K Number
K042328
Device Name
SOMATOM SPIRIT
Date Cleared
2004-09-14

(18 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SOMATOM Spirit is intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from either the same axial plane taken at different angles or spiral planes* taken at different angles. (* spiral planes: the axial planes resulted from the continuous rotation of detectors and x-ray tube, and the simultaneous translation of the patient.)
Device Description
The Siemens SOMATOM Spirit is a whole body X-ray computed tomography stanners, The Siemens SOMATOM 'Spint is a 'Wiole' 600' whole '600' '1. tem' which features a continuously rotaing tube-detector system and functions according to the fan which features a coliminously folling tabe accords of program used for patient beam principle. The system soltware is a control, image reconstruction, and image archive/evaluation.
More Information

No
The summary describes a standard CT scanner with software for control, reconstruction, and archive/evaluation. There is no mention of AI, ML, or related concepts in the intended use, device description, or other sections. The focus is on the hardware and basic image processing/reconstruction.

No
Explanation: The device is described as an X-ray computed tomography scanner intended to produce cross-sectional images for diagnostic purposes, not for treating a disease or condition.

Yes
The device is intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data. This output (images) is used by healthcare professionals to diagnose medical conditions, which falls under the definition of a diagnostic device.

No

The device description explicitly states it is a "whole body X-ray computed tomography scanner," which is a hardware device. While it includes software for control, reconstruction, and archive/evaluation, the core device is a physical scanner.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside the body ("in vitro").
  • SOMATOM Spirit Function: The SOMATOM Spirit is an X-ray computed tomography scanner. It produces images of the body by using X-rays that pass through the body. This is an in vivo (within the living body) imaging technique.
  • Intended Use: The intended use clearly states it produces images of the body by reconstructing X-ray transmission data. This is a diagnostic imaging device, not an in vitro diagnostic device.

The information provided about the device description, input imaging modality, and anatomical site all confirm it's an imaging system that works directly on the patient's body, not on specimens taken from the body.

N/A

Intended Use / Indications for Use

The SOMATOM Spirit is intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from either the same axial plane taken at different angels or spiral planes* taken at different angles.

(* spiral planes: the axial planes resulted from the continuous rotation of detectors and x-ray tube, and the simultaneous translation of the patient.)

Product codes

90 JAK

Device Description

The Siemens SOMATOM Spirit is a whole body X-ray computed tomography stanners, The Siemens SOMATOM 'Spint is a 'Wiole' 600' whole '600' '1. tem'
which features a continuously rotaing tube-detector system and functions according to the fan which features a coliminously folling tabe accords of program used for patient beam principle. The system soltware is a control, image reconstruction, and image archive/evaluation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray transmission data

Anatomical Site

body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

K003014, K991716

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

K042328

510(K) SUMMARY FOR SOMATOM PROJECT P 1 5

Submitted by: Siemens Medical Solutions, Inc. USA 51 Valley Stream Parkway Malvern, PA 19355

August 27, 2004

Summary of Safety and Effectiveness

SEP 1 4 2004

This summary of 510(k)-safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

General Information I.

Device Name and Classification:

Product Name:SOMATOM Project P15
Proprietary Trade Name:SOMATOM Spirit
Classification Name:Computed Tomography X-ray System
Classification Panel:Radiology
CFR Section:21 CFR §892.1750
Device Class:Class II
Product Code:90 JAK
Establishment Registration Number:2240869
Performance Standards:21 CFR Subchapter J, Federal
Diagnostic X-ray Equipment Standard
Address:Siemens Shanghai Medical
Equipment Ltd. No.278,
Jin Hu Rd. 201206, Shanghai, PRC
Contact Person:Ms. Nealie Hartman
Technical Specialist, Regulatory Affairs Submissions
Siemens Medical Solutions, Inc. USA
51 Valley Stream Parkway E-50
Malvern, PA 19355
Phone:(601) 448-1769; Fax: (601) 448-1787

1

II. Safety and Effectiveness Information Supporting the Substantial Equivalence Determination

Device Description:

Device Description:
The Siemens SOMATOM Spirit is a whole body X-ray computed tomography stanners, The Siemens SOMATOM 'Spint is a 'Wiole' 600' whole '600' '1. tem'
which features a continuously rotaing tube-detector system and functions according to the fan which features a coliminously folling tabe accords of program used for patient beam principle. The system soltware is a control, image reconstruction, and image archive/evaluation.

Indication for Use:

The SOMATOM Spirit is intended to produce cross-sectional images of the body by computer The SUMATOM Spint is mended to produce of cours and axial plane taken at different angels or spiral planes* taken at different angles.

(* spiral planes: the axial planes resulted from the continuous rotation of detectors and x-ray tube, and the simultaneous translation of the patient.)

Technological Characteristics:

Technological Characteristics.
The SOMATOM Spirit systems are whole body X-ray computed tomography status for hear The SUMATOM Spirit systems are which body is not one functions according to the family features a continuously rouaing tabe decision by Amotion Duo system (for further principle. The System is Cassetem will operate with SOMARIS/5.5 software.

General Safety and Effectiveness Concerns:

General Safety and Ellectreness Concerns.
All components of the SOMATOM Spirit subject to the Federal Diagnostic Equipment All components of the SOMITION bplicable regulations of 21CFR § 1020.33 are certified to meet those requirements; and an initial report as per 21 CFR § 1002.10 will be certified with the Center for Devices and Radiological Health (CDRH). To minimize electrical, filed with the Center for Devices and Acades and established industry mechanical, and Tatlanon nazards, bromets accisions accisions and MECHANCAL
Practice. The SOMATOM is designed to meet the ELECTRICAL AND FOR practice. The SOMATOM is designed to thee the EAY EQUIPMENT STANDARD FOR SAFETY.

Substantial Equivalence:

Substantial Equivalence.
The SOMATOM Spirit systems operating with SOMARIS/5.5 software are substantially equivalent to the following systems:

Product Name510(k)Clearance Date
Siemens Emotion DuoK00301410/12/00
General Electric's HiSpeed NX/iK99171606/18/99

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. In the center of the circle is an abstract symbol that resembles a stylized human figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 4 2004

Ms. Nealie Hartman Technical Specialist, Regulatory Affairs Submissions Siemens Medical Solutions, Inc. USA 51 Valley Stream Parkway E-50 MALVERN PA 19355

· Re: K042328

Trade/Device Name: SOMATOM Spirit Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system

Regulatory Class: II Product Code: 90 JAK Dated: August 27, 2004 Received: August 27, 2004

Dear Ms. Hartman:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becalent of the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosary to regally annual date of the Medical Device Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Medical Foreign of D conimer & prior to Hay 20, 2778, waccordance with the provisions of the Federal Food, Drug, devices mat have been require approval of a premarket approval approval application (PMA). and Cosmetic Act (1107 that do not required to the general controls provisions of the Act. The I ou may, therefore, market the est include requirements for annual registration, listing of Echeral controls provision 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 If your device is classinod (soc as or of als. Existing major regulations affecting your device can
may be subject to such additional controls. Existing major regulations aff may be subject to such additions, Title 21, Parts 800 to 898. In addition, FDA may ou found in the 0000 cements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I Nasc oc advised that I Dri a lossante at your device complies with other requirements of the Act that I DX has made a determinations administered by other Federal agencies. You must comply or any it cachares and regainstilling, but not limited to: registration and listing (21 CFR Part with an the Tree 3 requirements, measurements of active requirements as set forth in the 001); laboring (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to begin hanketing your and equivalence of your device to a legally premarket notification. The PDA inisms of backence of the sice 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 If you desire specific advice for your de tee 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 Additionally, for questions on the promotions. Also, please note the regulation entitled, "Misbranding Other of Comphance at (301) 97 - 100 (21CFR Part 807.97) you may obtain. Other general by relevence to premarket nonitour (21 Connect the Act may be obtained from the Division of Small
information on your responsibilities under the Act may be obtained from the mormation on your responsionities and creating 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

4

Indications For Use

510(k) Number (if known):

KO42328

Device Name:

SOMATOM Spirit

Indication for use:

The SOMATOM Spirit system is intended to produce cross-sectional images of the body by
the are a The SOMATOM Spirit system is mission data from either the same axial plane taken at
computer reconstruction of x-ray transmission data from either the same axial plane taken computer reconstruction of the states at different angles.

(*Spiral planes: the axial planes resulted from the continuous rotation of detectors and x-ray in
t the axial planes with and the of the sations of the sations of the same of (" Spiral planes. the axial p translation of the patient.)

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Prescription Use V (Per 21 CFR §801.109)

Over-The-Counter Use OR

David R. Hynson