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510(k) Data Aggregation

    K Number
    K172531
    Date Cleared
    2017-11-14

    (84 days)

    Product Code
    Regulation Number
    892.1200
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K123529, K141574, K140253

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

    The Siemens MR-PET system combines magnetic resonance diagnostic devices (MRDD) and Positron Emission Tomography (PET) scanners that provide registration and fusion of high resolution physiologic and anatomic information, acquired simultaneously and isocentrically. The combined system maintains independent functionality of the MR and PET devices, allowing for single modality MR and / or PET imaging.

    These systems are intended to be utilized by appropriately trained health care professionals to aid in the detection, localization, and diagnosis of diseases and disorders.

    The MR is intended to produce transverse, sagittal, coronal and oblique crosssectional MR images, spectroscopic images and/or spectra, and displays the internal structure and/or function of the human body. Other physical parameters derived from the images and/or spectra may also be produced. Depending on the region of interest, approved contrast agents may be used, as described in their labeling. This system may also be used for imaging during interventional procedures wen performed with MR compatible devices, such as MR safe biopsy needles.

    The PET images and measures the distribution of PET radiopharmaceuticals in humans to aid the physician in determining various metabolic (molecular) and physiologic functions within the human body for evaluation of diseases and disorders such as, but not limited to, cardiovascular disease, neurological disorders and cancer.

    The combined system utilizes the MR for radiation correction maps for PET studies. The system provides inherent anatomical reference for the fissed PET and MR images due to precisely aligned MR and PET image coordinate systems.

    Device Description

    The new mMR Angio Transfer Option is being introduced for the Biograph mMR system.

    The new option is intended to provide a patient transfer from the SIEMENS Artis Q and Artis Q.zen (K123529) or Artis zee/zeego SW VC21 (K141574) System to the Biograph mMR and vice versa.

    To achieve this functionality a Transferboard Artis (further named as Transferboard) will be used where the patient is located and transferred. This Transferboard can be adapted on the standard table of the Artis Q and Artis Q.zen (K123529) or Artis zee/zeego SW VC21 (K141574) System. The standard table is identical for all models. By swiveling the Artis Q. Artis Q.zen or Artis zee /zeego table (standard function) the Transferboard will be positioned in front of the Biograph mMR. Via the Guiding Slide Way the Transferboard is pushed manually on the Table Top of the Biograph mMR.

    The Guiding Slide Way is also included in the option and is installed on the Table Top of the Biograph mMR instead of a regular patient cushion.

    The Transferboard is also used to move the patient into the bore of the Biograph mMR for further diagnostic imaging.

    The basic device and its functionality remain unchanged except for the following modifications:

    • . Coil Adapter Cover (CAC): The Coil Adapter Cover will replace the standard mMR coil adapter cover on the foot end of the mMR tabletop to enable the overtraveling of the Transferboard (TFB).
    • Guiding Slide Wav (GSW): A Guiding Slide Way (GSW) will be adapted on the ● existing Biograph mMR tabletop. This is a foldable option and can be removed for diagnostic mMR examination in case the transfer option is not needed.
    • Transferboard (TFB): The Transferboard (TFB) is intended to transfer the ● patient. The patient remains on this board during the whole intraoperative procedure.
    • Patient Cushion (LGH): The Patient Cushion is laid on the Transferboard (TFB) for comfortable reclining.
    • Fixation Belts: The Fixation Belts are used for preventing the patient to fall of ● the Transferboard and Patient Cushion during transport, surgery and imaging,
    • Transfer Support Cart (TSC): The Transfer Support Cart is part of the option. ● It ensures that both tables have the same height and that there are no vibrations during transfer due to load changes on the patient tables

    The new mMR Angio Transfer Option for the Biograph mMR system requires the most recent Device Software, syngo MR E11P software cleared via 510(k) on February 28, 2017 (K163234).

    AI/ML Overview

    This document describes a 510(k) premarket notification for the "Biograph mMR with mMR Angio Transfer Option." This submission primarily addresses changes related to a patient transfer system, not a software algorithm for disease detection or diagnosis. Therefore, much of the information typically requested for AI/ML device studies (such as diagnostic performance metrics, sample sizes for training/test sets, ground truth establishment, expert adjudication, or MRMC studies) is not applicable or present in this document.

    The acceptance criteria and "study" mentioned here relate to the safety and performance of the mechanical and electrical modifications that enable patient transfer between imaging systems.

    Here's the breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance Criteria (from recognized standards)Reported Device Performance
    Mechanical SafetyIEC 60601-1 / ANSI AAMI ES 60601-1 (General requirements for basic safety and essential performance)Device performs as intended, conforms to applicable standards.
    Risk ManagementISO 14971 (Application of risk management to medical devices)Hazard analysis conducted; potential hazards controlled via software development, verification, and validation testing.
    Usability EngineeringIEC 62366 (Application of usability engineering to medical devices)Device performs as intended, conforms to applicable standards.
    BiocompatibilityISO 10993-1 (Biological Evaluation Of Medical Devices - Part 1: Evaluation And Testing Within A Risk Management Process)Device performs as intended, conforms to applicable standards.
    System FunctionalitySystem verification and validationDevice performs as intended.
    General SafetyVisual & audible warnings, system error blocking; adherence to recognized industry practice for electrical, mechanical, and radiation hazards.Safety features incorporated, system functions blocked on error, error messages displayed. All equipment subject to final performance testing.

    2. Sample size used for the test set and the data provenance

    • Test Set Sample Size: Not applicable. This submission doesn't involve a test set of medical images or patient data for diagnostic performance evaluation. The "testing" refers to non-clinical performance evaluations of the mechanical and electrical components of the transfer option.
    • Data Provenance: Not applicable. The "data" comes from engineering tests and evaluations of the new mechanical components and their integration with the existing Biograph mMR system, rather than patient data.

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

    • Not applicable. There is no diagnostic "ground truth" or expert review of image data described, as this is not a diagnostic AI/ML device submission. The verification and validation were engineering-focused.

    4. Adjudication method for the test set

    • Not applicable for the reasons stated above.

    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.

    • No, an MRMC comparative effectiveness study was not done. This device is an imaging system enhancement for patient transfer, not an AI diagnostic tool.

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

    • Not applicable. This device is not an algorithm for standalone performance evaluation.

    7. The type of ground truth used

    • Not applicable. The "ground truth" for the non-clinical performance testing would be the engineering specifications and safety requirements defined by the referenced standards (e.g., proper mechanical function, electrical safety thresholds, risk mitigation effectiveness).

    8. The sample size for the training set

    • Not applicable. There is no machine learning component or training set involved in this submission.

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

    • Not applicable. There is no machine learning component or training set involved in this submission.

    In summary: This FDA filing (K172531) is for a modification to an existing medical imaging system (Biograph mMR) that introduces a new patient transfer option. The "study" and "acceptance criteria" discussed are related to the engineering and safety performance of these physical modifications, ensuring they meet recognized medical device standards (e.g., IEC, ISO) and do not negatively impact the safety or effectiveness of the original device. This is a typical submission for mechanical or electrical modifications to existing hardware, not for a new AI/ML diagnostic software as the questions largely imply.

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