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510(k) Data Aggregation

    K Number
    K191740
    Date Cleared
    2020-02-21

    (235 days)

    Product Code
    Regulation Number
    882.4460
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    DORO LUCENT**®** iXI and iMRI Headrest System

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DORO LUCENT radiolucent/MRI Compatible Headrest System with Skull Pins are components of a mechanical support system, which is used in cranial and spine surgery when rigid skeletal fixation is required for cranial stabilization and when intra-operative imaging is used.

    The DORO LUCENT radiolucent/MRI Compatible Headrest System with noninvasive head positioning or noninvasive cranial stabilization device are components of a mechanical support system, which is used in cranial and spine surgery when noninvasive head positioning or noninvasive cranial stabilization is required and when intra-operative imaging is used.

    The DORO LUCENT Headrest System provides an interface for accessories like retractor systems, navigation adaptors or other items.

    Device Description

    The DORO LUCENT® iXI and iMRI Headrest System ensures an adequate positioning of a patient's head for neurosurgery. Additional intra-operative imaging can be performed.

    The DORO LUCENT® iXI and iMRI Headrest System consists of the following: Skull Clamp, Skull Pins, Parallelogram Adaptor and Headplate. The Parallelogram Adaptor is used to connect the Skull Clamp (including Skull Pins) or the Headplate to the OR-Table/ Transfer Board.

    Additional accessories like the Adjusting wrench and Transfer Collision Indicator supports the performance of the Headrest System.

    These special Headrest Systems are developed for selected OR-Table/ MRI scanner combinations. They are separated in following sets:

    • . 4003.200 DORO LUCENT® Headrest System TRUMPF for SIEMENS Aera/Skyra MRI Systems
    • 4003.300 DORO LUCENT® iMRI Headrest System MAQUET for SIEMENS/PHILIPS/GE ●
    • . 4003.500 DORO LUCENT® iXI Headrest System

    By the use of the Navigation Adaptors the performance of the Headrest System is supplemented. The intra-operative navigation is feasible because of the provided interface to the navigation device.

    AI/ML Overview

    The provided FDA 510(k) summary describes a medical device, the DORO LUCENT® iXI and iMRI Headrest System. This document focuses on the substantial equivalence of the new device to a predicate device rather than presenting a clinical study to evaluate diagnostic performance with a human-in-the-loop or standalone algorithm. Therefore, many of the requested criteria related to AI/algorithm performance and clinical study details are not applicable or not present in this submission.

    Here's the information that can be extracted from the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally demonstrated through "Pass" results in various performance tests.

    Acceptance Criteria (Test)Reported Device Performance
    DORO LUCENT® iXI and iMRI Headrest System
    Static load: Ability to sustain a certain load with an additional safety factor.Pass
    MR-Compatibility: Does not impair the function of the MRI system.Pass
    CT/Angio-Compatibility: No new or additional shadowing on the image.Pass
    X-Ray-Compatibility: No new or additional shadowing on the image.Pass
    DORO LUCENT® Skull Clamp
    Static load (Latching teeth mechanism): Ability to sustain a certain load with an additional safety factor without damage/malfunction.Pass
    Torque (Rocker Arm): Ability to resist applied torque without damaging, opening, or malfunction of the Open-Lock mechanism.Pass
    DORO LUCENT® Skull Pins
    Mechanical stability (scratch test): Withstands an applied radial force when an axial force is applied.Pass
    MR-Compatibility: MR conditional.Pass
    Sterility: Packaged sterile and stays sterile for shelf life.Pass
    Biocompatibility: Biocompatible.Pass
    DORO LUCENT® Headplate
    Static load: Ability to sustain a certain load with an additional safety factor without mechanical failure.Pass
    Biocompatibility: Biocompatible.Pass

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

    This is a physical medical device (headrest system), not an AI/software device. The "test set" here refers to the physical units of the device and its components undergoing engineering and materials testing. The document does not specify the exact number of units or components tested for each criterion. The provenance of the data is from pro med instruments GmbH, the manufacturer, and the tests were likely conducted internally or by accredited third-party labs. The study is a prospective testing of manufactured devices against pre-defined engineering and safety standards.

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

    Not applicable. Ground truth for a physical device's performance often relates to instrumented measurements (e.g., force, torque, imaging artifacts) and material properties, not expert consensus as would be used for diagnostic imaging algorithms.

    4. Adjudication method for the test set

    Not applicable. Adjudication methods like "2+1" or "3+1" are used in clinical studies for diagnostic accuracy, where expert opinions need to be reconciled. For device performance testing, results are quantitative or pass/fail based on pre-defined specifications.

    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

    Not applicable. This device is not an AI-assisted diagnostic tool.

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

    Not applicable. This is a physical medical device.

    7. The type of ground truth used

    The ground truth for this device's performance is based on engineering specifications, material science, sterility standards, and regulatory requirements (e.g., MRI compatibility standards). For example, "MR-Compatibility" is verified against established standards for how metallic or non-metallic objects interact with MRI fields. "Static load" is verified against a specified weight with a safety factor.

    8. The sample size for the training set

    Not applicable. This is a physical medical device and does not involve AI/machine learning training sets.

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

    Not applicable. As there is no training set for an AI algorithm, no ground truth needs to be established for it.

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