(185 days)
RTHawk is an accessory to 1.5T and 3.0T whole-body magnetic devices (MRDD or MR). It is intended to operate alongside, and in parallel with, the existing MR console to acquire traditional, real-time and accelerated images. The Heart Vista Cardiac Package is a collection of RTHawk Apps designed to acquire, reconstruct and display cardiovascular MR (CMR) images.
RTHawk produces static and dynamic transverse, coronal, sagittal, and oblique cross-sectional images that display the internal structures and/or functions of the entire body. The images produced reflect the spatial distribution of nuclei exhibiting magnetic resonance. The magnetic resonance properties that determine 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 may assist in the determination of a diagnosis.
RTHawk is intended for use as an accessory to the following MRI systems:
Manufacturer: GE Healthcare (GEHC) Field Strength: 1.5T and 3.0T Scanner Software Versions: 15, 16, 23, 24, 25
RTHawk is a software platform intended for the efficient real-time MRI data acquisition, data transfer, image reconstruction, and interactive scan control and display of static and dynamic MR imaging data.
As an accessory to clinical 1.5T and 3.0T MR systems, RTHawk operates alongside, and in parallel with, the MR scanner console with no permanent physical modifications to the MRI system required. RTHawk is designed to run on a stand-alone linux-based computer workstation, with color monitor, keyboard and mouse. A private ethernet network connects the workstation to the MR scanner computer. When not in use, the workstation may be disconnected from the MR scanner with no detrimental, residual impact upon MR scanner function, operation, or throughput.
RTHawk is a linux operating system-level software application that is intended to control the MR scanner, acquiring high quality, real-time MRI image data and performing post-processing. The RTHawk software includes optimized image acquisition applications, a pipelined raw data image reconstruction engine, a rich graphical user interface for interactive scan control, real-time adjustment of pulse sequence parameters, and display of reconstructed images, and drivers and protocols for communications with, and control of, the OEM MR scanner console.
RTHawk Apps (Applications) are comprised of a pulse sequence, predefined fixed and adjustable parameters, reconstruction pipeline(s), and a tailored graphical user interface containing image visualization and scan control tools. RTHawk Apps may provide real-time interactive scanning, conventional (fraditional) batch-mode scanning, accelerated scanning, or calibration functions, in which data acquired may be used to tune or optimize other Apps.
The HeartVista Cardiac Package is a collection of RTHawk APPs that enables the performance of a comprehensive cardiovascular MR (CMR) study in a clinically feasible amount of time. These APPs are designed and optimized to acquire, reconstruct, and display CMR images, with features including:
- On-the-fly, sub-second latency adjustment of image acquisition parameters (e.g., scan plane, flip angle, field-of-view, etc.)
- Real-time imaging, enabling less reliance on ECG gating and artifact suppression techniques. Real-time imaging may be used for scan plane localization, instantaneous tracking of patient motion, and clinical user observation of transient events
- High spatial resolution imaging, including single breath-hold, multi-slice high-resolution GRE app offering near total heart coverage
- Free-breathing, multi-slice SSFP and GRE apps that rapidly acquire high-quality images potentially useful for patients who suffer from arrhythmia or who cannot hold their breath
- Multi-slice dynamic SR GRE app with one heartbeat temporal resolution for time-course imaging.
- Continuous flow quantification
The conventional MRI concept of anatomy- and indication-specific Protocols is implemented within the HeartVista Cardiac Package. APPs within the HeartVista Cardiac Package are organized into basic Protocols pre-set by HeartVista. The clinical user may modify APP parameters from default values within their ranges. These modified APPs may be saved into new or existing user-created Protocols to create unique CMR-indicated protocols tailored to the user's clinical interests.
This document is a 510(k) summary for the HeartVista Cardiac Package (K153740), a software accessory for MRI systems. It primarily focuses on demonstrating substantial equivalence to a predicate device (RTHawk 1.0.1, K142997). The information provided is about the device's technical specifications and the testing performed to ensure its safety and effectiveness.
Here’s an attempt to extract and present the requested information, understanding that a 510(k) summary often does not contain detailed clinical study reports for acceptance criteria, but rather focuses on technical performance and equivalence.
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly state quantitative clinical acceptance criteria for diagnostic performance (e.g., sensitivity, specificity for a particular pathology). Instead, the performance evaluations are focused on technical aspects and subjective diagnostic utility by experts.
| Acceptance Criteria Category | Specific Criteria / Requirement | Reported Device Performance (Summary from Document) |
|---|---|---|
| Safety | Compliance with IEC 60601-2-33 (1st Level Operating Mode) | RTHawk operates within the 1st Level Operating Mode of IEC 60601-2-33. |
| Max SAR < 4W/kg whole-body | Max SAR < 4W/kg whole-body (consistent with predicate device). | |
| dB/dt within 1st Level Operating Mode limits | dB/dt within 1st Level Operating Mode limits (consistent with predicate device). Display of worst-case B1 RMS added as an enhancement. | |
| Acoustic noise | Acoustic noise measurements compared to predicate and consistent. | |
| Technical Performance | Signal-to-Noise Ratio (SNR) | SNR data provided for new pulse sequences. |
| Image Uniformity | Image uniformity data provided for new pulse sequences. | |
| Image Quality (Diagnostic Usefulness) | Clinical images acquired with RTHawk were evaluated by radiologist expertise and found to be diagnostically useful. | |
| Software Conformance | Compliance with ANSI/AAMI ES60601-1:2005 (PEMS) | Conforms to PEMS section. |
| Compliance with NEMA PS3.1 - 3.20 (DICOM) | Conforms to DICOM standards. | |
| Risk Management | Compliance with ISO 14971:2007 | Risk management process compliant with ISO 14971:2007, hazards identified, mitigations developed, and residual risks evaluated. |
2. Sample Size Used for the Test Set and Data Provenance
- Sample Size for Test Set: The document does not specify a numerical sample size for patients or cases used in the performance evaluation (e.g., for "clinical images were acquired using RTHawk").
- Data Provenance: Not explicitly stated regarding country of origin. The study appears to be retrospective in the sense that images were acquired and then evaluated, but it is not detailed if these were pre-existing patient scans or prospectively acquired for the purpose of the study. The phrasing "clinical images were acquired using RTHawk" might suggest prospective acquisition for evaluation, but further specifics are not available.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts
- Number of Experts: Not specified. The document states "radiologist expertise" (plural), indicating more than one.
- Qualifications of Experts: "Trained physician" and "radiologist expertise" are mentioned. No years of experience or specific subspecialty certifications are provided in this summary.
4. Adjudication Method for the Test Set
- Adjudication Method: Not specified. It only mentions evaluation by "radiologist expertise."
5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance
- No MRMC comparative effectiveness study is mentioned for evaluating human reader improvement with or without AI assistance. The device is a software platform intended to acquire, reconstruct, and display images, not explicitly an AI-driven diagnostic aid to human readers in the sense of often-seen AI studies comparing aided vs. unaided performance. The focus is on the diagnostic usefulness of the images produced by the device, not on AI-assisted interpretation.
6. If a Standalone (i.e. algorithm only without human-in-the loop performance) Was Done
- Yes, a standalone performance was done in the sense that the device itself (RTHawk producing images) was evaluated for its technical performance (SNR, uniformity) and for the diagnostic usefulness of the images it produced, before human interpretation for a diagnosis. The evaluation of image quality by radiologists ("diagnostically useful") represents a form of standalone assessment of the device's output.
7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)
- For the "clinical images were acquired using RTHawk, and were evaluated directly based upon radiologist expertise and found to be diagnostically useful," the ground truth can be inferred as expert opinion/consensus on image quality and diagnostic utility. There is no mention of pathology, long-term outcomes, or detailed clinical diagnostic ground truth used for comparison.
8. The Sample Size for the Training Set
- The document does not provide information about a "training set" sample size. Given this is a 510(k) summary for an MRI software platform primarily focused on image acquisition, reconstruction, and display, it's unlikely to feature a machine learning model with a distinct training set in the way a modern AI diagnostic device would. Its "training" would be more akin to software development and validation.
9. How the Ground Truth for the Training Set Was Established
- As no specific training set for a machine learning model is mentioned, there is no information on how its ground truth would have been established. The development of the pulse sequences and reconstruction pipelines would rely on established MRI physics principles and engineering validation, rather than annotated training data in the context of typical AI/ML.
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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's emblem, which consists of a stylized representation of a human figure in profile, repeated three times to symbolize health and well-being. The emblem is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
June 30, 2016
HeartVista, Inc. James Rogers FDA Regulatory Affairs, Quality Assurance and Clinical Studies 4984 El Camino Real, Suite 102 Los Altos, California 94022
Re: K153740
Trade/Device Name: RTHawk, HeartVista Cardiac Package Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic Resonance Diagnostic Device Regulatory Class: Class II Product Code: LNH Dated: May 25, 2016 Received: May 31, 2016
Dear James Rogers:
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 devicerelated 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/ResourcesforYou/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,
Robert Oolo
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) K153740
Device Name RTHawk, HeartVista Cardiac Package
Indications for Use (Describe)
RTHawk is an accessory to 1.5T and 3.0T whole-body magnetic devices (MRDD or MR). It is intended to operate alongside, and in parallel with, the existing MR console to acquire traditional, real-time and accelerated images. The Heart Vista Cardiac Package is a collection of RTHawk Apps designed to acquire, reconstruct and display cardiovascular MR (CMR) images.
RTHawk produces static and dynamic transverse, coronal, sagittal, and oblique cross-sectional images that display the internal structures and/or functions of the entire body. The images produced reflect the spatial distribution of nuclei exhibiting magnetic resonance. The magnetic resonance properties that determine 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 may assist in the determination of a diagnosis.
RTHawk is intended for use as an accessory to the following MRI systems:
Manufacturer: GE Healthcare (GEHC) Field Strength: 1.5T and 3.0T Scanner Software Versions: 15, 16, 23, 24, 25
Type of Use (Select one or both, as applicable)
| ☑ Prescription Use (Part 21 CFR 801 Subpart D) | □ Over-The-Counter Use (21 CFR 801 Subpart C) |
|---|---|
| ----------------------------------------------------------------------------------------------- | ---------------------------------------------------------- |
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Image /page/3/Picture/0 description: The image shows the word "HEARTVISTA" in a stylized font. The first part of the word, "HEARTVIS," is in black, blocky letters. The "TA" is in red and has a unique design, resembling a mountain peak. There is also a red dot above the "i" in "VISTA".
Section 5: 510(k) Summary
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Image /page/4/Picture/0 description: The image shows the word "HEARTVISTA" in a stylized font. The word is written in black, except for the last letter "A", which is red. The font is modern and geometric, with sharp angles and clean lines.
510(k) Summary RTHawk, HeartVista Cardiac Package 510(k) Number: K153740
Submitted in accordance with the requirements of SMDA 1990 and 21CFR807.92.
1.0 Medical Establishment Reqistration
Medical Establishment Registration No.: 3011767965
2.0 Contact Information
James Jochen Rogers FDA Regulatory Affairs, Quality Assurance, and Clinical Studies T: 724 713.2298 E: jr@heartvista.com
Establishment Name and Address 3.0
HeartVista, Inc. 4984 El Camino Real, Suite 102 Los Altos, CA 94022
4.0 Submission Date
December 21, 2015, May 25, 2016, and June 28, 2016
5.0 Device Information
Trade/Proprietary Name: RTHawk, HeartVista Cardiac Package Common Name: RTHawk, HeartVista Cardiac Package Model Number(s):
O RTHawk
- O HeartVista Cardiac Package
Regulation Number: 892.1000 Regulation Name: Magnetic resonance diagnostic device (MRDD) Regulatory Class: Class II Device Classification Name: System, Nuclear Magnetic Resonance Imaging Classification Panel: Radiology Classification Product Code(s): LNH
6.0 Predicate Device(s)
| 510(k) # | Device | 510(k) Sponsor | 510(k) ClearanceDate |
|---|---|---|---|
| K142997 | RTHawk 1.0.1 | HeartVista | 12/17/2014 |
minum
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7.0 Device Description
RTHawk is a software platform intended for the efficient real-time MRI data acquisition, data transfer, image reconstruction, and interactive scan control and display of static and dynamic MR imaging data.
As an accessory to clinical 1.5T and 3.0T MR systems, RTHawk operates alongside, and in parallel with, the MR scanner console with no permanent physical modifications to the MRI system required. RTHawk is designed to run on a stand-alone linux-based computer workstation, with color monitor, keyboard and mouse. A private ethernet network connects the workstation to the MR scanner computer. When not in use, the workstation may be disconnected from the MR scanner with no detrimental, residual impact upon MR scanner function, operation, or throughput.
RTHawk is a linux operating system-level software application that is intended to control the MR scanner, acquiring high quality, real-time MRI image data and performing post-processing. The RTHawk software includes optimized image acquisition applications, a pipelined raw data image reconstruction engine, a rich graphical user interface for interactive scan control, real-time adjustment of pulse sequence parameters, and display of reconstructed images, and drivers and protocols for communications with, and control of, the OEM MR scanner console.
RTHawk Apps (Applications) are comprised of a pulse sequence, predefined fixed and adjustable parameters, reconstruction pipeline(s), and a tailored graphical user interface containing image visualization and scan control tools. RTHawk Apps may provide real-time interactive scanning, conventional (fraditional) batch-mode scanning, accelerated scanning, or calibration functions, in which data acquired may be used to tune or optimize other Apps.
The HeartVista Cardiac Package is a collection of RTHawk APPs that enables the performance of a comprehensive cardiovascular MR (CMR) study in a clinically feasible amount of time. These APPs are designed and optimized to acquire, reconstruct, and display CMR images, with features including:
- On-the-fly, sub-second latency adjustment of image acquisition parameters (e.g., scan plane, ○ flip angle, field-of-view, etc.)
- Real-time imaging, enabling less reliance on ECG gating and artifact suppression techniques. Real-time imaging may be used for scan plane localization, instantaneous tracking of patient motion, and clinical user observation of transient events
- High spatial resolution imaging, including single breath-hold, multi-slice high-resolution GRE app offering near total heart coverage
- Free-breathing, multi-slice SSFP and GRE apps that rapidly acquire high-quality images -O potentially useful for patients who suffer from arrhythmia or who cannot hold their breath
- Multi-slice dynamic SR GRE app with one heartbeat temporal resolution for time-course O imaqing.
- Continuous flow quantification o
The conventional MRI concept of anatomy- and indication-specific Protocols is implemented within the HeartVista Cardiac Package. APPs within the HeartVista Cardiac Package are organized into basic Protocols pre-set by HeartVista. The clinical user may modify APP parameters from default values within their ranges. These modified APPs may be saved into new or existing user-created Protocols to create unique CMR-indicated protocols tailored to the user's clinical interests.
RTHawk operates compatible MR scanners within the safety parameters listed in the table below:
| Safety Parameter | Safety Level |
|---|---|
| Magnet field strength | 1.5T, 3.0T |
| Operating Modes IEC 60601-2-33 (2010-03) | 1st Level Operating Mode |
| Safety Parameter Display | SAR, dB/dt |
| Max SAR | <4W/kg whole-body |
| Max dB/dt | 1st Level Operating Mode |
Image /page/5/Picture/15 description: The image shows a red wave pattern that starts with very short wavelengths and gradually increases in wavelength. The wave eventually becomes a straight line. The number 3 is located at the bottom right of the image.
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8.0 Indications for Use
RTHawk is an accessory to 1.5T and 3.0T whole-body magnetic resonance diagnostic devices (MRDD or MR). It is intended to operate alongside, and in parallel with, the existing MR console to acquire traditional, real-time, and accelerated images. The HeartVista Cardiac Package is a collection of RTHawk Apps designed to acquire, reconstruct and display cardiovascular MR (CMR) images.
RTHawk produces static and dynamic transverse, coronal, sagittal, and oblique cross-sectional images that display the internal structures and/or functions of the images produced reflect the spatial distribution of nuclei exhibiting magnetic resonance. The magnetic resonance properties that determine 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 may assist in the determination of a diagnosis.
RTHawk is intended for use as an accessory to the following MRI systems:
Manufacturer: GE Healthcare (GEHC) Field Strength: 1.5T and 3.0T Scanner Software Versions: 15, 16, 23, 24, 25
9.0 Technological Characteristics Comparison to Predicate Device
The structure of the RTHawk software is identical to the predicate device, and is comprised of the following functional modules:
- O Acquisition responsible for the transfer of MR raw data from the MR scanner to the HeartVista Workstation
- O Analysis contains the image post-processing tools
- Application HeartVista APPs. Each APP is comprised of a pulse sequence, user parameters, a ○ reconstruction pipeline, and a specific user interface
- Information System - the central repository of all relevant MRI system configuration, patient, study, scan, etc., parameters associated with the current patient study
- Reconstruction responsible for the efficient processing of raw data to generate MR images O via a flexible, pipelined topology
- O Scan Control responsible for the real-time network transfer of controlling orders for APPs, APPs parameters modifications, and dynamic information from the MR host in response to user or program requests
- O Sequencer creates and provides a specific set of pulse sequence waveforms to control the MR scanner
- Storage obtains current patient and scan information, performs non-volatile local storage, o exports images and data in DICOM format, and logs events.
- Visualization implements all aspects of the user iterface, including APP selection, controls to O modify APP parameters, image display, graphical slice prescription, and image review, save, and export.
The predicate device was described as the "HeartVista Workstation with the RTHawk application software." With the current release of RTHawk software, the workstation is specified and validated by HeartVista, and procured by the end-user.
As with the predicate device, RTHawk Apps (Applications) are comprised of a pulse sequence, predefined fixed and adjustable parameters, reconstruction pipeline(s), and a tailored graphical user interface containing image visualization and scan control tools. RTHawk Apps provide real-time interactive, batch-mode, and accelerated scanning, as well as calibration functions, in which data acquired may be used to tune or optimize other Apps. For safety, the RTHawk software is enhanced for display of worst-cast B1 RMS that the APP can potentially reach while scanning, in addition to already-displayed worst-case SAR, dB/dt.
mm/vv
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As a refinement and specialization of the predicate device RTHawk software, the HeartVista Cardiac Package is collection of RTHawk APPs that enables the performance of a comprehensive cardiovascular MR (CMR) study in a clinically feasible amount of time.
Instructions for use are included within the device labeling, and the information provided enables the user to operate the device in a safe and effective manner.
The table below summarizes a comparison of the revised technological characteristics to the predicate device:
| Attribute | RTHawk, K142997 | RTHawk, K153740Modified Device |
|---|---|---|
| Indications for Use | The HeartVista Workstation withRTHawk application software isan accessory to 1.5T and 3.0Twhole-body magnetic resonancediagnostic devices (MRDD or MR).The HeartVista Workstation withthe RTHawk application softwareis intended to operate alongside,and in parallel with, the existing MRconsole to acquire real-time andaccelerated images. The HeartVistaWorkstation with the RTHawkapplication software is indicatedfor Cardiovascular MR (CMR)applications.The HeartVista Workstation withthe RTHawk application softwareproduces static and dynamictransverse, coronal, sagittal, andoblique cross-sectional images thatdisplay the internal structures and/or functions of the entire body. Theimages produced re ect the spatialdistribution of nuclei exhibitingmagnetic resonance.The magnetic resonance propertiesthat determine image appearanceare proton density, spin-latticerelaxation time (T1), spin-spinrelaxation time (T2) and flow. Wheninterpreted by a trained physician,these images provide informationthat may assist in the determinationof a diagnosis.The HeartVista Workstation withthe RTHawk application software isintended for use as an accessory tothe following OEM, MRI system, andsoftware release versions:* GE Healthcare (GEHC) Signa HDxt1.5T, 3.0T. Software versions 15 and 16* GE Healthcare (GEHC) DVMR 1.5T,3.0T. Software version 24 | RTHawk is an accessory to 1.5Tand 3.0T whole-body magneticresonance diagnostic devices(MRDD or MR). It is intended tooperate alongside, and in parallelwith, the existing MR console toacquire traditional, real-time, andaccelerated images. The HeartVistaCardiac Package is a collectionof RTHawk Apps designed toacquire, reconstruct and displaycardiovascular MR (CMR) images.RTHawk produces static anddynamic transverse, coronal, sagittal,and oblique cross-sectional imagesthat display the internal structuresand/or functions of the entire body.The images produced reflect thespatial distribution of nuclei exhibitingmagnetic resonance. The magneticresonance properties that determineimage appearance are protondensity, spin-lattice relaxation time(T1), spin-spin relaxation time (T2) andflow. When interpreted by a trainedphysician, these images provideinformation that may assist in thedetermination of a diagnosis.RTHawk is intended for use as anaccessory to the following MRIsystems:Manufacturer: GE Healthcare(GEHC)Field Strength: 1.5T and 3.0TScanner Software Versions: 15, 16, 23,24, 25 |
| Attribute | RTHawk, K142997 | RTHawk, K153740Modified Device |
| Magnetic FieldStrength(s) | 1.5T 3.0T | 1.5T 3.0T |
| RF Coils | Up to 32-channel Head, Body,Surface, Phased Array.Supports all coils that are currentlyavailable on the MRI console | Up to 32-channel Head, Body,Surface, Phased Array.Supports all coils that are currentlyavailable on the MRI console |
| Shift/Advance Table | No | No |
| Imaging Planes | Transverse, Coronal, Sagittal,Oblique, Double Oblique | Transverse, Coronal, Sagittal,Oblique, Double Oblique |
| Pulse sequences | ||
| Cine Cartesian SSFP | Cine Cartesian SSFP | |
| Cine Spiral SSFP | Cine Spiral SSFP | |
| Gated High-Res GRE | Gated High-Res GRE | |
| Gated Double-IR FSE | Gated Double-IR FSE | |
| Gated Multi-Slice Dyn SR | Time Course GRE (renamed) | |
| Gated IR GRE Cal | FB DE GRE Cal (renamed) | |
| Cine DE Cal | ||
| Multi-Slice DE GRE | ||
| FB DE SSFP | ||
| Cardiac T1 Map | ||
| Gated 3D IR GRE | Single-BH 3D DE GRE (renamed) | |
| Real-Time Loc GRE | Real-Time Loc GRE | |
| Real-Time Loc SSFP | Real-Time Loc SSFP | |
| Real-Time Color PC | Real-Time Color PC | |
| FB Multi-Slice GRE | FB Multi-Slice GRE | |
| HART GRE | ||
| FB Multi-Slice SSFP | FB Multi-Slice SSFP | |
| HART SSFP | ||
| Gated 3D MRA GRE | ||
| Nav 3D DE GRE | ||
| Cardiac T2* Map |
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10.0 Performance Data
Design controls quality assurance measures during the development of RTHawk include:
- O Code reviews
- O Design reviews
- O Unit and integration level testing
- O Verification testing, including System and Manual testing
- O Safety testing, including SAR, dB/dt, and acoustic noise
- O Performance testing, including SNR and uniformity
- O Validation testing
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RTHawk conforms to the FDA Recognized Consensus Standards listed in the table below, as applicable to device features and components:
| Reference # | Title |
|---|---|
| ANSI/AAMI ES60601-1:2005/(R)2012 +C1 +A2 | Medical electrical equipment - Part 1: General requirements forbasic safety and essential performance (IEC 60601-1:2005, MOD)Section 14 Programmable Electrical Medical Systems (PEMS) |
| IEC 60601-2-33 Ed 3.0 (2010-03) | Medical electrical equipment - Part 2-33: Particular requirementsfor the basic safety and essential performance of magneticresonance equipment for medical diagnostic (radiology). |
| MS1-2008 | Determination of Signal-to-Noise Ratio (SNR) in DiagnosticMagnetic Resonance Imaging |
| MS3-2008 | Determination of Image Uniformity in Diagnostic MagneticResonance Images |
| MS4-2010 | Acoustic Noise Measurement Procedure for Diagnostic MagneticResonance Imaging Devices |
| MS8-2008 | Characterization of the Specific Absorption Rate (SAR) forMagnetic Resonance Imaging Systems |
| NEMA PS3.1 - 3.20 (2011) | Digital Imaging And Communications In Medicine (DICOM) Set. |
| ISO 14971:2007 | Medical devices - Application of risk management to medicaldevices. |
Risk management, compliant with ISO 14971:2007, identified hazards, sequences of events, and resultant harms; developed, implemented, and tested risk-controlling mitigations; and evaluated residual risks.
SNR and uniformity data were provided for the new pulse sequences in this submission. Bench testing results for safety parameters of SAR, dB/dt, and acoustic noise were compared to results from the predicate device and were consistent with previously reported results.
Clinical images were acquired using RTHawk, and were evaluated directly based upon radiologist expertise and found to be diagnostically useful.
11.0 Conclusions
Based upon verification and validation testing, safety testing, and compliance with voluntary standards, the Company believes that RTHawk, and the HeartVista Cardiac Package, are substantially equivalent to the predicate device, and do not raise any new questions of safety or effectiveness.
Image /page/9/Figure/8 description: The image shows a red wave pattern that starts with high frequency and gradually decreases. The wave eventually flattens out into a straight line. The number 7 is visible in the bottom right corner of the image.
N/A