(41 days)
The Medical Insight Easyl/iz™ PACS System is a Diagnostic Softcopy Reading software package to be used for primary diagnosis and clinical review of digital radiology images.
The EasyViz(tm) system is designed as a diagnostic reading workstation system, which will be packaged with standard PC hardware and software, and is intended for use by radiologists and referring physicians.
EasyViz(tm) is capable of receiving and displaying DICOM images.
Images sent to EasyViz(tm) are converted into formats suitable for viewing in its framework, and are temporarily stored in a local cache (memory). The algorithms used to create JPEG and Wavelet compressed images are based on standard and accepted protocols.
Images sent to EasyViz(tm) can be viewed using an executable program on a standard PC, laptop, newspaper or other devices equipped with the appropriate hardware.
EasyViz(tm) uses standard "off-the-shelf" PC hardware and communicates using the standard 100 Mbit Ethernet TCP/IP stack. The network stack is superfluous to EasyViz(tm).
The provided FDA 510(k) summary for the EasyViz software (K051809) does not contain explicit acceptance criteria or a dedicated study demonstrating the device meets performance criteria.
Instead, the submission focuses on establishing substantial equivalence to predicate devices. This means that instead of presenting a new performance study with acceptance criteria, the manufacturer asserts that their device performs similarly to devices already cleared by the FDA.
Therefore, many of the requested details about acceptance criteria and study methodology are not available in this document.
Here's an analysis based on the available information:
1. Table of acceptance criteria and the reported device performance
No explicit acceptance criteria or reported device performance metrics are provided in the document. The substantial equivalence argument relies on functional similarities rather than quantifiable performance thresholds.
2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)
Not applicable. No specific test set data or provenance is mentioned for a standalone performance study. The "extensive testing of the software and hardware" mentioned in Section 1.8 appears to refer to internal testing for functionality and safety, not a formal clinical performance study with a test set.
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)
Not applicable. No ground truth establishment is described for a performance study.
4. Adjudication method (e.g., 2+1, 3+1, none) for the test set
Not applicable. No adjudication method is described.
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, a multi-reader multi-case (MRMC) comparative effectiveness study was not done or reported in this document. The EasyViz is a PACS soft-copy reading system, primarily for displaying images and providing tools, not necessarily an AI-powered diagnostic algorithm that assists human readers in a measurable way with an effect size.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done
The EasyViz is described as a "diagnostic reading workstation system" and "Diagnostic Softcopy Reading software package," meaning it is intended for use by a human in the loop for primary diagnosis and clinical review. It is not an algorithm designed for standalone diagnostic performance. Therefore, a standalone performance study as typically understood for AI algorithms would not be applicable or reported here.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
Not applicable. No ground truth is discussed in the context of a performance study for the EasyViz system.
8. The sample size for the training set
Not applicable. The EasyViz is described as a PACS system for displaying and manipulating DICOM images, not an AI/ML algorithm that requires a training set in the conventional sense.
9. How the ground truth for the training set was established
Not applicable. As there's no mention of a training set for an AI/ML algorithm, the establishment of ground truth for a training set is not relevant here.
Summary of the document's approach to demonstrating safety and effectiveness:
The document primarily relies on substantial equivalence to legally marketed predicate devices (Stentor iSite Radiology Workstation and Aquariusnet). The "Validation and Effectiveness" section 1.8 states: "Extensive testing of the software and hardware have been performed Extensive testing of the Sonward and no halfty control staff, and by potential customers." This suggests internal verification and validation activities were conducted, but not a formal clinical performance study with specific acceptance criteria that would be reported in this manner for a new AI/diagnostic algorithm. The "Substantial Equivalence Chart" (Section 1.9) details largely functional and technical similarities between EasyViz and its predicates.
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Easyviz
Medical Insight
AUG 1 5 2005
510(k) SUMMARY
In accordance with the provisions of the Safe Medical Device Act of 1990, In accordance with the providing of the Gale Modical 2011
Medical Insight, is providing a summary of safety and effectiveness information
Medical Insight, is providing a summ regarding the EasyViz software.
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Company Identification 1.1
Medical Insight A/S 200 South Wacker Drive Chicago, IL 60606 Contact: Andy B. Dobbs, Ph.D. Tel (312) 674-4677 email: abd@medical-insight.com -
Official Correspondent 1.2
Gary J. Allsebrook Regulatory Management Services 16303 Panoramic Way San Leandro CA USA 94578-1116 Tel: (510) 276-2648 Fax: (510) 276-2648 Email: regman10@comcast.net -
Date of Submission 1.3
June 30, 2005 -
Device Name 1.4
Classification Name: Common/Usual Name: Proprietary Name:
PACS Soft-copy reading system EasyViz(tm)
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| Hovedgaden 451Hedehusene 2640 DenmarkTel: +45 4655 0444Fax: +45 4655 1166 | Medical Insight A/Swww.medical-insight.cominfo@medical-insight.com | 200 South Wacker DriveChicago 60606 IL USATel: +1-312-674-4677Fax: +1-312-674-4501 |
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EasyViz
Image /page/1/Picture/1 description: The image shows the words "Medical Insight" in a stylized font. The words are in black and are slanted slightly to the right. To the right of the words is a black and white image of an eye.
Image /page/1/Picture/2 description: The image shows a stylized drawing of an eye. The eye is open, with a visible iris and pupil. The eyebrow is thick and arched above the eye. The drawing is simple and uses bold lines to define the shapes of the eye and eyebrow.
Substantial Equivalence 1.5
The EasyViz(tm) has the same intended uses and technical The EasyViz(In) Thas Tine Sune Interest (K042292) and characteristics as the Olentor Rate Rand Aquariusnet (K011142 and K012086 respectively).
Device Description and Intended Use 1.6
The EasyViz(tm) system is designed as a diagnostic reading The EasyViz(th) system, which will be packaged with standard PC hardware workstation system, which will be package referring physicians.
EasyViz(tm) is capable of receiving and displaying DICOM images.
Images sent to EasyViz(tm) are converted into formats suitable for Images sent to Easyviz(in), and are temporarily stored in a local cache viewing in its framework, and are conspitiz(tm) to create JPEG and (themory). The algonalino a and accepted protocols.
Images sent to EasyViz(tm) can be viewed using an executable images sent to Easyniz(im) our be newspaper or other devices equipped with the appropriate hardware.
EasyViz(tm) uses standard "off-the-shelf" PC hardware and EasyViz(tim) uses standard TCP/IP stack. TCP/IP stack. The network communicates using the standard 100 stack is superfluous to EasyViz(tm).
Software Development 1.7
Medical Insight certifies that the EasyViz(tm) system is designed, Medical insight cellinos that according to written procedures. These procedures identify individuals within the organization
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| Hovedgaden 451Hedehusene 2640 DenmarkTel: +45 4655 0444Fax: +45 4655 1166 | Medical Insight A/Swww.medical-insight.cominfo@medical-insight.com | 200 South Wacker DriveChicago 60606 IL USATel: +1-312-674-4677Fax: +1-312-674-4501 |
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Image /page/2/Picture/1 description: The image shows the words "Medical Insight" in a stylized font. To the right of the words is a graphic of an eye. The words and the eye graphic appear to be a logo. The text is in bold and slanted.
responsible for developing and approving product specifications, coding and testing, validation testing and field maintenance. The coding and testing, validation tooling and to provide diagnostic software "developed" for this "produce" in the intended users.
Safety and Effectiveness 1.8
General Safety and Effectiveness Concerns:
The device labeling contains instructions for use and indications for use.
The optional hardware components specified are all "off the shelf" computer components.
Validation and Effectiveness:
Extensive testing of the software and hardware have been performed Extensive testing of the Sonward and no halfty control staff, and by potential customers.
Substantial Equivalence:
The EasyViz(tm) Client is a software package used to receive images The EasyViz(th) Ollent is a Soltharo passage
from the EasyViz(tm) Server. It provides the user Diagnostic quality images and the tools to make a diagnosis.
EasyViz(tm) is substantially equivalent to the Stentor iSite Radiology EasyViz(tim) is Substantially Oquivalers Workstation and Aquariusnet (K011142 and K012086 respectively).
It is our conclusion that there is no software component in the EasyViz(tm) product, or hardware component which would be used in EasyViz(tim) product, or nanaware of that we know of whose failure or latent design flaw would be expected to result in death or tallure of latent design han tround of Concern" of the EasyViz(tm)
Page Q-4 / Q-6
| Hovedgaden 451Hedehusene 2640 Denmark | Medical Insight A/S | 200 South Wacker DriveChicago 60606 IL USA |
|---|---|---|
| Tel: +45 4655 0444 | www.medical-insight.com | Tel: +1-312-674-4677 |
| Fax: +45 4655 1166 | info@medical-insight.com | Fax: +1-312-674-4501 |
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EasyViz
Image /page/3/Picture/1 description: The image shows the words "Medical Insight" in a bold, sans-serif font. The words are slightly slanted to the right. To the right of the words is a stylized image of an eye.
product is "minor".
·
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| Hovedgaden 451 | Medical Insight A/S | 200 South Wacker Drive |
|---|---|---|
| Hedehusene 2640 Denmark | www.medical-insight.com | Chicago 60606 IL US |
| Tel: +45 4655 0444 | info@medical-insight.com | Tel: +1-312-674-4677 |
| Fax: +45 4655 1166 | Fax: +1-312-674-4501 |
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Image /page/4/Picture/0 description: The image shows the word "Easyviz" in a bold, sans-serif font. The text is black against a white background. The word appears to be a logo or brand name.
Image /page/4/Picture/1 description: The image shows the words "Medical Insight" in a bold, sans-serif font. To the right of the words is a stylized image of an eye. The text and the eye graphic appear to be part of a logo or heading.
Substantial Equivalence Chart 1.9
| Product Name | MedicalInsightEasyViz | TeraReconAquariusnet | TeraReconAquariusWorkstation | Stentor-iSiteRadiology |
|---|---|---|---|---|
| Print to Paper Capability | Yes | Yes | Yes | Yes |
| Graphical Ul | Yes | Yes | Yes | Yes |
| Windows O.S. - Client | Yes | Yes | Yes | Yes |
| Uses Standard. Monitor | Yes | Yes | Yes | Yes |
| Scales Image to Display. | Yes | Yes | Yes | Yes |
| Image Input | DICOM 3.0 | DICOM 3.0 | DICOM 3.0 | DICOM 3.0 |
| Images stored on remoteNT server | Yes | Yes | Yes | Yes |
| Network Protocol | TCP-IP | TCP-IP | TCP-IP | TCP-IP |
| Compression | Proprietary | Proprietary | Proprietary | Wavelet |
| Annotation | Yes | Yes | Yes | Yes |
| Image Measurement | Yes | Yes | Yes | Yes |
| Cine tool | Yes | Yes | Yes | Yes |
| Comparison Mode | Yes | Yes | Yes | Yes |
| Review Report from RIS | Yes | Yes | Yes | Yes |
| Designed for Use Insideand Outside of Radiology | Yes | Yes | Yes | Yes |
| Flip / Rotate of Images | Yes | Yes | Yes | Yes |
| User Log In | Yes | Yes | Yes | Yes |
| Multiple Layout Options | Yes | Yes | Yes | Yes |
| WW/WL control & Pre-sets | Yes | Yes | Yes | Yes |
| Patient & Study Browser | Yes | Yes | Yes | Yes |
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| Hovedgaden 451Hedehusene 2640 DenmarkTel: +45 4655 0444Fax: +45 4655 1166 | Medical Insight A/Swww.medical-insight.cominfo@medical-insight.com | 200 South Wacker DriveChicago 60606 IL USATel: +1-312-674-4677Fax: +1-312-674-4501 |
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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle or bird with three curved lines representing its wings or feathers.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Medical Insight A/S % Mr. Gary J. Allsebrook Official Correspondent Regulatory Management Services 16303 Panoramic Way SAN LEANDRO CA 94578-1116
Re: K051809
Trade/Device Name: Medical Insight, EasyViz™ PACS System Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system
Regulatory Class: II Product Code: LLZ Dated: June 30, 2005 Received: July 5, 2005
Dear Mr. Allsebrook:
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 either class II (Special Controls) or class III (Premarket Approval), it may be subject to such 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
AUG 1 5 2005
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This letter will allow you to begin marketing your device as described in your Section 510(k) I fills letter will anow you to begin mantenes ?
premarket notification. The FDA finding of substantial equivalence of your device to a legally prematication. The PDF maing or our device and thus, permits your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please If you desire specific advice for your do the following numbers, based on the regulation number at the top of this letter:
| 21 CFR 876.xxxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|---|---|---|
| 21 CFR 884.xxxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 892.xxxx | (Radiology) | 240-276-0120 |
| Other | 240-276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, please note the regulation entires, to the responsibilities under the Act from the 807.97). I ou may obtain other general and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address
http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Nancy C. Brogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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K051809
Device Name: Medical Insight, EasyViz™ PACS System
Indications For Use:
The Medical Insight Easyl/iz™ PACS System is a Diagnostic Softcopy Reading software package to be used for primary diagnosis and clinical review of digital radiology images.
The product utilizes the conventional TCP/IP internetworking infrastructure available in most healthcare organizations, and it uses commercially available computer platforms (Intel Pentium-based) and operating systems (Microsoft Windows XP, Linux).
The product interfaces to existing imaging equipment using the DICOM PS 3.1-2000 (Digital Imaging And Communications In Medicine) standard communication protocol as described and developed by ACR.
Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations. Mammographic images may only be interpreted using an FDA approved monitor that offers at least 5 M-pixel resolution and meets other technical specifications reviewed and accepted by the US FDA.
The system does not permanently store or produce original medical images.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| Prescription Use(Per 21 CFR 901.109) | ✓ | OR | Over-the-Counter Use _____ |
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| ------------------------------------------ | --------------------------------------- | ---- | ---------------------------- |
| ____________________________ (Division Sign-Off) | |
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FDA Indication for Use Form
Division of Reproductive, Abdominal, and Radiological Devices
510(k) Number: K051809
Page D-1 / D-1
§ 892.2050 Medical image management and processing system.
(a)
Identification. A medical image management and processing system is a device that provides one or more capabilities relating to the review and digital processing of medical images for the purposes of interpretation by a trained practitioner of disease detection, diagnosis, or patient management. The software components may provide advanced or complex image processing functions for image manipulation, enhancement, or quantification that are intended for use in the interpretation and analysis of medical images. Advanced image manipulation functions may include image segmentation, multimodality image registration, or 3D visualization. Complex quantitative functions may include semi-automated measurements or time-series measurements.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern).