OEC Elite MiniView

K171800 · Ge Hualun Medical Systems Co. , Ltd. · OXO · Jul 12, 2017 · Radiology

Device Facts

• Record ID: K171800
• Device Name: OEC Elite MiniView
• Applicant: Ge Hualun Medical Systems Co. , Ltd.
• Product Code: OXO · Radiology
• Decision Date: Jul 12, 2017
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.1650
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The OEC Elite™ MiniView™ (mobile mini C-arm) is intended to provide fluoroscopic images of the patient during diagnostic or therapeutic treatment/surgical procedures of the limbs/extremities and shoulders.

Device Story

Mobile mini C-arm system for real-time fluoroscopic imaging of limbs, extremities, and shoulders. System comprises C-arm with CsI(Tl)-CMOS flat panel detector, X-ray source monoblock, and mobile workstation with image processing software and display monitors. C-arm supports vertical, horizontal, orbital, and rotational positioning; features electronically controlled braking system. Operated by physicians/surgeons in clinical settings (e.g., OR, emergency medicine). Provides real-time visualization to guide diagnostic or therapeutic procedures. Subject device adds optional 2.4GHz wireless footswitch for X-ray control, maintaining identical functionality to wired version. Wireless option reduces cable clutter and improves placement flexibility.

Clinical Evidence

No clinical data. Substantial equivalence supported by bench testing, including design verification and validation, and compliance with IEC 60601-1, IEC 60601-2-54, and IEC 60601-2-43 standards. Wireless coexistence testing performed per FDA guidance.

Technological Characteristics

Mobile mini C-arm; CsI(Tl)-CMOS flat panel detector; high-voltage generator; X-ray monoblock. Optional 2.4GHz wireless footswitch using proprietary private protocols. Compliant with IEC 60601-1 Ed. 3, IEC 60601-2-54, and IEC 60601-2-43. Electronically controlled braking system.

Indications for Use

Indicated for real-time general fluoroscopic visualization of patients of all ages to aid physicians and surgeons during diagnostic or therapeutic treatment/surgical procedures of the limbs, extremities, and shoulders, including orthopedics and emergency medicine.

Regulatory Classification

Identification

An image-intensified fluoroscopic x-ray system is a device intended to visualize anatomical structures by converting a pattern of x-radiation into a visible image through electronic amplification. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.

Special Controls

*Classification.* Class II (special controls). An anthrogram tray or radiology dental tray intended for use with an image-intensified fluoroscopic x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9. In addition, when intended as an accessory to the device described in paragraph (a) of this section, the fluoroscopic compression 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

• OEC Elite MiniView (K160131)

Submission Summary (Full Text)

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

July 12, 2017

GE HUALUN MEDICAL SYSTEMS CO. LTD. % Ms. Lifeng Wang Regulatory Affairs Leader No1 Yong Chang North Road Beijing Economic Technological Development Zone Beijing 100176 Beijing CHINA

Re: K171800

Trade/Device Name: OEC Elite™ MiniView™ Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified fluoroscopic x-ray system Regulatory Class: II Product Code: OXO, JAA Dated: June 15, 2017 Received: June 16, 2017

Dear Ms. Wang:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Michael D. O'Hara For

Robert Ochs. Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known)

## K171800

Device Name OEC Elite™ MiniView™

#### Indications for Use (Describe)

The OEC Elite MiniView (mobile mini C-Arm) is designed to provide physicians with real time general fluoroscopic visualization of patients of all ages. It is intended to aid physicians and surgeons during diagnostic or therapeutic treatment/surgical procedures of the limbs/extremities and shoulders including, but not limited to, orthopedics and emergency medicine.

Type of Use (Select one or both, as applicable)

| <span></span> | Prescription Use (Part 21 CFR 801 Subpart D) |
|---------------|----------------------------------------------|
| <span></span> | Over-The-Counter Use (21 CFR 801 Subpart C) |

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Image /page/3/Picture/7 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'GE' in a stylized, cursive font, enclosed within a circle. The circle has small, wave-like embellishments around its perimeter, giving it a slightly decorative appearance. The logo is presented in a blue color.

## GE Healthcare

510(k) Premarket Notification Submission- OEC Elite™ MiniView™

## 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the requirements of 21 CFR 807.92 the following summary of information is provided:

| Date:<br>Submitter: | June 16, 2017<br>GE HUALUN MEDICAL SYSTEMS CO. Ltd.<br>No.1 Yong Chang North Road, Beijing Economic<br>Technological Development Zone<br>Beijing 100176,China |
|----------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer/<br>Manufacturing Location | GE HUALUN MEDICAL SYSTEMS CO. Ltd.<br>No.1 Yong Chang North Road, Beijing Economic<br>Technological Development Zone<br>Beijing 100176,China |
| Primary Contact Person: | Lifeng Wang<br>Regulatory Affairs Manager<br>GE Healthcare<br>[phone]<br>[e-mail] |
| Secondary Contact Person: | Helen Peng<br>Regulatory Affairs Director<br>GE Healthcare<br>[phone]<br>[e-mail] |
| Device Trade Name: | OEC Elite™ MiniView™ |
| Common/Usual Name: | Fluoroscopic X-Ray System, Mobile<br>Mini Mobile C-Arm, Mini C-Arm |
| Classification Names: | Image-intensified fluoroscopic x-ray system |
| Device Class | Class II |
| Classification regulation: | 21CFR 892.1650 |
| Primary Product Code: | OXO |
| Secondary Product Code: | JAA |
| Predicate Device(s): | K160131, OEC Elite MiniView |
| Device Description: | The OEC Elite™ MiniView™ is a mobile fluoroscopic mini C-<br>arm system that provides fluoroscopic images of patients of all<br>ages during diagnostic, treatment, and surgical procedures of the<br>shoulders, limbs, and extremities. The system consists of a C-arm<br>attached to an image processing workstation. A CsI(TI) -CMOS<br>flat panel detector and the identical X-ray source monoblock are<br>used for image acquisition. |
| | The C-arm supports the high-voltage generator, X-ray tube, X-ray<br>controls, collimator, and the FPD. The C-arm is capable of<br>performing linear (vertical, horizontal, orbital) and rotational<br>motions that allow the user to position the X-Ray imaging<br>components at various angles and distances with respect to the<br>patient extremity anatomy to be imaged. The C and support arm<br>are mechanically balanced allowing for ease of movement and<br>capable of being "locked" in place using an electronically<br>controlled braking system. The workstation is a stable mobile<br>platform that supports the C-arm, image display monitor(s),<br>image processing equipment/software, recording devices, data<br>input/output devices and power control systems. |
| | The primary technology change for the subject device compared<br>to the unmodified predicate OEC Elite MiniView, was to add an<br>optional wireless footswitch which provides identical<br>functionalities as the wired footswitch to control X-ray on and<br>off. |
| Intended Use: | The OEC Elite™ MiniView™ (mobile mini C-arm) is intended to<br>provide fluoroscopic images of the patient during diagnostic or<br>therapeutic treatment/surgical procedures of the limbs/extremities<br>and shoulders. |
| Indications for Use | The OEC Elite™ MiniView™ (mobile mini C-Arm) is designed<br>to provide physicians with real time general fluoroscopic<br>visualization of patients of all ages. It is intended to aid<br>physicians and surgeons during diagnostic or therapeutic<br>treatment/surgical procedures of the limbs/extremities and<br>shoulders including, but not limited to, orthopedics and<br>emergency medicine. |
| Technology: | The modified OEC Elite™ MiniView™ employs the same<br>fundamental scientific technology as the unmodified predicate<br>device. The proposed device will provide an optional off-the-shelf<br>wireless foot switch uses 2.4GHz radio frequency technology<br>with proprietary private protocols. The introduction of this<br>wireless footswitch does not change any existing hardware or<br>software of the predicated device. The new option is equivalent to<br>the wired footswitch on the predicate in that the functionalities<br>are identical. The wireless option provides placement flexibility<br>and reduces cable clutter. |
| Determination of<br>Substantial Equivalence: | Summary of Non-Clinical Testing: |
| | The modified OEC Elite™ MiniView™ system with the wireless<br>footswitch was developed under the GE Healthcare's design<br>controls processes and overall quality management system. |
| | The system has been tested by an NRTL and certified compliant<br>with the IEC 60601-1 Ed. 3 series, including IEC60601-2-54 and<br>IEC 60601-2-43. All applicable 21CFR Subchapter J<br>performance standards are met. |
| | Risk management activities including using risk analysis to<br>identify any potential issues incorporating the wireless footswitch<br>were performed. These issues were reviewed and mitigated with<br>inherent safe designs and labeling. The mitigations were verified<br>and validated as a part of the design verification and validation<br>testing that has been executed with acceptable results. This<br>testing also includes the EMC and coexistence testing per the<br>"Radio Frequency Wireless Technology in Medical Devices"<br>Guidance for Industry and Food and Drug Administration Staff<br>issued on August 14, 2013 (Wireless Guidance). |
| | Clinical Testing:<br>The subject of this premarket submission, OEC Elite MiniView<br>with the addition of the wireless footswitch, did not require<br>clinical studies to support substantial equivalence. |
| | Design verification and validation testing was performed to<br>confirm that the safety and effectiveness of the devices has not<br>been affected. The test plans and results have been executed with<br>acceptable results. |
| Conclusion: | The OEC Elite MiniView incorporates a wireless footswitch for<br>the user to initiate and terminate x-ray exposures as an option.<br>The addition of the optional wireless footswitch to the system<br>does not raise new questions on safety and effectiveness. The<br>modified subject device has the same technological characteristics<br>and perform as well as the unmodified predicate device and other<br>similar devices that incorporate a wireless footswitch currently on<br>the market. |
| | Based on the successful verification and validation testing,<br>additional engineering bench testing per the FDA Wireless<br>guidance, conformance to standards, and development under GE's<br>Quality Management System, we believe that the modified OEC<br>MiniView is of comparable type and substantially equivalent to<br>the predicate device OEC Elite MiniView (K160131), and<br>therefore is safe and effective for its intended use. |

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Image /page/4/Picture/0 description: The image shows the logo for General Electric (GE). The logo consists of the letters 'GE' in a stylized, cursive font, enclosed within a blue circle. The circle is surrounded by swirling, water-like shapes, also in blue, which add a dynamic and fluid element to the design. The overall design is simple, clean, and recognizable, reflecting GE's long-standing presence and reputation.

# GE Healthcare

# 510(k) Premarket Notification Submission- OEC Elite™ MiniView™

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# GE Healthcare

Image /page/5/Picture/1 description: The image shows the logo for General Electric (GE). The logo consists of the letters "GE" in a stylized script, enclosed within a blue circle. There are decorative flourishes around the letters, giving the logo a classic and recognizable appearance.

# 510(k) Premarket Notification Submission- OEC Elite™ MiniView™