K Number
K990066
Manufacturer
Date Cleared
1999-03-17

(68 days)

Product Code
Regulation Number
892.2030
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This device is a Charge Coupled Device (CCD) video camera for use in digital radiography, including DSA, high resolution cardiology, and low dose fluoroscopy. It is designed for use with X-ray image intensifiers in diagnostic imaging chains.

Device Description

This device is a Charge Coupled Device (CCD) video camera for use in digital radiography, including DSA, high resolution cardiology, and low dose fluoroscopy. It is designed for use with X-ray image intensifiers in diagnostic imaging chains.

AI/ML Overview

The provided document is a 510(k) summary for the Camtronics CCD Camera, K990066. It claims substantial equivalence to a predicate device, K953974 MediCal Imaging Ltd. "Camvision 1000".

However, the 510(k) summary explicitly states two crucial points:

  • "Performance data: Not required for determination of substantial equivalence for this class of device."
  • "Conclusions drawn from clinical and nonclinical test data: Not required for determination of substantial equivalence for this class of device."

Therefore, based on the provided text, there is no acceptance criteria or study data presented that proves the device meets specific acceptance criteria in terms of performance metrics. The submission relies solely on demonstrating substantial equivalence to a predicate device through a comparison of specifications.

Given this, I cannot provide the requested information in the format requested. The document does not contain:

  1. A table of acceptance criteria and the reported device performance: No performance data or acceptance criteria are reported.
  2. Sample sized used for the test set and the data provenance: No test set or data provenance is mentioned as performance data was not required.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as no test set requiring ground truth was presented.
  4. Adjudication method: Not applicable.
  5. MRMC comparative effectiveness study: Not applicable.
  6. Standalone performance study: Not applicable.
  7. Type of ground truth used: Not applicable.
  8. Sample size for the training set: Not applicable, as this is a device submission, not an AI/ML algorithm submission in the modern sense.
  9. How the ground truth for the training set was established: Not applicable.

Instead, the submission focuses on a direct comparison of technical specifications between the proposed device and the predicate device, as shown in the table below:

Predicate Device Specifications Comparison (as presented in the 510(k) Summary)

Principal Device (Camtronics CCD Camera)Predicate Device (K953974 MediVision-Medical Imaging Ltd. “Camvision 1000”)
CCD and analog circuitry
CCD typeinterlineinterline
Scanningprogressiveprogressive
Resolution1024 x 10241024 x 1024
Contrast resolution12 bit, 4096 gray levels10 bit, 1024 gray levels
Anti-bloomingautomatic control, up to 100:1automatic control, up to 100:1
TV parameters
Video outputHigh-line interlaced, 1.0 V peak to peak on 75 ohmcomposite video RS-343A or progressive scan, 50 or 60 Hz, 1.0 V peak-to-peak on 75 ohm
Digital outputRS 644RS-422 AIA compatible
Bandwidth12 bit 40 MHzinput equivalent to 20 MHz, output equivalent to 40 MHz
Dynamic range66 dB60 dB
Signal to noise ratiogreater than 1000:11000:1 at camera's connector
Gammaadjustable or linearadjustable, 0.45-1.0
Frame rateup to 25 or 30 frames per secondup to 25 or 30 frames per second
Fast frame rate50 or 60 frames per second at 1024 x 512. 30 fps at 1024 x 102450 or 60 frames per second at 1024 x 512
X-ray and image control
Internal controlsautomatic gain control (AGC), automatic anti-blooming level (AAL)automatic gain control (AGC), automatic anti-blooming level (AAL), automatic integration control (AIC)
External controlsvideo gain select, horizontal scan reverse, vertical scan reverse, black level selectvideo gain select, anti-blooming level select, horizontal scan reverse, vertical scan reverse, black level select
Video synchronizationinternal or externalinternal or external
Fluoroscopy controlautomatic brightness control (ABC)automatic brightness control (ABC)
Iris controlmotorized controlautomatic control

The conclusion of the 510(k) summary is that the Camtronics CCD Camera is "substantially equivalent to a legally marketed predicate device" and that "No new safety or effectiveness issues are raised." This determination is based on the "substantially equivalent technological characteristics, features, specifications, materials, modes of operation, and intended uses."

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Image /page/0/Picture/0 description: The image shows the logo for Camtronics Medical Systems, with the date 3/17/99 written above the company name. The logo features a stylized graphic to the left of the company name. The words "MEDICAL SYSTEMS" are written in smaller letters below the company name. The logo is black and white.

510(k) Summary

K690066

Date prepared: January 4, 1999 Name of contact person: Robert Kriedermann Device trade name: CCD Camera Common name: CCD Video Camera Classification name: System, X-ray, Fluoroscopic, Image-intensified Predicate substantially equivalent devices: K953974 MediCal Imaging Ltd. "Camvision 1000"

Device description and intended use: This device is a Charge Coupled Device (CCD) video camera for use in digital radiography, including DSA, high resolution cardiology, and low dose fluoroscopy. It is designed for use with X-ray image intensifiers in diagnostic imaging chains.

Predicate device specifications comparison:

Principal DevicePredicate Device
Camtronics CCD CameraK953974 MediVision-Medical
Imaging Ltd. “Camvision 1000”
CCD and analogcircuitry
CCD typeinterlineinterline
Scanningprogressiveprogressive
Resolution1024 x 10241024 x 1024
Contrast resolution12 bit, 4096 gray levels10 bit, 1024 gray levels
Anti-bloomingautomatic control, up to 100:1automatic control, up to 100:1
TV parameters
Video outputHigh-line interlaced, 1.0 V peak to peak on 75 ohmcomposite video RS-343A orprogressive scan, 50 or 60 Hz, 1.0 Vpeak-to-peak on 75 ohm
Digital outputRS 644RS-422 AIA compatible
Bandwidth12 bit 40 MHzinput equivalent to 20 MHz, outputequivalent to 40 MHz
Dynamic range66 dB60 dB
Signal to noise ratiogreater than 1000:11000:1 at camera's connector
Gammaadjustable or linearadjustable, 0.45-1.0
Frame rateup to 25 or 30 frames per secondup to 25 or 30 frames per second
Fast frame rate50 or 60 frames per second at 1024 x 512. 30fps at 1024 x 102450 or 60 frames per second at 1024 x512
X-ray and imagecontrol
Internal controlsautomatic gain control (AGC)automatic anti-blooming level (AAL)automatic gain control (AGC)automatic anti-blooming level (AAL)automatic integration control (AIC)
External controlsvideo gain selecthorizontal scan reversevertical scan reverseblack level selectvideo gain selectanti-blooming level selecthorizontal scan reversevertical scan reverseblack level select
Videosynchronizationinternal or externalinternal or external
Fluoroscopy controlautomatic brightness control (ABC)automatic brightness control (ABC)
Iris controlmotorized controlautomatic control

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Image /page/1/Picture/0 description: The image shows the logo for Camtronics Medical Systems. The logo features a stylized "C" shape on the left, followed by the word "Camtronics" in a bold, sans-serif font. Below "Camtronics" are the words "MEDICAL SYSTEMS" in a smaller, thinner font. The logo is black and white.

Page 2 Camtronics CCD Camera 510(k) Summary January 4, 1999

Performance data: Not required for determination of substantial equivalence for this class of device.

Conclusions drawn from clinical and nonclinical test data: Not required for determination of substantial equivalence for this class of device.

Substantial equivalence summary: The Camtronics CCD Camera is a comparable type and substantially equivalent to a legally marketed predicate device. The intended use of the CCD Camera is that of the predicate device "Camvision 1000", marketed by Medivision-Medical Imaging Ltd. No new safety or effectiveness issues are raised with the Camtronics CCD Camera. The substantially equivalent technological characteristics, features, specifications, materials, modes of operation, and intended uses as a legally marketed predicate device.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/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 human figure with three lines extending from the head, resembling wings or feathers. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the image.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 7 1999

Robert Kriedermann Regulatory Specialist Camtronics, Ltd. 900 Walnut Ridge Dr. Hartland, WI 53029

Re:

K990066 CCD Camera, Model 9000 Dated: January 4, 1999 Received: January 8, 1999 Regulatory class: II 21 CFR 892.2030/Procode: 90 LMA

Dear Mr. Kriedermann:

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 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). 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 II (Special Controls) or dass III (Premarket Approval), 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 Requlation (QS) for Medical Devices: General requlation (21 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 requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 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/dsma/dsmamain.html".

Sincerely yours,

Dan Letizia

CAPT Daniel G. Schultz, M.D. Acting 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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Page 1 of 1

K990066 · 510(k) NUMBER (IF KNOWN) : Camtronics CCD Camera DEVICE NAME:

INDICATIONS FOR USE:

This device is a Charge Coupled Device (CCD) video camera for use in digital radiography, including DSA, high resolution cardiology, and low dose fluoroscopy. It is designed for use with X-ray image intensifiers in diagnostic imaging chains.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) ાર

  • .

Over-The-Counter-Use (Optional Format 1-2

David G. Wagner
(Division Sign-Off)

Division of Reproductive, Abdominal, ENT, and Radiological Devices 510(k) Number

§ 892.2030 Medical image digitizer.

(a)
Identification. A medical image digitizer is a device intended to convert an analog medical image into a digital format. Examples include Iystems employing video frame grabbers, and scanners which use lasers or charge-coupled devices.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std.). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.