K Number
K173408
Date Cleared
2018-03-21

(140 days)

Product Code
Regulation Number
892.1715
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The MAMMOMAT Revelation is intended to be used for mammography exams, screening, diagnostics, biopsies and dual energy procedures under the supervision of medical professionals. The Mammography images can be inter hard copy film or soft copy workstation.

With Biopsy Option:

The InSpect feature for MAMMOMAT Revelation with HD Biopsy options is intended to provide digital X-ray images of core biopsy specimens in order to allow rapid verification that the correct tissue has been excised with the biopsy procedure.

Device Description

MAMMOMAT Revelation is a floor-mounted full field digital mammography system for screening, diagnostic and biopsy procedures on standing, seated or recumbent patients.

The system consists of an examination stand with X-ray generator, a gantry with tube housing assembly and mammography support table including detector, and an acquisition workstation with a radiation shield. The MAMMOMAT Revelation comes with a variety of compression plates and a biopsy attachment for diagnostic adjunct procedures.

The MAMMOMAT Revelation features an updated detector (LMAM 2v2), an upgrade to the MS Windows 10 operating system, the capability to do contrast enhanced mammography and tomosynthesis guided biopsy.

AI/ML Overview

The Siemens MAMMOMAT Revelation device was evaluated in non-clinical bench tests. Here's a breakdown of the acceptance criteria and study details:

1. Table of Acceptance Criteria and Reported Device Performance:

TestObjectiveAcceptance CriteriaReported Device Performance
Detector characteristicsEnsure non-inferiority to predicateSame or better than predicatePassed
Dual energy imagingEnsure diagnostic image qualityAs described in System Test Record Dual Energy (Appendix E)Passed
Targeting accuracy (biopsy)Ensure accuracy of the biopsy deviceThe needle tip must be no more than +/-1 mm in x, y, z direction from the selected target point.Within 1 mm of target

2. Sample Size and Data Provenance for Test Set:

The provided document does not specify the sample size used for the test set or the data provenance (e.g., country of origin, retrospective or prospective) for the bench tests. These tests are non-clinical and conducted in a laboratory setting.

3. Number of Experts and Qualifications for Ground Truth of Test Set:

Not applicable. The tests described are bench tests focused on technical performance metrics (detector characteristics, image quality, targeting accuracy) and do not involve human readers or expert-established ground truth in the traditional sense of a clinical study. The "ground truth" for these tests would be the established physical and technical specifications or reference measurements.

4. Adjudication Method for Test Set:

Not applicable. As these are bench tests, an adjudication method for human interpretation is not relevant. The results are based on direct measurement and comparison against defined technical criteria.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

No. The document describes non-clinical bench tests. There is no mention of an MRMC comparative effectiveness study involving human readers.

6. Standalone (Algorithm Only) Performance:

The document describes tests of the physical device's characteristics and its features. It does not specifically detail a "standalone" algorithm performance study without a human-in-the-loop, as the device is a medical imaging system. The "algorithm" here would refer to the internal image processing and AEC calculations, which are components of the system test.

7. Type of Ground Truth Used:

The ground truth for these non-clinical tests is based on:

  • Established specifications and performance of the predicate device (for detector characteristics).
  • Defined technical standards and internal system test records (for dual energy image quality).
  • Physical measurements against a known target in a phantom (for targeting accuracy).

8. Sample Size for Training Set:

Not applicable. The document describes tests for a medical imaging device, not an AI or machine learning algorithm that typically requires a separate training set. The "MAMMOMAT Revelation" is a physical mammography system.

9. How Ground Truth for Training Set Was Established:

Not applicable, as there is no mention of a separate training set for an AI algorithm.

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Image /page/0/Picture/0 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 square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Siemens Medical Solutions USA, Inc. % Ms. Denise Adams Regulatory Affairs Specialist 40 Liberty Boulevard, 65-1A MALVERN PA 19355

Re: K173408

Trade/Device Name: MAMMOMAT Revelation Regulation Number: 21 CFR 892.1715 Regulation Name: Full-field digital mammography system Regulatory Class: II Product Code: MUE Dated: February 19, 2018 Received: February 20, 2018

Dear Ms. Adams:

We have reviewed vour 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.

March 21, 2018

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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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice

(https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

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) K173408

Device Name MAMMOMAT Revelation

Indications for Use (Describe)

The MAMMOMAT Revelation is intended to be used for mammography exams, screening, diagnostics, biopsies and dual energy procedures under the supervision of medical professionals. The Mammography images can be inter hard copy film or soft copy workstation.

With Biopsy Option:

The InSpect feature for MAMMOMAT Revelation with HD Biopsy options is intended to provide digital X-ray images of core biopsy specimens in order to allow rapid verification that the correct tissue has been excised with the biopsy procedure.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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K173408 510(k) Summary: MAMMOMAT Revelation

Company: Siemens Medical Solutions, Inc. 40 Liberty Boulevard Malvern, PA 19355

Date Prepared: February 16, 2018

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

    1. General Information: Importer / Distributor: Siemens Medical Systems USA, Inc. 40 Liberty Boulevard Malvern, PA 19355 Establishment Registration Number: 2240869 Location of Manufacturing Site Siemens Healthcare GmbH Siemensstr. 1 91301 Forchheim, Germany Establishment Registration Number 3004977335

2. Contact Person:

Denise Adams, RAC Regulatory Affairs Specialist Siemens Medical Solutions USA, Inc. 40 Liberty Boulevard, 65-1A Malvern, PA 19355 adams.denise@siemens-healthineers.com

Alternate Contact Person

Patricia Jones Regulatory Affairs Specialist Siemens Medical Solutions USA, Inc. 40 Liberty Boulevard, 65-1A Malvern, PA 19355 patricia.d.jones@siemens-healthineers.com

3. Device Name and Classification:

Trade Name:MAMMOMAT Revelation
Classification Name:Full Field Digital, System, X-Ray Mammographic
Classification Panel:Radiology

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Classification Regulation:21 CFR §892.1715
Device Class:2
Product Code:MUE

4. Legally Marketed Predicate Devices

Primary predicate:
Trade Name:MAMMOMAT Inspiration Prime
510(k) #:K123520
Classification Name:Full Field Digital, System, X-Ray Mammographic
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1715
Device Class:Class II
Product Code:MUE

Secondary predicates:

Trade Name:AFFIRM BREAST BIOPSY GUIDANCE SYSTEM
510(k) #:K122836
Classification Name:System, X-ray, Mammographic
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1710
Device Class:Class II
Product Code:IZH
Trade Name:CONTRAST ENHANCED DIGITAL MAMMOGRAPHY
510(k) #:K123873
Classification Name:Full Field Digital, System, X-Ray Mammographic
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1715
Device Class:Class II
Product Code:MUE

Recalls: There are no recalls for these predicate devices.

5. Device Description:

MAMMOMAT Revelation is a floor-mounted full field digital mammography system for screening, diagnostic and biopsy procedures on standing, seated or recumbent patients.

The system consists of an examination stand with X-ray generator, a gantry with tube housing assembly and mammography support table including detector, and an acquisition workstation with a radiation shield. The MAMMOMAT Revelation comes with a variety of compression plates and a biopsy attachment for diagnostic adjunct procedures.

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SIEMENS

The MAMMOMAT Revelation features an updated detector (LMAM 2v2), an upgrade to the MS Windows 10 operating system, the capability to do contrast enhanced mammography and tomosynthesis guided biopsy.

6. Indication for Use:

The MAMMOMAT Revelation is intended to be used for mammography exams, screening, diagnostics, biopsies and dual energy procedures under the supervision of medical professionals. The Mammography images can be interpreted by either hard copy film or soft copy workstation.

With Biopsy Option:

The InSpect feature for MAMMOMAT Revelation with HD Biopsy options is intended to provide digital X-ray images of core biopsy specimens in order to allow rapid verification that the correct tissue has been excised with the biopsy procedure.

7. Substantial Equivalence:

The Siemens MAMMOMAT Revelation is substantially equivalent to the commercially available Siemens MAMMOMAT Inspiration PRIME (primary predicate) (K123520), the Hologic Contrast Enhanced Digital Mammography (secondary predicate) (K123873) and the Hologic Affirm Breast Biopsy Guidance System (secondary predicate) (K122836).

AttributesSubject deviceMAMMOMAT RevelationPrimary PredicateMAMMOMAT InspirationPRIMEK123520Remarks
Intended useThe MAMMOMATRevelation is intended to beused for mammographyexams, screening, diagnostics,biopsies and dual energyprocedures under thesupervision of medicalprofessionals.The Mammography imagescan be interpreted by eitherhard copy film or soft copyworkstation.The MAMMOMAT Inspirationsystem is intended formammography exams,screening, diagnosis, andstereotactic biopsies under thesupervision of medicalprofessionals.Mammographic images can beinterpreted by either hard copyfilm or soft copy workstation.Same butbiopsyterm moregeneral anddual energyadded
Product CodeMUEMUESame
System configuration
X-ray StandFloor mounted X-ray systemFloor mounted X-ray systemSame
X-rayGeneratorkV range5 kW23kV to 49kV5 kW23kV to 35kVkV rangeincreasedforCEDEM
X-ray TubeSame tube but shielding ofTHA improved for higher kVSame tubeNo Mofocus
AttributesSubject deviceMAMMOMAT RevelationPrimary PredicateMAMMOMAT InspirationPRIMEK123520Remarks
and the Molybdenum focus isnot being used anymoreanymore
BeamLimitingDeviceAutomatic for all sizesAutomatic for all sizesSame
CompressionunitAutomatic and manualoperationAutomatic and manualoperationSame
Object tableCarbon fiber mammographysupport systemCarbon fiber mammographysupport systemSame
DetectorLMAM2v2LMAM2Improvedreadoutelectronics
DetectormanufacturerAnradAnradSame
Detector TFTAmorphous Silicon (a-Si)Amorphous Silicon (a-Si)Same
Detector size24 cm x 30 cm24 cm x 30 cmSame
Array size2816 x 35852816 x 3585Same
Pixel size85 μm x 85 μm85 μm x 85 μmSame
GridReciprocating 5:1 ratioReciprocating 5:1 ratioSame
PRIMESame as in K123520Cleared with K123520Same
MagnificationtableMagnification 1.5 and 1.8Magnification 1.5 and 1.8Same
BiopsyattachmentYesYesImproved
Monitor/Display19" and 21" TFT display19" and 21" TFT displaySame
Software controlled functions
AECAEC calculation is done in theAEC calculation is done in theSame
Calculationacquisition workstationacquisition workstation
OperatingWindows 10Windows XPupgraded
System
ImageOpviewOpviewSame
processingalgorithms
DICOMYesYesSame
AttributesSubject deviceMAMMOMAT RevelationSecondary predicateHologic, Affirm Breast BiopsyGuidance System, K122836Remarks
BiopsyIntended useThe MAMMOMATRevelation is intended to beused for mammographyexams, screening, diagnostics,biopsies and dual energyprocedures under thesupervision of medicalprofessionals.The Mammography imagescan be interpreted by eitherhard copy film or soft copyworkstation.With Biopsy Option:The InSpect feature forMAMMOMAT Revelationwith HD Biopsy options isintended to provide digital X-ray images of core biopsyspecimens in order to allowrapid verification that thecorrect tissue has been excisedwith the biopsy procedure.The Affirm Breast BiopsyGuidance System is an optionalaccessory for the SeleniaDimensions MammographySystem. It is designed to allowthe accurate localization oflesions in the breast in threedimensions. It is intended toprovide guidance forinterventional purposes (such asbiopsy, pre-surgical localizationor treatment devices).BothincludebiopsyWithspecimenimagingadded tosubjectdevice
Product CodeMUEIZHBothcontainaccessoriesformammography
HardwareBiopsy unit slides onto objecttableBiopsy unit slides onto objecttableSame
PatientpositioningStereotactic biopsy can beperformed on seated andrecumbent patientsStereotactic biopsy can beperformed on seated andrecumbent patientsSame
Accuracy+/-1 mm in X, Y and Z axis+/-1 mm in X, Y and Z axisSame
Biopsyvolume(verticalneedleguidance)50 mm x 40 mm x 110 mm (2"x 1.6" x 4.3")50 mm x 40 mm x 110 mm (2"x 1.6" x 4.3")Same
Biopsy50 mm x 40 mm x 60 mm (2"50 mm x 40 mm x 60 mm (2" xSame
AttributesSubject deviceMAMMOMAT RevelationSecondary predicateHologic, Affirm Breast BiopsyGuidance System, K122836Remarks
volume(lateral needleguidance)x 1.6" x 2.4")1.6" x 2.4")
Tube swivelrange instereo mode$- 15^\circ$ and $+ 15^\circ$$- 15^\circ$ and $+ 15^\circ$Same
Biopsycompressionplate withwindow96 mm x 100 mm (3.8" x 3.9")(window size 52 mm x 42 mm(2" x 1.7"), vertical needleguidance96 mm x 100 mm (3.8" x 3.9")(window size 52 mm x 42 mm(2" x 1.7"), vertical needleguidanceSame
Biopsycompressionplate withoutwindow96 mm x 100 mm (3.8" x 3.9")(lateral needle guidance)96 mm x 100 mm (3.8" x 3.9")(lateral needle guidance)Same
Software controlled functions for stereotactic biopsy
WorkflowAutomated workflowAutomated workflowSame

Table 1: Comparison of the Subject to the Primary Predicate

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SIEMENS

Table 2: Comparison of the Subject to the Secondary Predicate for tomosynthesis guided biopsy

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Table 3: Comparison of the Subject to the Secondary Predicate for Contrast Enhanced
Dual Energy Mammography (CEDEM):
AttributesSubject deviceMAMMOMAT Revelationwith CEDEM optionSecondary predicateHologic, Contrast EnhancedDigital MammographyK123873Remarks
Intended useThe MAMMOMATRevelation is intended to beused for mammographyexams, screening, diagnostics,biopsies and dual energyprocedures under thesupervision of medicalprofessionals.The Mammography imagescan be interpreted by eitherhard copy film or soft copyworkstation.Contrast Enhanced DigitalMammography (CEDM) is anextension of the existingindication for diagnosticmammography with the SeleniaDimension system. The CEDMapplication shall enable contrastenhanced breast imaging usinga dual energy technique. Thisimaging technique can be usedas an adjunct followingmammography and/orultrasound exams to localize aknown or suspected lesion.Bothincludedual energy
Product CodeMUEMUESame
High energy image
kV range45kV to 49kV45kV to 49kVSame
ProcessingWeighted subtractionWeighted subtractionSame

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8. Summary of Technological Characteristics of the Subject Device as Compared with the Predicate Devices:

The MAMMOMAT Revelation is based on the same mechanical stand as the primary device. Xray generation and control are the same. The Collimator, Compression unit and AEC technology are the same. The image processing algorithms are identical to those of the primary predicate. The novel features Contrast Enhanced Mammography and tomosynthesis guided biopsy are similar to the technology used with the secondary predicates from Hologic.

9. Summary of Non-Clinical Tests:

The Siemens MAMMOMAT Revelation was tested and complies with the voluntary standards listed in the table below:

Table 4: Conformance to Standards

Reference Number, Date and Title of Standard

IEC 60601-1: 2012, Ed 3.1, Medical electrical equipment -- Part 1: General requirements for basic safety and essential performance

IEC 60601-1-2: Ed 4, 2014, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests

IEC 60601-1-3 Ed 2.1, 2012 Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment

IEC 60601-2-28 Ed 2.0. 2010. Medical electrical equipment - Part 2: Particular reguirements for the safety and essential performance of X-ray source assemblies and X-ray tube assemblies for medical diagnosis

IEC 60601-2-45: 2015, Medical electrical equipment - Part 2-45: Particular requirements for the basic safety and essential performance of mammographic X-ray equipment and mammographic stereotactic devices

IEC 62366: 2014, Ed 1.1 Medical devices - Application of usability engineering to medical devices

ISO 14971:2007, Medical devices - application of risk management to medical devices

IEC 62304: 2006. Medical device software - Software life cycle processes

ISO 10993-1:2009, Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process

NEMA PS 3.1 - 3.20: 2016, Digital Imaging and Communications in Medicine (DICOM) Set

IEC 60336: 2005, Medical electrical equipment - X-ray tube assemblies for medical diagnosis -Characteristics of focal spots

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SIEMI

Table 5: Summary of Bench Tests

TestObjectiveTest MethodAcceptanceCriteriaResults
DetectorcharacteristicsEnsurenon-inferioritytopredicateAs described byFFDM specialcontrol guidanceSame or betterthan predicatepassed
Dual energyimagingEnsurediagnosticimagequalityAs described inSystem TestRecord DualEnergy -Appendix EAs described inSystem TestRecord DualEnergypassed
TargetingaccuracyEnsureaccuracyof thebiopsydeviceAccuracy testswith phantom andcalibration needleSystem TestRecord DualEnergy appendix EThe needle tipmust be no morethan +/-1 mm inx, y, z directionfrom theselected targetpoint.Within 1mm oftarget

In addition, the following bench tests were also conducted:

The following quality assurance measures were applied to the development of the system:

  • Risk Analysis ●
  • Requirement Specification Reviews
  • Design Reviews ●
  • Integration testing (System verification)

10. General Safety and Effectiveness Concerns:

Instructions for use are included within the device labeling, and the information provided will enable the user to operate the device in a safe and effective manner. Several safety features including visual and audible warnings are incorporated into the system design. In addition the MAMMOMAT Revelation continually is monitored and if an error occurs the system functions will be blocked and an error message will be displayed.

Furthermore the operators are health care professionals familiar with and responsible for the Xray examinations to be performed. To minimize electrical and radiation hazards, Siemens adheres to recognized and established industry practice and all equipment is subject to final performance testing.

11. Conclusion as to Substantial Equivalence:

The MAMMOMAT Revelation has the same intended use, fundamental scientific technology and performance characteristics as the predicate devices. Therefore the MAMMOMAT Revelation is substantially equivalent to the primary predicates the MAMMOMAT Inspiration PRIME and the secondary predicates from Hologic, Affirm Breast Biopsy Guidance System and Contrast Enhanced Digital Mammography.

§ 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.