K Number
K032428
Date Cleared
2003-10-16

(79 days)

Product Code
Regulation Number
892.1000
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The MAGNETOM Avanto is indicated for use as magnetic resonance diagnostic devices (MRDD) that produce transverse, sagittal, coronal and oblique cross sectional images, spectroscopic images and/or spectra, and that display the internal structure and/or function of the head, body, or extremities. These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis.

The MAGNETOM Avanto may also be used for imaging during interventional procedures when performed with MR compatible devices such as, in room display and MR safe biopsy needles.

Device Description

The MAGNETOM Avanto System is a 1.5 T closed superconducting magnet designed scanner. It consists of the same types of hardware (with a modified gradient coil. RF body resonator and magnet) that are currently available with the MAGNETOM Sonata and Symphony systems.

AI/ML Overview

Here's a breakdown of the acceptance criteria and the study information for the MAGNETOM Avanto System, based on the provided text.

Based on the provided 510(k) summary, the MAGNETOM Avanto System is a 1.5 T closed superconducting magnet designed scanner which is substantially equivalent to previously cleared magnetic resonance diagnostic devices (MRDDs). The evaluation primarily focuses on safety and performance parameters compared to these predicate devices, rather than a clinical study demonstrating diagnostic accuracy in a specific patient population.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the MAGNETOM Avanto System are based on its substantial equivalence to the predicate devices (Siemens MAGNETOM 1.5 T Sonata and Siemens MAGNETOM 1.5 T Symphony) and adherence to recognized standards. The "reported device performance" in this context refers to the device's conformance to these established safety and performance levels, ensuring it is at least as safe and effective as the predicates.

CategoryAcceptance Criteria (Reference Standard/Predicate Equivalence)Reported Device Performance
Safety ParametersSubstantially equivalent to commercially available MAGNETOM 1.5 T Sonata System and 1.5 T Symphony System, adhering to FDA guidance document for MR Diagnostic Devices. This includes specific action levels for: - Maximum Static Field - Rate of Change of Magnetic Field - RF Power Deposition - Acoustic Noise LevelsThe MAGNETOM Avanto will conform to the FDA recognized NEMA Standards for the measurement of safety parameters and the international IEC standard for safety issues with Magnetic Resonance Imaging Devices. (Implies satisfactory performance meeting these standards, leading to substantial equivalence).
Performance ParametersSubstantially equivalent to commercially available MAGNETOM 1.5 T Sonata System and 1.5 T Symphony System, adhering to FDA guidance document for MR Diagnostic Devices. This includes specific performance levels for: - Specification Volume - Signal to Noise - Image Uniformity - Geometric Distortion - Slice Profile, Thickness and Gap - High Contrast Spatial ResolutionThe MAGNETOM Avanto will conform to the FDA recognized NEMA Standards for the measurement of performance parameters and the international IEC standard for safety issues with Magnetic Resonance Imaging Devices. (Implies satisfactory performance meeting these standards, leading to substantial equivalence).

2. Sample Size Used for the Test Set and Data Provenance

The summary does not describe a clinical test set in the traditional sense of a study involving patient data for diagnostic accuracy. The evaluation revolves around engineering and physical measurements to demonstrate conformance to standards and equivalence to predicate devices. There is no mention of a specific "test set" of patient images or data used for a clinical performance evaluation. Therefore, data provenance (country of origin, retrospective/prospective) is not applicable in this context.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. As noted above, there was no clinical test set requiring ground truth established by experts for diagnostic performance.

4. Adjudication Method for the Test Set

Not applicable. There was no clinical test set requiring an adjudication method.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was Done

No, a multi-reader multi-case (MRMC) comparative effectiveness study was not explicitly mentioned or described in the provided text. The document focuses on technical and safety equivalence to predicate devices, not on a direct comparison of human reader performance with and without AI assistance for this specific device.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

The device itself is a Magnetic Resonance Diagnostic Device (MRDD), an imaging system. It's not an AI algorithm that exists independently of human interpretation. Its performance is inherent in the quality of the images and spectra it produces, which are then interpreted by a trained physician. Therefore, the concept of a "standalone" AI algorithm performance is not applicable to this type of device submission.

7. The Type of Ground Truth Used

The "ground truth" in this context refers to the established technical and safety standards, as well as the performance characteristics of the predicate devices. The study implicitly uses these established standards and predicate device performance as the "ground truth" against which the new device's conformance is measured. There is no mention of pathology, outcomes data, or expert consensus on clinical diagnoses as ground truth for a diagnostic performance study.

8. The Sample Size for the Training Set

Not applicable. This device is a hardware imaging system, not an AI algorithm that undergoes "training."

9. How the Ground Truth for the Training Set Was Established

Not applicable. As there is no training set for an AI algorithm, there is no ground truth established for one.

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K032428

12 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of Safe Medical Device Act 1990 and 21 CFR § 807.92.

I. General Information

EstablishmentSiemens Medical Solutions. Inc.51 Valley Stream ParkwayMalvern. PA 19355
Registration Number2240869
ManufacturerSiemens AG. Bereich MedHenkestrasse 127D-91052 Erlangen. Germany
Registration Number8010024
Contact PersonMs. Nealie HartmanTechnical Specialist. Regulatory Submissions51 Valley Stream ParkwayMalvern. PA 19355Phone: (610)448-1769Fax: (610) 448-1787
Device NameTrade Name: MAGNETOM Avanto System
Classification Name: Magnetic Resonance Diagnostic Device
CFR Code: 21 CFR § 892.1000
Classification: Class II

Performance Standards

None established under Section 514 the Food. Drug. and Cosmetic Act.

CONFIDENTIAL

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II. Safety and Effectiveness Information Supporting Substantial Equivalence.

Intended Use

The MAGNETOM Avanto is indicated for use as magnetic resonance diagnostic devices (MRDD) that produces transverse, sagittal, coronal and oblique cross sectional images, spectroscopic images and/or spectra, and that display the internal structure and/or function of the head, body, or extremities. These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis.

The MAGNETOM Avanto may also be used for imaging during interventional procedures when performed with MR compatible devices such as, in room display and MR safe biopsy needles.

Device Description

The MAGNETOM Avanto System is a 1.5 T closed superconducting magnet designed scanner. It consists of the same types of hardware (with a modified gradient coil. RF body resonator and magnet) that are currently available with the MAGNETOM Sonata and Symphony systems.

Substantial Equivalence

The system is substantially equivalent to the following cleared medical devices:

Predicate Device NameFDA ClearanceNumberFDA Clearance Date
Siemens MAGNETOM 1.5 T SonataK99373112/23/99
Siemens MAGNETOM 1.5 T SymphonyK97168408/05/97

General Safety and Effectiveness Concerns:

Operation of the MAGNETOM Avanto System is substantially equivalent to the commercially available MAGNETOM 1.5 T Sonata System and 1.5 T Symphony System. Specified by the FDA guidance document for MR Diagnostic Devices that will be evaluated. below are the safety parameter with the following levels:

Action Levels

  • · Maximum Static Field
  • · Rate of Change of Magnetic Field
  • · RF Power Deposition
  • Acoustic Noise Levels

Performance Levels

  • · Specification Volume
  • · Signal to Noise
  • · Image Uniformity
  • · Geometric Distortion
  • · Slice Profile. Thickness and Gap
  • High Contrast Spatial Resolution

The MAGNETOM Avanto will conform to the FDA recognized NEMA Standards for the measurement of performance and safety parameters and the international IEC standard for safety issues with Magnetic Resonance Imaging Devices. This will assure that the performance of this device can be considered safe and effective with respect to the currently available MAGNETOM Sonata and Symphony systems.

CONFIDENTIAL

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Image /page/2/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 with three parallel lines extending from its head, resembling feathers or wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES" is arranged in a circular fashion around the eagle symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 6 2003

Ms. Nealie Hartman Technical Specialist, Regulatory Submissions Siemens Medical Solutions, Inc. 51 Valley Stream Parkway MALVERN PA 19355

Re: K032428

Trade/Device Name: MAGNETOM Avanto MR System Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 LNH and LNI Dated: August 4, 2003 Received: August 6, 2003

Dear Ms. Hartman:

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.

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Page 2

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(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" (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 (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

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3 Indications for Use Statement

510(k) Number (if known)

Device Name: MAGNETOM Avanto

Indications for Use:

The MAGNETOM Avanto is indicated for use as magnetic resonance diagnostic devices (MRDD) that produce transverse, sagittal, coronal and oblique cross sectional images, spectroscopic images and/or spectra, and that display the internal structure and/or function of the head, body, or extremities. These images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis.

The MAGNETOM Avanto may also be used for imaging during interventional procedures when performed with MR compatible devices such as, in room display and MR safe biopsy needles.

(please do not write below this line- continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation

Prescription Use 7

OR

Over-The-Counter Use

Nancy C. Brogdon
Division Sign Off

Division of Reproductive, and Radiological Device 510(k) Number

Siemens 510(k) Premarket Notification MAGNETOM Avanto

August 1, 2003

Page 13

CONFIDENTIAL

§ 892.1000 Magnetic resonance diagnostic device.

(a)
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).(b)
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.