 30cm x 30cm, 30cm x 40cm)
Fluoroscopic
Monitor/ Reference
Monitor*19.0 inch19.0 inch
56.2 inch
Roadmap
Function*2D Roadmap2D Roadmap
3D Roadmap
Footswitch*WiredWired
Wireless
Connection with
CT System*Not AvailableAvailable
Combined with CT
System for IVR-CT*Not AvailableCGBA-033A, Aquilion ONE VISION
CGBA-032A, Aquilion PRIME

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*Cleared by previous requlatory affairs action **Part of this Pre-Market Notification 510(k) submission

17. SUBSTANTIAL EQUIVALENCE:

This device is substantially equivalent to the INFX-8000C, w/Spot Fluoroscopy Option (K113052), marketed by Toshiba America Medical Systems. INFX-8000C, V6.20, includes incremental improvements to the cleared flat panel detectors (TFP-800A and TFP-1216A) and a new C-arm support assembly (CAS-930A). The basic system configuration, method of operation, base software and manufacturing process remain unchanged from the cleared device. There are no new indications for use or intended use of the device.

18. SAFETY:

The device is designed and manufactured under the Quality System Regulations as outlined in 21 CFR § 820 and ISO 13485 Standards. This device is in conformance with the applicable parts of the IEC60601-1 standards, its collateral standards and particular standards: IEC 60601-1:2005, IEC 60601-1-2:2007, IEC 60601-1-3:2008, IEC 60601-1-6:2010, IEC 60601-2-28:2010, IEC 60601-2-43:2010, IEC 62304:2006, IEC 62366:2007. All requirements of the Federal Diagnostic Equipment Standard, as outlined in 21 CFR §1020, that apply to this device, will be met and reported via product report.

19. TESTING:

This submission contains test data that demonstrates the system modifications result in performance that is equal to or better than the predicate system. Testing included spatial resolution, low contrast resolution, dynamic range, DQE, MTF, artifacts/contrast/dynamic range of DS and horizontal streak noise. The results of this testing demonstrate equivalent or increased performance when compared to the predicate device.

Testing of the modified system was conducted in accordance with the applicable standards published by the International Electrotechnical Commission (IEC) for Medical Devices and X-ray Systems: IEC 60601-1:2005, IEC 60601-1-2:2007, IEC 60601-1-3:2008, IEC 60601-1-6:2010, IEC 60601-2-28:2010, IEC 60601-2-43:2010, IEC 62304:2006, IEC 62366:2007. Software Documentation for a Moderate Level of Concern, per the FDA quidance document, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Document" issued on May 11, 2005, is also included as part of this submission. Additionally, the design controls used for this device included risk management and all known risks were mitigated to an acceptable level.

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20. CONCLUSION

The subject device is substantially equivalent to the INFX-8000C, w/Spot Fluoroscopy Option, which was cleared via Pre-Market Notification 510(k), K113052. The INFX-8000C, V6.20, incorporates modifications to the cleared device which include a new C-arm support assembly and incremental improvements to the cleared flat panel detectors. While these modifications do introduce new technological characteristics, they did not raise different questions of Substantial Equivalence compared to the predicate device. Documentation of the design change process, as well as non-clinical testing data as described in Section 19 "Testing", demonstrate equivalent or improved performance.

The modifications incorporated into the INFX-8000C, V6.20, do not alter the indications for use or the intended uses associated with the previously cleared device, as described in the labeling. It is the contention of Toshiba that all new safety issues have been addressed in the design of this change and that adequate evidence of this is presented with this submission.