K Number
K981358
Device Name
ARTOSCAN S
Date Cleared
1998-07-13

(90 days)

Product Code
Regulation Number
892.5050
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Artoscan S is intended for diagnostic nuclear magnetic resonance imaging of the hip, leg, knee, ankle, foot, shoulder, elbow, forearm, wrist and hand. The device produces transverse, sagittal, coronal and oblique cross-sectional images, displaying the internal structure of the limbs and joints being imaged. The images that are produced correspond to the spatial distribution of protons (hydrogen nuclei) that check the magnetic resonance properties and depend upon the MR parameters (spin-lattice relaxation time (T1), spinspin relaxation time (T2), nuclei density, flow velocity and chemical shift). If interpreted by a medical expert, these images can provide diagnostically useful information.

Device Description

The Artoscan S is a magnetic resonance diagnostic device. It is a "C" shaped Neodymium alloy permanent magnet system with a static field strength of 0.18 T. It has solenoidal and DPA receiver coils designed for specific anatomical sites. The system includes a central processing unit, control processor, acquisition and reconstruction processor, hard disk unit, rewritable optical disk unit, and a display monitor. It supports various data acquisition modes and pulse sequences, allowing for different slice thicknesses, orientations, and acquisition matrices. The device also includes automatic and non-automatic image filtering capabilities and networking functions for printing and sending images in DICOM3 protocol form. It is designed for fixed area installation.

AI/ML Overview

Here's a summary of the acceptance criteria and the study information for the Artoscan S device, based on the provided text.

This document describes the Artoscan S MRI system and its substantial equivalence to previously marketed devices (predicates ARTOSCAN M, AIRIS, and PRIMA 1TG). The submission focuses on comparing the technical characteristics of the Artoscan S to these predicates rather than presenting a performance study with specific acceptance criteria that the device had to meet through a clinical trial.

It's crucial to understand that this submission is a 510(k) for substantial equivalence, not a premarket approval (PMA) application. Therefore, it does not contain a typical clinical study designed to "prove" the device meets detailed performance acceptance criteria in terms of diagnostic accuracy or efficacy. Instead, it demonstrates that the device is as safe and effective as existing legally marketed devices.

The "acceptance criteria" in this context are interpreted as the technical specifications and clinical uses that the Artoscan S demonstrates to be substantially equivalent to the predicate devices. The "reported device performance" is the Artoscan S's claimed capabilities based on its design and comparison to the predicates.


Acceptance Criteria and Reported Device Performance

The acceptance criteria are implied by the comparison to the predicate devices. The reported performance of the Artoscan S matches or improves upon the predicate devices in various technical and clinical use categories.

CharacteristicAcceptance Criterion (from Predicates)Reported Artoscan S PerformanceDevice Meets Criteria?
Clinical UseOrthopedic regions, including knee, leg, ankle, foot, hand, wrist, forearm, elbowKnee, leg, ankle, foot, hand, wrist, forearm, elbow, shoulder, hipYes (Expanded)
Field of View (FOV)50 to 350 mm diameter (AIRIS)100 to 300 mm, step 10 mm (140 mm displayed)Yes (Specific to limbs)
Type of Magnet"C" shaped Neodymium alloy permanent magnet"C" shaped Neodymium alloy permanent magnetYes
Static Field Strength0.3 T (AIRIS); unspecified (ARTOSCAN M)0.18 TYes (Within range of similar low-field systems)
Fringe Field5 G line at 2.5 m max (AIRIS)5 G line at 1.4 m maximumYes (Improved/Less)
Gantry Opening1000 x 380 mm (AIRIS)620 mm x 240 mm (w x h)Yes (Specific to limb MRI)
Radiographic System CoilsSolenoidal and DPA coils for jointsSolenoidal (Shoulder/Knee, Hip) and DPA (Knee, Ankle, Hand/Wrist) coils with different shapesYes (New shapes for gantry/limbs)
RF Powerup to 5000 W peak pulse (AIRIS)up to 600 W peak pulseYes (Lower, suitable for low-field)
Patient ComfortLarge magnet opening to reduce claustrophobiaLarge magnet opening, patient mostly out of magnetYes (Enhances comfort)
Patient PositioningAdjustable table/couch for limb positioningAdjustable couch, manual push into gantryYes (Similar philosophy)
Installation Area4m x 5m (scanner) + 4m x 2.5m (console) (AIRIS)Fixed or mobile (ARTOSCAN M)3.7 m x 3.7 m (Fixed area only)Yes (Smaller footprint, fixed installation)
RF ShieldingExternal shielding to 60 dB (AIRIS)Self-contained or external shielding (ARTOSCAN M)Self-contained (up to 30 dBμV/m), External (up to 100 dBμV/m)Yes
Gradient Strength21 mT/m (PRIMA 1TG whole-body set)20 mT/mYes (Comparable, with noted spatial resolution improvement potential)
Rise Time (Gradients)0.5 msec to full amplitude (PRIMA 1TG)0.5 msec from 0 to 20 mTYes
Data Acquisition ModesSpin warp 2D/3D, Half Scan, Half Echo (ARTOSCAN M)Spin warp 2D/3D, Half Scan, Half EchoYes (Unchanged)
Pulse SequencesComprehensive list (ARTOSCAN M)Identical comprehensive list (ARTOSCAN M)Yes (Unchanged)
Slice Thickness2D FT: 2-10 mm; 3D FT: 0.6-10 mm (ARTOSCAN M)2D FT: 2-10 mm; 3D FT: 0.6-10 mmYes (Unchanged)
Interslice SpacingContiguous slicing available (ARTOSCAN M)Contiguous slicing availableYes (Unchanged)
Slice OrientationTransverse, Sagittal, Coronal, Oblique, Multislice (ARTOSCAN M)Transverse, Sagittal, Coronal, Oblique, MultisliceYes (Unchanged)
Acquisition Matrix2D FT: 192x128 to 256x256; 3D FT: 192x128 to 256x256 (ARTOSCAN M)IdenticalYes (Unchanged)
Spatial ResolutionUp to 0.4 mm (ARTOSCAN M)Up to 0.4 mmYes (Unchanged)
Multi-slice / Multi-echo128 slices max/2 echoes max (ARTOSCAN M)128 slices max/2 echoes maxYes (Unchanged)
Scan Parameters (TR, TE, TI, FA)Various range limits (ARTOSCAN M)Largely identical, some shorter TEs due to higher gradient strengthYes (Substantially unchanged, improved for some sequences)
Image Reconstruction Time2D: 1 sec/img; 3D: ≈ 35 sec (ARTOSCAN M)IdenticalYes (Unchanged)
Display MatrixFormat1: 510x478; Format4: 254x238 (ARTOSCAN M)IdenticalYes (Unchanged)
Grey Scale2D: 4096; 3D: 256 (ARTOSCAN M)IdenticalYes (Unchanged)
Image FilteringAutomatic and non-automatic adaptive/non-adaptive filters (ARTOSCAN M)IdenticalYes (Unchanged)
Networking FunctionsDICOM3 printing/sending, TCP/IP, PPP (ARTOSCAN M)IdenticalYes (Unchanged)

Study Information (Based on a 510(k) Submission)

This document is a 510(k) Premarket Notification for substantial equivalence. It does not describe a clinical study in the typical sense of prospectively gathering patient data to prove diagnostic accuracy against a gold standard. Instead, it relies on demonstrating that the Artoscan S is as safe and effective as its predicate devices by comparing their technical features and intended uses.

  1. Sample size used for the test set and the data provenance: Not applicable. The submission is a technical comparison, not a clinical trial with a "test set" of patient data.

  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. No "test set" with ground truth established by experts is described for this 510(k) submission. The safety and effectiveness are established by the substantial equivalence to predicate devices, which would have undergone their own regulatory evaluations (potentially including clinical data for their initial clearance).

  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. No clinical "test set" and thus no adjudication method is mentioned.

  4. 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: Not applicable. This is an MRI device itself, not an AI-assisted diagnostic tool.

  5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable. This is a medical imaging system, not an algorithm being evaluated independently.

  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable for this 510(k) submission. The "ground truth" for demonstrating safety and effectiveness relies on the technical performance of the device meeting established MRI principles and being comparable to legally marketed predicate devices.

  7. The sample size for the training set: Not applicable. This is not a machine learning or AI device that requires a training set.

  8. How the ground truth for the training set was established: Not applicable.

In summary, the provided document demonstrates substantial equivalence by thoroughly comparing the technical specifications and intended uses of the Artoscan S with three cleared predicate MRI devices (ARTOSCAN M, AIRIS, and PRIMA 1TG). The "proof" is in demonstrating that the Artoscan S has similar indications for use and addresses any differences in technology in a manner that does not raise new questions of safety or effectiveness. The FDA's letter explicitly states that the device is "substantially equivalent...to devices marketed in interstate commerce prior to May 28, 1976...or to devices that have been reclassified."

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JUL 1 3 1898

K981358

Safety and Effectiveness Summary Artoscan S Biosound Esaote

Safety and Effectiveness Summary

The following safety and effectiveness summary has been prepared pursuant to The following surcey and commaries specified in 21CFR 807.92(a).

807.92(a)(1)

Submitter Information

Submitter Information

Colleen Hittle, Official Correspondent
8000 Castleway Drive
Indianapolis, IN 46250
Phone:(317) 849-1916
Facsimile:(317) 577-9070
Contact Person:Colleen Hittle
Date:March 25, 1998

807.92(a)(2)

FDA/CDRH/ODE/DMC

14 APR 98 09 57

Artoscan S Trade Name: Magnetic resonance diagnostic device Common Name: System, Nuclear Magnetic Resonance Imaging Classification Name(s):

90LNH Classification Number:

807.92(a)(3)

EsaoteArtoscan MK963262
HitachiAIRISK945155
ElscintPRIMA 1TGK970990

Additional Substantial Equivalence Information is provided in the following substantial Equivalence Comparison Table.

Predicate Device(s)

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Imaging System 1.

ERR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

,在

CharacteristicARTOSCAN SAIRISK945155Comments
Clinical useKnee, leg, ankle, foot,hand, wrist, forearm,elbow, shoulder, hip.Whole body, centralnervous system andorthopaedic regions.Two new joints(hip andshoulder) havebeen introducedfor examination.
Field of viewFrom 100 up to 300 mm,step 10 mm (140 mm aredisplayed).From 50 up to 350 mm indiameter.A larger FOVhas been realizedto better coverthe anatomicalparts to beimaged.

1. Magnetic System

CharacteristicARTOSCAN SAIRISK945155Comments
Type of magnet"C" shaped Neodymiumalloy permanent magnet."C" shaped Neomax™(Neodymium alloy)permanent magnet.
Static fieldstrength0.18 T (perpendicular topatient's body).0.3 T (perpendicular topatient's body).
Fringe field5 G line at 1.4 mmaximum from the centreof the magnet.5 G line at 2.5 mmaximum from the centreof the magnet.
Gantry opening620 mm x 240 mm (w x h)1000 x 380 mm(w x h)
Magneticsystem weight1700 kg10000 kg

Radiofrequency System 1.

CharacteristicARTOSCAN SAIRISK945155Comments
Solenoidalreceiver coilsShoulder/Knee Coil17.5x7.6x14.7 cmHip Coil20 x 23 x 14 cm(internal dimensions: w x d x h)Large joint Coil (shoulder, knee)18.4x23 cm wxhFlexible body Coil (hip and other regions)20x150 cm wxdThe technology of the solenoidal (or linear) coils is unchanged compared to the technology used for the ARTOSCAN M coils. Coils with different shapes

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CharacteristicARTOSCAN SAIRISK945155Comments
have beendeveloped toadapt to thegeometricalcharacteristics ofthe gantry and tothe new limbs toexamine.
RF powerup to 600 W peak pulseup to 5000 W peak pulse

Patient Positioning 1.

CharacteristicARTOSCAN SAIRIS K945155Comments
Patient comfortThe large magnet openingand the device design, thatallows the patient to bealmost completely out ofthe magnet, except theexamined portion, virtuallyeliminate claustrophobiaand other related reactionsduring the examination.The large magnet openingvirtually eliminates theanxiety and claustrophobiaoften experienced bypatients in the narrow boreof conventional MR imag-ing systems.
PatientpositioningAn adjustable couch isused to position thepatient's limb inside thegantry.The couch is pushed intothe gantry manually.An adjustable motorizedtable is used to position thepatient inside the gantry.The samepositioningphilosophy asARTOSCAN M,suitable for thenew gantryshape, has beenused forARTOSCAN S.

:

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Installation Area Conditions 1.

: 上一篇:

,

CharacteristicARTOSCAN SAIRISK945155Comments
Area necessary3.7 m x 3.7 m4 m x 5 m (gantry andpatient table)4 m x 2.5 m (operatorconsole, MRI unit andother components)
RF shieldingSelf contained RFshielding (up to 30dBμV/m).External shielding (up to100 dBμV/m).The scan room must be RFshielded to 60 dB. RFnoise inside the scan roomshould meet 0.5-30 MHz,0 dBμV/m or less.

2. Magnetic System

CharacteristicARTOSCAN SPRIMA 1TGK970990Comments
Gradientstrength20 mT/mwhole-body set21 mT/mWith highergradient strengthit is possible tominimize at thesame time FOVand slicethickness, alsofor sequenceswith very shortTE, improvingthe spatialresolution.
Rise time0.5 msec from 0 to 20 mTor from -20 to 0 mT0.5 msec to full amplitudesupplementary set30 mT/m0.41 msec to full amplitude
CharacteristicARTOSCAN SARTOSCAN MK963262Comments
DataacquisitionmodesSpin warp 2D/3DHalf ScanHalf EchoSpin warp 2D/3DHalf ScanHalf EchoUnchanged
Pulse sequencesMultiplanar Ortho-ScoutT1-weighted Spin Echo(SET1)T2-weighted Spin Echo(SET2)Multiple Spin-Echo(MEDE)Gradient Echo (GE)Inversion Recovery (IR)Short TI InversionRecovery (STIR)Half Echo T1-weightedSpin Echo (SET1HE)Half Fourier T1-weightedSpin Echo (SET1HF)Turbo T2-weighted Spin-Echo (TSE)Turbo Multiple Spin-Echo(TME)Turbo Gradient Echo(TGE)3D Gradient Echo (GE3D)Turbo 3D T1-weightedGradient Echo (T3D_T1)Turbo 3D T2-weightedGradient Echo (T3D_T2)Short TI InversionRecovery Gradient Echo(GEFS)Magnetization Transfer(GEMT)3D Magnetization Transfer(GE3DMT)Multiplanar Ortho-ScoutT1-weighted Spin Echo(SET1)T2-weighted Spin Echo(SET2)Multiple Spin-Echo(MEDE)Gradient Echo (GE)Inversion Recovery (IR)Short TI InversionRecovery (STIR)Half Echo T1-weightedSpin Echo (SET1HE)Half Fourier T1-weightedSpin Echo (SET1HF)Turbo T2-weighted Spin-Echo (TSE)Turbo Multiple Spin-Echo(TME)Turbo Gradient Echo(TGE)3D Gradient Echo (GE3D)Turbo 3D T1-weightedGradient Echo (T3D_T1)Turbo 3D T2-weightedGradient Echo (T3D_T2)Short TI InversionRecovery Gradient Echo(GEFS)Magnetization Transfer(GEMT)3D Magnetization Transfer(GE3DMT)Unchanged
Slice thickness2D FT: from 2 mm to 10mm, step 0.5 mm3D FT: from 0.6 mm to 10mm, step 0.1 mm2D FT: from 2 mm to 10mm, step 0.5 mm3D FT: from 0.6 mm to 10mm, step 0.1 mmUnchanged
InterslicespacingNot necessary: contiguousslicing is availableNot necessary: contiguousslicing is availableUnchanged
CharacteristicARTOSCAN SARTOSCAN M K963262Comments
Slice orientationTransverseSagittalCoronalObliqueMultislice packagesTransverseSagittalCoronalObliqueMultislice packagesUnchanged
Acquisition matrix2D FT: from 192x128 up to 256x256; phase encoding step 83D FT: from 192x128 up to 256x256; slice encoding from 8 to 128, step 8; phase encoding step 82D FT: from 192x128 up to 256x256; phase encoding step 83D FT: from 192x128 up to 256x256; slice encoding from 8 to 128, step 8; phase encoding step 8Unchanged
Spatial resolutionUp to 0.4 mm.Up to 0.4 mm.Unchanged
Multi-slice128 slices max (for each echo)128 slices max (for each echo)Unchanged
Multi-echo2 echoes max2 echoes maxUnchanged
Scan parametersTRSET1: 50 ~ 5000 ms, step 10 msSET2: 200 ~ 5000 ms, step 10 msMEDE: 200 ~ 5000 ms, step 10 msGE: 60 ~ 5000 ms., step 10 msIR: 260 ~ 5000 ms, step 10 msSTIR: 100 ~ 5000 ms, step 10 msSET1HE: 50 ~ 5000 ms, step 10 msSET1HF: 50 ~ 5000 ms, step 10 msTSE: 200 ~ 5000 ms, step 10 msTME: 200 ~ 5000 ms., step 10 msTGE: 30 ~ 5000 ms, step 5 msGE3D: 40 ~ 5000 ms, step 10 msT3D_T1: 25 ~ 5000 ms, step 5 msTRSET1: 50 ~ 5000 ms, step 10 msSET2: 200 ~ 5000 ms, step 10 msMEDE: 200 ~ 5000 ms, step 10 msGE: 60 ~ 5000 ms., step 10 msIR: 260 ~ 5000 ms, step 10 msSTIR: 100 ~ 5000 ms, step 10 msSET1HE: 50 ~ 5000 ms, step 10 msSET1HF: 50 ~ 5000 ms, step 10 msTSE: 200 ~ 5000 ms, step 10 msTME: 200 ~ 5000 ms., step 10 msTGE: 30 ~ 5000 ms, step 5 msGE3D: 40 ~ 5000 ms, step 10 msT3D_T1: 25 ~ 5000 ms, step 5 msUnchanged
CharacteristicARTOSCAN SARTOSCAN MK963262Comments
T3D_T2 : 35 ~ 5000 ms,step 1 msT3D_T2 : 35 ~ 5000 ms,step 1 ms
GEFS: 70 ~ 5000 ms., step10 msGEFS: 70 ~ 5000 ms., step10 ms
GEMT: 40 ~ 5000 ms,step 5 msGEMT: 40 ~ 5000 ms,step 5 ms
GE3DMT: 45 ~ 5000 ms,step 5 msGE3DMT: 45 ~ 5000 ms,step 5 ms
TESET1: 16~34 ms, step 2 msSET1: 18 ~ 34 ms, step 2 msThe sequencesare substantiallyunchanged. Forsome sequenceswe used shorterTE, to obtain amore T1-weightedcontrast. That ispossible thanksthe highergradient strength.
SET2: 80~ 120 ms, step10 msSET2: 80~ 120 ms, step10 ms
MEDE: 1st echo 38 ms;2nd echo 90 msMEDE: 1st echo 38 ms;2nd echo 90 ms
GE: 12 ~ 24 ms, step 2 msGE: 12 ~ 24 ms, step 2 ms
IR: 16 ~ 34 ms, step 2 msIR: 18~34 ms, step 2 ms
STIR: 16 ~ 34 ms, step 2msSTIR: 18 ~ 34 ms, step 2ms
SET1HE: 10 ~ 24 ms, step2 msSET1HE: 12 ~ 24 ms, step2 ms
SET1HF: 16 ~ 34 ms, step2 msSET1HF: 18 ~ 34 ms, step2 ms
TSE: 80 ~ 120 ms, step 10msTSE: 80 ~ 120 ms, step 10ms
TME: 1st echo 38 ms; 2ndecho 90 msTME: 1st echo 38 ms; 2ndecho 90 ms
TGE: 8 ~ 24 ms, step 1 msTGE: 8 ~ 24 ms, step 1 ms
GE3D: 8 ~ 24 ms, step 1msGE3D: 14~24 ms, step 2ms
T3D_T1: 8~24 ms, step1 msT3D_T1: 8~24 ms, step1 ms
T3D_T2 : fixed at 16 msT3D_T2 : fixed at 16 ms
GEFS: 8 ~ 24 ms, step 1msGEFS: 12 ~ 24 ms, step 2ms
GEMT: 8 ~ 24 ms, step 1msGEMT: 8 ~ 24 ms, step 1ms
GE3D MT: 8 ~ 24 ms, step1 msGE3D MT: 8 ~ 24 ms, step1 msUnchanged
TIIR: 200 ~ 800 ms, step 10msIR: 200 ~ 800 ms, step 10ms
STIR: 50~200 ms, step 5msSTIR: 50~200 ms, step 5ms
CharacteristicARTOSCAN SARTOSCAN MK963262Comments
GEFS : 20 ~ 200 ms, step5 msGEFS : 20 ~ 200 ms, step5 ms
FAFAUnchanged
GE: fixed at 90ºGE: fixed at 90º
TGE: 10º ~ 90º, step 5ºTGE: 10º ~ 90º, step 5º
GE3D: 10º ~ 90º, step 5ºGE3D: 10º ~ 90º, step 5º
T3D_T1: 10º ~ 90º, step5ºT3D_T1: 10º ~ 90º, step5º
T3D_T2 : fixed at 90ºT3D_T2 : fixed at 90º
GEFS : fixed at 90ºGEFS : fixed at 90º
GEMT: 10º~ 90º, step 5ºGEMT: 10º ~ 90º, step 5º
GE3DMT: 10º ~ 90º, step5ºGE3DMT: 10º ~ 90º, step5º

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3. Imaging System

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3. Radiofrequency System

CharacteristicARTOSCAN SARTOSCAN MComments
DPA receivercoilsDPA Knee Coil14.2x17.8x15.8 cmDPA Ankle Coil8.7x21.4x14.6 cmDPA Hand/Wrist Coil7.2x18.6x11.9 cm(internal dimensions: w x dx h)DPA Knee Coil12.5x19.3x13.7 cmDPA Ankle Coil8.7x21.4x14.6 cmDPA Hand/Wrist Coil7.2x18.6x11.9 cm(internal dimensions: w x dx h)The technologyof the DPA (orquadrature) coilsis unchangedcompared to thetechnology usedfor theARTOSCAN Mcoils. A morecomfortable kneecoil has beendeveloped.

3. Image Processing and Display System

CharacteristicARTOSCAN SARTOSCAN MComments
Centralprocessing unitCPU: Pentium 200 MHzMain memory: 32 MB;256 KB cache memoryCPU: Pentium 200 MHzMain memory: 32 MB;256 KB cache memoryUnchanged
Controlprocessor16.7 MIPS, 0.5 MBmemory16.7 MIPS, 0.5 MBmemoryUnchanged
Acquisition andreconstructionprocessor33 MFlops, 65 MBmemory33 MFlops, 65 MBmemoryUnchanged
Hard disk unit3"½; 2.6 GB3"½; 2.6 GBUnchanged
CharacteristicARTOSCAN SARTOSCAN MComments
Rewritableoptical disk unit3"½, R/W, 640 MB, 1 side3"½, R/W, 640 MB, 1 sideUnchanged
Imagereconstructiontime2D1 sec/img in Format1 withvisualization0.8 sec/img in Format4with visualization3D≈ 35 sec for reconstructinga 256x256x128 data cube,to calculate the three Scoutimages and to save theimage cube (256x256x128,8 bit/pixel)2D1 sec/img in Format1 withvisualization0.8 sec/img in Format4with visualization3D≈ 35 sec for reconstructinga 256x256x128 data cube,to calculate the three Scoutimages and to save theimage cube (256x256x128,8 bit/pixel)Unchanged
Display matrixFormat1: 510x478;Format4: 254x238;Format1: 510x478;Format4: 254x238;Unchanged
Grey scale4096 (0+4095) Greylevels in 2D256 Grey levels in 3D4096 (0+4095) Greylevels in 2D256 Grey levels in 3DUnchanged
Displaymonitor17" Colour 640x480 pixel,60 Hz non-interleaved,high contrast17" Colour 640x480 pixel,60 Hz non-interleaved,high contrastUnchangedThe DHHSAccessionNumber is:9531534-07.
Image filteringAutomatic image filteringin visualization by anadaptive filter, dependingon the image acquisitionparameters characterizingthe image to be filtered.Non-automatic imagefiltering by three types ofadaptive filters and twotypes of non-adaptive fil-ters.Automatic image filteringin visualization by anadaptive filter, dependingon the image acquisitionparameters characterizingthe image to be filtered.Non-automatic imagefiltering by three types ofadaptive filters and twotypes of non-adaptive fil-ters.Unchanged
NetworkingfunctionsPrinting of images thathave been pre-formatted inDICOM3 protocol form.Sending images inDICOM3 protocol formusing TCP/IP.Sending images to othersystems of thePrinting of images thathave been pre-formatted inDICOM3 protocol form.Sending images inDICOM3 protocol formusing TCP/IP.Sending images to othersystems of theUnchanged
CharacteristicARTOSCAN SARTOSCAN MComments
ARTOSCAN-DedicatedMRI family using TCP/IPor PPP (Modem).ARTOSCAN-DedicatedMRI family using TCP/IPor PPP (Modem).

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Patient positioning 3.

. . . .

CharacteristicARTOSCAN SARTOSCAN MComments
Limb fasteningAll coils are especiallydesigned to keep theexamined limb in theproper position.All coils are especiallydesigned to keep theexamined limb in theproper position.Unchanged

Installation Area Conditions 3.

CharacteristicARTOSCAN SARTOSCAN MComments
Type ofinstallationFixed area ("permanentlyinstalled" according to EN60601-1)Fixed area ("permanentlyinstalled" according to EN60601-1)MobileDifferently fromARTOSCAN M,ARTOSCAN Shas not a mobileconfiguration.

Note: Any deviations from original ARTOSCAN M specifications are substantiated within Quality System documentation at Esaote S.p.A..

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Image /page/10/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES (USA)" arranged around the circumference. Inside the circle is a stylized image of a bird or eagle, represented by three curved lines that suggest feathers or wings.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 3 1998

Colleen Hittle Official Correspondent Biosound Esaote, Inc. 8000 Castleway Drive Indianapolis, IN 46250 Re:

K981358 Artoscan S ( MRI System ) Dated: April 13, 1998 Received: April 14, 1998 Regulatory class: II 21 CFR 892.1000/Procode: 90 LHN

Dear Ms. Hittle:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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.

If your device is classified (see above) into either class III (Premarket Apporal), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (2) CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. This response to your premarket notification submission does not affect any obligation you might have under sections 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsmaldsmamain.html".

Sincerely yours,

Kilian Yin

Lillian Yin, Ph.D. Director, Division of Reproductive Abdominal, Ear, Nose and Throat and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications For Use

510(k) Number (if known):

ﮨﮯ ۔ ﮨ

K 98/358

Device Name:

Artoscan S

Indications for Use:

The Artoscan S is intended for diagnostic nuclear magnetic resonance imaging of the hip, leg, knee, ankle, foot, shoulder, elbow, forearm, wrist and hand. The device produces transverse, sagittal, coronal and oblique cross-sectional images, displaying the internal structure of the limbs and joints being imaged. The images that are produced correspond to the spatial distribution of protons (hydrogen nuclei) that check the magnetic resonance properties and depend upon the MR parameters (spin-lattice relaxation time (T1), spinspin relaxation time (T2), nuclei density, flow velocity and chemical shift). If interpreted by a medical expert, these images can provide diagnostically useful information.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X OR Over-The-Counter Use __

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices
510(k) Number K981358

રેસ

§ 892.5050 Medical charged-particle radiation therapy system.

(a)
Identification. A medical charged-particle radiation therapy system is a device that produces by acceleration high energy charged particles (e.g., electrons and protons) intended for use in radiation therapy. This generic type of device may include signal analysis and display equipment, patient and equipment supports, treatment planning computer programs, component parts, and accessories.(b)
Classification. Class II. When intended for use as a quality control system, the film dosimetry system (film scanning system) included as an accessory to the device described in paragraph (a) of this section, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.