K Number
K960907
Device Name
ORCA
Manufacturer
Date Cleared
1996-05-20

(76 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The ORCA is a small image intensibled fluoroscopic C-Arm, for imaging extremities in orthopedic applications. The ORCA Operator's manual contains the following statement: "CAUTION: Federal Law (USA) restricts this device to sale and use by or on the order of a physician."
Device Description
The ORCA is a small image intensified fluoroscopic C-Arm, for imaging extremities in orthopedic applications.
More Information

K95 1765

K95 1765

No
The document describes a standard fluoroscopic C-Arm with image processing capabilities, but there is no mention of AI, ML, or related concepts like training/test sets or performance metrics typically associated with AI/ML algorithms.

No.
The device is an imaging device (fluoroscopic C-Arm) used for diagnostic purposes (imaging extremities), not for treating conditions.

No
This device is an imaging device used to visualize extremities, not to diagnose a condition. It assists in orthopedic applications by providing real-time imaging during procedures.

No

The device description explicitly states it is a "small image intensified fluoroscopic C-Arm," which is a hardware device. While it mentions image processing, this is a function of the hardware system, not a standalone software device.

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

Here's why:

  • Intended Use/Indications for Use: The description clearly states the device is for "imaging extremities in orthopedic applications." This involves imaging the human body directly, not testing samples taken from the body (like blood, urine, or tissue).
  • Device Description: It's described as a "fluoroscopic C-Arm," which is an imaging device used in medical procedures.
  • Input Imaging Modality: It uses "Image Intensified Fluoroscopic X-Ray System," which is an in-vivo imaging technique.
  • Anatomical Site: It targets "Extremities," which are parts of the human body.
  • Federal Law Statement: The "CAUTION: Federal Law (USA) restricts this device to sale and use by or on the order of a physician" is typical for medical devices used directly on patients, not for IVDs.

IVDs are devices used to examine specimens derived from the human body to provide information for diagnostic purposes. This device is used to visualize the inside of the body directly.

N/A

Intended Use / Indications for Use

The ORCA is a small image intensibled fluoroscopic C-Arm, for imaging extremities in orthopedic applications. The ORCA Operator's manual contains the following statement:

"CAUTION: Federal Law (USA) restricts this device to sale and use by or on the order of a physician."

Product codes

OXO

Device Description

The ORCA is a small image intensified fluoroscopic C-Arm, for imaging extremities in orthopedic applications. The ORCA is substantially equivalent to the Series 6600 Digital Mobile C-Arm, manufactured by OEC Medical Systems, Inc.

Mentions image processing

Image Memory/Processing: 512 X 512 X 12, 1024 X 1024 X 12

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Image Intensified Fluoroscopic X-Ray

Anatomical Site

patient's extremities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician

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)

Not Found

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

Not Found

Predicate Device(s)

K95 1765

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.

0

LUNAR

K960907

313 W. BELTLINE HIGHWAY

MADISON, WI 53713

(608) 274-2663

MAY 20 1996

9.0 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of safety and effectiveness information is submitted in accordance with the requirements of 21 CFR 807.92(c).

| Contact Person: | Gary Syring
LUNAR Corporation
313 West Beltline Highway
Madison, WI 53713 |
|----------------------|------------------------------------------------------------------------------------|
| Phone: | (608) 274-2663 |
| Fax: | (608) 274-0853 |
| Date: | February 23, 1996 |
| Device/Trade Name: | ORCA |
| Common Name: | Ortho C-Arm |
| Classification Name: | Image Intensified Fluoroscopic X-Ray System
21CFR 892.1650 |
| Predicate Device: | K95 1765
OEC Medical Systems Inc.
Series 6600 Digital Mobile C-Arm |

9.1 DESCRIPTION OF THE DEVICE:

The ORCA is a small image intensified fluoroscopic C-Arm, for imaging extremities in orthopedic applications. The ORCA is substantially equivalent to the Series 6600 Digital Mobile C-Arm, manufactured by OEC Medical Systems, Inc.

9.2 SUMMARY OF TECHNICAL CHARACTERISTICS

The technical characteristics of the ORCA are substantially equivalent to the Series 6600 Digital Mobile C-Arm. A comparison table of technical characteristics follows.

1

FeaturePredicate OEC MINI 6600ORCA
Intended Use:Provide physician with generalProvide physician with general
fluoroscopic visualization of thefluoroscopic visualization of
patient's extremitiespatient's extremities
X-Ray Source:Stationary AnodeStationary Anode
0.25 mm focal spot0.3 mm focal spot
75 KVp/0.1 mA (7.5w)80 KVp/0.7 mA (56w)
40 cm SID45 cm SID
Image Information:Motorized Image RotationDigital Image Rotation
4 or 6 inch image intensifier6 inch image intensifier
16 inch monitor17 inch monitor
Fluoroscopy:Manual Control -Manual Control -
(combined KVp/mA)(combined KVp/mA)
Automatic Exposure: RateAutomatic Exposure Rate
ControlControl
Image Memory/Processing:640 X 510 X 10512 X 512 X 12
1024 X 1024 X 12
Image Handling Interface:PrinterPrinter
VCR OptionVCR Option
DICOM 3DICOM 3
Parallel PortParallel Port
C-Arm Specification:30 cm Opening (with variance)35 cm Opening (with variance)
9 cm Source to Skin10 cm Source to Skin
Distance (with variance)Distance (with variance)
Manual mechanical positioningManual mechanical positioning
200 degrees of orientation270 degrees of orientation
Scatter Radiation to
Operator:Director, Regulatory Affairs Title

Summary of Safety, Effectiveness Page 3 of 3

3

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of a bird or abstract human figure. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the image.

Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993

NOV 1 7 2011

Mr. Gary Syring Director, Regulatory Affairs Lunar Corporation 313 W. Beltline Highway MADISON WI 53713

Re: K960907

Trade/Device Name: Mobile Orthopedic C-Arm Regulation Number: 21 CFR 892.1650 Regulation Name: Image intensified fluoroscopic x-ray system, mobile Regulatory Class: II Product Code: OXO Dated: February 29, 1996 Received: March 5, 1996

Dear Mr. Syring:

This letter corrects our substantially equivalent letter of May 20, 1996.

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 (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 contact 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

4

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 (2) CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 Small Manufacturers, International and Consumer Assistance 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.

Sincerely Yours,

l D. Odom for

Mary S. Pastel, Sc.D. Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

. Page _ of _

510(k) Number (if known):

Device Name: ORCA

Indications For Use:

The ORCA is a small image intensibled fluoroscopic C-Arm, for imaging extremities in orthopedic applications. The ORCA Operator's manual contains the following statement:

"CAUTION: Federal Law (USA) restricts this device to sale and use by or on the order of a physician."

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

David A. Seymann

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Deylossy
510(k) Number K960907

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Formal 1-2-96)