K Number
K993673
Device Name
SNN FLUORO NAVIGATION SYSTEM
Date Cleared
1999-12-21

(50 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SNN System is indicated for patients who have space-occupying lesions or malformations (both soft tissue and osseous) in the head. It is also indicated for patients who require decompressive or reconstructive surgery of the spine, or who have imaged space-occupying lesions or malformations of the spine. The SNN System is contraindicated for patients suspected of having Creutzfeld-Jacob's disease if adequate sterilization of the instruments cannot be assured. The SNN Fluoro Navigation Module is also indicated for situations where reference to a rigid anatomical structure such as the skull, a long bone or vertebra can be identified relative to a fluoroscopic image of the anatomy.
Device Description
The SNN Fluoro Navigation System is a module of the SNN System to provide image-guided surgery based on an intra-operative fluoroscopic image of the patient anatomy.
More Information

Not Found

No
The document does not mention AI, ML, or related terms, and the description focuses on traditional image-guided navigation based on fluoroscopic images.

No
The device is a navigation system used for image-guided surgery, assisting in the localization of anatomical structures and lesions. It does not directly treat or prevent a disease, but rather aids clinicians in performing surgical procedures.

No

Explanation: The device is described as an image-guided surgery system, which assists in surgical procedures rather than diagnosing a condition. Its indications are for patients who already have space-occupying lesions or malformations, or who require surgery, implying a pre-existing diagnosis.

No

The device description explicitly states it is a "System" and a "Module" that provides image-guided surgery based on intra-operative fluoroscopic images. This implies the use of hardware components beyond just software to acquire and process the images and guide the surgery. The predicate devices also appear to be hardware-based navigation systems.

Based on the provided information, 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 SNN System and its Fluoro Navigation Module are described as systems for image-guided surgery. They use intra-operative fluoroscopic images to assist surgeons during procedures on the head and spine.
  • Lack of Biological Sample Analysis: The description does not mention the analysis of any biological samples from the patient. The system relies on imaging data to provide navigation information.

Therefore, the SNN System and its Fluoro Navigation Module fall under the category of surgical navigation systems or image-guided surgery systems, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The SNN Fluoro Navigation System, comprised of a medical workstation and an integrated position-sensing instrument, is intended to be used intra-operatively for localization and navigation.

The SNN System is indicated for patients who have space-occupying lesions or malformations (both soft tissue and osseous) in the head. It is also indicated for patients who require decompressive or reconstructive surgery of the spine, or who have imaged space-occupying lesions or malformations of the spine. The SNN System is contraindicated for patients suspected of having Creutzfeld-Jacob's disease if adequate sterilization of the instruments cannot be assured.

The SNN Fluoro Navigation Module is also indicated for situations where reference to a rigid anatomical structure such as the skull, a long bone or vertebra can be identified relative to a fluoroscopic image of the anatomy.

Product codes

HAW

Device Description

The SNN Fluoro Navigation System is a module of the SNN System to provide image-guided surgery based on an intra-operative fluoroscopic image of the patient anatomy.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

fluoroscopic image

Anatomical Site

head, spine, long bone or vertebra

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)

SNN System K982570, the Stealth Station with FluoroNav Module by Surgical Navigation Technologies K990214

Reference Device(s)

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

§ 882.4560 Stereotaxic instrument.

(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).

0

K993673

DEC 2 1 1996

Image /page/0/Picture/2 description: The image shows a logo with the letters SNN in a stylized font. Below the letters, the text "THE NETWORK FOR IMAGE GUIDED SURGERY" is written in a smaller font. To the right of the letters, there is an image of a cursor.

510(k)_Premarket Notification
SNN Fluoro Navigation System Submitter Surgical Navigation Specialists Inc.
October26, 1999

510(k) Summary of Safety and Effectiveness

Submitter:Surgical Navigation Specialists Inc.
Address:6509 Airport Road
Mississauga, Ontario
Canada L4V 1S7
Contact:Dolores McGirr, Regulatory Scientist
Telephone:(905) 672-2100
Date:October 26, 1999
Trade Name:SNN Fluoro Navigation System
Common Name:Image-Guided Surgical System.
Classification Name:Stereotaxic Device.
Predicate Devices:SNN System K982570; the Stealth Station with FluoroNav
Module by Surgical Navigation Technologies K990214.
Device Description:The SNN Fluoro Navigation System is a module of the SNN
System to provide image-guided surgery based on an intra-
operative fluoroscopic image of the patient anatomy.
Intended Use:The SNN Fluoro Navigation System, comprised of a medical
workstation and an integrated position-sensing instrument, is
intended to be used intra-operatively for localization and
navigation.
Comparison to
Predicates:The intended use and technological characteristics of the SNN
Fluoro Navigation system are substantially equivalent, in the
opinion of SNS Inc., to those of the predicate devices and do not
pose any new issues of safety and effectiveness.

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features the department's name encircling a symbol. The symbol consists of a stylized caduceus, a traditional symbol of medicine, with three lines representing the branches of government. The seal is black and white.

Public Health Service

DEC 2 1 1999

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mrs. Dolores McGirr Regulatory Scientist Quality Engineering Support Team I.S.G. Technologies, Inc. 6509 Airport Road Mississauga, Ontario Canada L4V 1S7

Re: K993673

Trade Name: SNN Fluoro Navigation System Regulatory Class: II Product Code: HAW Dated: October 26, 1999 Received: November 1, 1999

Dear Mrs. McGirr:

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 II (Special Controls) or 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 requirement, as set forth in the Quality System Regulation (OS) 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

2

Page 2 - Mrs. Dolores McGirr

predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If vou 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) 594-4595. 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/dsmamain.html".

Sincerely yours.

Stephen Rhodes

James E. Dillard III Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510(k) Number (if known): _ _ 99 ≤ 6 7 3

Device Name: The SNN Fluoro Navigation System

Indications For Use :

The SNN System is indicated for patients who have space-occupying lesions or malformations (both soft tissue and osseous) in the head. It is also indicated for patients who require decompressive or reconstructive surgery of the spine, or who have imaged space-occupying lesions or The SNN System is contraindicated for malformations of the spine. patients suspected of having Creutzfeld-Jacob's disease if adequate sterilization of the instruments cannot be assured.

The SNN Fluoro Navigation Module is also indicated for situations where reference to a rigid anatomical structure such as the skull, a long bone or vertebra can be identified relative to a fluoroscopic image of the anatomy.

(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)

OR

Over-The-Counter Use _____________

(Optional Format 1-2-96)
Het Eluolu

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K995673