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510(k) Data Aggregation

    K Number
    K242488
    Device Name
    Soteria E-View
    Date Cleared
    2025-01-06

    (138 days)

    Product Code
    Regulation Number
    892.1650
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Soteria E-View

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The System is intended for use in Radiographic / Fluoroscopic applications including general radiographic / fluoroscopic diagnostic, and interventional X-Ray imaging for General and Pediatric Populations.

    Device Description

    The Soteria E-View system is classified as an interventional fluoroscopic X-ray system. The fundamental performance characteristics of the Soteria E-View interventional fluoroscopic X-ray system consists of:

    • The patient table and C- arm with X-ray source on one side and the flat panel detector on the opposite side. The C-arm can be angulated in both planes, and the flat panel detector can be lifted vertically. The tabletop can be shifted from side to side and move forward/backward by an operator.
    • Real-time image visualization of patient anatomy during procedures.
    • Imaging techniques and tools to assist interventional procedures.
    • . Post-processing functions after interventional procedures.
    • Storage of reference/control images for patient records.
    • Compatibility to images of other modalities via DICOM.
    • . Built-in radiation safety controls-with the already FDA cleared CA-100S /FluoroShield (K182834).
      This array of functions provides the physician with the imaging information required to achieve minimally invasive interventional procedures.
      The Soteria E-View system is available as a Model GI-100 configuration. It is similar to the currently marketed predicate Soteria.Al consisting of an X-ray generator, image processor, collimator, X-ray Tube, Positioner, and patient table with CA-100S / FluoroShield Accessory, (K212336).
    AI/ML Overview

    This document describes the Omega Medical Imaging, LLC Soteria E-View (K242488) system, which is a fluoroscopic/radiographic X-ray system. The submission aims to demonstrate substantial equivalence to its predicate device, the Soteria.AI (K212336).

    The provided text details the device's technical specifications and comparisons to the predicate, as well as adherence to various safety standards and guidance documents. However, it does not contain information regarding specific acceptance criteria, corresponding device performance data, or detailed study results (including sample sizes, data provenance, ground truth establishment, expert qualifications, adjudication methods, MRMC studies, or standalone performance studies).

    The document primarily focuses on demonstrating substantial equivalence through:

    • Indications for Use: The Soteria E-View has similar indications, but with cardiac and vascular applications removed and gastrointestinal/ERCP applications added.
    • Technological Characteristics: Changes include an updated flat panel detector (Varex Azure 3131Z CXP Detector with IGZO technology) with improved specifications like resolution and MTF, a different X-ray generator, positioner configuration, power supplies, control buttons, actuators, table size, and power unit.
    • Non-Clinical Performance: States that non-clinical and "Sample clinical images" were used to validate image performance and demonstrate conformance to intended use, claims, user, and service needs. It also mentions software verification testing for functional requirements, performance, reliability, and safety.
    • Safety and Effectiveness: Asserts that the differences do not raise new safety or effectiveness concerns, and the device complies with relevant 21 CFR regulations and international safety standards.

    Therefore, many of the requested details about acceptance criteria and the study proving adherence cannot be extracted from this document.

    Based on the provided text, here is what can be inferred or explicitly stated:


    1. Table of Acceptance Criteria and Reported Device Performance

    Specific, quantifiable "acceptance criteria" and direct "reported device performance" against those criteria are not explicitly laid out in a table format in the provided text. The document focuses on demonstrating substantial equivalence to a predicate device, meaning the new device performs at least as well as the predicate and does not raise new safety or effectiveness concerns.

    However, some performance characteristics are compared to the predicate, implying they meet or exceed the predicate's performance, which can be seen as an indirect form of demonstrating acceptance.

    Feature / CharacteristicAcceptance Criteria (Implied by Predicate performance or general standards)Reported Device Performance (Soteria E-View)
    Flat Panel Detector
    Detector NameTeledyne Dalsa Xineos-3030HS (Predicate)Varex Azure 3131Z CXP Detector
    Receptor TypeCMOS (Predicate)IGZO (indium gallium zinc oxide)
    Conversion ScreenCesium Iodide (Predicate & Device)Cesium Iodide
    Pixel Area - Active29.6 cm x 29.6 cm (Predicate)30.7 cm x 30.7 cm
    Pixel Matrix - Active1952 x 1952 (Predicate)2048 x 2048
    Pixel Pitch151.8 μm (Predicate)150 μm
    Limiting Resolution3.15 lp/mm (Predicate)3.3 lp/mm (Improved)
    MTF, X-ray58% @ (1.0 lp/mm at RQA5 1x1) (Predicate)60% @ (1.0 lp/mm) (Improved)
    Energy Range40 - 125 kV (Predicate & Device)40-125 kV
    Fill Factor83% (Predicate)66% (Difference noted, but not stated as an issue for equivalence)
    Dynamic Range77 dB (Predicate)65 dB (Difference noted, but not stated as an issue for equivalence)
    A/D Conversion16-bits (Predicate & Device)16-bits
    X-Ray Specifications
    Half Value LayerMinimum 3.6 mm Al equiv. @ 100 kV; Maximum 4.0 mm Al Equiv. @ 100 kV (Predicate)Minimum 3.6 mm Al equiv. @ 100 kV; Maximum 4.0 mm Al Equiv. @ 100 kV
    Tabletop Aluminum EquivalenceRejection Limit: 2.00 mm Al max. (Predicate)Rejection Limit: 1.6 mm Al max. (Improved)
    Image Quality: ResolutionUp to 3.15 lp/mm (Predicate)Up to 3.15 lp/mm

    Note: The table above extracts direct comparisons from Section "PRODUCT OVERVIEW" within the 510(k) summary. For other aspects like software performance, safety, and functional requirements, the document only states that "Results demonstrated that the executed verification test was passed" without providing specific criteria or data.


    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    The document states: "Non-clinical and Sample clinical images were used to validate image performance." It also mentions: "Non- clinical and Sample clinical images were used for validation testing of the Soteria E-View system to demonstrate conformance to the intended use, claims, user, and service needs..."
    However, no specific sample size for the test set (number of images, number of cases, number of patients) is provided.
    The data provenance (country of origin, retrospective/prospective) is not mentioned.


    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not provided in the document.


    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not provided in the document.


    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    The document does not mention an MRMC study or any AI components for human reader assistance. The device is an X-ray system, and while the predicate device is named "Soteria.AI", the specific AI functionality (automatic region of interest to reduce exposure) is a built-in feature of the system and not framed as an AI-assistance tool for human readers in the context of comparative effectiveness for diagnosis. The focus is on the device's technical performance and safety.


    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This information is not provided in the document, as the device is a complete X-ray system, not a standalone algorithm. The "FluoroShield / CA-100S device to provide an automated Region of interest that reduces exposure to the patient and operator" is described as an integrated hardware/software component of the system.


    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    This information is not provided in the document. The text only mentions "Sample clinical images" were used for validation testing, but how their "ground truth" was established is not detailed.


    8. The sample size for the training set

    The document primarily discusses validation and substantial equivalence, not the development of a specific algorithm requiring a "training set." Therefore, no information on a training set size is provided.


    9. How the ground truth for the training set was established

    As no training set is described, this information is not applicable/provided.

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