SENTINELLE BREAST MRI TABLETOP WITH 16 CHANNEL COIL ARRAY FOR SIEMENS 1.5/3T MRI SYSTEMS
K112112 · Sentinel Medical, Inc. · MOS · Aug 25, 2011 · Radiology
Device Facts
Record ID
K112112
Device Name
SENTINELLE BREAST MRI TABLETOP WITH 16 CHANNEL COIL ARRAY FOR SIEMENS 1.5/3T MRI SYSTEMS
Applicant
Sentinel Medical, Inc.
Product Code
MOS · Radiology
Decision Date
Aug 25, 2011
Decision
SESE
Submission Type
Special
Regulation
21 CFR 892.1000
Device Class
Class 2
Indications for Use
The Sentinelle Breast MRI tabletop with 16 Channel Coil Array for Siemens 1.5T/3T MRI Systems is designed to provide magnetic resonance images of breast anatomy when used in conjunction with a Magnetic Resonance Scanner. These images are interpreted by a trained physician. When used with a disposable sterile plate (biopsy grid), the device permits access to breast anatomy for biopsy and localization procedures.
Device Story
The Sentinelle Breast MRI Tabletop is a receive-only phased array coil system for Siemens 1.5T/3T MRI scanners. It supports the patient in a prone position, immobilizing the breast via a compression system and plates. The device collects RF emissions from nuclei excited by the MRI scanner. It features 2, 10, or 16 coil elements to improve signal-to-noise ratio and image resolution. For interventional procedures, a sterile, disposable fenestrated biopsy grid is used to guide needles while minimizing tissue motion. The system enables advanced pulse sequences, including diffusion-weighted imaging, diffusion tensor imaging, and spectroscopy. Used in clinical settings by physicians, the output consists of high-resolution MR images that assist in breast lesion detection, characterization, and biopsy guidance. The device benefits patients by providing enhanced image detail and enabling minimally invasive interventional access.
Clinical Evidence
Bench testing only. Performance verified via NEMA standards for phased array coils. Testing included SNR evaluation, heating/performance output, passive detuning, field distortion, RF noise, switch-over Tx-Rx, and voltage stability. Volunteer imaging was performed to confirm clinical utility. No clinical trials or patient outcome data were required.
Technological Characteristics
Receive-only phased array coil (2, 10, or 16 elements). Materials: flame-retardant polycarbonate, acetal resin, polyurethane. Decoupling: active PIN diode switching and passive blocking circuitry. Compatible with Siemens MAGNETOM Espree (1.5T) and TRIO (3T) scanners. Non-ferrous construction. RF power deposition limited by scanner SAR program.
Indications for Use
Indicated for diagnostic imaging and interventional procedures (biopsy, wire localization) of the breast and axillary region in patients undergoing MRI. For use by trained physicians.
Regulatory Classification
Identification
A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).
Special Controls
*Classification.* Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.
Predicate Devices
Vanguard Breast MRI Auxiliary Table/Tabletop with 8/16 Channel Coil Array for GE Signa™ 1.5/3T Systems (K100113)
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KII2112
AUG 25 2011
#### 510(k) Summary 7
Refer to Appendix 5
510(k) Summary of Safety and Effectiveness for: Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems
I. Manufacturer Sentinelle Medical Inc. 555 Richmond Street West, Suite 800, Toronto, ON Canada M5V 3B1
## II. Contact Person Joan Medley
Director, Regulatory and Quality Tel: (647) 258-3607 Fax: (416)
### III. Product Name/Classification Name
Product Name: Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems Common Name: Sentinelle Breast Coil for Siemens MRI Systems Classification Name: Magnetic Resonance Imaging Accessory Class II as described in CFR 21 892.1075 MOS
Product Code:
IV. Date Prepared July 15, 2011
V. Device Description
The Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems is a receive-only MRI imaging coil and interventional system for breast anatomy. The system consists of a tabletop which supports the patient and imaging coils which provide a means of enabling interventional device guidance.
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Image /page/1/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The word "sentinelle" is in a larger font than the word "MEDICAL", which is stacked below it.
The tabletop, like other breast coils provides an aperture to admit the breasts and provides the physician access to the breast(s). This aperture enables the guidance of interventional devices (such as biopsy needles), when performing a biopsy.
The tabletop's compression system facilitates immobilization of the breast for imaging and interventional procedures and serves to hold the individual imaging coils in proximity to the breast(s).
Compression plates (also referred to as immobilization plates) provided with the system are held in frames, which may be positioned in the left-right and anteriorposterior directions and fixed in place to gently immobilize one or both breasts for interventional procedures.
When performing a stereotactic interventional procedure (such as biopsy or wire localization), one or more compression plates may be interchanged for a sterile, single use, disposable fenestrated plate (also referred to as biopsy grid) cleared under FDA 510(k) Number: K060873. The biopsy grid contains apertures that permit the physician to access the breast for intervention, while minimizing tissue motion.
When performing biopsy and/or imaging of a single breast, the system may be used with two compression plates immobilizing that breast. The contralateral breast support prevents the contralateral breast from interfering with medial-approach interventions.
When imaging both breasts, a medial coil element is used between the breasts in conjunction with two lateral coils.
The tabletop's receive-only coil system acts to passively collect RF emissions from the nuclei excited by the MRI. The function of the tabletop is substantially equivalent
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Image /page/2/Picture/0 description: The image contains the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of lines and curves, and the words are in a sans-serif font.
to predicate devices used for breast MRI imaging and intervention, including our legally marketed device [510(K) Number: K100113].
The Sentinelle phased array breast coil set consists of 2, 10 or 16 RF coil elements in a phased array design. The coil elements and electronics are enclosed in a rigid housing that is resistant to fluid ingress and is fire retardant. The coils are positioned close to the patient's breast during imaging. This receive-only coil is designed to give an improved signal-to-noise ratio, image resolution and image acquisition over that of a standard body coil.
The Sentinelle 16Ch Coil Array for Siemens 1.5/3T MRI Systems, receive-only coil provides the following benefits:
- . an increase in the Signal-to-Noise Ratio improving image detail in the breast including axilla and chest wall regions
- a decrease in imaging acquisition time resulting from enhanced parallel . imaging capability
- . allows the user to perform advanced pulse sequences including (but not limited to) diffusion weighted imaging, diffusion tensor imaging and spectroscopy imaging
- allows for the use of IPAT squared and acceleration factors up to 4 in L-R . and 2 in S-I and A-P direction in a diagnostic imaging state
This system is compatible with:
0 Siemens 16 Channel, 1.5T MRI Scanners (Siemens MAGNETOM Espree)
- C Siemens 16 Channel, 3T MRI Scanners (Siemens MAGNETOM TRIO)
A full description of the system in form and function and the accompanying technical drawings were provided in the Traditional 510(K) cleared in April 2006 under FDA 510(k) Number: K060873 and Special 510(k) cleared in April 2010 under FDA 510(k) Number: K100113.
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Image /page/3/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of several lines that intersect to form a complex design. The word "sentinelle" is in a larger font than the word "MEDICAL", which is stacked below it.
A copy of the Operator's Guide (User Manual) which details the proposed labeling (operating instructions, cautions, warnings, and indications for use) can be found in Appendix 9.
### VI. Intended Use
The Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5T or 3T MRI Systems is an open, receive only breast coil designed to provide magnetic resonance images of breast anatomy when used in conjunction with a Magnetic Resonance Scanner. It is intended for routine diagnostic imaging and intervention of the breast and axillary region. When used with a biopsy grid, the device permits access to the breast anatomy for biopsy and localization procedures that can be performed by a trained physician.
*Note: The intended use of this modified device, as described in its labeling has not changed as a result of the modifications.
### VII. Substantial Equivalence
The Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems is substantially equivalent to our legally marketed device "Vanguard Breast MRI Auxiliary Table/Tabletop with 8/16 Channel Coil Array for GE Signa™ 1.5/3T Systems cleared under 510(k) Number: K100113.
| Device Name: | Vanguard Breast MRI Auxiliary Table with<br>8/16 Channel Coil Array for GE 1.5/3T MRI<br>Systems |
|----------------|--------------------------------------------------------------------------------------------------|
| Manufacturer: | Sentinelle Medical Inc. |
| 510(k) Number: | K100113 |
| Decision Date: | April 22, 2010 |
| Decision: | Substantially Equivalent |
### Table 2:
Table 3 lists the technological characteristics, as derived from the Indications for Use and the Device Description of the proposed device with the legally marketed device Vanguard Breast MRI Auxiliary Table/Tabletop with 8/16 Channel Coil Array for GE Signa™ 1.5/3T MRI Systems.
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Image /page/4/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of several intersecting lines and curves. The word "sentinelle" is in a larger font than the word "MEDICAL".
The device labeling includes the Operator's Guide (User Manual) [Appendix 9] including indications for use, cautions, warnings, contraindications and instructions. This information assures safe and effective use of the device.
## Table 3: Technological Characteristics
Comparison of Sentinelle Breast MRI Auxiliary Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems with Vanguard Breast MRI Auxiliary Table with 8/16 Channel Coil Array for GE Signa™ 1.5/3T MRI Systems
| Predicate:<br>Vanguard Breast MRI Auxiliary Table with 8/16<br>Channel Coil Array for GE<br>1.5/3T MRI Systems<br>K100113 | Current Submission:<br>Sentinelle Breast MRI<br>Tabletop with 16 Channel<br>Coil Array for Siemens 1.5/3T MRI Systems |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use: Provides magnetic<br>resonance images of breast anatomy when used in<br>conjunction with a Magnetic Resonance Scanner.<br>These images can be interpreted by a trained<br>physician. When used with the disposable sterile<br>plate this device permits access to the breast<br>anatomy for biopsy and localization procedures<br>that can be performed by a trained physician. | Indications for Use: Provides magnetic<br>resonance images of breast anatomy when<br>used in conjunction with a Magnetic<br>Resonance Scanner. These images can be<br>interpreted by a trained physician. When<br>used with the disposable sterile plate this<br>device permits access to the breast anatomy<br>for biopsy and localization procedures that<br>can be performed by a trained physician. |
| Design and Technology:<br>The device supports a patient in a prone<br>position, with receive-only antennas surrounding<br>the breast. Compression plates supported by the<br>device are used to immobilize the breast in the<br>opening provided. Only non-ferrous materials<br>are used in the construction of the device.<br>Detailed aspects of technology presented in<br>sections below | Design and Technology:<br>The device supports a patient in a prone<br>position, with receive-only antennas<br>surrounding the breast. Compression plates<br>supported by the device are used to<br>immobilize the breast in the opening<br>provided. Only non-ferrous materials are<br>used in the construction of the device.<br>Detailed aspects of technology presented in<br>sections below |
| Coil Enclosure and compression plate<br>material: Flame retardant Polycarbonate plastic,<br>Acetal Resin and Polyurethane. Patient contact<br>materials have been evaluated for<br>biocompatibility. | Coil Enclosure and compression plate<br>material: Flame retardant Polycarbonate<br>plastic, Acetal Resin and Polyurethane.<br>Patient contact materials have been evaluated<br>for biocompatibility. |
| Technology - Coil Design:<br>- 16 loop phased array receive only coil design.<br>- 10 loop phased array receive only coil design<br>- 2 loop phased array receive only coil design | Technology - Coil Design:<br>- 16 loop phased array receive only coil<br>design.<br>- 10 loop phased array receive only coil<br>design<br>- 2 loop phased array receive only coil design |
| Technology - Decoupling: Active PIN Diode<br>switching blocking circuitry. Passive Blocking<br>Circuitry. | Technology - Decoupling: Active PIN<br>Diode switching blocking circuitry. Passive<br>Blocking Circuitry. |
| Technology - Prevention of RF Burns: Cables<br>can not be looped. | Technology - Prevention of RF Burns:<br>Cables can not be looped. |
| Technology - Radio Frequency<br>Absorption: Coil is a receive-only coil and does<br>not transmit RF power. Power deposition is<br>limited by the SAR program of the MRI magnet. | Technology - Radio Frequency<br>Absorption: Coil is a receive-only coil and<br>does not transmit RF power. Power<br>deposition is limited by the SAR program of<br>the MRI magnet. |
| Technology - Formation of Resonant Loop:<br>Decoupling isolates the coil elements from RF<br>fields during RF transmission. | Technology - Formation of Resonant<br>Loop: Decoupling isolates the coil elements<br>from RF fields during RF transmission. |
| Performance Testing:<br>Performance was determined according to<br>NEMA standards for MRI Coils as applicable to<br>phased array coils. | Performance Testing:<br>Performance was determined according to<br>NEMA standards for MRI Coils as applicable<br>to phased array coils. |
| Specifications - Mode of operation,<br>Frequency, Field Strength : For 3 Tesla<br>variants: Receive-only, center frequency<br>ranging from 123.1 MHz to 127.3 MHz (Factory<br>Set), 3 Tesla, Bilateral and unilateral<br>applications, Medial, Lateral and anterior access. | Specifications - Mode of operation,<br>Frequency, Field Strength : For 3 Tesla<br>variants: Receive-only, center frequency<br>ranging from 122.6 MHz to 124.2 MHz<br>(Factory Set), 3 Tesla, Bilateral and unilateral<br>applications, Medial, Lateral and anterior<br>access. |
| Compatibility:<br>This system is for use with GE Discovery MR<br>750 3.0T, GE Signa HDxt 3.0T, General Electric<br>Discovery MR450 1.5T, General Electric<br>Optima MR450w 1.5T . | Compatibility:<br>This system is for use with Siemens<br>MAGNETOM Espree & Siemens TRIO<br>MRI Scanners |
| Table Specifications:<br>For use with products specified in the<br>compatibility section. Max table weight verified<br>per MR requirements. Relative table motion is<br>controlled by MR system. | Table Specifications:<br>For use with products specified in the<br>compatibility section. Max table weight<br>verified per MR requirements. Relative table<br>motion is controlled by MR system. |
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Image /page/5/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of several intersecting lines, forming a complex, symmetrical design. The word "sentinelle" is in a larger font size than "MEDICAL".
## VIII: Testing and Performance Data
Testing for the Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems was performed to ensure that functional requirements have been met, and that core functions execute as expected.
The following tests were performed on the proposed device and the verification/validation results are contained in Appendix 8.
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Image /page/6/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of several intersecting lines, forming a complex, abstract design. The word "sentinelle" is in a larger font size than "MEDICAL", and the two words are stacked vertically.
## Table 4: Product Under Test – Sentinelle 16CH Coil Array for 1.5T Scanners
| Test Identifier | Test Reference |
|-----------------|--------------------------------------------------------------------------------------------------------------|
| DHM-00932 | Mechanical Safety Testing Summary |
| SMI-1093 | Risk Management Report for Sentinelle Vanguard 16Ch Breast<br>System for Siemens MR Platform (1.5T and 3.0T) |
| SMI-1839 | Mechanical FMEA: 16 Channel for Siemens |
| SMI-0337 | FMEA Siemens Tabletop |
| RSK-00309 | Electrical FMEA: 16CH for Siemens 1.5T and 3T |
| TR-00484 | SNR Evaluation - Siemens 1.5T 16CH System |
| TR-00483 | Siemens - gMap 16CH 1.5T |
| VER-04170 | Heating and Performance Output Test for Siemens 1.5T, 16CH<br>Breast Coil - 10CH Configuration |
| VER-04171 | Passive Detuning Test for Siemens 1.5T, 16CH Breast Coil – 10CH<br>Configuration |
| VER-04172 | Field Distortions Test for Siemens 1.5T, 16CH Breast Coil – 10CH<br>Configuration |
| VER-04173 | RF Noise Test for Siemens 1.5T, 16CH Breast Coil - 10CH<br>Configuration |
| VER-04174 | Switch-Over Tx-Rx for Siemens 1.5T, 16CH Breast Coil - 10CH<br>Configuration |
| VER-04175 | MR Signal from Housing for Siemens 1.5T, 16CH Breast Coil -<br>10CH Configuration |
| VER-04176 | Body Scout 2 for Siemens 1.5T, 16CH Breast Coil - 10CH<br>Configuration |
| VER-04177 | Body Scout 1 for Siemens 1.5T, 16CH Breast Coil – 10CH<br>Configuration |
| VER-04178 | Voltage Stability Test for Siemens 1.5T, 16CH Breast Coil - 10CH<br>Configuration |
| VER-04179 | Spike Noise Test for Siemens 1.5T, 16CH Breast Coil - 10CH<br>Configuration |
| VER-04285 | 2CH Breast SEN QA 2011-04-27 |
| VER-04287 | 10CH Breast SEN QA 2011-04-27 |
| TR-0796 | Passive Detuning during Transmit Phase for Siemens 1.5T, 16CH<br>Breast Coil |
| TR-0804 | Voltage Stability of Passive Decoupling for Siemens 1.5T, 16CH<br>Breast Coil |
| TR-0781 | Heating and Performance Output Test for Siemens 1.5T, 16CH<br>Breast Coil |
| TR-0803 | Body Scout 1 for Siemens 1.5T, 16CH Breast Coil |
| TR-0802. | Body Scout 2 for Siemens 1.5T, 16CH Breast Coil |
| TR-0797 | Measurement of Field Distortions for Siemens 1.5T, 16CH Breast Coil |
| TR-0798 | Spike Noise Test for Siemens 1.5T, 16CH Breast Coil |
| TR-0799 | Rf Noise Measurement for Siemens 1.5T, 16CH Breast Coil |
| TR-0800 | Switch-over Tx-Rx for Siemens 1.5T, 16CH Breast Coil |
| TR-0801 | MR Signal from Housing for Siemens 1.5T, 16CH Breast Coil |
| TR-00485 | SNR Comparison between 8 CH and 16CH Systems |
| VAR-02350 | Volunteer Imaging for Siemens 1.5T, 16CH Breast Coil |
| SMI-1789 | Safety & Imaging Effectiveness: Siemens 1.5T 16CH |
. '
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Image /page/7/Picture/0 description: The image shows the logo for Sentinelle Medical. The logo consists of a geometric shape on the left and the words "sentinelle MEDICAL" on the right. The geometric shape is made up of lines and curves, and it resembles a stylized flower or snowflake. The word "sentinelle" is in a larger font than the word "MEDICAL".
# Table 5: Product Under Test – Sentinelle 16CH Coil Array for 3T Scanners
| Test<br>Identifier | Test Reference |
|--------------------|-------------------------------------------------------------------------------------------|
| VER-04180 | Heating and Performance Output Test for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04181 | Passive Detuning Test for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04182 | Field Distortion Test for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04183 | RF Noise Test for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04184 | Switch-Over Tx-Rx for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04185 | MR Signal from Housing for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04186 | Body Scout 2 for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04187 | Body Scout 1 for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04188 | Voltage Stability Test for Siemens 3T, 16CH Breast Coil – 10CH Configuration |
| VER-04189 | Spike Noise test: Siemens 16CH/3T – 10 CH Configuration |
| TR-0760 | Passive Detuning during Transmit Phase for Siemens 3T, 16CH Breast Coil |
| TR-0761 | Voltage Stability of Passive Decoupling for Siemens 3T, 16CH Breast Coil |
| TR-0769 | Heating and Performance Output Test for Siemens 3T, 16CH Breast Coil |
| TR-0771 | Body Scout 1 for Siemens 3T, 16CH Breast Coil |
| TR-0772 | Body Scout 2 for Siemens 3T, 16CH Breast Coil |
.
.
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sentinelle
MEDICAL
| TR-0773 | Measurement of Field Distortions for Siemens 3T, 16CH Breast Coil |
|-----------|-------------------------------------------------------------------------------|
| TR-0774 | Spike Noise Test for Siemens 3T, 16CH Breast Coil |
| TR-0775 | RF Noise Measurement for Siemens 3T 16CH Breast Coil |
| TR-0776 | Switch-over Tx-Rx for Siemens 3T, 16CH Breast Coil |
| TR-0777 | MR Signal from Housing for Siemens 3T, 16CH Breast Coil |
| VER-04025 | SNR Comparison between 8 and 16 Channel Systems at 3T for Siemens Breast Coil |
| VER-04216 | gMap for Siemens 3T, 16CH Breast Coil |
| SMI-1371 | Safety & Imaging Effectiveness: Siemens 16CH/3T |
| VAR-02363 | Volunteer Imaging for Siemens 3T, 16CH Breast Coil |
Testing was conducted in-house by trained testing personnel using phantoms or volunteers to obtain the functional and accuracy test results. The use of contrast agent was not used in obtaining the images. The completed test results demonstrated that no new safety and effectiveness issues were introduced. The completed tests were conducted to ensure that the changes to the proposed device did not introduce any new issues of safety or effectiveness from our legally cleared device - K100113.
The Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI System's indications for use are unchanged from our legally marketed predicate devices:
- । Vanguard Breast MRI Auxiliary Table/Tabletop Coil with 8/16 Channel Coil Array for use with GE 1.5/3T MRI Scanners [K100113].
As such, the features and functionality provided by the Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems do not raise new concerns of safety or effectiveness.
## Test Conclusion
Results of the verification activities for the Sentinelle Breast MRI Tabletop with 16 Channel Coil Array for Siemens 1.5/3T MRI Systems verify that the system performed as intended, is safe and effective as our predicate device, and is substantially equivalent to our legally marketed device [K100113] .
Please refer to Appendix 8 for verification/validation results.
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Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002
Ms. Joan Medley Director, Quality & Regulatory Sentinelle Medical, Inc. 555 Richmond Street West, Suite 800 Toronto, ON, M5V 3B1 CANADA
AUG 25 2011
Re: K112112
Trade/Device Name: Sentinelle Breast MRI Tabletop with 16Ch Coil Array for Siemens 1.5T/3T MRI Systems Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device
Regulatory Class: II Product Code: MOS Dated: July 21, 2011 Received: July 25, 2011
Dear Ms. Medley:
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. 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.
If your device is classified (see above) into class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of
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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your dryice to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely Yours,
Mary. S. Patel
Mary S. Pastel, Sc.D. Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health
Enclosure
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#### Indication(s) For Use
#### 510(k) Number:
### Device Name: Sentinelle Breast MR1 Tabletop with 16Ch Coil Array for Siemens 1.5T/ST MRI Systems
### Indications for Use:
The Sentinelle Breast MRI tabletop with 16 Channel Coil Array for Siemens 1.5T/3T MRI Systems is designed to provide magnetic resonance images of breast anatomy when used in conjunction with a Magnetic Resonance Scanner. These images are interpreted by a trained physician. When used with a disposable sterile plate (biopsy grid), the device permits access to breast anatomy for biopsy and localization procedures.
Prescription Use (Part 21 CFR 801 Subpart D):
-
Over-The-Counter Use (Part 21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
AND/OR
Concurrence of CDRH, Office of Device Evaluation (ODE)
hul D. O'K
(Division Sign-Off Division of Radiological Devices Diagnostic Device Evaluation and Safety Office of In
510K K112112
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Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.