K Number
K171738
Device Name
Supria True64
Date Cleared
2017-08-18

(67 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Supria True64 system is indicated for head, whole body, and vascular X-ray Computed Tomography applications in patients of all ages. The images can be acquired in either axial, helical, or dynamic modes. The volume datasets acquired by the Supria can be post processed by the system to provide additional information. Post processing capabilities included in the Supria software include CT angiography (CTA), Multi-planar reconstruction (MPR) and volume rendering. Volume datasets acquired by the Supria can be transferred to external devices via a DICOM standard interface. The guideShot Option adds a remote in-room display and controls to support interventional imaging. The device output can provide an aid to diagnosis when used by a qualified physician.
Device Description
The Supria True64 is a multi-slice computed tomography system designed to perform multi-slice CT scanning supported by 64-detector technology. The system allows optimum clinical applications ranging from routine exams in response to the diversified circumstances in imaging whole body regions. The Supria True64 system uses 64-slice CT technology, where the X-ray tube and detector assemblies are mounted on a frame that rotates continuously around the patient using slip ring technology. The solid-state detector assembly design collects up to 64 slices of data simultaneously. The X-ray sub-system features a high frequency generator. X-ray tube, and collimation system that produces a fan beam X-ray output. The system can operate in a helical (spiral) scan mode where the patient table moves during scanning. As the X-ray tube/detector assembly rotates around the patient, data is collected at multiple angles. The collected data is then reconstructed into cross-sectional images by a high-speed reconstruction sub-system. The images are displayed on a Computer Workstation, stored, printed, and archived as required. The workstation is based on current PC technology using the Windows™ operating system. The Supria True64 system consists of a Gantry, Operator's Workstation, Patient Table, High-Frequency X-ray Generator, and accessories.
More Information

Not Found

No
The summary describes standard CT technology and image processing techniques (MPR, volume rendering) without mentioning AI or ML. The performance studies focus on traditional CT metrics and iterative reconstruction, not AI/ML model performance.

No.
The "Intended Use / Indications for Use" states that the device provides "an aid to diagnosis." It is an imaging device used for diagnostic purposes, not for treating diseases or conditions.

Yes

The "Intended Use / Indications for Use" section states: "The device output can provide an aid to diagnosis when used by a qualified physician." This explicitly indicates its role in diagnosis.

No

The device description explicitly lists hardware components such as a Gantry, Operator's Workstation, Patient Table, and High-Frequency X-ray Generator, indicating it is a physical system, not software-only.

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 Supria True64 system is an X-ray Computed Tomography (CT) system. It uses X-rays to create images of the inside of the body. This is an in vivo (within the living body) imaging technique, not an in vitro (in glass/outside the body) diagnostic test.
  • Intended Use: The intended use clearly states it's for "head, whole body, and vascular X-ray Computed Tomography applications." This describes an imaging procedure, not a laboratory test on a sample.
  • Device Description: The description details the components and operation of a CT scanner, including the X-ray tube, detector, gantry, and patient table. These are characteristic of an imaging device, not an IVD.

Therefore, the Supria True64 system falls under the category of medical imaging devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Supria True64 system is indicated for head, whole body, and vascular X-ray Computed Tomography applications in patients of all ages. The images can be acquired in either axial, helical, or dynamic modes.

The volume datasets acquired by the Supria can be post processed by the system to provide additional information. Post processing capabilities included in the Supria software include CT angiography (CTA), Multi-planar reconstruction (MPR) and volume rendering.

Volume datasets acquired by the Supria can be transferred to external devices via a DICOM standard interface. The guideShot Option adds a remote in-room display and controls to support interventional imaging. The device output can provide an aid to diagnosis when used by a qualified physician.

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

JAK

Device Description

The Supria True64 is a multi-slice computed tomography system designed to perform multi-slice CT scanning supported by 64-detector technology. The system allows optimum clinical applications ranging from routine exams in response to the diversified circumstances in imaging whole body regions.

The Supria True64 system uses 64-slice CT technology, where the X-ray tube and detector assemblies are mounted on a frame that rotates continuously around the patient using slip ring technology. The solid-state detector assembly design collects up to 64 slices of data simultaneously. The X-ray sub-system features a high frequency generator. X-ray tube, and collimation system that produces a fan beam X-ray output. The system can operate in a helical (spiral) scan mode where the patient table moves during scanning. As the X-ray tube/detector assembly rotates around the patient, data is collected at multiple angles.

The collected data is then reconstructed into cross-sectional images by a high-speed reconstruction sub-system. The images are displayed on a Computer Workstation, stored, printed, and archived as required. The workstation is based on current PC technology using the Windows™ operating system.

The Supria True64 system consists of a Gantry, Operator's Workstation, Patient Table, High-Frequency X-ray Generator, and accessories. The system performance is similar to the predicate device.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Computed Tomography x-ray

Anatomical Site

head, whole body, and vascular

Indicated Patient Age Range

all ages

Intended User / Care Setting

qualified physician

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Testing: This device complies with all applicable requirements for Dose Profile, Noise, Mean CT number and Uniformity, Spatial Resolution, Tomographic Section Thickness and Sensitivity Profile, Tomographic Plane Location, and CT dose index. Noise, Mean CT number, Uniformity and Spatial Resolution test results for the Supria True64 were compared to results from the Supria PHASE 3 (K163528). The findings determined the systems to be equivalent.

Clinical Testing: As part of design validation, Hitachi has provided 3 kinds of clinical image examples which were judged to be sufficient to judge clinical usability. In addition, a comparative evaluation was conducted of via FBP and Iterative Reconstruction. It resulted in finding the images from the Supria True64 realized both low dose and high quality through reduction of image noise and artifacts.

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.

K163528

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

§ 892.1750 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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/2 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" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with flowing lines representing hair or movement.

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

August 18, 2017

Hitachi Healthcare Americas Corporation % Mr. Douglas J. Thistlethwaite Manager of Regulatory Affairs 1959 Summit Commerce Park TWINSBURG OH 44087

Re: K171738

Trade/Device Name: Supria True64 Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: JAK Dated: July 26, 2017 Received: July 28, 2017

Dear Mr. Thistlethwaite:

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 of medical device

1

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.

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 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)

K171738

Device Name Supria True64 Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement below.

Indications for Use (Describe)

The Supria True64 system is indicated for head, whole body, and vascular X-ray Computed Tomography applications in patients of all ages. The images can be acquired in either axial, helical, or dynamic modes.

The volume datasets acquired by the Supria can be post processed by the system to provide additional information. Post processing capabilities included in the Supria software include CT angiography (CTA), Multi-planar reconstruction (MPR) and volume rendering.

Volume datasets acquired by the Supria can be transferred to external devices via a DICOM standard interface. The guideShot Option adds a remote in-room display and controls to support interventional imaging. The device output can provide an aid to diagnosis when used by a qualified physician.

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

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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510(k) Summary

4

Submitter Information

| Submitter: | Hitachi Healthcare Americas
1959 Summit Commerce Park
Twinsburg, Ohio 44087-2371 |
|-------------------|----------------------------------------------------------------------------------------|
| Contact: | Douglas J. Thistlethwaite |
| Telephone number: | 330-425-1313 |
| Telephone number: | 330-963-0749 |
| E-mail: | thistlethwaited@hitachihealthcare.com |
| Date: | April 18, 2017 |

Subject Device Name

Trade/Proprietary Name:Supria True64
Regulation Number:21 CFR 892.1750
Regulation Name:Computed tomography x-ray system
Product CodeJAK, System, X-Ray, Tomography, Computed
ClassII
PanelRadiology

Predicate Device Name

Predicate Device(s):HITACHI SUPRIA Whole-body X-ray CT System Phase 3 (K163528)
Regulation Number:21 CFR 892.1750
Regulation Name:Computed tomography x-ray system
Product CodeJAK, System, X-Ray, Tomography, Computed
ClassII
PanelRadiology

Device Intended Use

The Supria True64 system is indicated for head, whole body, and vascular X-ray Computed Tomography applications in patients of all ages. The images can be acquired in either axial, helical, or dvnamic modes,

The volume datasets acquired by the Supria can be post processed by the system to provide additional information. Post processing capabilities included in the Supria software include CT angiography (CTA), Multi-planar reconstruction (MPR) and volume rendering.

Volume datasets acquired by the Supria can be transferred to external devices via a DICOM standard interface.

The guideShot Option adds a remote in-room display and controls to support interventional imaging. The device output can provide an aid to diagnosis when used by a qualified physician.

Device Description

Function

The Supria True64 is a multi-slice computed tomography system designed to perform multi-slice CT scanning supported by 64-detector technology. The system allows optimum clinical applications ranging from routine exams in response to the diversified circumstances in imaging whole body regions.

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Scientific Concepts

The Supria True64 system uses 64-slice CT technology, where the X-ray tube and detector assemblies are mounted on a frame that rotates continuously around the patient using slip ring technology. The solid-state detector assembly design collects up to 64 slices of data simultaneously. The X-ray sub-system features a high frequency generator. X-ray tube, and collimation system that produces a fan beam X-ray output. The system can operate in a helical (spiral) scan mode where the patient table moves during scanning. As the X-ray tube/detector assembly rotates around the patient, data is collected at multiple angles.

The collected data is then reconstructed into cross-sectional images by a high-speed reconstruction sub-system. The images are displayed on a Computer Workstation, stored, printed, and archived as required. The workstation is based on current PC technology using the Windows™ operating system.

Physical and Performance Characteristics

The Supria True64 system consists of a Gantry, Operator's Workstation, Patient Table, High-Frequency X-ray Generator, and accessories. The system performance is similar to the predicate device.

Performance Comparison

As part of our design validation performance comparison analysis was conducted to demonstrate continued conformance with a special control or recognized standard.

A rationale analysis was then conducted and the results are contained in Table 1:

Testing TypeRationale Analysis
Validation Testing - BenchThere is no change about the following performance.
Dose Profile, Noise, Mean CT number and Uniformity, Spatial Resolution, Tomographic Section Thickness and Sensitivity
Profile, Tomographic Plane Location, CT dose index
Therefore, we judged that Supria is substantially equivalent to the predicate.
Validation Testing - ClinicalWe provide 3 kinds of clinical image example which we judged to be sufficient to judge a clinical usability.

Table 1 Performance Comparison Analysis

The analysis confirms the performance characteristics of the Supria True64 are comparable to the predicate device and support our conclusion that the subject system is substantially equivalent.

Device Technological Characteristics

The technological characteristics of the Supria True64 and the predicate device are listed in Table 2.

ITEMSupria True64HITACHI Supria PHASE 3 (K163528)Difference
Gantry
GeometryRotate-rotate with offset detector system,
slip ringRotate-rotate with offset detector system,
slip ringNo
Scan Time0.75, 1.0, 1.5, 2.0 [s]0.75, 1.0, 1.5, 2.0 [s]No
X-ray Fan Beam Angle51 [deg]51 [deg]No
Gantry Tilt-30 to +30 [deg]-30 to +30 [deg]No
Gantry Aperture750 [mm]750 [mm]No
Gantry Dimensions1990 x 920 x 1842.5 [mm]1990 x 920 x 1842.5 [mm]No
Gantry Weight1600 [kg]1600 [kg]No
Scan LocalizerLaserLaserNo
ITEMSupria True64HITACHI Supria PHASE 3 (K163528)Difference
Detector
TypeSolid stateSolid stateNo
Number of Channels880 [ch] (16 slice)
888 [ch] (64 slice)880 [ch] (8ch reference)No
Number of Rows16 (16 slice)
64 (64 slice)16See 01
Number of Slices16 [slice/scan] (Axial) (16 slice)
64 [slice/scan] (Axial) (64 slice)16 [slice/scan] (Axial)No
X-ray Tube
Anode Heat Storage5 [MHU]5 [MHU]No
Dissipation Rate470 [kHU/min]470 [kHU/min]No
Tube coolingOil/airOil/airNo
Tube focal spotDual 0.7 x 0.8, 1.2 x 1.4 [mm]Dual 0.7 x 0.8, 1.2 x 1.4 [mm]No
X-ray Generator
kW OutputSystem Maximum 48[kW] /
Generator Maximum 51 [kW]System Maximum 48[kW] /
Generator Maximum 51 [kW]No
Max. Power Input75 [kVA]75 [kVA]No
kVp Range80, 100, 120, 140 [kVp]80, 100, 120, 140 [kVp]No
mA Range10 to 400 [mA] @120kV, 48kW10 to 400 [mA] @120kV, 48kWNo
Patient Table
Range of Movement,
Vertical450 to 1000 [mm] (CT-WT-21)450 to 1000 [mm] (CT-WT-21)No
Range of Movement,
Longitudinal1910 [mm] (CT-WT-21)1910 [mm] (CT-WT-21)No
Range of Movement,
LateralN/AN/ANo
Scannable Range155 cm155 cmNo
Maximum Load Capacity227 [kg]227 [kg]No
Display
Monitor Type24" LCD24" LCDNo
Matrices, Pixels1920 x 12001920 x 1200No
Image EnlargementsUp to 9.99xUp to 9.99xNo
Max. Slices Displayed at Once2525No
Image Storage
Hard Disk110 [GB] (images),
200 [GB] (raw data) (16 slice)
800 [GB] (raw data) (64 slice)110 [GB] (images),
200 [GB] (raw data)See 02
Storage Images200,000200,000No
Archival Storage (Media)DVD-R/RW, CD-R/RWDVD-R/RW, CD-R/RWNo
ITEMSupria True64HITACHI Supria PHASE 3 (K163528)Difference
Scanning, Reconstruction
Localization ScanReal timeReal timeNo
Localization Scan Length150, 250, 350, 500, 750,
1000, 1250, 1500, 1750 [mm]150, 250, 350, 500, 750,
1000, 1250, 1500, 1750 [mm]No
Max. Scan Time100 [s]100 [s]No
Helical Beam Pitch0.56, 0.81, 1.06, 1.31, 1.56 (16 slice)
0.58, 0.83, 1.08, 1.33, 1.58 (64 slice)0.56, 0.81, 1.06, 1.31, 1.56See 03
Collimation1.25, 5, 10, 15, 20 [mm]1.25, 5, 10, 15, 20 [mm]No
Reconstruction Matrix512 x 512 [pix]512 x 512 [pix]No
Reconstruction FOVs20 to 500 [mm]20 to 500 [mm]No
Slice Thickness0.625, 1.0, 1.25, 2.5, 3.75,
5.0, 7.5, 10.0 [mm]0.625, 1.0, 1.25, 2.5, 3.75,
5.0, 7.5, 10.0 [mm]No
Range of CT numbers-2000 to +4000 (13bit)
-32768 to +32767 (16bit)-2000 to +4000 (13bit)
-32768 to +32767 (16bit)No
Reconstruction Time0.1 seconds per image or less0.1 seconds per image or lessNo
Performance
High-contrast spatial resolution0.35 [mm]0.35 [mm]No
Low-contrast resolution mm at
% at