TOSHIBA 1.5T QD HEAD COIL

K120627 · Quality Electrodynamics · MOS · Mar 29, 2012 · Radiology

Device Facts

• Record ID: K120627
• Device Name: TOSHIBA 1.5T QD HEAD COIL
• Applicant: Quality Electrodynamics
• Product Code: MOS · Radiology
• Decision Date: Mar 29, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.1000
• Device Class: Class 2

Intended Use

The Toshiba 1.5T QD Head Coil (MJQH-147A) is intended for use with a 1.5T Vantage Titan MRI system to produce diagnostic images of the head anatomy that can be interpreted by a trained physician.

Device Story

The Toshiba 1.5T QD Head Coil is a specialty magnetic resonance imaging coil designed for use with the Toshiba Vantage Titan 1.5T MRI system. It functions as a receiver coil to capture radiofrequency signals from head anatomy during MRI procedures. The device is operated by trained MRI technologists in a clinical setting. The captured signals are processed by the host MRI system to generate diagnostic images, which are then reviewed by a physician to aid in clinical decision-making and diagnosis. The coil is intended to provide high-quality imaging of the head, benefiting patients by facilitating accurate diagnostic assessment.

Clinical Evidence

Bench testing only. Compliance with IEC 60601-1 (safety/performance) and IEC 60601-2-33 (SAR requirements) was verified. SNR and image uniformity were validated according to NEMA MS-1 2008 and NEMA MS-3 2008 standards, respectively.

Technological Characteristics

Specialty MRI receiver coil; 1.5T field strength compatibility. Designed for use with Toshiba Vantage Titan 1.5T MRI systems. Complies with IEC 60601-1 and IEC 60601-2-33. Performance validated per NEMA MS-1 and NEMA MS-3 standards.

Indications for Use

Indicated for use with 1.5T Vantage Titan MRI systems to produce diagnostic head anatomy 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.

Predicate Devices

• Siemens 1.5T/3T CP Head Coil (K091114)

Submission Summary (Full Text)

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#### SUMMARY OF SAFETY AND EFFECTIVENESS 510(k)

## 1. Applicant

Quality Electrodynamics (QED) 700 Beta Drive, Suite 100 Mayfield Village, OH 44143 Phone [phone]

## 2. Contact

Christie Zydyk, MBA Chief Quality and Regulatory Affairs Officer

## 3. Date prepared:

February 29th, 2012

## 4. Tradename

Toshiba 1.5T QD Head Coil

## 5. Common name

Coil, magnetic resonance, specialty

## 6. Classification -

21 CFR 892.1000

### 7. Equivalent Device

| Trade name | Legally marketed predicate device | Manufacturer |
|---------------------------|-----------------------------------|-------------------------|
| Toshiba 1.5T QD Head Coil | Siemens 1.5T/3T CP Head Coil | Quality Electrodynamics |

## 8. Device Description

The Toshiba 1.5T QD Head Coil is designed for use with the Toshiba Vantage Titan 1.5T MRI system manufactured by Toshiba Medical Systems Corporation.

MAR 2 9 2012

KI20627

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#### SUMMARY OF SAFETY AND EFFECTIVENESS 510(k)

## 9. Indications for Use

The Toshiba 1.5T QD Head Coil (MJQH-147A) is intended for use with a 1.5T Vantage Titan MRI system to produce diagnostic images of the head anatomy that can be interpreted by a trained physician.

## 10. Comparison with Predicate Devices

| 510(k) # | Legally marketed predicate<br>device | Manufacturer |
|----------|--------------------------------------|-------------------------|
| K091114 | Siemens 1.5T/3T CP Head Coil | Quality Electrodynamics |

The Toshiba 1.5T QD Head Coil and the predicate device have the same intended use, are of the same design, and are constructed of the same materials.

## 11.Non-Clinical Tests

The Toshiba 1.5T QD Head Coil was tested to and found complaint with IEC 60601-1, Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (200 Edition) and IEC 60601-1, Medical electrical equipment -Part 1: General requirements for basic safety and essential performance (300 Edition). The coil SAR complies with the requirements of IEC 60601-2-33, Particular requirements for the basic safety and essential performance of magnetic resonance equipment for medical diagnosis (36 Edition).

The signal-to-noise ratio (SNR) was measured according to NEMA MS-1 2008, Determination of Signal-to-Noise Ratio (SNR) in Diagnostic Magnetic Resonance Imaging. The image uniformity was measured according to NEMA MS-3 2008, Determination of Image Uniformity in Diagnostic Resonance Imaging.

## 12. Conclusion

It is the opinion of Quality Electrodynamics that the Toshiba 1.5T QD Head Coil is substantially equivalent to the above-listed legally marketed predicate device. Use of the Quality Electrodynamics coil does not result in any new potential hazards. T

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Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Ms. Christie Zydyk Chief Quality and Regulatory Affairs Officer Quality Electrodynamics 700 Beta Drive, Suite 100 MAYFIELD VILLAGE OH 44143

MAR 2 9 2012

Re: K120627

Trade/Device Name: Toshiba 1.5T QD Head Coil Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: MOS Dated: March 23, 2012 Received: March 26, 2012

Dear Ms. Zydyk:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act 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/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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# K120627

## Indications for Use

510(k) Number (if known):

Device Name: Toshiba 1.5T QD Head Coil

Indications for Use:

The Toshiba 1.5T QD Head Coil (MJQH-147A) is intended for use with a 1.5T Vantage Titan MRI system to produce diagnostic images of the head anatomy that can be interpreted by a trained physician.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

gagurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off Office of In Vitto Diagnostic Device Evaluation and Safety

K120627

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