K Number
K023100
Device Name
ACCUSKETCH CARDIAC QUANTITATIVE SYSTEM W/ ADVANCED ANALYSIS COMPONENTS
Date Cleared
2002-10-11

(23 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. AccuSketch is intended to provide and document an objective quantification of coronary artery stenosis and measurement and quantification of left ventricular function. Also provided is the ability to digitize and store video images and the ability to interactively annotate and report current and post procedural patient cardiac status.
Device Description
The AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components is a PC based software system comprised of 4 individual programs used to view, capture/print, analyze and annotate images from cardiac catheterization procedures. AccuSketch is offered as a complete turn-key system or can be ported into other GE cardiac image devices for image analysis. The AccuSketch is a Personal Computer (PC) based software system designed to be permanently installed in a hospital in or near the cardiac catheterization laboratory. AccuSketch is comprised of four individual programs responsible for a specific function. Their purpose is to view, capture/print, analyze and annotate images from cardiac catheterization procedures. The CardioTree is an editable coronary tree tool used to electronically annotate and document the anatomy of the patient's vessels.
More Information

Not Found

No
The summary describes a PC-based software system for quantitative analysis of cardiac images using established functional scientific technology, similar to its predicate devices. There is no mention of AI, ML, or related concepts like training or test sets for model development.

No
The device is intended for quantitative analysis and documentation of cardiac function and coronary artery stenosis, not for direct treatment or therapy.

Yes

Explanation: The device is intended to provide and document an objective quantification of coronary artery stenosis and measurement and quantification of left ventricular function, which are diagnostic purposes for patient cardiac status.

No

The device is described as a "PC based software system" that is "designed to be permanently installed in a hospital". While the core functionality is software, the description of it being a "complete turn-key system" or being "ported into other GE cardiac image devices" suggests it is either sold with dedicated hardware (a PC) or integrated into existing hardware systems, rather than being purely software running on general-purpose user-provided hardware.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use describes the analysis of images from cardiac catheterization procedures to quantify coronary artery stenosis and left ventricular function. This is analysis of in vivo (within the living body) images, not in vitro (outside the living body) samples like blood, urine, or tissue.
  • Device Description: The device is a PC-based software system that processes images from cardiac catheterization procedures. It's installed in or near the cardiac catheterization laboratory, which is where these in vivo procedures are performed.
  • Input Imaging Modality: The input is "Images from cardiac catheterization procedures," which are images of the inside of the body.
  • Anatomical Site: The anatomical sites mentioned (Left Ventricular, coronary artery, patient's vessels) are all within the living body.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic purposes. This device analyzes images of the body itself, not samples taken from the body.

N/A

Intended Use / Indications for Use

AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. AccuSketch is intended to provide and document an objective quantification of coronary artery stenosis and measurement and quantification of left ventricular function. Also provided is the ability to digitize and store video images and the ability to interactively annotate and report current and post procedural patient cardiac status.

Product codes (comma separated list FDA assigned to the subject device)

90 LLZ

Device Description

The AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components is a PC based software system comprised of 4 individual programs used to view, capture/print, analyze and annotate images from cardiac catheterization procedures. AccuSketch is offered as a complete turn-key system or can be ported into other GE cardiac image devices for image analysis. The AccuSketch is a Personal Computer (PC) based software system designed to be permanently installed in a hospital in or near the cardiac catheterization laboratory. AccuSketch is comprised of four individual programs responsible for a specific function. Their purpose is to view, capture/print, analyze and annotate images from cardiac catheterization procedures.

Mentions image processing

System, Image Processing Radiological

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Left Ventricular, coronary artery, patient cardiac status

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Cardiologist or trained technician, licensed healthcare practitioner or by personnel trained in its proper use, hospital in or near the cardiac catheterization laboratory.

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The AccuSketch Cardiac Quantitative Analysis System w/ Advanced Test Summary: Analysis Components complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components:

  • Risk Analysis
  • Requirements Reviews
  • Design Reviews
  • Testing on unit level (Module verification)
  • Integration testing (System verification)
  • Final acceptance testing (Validation)
  • Performance testing
  • Safety testing
  • Environmental testing
    The results of these measurements demonstrated that the AccuSketch Conclusion: Cardiac Quantitative Analysis System w/ Advanced Analysis Components is as safe, as effective, and performs as well as the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K912829, K992937

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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).

0

KO23100

OCT 1 1 2002




Section 2 Summary and Certification

o samo per co

... ... .. .. .. ... ... ... ... ... ... ... .......

510(k) Summary of Safety and Effectiveness
Date:September 17, 2002
Submitter:GE Medical Systems Information Technologies
8200 West Tower Avenue
Milwaukee, WI 53223
USA
Contact Person:Lisa Lee Michels
Regulatory Affairs Specialist
GE Medical Systems Information Technologies
Phone: (262) 293-1609
Fax: (414) 918-8203
Trade Name:
Device:AccuSketch Cardiac Quantitative Analysis System w/ Advanced
Analysis Components
Common/Usual Name:Cardiac Image Analysis Station
Classification Names:System, Image Processing Radiological
Predicate Devices:CardioTrace K912829; *MUSE Cardiovascular Information System with
Accusketch K992937
*NOTE: AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis
Components is being compared to AccuSketch, classification code LLZ, integrated into
MUSE in K#992637. MUSE classification codes of DQK Programmable Diagnostic
Computer (Class II) and DSI Detector & Alarm, Arrhythmia (Class III) are not applicable to
AccuSketch component of MUSE.
Device Description:The AccuSketch Cardiac Quantitative Analysis System w/ Advanced
Analysis Components is a PC based software system comprised of 4
individual programs used to view, capture/print, analyze and annotate
images from cardiac catheterization procedures. AccuSketch is offered
as a complete turn-key system or can be ported into other GE cardiac
image devices for image analysis. The AccuSketch is a Personal
Computer (PC) based software system designed to be permanently
installed in a hospital in or near the cardiac catheterization laboratory.
AccuSketch is comprised of four individual programs responsible for a
specific function. Their purpose is to view, capture/print, analyze and
annotate images from cardiac catheterization procedures.
Intended Use:The AccuSketch LV HL is intended to aid the Cardiologist or trained
technician in providing and documenting an objective quantification of a
patient's Left Ventricular function. The AccuSketch STN HL is intended
to aid the Cardiologist or trained technician in providing and
documenting an objective quantification of coronary artery stenosis (the
amount of vessel closure due to coronary artery disease). The Image
Capture system provides image capture and printing.

1

The CardioTree is an editable coronary tree tool used to electronically annotate and document the anatomy of the patient's vessels.

  • The AccuSketch Cardiac Quantitative Analysis System w/ Advanced Technology: Analysis Components employs the same functional scientific technology as its predicate devices.
  • The AccuSketch Cardiac Quantitative Analysis System w/ Advanced Test Summary: Analysis Components complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components:
    • Risk Analysis

.

  • Requirements Reviews .
  • Design Reviews .
  • Testing on unit level (Module verification) .
  • Integration testing (System verification) ●
  • . Final acceptance testing (Validation)
  • Performance testing .
  • Safety testing .
  • . Environmental testing
  • The results of these measurements demonstrated that the AccuSketch Conclusion: Cardiac Quantitative Analysis System w/ Advanced Analysis Components is as safe, as effective, and performs as well as the predicate devices.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows a circular logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the top half of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Lisa Lee Michels Regulatory Affairs Specialist GE Medical Systems Information Technologies 8200 West Tower Avenue MILWAUKEE WI 53223

Re: K023100

Trade/Device Name: AccuSketch Cardiac Quantitative Analysis System "/Advanced Analysis Components Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system

Regulatory Class: II Product Code: 90 LLZ Dated: September 17, 2002 Received: September 18, 2002

Dear Ms. Michels:

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 adultcration.

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); 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.

3

Page 2

This letter will allow you to begin marketing your device as described in your 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 device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International 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/dsma/dsmamain.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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Page 1 of 1

K D.23/00

510(k) Number (if known):

Haknown, 510(k) filed on September 17, 2002

AccuSketch Cardiac Quantitative Analysis System w/Advanced Analysis Device Name: Components.

Indications for Use:

AccuSketch Cardiac Quantitative Analysis System w/ Advanced Analysis Components is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. AccuSketch is intended to provide and document an objective quantification of coronary artery stenosis and measurement and quantification of left ventricular function. Also provided is the ability to digitize and store video images and the ability to interactively annotate and report current and post procedural patient cardiac status.

(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 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

David A. Lyman

(Division Sign-Off) Division of Reproductive, Abdomin and Radiological Devices 510(k) Number