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510(k) Data Aggregation

    K Number
    K183144
    Device Name
    uMC 560i
    Date Cleared
    2019-12-19

    (401 days)

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

    K181560

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

    The uMC 560i is intended to provide digital imaging of patients during diagnostic and surgical procedures. Examples of clinical application may include, but are not limited to: orthopedic, pain therapy, neurological, pediatric examinations and critical care. The visualization of such anatomical structures assists the clinical decisions. This device does not support direct radiographic film exposures and is not intended for use in performing mammography.

    Device Description

    uMC 560i is the first mobile C-arm X-ray system developed and produced by UIH Medical XR Business Unit. It is designed to meet medical institutions' demands. To cover the most surgical imaging needs, it's X-ray imaging of the anatomical structures of patient during clinical applications may include, but are not limited to: orthopedic, pain therapy, neurological, pediatric examinations and critical care. uMC 560i consists of C-arm, Monoblock, Anti-scatter Grid, CMOS flat panel detector, Collimator system, Exposure handswitch, Exposure footswitch, Connects cables for Monitor cart and C-arm mobiles stand. Monitor cart, Touchable control panel, HD monitor, Examination workstation. The powerful system performance brings a safe, fluent and efficient operation experience.

    AI/ML Overview

    The provided text is a 510(k) summary for the uMC 560i Mobile C-arm X-Ray System. It primarily focuses on demonstrating substantial equivalence to a predicate device rather than presenting acceptance criteria and a detailed study proving the device meets those criteria from an AI performance perspective.

    Therefore, the document does NOT contain information about:

    • Specific quantitative acceptance criteria for AI performance.
    • A standalone study proving the device meets AI acceptance criteria.
    • Sample sizes for a test set in the context of AI performance.
    • Data provenance for a test set (country of origin, retrospective/prospective).
    • Number of experts or their qualifications for establishing AI ground truth.
    • Adjudication method for an AI test set.
    • A multi-reader multi-case (MRMC) comparative effectiveness study for AI improvement.
    • Whether a standalone (algorithm only) performance study was done for AI.
    • The type of ground truth used for AI (expert consensus, pathology, outcomes data, etc.).
    • Sample size for a training set (for AI).
    • How ground truth for a training set was established (for AI).

    Instead, the document focuses on non-clinical and clinical tests to demonstrate the safety and effectiveness of the uMC 560i X-ray system itself, comparing its technical specifications and performance against a predicate device.

    Here's an analysis of the provided information concerning the device's performance and testing:

    1. A table of acceptance criteria and the reported device performance:

    The document doesn't provide a direct "acceptance criteria" table in the sense of specific thresholds for diagnostic accuracy, but rather lists compliance with various national and international standards and then compares specific technical specifications to a predicate device. The "performance" is implicitly deemed acceptable if it complies with these standards and is substantially equivalent to the predicate.

    Acceptance Criteria (Compliance/Similarity)Reported Device Performance (uMC 560i)
    Non-Clinical Test Conclusion: Met all design specifications. Complies with following standards:
    ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 (Consolidated Text) Medical electrical equipment for basic safety and essential performance (IEC 60601-1:2005, MOD)Complies
    IEC 60601-1-3 Edition 2.1 2013-04 Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipmentComplies
    IEC 60601-1-6 Edition 3.1 2013-10 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: UsabilityComplies
    IEC 60601-2-28 Edition 2.0 2010-03 Medical electrical equipment -Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosisComplies
    IEC 60601-2-43 Edition 2.1 2017-05 CONSOLIDATED VERSION Medical electrical equipment - Part 2-43: Particular requirements for the safety and essential performance of X-ray equipment for interventional proceduresComplies (though device not intended for interventional use, it complies with safety standards)
    IEC 60601-2-54 CONSOLIDATED VERSION Edition 1.1 2015-04 Medical electrical equipment - Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopyComplies
    IEC 62304 Edition 1.1 2015-06 Medical device software - Software life cycle processesComplies
    IEC 60601-1-2 Edition 4.0 2014-02 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and testsComplies
    Clinical Test Conclusion: Diagnostic Image QualityFluoroscopy sequences images and static images produced by the uMC 560i in clinical environment were reviewed by a board-certified clinical reviewer, who provided a statement indicating that images are of diagnostic quality.
    Substantial Equivalence - Technical Specifications Comparison (Predicate: Siemens Cios Fusion K153244; Reference: Siemens Cios Alpha K181560):
    Product Code (OWB, OXO)Same
    Class (II)Same
    Imaging Modes (Pulsed Fluoroscopy, Spot Fluoroscopy, Digital Radiography)uMC 560i provides Pulsed Fluoroscopy, Spot Fluoroscopy, Digital Radiography. Predicate has Pulsed Fluoroscopy, Continuous Fluoroscopy, Digital Radiography. (Difference: No continuous fluoroscopy, adding spot fluoroscopy. Justification: "does not affect safety and effectiveness.")
    X-ray Tube (Stationary Anode)Same
    X-ray Generator and Tube Housing Assembly (Monoblock Technology)Same
    KV Range (40 kV – 110 kV)Same
    Max Power Output (3.5 kW)Proposed: 3.5 kW, Predicate: 2.3 kW (Difference: Higher power output. Justification: "has the ability to provide higher mA at lower kV levels allowing shorter pulse widths at variable frame rates to increase the image quality of moving objects by reducing or eliminating the movement during each single pulse. The difference in maximum power output does not affect safety and effectiveness.")
    Pulsed Fluoroscopy Current (0.1 mA – 30 mA)Proposed: 0.1 mA – 30 mA, Predicate: 3 mA - 25 mA (Difference: Wider range, higher max current. Justification: "will improve the image quality of large patient. The difference in pulsed fluoroscopy current does not affect safety and effectiveness.")
    Displays (34" TFT Flat Screen Color Display Panel)Proposed: 34", Predicate: 19" (Difference: Larger display. Justification: "will improve user experience, which does not affect safety and effectiveness.")
    Collimator (Pd, Rectangular and Slot)Same
    SID (107.5 cm)Proposed: 107.5 cm, Predicate: 102 cm (Difference: Slight difference. Justification: "does not affect clinical application. The difference does not affect safety and effectiveness.")
    Removable Anti-scatter GridSame
    Dose Area ProductSame
    Monitor Cart (Mandatory)Same
    User Interface (Touch Panel)Same
    Dose Optimization (uFree Dose Management Technology)Proposed: uFree, Predicate: Siemens CARE Program (Difference in principle. Justification: "effectiveness of uFree can be proven by Section 21 Software Design Description (Chapter 3.3.8). The difference does not affect safety and effectiveness.")
    DICOM FunctionSame
    2D Image Post ProcessingSame
    Electrical Safety (AAMI ANSI ES60601-1:C1:2009/(R)2012 and A2:2010/(R)2012)Complies with AAMI ANSI ES60601-1
    EMC (IEC60601-1-2)Complies
    Biocompatibility (ISO10993-5, ISO10993-10)Complies
    Flat Panel Detector Specification (Reference: Siemens Cios Alpha K181560):
    Image Receptor (CMOS Flat Panel Detector XINEOS 2222HS)Same
    DQE (75%)Same (for XINEOS 2222HS)
    Dynamic Range (96dB)Same
    Modulation Transfer Function (MTF) (60% @1lp/mm)Same (for XINEOS 2222HS)
    Digitization Depth (16bit)Same
    Field of View (Square, 21.5 cm ×21.5 cm)Proposed: 21.5cm x 21.5cm, Reference (XINEOS 2222HS): 20cm x 20cm (Difference: Larger effective imaging area. Justification: "The slight difference of Field of View does not affect clinical application. The difference does not affect safety and effectiveness.")
    Pixel Size (151.8 μm)Proposed: 151.8 μm, Reference: 152 μm (Difference: Negligible. Stated as "Same")
    Matrix Size (1416 × 1420)Proposed: 1416 × 1420, Reference (XINEOS 2222HS): 1416 × 1420 (Same)

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

    • Test Set Sample Size: Not explicitly stated for the clinical evaluation. The text only mentions "fluoroscopy sequences images and static images produced by the uMC 560i in clinical environment."
    • Data Provenance: Not explicitly stated. The device manufacturer is in Shanghai, China, which might imply the clinical evaluation was conducted there, but this is not confirmed. It was conducted "in clinical environment," implying prospective data collection for this evaluation.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

    • Number of Experts: "a board-certified clinical reviewer" (singular).
    • Qualifications: "board-certified clinical reviewer." No specific years of experience or specialty (e.g., radiologist, although likely given the device type) are provided.

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

    • Adjudication Method: "None" or not applicable, as only a single reviewer was used. The reviewer provided a "statement indicating that images are of diagnostic quality."

    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 MRMC comparative effectiveness study was done or reported. This submission is for an X-ray imaging system, not an AI-powered diagnostic aid for human readers.

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

    • This device is not an AI algorithm; it is an X-ray imaging system. Therefore, a standalone algorithm-only performance study is not applicable and was not done.

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

    • For the clinical evaluation, the "ground truth" for image quality was based on the subjective assessment of a "board-certified clinical reviewer" stating that images were of "diagnostic quality." This is closer to expert opinion/assessment of image quality rather than a definitive disease diagnosis confirmed by pathology or outcomes.

    8. The sample size for the training set:

    • Not applicable. This is not an AI device with a distinct training set.

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

    • Not applicable.
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