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510(k) Data Aggregation

    K Number
    K972903
    Manufacturer
    Date Cleared
    1997-11-04

    (90 days)

    Product Code
    Regulation Number
    892.1750
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    IMATRON ULTRA ACCESS WORKSTATION WITH CARDIAC SOFTWARE EXTENSIONS

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

    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.

    Device Description

    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.

    AI/ML Overview

    The provided text describes the "Imatron Ultra Access® Workstation with Cardiac Software Extensions" and its substantial equivalence to predicate devices, rather than a study proving the device meets specific acceptance criteria with detailed performance metrics. The document is a 510(k) summary, which focuses on demonstrating substantial equivalence to legally marketed devices, not on proving new clinical effectiveness or diagnostic accuracy against predefined acceptance criteria.

    However, based on the information provided, I can infer the "acceptance criteria" are the features and functionalities present in predicate devices, and the "study" is the substantial equivalence comparison itself.

    Here's an analysis based on the document's content:

    1. Table of "Acceptance Criteria" (Predicate Device Features) and Reported Device Performance

    The acceptance criteria here are derived from the features present in the predicate devices. The "reported device performance" is whether the Ultra Access Device also possesses that feature.

    ITEMFEATURE"Acceptance Criteria" (Presence in Predicate Devices)"Reported Device Performance" (Ultra Access Device)
    12D image reviewYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    Multiplanar reformattingYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    3D surface and volume renderingYes (Netra MD, AIDP, VRSAPP), No (C150 XP)Yes
    Maximum intensity projectionYes (Netra MD, AIDP, VRSAPP), No (C150 XP)Yes
    Performance of CTA and MRAYes (Netra MD, AIDP, VRSAPP), No (C150 XP)Yes
    Image archivingYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    Image filmingYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    Image transfer or network connectivityYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    2Examination of 2D image data from a calcium scanYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    3Examination of calcium scan as a 3D volumeYes (Netra MD, AIDP), No (C150 XP, VRSAPP)Yes
    4Semi automated identification of regions that are considered calciumYes (Netra MD, AIDP), No (C150 XP, VRSAPP)Yes
    5User override of automatically identified regionsYes (Netra MD), No (C150 XP, AIDP, VRSAPP)Yes
    6Automatic computation of calcium scoreYes (Netra MD), No (C150 XP, AIDP, VRSAPP)Yes
    7Ability to measure CT numbers on a 2D imageYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    8Identification of mistriggered slicesYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    9Saving of calcium data with patient exam dataYes (C150 XP, Netra MD), No (AIDP, VRSAPP)Yes
    10Creation of a paper calcium reportYes (Netra MD), No (C150 XP, AIDP, VRSAPP)Yes
    11Comparison of multiple scansYes (Netra MD), No (C150 XP, AIDP, VRSAPP)Yes
    12Identification of mistriggered TDA dataYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    13Deselection of a mistriggered imageYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    14Identification of regions for which TDA computation should be performedYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    15Automatic creation of gamma-variate curve fit for TDA dataYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    16Computation of curve parameterYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    17Computation of perfusionYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    18Creation of a parametric imageYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes
    19Creation of a paper TDA reportYes (Netra MD, AIDP), No (C150 XP, VRSAPP)Yes
    20Indications for use - general medical imaging workstationYes (C150 XP, Netra MD, AIDP, VRSAPP)Yes
    21Indication for use -- calciumYes (C150 XP, Netra MD, AIDP), No (VRSAPP)Yes
    22Indication for use -- TDAYes (C150 XP), No (Netra MD, AIDP, VRSAPP)Yes

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not detail a specific "test set" in the context of clinical performance evaluation (e.g., patient cases used to validate diagnostic accuracy). The "testing" mentioned ("The Ultra Access Workstation successfully passed all testing at Imatron") refers to internal verification and validation against design specifications and compliance with standards (e.g., DICOM), confirming functionality and safety aspects. It does not provide information on:

    • Sample size: Not specified for any performance testing.
    • Data provenance: Not specified.
    • Retrospective/Prospective: Not specified.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

    This information is not provided in the 510(k) summary. The document focuses on feature comparison and substantial equivalence, not a clinical trial involving expert-derived ground truth.

    4. Adjudication Method for the Test Set

    Not applicable as no clinical test set with human ground truth establishment is described.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No MRMC study is mentioned or implied. The 510(k) summary is for a device accessory that enables advanced post-processing and display of CT images and does not claim to improve human reader performance through AI assistance as a primary output. The document states the workstation is intended "as an aid in diagnosis, including for cardiac analysis, by a trained physician," implying the physician remains in control.

    6. Standalone (Algorithm Only) Performance Study

    No standalone performance study is explicitly described as a primary component of this 510(k) submission. The device is an "accessory" to a CT scanner and is an "Image Processing Workstation," meaning its function is to process and display images for a physician. Its performance is implicitly linked to its ability to accurately process and present the data as intended for clinical review, which is covered by compliance with standards and successful internal testing.

    7. Type of Ground Truth Used

    For the features described, the "ground truth" is largely conceptual compliance with existing standards (DICOM) and mirroring or enhancing functionalities found in predicate devices. For example, the ability to perform "Automatic computation of calcium score" (Item 6) implies an internal algorithm, but its accuracy isn't validated against external ground truth (e.g., pathology or long-term outcomes) in this document. The document notes that "new algorithms may yield more accurate results at higher flow states" for perfusion (Item 17), citing "attached scientific references," suggesting that the underlying algorithms might have been validated elsewhere or are derived from established scientific literature.

    8. Sample Size for the Training Set

    Not applicable. The document describes an image processing workstation with software features, not a machine learning model that requires a "training set" in the typical AI sense. The software's development likely involved traditional software engineering, testing, and potentially some algorithm development based on existing scientific principles or data characteristics, but not "training data" in the quantity and context usually associated with modern AI/ML.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as no training set for an AI/ML model is mentioned.

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