K Number
K172404
Device Name
SenoBright HD
Manufacturer
Date Cleared
2017-10-30

(82 days)

Product Code
Regulation Number
892.1715
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
SenoBright HD is an extension of the existing indication for diagnostic mammography with Senographe Pristina. The SenoBright HD application shall enable contrast enhanced breast imaging a dual energy technique. This imaging technique can be used as an adjunct following mammography and ultrasound exams to help localize a known or suspected lesion.
Device Description
The subject of this submission is a modification of Senographe Pristina FFDM system (cleared in K162268) that will introduce a new imaging option called SenoBright HD. This imaging option has been previously cleared for Senographe Essential FFDM system in K103485,marketed as SenoBright Contrast Enhanced Spectral Mammography (CESM). The dual energy exposures will be done following an iodine based contrast injection of the patient and with a single breast compression. The new mode of operation for Senographe Pristina system is referred to as SenoBright HD Contrast Enhanced Spectral Mammography (CESM) due to the nature of taking an exposure with the x-ray spectrum optimized for general mammographic imaging and a second exposure with the x-ray spectrum optimized for the iodine based contrast image. The main modification of the Senographe Pristina system is the addition of software feature to control the low and high energy images and post processing and recombination of those images to create FFDM like image and recombined image. These two images allow the visualization of the breast tissue in a way that is typical and familiar for mammographic imaging and the x-ray contrast enhancement in the breast at the same time.
More Information

No
The description focuses on dual-energy X-ray imaging and post-processing techniques, with no mention of AI or ML.

No.
The device is described as an imaging option used as an adjunct to mammography and ultrasound exams to help localize a lesion, indicating a diagnostic rather than therapeutic purpose.

Yes

The device enables contrast-enhanced breast imaging and helps localize known or suspected lesions, which are actions consistent with diagnostic purposes.

No

The device is described as a modification to an existing FFDM system (Senographe Pristina), which is a hardware device. The modification involves adding a "software feature to control the low and high energy images and post processing and recombination of those images," but this software operates within and controls the hardware of the mammography system. It is not a standalone software application.

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 description clearly states that SenoBright HD is an imaging technique using X-rays and contrast injection to visualize breast tissue. It's an extension of a mammography system.
  • No Sample Analysis: The device does not analyze samples taken from the patient's body. It directly images the breast within the patient's body.

Therefore, SenoBright HD falls under the category of a medical imaging device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

SenoBright HD is an extension of the existing indication for diagnostic mammography with Senographe Pristina. The SenoBright HD application shall enable contrast enhanced breast imaging a dual energy technique. This imaging technique can be used as an adjunct following mammography and ultrasound exams to help localize a known or suspected lesion.

Product codes

MUE

Device Description

The subject of this submission is a modification of Senographe Pristina FFDM system (cleared in K162268) that will introduce a new imaging option called SenoBright HD. This imaging option has been previously cleared for Senographe Essential FFDM system in K103485, marketed as SenoBright Contrast Enhanced Spectral Mammography (CESM). The dual energy exposures will be done following an iodine based contrast injection of the patient and with a single breast compression. The new mode of operation for Senographe Pristina system is referred to as SenoBright HD Contrast Enhanced Spectral Mammography (CESM) due to the nature of taking an exposure with the x-ray spectrum optimized for general mammographic imaging and a second exposure with the x-ray spectrum optimized for the iodine based contrast image. The main modification of the Senographe Pristina system is the addition of software feature to control the low and high energy images and post processing and recombination of those images to create FFDM like image and recombined image. These two images allow the visualization of the breast tissue in a way that is typical and familiar for mammographic imaging and the x-ray contrast enhancement in the breast at the same time.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray 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

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

• Complete Image Quality Bench Performance testing was completed showing appropriate performance.
• A Clinical image evaluation was performed showing that image quality of SenoBright HD in a clinical setting is good as assessed by expert radiologists.
• Successful System and Software verification and validation.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K103485

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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October 30, 2017

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

GE Healthcare GE Medical Systems SCS % Mounir Zaouali Regulatory Affairs Leader 283 rue de la Miniere Buc, 78530 FRANCE

Re: K172404

Trade/Device Name: SenoBright HD Regulation Number: 21 CFR 892.1715 Regulation Name: Full-field digital mammography system Regulatory Class: II Product Code: MUE Dated: August 4, 2017 Received: August 9, 2017

Dear Mounir Zaouali:

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-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.

U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.qov

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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 (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevicesforYou/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 (DICE) 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.

Michael D. O'Hara For

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)

K172404

Device Name SenoBright HD

Indications for Use (Describe)

SenoBright HD is an extension of the existing indication for diagnostic mammography with Senographe Pristina. The SenoBright HD application shall enable contrast enhanced breast imaging a dual energy technique. This imaging technique can be used as an adjunct following mammography and ultrasound exams to help localize a known or suspected lesion.

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)
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Section 5: 510(k) Summary

SenoBright HD

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510(k) Summary

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

Date:August 4, 2017
Submitter:GE Healthcare
GE Medical Systems SCS
283 RUE DE LA MINIERE
78530 BUC - FRANCE
Primary Contact Person:Mounir Zaouali,
Regulatory Affairs Leader,
GE Medical Systems SCS,
283 RUE DE LA MINIERE
78530 BUC - FRANCE Phone : + 33 1 30 70 45 39
Phone : + 33 1 30 70 45 39
Fax : + 33 1 30 70 41 40
Email : Mounir.Zaouali@ge.com
Secondary Contact Person:Diane Uriell
Sr. Director of Regulatory Affairs, XR and Women's Health,
GE Healthcare,
Atlanta, Georgia - USA
Phone +1 262 290 8212
Email: Diane.Uriell@ge.com
Device Trade Name:SenoBright HD
Common/Usual Name:Full Field Digital Mammography System
Classification Names:21 CFR 892.1715, Class II
Product Code:MUE
Predicate Device(s):K103485
Contrast Enhanced Spectral Mammography (CESM)
Device Description:The subject of this submission is a modification of Senographe
Pristina FFDM system (cleared in K162268) that will introduce a new
imaging option called SenoBright HD. This imaging option has been
previously cleared for Senographe Essential FFDM system in
K103485,marketed as SenoBright Contrast Enhanced Spectral
Mammography (CESM).
The dual energy exposures will be done following an iodine based
contrast injection of the patient and with a single breast compression.
The new mode of operation for Senographe Pristina system is
referred to as SenoBright HD Contrast Enhanced Spectral
Mammography (CESM) due to the nature of taking an exposure with
the x-ray spectrum optimized for general mammographic imaging and
a second exposure with the x-ray spectrum optimized for the iodine
based contrast image.
The main modification of the Senographe Pristina system is the
addition of software feature to control the low and high energy
images and post processing and recombination of those images to
create FFDM like image and recombined image. These two images
allow the visualization of the breast tissue in a way that is typical and
familiar for mammographic imaging and the x-ray contrast
enhancement in the breast at the same time.
Intended Use:SenoBright HD is an extension of the existing indication for diagnostic
mammography with Senographe Pristina. The SenoBright application
shall enable contrast enhanced breast imaging using a dual energy
technique. This imaging technique can be used as an adjunct
following mammography and ultrasound exams to help localize a
known or suspected lesion.
Technology:SenoBright HD and predicate device, SenoBright Contrast Enhanced
Spectral Mammography (CESM), have the same intended use, same
fundamental scientific technology, principle of operation and similar
operating parameters.
Comparison of Technological
Characteristics with The
Predicate Device:SenoBright HD
The main changes between SenoBright HD and the predicate device
SenoBright Contrast Enhanced Spectral Mammography (CESM)
include:
1) Different hosting mammography system (Senographe
Essential vs Senographe Pristina.
2) Improvements to the acquisition technique, the high energy
AOP takes into account both the breast thickness and the breast
density to determine the optimal X-rays techniques. This is based on
the predicate and Senographe Pristina low energy AOP that takes into
account both breast thickness and density.
3) Additional artefacts management is incorporated to minimize the artefacts that may appear at the breast skin line and nipple.
Determination of Substantial
Equivalence:SenoBright HD has the same indications for use as its predicate device. It uses the same fundamental technology as Contrast Spectral Mammography (CESM). Differences between SenoBright HD do not raise new questions of safety and effectiveness. The impact of differences between the predicate and new device has been assessed using applicable FDA Guidance and Standards. In particular, the following testing was performed: • Complete Image Quality Bench Performance testing was completed showing appropriate performance. • A Clinical image evaluation was performed showing that image quality of SenoBright HD in a clinical setting is good as assessed by expert radiologists. • Successful System and Software verification and validation.
Conclusion:GE Healthcare considers the SenoBright HD to be as safe, as effective, and performance is substantially equivalent to the predicate device(s).

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GE Healthcare 510(k) Premarket Notification Submission