MODELS HRK-63-8 PMS AND HRK-127-8 KNEE ARRAY COILS

K033567 · Mri Devices Corp. · MOS · Nov 25, 2003 · Radiology

Device Facts

• Record ID: K033567
• Device Name: MODELS HRK-63-8 PMS AND HRK-127-8 KNEE ARRAY COILS
• Applicant: Mri Devices Corp.
• Product Code: MOS · Radiology
• Decision Date: Nov 25, 2003
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.1000
• Device Class: Class 2

Intended Use

To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the knee that can be interpreted by a trained physician.

Device Story

HRK-63-8 PMS and HRK-127-8 Knee Array Coils are accessory devices for Magnetic Resonance (MR) scanners; function as radiofrequency (RF) receiver coils to detect MR signals from knee anatomy; transform detected signals into raw data for image reconstruction by the host MR scanner; used in clinical radiology settings by trained technologists/physicians; output is diagnostic-quality knee images; aids physicians in clinical decision-making by providing anatomical visualization; benefits patients through non-invasive diagnostic imaging.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

RF receiver coils for MRI; designed for knee imaging; compatible with standard MR scanner interfaces; passive hardware components; non-invasive; dimensions and form factor specific to knee anatomy; standard MR coil materials; no active software or internal processing algorithms.

Indications for Use

Indicated for use with Magnetic Resonance Scanners to produce diagnostic knee images for interpretation by trained physicians.

Regulatory Classification

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.

Submission Summary (Full Text)

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NOV 2 5 2003

Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird-like symbol with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Thomas Schubert

Re: K033567

Trade/Device Name: HRK-63-8 PMS and HRK-127-8 Knee Array Coils Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 MOS Dated: October 28, 2003 Received: November 10, 2003

Dear Mr. Schubert:

President

MRI Devices Corporation

WAUKESHA WI 53186

1515 Paramount Drive

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 such 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,

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This letter will allow you to begin marketing your device as described in your Section 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 the letter:

| 8xx. 1xxx | [phone] |
|----------------------------------|----------------|
| 876.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | [phone] |
| 892.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| Other | [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 Part 807.97) you may obtain. 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 [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely vours.

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

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Special 510(K) Application, Device Modification Model HRK-63-8 PMS and HRK-127-8 Knee Array Coils, October 28, 2003

## Section C - Statement of Indications for Use:

Applicant: MRI Devices Corporation
510(k) number (if known): KoJ3367 Model HRK-63-8 PMS and HRK-127-8 Knee Array Coils Device Name:

Indications for use:

To be used in conjunction with a Magnetic Resonance Scanner to produce diagnostic images of the knee that can be interpreted by a trained physician.

David M. Seppmm

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices KO3356 510(k) Number __

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
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Over-The-Counter Use or

(Per 21 CFR 801.109) (Optional Format 1-2-96)