K Number
K042697
Device Name
SECOND LOOK VIEWER
Manufacturer
Date Cleared
2004-11-19

(50 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Second Look® Viewer is intended to be used to display low resolution, nondiagnostic medical images with annotations such as pre-computed regions-ofinterest or pre-computed CAD marks.
Device Description
The Second Look® Viewer is composed of three primary components. The major component is the computer (1), which is supported by a touchscreen monitor (2) and a barcode reader (3). The computer is a conventional Intel based computer that is connected to the Second Look® CAD processing unit via a network. The Second Look Viewer serves no other purpose than viewer support. The physician interfaces to the software using the touch screen or barcode reader. The physician first barcodes a given patient whose mammography case has already been processed by the Second Look CAD processing unit. The viewer displays the Mammagraph™s with the pre-computed CAD marks overlayed. Second Look Viewer allows a radiologist to review Second Look® Analog CAD output, in softcopy format. The physician may touch any of the small images and see a higher resolution, magnified image along with characterization information for that image. After viewing the mammography case, the radiologist may use the Second Look® Viewer to review pre-computed ultrasound results, such as CADStream® output, if such results already exist for the case under review.
More Information

Not Found

Not Found

No
The description explicitly states the device displays "pre-computed regions-of-interest or pre-computed CAD marks" from a separate "Second Look® CAD processing unit," indicating it is a viewer and not the component performing the analysis that might involve AI/ML. The "Mentions AI, DNN, or ML" field is also "Not Found".

No.

The device is described as a viewer for displaying pre-computed medical images and CAD marks, not for directly treating or diagnosing patients.

No
The "Intended Use / Indications for Use" states that the device displays "nondiagnostic medical images."

No

The device description explicitly states it is composed of a computer, touchscreen monitor, and barcode reader, which are hardware components.

Based on the provided information, the Second Look® Viewer is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it is for displaying "low resolution, nondiagnostic medical images". It is a viewer for pre-computed results, not a device that performs a diagnostic test on a biological sample.
  • Device Description: The description focuses on displaying images and pre-computed marks. It does not describe any components or processes that would involve analyzing biological samples or performing in vitro tests.
  • Lack of IVD Characteristics: The information does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of biological samples (blood, tissue, etc.)
    • Detection or measurement of analytes
    • Providing diagnostic information based on in vitro testing

The Second Look® Viewer appears to be a medical image viewing and review station that displays results generated by other diagnostic devices (like the Second Look® CAD processing unit and CADStream®). It is a tool for the physician to review and interpret existing diagnostic information, not a diagnostic device itself.

N/A

Intended Use / Indications for Use

The Second Look® Viewer is intended to be used to display low resolution, nondiagnostic medical images with annotations such as pre-computed regions-of-interest or pre-computed CAD marks.

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

90 LLZ

Device Description

The Second Look® Viewer is composed of three primary components. The major component is the computer (1), which is supported by a touchscreen monitor (2) and a barcode reader (3). The computer is a conventional Intel based computer that is connected to the Second Look® CAD processing unit via a network. The Second Look Viewer serves no other purpose than viewer support. The physician interfaces to the software using the touch screen or barcode reader. The physician first barcodes a given patient whose mammography case has already been processed by the Second Look CAD processing unit. The viewer displays the Mammagraph™s with the pre-computed CAD marks overlayed. Second Look Viewer allows a radiologist to review Second Look® Analog CAD output, in softcopy format. The physician may touch any of the small images and see a higher resolution, magnified image along with characterization information for that image. After viewing the mammography case, the radiologist may use the Second Look® Viewer to review pre-computed ultrasound results, such as CADStream® output, if such results already exist for the case under review.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

mammography, ultrasound

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

radiologist

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)

Results of performance and validation testing indicate that the Second Look® Viewer is substantially equivalent to the predicate device

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.

Consultiva™ Report Station (RS) by MiraMedica, Inc.

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

510(k) Summary

NOV 1 9 2004

iCAD, Inc. Submitter: 2689 Commons Blvd., Suite 100 Beavercreek, OH 45431

John Rosenstengel Contact Person:

November 18, 2004 Date Prepared:

Device Trade Name: Second Look® Viewer

System, Image Processing, Radiological Common Name:

Classification Name: Picture archiving and communications system (21 CFR 892.2050)

Predicate Device(s): Consultiva™ Report Station (RS) by MiraMedica, Inc.

Device Description: The Second Look® Viewer is composed of three primary components. The major component is the computer (1), which is supported by a touchscreen monitor (2) and a barcode reader (3). The computer is a conventional Intel based computer that is connected to the Second Look® CAD processing unit via a network. The Second Look Viewer serves no other purpose than viewer support. The physician interfaces to the software using the touch screen or barcode reader. The physician first barcodes a given patient whose mammography case has already been processed by the Second Look CAD processing unit. The viewer displays the Mammagraph™s with the pre-computed CAD marks overlayed. Second Look Viewer allows a radiologist to review Second Look® Analog CAD output, in softcopy format. The physician may touch any of the small images and see a higher resolution, magnified image along with characterization information for that image. After viewing the mammography case, the radiologist may use the Second Look® Viewer to review pre-computed ultrasound results, such as CADStream® output, if such results already exist for the case under review.

Indication for Use: The Second Look® Viewer is intended to be used to display low resolution, nondiagnostic medical images with annotations such as pre-computed regions-of-interest or pre-computed CAD marks.

Technological Characteristics and Testing:

Conclusion:

Results of performance and validation testing indicate that the Second Look® Viewer is substantially equivalent to the predicate device

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three lines representing its wings, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circle around the eagle. The eagle is facing left, and the text is in all capital letters.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 1 9 2004

Mr. John E. Rosenstengel "Director. Quality & Regulatory Affairs ICAD, Inc. · 2689 Commons Blvd., Suite 100 BEAVERCREEK OH 45431

Re: K042697

Trade/Device Name: Second Look® Viewer Regulatory Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system

Regulatory Class: II Product Code: 90 LLZ Dated: September 30, 2004 Received: September 30, 2004

· Dear Mr. Rosenstengel:

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 reguirements 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 Àct'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.

2

This letter will allow you to begin marketing your device as described in your Section 510(k) rins letter will and wyour your e FDA finding of substantial equivalence of your device to a legally premaince notification - wesults 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 11 you dostre of Compliance at one of 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
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). 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) 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

3

510(k) Number (if known): K042697

Device Name: Second Look® Viewer

Indications for Use:

The Second Look® Viewer is intended to be used to display low resolution, nondiagnostic medical images with annotations such as pre-computed regions-ofinterest or pre-computed CAD marks.

Prescription Use__X_ (Part 21 CFR 801 Subpart D) ANDYOR

Over-The-Counter Use_ (21 CFR 807 Part C)

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

David A. Legum

lominal, 510kl N