K Number
K993038
Device Name
TOSHIBA RTP9211J-G11, J-ADVANCED IMAGE INTENSIFIER (I.I.)
Date Cleared
1999-10-07

(27 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Toshiba J-Advanced I.I. is designed to capture x-ray images on a phosphor, and convert the xray pattern into a corresponding light image of a higher energy density. The intended use of this product is commensurate with other products currently in the marketplace.
Device Description
The J-Advanced I.I., Model RTP9211J-G11 is a modification to a previously cleared device, 6' I.I. system [K771298].
More Information

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on image intensification technology, not AI/ML.

No
The device is described as capturing and converting x-ray images, indicating its function is for diagnostic imaging, not for treating a disease or condition.

No
The device captures x-ray images and converts them to light images, which is an imaging function, not a diagnostic one. There is no indication that it interprets or analyzes these images for diagnostic conclusions.

No

The device description explicitly states it is a modification to an "I.I. system," which is an image intensifier, a hardware component used in x-ray imaging. The intended use also describes capturing and converting x-ray patterns, which is a hardware function.

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

Here's why:

  • Intended Use: The intended use describes capturing and converting x-ray images. This is a function related to medical imaging, not the analysis of biological samples (like blood, urine, or tissue) outside the body, which is the hallmark of an IVD.
  • Device Description: The device is described as an "I.I. system," which stands for Image Intensifier. Image intensifiers are components used in X-ray imaging systems to make the X-ray image visible.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples, performing tests on bodily fluids, or providing diagnostic information based on laboratory analysis.

Therefore, the Toshiba J-Advanced I.I. is a component of an X-ray imaging system, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Toshiba J-Advanced I.I. is designed to capture x-ray images on a phosphor, and convert the x-ray pattern into a corresponding light image of a higher energy density. The intended use of this product is commensurate with other products currently in the marketplace.

Product codes (comma separated list FDA assigned to the subject device)

90JAA

Device Description

The J-Advanced I.I., Model RTP9211J-G11 is a modification to a previously cleared device, 6' I.I. system [K771298].

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Not Found

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K771298

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

7 1999 OCT

510(k) Summary

Image /page/0/Picture/2 description: The image shows a handwritten string of characters. The string appears to be a combination of letters and numbers. Specifically, the string reads 'K993038'.

Date:9 September 1999
Submitter's Name:Toshiba America Medical Systems, Inc.
Submitter's Address:P.O. Box 2068, 2441 Michelle Drive,
Tustin, CA 92781-2068
Submitter's Contact:Diana Thorson, Regulatory Affairs Specialist, (714)730-5000
Establishment Registration
Number:2020563
Device Proprietary Name:Toshiba RTP9211J-G11, J-Advanced Image Intensifier (I.I.)
Common Name:System, X-Ray, Fluoroscopic, Image Intensified
[Fed. Reg. No. 892.1650, Pro. Code: 90JAA]
Regulatory Class:II (per 21 CFR 892.1650)
Performance Standard:21 CFR Subchapter J,
Federal Diagnostic X-ray Equipment Standard
Predicate Device(s):Toshiba 6' I.I. System [K771298]
Reason For SubmissionModification of cleared device

Description of this Device:

The J-Advanced I.I., Model RTP9211J-G11 is a modification to a previously cleared device, 6' I.I. system [K771298].

Summary of Intended Uses:

The Toshiba J-Advanced I.I. is designed to capture x-ray images on a phosphor, and convert the xray pattern into a corresponding light image of a higher energy density. The intended use of this product is commensurate with other products currently in the marketplace.

Technological Characteristics:

This device employs the same technological characteristics as the predicate device. The changes to the device are a result of continuing technological development towards the goals of increasing efficiency and reducing cost. A comparison of the performance characteristics of the new intensifier to the previous models shows nominally improved resolution and contrast specifications. There are no new claims of effectiveness and no new intended uses offered with this new intensifier.

1

Safety and Effectiveness Concerns:

This device is designed and manufactured under the Quality System Regulations as outlined in 21 CFR § 820. All requirements of the Federal Diagnostic Equipment Standard, as outlined in 21 CFR § 1020.30 and 1020.33, that apply to this device, will be met and reported via a supplement to the initial report for the predicate device. Additionally this system is in conformance with the applicable parts of the IEC-60601 - Medical Device Safety standards.

Substantial Equivalence:

Based upon the above considerations TAMS believes that this device, J-Advanced I.I., Model RTP9211J-G11, is substantially equivalent to the predicate, Toshiba 6" I.I. System.

2

Public Health Service

Rockville MD 20850

Food and Drug Administration 9200 Corporate Boulevard

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

OCT 7 1999

Ms. Diana Thorson Regulatory Affairs Specialist Toshiba America Medical Systems, Inc. 2441 Michelle Drive, P.O. Box 2068 Tustin, CA 92781-2068

Dear Ms. Thorson:

h

Re:

K993038 J-Advanced Image Intensifier Model RTP9211J-G11 Dated: September 9, 1999 Received: September 10, 1999 Product Code: 90 JAA Requiatory Class: II (TWO) 21 CFR 892.1650

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 pror to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been redassified 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 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 Regulation (QS) for Medical Devices: General regulation (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 regulatory 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,

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

3

510(k) Number (if known): _________________________________________________________________________________________________________________________________________________

Device Name: J-Advanced I.I., RTP9211J-G11

Indications for Use:

The Toshiba J-Advanced I.I. is designed to capture x-ray images on a phosphor, and convert the x-ray The Fosmba 5-AG ranced in 15 b been and a higher energy density.

and the same of the same of the same of the same of the same of the same of the states of the states of the states of the states of the states of the states of the states of

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices

510(k) NumberK993038
------------------------
Prescription UseOROver-The-Counter Use
(Per 21 CFR 801.109)(Optional Format 1-2-96)