K Number
K162643
Device Name
MediGuide Technology System
Manufacturer
Date Cleared
2016-12-13

(82 days)

Product Code
Regulation Number
870.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MediGuide™ Technology system is intended for the evaluation of vascular and cardiac anatomy. It is intended to enable real time tip positioning and navigation of a MediGuide Enabled™ (equipped with a magnetic sensor) invasive device used in vascular or cardiac interventions in the Cath Lab environment, on both live fluoroscopy or recorded background. The System is indicated for use as an adjunct to fluoroscopy.
Device Description
MediGuide Technology enables navigation of devices on pre-recorded X-ray images allowing the physician to reduce the duration of live X-ray during a procedure. MediGuide Technology applies 3D visualization and precise navigation to pre-recorded 2D X-ray images and can be used by the physician to perform complex electrophysiology procedures and CRT implants. MediGuide Technology is analogous to a global positioning system (GPS) in that it uses a low powered electromagnetic field to locate device-based sensors in three-dimensional space. The system uses this location information to overlay MediGuide™ Enabled/Sensor Enabled™ devices on the corresponding pre-recorded X-ray image, which allows the physician to reduce the duration of live X-ray during a procedure. MediGuide creates a real-time clinical environment by compensating for patient motion, respiration and heart rate variability
More Information

K120301-MediGuide™ Technology System

No
The description focuses on electromagnetic tracking and 3D visualization on pre-recorded 2D images, analogous to GPS, with no mention of AI or ML techniques.

No.
The device is described as an adjunct to fluoroscopy for evaluating vascular and cardiac anatomy, enabling real-time tip positioning and navigation of invasive devices. Its purpose is to guide procedures and reduce live X-ray exposure, not to directly treat a disease or condition.

No

The device is described as enabling real-time tip positioning and navigation of invasive devices during vascular or cardiac interventions, acting as an adjunct to fluoroscopy to reduce live X-ray exposure. Its purpose is to guide procedures, not to diagnose a condition.

No

The device description explicitly mentions a "low powered electromagnetic field" and "device-based sensors," indicating the presence of hardware components beyond just software. The performance studies also mention "hardware addition."

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The MediGuide™ Technology system is used during a medical procedure (vascular or cardiac interventions) to help guide and navigate invasive devices within the patient's body. It uses electromagnetic fields and pre-recorded images for real-time positioning.
  • No Sample Analysis: The device does not analyze any biological samples taken from the patient. Its function is entirely focused on real-time navigation and visualization within the body.

Therefore, the MediGuide™ Technology system falls under the category of a medical device used for image-guided procedures, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The MediGuide™ Technology system is intended for the evaluation of vascular and cardiac anatomy. It is intended to enable real time tip positioning and navigation of a MediGuide Enabled™ (equipped with a magnetic sensor) invasive device used in vascular or cardiac interventions in the Cath Lab environment, on both live fluoroscopy or recorded background. The System is indicated for use as an adjunct to fluoroscopy.

Product codes

DQK

Device Description

MediGuide Technology enables navigation of devices on pre-recorded X-ray images allowing the physician to reduce the duration of live X-ray during a procedure. MediGuide Technology applies 3D visualization and precise navigation to pre-recorded 2D X-ray images and can be used by the physician to perform complex electrophysiology procedures and CRT implants. MediGuide Technology is analogous to a global positioning system (GPS) in that it uses a low powered electromagnetic field to locate device-based sensors in three-dimensional space. The system uses this location information to overlay MediGuide™ Enabled/Sensor Enabled™ devices on the corresponding pre-recorded X-ray image, which allows the physician to reduce the duration of live X-ray during a procedure. MediGuide creates a real-time clinical environment by compensating for patient motion, respiration and heart rate variability

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

vascular and cardiac anatomy

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Cath Lab environment

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)

Design verification activities for functional testing were performed with their respective acceptance criteria to ensure that software modifications and hardware addition do not affect the safety or effectiveness of the device. All testing performed met the established performance specifications.
The changes to the application software and operating system were evaluated through software verification and validation to show that the application software is acceptable for use and meets requirements.
A non GLP study confirming customer requirements and system compatibility was conducted.

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

Not Found

Predicate Device(s)

K120301-MediGuide™ Technology System

Reference Device(s)

K160335 – Advisor™ FL, Circular Mapping Catheter, Sensor Enabled™, K160210 – EnSite Precision™ Cardiac Mapping System

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1425 Programmable diagnostic computer.

(a)
Identification. A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.(b)
Classification. Class II (performance standards).

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

December 13, 2016

St. Jude Medical Marlene Peterson Sr. Regulatory Affairs Manager One St. Jude Medical Drive St. Paul, Minnesota 55117

Re: K162643

Trade/Device Name: MediGuide Technology System (Version 17.0) Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DQK Dated: September 20, 2016 Received: September 22, 2016

Dear Marlene Peterson:

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.

Sincerely,

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K162643

Device Name MediGuide™ Technology System Version 17.0

Indications for Use (Describe)

The MediGuide™ Technology system is intended for the evaluation of vascular and cardiac anatomy. It is intended to enable real time tip positioning and navigation of a MediGuide Enabled™ (equipped with a magnetic sensor) invasive device used in vascular or cardiac interventions in the Cath Lab environment, on both live fluoroscopy or recorded background. The System is indicated for use as an adjunct to fluoroscopy.

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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510(k) Summary
510(k) NumberK162643
Submitter Information:
Date Prepared:November 7, 2016
ManufacturerSt. Jude Medical
Name & Address:One St. Jude Medical Drive
St. Paul, MN 55117
Contact Person:Marlene Peterson
Sr. Regulatory Manager
Phone (651) 756-3268
Fax (651) 756-3301
mpeterson07@sjm.com
Device Information:
Trade Name:MediGuide™ Technology System Version 17.0
Common Name:Programmable Diagnostic Computer
Classification Name:870.1425, computer, diagnostic, programmable
Product Code:DQK
Class:Class II
Predicate Device:K120301-MediGuide™ Technology System
Reference
ApplicationsK160335 – Advisor™ FL, Circular Mapping Catheter, Sensor Enabled™
K160210 – EnSite Precision™ Cardiac Mapping System
Device Description:MediGuide Technology enables navigation of devices on pre-recorded X-ray
images allowing the physician to reduce the duration of live X-ray during a
procedure. MediGuide Technology applies 3D visualization and precise
navigation to pre-recorded 2D X-ray images and can be used by the physician
to perform complex electrophysiology procedures and CRT implants.
MediGuide Technology is analogous to a global positioning system (GPS) in
that it uses a low powered electromagnetic field to locate device-based
sensors in three-dimensional space. The system uses this location information
to overlay MediGuide™ Enabled/Sensor Enabled™ devices on the
corresponding pre-recorded X-ray image, which allows the physician to
reduce the duration of live X-ray during a procedure. MediGuide creates a
real-time clinical environment by compensating for patient motion,
respiration and heart rate variability
Intended Use:
(Indications for Use)The MediGuide™ Technology system is intended for the evaluation of
vascular and cardiac anatomy. It is intended to enable real time tip
positioning and navigation of a MediGuide Enabled™/Sensor Enabled™
(equipped with a magnetic sensor) invasive device used in vascular or cardiac
interventions in the Cath Lab environment, on both live fluoroscopy or
recorded background. The System is indicated for use as an adjunct to
fluoroscopy.
Comparison to
Predicate DevicesThe proposed MediGuide™ Technology System software version v17.0 has
the same intended use and fundamental scientific technology as the predicate
device, MediGuide™ Technology cleared under MediGuide™ Technology
System K120301 (decision date on Feb 24 2012). The modified
MediGuide™ Technology System is identical to the cleared device
(K120301), with the following modifications:
510(k) Summary
510(k) NumberK162643 Upgrading of operation system from Microsoft Windows XP to Microsoft Windows 7 Updates to existing software features and bug fixes Introducing the new hardware , MediGuide ™ Sensor Enabled Devices Minor hardware change to (elimination of one computer and corresponding routing changes) New MediGuide™ Cath Connect, Sensor Enabled™ hardware unit compatible with Sensor Enabled™ Device Updated Indications for Use for compatibility with Sensor Enabled™ devices
Summary on Non-Clinical TestingMediGuide™ Technology System has the same intended use as the predicate device. The technological characteristic for the devices are the same as predicate devices.
Design verification activities for functional testing were performed with their respective acceptance criteria to ensure that software modifications and hardware addition do not affect the safety or effectiveness of the device. All testing performed met the established performance specifications.
The changes to the application software and operating system were evaluated through software verification and validation to show that the application software is acceptable for use and meets requirements.
The MediGuide™ Technology System v17.0 is developed and tested in accordance with the following industry guidance documents and standards: Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Content of Premarket Submissions for Management of Cybersecurity in Medical Devices: Guidance for Industry and Food and Drug Administration Staff Software Documentation for a Moderate Level of Concern software per FDA's Guidance Document "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" is included as part of this submission. The MediGuide™ Technology System conforms to the following standards: EN ISO 14971 (2012) Medical Devices – Applications of risk management to medical devices IEC 60601-1 (2005 + CORR.1 (2006) + CORR.2 (2007) + AM1:2012) Medical electrical equipment- Part 1: General requirements for basic safety and essential performance IEC 60601-1-2 (2007) Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: electromagnetic disturbances - requirements and tests IEC 62304 (2006) Medical Device Software- Software Life Cycle Process
510(k) Summary
510(k) NumberK162643
IEC 62366 (2007) Medical devices – Application of usability engineering to medical devices
A non GLP study confirming customer requirements and system
compatibility was conducted.
Risk Management
The changes to the application software and operating system were evaluated
through review of risk management to ensure no new hazards have been
introduced by this change. The risk analysis was completed and risk controls
were implemented to mitigate identified hazards.
Statement of
EquivalenceThe MediGuide™ Technology System v17.0 has the same intended use as the
predicate device. The technological characteristics for the device are the same
as the predicate device. Based on this and the data provided in this pre-market
notification, the subject device and predicate device have been shown to be
substantially equivalent.

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