LUMAGEM SCINTILLATION CAMERA

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image is a black and white logo for YMI. The logo is a black rectangle with the letters YMI in white. The Y is stylized with a curved tail. There is a circle in the upper right corner of the rectangle, which appears to be a hole. The rectangle is tilted slightly to the right. # Gamma Medica" Instruments Division of Photon Imaging, Inc. # 510(k) SUMMARY This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR § 807.92. The assigned 510(k) number is:_K973813 Bradlev E. Patt, PhD Submitted by: Regulatory Officer Gamma Medica Instruments Division of Photon Imaging, Inc. 19355 Business Center Drive, Suite 8 Northridge, CA 91324 > Telephone #: (818) 709-2468 Facsimile #: (818) 709-2464 Date Prepared: November 8, 1999 ## Establishment Registration Number: Gamma Medica Instruments, Division of Photon Imaging, Inc. is located at 19355 Business Center Drive, Suite 8, Northridge, CA 91324. Applicant has recently submitted a form FDA 2891, and is awaiting receipt of an Establishment Number. ### Classification Name: Scintillation (Gamma) Camera, Class I 21 CFR § 892.1100 (1990) ### Common/Usual Name: Gamma Camera Proprietary Name: LumaGEM™ Scintillation Camera 19355 Business Center Dr. Suite #8 Northridge, CA 91324 Tel (818) 709-2468 Fa. 18)709-2464 www.gammamedica.com {1}------------------------------------------------ # Gamma Medica" Instruments Image /page/1/Picture/1 description: The image shows a logo with the letters "YMI" in white on a black, tilted rectangle. The "Y" is stylized with a curved tail. A black circle is attached to the top right corner of the rectangle, with a small white dot inside it. The logo has a simple, modern design. Division of Photon Imaging, Inc. # Indications for Use: The LumaGEM™ scintillation camera is a gamma camera system, which is intended for measuring and imaging the distribution of radionuclides in the human body by means of photon detection. These images are intended to be interpreted by qualified medical personnel. | | | Yes | No | Energy Range | |----|------------------------------------------------------|-----|----|--------------| | A. | Planar Imaging | X | | 30-300keV | | B. | Whole body imaging | | X | | | C. | Tomographic Imaging (SPECT) for non-positron imaging | | X | | | D. | Positron coincidence imaging | | X | | | E. | Positron non-coincidence imaging | | X | | ### Device Description: The principles of operation and technology incorporated in the LumaGEM™ are equivalent to scintillation gamma cameras which use a combination of a scintillator with photomultiplier tubes as a photon radiation detector. The LumaGEM™ gamma camera includes signal analysis and display equipment, equipment supports and accessories. ### Substantial Equivalence Claim: The LumaGEM™ gamma camera has the same intended use, uses the same principle of radiation detection, and has very similar performance characteristics as the predicate devices; the the ADAC S315 (Transcam), K921296, the Elscint APEX SPX-4, the DIGIRAD Notebook Imager K961104, the Siemens Orbiter and the SCINTICOR System Seventy Five (SIM-400), K885054. The main difference is that the LumaGEM™ camera uses position sensitive photomultiplier tubes, which eliminate a substantial part of the volume and weight of the predicate camera heads and improves substantially the spatial resolution. When compared to the conventional camera system, these changes will either have no effect on the patient's safety, or possibly decrease the risk to the patients, because of the reduced weight of the detector. Suite #8 Northridge, CA 91324 Tel (818) 709-2468 Fc. 18)709-2464 ADAC S315 (Transcam Camera System) Product: Manufacturer: ADAC Laboratories 510(k) Number: K921296 05/28/92 Substantial Equivalence Date: {2}------------------------------------------------ Image /page/2/Picture/14 description: The image shows a logo with the letters "YMI" in white against a black, tilted square. The "Y" is stylized with a curved tail. A black circle is attached to the top right corner of the square, with a small white dot inside it. The logo has a simple, graphic design. # Gamma Medica" Instruments Division of Photon Imaging, Inc. Product: APEX SPX-4 Manufacturer: Elscint NM 510(k) Number: Unknown Substantial Equivalence Date: Unknown Product: Notebook Imager (Model 2020tc) Manufacturer: Digirad Corp. 510(k) Number: K961104 Substantial Equivalence Date: 05/28/97 Substantial equivalence notification K961104 is presented as Exhibit H. Product: Orbiter Manufacturer: Siemens Medical Systems. Inc. 510(k) Number: Unknown Substantial Equivalence Date: Unknown Product: System Seventy Seven Manufacturer: Scintcor. Inc. 510(k) Number: K885054 Substantial Equivalence Date: 04/19/89 -end of summary- 19355 Business Center Dr. Suite #8 Northridge, CA 91324 Tel (818) 709-2468 Fc. 18)709-2464 www.gammamedica.com {3}------------------------------------------------ Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services (HHS). The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES" is arranged in a circular fashion around the bird symbol. Public Health Service JAN 1 8 2000 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 Bradley E. Pratt, Ph.D. Regulatory Officer Gamma Medica™ Instruments Division of Photon Imaging, Inc. 19355 Business Center Dr. Suite #8 Northridge, CA 91324 Re: K993813 LimaGEM™ Scintillation Camera Dated: November 8, 1999 Received: November 10, 1999 Regulatory class: I 21 CFR 892.1100/Procode: 90 IYX Dear Dr. Pratt: 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 redassified 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 III (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 (301) 594-4613. 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 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 (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html". Sincerely yours, CAPT Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ # Gamma Medica Instruments Privileged and Confidential - TRADE SECRET 510(k) Number (if known): _ 993813 Device Name: LumaGEM™ Scintillation (Gamma) Camera INDICATIONS FOR USE: The LumaGEM™ scintillation camera is a gamma camera system, which is intended for measuring and imaging the distribution of radionuclides in the human body by means of photon detection. These images are intended to be interpreted by qualified medical personnel. | | | Yes | No | Energy<br>Range | |----|---------------------------------------------------------|-----|----|-----------------| | A. | Planar Imaging | X | | 30-300keV | | B. | Whole body imaging | | X | | | C. | Tomographic Imaging (SPECT) for<br>non-positron imaging | | X | | | D. | Positron coincidence imaging | | X | | | E. | Positron non-coincidence imaging | | X | | (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED, Concurrence of CDRH, Office of Device Evaluation (ODE) Thind 4. Seppon (Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices 510(k) Number K94138 Prescription Use V (Per 21 CFR 801.109 Over-The Counter Use (Optional Format 1-2-96)