K Number
K163302
Device Name
Senographe Pristina
Manufacturer
Date Cleared
2017-09-01

(283 days)

Product Code
Regulation Number
892.1715
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Senographe Pristina system is intended to be used in the same clinical applications as traditional mammographic film/screen systems. It generates digital mammographic images which can be used for screening and diagnosis of breast cancer.
Device Description
Patient-assisted compression (Self-Compression) is an option of the Senographe Pristina Full Field Digital Mammography system. It consists of a handheld wireless remote control to allow patient to adjust the compression force during breast positioning. The remote transmits the compression command to the Senographe Pristina. Senographe Pristina executes the command by raising or lowering the compression paddle, if conditions for motion are met. Patient-assisted compression is designed to minimize patients perceived pain and discomfort by giving them an active role in the application of compression. The technologist positions the patient and initiates compression. The technologist then guides the patient while she operates the remote to gradually increase compression until she reaches adequate compression.
More Information

Not Found

No
The description focuses on a mechanical system for patient-assisted compression and does not mention any AI/ML components for image analysis or other functions.

No
The device is described as generating digital mammographic images for screening and diagnosis of breast cancer, which are diagnostic purposes, not therapeutic.

Yes
The "Intended Use / Indications for Use" states that the device "generates digital mammographic images which can be used for screening and diagnosis of breast cancer." This explicitly indicates a diagnostic purpose.

No

The device description clearly states it includes a handheld wireless remote control and interacts with the Senographe Pristina system's compression paddle, indicating hardware components are involved.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Senographe Pristina system is a medical imaging device that uses digital mammography to generate images of the breast. It operates by applying compression and capturing X-ray images.
  • Intended Use: The intended use is for screening and diagnosis of breast cancer through imaging, not through analysis of biological samples.
  • Device Description: The description focuses on the mechanical and operational aspects of the mammography system, including the patient-assisted compression feature.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or performing laboratory tests.

The device is clearly an in vivo diagnostic imaging system, meaning it is used to examine the body directly.

N/A

# Intended Use / Indications for Use
The Senographe Pristina system is intended to be used in the same clinical applications as traditional mammographic film/screen systems. It generates digital mammographic images which can be used for screening and diagnosis of breast cancer.

The Senographe Pristina system is intended to be used in the same clinical applications as traditional mammographic film/screen systems. It generates digital mammographic images which can be used for screening and diagnosis of breast cancer.

# Product codes (comma separated list FDA assigned to the subject device)
MUE

# Device Description
Patient-assisted compression (Self-Compression) is an option of the Senographe Pristina Full Field Digital Mammography system. It consists of a handheld wireless remote control to allow patient to adjust the compression force during breast positioning. The remote transmits the compression command to the Senographe Pristina. Senographe Pristina executes the command by raising or lowering the compression paddle, if conditions for motion are met.

Patient-assisted compression is designed to minimize patients perceived pain and discomfort by giving them an active role in the application of compression. The technologist positions the patient and initiates compression. The technologist then guides the patient while she operates the remote to gradually increase compression until she reaches adequate compression.

# Mentions image processing
Not Found

# Mentions AI, DNN, or ML
Not Found

# Input Imaging Modality
Full-Field Digital Mammography

# Anatomical Site
Breast

# 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
A clinical evaluation was conducted on 30 patients undergoing standard FFDM views (CC and MLO). Image quality was assessed by MQSA qualified radiologists using the criteria set in the Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document: Full Field Digital Mammography System.

# Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
The patient-assisted compression option was designed and tested in accordance with GEHC Design Controls Procedures. Verification and validation testing was performed and passed for this modification. A clinical evaluation was conducted on 30 patients undergoing standard FFDM views (CC and MLO). Image quality was assessed by MQSA qualified radiologists using the criteria set in the Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document: Full Field Digital Mammography System. Compared to images where compression was applied solely by the Technologist, patient-assisted compression produced images of similar quality.

# Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found

# Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Senographe Pristina ([K162268](https://510k.innolitics.com/search/K162268))

# Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found

# Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found

§ 892.1715 Full-field digital mammography system.

(a)
Identification. A full-field digital mammography system is a device intended to produce planar digital x-ray images of the entire breast. This generic type of device may include digital mammography acquisition software, full-field digital image receptor, acquisition workstation, automatic exposure control, image processing and reconstruction programs, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). The special control for the device is FDA's guidance document entitled “Class II Special Controls Guidance Document: Full-Field Digital Mammography System.”See § 892.1(e) for the availability of this guidance document.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

September 1, 2017

Ge Healthcare Camille Vidal Director of RA Strategy 283 Rue De La Miniere Buc. 78530 FRANCE

Re: K163302

Trade/Device Name: Senographe Pristina Regulation Number: 21 CFR 892.1715 Regulation Name: Full-Field Digital Mammography System Regulatory Class: Class II Product Code: MUE Dated: August 16, 2017 Received: August 18, 2017

Dear Camille Vidal:

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. Iisting 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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/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 (800) 638-2041 or (301) 796-7100 or at its Internet address

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

Sincerely.

Robert Oals

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) K163302

Device Name Senographe Pristina

Indications for Use (Describe)

The Senographe Pristina system is intended to be used in the same clinical applications as traditional mammographic film/screen systems. It generates digital mammographic images which can be used for screening and diagnosis of breast cancer.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CER 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'GE' in a stylized script, enclosed within a blue circle. The circle has a swirling pattern around the letters, giving it a dynamic and recognizable appearance.

GE Healthcare 510(k) Premarket Notification Submission

510(k) Summary

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

Date:August 29, 2017
Submitter:GE Healthcare Medical Systems SCS
Primary Contact Person:Camille Vidal
Director of RA Strategy
GE Healthcare
283 RUE DE LA MINIERE
78530 BUC - France
Phone: +1 (240) 280-5356
Email: Camille.Vidal@ge.com
Secondary Contact Person:Diane Uriell
Director of Regulatory Affairs, XR and Women's Health
GE Healthcare
Atlanta, GA
Phone: +1 (262) 290-8212
Email: Diane.Uriell@ge.com
Device Trade Name:Senographe Pristina
Common/Usual Name:Full-Field Digital Mammography System
Classification Names:21 CFR 892.1715 – Full Field Digital Mammography System
Product Code:MUE
Predicate Device(s):Senographe Pristina (K162268)
Device Description:Patient-assisted compression (Self-Compression) is an option of the
Senographe Pristina Full Field Digital Mammography system. It
consists of a handheld wireless remote control to allow patient to
adjust the compression force during breast positioning. The remote
transmits the compression command to the Senographe Pristina.
Senographe Pristina executes the command by raising or lowering
the compression paddle, if conditions for motion are met.
Patient-assisted compression is designed to minimize patients perceived pain and discomfort by giving them an active role in the application of compression. The technologist positions the patient and initiates compression. The technologist then guides the patient while she operates the remote to gradually increase compression until she reaches adequate compression.
Indications for Use:The Senographe Pristina system is intended to be used in the same clinical applications as traditional mammographic film/screen systems. It generates digital mammographic images which can be used for screening and diagnosis of breast cancer.
Device ComparisonThe difference between Senographe Pristina (K162268) and Senographe Pristina with Patient-assisted compression (Self-Compression) is:
  • the addition of a wireless remote control to adjust compression during breast positioning,
  • the installation of a paired wireless receiver on Senographe Pristina to receive and relay the patient-assisted compression commands to the FFDM unit,
    Senographe Pristina includes two wired compression footswitches. |
    | Performance Testing | The patient-assisted compression option was designed and tested in accordance with GEHC Design Controls Procedures. Verification and validation testing was performed and passed for this modification.
    A clinical evaluation was conducted on 30 patients undergoing standard FFDM views (CC and MLO). Image quality was assessed by MQSA qualified radiologists using the criteria set in the Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document: Full Field Digital Mammography System. Compared to images where compression was applied solely by the Technologist, patient-assisted compression produced images of similar quality. |
    | Substantial Equivalence Determination | Senographe Pristina indications for use remain unchanged. New technological characteristics include a new wireless interface. Performance testing and clinical evaluation demonstrate that Senographe Pristina with patient-assisted compression (Self-Compression) is substantially equivalent to its predicate device. |

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GE Healthcare

510(k) Premarket Notification Submission