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510(k) Data Aggregation

    K Number
    K222968
    Date Cleared
    2022-10-25

    (28 days)

    Product Code
    Regulation Number
    892.1000
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Vantage Fortian/Orian 1.5T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR

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

    Vantage Fortian/Orian 1.5T systems are indicated for use as a diagnostic imaging modality that produces cross-sectional transaxial, coronal, sagittal, and oblique images that display anatomic structures of the head or body. Additionally, this system is capable of non-contrast enhanced imaging, such as MRA.

    MRI (magnetic resonance imaging) images correspond to the spatial distribution of protons (hydrogen nuclei) that exhibit nuclear magnetic resonance (NMR). The NMR properties of body tissues and fluids are:

    ·Proton density (PD) (also called hydrogen density) ·Spin-lattice relaxation time (T1) ·Spin-spin relaxation time (T2) ·Flow dynamics ·Chemical Shift

    Depending on the region of interest, contrast agents may be used. When interpreted by a trained physician, these images yield information that can be useful in diagnosis.

    Device Description

    The Vantage Fortian (Model MRT-1550/ WK, WM, WQ)/Vantage Orian (Model MRT-1550/ A3, A4, A7, A8) is a 1.5 Tesla Magnetic Resonance Imaging (MRI) System. These Vantage Fortian/Orian models use 1.4 m short and 4.1 tons light weight magnet. They include the Canon Pianissimo Zen technology (scan noise reduction technology). The design of the gradient coil and the whole-body coil of these Vantage Fortian/Orian models provide the maximum field of view of 55 x 55 x 50 cm and include the standard gradient system.

    The Vantage Orian (Model MRT-1550/ UC, UG, UG, UH, UK, UL, UO, UP, AK, AL, AO, AP, Upgrade only: A3, A4, A7, A8, AC, AD, AG, AH) is a 1.5 Tesla Magnetic Resonance Imaging (MRI) System. The Vantage Orian models MRT-1550/ UC, UG, UH, UK, UL, UO, UP, Upgrade only: A3, A4, A7, A8 use 1.4 m short and 4.1 tons light weight magnet while the Vantage Orian models MRT-1550/ AK, AL, AO, AP, Upgrade only: AC, AD, AG, AH use 1.4 m short and 3.8 tons light weight magnet. All of the aforementioned models include the Canon Pianissimo™ and Pianissimo Zen technology (scan noise reduction technology). The design of the gradient coil and the whole-body coil of these Vantage Orian models provide the maximum field of view of 55 x 50 cm. The Model MRT-1550/ UC, UD, UG, UH, UK, UL, UO, UP, AK, AL, AO, AP includes the XGO gradient system. The Model MRT-1550/ A3, A4, A7, A8, AC, AD, AG, AH include the standard gradient system.

    This system is based upon the technology and materials of previously marketed Canon Medical Systems MRI systems and is intended to acquire and display cross-sectional transaxial, coronal, sagittal, and oblique images of anatomic structures of the head or body. The Vantage Fortian/Orian MRI System is comparable to the current 1.5T Vantage Fortian/Orian MRI System (K220335), cleared April 5, 2022 with the following modifications.

    AI/ML Overview

    This FDA 510(k) summary provides limited details regarding the acceptance criteria and the study that proves the device meets those criteria. Here's a breakdown of the information provided and what is missing:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document states: "Additionally, image quality testing was completed which demonstrated that the subject device meets predetermined acceptance criteria." However, it does not explicitly provide a table of these acceptance criteria or the specific reported device performance metrics against them.

    The device is a Vantage Fortian/Orian 1.5T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR. The submission is a "Modification of a cleared device" (K220335), specifically an update to "Iterative Motion Correction (IMC)" for brain imaging. The primary claim is substantial equivalence to the predicate device.

    What is provided:

    The summary lists several "Safety Parameters" for the subject device and compares them to the predicate device, indicating they are "Same". These are not "acceptance criteria" for performance but rather safety specifications.

    ItemSubject Device: Vantage Fortian/Orian 1.5 T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MRPredicate Device: Vantage Fortian/Orian 1.5 T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR (K220335)Notes
    Static field strength1.5T1.5TSame
    Operational ModesNormal and 1st Operating ModeNormal and 1st Operating ModeSame
    Safety parameter displaySAR, dB/dtSAR, dB/dtSame
    Operating mode access requirementsAllows screen access to 1st level operating modeAllows screen access to 1st level operating modeSame
    Maximum SAR4W/kg for whole body (1st operating mode specified in IEC 60601-2-33: 2010+A1:2013+A2:2015)4W/kg for whole body (1st operating mode specified in IEC 60601-2-33: 2010+A1:2013+A2:2015)Same
    Maximum dB/dt1st operating mode specified in IEC 60601-2-33: 2010+A1:2013+A2:20151st operating mode specified in IEC 60601-2-33: 2010+A1:2013+A2:2015Same
    Potential emergency condition and means provided for shutdownShutdown by Emergency Ramp Down Unit for collision hazard for ferromagnetic objectsShutdown by Emergency Ramp Down Unit for collision hazard for ferromagnetic objectsSame

    The document also states: "Image quality testing was completed which demonstrated that the subject device meets predetermined acceptance criteria." However, the specific criteria (e.g., Signal-to-Noise Ratio (SNR), Contrast-to-Noise Ratio (CNR), spatial resolution, artifact levels, particularly related to motion artifact reduction for IMC) and the reported performance values against these criteria are not detailed in this summary. The critical aspect of this submission is the improvement in Iterative Motion Correction (IMC) for brain imaging, implying the acceptance criteria would relate to reduced motion artifacts and maintained/improved image quality in the presence of motion.

    2. Sample Size Used for the Test Set and Data Provenance:

    The document mentions "image quality testing" and "bench testing" but does not specify the sample size for the test set used for evaluating the IMC or the overall device performance. It also does not specify the data provenance (e.g., country of origin of the data, retrospective or prospective).

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts:

    This information is not provided in the given 510(k) summary. It does not mention any expert reviews for establishing ground truth. Since the modification is related to "Iterative Motion Correction (IMC)" for brain imaging, if expert evaluation was done, it would likely involve radiologists reviewing images for artifact reduction and diagnostic quality.

    4. Adjudication Method for the Test Set:

    This information is not provided in the given 510(k) summary.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance:

    The document does not mention any MRMC study or any assessment of human reader improvement with or without AI assistance. The AiCE (Advanced intelligent Clear-iq Engine) is an AI-based reconstruction processing unit, and the IMC is an update to its functionality. While the device incorporates AI, this submission focuses on demonstrating substantial equivalence and technical performance rather than clinical effectiveness with human readers.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done:

    The document broadly mentions "image quality testing," "bench testing," and "software validation." These types of tests are typically standalone evaluations of the algorithm's performance. However, specific details about whether this entailed a formal standalone performance study or solely technical verification and validation are not explicitly detailed. Given the technical nature of reconstruction (reducing motion artifacts), standalone performance metrics (e.g., artifact reduction ratios, quantitative image metrics) would be expected.

    7. The Type of Ground Truth Used:

    The document does not explicitly state the type of ground truth used for image quality testing. For motion correction algorithms, ground truth might involve:
    * Simulated motion: Using phantoms or volunteer data with artificially induced and quantifiable motion.
    * Expert assessment: Radiologists evaluating images for artifact presence and severity.
    * Comparison to "no motion" scans: If available, comparing corrected images to baseline scans without motion.

    8. The Sample Size for the Training Set:

    This information is not provided in the 510(k) summary. The AiCE is an AI-based reconstruction, meaning it would have been trained on data. This submission describes an "update" to IMC within AiCE, implying the underlying AI model has been refined or retrained.

    9. How the Ground Truth for the Training Set Was Established:

    This information is not provided in the 510(k) summary. For AI reconstruction technologies like AiCE, ground truth for training often involves high-quality, artifact-free MRI data, potentially with synthetic degradation to train the model to remove noise and artifacts.

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    K Number
    K220335
    Date Cleared
    2022-04-05

    (57 days)

    Product Code
    Regulation Number
    892.1000
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Vantage Fortian/Orian 1.5T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR

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

    Vantage Fortian/Orian 1.5T systems are indicated for use as a diagnostic imaging modality that produces cross-sectional transaxial, coronal, sagittal, and oblique images that display anatomic structures of the head or body. Additionally, this system is capable of non-contrast enhanced imaging, such as MRA.

    MRI (magnetic resonance imaging) images correspond to the spatial distribution of protons (hydrogen nuclei) that exhibit nuclear magnetic resonance (NMR). The NMR properties of body tissues and fluids are:

    ·Proton density (PD) (also called hydrogen density)

    ·Spin-lattice relaxation time (T1)

    ·Spin-spin relaxation time (T2)

    ·Flow dynamics

    ·Chemical Shift

    Depending on the region of interest, contrast agents may be used. When interpreted by a trained physician, these images yield information that can be useful in diagnosis.

    Device Description

    The Vantage Fortian (Model MRT-1550/ WK, WM, WQ, WQ)/Vantage Orian (Model MRT-1550/ A3, A4, A7, A8) is a 1.5 Tesla Magnetic Resonance Imaging (MRI) System. These Vantage Fortian/Orian models use 1.4 m short and 4.1 tons light weight magnet. They include the Canon Pianissimo Zen technology (scan noise reduction technology). The design of the gradient coil and the whole-body coil of these Vantage Fortian/Orian models provide the maximum field of view of 55 x 55 cm and include the standard gradient system.

    The Vantage Orian (Model MRT-1550/ UC, UG, UH, UK, UL, UO, UP, AK, AL, AO, AP, Upgrade only: A3, A4, A7, A8, AC, AD, AG, AH) is a 1.5 Tesla Magnetic Resonance Imaging (MRI) System. The Vantage Orian models MRT-1550/ UC, UG, UH, UK, UL, UO, UP, Upgrade only: A3, A4, A7, A8 use 1.4 m short and 4.1 tons light weight magnet while the Vantage Orian models MRT-1550/ AK, AL, AO, AP, Upgrade only: AC, AD, AG, AH use 1.4 m short and 3.8 tons light weight magnet. All of the aforementioned models include the Canon Pianissimo™ and Pianissimo Zen technology (scan noise reduction technology). The design of the gradient coil and the whole-body coil of these Vantage Orian models provide the maximum field of view of 55 x 50 cm. The Model MRT-1550/ UC, UD, UG, UH, UK, UL, UO, UP, AK, AL, AO, AP includes the XGO gradient system. The Model MRT-1550/ A3, A4, A7, A8, AC, AD, AG, AH include the standard gradient system.

    This system is based upon the technology and materials of previously marketed Canon Medical Systems MRI systems and is intended to acquire and display cross-sectional transaxial, coronal, sagittal, and oblique images of anatomic structures of the head or body. The Vantage Fortian/Orian MRI System is comparable to the current 1.5T Vantage Fortian MRI System (K213305), cleared December 1, 2021 with the following modifications.

    AI/ML Overview

    The provided text discusses changes to the Vantage Fortian/Orian 1.5T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR and cites testing related to these changes. However, it does not provide a detailed study with specific acceptance criteria, reported performance, or comprehensive methodology (like sample sizes, ground truth establishment, or expert qualifications) that would typically be found in a standalone clinical validation study for an AI-powered device.

    The document states that the submission is for "Modification of a cleared device" (K213305) and discusses "Risk Management activities for new software functionalities and pulse sequences." The testing mentioned is primarily verification and validation of these new features, confirming their intended function and not a full clinical efficacy study with specific performance metrics against a defined standard of care.

    Here's an attempt to extract and describe what is available regarding acceptance criteria and studies, while highlighting the missing information based on your request:


    Acceptance Criteria and Device Performance Study for Vantage Fortian/Orian 1.5T, MRT-1550, V8.0 with AiCE Reconstruction Processing Unit for MR

    The document describes a 510(k) submission for modifications to an existing MRI system. The primary testing mentioned focuses on verification of new software functionalities: Iterative Motion Correction (IMC) and a Ceiling Camera feature.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document provides very limited, high-level information regarding acceptance criteria and performance for the newly added features. It does not present a table with specific quantitative acceptance criteria or detailed performance metrics against those criteria for the diagnostic capability of the MRI system as a whole, or even for the specific features in a clinical context.

    Feature TestedAcceptance Criteria (as described)Reported Device Performance (as described)
    Iterative Motion Correction (IMC)"Testing confirmed that IMC may reduce motion artifacts." (Implicitly, IMC should reduce motion artifacts.)"Testing confirmed that IMC may reduce motion artifacts." The statement confirms the intended function but does not provide quantitative metrics (e.g., percentage reduction in artifacts, image quality scores).
    Ceiling Camera (Patient Orientation Detection Function)"percentage of successful patient orientation detection... met predetermined acceptance criteria.""It was confirmed that percentage of successful patient orientation detection... met predetermined acceptance criteria." No specific percentage or definition of "successful" is provided.
    Ceiling Camera (Patient Anatomy Position Detection Function)"cases requiring no correction for successful patient anatomy position detection met predetermined acceptance criteria.""It was confirmed that... cases requiring no correction for successful patient anatomy position detection met predetermined acceptance criteria." No specific percentage or definition of "no correction" or "successful" is provided.

    Important Note: The document explicitly states: "No change from the previous predicate submission, K213305" for Imaging Performance Parameters. This suggests that the core diagnostic imaging performance of the MRI system, including any benefits from AiCE reconstruction, was established in the predicate device's clearance and is not re-evaluated with new acceptance criteria in this submission. This current submission focuses on modifications.

    2. Sample Size Used for the Test Set and Data Provenance

    • Iterative Motion Correction (IMC): "volunteer images."
      • Sample Size: Not specified.
      • Data Provenance: Not specified (e.g., country of origin, retrospective/prospective).
    • Ceiling Camera: "volunteers."
      • Sample Size: Not specified.
      • Data Provenance: Not specified.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    • Not specified. The testing described appears to be technical verification and validation rather than expert-reviewed clinical evaluation.

    4. Adjudication Method for the Test Set

    • Not specified. Given the nature of the described testing (technical confirmation of functionality rather than diagnostic performance against clinical ground truth), a formal adjudication method by experts is not mentioned or implied.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done

    • No, an MRMC study is not described in this document. The document states that the imaging performance parameters for the device are "No change from the previous predicate submission, K213305." This implies that any studies relevant to diagnostic performance or improvements with AiCE would have been conducted and documented for the predicate device. This submission focuses on software and accessory changes.

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

    • The testing described for IMC and the Ceiling Camera appears to be a form of standalone verification of the algorithm's functional output (e.g., reduction of motion artifacts, correct detection of patient position). However, no specific "standalone" performance metrics in a clinical diagnostic context (e.g., sensitivity, specificity for a particular pathology) are presented. The "AiCE Reconstruction Processing Unit" itself likely has standalone performance aspects, but these are not detailed in this document, as it refers back to the predicate device for imaging performance.

    7. The Type of Ground Truth Used

    • Iterative Motion Correction (IMC): The "ground truth" seems to be the visual assessment of "motion artifacts" in volunteer images. This is an implicit evaluation of image quality rather than a clinical truth like pathology.
    • Ceiling Camera: The "ground truth" for patient orientation and anatomy position detection would be the actual patient orientation and anatomy position, likely determined by direct observation or other measurement methods during the volunteer testing, to confirm the accuracy of the camera's detection.

    8. The Sample Size for the Training Set

    • Not specified. The document describes changes to an existing system, including "Iterative Motion Correction (IMC)" which is a software functionality for MRI. While AI-based reconstructions like "AiCE" (which is part of the system name) typically involve significant training data, this document does not provide details on the training set for AiCE or for the new IMC feature. The focus is on the modified device and its changed components.

    9. How the Ground Truth for the Training Set was Established

    • Not specified. As the training set size and details are not provided, neither is information on how its ground truth was established.
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