Planmed Clarity

K163328 · Planmed OY · MUE · Dec 28, 2017 · Radiology

Device Facts

• Record ID: K163328
• Device Name: Planmed Clarity
• Applicant: Planmed OY
• Product Code: MUE · Radiology
• Decision Date: Dec 28, 2017
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.1715
• Device Class: Class 2

Intended Use

The Planmed Clarity 2D mammography unit acquires digital 2D mammographic images. The Planned Clarity 2D system is intended to be used for screening and diagnosis of breast cancer. The Planmed Clarity system may also be used for additional diagnostic workup of the breast.

Device Story

Planmed Clarity is a Full Field Digital Mammography (FFDM) system; captures digital 2D mammographic images using an amorphous silicon-based digital image receptor. Receptor converts X-ray photons directly to digital data. Workflow managed via acquisition workstation and Planmed Clarity Manager software; patient data entered manually or via hospital/radiology information systems (HIS/RIS/MIS). Images acquired, processed, and displayed for preview; transferred for soft-copy review or printing. Used in clinical settings by radiology staff. System provides high-quality diagnostic images for breast cancer screening and workup; benefits patients through improved signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and detective quantum efficiency (DQE) compared to predicate, while maintaining radiation doses below EUREF reference levels.

Clinical Evidence

Clinical image evaluation performed by MQSA-certified radiologists using representative sample mammograms and diagnostic images. Results confirmed overall image quality was acceptable for all cases and image types, demonstrating performance comparable to the predicate device. No prospective clinical trial data provided; safety supported by bench testing, biocompatibility, and electrical/EMC testing.

Technological Characteristics

FFDM system; amorphous silicon digital image receptor; X-ray generator/tube; powered compression unit. Connectivity: HIS/RIS/MIS integration. Standards: IEC 60601-1, IEC 60601-1-6, IEC 60601-2-28, IEC 60601-2-45, IEC 60601-1-2 (EMC), ISO 10993-1 (biocompatibility). Pixel width 83 um; 14-bit ADC depth.

Indications for Use

Indicated for screening and diagnosis of breast cancer, including additional diagnostic workup of the breast in patients requiring mammographic imaging.

Regulatory Classification

Identification

A full-field digital mammography system is a device intended to produce planar digital x-ray images of the entire breast. This generic type of device may include digital mammography acquisition software, full-field digital image receptor, acquisition workstation, automatic exposure control, image processing and reconstruction programs, patient and equipment supports, component parts, and accessories.

Special Controls

*Classification.* Class II (special controls). The special control for the device is FDA's guidance document entitled “Class II Special Controls Guidance Document: Full-Field Digital Mammography System.”*See* § 892.1(e) for the availability of this guidance document.

Predicate Devices

• Planmed Nuance Excel Full Field Digital Mammography System (K111361)

Submission Summary (Full Text)

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December 28, 2017

Image /page/0/Picture/1 description: The image contains two logos. The logo on the left is the Department of Health & Human Services USA logo. The logo on the right is the FDA U.S. Food & Drug Administration logo. The FDA logo is a blue square with the letters FDA in white, followed by the words U.S. Food & Drug Administration in blue.

Planmed Oy % Mr. Lars Moring Regulatory Affairs Manager Sorvaajankatu 7, FI-00880. Helsinki FINLAND

Re: K163328

Trade/Device Name: Planmed Clarity Regulation Number: 21 CFR 892.1715 Regulation Name: Full-field digital mammography system Regulatory Class: II Product Code: MUE Dated: November 21, 2017 Received: November 27, 2017

Dear Mr. Moring:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice

(https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Michael D. O'Hara For

Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known) K163328

Device Name

Planmed Clarity

Indications for Use (Describe)

The Planmed Clarity 2D mammography unit acquires digital 2D mammographic images. The Planned Clarity 2D system is intended to be used for screening and diagnosis of breast cancer. The Planmed Clarity system may also be used for additional diagnostic workup of the breast.

Type of Use (Select one or both, as applicable)

| <span style="font-size:10pt;"> <span style="font-family:Wingdings;">ü</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> |
|-----------------------------------------------------------------------------------------------------------------------------------------------|
| <span> □ Over-The-Counter Use (21 CFR 801 Subpart C) </span> |

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# 510(k) Summary

### I. SUBMITTER

### Manufacturer

Planmed Oy Sorvaajankatu 7 FI-00880 Helsinki, Finland Phone: [phone] Fax: [phone] Contact person: Lars Moring

### U.S. designated agent

Planmed USA Inc. 100 North Gary Avenue, Suite A Roselle, IL 60172 Phone: [phone] Fax: [phone] Contact person : Brett Hines

Date Prepared: October 24, 2017

### II. DEVICE

| Name of Device: | Planmed Clarity |
|-----------------------|-------------------------------------------------------------------|
| Common or Usual Name: | Full Field Digital Mammography (FFDM) System |
| Classification Name: | Full Field Digital Mammography (FFDM) System<br>(21 CFR 892.1715) |
| Regulatory Class: | II |
| Product Code: | MUE |

#### III. PREDICATE DEVICE

Planmed Nuance Excel Full Field Digital Mammography System, K111361 This predicate has not been subject to a design-related recall. No reference devices were used in this submission.

### DEVICE DESCRIPTION IV.

The Planmed Clarity is a Full Field Digital Mammography (FFDM) system for generating mammographic images that can be used for screening and diagnosis of breast cancer. The Planmed Clarity utilizes an amorphous silicon based digital image receptor to capture digital images. The receptor directly converts the incoming X-ray photons to digital image data.

The workflow with Planmed Clarity is controlled from the acquisition workstation and Planmed Clarity Manager image acquisition and communications software. The patient information is entered manually or received from the hospital. radiology, or mammography information systems (HIS, RIS, or MIS, respectively), as a format of modality worklist. Subsequently, the images are acquired, processed, and displayed for preview. After initial evaluation by the user, the images are either printed or transferred for soft-copy review.

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### V. INDICATIONS FOR USE

The Planmed Clarity 2D mammography unit acquires digital 2D mammographic images. The Planmed Clarity 2D system is intended to be used for screening and diagnosis of breast cancer. The Planmed Clarity system may also be used for additional diagnostic workup of the breast.

The Indications for Use (IFU) statement are similar for both systems. IFU of the predicate system refers to film-screen mammography, a technology which has been later replaced by digital systems. This difference in wording has no effect on the indications for use.

### COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE VI. PREDICATE DEVICE

## General

Both devices are using the same basic operating principles and are technically very similar. The user interface has been changed to dual touch-screens. X-ray generation and control are the same. The compression unit and AEC technology are the same. The active material has been changed to amorphous silicon, but otherwise the new detector has almost identical imaging characteristics and signal processing as the predicate device.

## Integrated detector

Ouality assurance with pixel defect acceptance criteria comparison is similar. Pixel matrixes are identical, pixel width 83 um vs. 85um and ADC bit depth 14 vs. 13 bit for subject vs. predicate system, respectively.

X-ray unit Dimensions of the units are similar. X-rav tube Units use the same X-ray tube. X-ray generator Units use the same X-ray generator. X-ray anti-scatter grid Same grid is used on both systems.

### VII. PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence determination.

## Biocompatibility testing

To evaluate biocompatibility of the Planmed Clarity full field digital mammography device, we performed safety evaluation of acute and repeat toxicity. As conclusion, none of the compounds measured in the extracts were present at levels which could adversely affect the patient. Thus, there is no risk or concern to the patient's safety from contact with the materials of construction of this mammography unit.

## Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the Planmed Clarity mammography system. The system complies with IEC 60601-1, IEC 60601-1-6, IEC 60601-2-28, IEC 60601-2-45, ISO 10993-1 for safety, and IEC 60601-1-2 for EMC.

## Software Verification and Validation Testing

Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "Moderate" level of concern.

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## Physical laboratory testing

The performance of the system was tested according to Class II Special Controls Guidance Document: Full-Field Digital Mammography System Document issued on: March 27, 2012.

Summary of physically laboratory testing results:

- 1. Sensitometric response: Both detectors respond linearly to radiation exposure
- Spatial resolution: The predicate system has on average 10% higher MTF at 5 lp/mm. 2. Difference is likely due to direct signal conversion of the a-Se detector.
- 3. Noise analysis: The subject device is less sensitive to noise at higher frequencies. At lower doses, the difference becomes more pronounced. Also SNR and CNR are higher.
- 4. Dynamic range: The subject device produces higher DQE than the predicate system
- 5. Repeated exposures: Ghost tolerance was similar.
- 6. Automatic Exposure Control (AEC) performance: With automatic filtration change the organ and entrance doses are below EUREF reference values.
- 7. Phantom test: RMI phantom scores for all attributes are higher for the subject device. CDMAM test pass for both systems.
- 8. Patient radiation dose: Both systems achieve lower patient radiation dose than the EUREF reference level.
- 9. Breast compression system: Powered compression pressure test results are similar.

### Clinical image evaluation

We also performed clinical image evaluation where MQSA certified experienced radiologist scored representative sample mammograms and diagnostic images. The overall image quality was acceptable for all cases and image types.

#### CONCLUSIONS VIII.

The non-clinical data support the safety of the device and the hardware and software verification and validation demonstrate that the Planmed Clarity full field digital mammography system should perform as intended in the specified use conditions. The clinical image evaluation also shows that the device performs comparably to the predicate device that is currently marketed for the same intended use.