LIFEJET PRINTER 400

K011617 · Ferrania S.P.A. Stabilimento DI Ferrania · LMC · Jun 8, 2001 · Radiology

Device Facts

• Record ID: K011617
• Device Name: LIFEJET PRINTER 400
• Applicant: Ferrania S.P.A. Stabilimento DI Ferrania
• Product Code: LMC · Radiology
• Decision Date: Jun 8, 2001
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2040
• Device Class: Class 2
• Attributes: 3rd-Party Reviewed

Intended Use

The LifeJet™ Printer 400 is an ink jet printer designed to provide referral high quality color and/or gray scale hard copies of medical images generated by medical equipment. The LifeJet™ Printer 400 has been developed to be used together with LifeJet™ Medical Paper and LifeJet™ Medical Ink Jet Cartridges to achieve the best quality medical images.

Device Story

LifeJet™ Printer 400 is an inkjet-based medical image hardcopy device. It receives digital medical image data from medical equipment and produces color or gray-scale prints on coated paper. The system includes the printer, LifeJet™ Medical Paper, and LifeJet™ Medical Ink Jet Cartridges. Operated in clinical environments, the device driver allows users to format print layouts (one to eight images per page, portrait or landscape) during ongoing diagnostic examinations. The output provides clinicians with physical documentation for referral and review, facilitating medical workflow.

Clinical Evidence

Bench testing only. Performance testing compared the LifeJet™ Printer 400 to the predicate device by measuring printing time for a 203x203 mm SMPTE pattern (512x512 pixels), maximum optical density, and image mottling/bleeding at 100% density. Results demonstrated the device performs as well as or better than the predicate.

Technological Characteristics

Inkjet printing technology; 1200x1200 dpi resolution; 256 x CMYK color/gray scale capability. Interfaces via IEEE 1284 parallel port. Operates on Windows NT 4.0. Includes 2 MB RAM. Complies with UL, CSA, FCC, CE Mark, IEC 60601-1, and Energy Star standards. Uses proprietary coated paper and ink cartridges.

Indications for Use

Indicated for the production of high-quality color and/or gray-scale hard copies of medical images generated by medical equipment for referral purposes. Intended for prescription use.

Regulatory Classification

Identification

A medical image hardcopy device is a device that produces a visible printed record of a medical image and associated identification information. Examples include multiformat cameras and laser printers.

Special Controls

*Classification.* Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

Predicate Devices

• KODAK DIGITAL SCIENCE 1200 Distributed Medical Imager (K983905)

Submission Summary (Full Text)

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JUN - 8 2001 Section 10 - 510(k) Summary of Safey and Effectiveness as required by 21 CFR 807.92(c) Submitted by Ferrania S.p.A. 10.1 Viale della Libertà 57 17014 Ferrania Savona (Italy) Ing. Mannella Paolo 10.2 Contact person Regulatory Manager [phone] (phone) [phone] (fax). E-mail: [e-mail] March 30, 2001 10.3 Date Summary Prepared: Common Name: Medical Ink-jet printer 10.4 Device name: Trade name: LifeJet™ Printer 400 Classification Name: Medical image hardcopy device (per 21 CFR 892.2040) KODAK DIGITAL SCIENCE 1200 Distributed 10.5 Predicate device: Medical Imager (510(k) number: K983905) Eastman Kodak Company Health Imaging Division 343 State Street Rochester, NY 14650

#### 10.6 Description of device

The LifeJet™ Printer 400 is an inkjet printer designed to produce high quality color and gray-scale referral medical images. Together with specifically designed medical paper and inks (LifeJet™ Medical Paper and LifeJet™ Medical Ink Jet Cartridges) the LifeJet™ Printer 400 forms the LifeJet™ 400 System, which is an innovative, convenient and work-flow improving medical printing platform, based on the state of the art inkjet technology, capable of delivering superior and reliable printed images for any medical documentation requirement.

#### 10.7 Statement of intended use

The LifeJet™ Printer 400 is an ink jet printer designed to provide referral high quality color and/or gray scale hard copies of medical images generated by medical equipment.

#### 10.8 Comparison with predicate device

The purpose and functionality of the Ferrania LifeJet™ 400 Printer are substantially equivalent to the KODAK DIGITAL SCIENCE 1200 Distributed

KOII617

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## 510(k) PREMARKET NOTIFICATION FOR FERRANIA S.p.A. LifeJet™ Printer 400

## Section 10 - 510(k) Summary of Safey and Effectiveness as required by 21 CFR 807.92(c)

The basis for the equivalence is that both of them are computer peripheral printing devices which print monochrome or color images on paper, using inkjet technology.

The only difference is that the LifeJet™ Printer 400 driver allows the user to format the print layout by printing one to eight images per page, in strips of two, either in portrait or landscape mode, as soon as they are available and while the diagnostic examination goes on.

The technological equivalence of the two printers and the equivalence in terms of their features is summarized in the table below.

| Feature/<br>Specification | LifeJet™ Printer 400 | Kodak Digital Science 1200<br>Distributed Medical Imager |
|---------------------------|----------------------------------------------------------------------------------------------|------------------------------------------------------------------------|
| Printing Technology | Ink-jet | Ink-jet |
| Operating System | Windows NT 4.0 | Windows 95/98, NT 4.0 |
| Printing Resolution | 1200x1200 dpi | 1200x1200 dpi |
| Tones | Color and gray scale | Color and gray scale |
| Number of Colors | 256 x CMYK | 256 x CMYK |
| Standards | UL, CSA, FCC, CE Mark, IEC 60601-<br>1, Energy Star | UL, CSA, FCC, EN50082, CISPR 22,<br>VCCI, CE Mark, C-Tick, Energy Star |
| Interfaces | Parallel: IEEE 1284 | Parallel: IEEE 1284 |
| Cartridges | Black LifeJet™ Medical Ink Jet<br>Cartridge,<br>Color LifeJet™ Medical Ink Jet<br>Cartridges | DMI Ink cartridge 1<br>DMI Ink Cartridge 2, or<br>DMI Black Cartridge |
| Printing Media | Coated paper | Coated paper<br>Coated film (blue) |
| Sheet sizes | A4, A5, A6, US letter, 4"x6",<br>personalized | A4, A5, A6, B5, Executive, Legal, US<br>letter, 4"x6", 8"x10" |
| Supply Tray<br>Capacity | 50 sheets | 45 sheets |
| RAM | 2 MB | Not available |

## Table of comparison of features of Predicate Device

### 10.9 Performance testing

The tests carried out to measure the printing time and image quality for the LifeJet™ Printer 400 in comparison with the predicate device confirmed their substantial equivalence also in terms of performances.

Objective test procedures were established to measure:

- the time to print one 203x203 mm image of a SMPTE pattern (512x512 pixel), .
- . the printed maximum optical density,

30-03-2001

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## 510(k) PREMARKET NOTIFICATION FOR FERRANIA S.p.A. LifeJet™ Printer 400

# Section 10 - 510(k) Summary of Safey and Effectiveness as required by 21 CFR 807.92(c)

- the image mottling and bleeding @ 100% density. ●
### Conclusion 10.6

Based on the analysis of the comparisons made between the LifeJet™ Printer 400 Dason on the untaryse or are on the results of performance test results, Ferrania and the producted that the LifeJet™ Printer 400 is safe, effective and performs as well as or better than the predicate device.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of a human figure with three flowing lines above it, representing health and well-being. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the emblem.

### Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 8 2001

Ferrania S.P.A. % Ms. Chantel Carson Underwriters Laboratories Inc. 333 Pfingsten Road NORTHBROOK IL 60062

Re: K011617 LifeJet™ Printer 400 Dated: May 15, 2001 Received: May 25, 2001 Regulatory Class: II 21 CFR 892.2040/Procode: 90 LMC

### Dear Ms. Carson:

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 legally marketed predicate 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 (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 requirements, as set forth in the Quality System Regulation (QS) 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 predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you 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 [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 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 [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Nancy Crogdon

Nancy C. Brogdon Director. Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure (s)

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# Statement of Indications for Use

510(k) Number (if known)

# Device Name: LifeJet™ Printer 400

## Indications for Use:

The LifeJet™ Printer 400 is an ink jet printer designed to provide referral high quality color and/or gray scale hard copies of medical images generated by medical equipment.

The LifeJet™ Printer 400 has been developed to be used together with LifeJet™ Medical Paper and LifeJet™ Medical Ink Jet Cartridges to achieve the best quality medical images.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use √

OR

Over the Counter Use

David A. Stegman