K Number
K182504
Device Name
3.0T Air MP M, 3.0T Air MP L
Date Cleared
2018-10-12

(30 days)

Product Code
Regulation Number
892.1000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 3.0T AIR MP M is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen. The 3.0T AIR MP L is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen.
Device Description
The 3.0T AIR MP M is a receive-only coil designed to provide optimum signal-to noise and uniform coverage of general human anatomy including extremities and are designed for use with GE 3.0T MRI Systems. This is a 20 element coils tuned to image proton nuclei. Each coil element has an integrated preamplifier to improve image quality. The 3.0T AIR MP M is provided with P-connectors. The coil has a soft material to conform to the patient's anatomy and maximize patient comfort. Due to the flexibility of the coils, a coil holder may be used to assist in securing the coil in place. The 3.0T AIR MP L is a receive-only coil designed to provide optimum signal-to noise and uniform coverage of general human anatomy including extremities and are designed for use with GE 3.0T MRI Systems. This is a 21 element coils tuned to image proton nuclei. Each coil element has an integrated preamplifier to improve image quality. The 3.0T AIR MP L is provided with P-connectors. The coil has a soft material to conform to the patient's anatomy and maximize patient comfort. Due to the flexibility of the coils, a coil holder may be used to assist in securing the coil in place.
More Information

No
The description focuses on the physical characteristics and function of an MRI receive coil, with no mention of AI or ML for image processing or other functions.

No
The "Intended Use / Indications for Use" section states that the device is "designed... to produce diagnostic images on general human anatomy," indicating an imaging function, not a therapeutic one.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is designed "to produce diagnostic images on general human anatomy".

No

The device is described as a physical RF coil with multiple elements, integrated preamplifiers, and connectors, designed to be used with an MRI system. This clearly indicates a hardware component, not a software-only device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the 3.0T AIR MP M and L are receive-only RF coils used with MRI systems to produce diagnostic images of general human anatomy. This is an imaging device that works externally to the body, not by analyzing samples taken from the body.

The device's function is to acquire signals from the body during an MRI scan, which are then used to create images for diagnosis. This is fundamentally different from the process of in vitro diagnostics.

N/A

Intended Use / Indications for Use

The 3.0T AIR MP M is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen.

The 3.0T AIR MP L is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen.

Product codes

MOS

Device Description

The 3.0T AIR MP M is a receive-only coil designed to provide optimum signal-to noise and uniform coverage of general human anatomy including extremities and are designed for use with GE 3.0T MRI Systems. This is a 20 element coils tuned to image proton nuclei. Each coil element has an integrated preamplifier to improve image quality. The 3.0T AIR MP M is provided with P-connectors. The coil has a soft material to conform to the patient's anatomy and maximize patient comfort. Due to the flexibility of the coils, a coil holder may be used to assist in securing the coil in place.

The 3.0T AIR MP L is a receive-only coil designed to provide optimum signal-to noise and uniform coverage of general human anatomy including extremities and are designed for use with GE 3.0T MRI Systems. This is a 21 element coils tuned to image proton nuclei. Each coil element has an integrated preamplifier to improve image quality. The 3.0T AIR MP L is provided with P-connectors. The coil has a soft material to conform to the patient's anatomy and maximize patient comfort. Due to the flexibility of the coils, a coil holder may be used to assist in securing the coil in place.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

MRI

Anatomical Site

general human anatomy including extremities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Summary of Non-Clinical Tests: The predicate and modified devices have been subject to similar risk management testing to demonstrate substantial equivalence of safety and performance. Testing included: AAMI/ANSI ES60601-1, IEC 60601-1-2, IEC 60601-2-33, NEMA MS 6, NEMA MS 9, Network blocking analysis, Heat Testing.
Additionally, both predicate and modified devices have a successful biocompatibility track record, as demonstrated by ISO 10993 testing and by their history of use in previously cleared devices.

Summary of Clinical Tests: The subjects of this premarket submission, the 3.0T AIR MP M and 3.0T AIR MP L, do not require clinical studies to support substantial equivalence. Sample clinical images have been included in this submission.

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

Not Found

Predicate Device(s)

3.0T Anterior Array (K172695)

Reference Device(s)

Siemens Contour 24 coil K173446

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1000 Magnetic resonance diagnostic device.

(a)
Identification. A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).(b)
Classification. Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only 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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GE Healthcare Coils (USA Instruments, Inc.) Veronica Meridith Regulatory Affairs Leader 1515 Danner Drive AURORA OH 44202

Re: K182504

Trade/Device Name: 3.0T Air MP M, 3.0T Air MP L Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: Class II Product Code: MOS Dated: September 10, 2018 Received: September 12, 2018

Dear Veronica Meridith:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for

October 12, 2018

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Michael D. O'Hara For

Robert A. 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)

K182504

Device Name 3.0T AIR MP M

Indications for Use (Describe)

The 3.0T AIR MP M is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Indications for Use

510(k) Number (if known)

K182504

Device Name 3.0T AIR MP L

Indications for Use (Describe)

The 3.0T AIR MP L is a receive only RF coil designed for use with GE 3.0T MRI systems to produce diagnostic images on general human anatomy including extremities. The nucleus detected is hydrogen.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:September 07, 2018
Submitter:GE Healthcare Coils (USA Instruments, Inc.)
1515 Danner Drive
Aurora, OH 44202
USA
Primary Contact Person:Veronica Meridith
Regulatory Affairs Leader
GE Healthcare
Phone: 262-955-5427
Fax: 414-908-9585
Secondary Contact Person:Andrew Menden
Regulatory Affairs Manager
GE Healthcare
Phone: 262-521-6223
Fax: 414-908-9585

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3.0T AIR MP M3.0T AIR MP L
Device Trade Name:3.0T AIR MP M3.0T AIR MP L
Common/Usual Name:Coil, Magnetic Resonance, SpecialtyCoil, Magnetic Resonance, Specialty
Classification Names:Magnetic Resonance Diagnostic Device per 21
CFR 892.1000Magnetic Resonance Diagnostic Device per 21
CFR 892.1000
Product Code:MOSMOS
Predicate Device(s):3.0T Anterior Array (K172695)3.0T Anterior Array (K172695)
Device Description:The 3.0T AIR MP M is a receive-only coil designed
to provide optimum signal-to noise and uniform
coverage of general human anatomy including
extremities and are designed for use with GE 3.0T
MRI Systems. This is a 20 element coils tuned to
image proton nuclei. Each coil element has an
integrated preamplifier to improve image quality.
The 3.0T AIR MP M is provided with P-connectors.
The coil has a soft material to conform to the
patient's anatomy and maximize patient comfort.
Due to the flexibility of the coils, a coil holder may
be used to assist in securing the coil in place.The 3.0T AIR MP L is a receive-only coil designed
to provide optimum signal-to noise and uniform
coverage of general human anatomy including
extremities and are designed for use with GE 3.0T
MRI Systems. This is a 21 element coils tuned to
image proton nuclei. Each coil element has an
integrated preamplifier to improve image quality.
The 3.0T AIR MP L is provided with P-connectors.
The coil has a soft material to conform to the
patient's anatomy and maximize patient comfort.
Due to the flexibility of the coils, a coil holder may
be used to assist in securing the coil in place.
Intended Use:The 3.0T AIR MP M is a receive-only RF coil
designed for use with GE 3.0T MRI systems to
produce diagnostic images of general human
anatomy including extremities. The nucleus detected
is hydrogenThe 3.0T AIR MP L is a receive-only RF coil
designed for use with GE 3.0T MRI systems to
produce diagnostic images of general human
anatomy including extremities. The nucleus detected
is hydrogen.
Comparison ofBoth the 3.0T AIR MP M and the predicateBoth the 3.0T AIR MP M and the predicate
Intended Use:device are classified as coils for magnetic
resonance imaging devices and are intended for
diagnostic use. Both indications for use
statements are functional in nature, and do not
list specific diseases or conditions. The 3.0T
AIR MP M and the predicate device are
indicated for the same patient population, and
for the same clinical setting.device are classified as coils for magnetic
resonance imaging devices and are intended for
diagnostic use. Both indications for use
statements are functional in nature, and do not
list specific diseases or conditions. The 3.0T
AIR MP M and the predicate device are
indicated for the same patient population, and
for the same clinical setting.
The proposed Indications for use are simplified
to reflect current coil intent, similar to the
Siemens Contour 24 coil K173446, 510k
cleared 11/17/2017. The Siemens Contour 24
coil Indications for Use is: "The Contour 24 is
intended for use with Siemens 3.0T MR systems
to produce diagnostic images of general human
anatomy that can be interpreted by a trained
physician."The proposed Indications for use are simplified
to reflect current coil intent, similar to the
Siemens Contour 24 coil K173446, 510k
cleared 11/17/2017. The Siemens Contour 24
coil Indications for Use is: "The Contour 24 is
intended for use with Siemens 3.0T MR systems
to produce diagnostic images of general human
anatomy that can be interpreted by a trained
physician."
Therefore, GE Healthcare believes that the 3.0T
AIR MP M has the same intended use as the
predicate device in accordance with the FDA's
guidance document “The 510(k) Program:
Evaluating Substantial Equivalence in Premarket
Notifications [510(k)]", dated 28 July 2014.Therefore, GE Healthcare believes that the 3.0T
AIR MP M has the same intended use as the
predicate device in accordance with the FDA's
guidance document “The 510(k) Program:
Evaluating Substantial Equivalence in Premarket
Notifications [510(k)]", dated 28 July 2014.
Comparison of Technological
Characteristics:Overall, the 3.0T AIR MP M employs the same
fundamental scientific technology as its predicate
device.Overall, the 3.0T AIR MP L employs the same
fundamental scientific technology as its predicate
device.
Coil Design: The most notable technological
differences between the 3.0T AIR MP M and theCoil Design: The most notable technological
differences between the 3.0T AIR MP L and the
predicate AIR Anterior Array is thatpredicate AIR Anterior Array is that
1)
The 3.0T AIR MP M contains 20 elements as
compared to the predicate's 30 elements and1)
The 3.0T AIR MP L contains 21 elements as
compared to the predicate's 30 elements and
2)
The 3.0T AIR MP M is used on GE 3.0T MRI
as compared to the predicate's GE 3.0T MRI
systems2)
The 3.0T AIR MP L is used on GE 3.0T MRI
as compared to the predicate's GE 3.0T MRI
systems
Operating Principles: The 3.0T MP M and 3.0T AIR MP L both operate on the same principles as the
predicate devices.
Materials: The 3.0T AIR MP M and 3.0T AIR MP L electrical elements and associated circuitry are
supported throughout the coil by flame rated V2 co-polyester injection mold enclosure and V0 equivalent
flame rated enclosures. Both coils and the predicate device are certified to AAMI/ANSI ES60601-1, which
includes flammability requirements.
Safety and Performance Testing: The 3.0T MP M and 3.0T AIR MP L and the predicate devices comply
with the same safety and performance testing (see Determination of Substantial Equivalence, below).
These technological differences do not raise any different questions of safety and effectiveness
Determination of Substantial
Equivalence:Summary of Non-Clinical Tests:
The predicate and modified devices have been subject to similar risk management testing to demonstrate
substantial equivalence of safety and performance. Testing included:
• AAMI/ANSI ES60601-1
• IEC 60601-1-2
• IEC 60601-2-33
• NEMA MS 6
• NEMA MS 9
Network blocking analysis
Heat Testing
Additionally, both predicate and modified devices have a successful biocompatibility track record, as
demonstrated by ISO 10993 testing and by their history of use in previously cleared devices.
The following quality assurance measures were applied to the development of the devices:
Risk Analysis
Requirements Reviews
Design Reviews
Testing on unit level (Module verification)
Integration testing (System verification)
Performance testing (Verification)
Safety testing (Verification)
Simulated use testing (Validation)
Summary of Clinical Tests:
The subjects of this premarket submission, the 3.0T AIR MP M and 3.0T AIR MP L, do not require clinical
studies to support substantial equivalence. Sample clinical images have been included in this submission.
Substantial Equivalence Conclusion:
The indications for use of the proposed devices are comparable to the claimed predicate devices. The 3.0T
AIR MP M and 3.0T AIR MP L employs equivalent technology to the claimed predicate devices.
Additionally, the results from the above non-clinical tests demonstrate that the devices perform as intended.
Thus, the 3.0T AIR MP M and 3.0T AIR MP L are substantially equivalent to the predicate devices to which
they have been compared.
Conclusion:GE Healthcare considers the 3.0T AIR MP M and 3.0T AIR MP L to be as safe, as effective, and
performance is substantially equivalent to the predicate devices.

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  • Maximum B1 peak

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