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The Imatron EBT scanner system -- when used angiographically -- is intended to combine the capabilities of both a CT and angiography system. When used for this purpose, the system is intended to perform Electron Beam Angiography, i.e., "EBA". More specifically, the EBT system is intended: - 1. to function as a diagnostic x-ray system to produce two and three dimensional images of the heart, blood vessels, or lymphatic system from a volume of computer reconstructed cross-sectional images from x-ray transmission data from the same axial plane taken at different angles; - 2. to permit radiologic visualization during or after injection of a contrast medium; and - 3. to permit the transmission data from certain three dimensional images to also be presented in time-sequenced or cine fashion. Finally, such system is intended to be used consistent with those already classified and set forth in 21 CFR Sections 892.1600 and 892.1750.

Imatron's current EBT scanner system, i.e., the CT system to be used for CT Angiography, is composed of essentially two subsystems, i.e., a CT scanner (and its associated components, parts, and accessories) and a workstation (and its associated components, parts, and accessories). Imatron's scanner operates by directing a focused beam of electrons along tungsten target rings to produce X-rays which pass through the human body at multiple angles as in conventional CT scanning systems. Such EBT scanner is capable of producing CT slices at rapid speeds since the data is produced by electronic rotation of the electron beam itself rather than the mechanical rotation of an X-ray tube as in conventional CT scanning systems. The EBT system's workstation is either directly incorporated into and physically a part of the system or is indirectly incorporated into the system via a data connection port. Such workstations are all able to receive EBT cross-sectional images (either through a direct connection or through a DICOM 3.0 or higher compatible interface) and have a cleared intended use which includes being able to produce 3 and/or 4 dimensional volume imaging (including, among other functions, volume rendering, surface rendering, maximum intensity projections, or reformatting).

The Imatron Ultra Access Workstation is intended as an accessory to Imatron's Ultrafast Computed Tomography (CT) Scanner, a cleared device. The Ultra Access Workstation accepts data from Imatron's Ultrafast CT scanner and allows for advanced post processing of such data. Thus, as modified from the ISG Workstation, the Imatron Ultra Access Workstation is intended - as are the predicate devices - for receiving, manipulating, transmitting, storing, viewing, characterizing, comparing and enhancing high quality CT electronic images, as an aid in diagnosis, including for cardiac analysis, by a trained physician.

The Imatron Ultra Access Workstation is intended as an accessory to Imatron's Ultrafast Computed Tomography (CT) Scanner. The Ultra Access Workstation accepts data from Imatron's Ultrafast CT scanner and allows for advanced post processing of such data. The Imatron Ultra Access Workstation is intended for receiving, manipulating, transmitting, storing, viewing, characterizing, comparing and enhancing high quality CT electronic images, as an aid in diagnosis, including for cardiac analysis, by a trained physician.

The intended use of the device here in question, i.e., the Imatron Ultrafast CT Scanner, remains unchanged from the intended use of prior predicate Imatron and other scanners. The Imatron Ultrafast CT Scanner is designed -- as are all similar devices -- to produce cross sectional images (i.e., thin slices) of the human anatomy. In this instance, such images are produced via helical (i.e., continuous volume or dynamic) or stationary (i.e., static) scanning. Imatron's device is -- as are some of the predicate devices -- also intended to be used for clinical situations requiring determination of specific quantitative information, such as the determination of calcium or other materials in bone, tumors, or organs.

The Imatron Ultrafast CT scanner is a scanning system which operates by directing a focused beam of electrons along tungsten target rings to produce X-rays which pass through the body at multiple angles as in conventional CT scanning systems. The Imatron Ultrafast CT scanner is capable of producing CT slices at rapid speeds since the data is produced by electronic rotation of the electron beam itself rather than the mechanical rotation of an X-ray tube as in conventional CT scanning systems. Currently, the Imatron Ultrafast CT scanner operating at its highest resolution mode has 864 single, contiguous X-ray detectors subtending an arc of 0.250 degrees each. The resulting 5% amplitude modulation transfer function (MTF) for high contrast objects at the center of the circle of reconstruction is 7 line pairs per centimeter (lp/cm).