K Number
K222172
Device Name
MI View&GO
Date Cleared
2022-08-19

(29 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MI View&GO is a medical diagnostic application for viewing, manipulation, quantification, analysis and comparison of medical images with one or more time-points. MI View&GO supports functional data, such as position emission tomography (PET) or nuclear medicine (NM), as well as anatomical datasets, such as computed tomography (CT) or magnetic resonance (MR). MI View&GO is intended to be utilized by appropriately trained health care professionals to aid in the management of diseases associated with oncology, neurology, and organ function. The images and results produced by MI View&GO can also be used by the physician to aid in radiotherapy treatment planning.
Device Description
MI View&GO is a software-only medical device which will be delivered in conjunction with Siemens SPECT/CT and PET/CT scanners. MI View&GO software provides additional specific capabilities for handling of PET and SPECT as well as CT and MR data directly at the acquisition console. The MI View&GO software integrates molecular imaging more efficiently in the clinical environment by providing an interface for its users to review, post-process and read medical images immediately after acquisition. The purpose of the MI View&GO is to allow the technologist and reading physician to: - Review acquired and reconstructed images at the scanner console - Determine that the acquired data is of sufficient quality for reading, so the patient can be released. - Prepare images for reading - Perform a basic read
More Information

No
The summary describes standard medical image viewing, manipulation, and basic analysis software without mentioning any AI/ML capabilities. The "Mentions AI, DNN, or ML" field explicitly states "Not Found".

No
The device is a medical diagnostic application used for viewing, manipulating, quantifying, analyzing, and comparing medical images to aid in the management of diseases and radiotherapy treatment planning. It does not actively treat or cure diseases.

Yes

The "Intended Use / Indications for Use" section explicitly states that "MI View&GO is a medical diagnostic application." Furthermore, it mentions that the device is used for "viewing, manipulation, quantification, analysis and comparison of medical images" and "is intended to be utilized by appropriately trained health care professionals to aid in the management of diseases associated with oncology, neurology, and organ function." These phrases indicate that the device is intended to assist in the diagnosis of diseases.

Yes

The device description explicitly states "MI View&GO is a software-only medical device".

Based on the provided text, 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 MI View&GO is a software application for viewing, manipulating, quantifying, analyzing, and comparing medical images. It processes data from imaging modalities like PET, NM, CT, and MR.
  • No Sample Analysis: There is no mention of the device analyzing biological samples or performing tests on bodily fluids or tissues. Its function is solely focused on processing and interpreting medical images.

Therefore, MI View&GO falls under the category of medical imaging software, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

MI View&GO is a medical diagnostic application for viewing, manipulation, quantification, analysis and comparison of medical images with one or more time-points. MI View&GO supports functional data, such as positron emission tomography (PET) or nuclear medicine (NM), as well as anatomical datasets, such as computed tomography (CT) or magnetic resonance (MR).

MI View&GO is intended to be utilized by appropriately trained health care professionals to aid in the management of diseases associated with oncology, neurology, and organ function. The images and results produced by MI View&GO can also be used by the physician to aid in radiotherapy treatment planning.

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

QIH

Device Description

MI View&GO is a software-only medical device which will be delivered in conjunction with Siemens SPECT/CT and PET/CT scanners. MI View&GO software provides additional specific capabilities for handling of PET and SPECT as well as CT and MR data directly at the acquisition console.

The MI View&GO software integrates molecular imaging more efficiently in the clinical environment by providing an interface for its users to review, post-process and read medical images immediately after acquisition. The purpose of the MI View&GO is to allow the technologist and reading physician to:

  • Review acquired and reconstructed images at the scanner console ●
  • . Determine that the acquired data is of sufficient quality for reading, so the patient can be released.
  • Prepare images for reading ●
  • Perform a basic read

Modifications:

  • Auto Lung 3D ●
  • . Gaussian Filter
  • FAST Ranges Enhancements ●
  • Automatic Layout Enhancements ●
  • Open Apps ●
  • Shared Software Component Tools and CT Plugins ●
    • Tools Export Tool O
    • TimeCurve o
    • Segmentation Tools O
    • Synchronization Group Configuration O
    • Oncology Extension Plugin O
    • Interactive Spectral Imaging Plugin O
    • Sim&GO Plugin O
  • Layout and User Interface Improvements: ●
    • O 4D Support in All Layouts Including Volume Stripe
    • Dual Monitor Widescreen Layouts for Satellite Console O
    • Gated Data Display O
    • Customize Image Text in Volume Stripe O
    • Default Windowing Updates O
    • Remove Images from a MIP or VRT segment o
    • Remove Blank Segments from Volume Stripe Layout O
  • Minor Usability Improvements: ●
    • Update to Organ Processing Tooltips C
    • Default Presets and preservation upon upgrade o

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

position emission tomography (PET), nuclear medicine (NM), computed tomography (CT), magnetic resonance (MR), SPECT

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

appropriately trained health care professionals, technologist, reading 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)

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 included as part of this submission.

Verification and Validation activities have been successfully performed on the software package, including assurance that functions work as designed, performance requirements and specifications have been met, and that all hazard mitigations have been fully implemented. All testing has met the predetermined acceptance values. Traceability of the requirements specified in the requirement specifications and functional specifications is ensured during component integration, software validation and system testing.

Risk Management has been ensured via risk analyses in compliance with ISO 14971 to identify and provide mitigation to potential hazards beginning early in the design cycle and continuing throughout the development of the product. Siemens Medical Solutions, USA Inc. adheres to recognized and established industry standards for development including EN ISO 13485 and IEC 62304.

The device labeling contains instructions for use and any necessary cautions and warnings to provide for safe and effective use of the device.

Cybersecurity information in accordance with FDA Guidance documents issued October 2, 2014, has been provided. The software has specific cybersecurity controls to prevent unauthorized access, modifications, misuse, or denial of use. Additionally, controls are enabled to prevent the unauthorized use of information that is stored, accessed, or transferred between the software and external devices.

The device is designed and manufactured in accordance with Quality System Requlations as outlined in 21 CFR 820.30.

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.

K201202

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.

K211459

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

§ 892.2050 Medical image management and processing system.

(a)
Identification. A medical image management and processing system is a device that provides one or more capabilities relating to the review and digital processing of medical images for the purposes of interpretation by a trained practitioner of disease detection, diagnosis, or patient management. The software components may provide advanced or complex image processing functions for image manipulation, enhancement, or quantification that are intended for use in the interpretation and analysis of medical images. Advanced image manipulation functions may include image segmentation, multimodality image registration, or 3D visualization. Complex quantitative functions may include semi-automated measurements or time-series measurements.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern).

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Siemens Medical Solutions USA, Inc. % Clayton Ginn Regulatory Affairs Specialist 810 Innovation Drive KNOXVILLE TN 37932

August 19, 2022

Re: K222172

Trade/Device Name: MI View&GO Regulation Number: 21 CFR 892.2050 Regulation Name: Medical image management and processing system Regulatory Class: Class II Product Code: QIH Dated: July 21, 2022 Received: July 21, 2022

Dear Clayton Ginn:

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 devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see

1

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 medical devices and radiation-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,

Julie Sullivan, Ph.D. Assistant Director DHT8C: Division of Radiological Imaging and Radiation Therapy Devices OHT8: Office of 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)

K222172

Device Name MI View&GO

Indications for Use (Describe)

MI View&GO is a medical diagnostic application for viewing, manipulation, quantification, analysis and comparison of medical images with one or more time-points. MI View&GO supports functional data, such as position emission tomography (PET) or nuclear medicine (NM), as well as anatomical datasets, such as computed tomography (CT) or magnetic resonance (MR).

MI View&GO is intended to be utilized by appropriately trained health care professionals to aid in the management of diseases associated with oncology, neurology, and organ function. The images and results produced by MI View&GO can also be used by the physician to aid in radiotherapy treatment planning.

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

as required by 21 CFR Part 807.87(h)

ldentification of the Submitter

Primary Contact:Alternate Contact:
Submitter:Clayton Ginn
Regulatory Affairs
Professional
Siemens Medical Solutions
USA, Inc.
810 Innovation Drive
Knoxville, TN 37932Brian Wui
Regulatory Affairs
Professional
Siemens Medical Solutions
USA, Inc.
810 Innovation Drive
Knoxville, TN 37932
Telephone Number:(865) 898-2692(865) 367-4337
Name / Address of
ManufacturerSiemens Medical Solutions USA, Inc
Molecular Imaging
2501 N. Barrington Road
Hoffman Estates, IL 60192
USA
Date of Submission:July 21st, 2022
Identification of the product
Device Proprietary Name:MI View&GO VA20A
Common Name:Automated Radiological Image Processing Software
Classification Name:Medical Image Management and Processing System per 21
CFR 892.2050
Product Code:QIH
Classification Panel:Radiology
Device Class:Class II

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SIEMENS Healthineers

Primary Predicate Device

Device Proprietary Name:MI View&GO VA10A
Common Name:Image Processing Software
Classification Name:Picture Archiving and Communication System per 21 CFR
892.2050
Product Code:LLZ
Classification Panel:Radiology
Device Class:Class II
Manufacturer:Siemens Medical Solutions
USA, inc.
510(k) Number:K201202 (June 2020)

Reference Predicate Device

Device Proprietary Name:syngo.via MI Workflows VB60A
Common Name:Automated Radiological Image Processing Software
Classification Name:Medical Image Management and Processing System per 21
CFR 892.2050
Product Code:QIH, LLZ
Classification Panel:Radiology
Device Class:Class II
Manufacturer:Siemens Medical Solutions
USA, Inc.
510(k) Number:K211459 (July 2021)

MI View&GO VA10A is deemed the primary predicate device due to it being the most similar to the device under review of this submission with respect to indications for use and technical characteristics. syngo.via MI Workflows VB60A is considered a reference predicate device because MI View&GO has integrated technical characteristics initially cleared within this device.

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Device Description

MI View&GO is a software-only medical device which will be delivered in conjunction with Siemens SPECT/CT and PET/CT scanners. MI View&GO software provides additional specific capabilities for handling of PET and SPECT as well as CT and MR data directly at the acquisition console.

The MI View&GO software integrates molecular imaging more efficiently in the clinical environment by providing an interface for its users to review, post-process and read medical images immediately after acquisition. The purpose of the MI View&GO is to allow the technologist and reading physician to:

  • Review acquired and reconstructed images at the scanner console ●
  • . Determine that the acquired data is of sufficient quality for reading, so the patient can be released.
  • Prepare images for reading ●
  • Perform a basic read .

Modifications

The modification to the MI View&GO software that is the subject of this 510(k) Premarket Notification is the addition of the following features:

  • Auto Lung 3D ●
  • . Gaussian Filter
  • FAST Ranges Enhancements ●
  • Automatic Layout Enhancements ●
  • Open Apps ●
  • Shared Software Component Tools and CT Plugins ●
    • Tools Export Tool O
    • TimeCurve o
    • Segmentation Tools O
    • Synchronization Group Configuration O
    • Oncology Extension Plugin O
    • Interactive Spectral Imaging Plugin O
    • Sim&GO Plugin O
  • Layout and User Interface Improvements: ●
    • O 4D Support in All Layouts Including Volume Stripe
    • Dual Monitor Widescreen Layouts for Satellite Console O
    • Gated Data Display O
    • Customize Image Text in Volume Stripe O
    • Default Windowing Updates O
    • Remove Images from a MIP or VRT segment o
    • Remove Blank Segments from Volume Stripe Layout O
  • Minor Usability Improvements: ●
    • Update to Organ Processing Tooltips C
    • Default Presets and preservation upon upgrade o

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Technological Characteristics

The MI View&GO software modifications are based on the commercially available MI View&GO VA10A software (K201202) and svngo.via MI Workflows VB60A (K211459). The features introduced in MI View&GO VA20A do not alter the already existent technological characteristics within the commercially available predicate system.

Intended Use

An individual software program, or group of programs, routines, or algorithms that add specific image processing and/or analysis capabilities to a positron emission tomography (PET) and Single Photon Emission Computed Tomography (SPECT) imaging system configuration. A basic set of application programs and routines is included with such computer controlled imaging systems and they can be upgraded to correct programming errors or to add new system capabilities. Some application software routines or groups of routines (packages) must be combined with specific hardware or firmware accessories or configurations in order to function as intended. Application program packages are typically identified by a proprietary name and "version" or "upgrade" number.

The intended use for MI View&GO compared to the predicate device has not changed.

Indications for Use

MI View&GO is a medical diagnostic application for viewing, manipulation, guantification, analysis and comparison of medical images with one or more time-points. MI View&GO supports functional data, such as positron emission tomography (PET) or nuclear medicine (NM), as well as anatomical datasets, such as computed tomography (CT) or magnetic resonance (MR).

MI View&GO is intended to be utilized by appropriately trained health care professionals to aid in the management of diseases associated with oncology, cardiology, neurology, and organ function. The images and results produced by MI View&GO can also be used by the physician to aid in radiotherapy treatment planning.

The MI View&GO VA20A Indications for Use is the same and, compared to the primary predicate device, has not changed.

Performance Testing / 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 included as part of this submission.

Verification and Validation activities have been successfully performed on the software package, including assurance that functions work as designed, performance requirements and specifications have been met, and that all hazard mitigations have been fully implemented. All testing has met the predetermined acceptance values. Traceability of the

7

requirements specified in the requirement specifications and functional specifications is ensured during component integration, software validation and system testing.

Risk Management has been ensured via risk analyses in compliance with ISO 14971 to identify and provide mitigation to potential hazards beginning early in the design cycle and continuing throughout the development of the product. Siemens Medical Solutions, USA Inc. adheres to recognized and established industry standards for development including EN ISO 13485 and IEC 62304.

The device labeling contains instructions for use and any necessary cautions and warnings to provide for safe and effective use of the device.

Cybersecurity information in accordance with FDA Guidance documents issued October 2, 2014, has been provided. The software has specific cybersecurity controls to prevent unauthorized access, modifications, misuse, or denial of use. Additionally, controls are enabled to prevent the unauthorized use of information that is stored, accessed, or transferred between the software and external devices.

The device is designed and manufactured in accordance with Quality System Requlations as outlined in 21 CFR 820.30.

| FDA
Recognition

NumberStandardVersionContent
13-79IEC 623042006+A1:
2015Medical Device Software - Software
Life Cycle Processes
12-300NEMA
Standard PS
3.1-3.202016Digital Imaging and Communications in
Medicine (DICOM)
5-125ISO 149712019Application of Risk Management to
Medical Devices
5-114AAMI / ANSI /
IEC 62366-12015Application of usability engineering to
medical devices
5-134ISO 15223-12021Symbols to be used with information to
be supplied by the manufacturer - Part
1: General requirements

The device meets the following recognized US FDA Consensus Standards:

Statement Regarding Substantial Equivalence:

There are no differences in the Indications for Use, Intended Use, or Fundamental Technological Characteristics of the MI View&GO VA20A software as compared to the currently commercially available MI View&GO VA10A software (K201202).

Both the current and predicate devices are used for viewing, manipulation, quantification, analysis, and comparison of medical images with one or more time-points.

Additionally, the new features implemented within this release do not raise any new issues of safety and effectiveness as compared to the predicate device. Based on this information,

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as well as the documentation in support of the modifications, it is Siemens' opinion that the MI View&GO software—with the modifications outlined in this application—is substantially equivalent to the predicate device.