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510(k) Data Aggregation

    K Number
    K082581
    Device Name
    C-QUEST
    Manufacturer
    Date Cleared
    2008-11-14

    (70 days)

    Product Code
    Regulation Number
    892.1200
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The C-Quest system is a dual head system designed to acquire data for cardiac multislice images. The system is intended for use as a diagnostic imaging device. When used with the appropriate radio pharmaceuticals, images are produced representing the internal distribution of radioactivity in the body. The system allows you to acquire data from high resolution three dimensional, static, gated or dynamic images of biochemical and metabolic processes using approved radionuclides within the energy range of 60 – 170 keV such as Tc-99m or TI-201.

    Device Description

    A compact, dual-head dedicated cardiac camera system comprised of a gantry supporting a fixed 90 degree dual head detector and a patient table. The C-Quest system is operated through interaction with an acquisition and processing computer system (NuQuest) or dedicated handheld controller or touch screen.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the C-Quest System, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    FeatureAcceptance Criteria (Predicate: Cardiocam K011611)Reported Device Performance (C-Quest)
    Intrinsic spatial resolution - Center FOVFWHM: ≤2.8mmFWTM: ≤2.9mmFWHM: ≤3.5mmFWTM: ≤7.4mm
    Intrinsic spatial resolution - Useful FOVFWHM: ≤5.4mmFWTM: ≤5.6mmFWHM: ≤3.7mmFWTM: ≤7.6mm
    Intrinsic Spatial Linearity - Center FOVDifferential: 0.18mmIntegral: 0.38mmDifferential: ≤0.4mmIntegral: ≤0.8mm
    Intrinsic Spatial Linearity - Useful FOVDifferential: 0.20mmIntegral: 0.40mmDifferential: ≤0.5mmIntegral: ≤1.0mm
    Intrinsic Uniformity - Center FOVIntegral: +/- 2.4%Differential: +/- 1.9%Integral: +/- 2.5%Differential: +/- 1.5%
    Intrinsic Uniformity - Useful FOVIntegral: +/- 2.9%Differential: +/- 2.4%Integral: +/- 3.0%Differential: +/- 2.0%

    Note: The acceptance criteria are inferred from the predicate device's performance, as the document states that the C-Quest system performs "as well as the predicate device" and provides a direct comparison table of technical characteristics. The C-Quest device generally shows performance that is either comparable to or slightly different from the predicate, but implicitly accepted as meeting the "as well as" criterion for 510(k) substantial equivalence. For spatial resolution (FWHM, FWTM), the C-Quest performs worse in the center FOV compared to the predicate, but better in the useful FOV. For spatial linearity and uniformity, the C-Quest's reported maximums are often higher than the predicate's reported values, indicating slightly worse performance in some technical aspects, yet still deemed substantially equivalent.

    2. Sample size used for the test set and the data provenance

    The provided 510(k) summary does not contain information about a test set involving patient data for clinical performance evaluation. The study presented focuses on a technical comparison of intrinsic device characteristics against a predicate device. Therefore, clinical sample size and data provenance are not applicable to the information given.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. The study does not involve expert review of patient data to establish ground truth.

    4. Adjudication method for the test set

    Not applicable. No clinical test set or adjudication process is mentioned.

    5. 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

    No. This document does not mention an MRMC comparative effectiveness study. This device is a cardiac gamma camera system, not an AI-assisted diagnostic tool for human readers.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Yes, in essence. The evaluation presented is a standalone technical performance study of the C-Quest system's physical characteristics (e.g., spatial resolution, linearity, uniformity) compared to its predicate. It is not evaluating an algorithm in isolation, but rather the intrinsic imaging capabilities of the hardware.

    7. The type of ground truth used

    The "ground truth" for this technical study is established by physical measurements and phantom studies for parameters like intrinsic spatial resolution, linearity, and uniformity, conforming to industry standards for gamma cameras. The 510(k) summary implicitly uses the established performance of the predicate device (Cardiocam) as a benchmark.

    8. The sample size for the training set

    Not applicable. This document describes a medical imaging device, not an AI model that requires a training set.

    9. How the ground truth for the training set was established

    Not applicable. As this device is not an AI model, there is no training set mentioned or ground truth associated with it.

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    K Number
    K992103
    Device Name
    C-QUEST
    Date Cleared
    1999-09-01

    (71 days)

    Product Code
    Regulation Number
    892.1650
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The 4R and 5 mobile x-ray unit with image intensifier system has been designed for diagnosis, suitable for x-ray and radioscopy, and radiography dedicated to:

    • Traumatology .
    • Paediatrics
    • Interventional radiology
    • Peace maker implantation
    • Operating theater
    • Intensive care .
    • Respiratory system ●
    • Skeleton .

    This device does not foresee any interaction with medicine, while the possibility of an interface with some devices like VCR or THERMAL PRINTER is foreseen.

    Device Description

    C-Quest 4R and 5 mobile x-ray unit with image intensifier system

    AI/ML Overview

    The provided document is a 510(k) premarket notification letter from the FDA for a device called "C-Quest 4R and C-Quest 5." This document grants market clearance based on substantial equivalence to a predicate device.

    Crucially, this document does not contain information about acceptance criteria, device performance, sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, or ground truth establishment for a study demonstrating the device meets acceptance criteria.

    The 510(k) clearance process primarily evaluates substantial equivalence to existing legally marketed devices, focusing on indications for use and safety/effectiveness concerns addressed through general controls and potentially special controls for Class II devices. It does not typically require the submission of detailed performance studies against specific acceptance criteria in the same way a PMA (Premarket Approval) might.

    Therefore, I cannot extract the requested information from the provided text. The document is essentially an FDA clearance letter, not a study report.

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