Sensis

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image shows the text "Public Health Service". The text is in a serif font and is left-aligned. The text is likely part of a larger document or sign. Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized representation of three human profiles facing to the right, with flowing lines beneath them. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the emblem. Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002 June 30, 2015 Siemens Medical Solutions, Inc. Patricia Jones Regulatory Specialist 51 Valley Stream Parkway Malvern, Pennsylvania 19355 Re: K150493 Trade/Device Name: Sensis Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DQK Dated: May 28, 2015 Received: May 29, 2015 Dear Patricia Jones: 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 {1}------------------------------------------------ Part 807); labeling (21 CFR Part 801); medical device reporting of medical devicerelated 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. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Sincerely yours, for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ Image /page/2/Picture/0 description: The image shows the word "SIEMENS" in a sans-serif font. The word is in a light blue color. There is a black line underneath the word. DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration ### Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below. ### 510(k) Number (if known) K150493 Device Name Sensis ### Indications for Use (Describe) The Sensis recording system is intended to be used as a diagnostic and administrative tool supporting hemodynamic catheterizations and/or electrophysiology studies, for cardiac as well as interventional Radiology as well as surgical studies. The system is equipped by modules, enabling various configurations ranging from a stand-alone acquisition unit with limited administrative functionality to multiunit installations with a common database and satellite workstations accessing the data using the administrative tools. The device is intended to be used on either or both of the following populations: 1. Adult and pediatic populations requiring electrophysiology examinations, typically when the patient is suffering from cardiac arrhythmias. 2. Adult and pediations requiring hemodynamic examinations, typically when the patient has a heart or vascular disease resulting in insufficient hemodynamic functionality. Type of Use (Select one or both, as applicable) X Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C) ### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." FORM FDA 3881 (8/14) PSC Publishing Services (301) 443-6740 EF {3}------------------------------------------------ # SIEMENS # 510(k) Summary: Sensis Company: Siemens Medical Solution USA, Inc. 51 Valley Stream Parkway Malvern, PA 19355 Date Prepared: February 24, 2015 This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR § 807.92. #### 1. General Information: ## Importer / Distributor: Siemens Medical Solution USA, Inc. 51 Valley Stream Parkway Malvern, PA 19355 ## Establishment Registration Number: 2240869 ## Manufacturing Site: SIEMENS AG Sector Healthcare Siemensstraße 1 D-91301 Forchheim, Germany # Establishment Registration Number: 3004977335 #### 2. Contact Person: Ms. Patricia D Jones Technical Specialist, Regulatory Submissions Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkwav D-02 Malvern, PA 19355 Phone: (610) 448 -3536 Fax: (610) 448-1787 Email: patricia.d.jones@siemens.com ### 3. Device Name and Classification: Trade Name: Classification Name: Classification Panel: CFR Section: Sensis Programmable diagnostic computer Cardiovascular Diagnostic Devices 21 CFR §870.1425 {4}------------------------------------------------ Image /page/4/Picture/1 description: The image shows the word "SIEMENS" in a sans-serif font. The letters are a light blue color, and there is a black line underneath the word. The word is in all capital letters and is the main focus of the image. | Device Class: | Class II | |---------------|----------| | Product Code: | DQK | - 4. Legally Marketed Primary Predicate Device Trade Name: 510(k) #: Clearance Date: Classification Name: Classification Panel: Classification Regulation: Device Class: Product Code: Recall Information: AXIOM Sensis K131812 July 25, 2013 Programmable Diagnostic Computer Cardiovascular Diagnostic Devices 21 CFR §870.1425 Class II DOK N.A. Legally Marketed Secondary Predicate Device | Trade Name: | Cathcor Desktop | |----------------------------|-----------------------------------| | 510(k) #: | K002137 | | Clearance Date: | October 5, 2000 | | Classification Name: | Programmable Diagnostic Computer | | Classification Panel: | Cardiovascular Diagnostic Devices | | Classification Regulation: | 21 CFR §870.1425 | | Device Class: | Class II | | Product Code: | DQK | | Recall Information: | N.A. | #### 5. Device Description: ### Reason for Submission: Siemens Medical Solutions USA, Inc. intends to introduce the Sensis Electrophysiological and Hemodynamic Recording System with updated software VC12B. This 510(k) submission describes several modifications to the previously cleared predicate device the Sensis Electrophysiological and Hemodynamic Recording System (K131812) cleared on July 25, 2013. The following modifications are made to the cleared Sensis system: - 1). Updated Indication for Use Statement to be more descriptive to include: ("Interventional Radiology including surgery"). - 2). Addition of a DrugMed Calculator - may be used to compute calculations for the drug amount dosage and Creatinine clearance. - 3). Update 510(k) Information for the predicate 510(k) (Appendix E). Sensis is a multi-channel computer-based stationary system for the display, and printout of bio-physiological measurement. events. Hemodynamic and electrophysiological signals such as intracardiac pressure, ECG signals, and intracardiac electrograms (ICEG) are {5}------------------------------------------------ measured and displayed by the system. Sensis software provides the ability to monitor and assess invasive blood pressure, ECG signals, and optionally intracardiac electrograms (ICEG) The user can perform a number of calculations based on manual input and / or on the input signals and other hemodynamic parameter values from the Sensis system. The Sensis System can be used also for vascular procedures in interventional radiology and surgery the same way as for cardiac procedures in interventional cardiology. The Sensis functionality remains the same. For more flexibility in the department, additional post processing and reporting workplaces can always be connected to the network. A Drug Med Calculator has been added to the Sensis. It uses established formulas which could also be used in Siemens secondary predicate the Cathcor system. The Drug Med Calculator provides a workflow improvement for the users and allows ease calculations for the drug amount dosage and creatinine clearance. The implementation of the Drug Med Calculator does not raise new issues of safety or effectiveness of the subject device. Provided in Sections 5 and 14 of this 510(k) submission, is a completed "510(k) Decision Making FlowChart". We believe these modifications are eligible for the Traditional 510(k) process since the subject device has the same fundamental scientific technology. Intended Use and general Indications for Use as the predicate device system. The new descriptive Indications for Use statement is supported with non-clinical testing in support of a claim of substantial equivalence to Siemens' predicate device the Sensis hemodynamic and electrophysiological recording system (K131812). #### 6. Indication for Use: The Sensis recording system is intended to be used as a diagnostic and administrative tool supporting hemodynamic catheterizations and/or electrophysiology studies, for cardiac as well as interventional Radiology as well as surgical studies. The system is equipped by modules, enabling various configurations ranging from a stand-alone acquisition unit with limited administrative functionality to multiunit installations with a common database and satellite workstations accessing the data using the administrative tools. The device is intended to be used on either or both of the following populations: {6}------------------------------------------------ Image /page/6/Picture/1 description: The image contains the word "SIEMENS" in a large, sans-serif font. The text is a light blue color. There is a black line underneath the text. - populations requiring electrophysiology 1. Adult and pediatric examinations, typically when the patient is suffering from cardiac arrhythmias. - 2. Adult and pediatric populations requiring hemodynamic examinations, typically when the patient has a heart or vascular disease resulting in insufficient hemodynamic functionality. ### 7. Substantial Equivalence: The Sensis Electrophysiological and Hemodynamic Recording System with software VC12B is substantially equivalent to the commercially available Siemens Sensis which was described in premarket notification K131812 which received 510(k) clearance on July 25, 2013. (See Table 4 below): The formula for Drug Med Calculator is the same as used with Siemens Cathcor which was described in premarket notification K002137 which received 510(k) clearance on October 5, 2000. (See Table 4 below): | Predicate Device(s) Name<br>and Manufacturer | 510(k)<br>Number | Clearance Date | Comparable Properties | |-----------------------------------------------------------------------------|------------------|----------------|------------------------------------------------------------------------------------------------------| | Primary Predicate Device :<br>Siemens Sensis SW VC12A<br>Product Codes: DQK | K131812 | 07/25/2013 | Indications for use<br>Acquisition<br>Monitoring<br>Recording<br>Imaging<br>Administrative Functions | | Secondary Predicate<br>Device :<br>Cathcor<br>Product Code: DQK | K002137 | 10/05/2000 | Formula for Drug Med<br>Calculator | Table 2: Predicate Device Comparable Properties to Subject Device The subject device, the Sensis VC12B, does not affect the intended use of the device nor does it alter its fundamental scientific technology from the 510(k) cleared predicate device. Non-clinical information and Referenced literature supports the new descriptive indications for use statement and the formula for Drug Med Calculator for the Sensis system (see Appendix F and Attachment 9). ### 8. Summary of Technological Characteristics of the Subject Device as Compared with the Predicate Device: The Sensis Electrophysiological and Hemodynamic Recording System with software VC12B with extended intended use is the same as the predicate SW VC12A. The Sensis features the same Acquisition. Monitoring, Recording, Imaging and Administrative Functions as the predicate Sensis. It interfaces with Angiography X-ray systems e.g. Artis {7}------------------------------------------------ # SIEMENS Q, Artis Q zen, Artis zee / zeego. The user function is the same as the predicate Sensis device. The modified Indication for Use Statement which is more descriptive, does not change the hardware or software of the primary predicate device. The Drug Med Calculator of the Sensis uses the same formula as used with Siemens secondary predicate Cathcor system and provides calculations for the drug amount dosage and creatinine clearance. This feature is added to the primary predicate device (K131812- Sensis) and does impact software. Software information specific to the Drug Med Calculator is provided in accordance to "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" issued on May 11, 2005 in Attachment 9 of this submission. The subject device has the same technological characteristics (see Table 2 Comparable properties) as the primary and secondary predicate devices. The technological characteristics do not differ from the primary and secondary predicate devices, as explained above. #### 9. Non-Clinical Testing: Non-clinical tests were conducted for the Sensis Electrophysiological and Hemodynamic Recording System during product development. The modifications described in this Premarket Notification were supported with verification and validation testing. Siemens claims conformance to the following performance standards and: 60601-1; 14971; 62366; 60601-1-6; 60601-1-2: 60601-1-8: PS 3.1 - 3.20: 60601-2-25: IEC 60601-2-34: 80601-2-61; 80001-1; 80601-2-30; 60601-2-49 as provided in Section 11. Electrical safety and Electromagnetic Compatibility (EMC) testing were conducted on the Electrophysiological Monitoring and Recording System. consisting of the computers, monitors, video distribution components, and signal acquisition components. The Sensis system was certified by a third party laboratory to comply with the IEC 60601-1, IEC 60601-2-25, IEC 80601-2-30, IEC 60601-2-34, IEC 80601--61 standards for safety and the IEC 60601-1-2 standard for EMC. All tests passed. # Verification and Validation: Software Documentation for a Moderate Level of Concern software per FDA's Guidance Document "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" issued on May 11, 2005 is also included as part of this submission. The performance data demonstrates continued conformance with special controls for medical devices containing software. Nonclinical tests (Section 21) were conducted on the Sensis System during product development. The Risk analysis was completed and risk control implemented to mitigate identified hazards. The testing results supports that all the software specifications {8}------------------------------------------------ have met the acceptance criteria. Testing for verification and validation for the device was found acceptable to support the claims of substantial equivalence. Siemens conforms to the Cybersecurity requirements by implementing a process of preventing unauthorized access, modifications, misuse or denial of use, or the unauthorized use of information that is stored, accessed, or transferred from a medical device to an external recipient. Contained in Attachment 8 of this submission is a cybersecurity statement that considers IEC 80001-1:2010. The responsibility for compliance with IEC 8001-1-2010 is the hospital. Provided in the Software section, (Section 18) and the Operator's Manual (Appendix B) is the required cybersecurity information. # Summary: Performance tests were conducted to test the functionality of the Sensis Electrophysiological and Hemodynamic Recording System. These tests have been performed to assess the functionality of the subject device. Results of all conducted testing were found acceptable in supporting the claim of substantial equivalence. #### 10. General Safety and Effectiveness Concerns: Instructions for use are included within the device labeling, and the information provided will enable the user to operate the device in a safe and effective manner. Risk management is ensured via a hazard analysis, which is used to identify potential hazards. These potential hazards are controlled via software development, verification and validation testing. To minimize electrical, and mechanical hazards. Siemens adheres to recognized and established industry practice, and all equipment is subject to final performance testing. Furthermore the operators are health care professionals familiar with and responsible for the evaluating and post processing of X-ray images. #### 11. Conclusion as to Substantial Equivalence: The predicate device was cleared based on non-clinical supportive information. The results of these tests demonstrate that Sensis acceptance criteria are adequate for this intended use. The comparison of technological characteristic, non-clinical performance data and software validation data demonstrates that the subject device is as safe, and effective when compared to the predicate device that is currently marketed for the same intended use.