K Number
K203345
Device Name
MULTIX Impact
Date Cleared
2021-01-07

(55 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MULTIX Impact is a radiographic system used in hospitals, clinics, and medical practices. MULTIX Impact enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. MULTIX Impact is not intended for mammography. MULTIX Impact uses digital detectors for generating diagnostic images by converting X- rays into image signals. MULTIX Impact is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes.
Device Description
The MULTIX Impact (VA20) Radiography X-ray system is a modular system of x-ray components (floor-mounted x-ray tube, bucky wall stand, bucky table, x-ray generator, portable wireless and fixed detectors) based on the predicate device, the MULTIX Impact (K193089). The detectors for the subject device, MULTIX Impact (VA20), are the same as the detectors of the predicate device. The following modifications have been made to the predicate device: - Modified tube stand (motorized) to support Ortho Function 1. - Modified automatic collimator 2. - 3. New bucky wall stand - 4. Upgraded software version from VA11 to VA20 to support hardware modifications - Modified patient table న్. - 6. Modified touch user interface (TUI) - Modified wireless remote control console (WRCC) with new control design 7. The modified system will be branded as the MULTIX Impact.
More Information

No
The summary describes a standard radiographic system with hardware and software modifications, but there is no mention of AI or ML capabilities, training data, or performance metrics typically associated with AI/ML devices.

No
The device is described as a radiographic system used for generating diagnostic images, not for treating any conditions or diseases.

Yes
The device is described as "generating diagnostic images" and is used in a clinical setting to produce images that are then used for diagnosis by a medical professional.

No

The device is described as a "Radiography X-ray system" which is a modular system of x-ray components including hardware like a tube stand, collimator, bucky wall stand, bucky table, x-ray generator, and detectors. While it includes upgraded software, it is clearly a hardware-based system with software as a component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • Device Function: The MULTIX Impact is a radiographic system that uses X-rays to create images of the inside of the body. It does not analyze biological specimens.
  • Intended Use: The intended use clearly states it's for radiographic exposures of the whole body for diagnostic imaging. This is an in-vivo (within the living body) diagnostic method, not in-vitro.

Therefore, the MULTIX Impact falls under the category of medical imaging devices, not In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

MULTIX Impact is a radiographic system used in hospitals, clinics, and medical practices. MULTIX Impact enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. MULTIX Impact is not intended for mammography.

MULTIX Impact uses digital detectors for generating diagnostic images by converting X-rays into image signals. MULTIX Impact is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes.

Product codes

KPR, MQB

Device Description

The MULTIX Impact (VA20) Radiography X-ray system is a modular system of x-ray components (floor-mounted x-ray tube, bucky wall stand, bucky table, x-ray generator, portable wireless and fixed detectors) based on the predicate device, the MULTIX Impact (K193089). The detectors for the subject device, MULTIX Impact (VA20), are the same as the detectors of the predicate device. The following modifications have been made to the predicate device:

  • Modified tube stand (motorized) to support Ortho Function 1.
  • Modified automatic collimator 2.
    1. New bucky wall stand
    1. Upgraded software version from VA11 to VA20 to support hardware modifications
  • Modified patient table న్.
    1. Modified touch user interface (TUI)
  • Modified wireless remote control console (WRCC) with new control design 7.

The modified system will be branded as the MULTIX Impact.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-rays

Anatomical Site

skull, chest, abdomen, and extremities (whole body)

Indicated Patient Age Range

pediatric, adult and bariatric patients

Intended User / Care Setting

hospitals, clinics, and medical practices.

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 tests were conducted for the MULTIX Impact (VA20) during product development. The modifications described in this Premarket Notification are supported with verification and validation testing.

MULTIX Impact (VA20) conforms to the following standards: ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012; IEC 60601-1-3:2013; IEC 60601-1-2:2014; IEC 62366-1:2015; ISO 14971:2007; IEC 60601-1-6:2013; IEC 62304:2015; IEC 60601-2-28:2017; IEC 60601-2-54:2018; NEMA PS 3.1-3.20 (2016) and ISO 10993-1:2009.

All components of the x-ray system MULTIX Impact were tested and found adequate. All test results are a pass and support our claim of device safety and effectiveness.

Software Documentation for a Moderate Level of Concern software per FDA's Guidance Document Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, issued on May 11, 2005, is also included as part of this submission. The performance data demonstrates continued conformance with special controls for medical devices containing software. Non-clinical tests (integration and functional) were conducted on the MULTIX Impact (VA20) during product development.

The risk analysis was completed, and risk controls were implemented to mitigate identified hazards. The test results support that all the software specifications have met the acceptance criteria. Verification and validation testing were found acceptable to support the claim of substantial equivalence.

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

Not Found

Predicate Device(s)

K193089

Reference Device(s)

K201670

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1680 Stationary x-ray system.

(a)
Identification. A stationary x-ray system is a permanently installed diagnostic system intended to generate and control x-rays for examination of various anatomical regions. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A radiographic contrast tray or radiology diagnostic kit intended for use with a stationary x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

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January 7, 2021

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 square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Siemens Medical Solutions USA, Inc. % Mr. Martin Rajchel Senior Regulatory Affairs Specialist 40 Liberty Blvd Mail code 65-1A MALVERN PA 19355

Re: K203345

Trade/Device Name: MULTIX Impact Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: KPR, MQB Dated: November 12, 2020 Received: November 13, 2020

Dear Mr. Rajchel:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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) for

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

For

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K203345

Device Name MULTIX Impact

Indications for Use (Describe)

MULTIX Impact is a radiographic system used in hospitals, clinics, and medical practices. MULTIX Impact enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. MULTIX Impact is not intended for mammography.

MULTIX Impact uses digital detectors for generating diagnostic images by converting X- rays into image signals. MULTIX Impact is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes.

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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510(k) Summary: MULTIX Impact K203345

Company: Siemens Medical Solutions USA, Inc. 40 Liberty Boulevard, 65-1A Malvern, PA 19355

Date Prepared: November 12, 2020

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 Solutions USA, Inc. 40 Liberty Boulevard, 65-1A Malvern, PA 19355 Establishment Registration Number: 2240869

Location of Manufacturing Site

Siemens Shanghai Medical Equipment Ltd. 278 Zhou Zhu Road Shanghai, 201318, China Establishment Registration Number: 3003202425

Siemens Healthcare GmbH Siemensstrasse 1 Forchheim, Germany 91301 Establishment Registration Number: 3004977335

2. Contact Person

Martin Rajchel Sr. Regulatory Affairs Specialist Siemens Medical Solutions USA, Inc. 40 Liberty Boulevard, 65-1A Malvern, PA 19355 610-448-6545 martin.rajchel(@siemens-healthineers.com

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3. Subject Device Name and Classification

Trade Name:MULTIX Impact
Classification Name:Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1680
Device Class:Class II
Product Code:KPR
Secondary Product Code:MQB

4. Legally Marketed Predicate Device

Trade Name:MULTIX Impact
510(k) #:K193089
Clearance Date:March 20, 2020
Classification Name:Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1680
Device Class:Class II
Product Code:KPR
Reference Device:
Trade Name:Ysio X.pree
510(k)#:K201670
Clearance Date:October 21, 2020
Classification Name:Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1680
Device Class:Class II
Product Code:KPR

5. Device Description

The MULTIX Impact (VA20) Radiography X-ray system is a modular system of x-ray components (floor-mounted x-ray tube, bucky wall stand, bucky table, x-ray generator, portable wireless and fixed detectors) based on the predicate device, the MULTIX Impact (K193089). The detectors for the subject device, MULTIX Impact (VA20), are the same as the detectors of the predicate device. The following modifications have been made to the predicate device:

  • Modified tube stand (motorized) to support Ortho Function 1.
  • Modified automatic collimator 2.
    1. New bucky wall stand
    1. Upgraded software version from VA11 to VA20 to support hardware modifications
  • Modified patient table న్.
    1. Modified touch user interface (TUI)
  • Modified wireless remote control console (WRCC) with new control design 7.

The modified system will be branded as the MULTIX Impact.

5

6. Indications for Use

MULTIX Impact is a radiographic system used in hospitals, clinics, and medical practices. MULTIX Impact enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. MULTIX Impact is not intended for mammography.

MULTIX Impact uses digital detectors for generating diagnostic images by converting X- rays into image signals. MULTIX Impact is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes.

7. Substantial Equivalence

The MULTIX Impact (VA20) is a modification of the predicate device, the MULTIX Impact, cleared via K193089. The subject device is within the same classification regulation, has the same indications for use, and the same mechanical design as the predicate device. The MULTIX Impact (VA20) is substantially equivalent to the predicate device and documentation is provided to support a claim of substantial equivalence.

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

The MULTIX Impact (VA20) is substantially equivalent to the commercially available MULTIX Impact (K193089) in terms of the indications for use, design, material, functionality, technology, and energy source. The subject device uses the same or similar components cleared in the MULTIX Impact (e.g. tube, generator, detectors, collimator, BWS, patient table and imaging system).

The components of the subject device have many of the same technological characteristics as those in the predicate device. Some technological characteristics that differ slightly are shown in the comparison tables below. Verification and validation testing have been successfully completed and test results show that the subject device, MULTIX Impact (VA20) with all its components, is substantially equivalent to the predicate device.

The modifications made to the subject device, MULTIX Impact (VA20), do not affect the intended use of the device nor do they alter its fundamental scientific technology compared to the predicate device, the MULTIX Impact (K193089).

The following tables compare the main performance data of the subject device with the predicate device.

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Table 1: Indications for Use Comparison:

| Attribute | MULTIX Impact
VA20
(Subject) | MULTIX Impact
K193089
(Predicate) | Comparison
Results |
|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
| Indications
for Use | MULTIX Impact is a
radiographic system used in
hospitals, clinics, and medical
practices. MULTIX Impact
enables radiographic exposures
of the whole body including:
skull, chest, abdomen, and
extremities and may be used on
pediatric, adult and bariatric
patients.
Exposures may be taken with
the patient sitting, standing, or
in the prone position. MULTIX
Impact is not intended for
mammography.
MULTIX Impact uses digital
detectors for generating
diagnostic images by
converting X- rays into image
signals. MULTIX Impact is
also designed to be used with
conventional film/screen or
Computed Radiography (CR)
cassettes. | The MULTIX Impact system
is a radiographic system used
in hospitals, clinics, and
medical practices. MULTIX
Impact enables radiographic
exposures of the whole body
including: skull, chest,
abdomen, and extremities and
may be used on pediatric,
adult and bariatric patients.
Exposures may be taken with
the patient sitting, standing, or
in the prone position. The
MULTIX Impact system is
not meant for mammography.
The MULTIX Impact uses
digital detectors for
generating diagnostic images
by converting X-rays into
image signals.
The MULTIX Impact is also
designed to be used with
conventional film/screen or
Computed Radiography (CR)
cassettes. | Same
(Minor
grammatical
changes only) |

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| Attribute | MULTIX Impact
(VA20)
(Subject) | MULTIX Impact (VA11)
K193089
(Predicate) | Comparison
Results |
|-------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------|
| Tube Stand
(TS) | Floor mounted semi-motorized
TS

  • Manual tube tilting
  • Manual longitudinal
    movement
    Floor mounted fully motorized
    TS
  • Manual tube tilting
  • Motorized tube lifting
  • Manual longitudinal
    movement
  • Motorized tube tilting
  • Motorized longitudinal | Floor mounted semi-
    motorized TS
  • Manual tube tilting
  • Manual longitudinal
    movement
  • Motorized tube lifting | Same
    Improved to support more
    operational possibilities. |
    | Ortho
    function
    (option) | Hardware: Ortho Stand
    Software: three options
  • Smart Ortho
  • Smart Virtual Ortho
  • Auto Full-Spine & Long-
    Leg Collimation | N.A.
    N.A. | New option to support
    more operational
    possibilities. |
    | Collimator | Manual collimator | Manual collimator | Same |
    | | Automatic collimator | Automatic collimator | Same |
    | | Modified automatic collimator | N.A. | New option. |
    | Detector | - Trixell Pixium 3543EZH
    (MAX wi-D)
  • iRay Mars1717VS (Core XL)
  • iRay Venu1717X (Core
    Static) | - Trixell Pixium 3543EZH
    (MAX wi-D)
  • iRay Mars1717VS (Core
    XL)
  • iRay Venu1717X (Core
    Static) | Same |
    | Bucky Wall
    Stand
    (BWS) | New BWS with manual or
    motorized height adjustment
  • 5 field AEC
  • Option for detector unit with
    manual or motorized lifting
    scope of 315mm~1750mm | BWS with manual or
    motorized height adjustment
  • 3 field AEC
  • Option for detector unit
    with manual or motorized
    lifting scope of
    330mm~1800mm | Improved to support more
    operational possibilities. |

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| Attribute | MULTIX Impact
(VA20)
(Subject) | MULTIX Impact (VA11)
K193089
(Predicate) | Comparison
Results |
|----------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| Imaging
System | Software version: VA20 | Software version: VA11 | New SW version with
features like Ortho
function, SmartMove, and
modifications to support
hardware changes. |
| | User interface:

  • Operation tabs are on the
    top area | User interface:
  • Operation tabs are on the
    right sidebar | Improved user interface. |
    | Other minor modifications | | | |
    | Patient table | Elevating Patient table with
  • 5 field AEC | Fixed or elevating patient
    table with
  • 3 field AEC | Improved to support more
    operational possibilities. |
    | Touch User
    Interface
    (TUI) | Touch user interface
  • Physical button with
    software indicator
  • Modified user interface for
    Ortho function | Touch user interface
  • Physical button with
    silkscreen | Improved to support more
    operational possibilities. |
    | Wireless
    Remote
    Control
    Console
    (WRCC) | - Collimation control
  • BWS lifting control
  • Enabled tracking
  • Tube stand motion control
  • SmartMove button | - Collimation control
  • BWS lifting control
  • Enabled tracking | Improved to support more
    operational possibilities. |

Table 3: Comparison of Ortho function to reference device

| Technical
Specifications | MULTIX Impact
(VA20)
(subject) | Ysio X.pree
(K201670)
(reference) | Comparison Results |
|-----------------------------|----------------------------------------------------------------------------|----------------------------------------------------------------------------|----------------------------|
| Otho Support | Accessory | Accessory | Same |
| Smart Ortho | Tilting Ortho: Ortho
range set by adjusting
collimator and tube tilt | Tilting Ortho: Ortho range
set by adjusting collimator
and tube tilt | Same |
| Smart Virtual
Ortho | Ortho range set by 2D
camera in image system | Ortho range set by 3D
camera in image system | Similar clinical workflow. |

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| Auto Full-Spine
& Long-Leg
Collimation | Otho range automatically
planned for Full-Spine &
Long-Leg by 2D camera
with manual adjustment | Otho range automatically
planned for Thorax by 3D
camera with manual
adjustment | Similar clinical workflow
for different body parts. |

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

9. Nonclinical Performance Testing

Non-clinical tests were conducted for the MULTIX Impact (VA20) during product development. The modifications described in this Premarket Notification are supported with verification and validation testing.

MULTIX Impact (VA20) conforms to the following standards: ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012; IEC 60601-1-3:2013; IEC 60601-1-2:2014; IEC 62366-1:2015; ISO 14971:2007; IEC 60601-1-6:2013; IEC 62304:2015; IEC 60601-2-28:2017; IEC 60601-2-54:2018; NEMA PS 3.1-3.20 (2016) and ISO 10993-1:2009.

All components of the x-ray system MULTIX Impact were tested and found adequate. All test results are a pass and support our claim of device safety and effectiveness.

Software Documentation for a Moderate Level of Concern software per FDA's Guidance Document Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, issued on May 11, 2005, is also included as part of this submission. The performance data demonstrates continued conformance with special controls for medical devices containing software. Non-clinical tests (integration and functional) were conducted on the MULTIX Impact (VA20) during product development.

The risk analysis was completed, and risk controls were implemented to mitigate identified hazards. The test results support that all the software specifications have met the acceptance criteria. Verification and validation testing were found acceptable to support the claim of substantial equivalence.

General Safety and Effectiveness Concerns 10.

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 MULTIX Impact (VA20) Radiography X-ray system is continually monitored and if an error occurs the system functions will be blocked and an error message will be displayed.

Risk management is ensured via a hazard analysis which is used to identify potential hazards. These potential hazards are controlled via software development, verification, and validation testing. To minimize electrical, and radiation hazards, Siemens adheres to recognized and established industry practice, and all equipment is

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subject to final performance testing. Furthermore, the operators are healthcare professionals familiar with and responsible for the x-ray examinations to be performed.

11. Conclusion as to Substantial Equivalence

The MULTIX Impact (VA20) has the same indications for use as the predicate device, MULTIX Impact (K193089). The operating environment and mechanical design are similar.

Verification and validation testing demonstrate that the MULTIX Impact (VA20) performs as intended. The non-clinical test data demonstrate that the MULTIX Impact (VA20) device performance is comparable to the predicate device that is currently marketed for the same intended use.

In summary, Siemens concludes that the MULTIX Impact (VA20) does not introduce any new potential safety risks and is substantially equivalent to and performs as well as the predicate device, MULTIX Impact (K193089).

12. Guidance documents

The following FDA guidance documents were utilized in the documentation of this Premarket Notification:

  • Content of Premarket Submissions for Management of Cybersecurity in Medical Devices Guidance for Industry and Food and Drug Administration Staff Document issued on: October 2, 2014
  • Information to Support a Claim of Electromagnetic Compatibility (EMC) of . Electrically-Powered Medical Devices Guidance for Industry and Food and Drug Administration Staff Document issued on July 11, 2016.
  • Pediatric Information for X-ray Imaging Device Premarket Notifications Guidance ● for Industry and Food and Drug Administration Staff Document issued on November 28, 2017.
  • Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices ● Guidance for Industry and Food and Drug Administration Staff Document issued on: September 1, 2016
  • Guidance for Industry and FDA Staff Guidance for the Content of Premarket Submissions for Software contained in Medical Devices Document issued on: May 11, 2005
  • Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for ● Medical Devices Guidance for Industry and Food and Drug Administration Staff

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Document issued on: September 14, 2018

  • The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notifications [510(k)] Guidance for Industry and Food and Drug Administration Staff Document issued on: July 28, 2014
  • Radio Frequency Wireless Technology in Medical Devices Guidance for Industry . and Food and Drug Administration Staff Document issued on: August 14, 2013