← Product Code [MOS](/submissions/RA/subpart-b%E2%80%94diagnostic-devices/MOS) · K021141 # MILLENNIUM 5000 MEUROVASCULAR COIL (K021141) _Usa Instruments, Inc. · MOS · Jun 27, 2002 · Radiology · SESE_ **Canonical URL:** https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/MOS/K021141 ## Device Facts - **Applicant:** Usa Instruments, Inc. - **Product Code:** [MOS](/submissions/RA/subpart-b%E2%80%94diagnostic-devices/MOS.md) - **Decision Date:** Jun 27, 2002 - **Decision:** SESE - **Submission Type:** Traditional - **Regulation:** 21 CFR 892.1000 - **Device Class:** Class 2 - **Review Panel:** Radiology ## Intended Use The Neurovascular Coil is a receive-only phased array RF coil, used for obtaining diagnostic images of the brain, cervical spine, soft tissues and vasculature of the head, neck and upper chest extending to the cardiac region in Magnetic Resonance Imaging Systems. The Millennium 5000 Neurovascular Coil is designed for use with the Altaire 0.7T MRI system manufactured by Hitachi Medical Systems, Inc. The indications for use are the same as for standard MR Imaging. The 0.7T MRI system is indicated for use as an NMR device that produces images that: (1) correspond to the distribution of protons exhibiting NMR signal, (2) depend upon NMR parameters (proton density, spin lattice relaxation time T1, spin-spin relaxation time T2) and (3) display the soft tissue structure of the head and whole body. When interpreted by a trained physician, these images yield information that can be useful in the determination of a diagnosis. ## Device Story Millennium 5000 Phased Array Neurovascular Coil; 4-element quadrature receive-only RF coil. Three-piece design: main base, open head former, detachable chest plate. Rigid, fire-rated, high-impact plastic housing. Used in MRI suites with Hitachi Altaire 0.7T systems. Decoupling via switching diodes prevents RF burns during transmission. Minimizes claustrophobia; improves patient comfort. Provides diagnostic images of brain, cervical spine, soft tissues, and vasculature. Interpreted by physicians for clinical diagnosis. ## Clinical Evidence Bench testing only. No clinical data provided. Safety and effectiveness established through comparison of design, materials, and technical specifications to legally marketed predicate devices. ## Technological Characteristics 4-element quadrature phased array receive-only RF coil. Materials: Polyurethane and polycarbonate housing. Decoupling: Switching diode. Connectivity: Dedicated interface for Hitachi Altaire 0.7T MRI. Form factor: Three-piece (base, head former, chest plate). Non-conductive housing. ## Regulatory Identification A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information). ## Special Controls *Classification.* Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only 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 - Millennium 9000 Neurovascular Coil ([K001870](/device/K001870.md)) - Medrad PA Neurovascular Coil ([K984257](/device/K984257.md)) ## Reference Devices - Magna 5000 PA CTL Spine Coil ([K994345](/device/K994345.md) & [K000002](/device/K000002.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ Koz 1141 ## JUN 2 7 2002 ## SUMMARY OF SAFETY AND EFFECTIVENESS | 1. Device Name : | Magnetic Resonance Imaging Accessory | |-----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | 2. Proprietary Name : | Millennium 5000 Phased Array Neurovascular Coil | | 3. Classification : | Class II | | 4. Establishment Registration #: | 1529041 | | 5. Manufacture Facility Location: | USA Instruments, Inc.,
1515 Danner Drive
Aurora, Ohio 44202, USA
Telephone: 330-562-1000; Fax: 330-562-1422. | | 6. Performance Standard: | No applicable performance standards have been
issued under Section 514 of the Food, Drug and
Cosmetic Act. | | 7. Intended Use: | The Neurovascular Coil is a receive-only phased
array RF coil, used for obtaining diagnostic images
of the brain, cervical spine, soft tissues and
vasculature of the head, neck and upper chest
extending to the cardiac region in Magnetic
Resonance Imaging Systems. The Millennium 5000
Neurovascular Coil is designed for use with the
Altaire 0.7T MRI system manufactured by Hitachi
Medical Systems, Inc. The indications for use are
the same as for standard MR Imaging. | | 8. Device Description: | The Millennium 5000 Phased Array Neurovascular
Coil is a 4-element quadrature phased array,
receive-only coil. The coil consists of three sections:
a main coil base, an open designed head former,
and a detachable chest plate. The split-top, three
piece design minimizes claustrophobic effects and
maximizes patient comfort. The coil elements and
accessory electronics are enclosed in a rigid plastic
housing, which is fire rated and has a high impact
and tensile strength. | Please turn over USA Instruments, Inc. {1}------------------------------------------------ ## 9. Safety and Effectiveness | Millennium 5000 Phased Array
Neurovascular Coil product features | Comparison to predicate device or other 510(k)
cleared products | |------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Intended Use: Imaging of the brain,
cervical spine, soft tissues and
vasculature of the head, neck, and
upper chest | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870)
-Similar to the Medrad PA Neurovascular Coil
manufactured by Medrad, Inc.(K984257) | | Indications for Use: Identical to routine
MRI imaging | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Coil Enclosure Material:
Polyurethane
Polycarbonate | -Similar to the Magna 5000 PA CTL Spine Coil
manufactured by USA Instruments, Inc.(K994345
& K000002)
-Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Coil Design: Receive-only phased
array coil | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Decoupling: Switching diode
decoupling | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Prevention of RF Burns: Does not
transmit RF power; decoupling isolates
the coil elements from RF fields during
RF transmission; coil elements and
circuitry are enclosed in a non-
conductive housing. | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Radio Frequency Absorption: Coil is a
receive only coil and does not transmit
RF power. | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | | Formation of Resonant Loop:
Decoupling isolates the coil elements
from RF fields during RF transmission;
length of cable and stiffness does not
permit looping | -Similar to the Millennium 9000 Neurovascular Coil
manufactured by USA Instruments, Inc. (K001870) | {2}------------------------------------------------ Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter of the circle. Inside the circle is a symbol consisting of three stylized human profiles facing to the right, with three curved lines above them, resembling a stylized wing or banner. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 JUN 2 7 2002 Re: K021141 Trade/Device Name: Millennium 5000 Phased Arrav Neurovascular Coil Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 MOS Dated: April 8, 2002 Received: April 9, 2002 Dear Ms. Shumaker: Ms. Christie Shumaker USA Instruments, Inc · AURORA OH 44202 1515 Danner Drive OA and Regulatory Manager We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA), 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 (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050. {3}------------------------------------------------ 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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter: | 8xx.1xxx | (301) 594-4591 | |----------------------------------|----------------| | 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 | | 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 | | 892.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4654 | | Other | (301) 594-4692 | Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html. Sincerely yours. Nancy C Brogdon Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ 510(k) Number (if known):_ Device Name: Millennium 5000 Phased Array Neurovascular Coil Indications for Use: The Millennium 5000 Phased Array Neurovascular Coil is designed to provide Magnetic Resonance Images of the brain, cervical spine, soft tissues and vasculature of the head, neck and upper chest. The Millennium 5000 Phased Array Neurovascular Coil is designed for use with the Altaire 0.7T scanner manufactured by Hitachi Medical Systems. > Anatomic Regions: Soft tissues and vasculature of the head, neck and upper chest. Hydrogen Nuclei Excited: The indications for use are the same as for standard imaging: The 0.7T MRI system is indicated for use as an NMR device that produces images that: (1) correspond to the distribution of protons exhibiting NMR signal, (2) depend upon NMR parameters (proton density, spin lattice relaxation time T1, spin-spin relaxation time T2) and (3) display the soft tissue structure of the head and whole body. When interpreted by a trained physician, these images yield information that can be useful in the determination of a diagnosis. (PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED) | Prescription Use |
✓
(Per 21 CFR 801.109) | |------------------|-----------------------------------| | | OR | | | Over-The-Counter Use | | | (Optional Format 1-2-96) | (Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices | 510(k) Number | K021141 | |---------------|---------| |---------------|---------| Concurrence of CDRH, Office of Device Evaluation (ODE) --- **Source:** [https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/MOS/K021141](https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/MOS/K021141) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact). **Cite:** Innolitics at https://innolitics.com