K Number
K043415
Device Name
CENTRICITY PACS SYSTEM
Date Cleared
2005-01-21

(39 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Centricity™ PACS provides scaleable image, data management and storage solutions for medical imaging. The system is intended for the storage, reading, diagnostic review, analysis, annotation, distribution, printing, editing, and processing of digital images and data acquired from diagnostic imaging devices such as Computed Tomography (CT), Magnetic Resonance (MR), Computed Radiography (CR), Digital X-Ray (DX), Digital Mammography (MG), Ultrasound (US), Nuclear Medicine (NM), Positron Emission Tomography (PET), X-Ray Angiography (XA), and any other DICOM devices. The Centricity™ PACS Workstation is intended for use as a primary diagnostic and analysis tool for diagnostic images by trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses. It is also intended for use as a clinical review workstation throughout the healthcare facility. The workstation interface provides the user with a means to display, manipulate, archive, print, and export images when connected with the Centricity™ PACS infrastructure. To be viewed for primary interpretation, the digital mammography images must be acquired from an FDA approved Full Field Digital Mammography (FFDM) device for primary interpretation. Furthermore, the FFDM must be able to provide, to the Centricity™ PACS, a viewable DICOM 'for presentation' mammography image as approved by the FDA for primary interpretation. Images that are printed to film must be printed using a FDA approved printer for the diagnosis of digital mammography images. To be viewed for primary diagnosis, digital mammography images must be viewed on a display system that has been cleared by the FDA for the diagnosis of digital mammography images. The Web client software allows the user to display and manipulate images stored in the Centricity™ PACS or other DICOM archive device including the Centricity™ Enterprise Archive. The Centricity™ Web is not intended for primary diagnosis. The Centricity™ Infrastructure provides for the system's database management, storage, printing, HL-7 interfacing, and all DICOM services such as Store, Print, Query/ Retrieve, Send, etc. It is the user's responsibility to ensure quality, ambient light conditions and image compression ratios are consistent with the clinical application.
Device Description
The Centricity™ PACS include the following major components: Workstation, Web Client, and Infrastructure. The Centricity™ PACS workstation is used to view, edit, manipulate, annotate, analyze, store and distribute images and data that are stored and managed in the Centricity™ PACS infrastructure for diagnosis. This software-based product provides capabilities for the acceptance, transmission, printing, display, storage, editing and digital processing of medical images and associated data. All acquired image data is preserved in the format in which it is received. Changes may be made to the presentation of the images. These changes are saved as display definitions only and do not alter the acquired image pixel data. Any and all display definitions applied to an image can always be reversed to the acquired state. The Centricity™ PACS workstation may also be used in a remote location, away from the healthcare facility, as long as the workstation has the ability to connect, via network, to the primary healthcare facility where the Centricity™ PACS infrastructure is located. The Centricity™ PACS Workstation extends its diagnostic and productivity capabilities into the mammography reading environment and may also be used for the primary interpretation of digital mammography images. The Centricity™ PACS Workstation can also provide the hardware and OS platform for users to integrate and operate 3rd party software and/or other GE software applications such as RIS, voice recognition, or advanced imaging analysis (for example 3D reconstruction, MIP/MPR, and bone templating, etc.) and view any data presented through those applications. The Centricity™ PACS Workstation software application may be sold as software only for use with 'off the shelf' PC hardware technology that meets defined minimum specifications or as a turnkey solution integrated with hardware components to be configured to meet the users specific needs The Centricity™ Web is an internal and external image and information distribution system for the clinical review of medical images and reports. The Centricity™ Web is not intended for primary diagnosis. The Centricity™ Web is available as a supplemental sub-system to Centricity™ PACS or as a standalone Web-based image and information distribution system. The Centricity™ PACS Infrastructure consists of a combined set of servers and software applications, which together with the Centricity™ PACS workstation and the Centricity™ Web, make up the Centricity™ PACS. Centricity™ Enterprise Archive delivers a complete, scalable storage solution for diagnostic images. Images can be stored in uncompressed, lossless, lossy or in Wavelet/Multi-resolution formats. The system also has the ability to send data to DICOM ready devices via the DICOM standard protocol. It is a DICOM compliant solution for image storage, retrieval and transmission. The Enterprise Archive provides redundancy in long-term storage in several ways, including Redundant Archives, Media Copy, and Application Service Provider (ASP) Archive.
More Information

No
The document describes a PACS system for image management and viewing, with no mention of AI or ML capabilities.

No
This device is a Picture Archiving and Communication System (PACS) intended for the management, storage, and viewing of medical images, not for direct therapeutic intervention.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that "The Centricity™ PACS Workstation is intended for use as a primary diagnostic and analysis tool for diagnostic images by trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses." It also mentions "diagnostic review" in the first paragraph.

No

The device description explicitly states that the Centricity™ PACS Workstation software application "may be sold as software only... or as a turnkey solution integrated with hardware components". This indicates that the device is not exclusively software-only.

Based on the provided text, the Centricity™ PACS is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Centricity™ PACS Function: The Centricity™ PACS is described as a system for managing, storing, displaying, and manipulating medical images acquired from various diagnostic imaging devices (CT, MR, X-Ray, etc.). It is used for diagnostic review and analysis of these images.
  • No Specimen Analysis: The text does not mention the analysis of any biological specimens. The system works with digital images generated by imaging equipment, not with samples taken from a patient's body.

Therefore, the Centricity™ PACS falls under the category of medical imaging software and systems, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The Centricity™ PACS provides scaleable image, data management and storage solutions for medical imaging. The system is intended for the storage, reading, diagnostic review, analysis, annotation, distribution, printing, editing, and processing of digital images and data acquired from diagnostic imaging devices such as Computed Tomography (CT), Magnetic Resonance (MR), Computed Radiography (CR), Digital X-Ray (DX), Digital Mammography (MG), Ultrasound (US), Nuclear Medicine (NM), Positron Emission Tomography (PET), X-Ray Angiography (XA), and any other DICOM devices.

The Centricity™ PACS Workstation is intended for use as a primary diagnostic and analysis tool for diagnostic images by trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses. It is also intended for use as a clinical review workstation throughout the healthcare facility. The workstation interface provides the user with a means to display, manipulate, archive, print, and export images when connected with the Centricity™ PACS infrastructure.

To be viewed for primary interpretation, the digital mammography images must be acquired from an FDA approved Full Field Digital Mammography (FFDM) device for primary interpretation. Furthermore, the FFDM must be able to provide, to the Centricity™ PACS, a viewable DICOM 'for presentation' mammography image as approved by the FDA for primary interpretation. Images that are printed to film must be printed using a FDA approved printer for the diagnosis of digital mammography images.

To be viewed for primary diagnosis, digital mammography images must be viewed on a display system that has been cleared by the FDA for the diagnosis of digital mammography images.

The Web client software allows the user to display and manipulate images stored in the Centricity™ PACS or other DICOM archive device including the Centricity™ Enterprise Archive. The Centricity™ Web is not intended for primary diagnosis.

The Centricity™ Infrastructure provides for the system's database management, storage, printing, HL-7 interfacing, and all DICOM services such as Store, Print, Query/ Retrieve, Send, etc.

It is the user's responsibility to ensure quality, ambient light conditions and image compression ratios are consistent with the clinical application.

Product codes

90 LLZ

Device Description

The Centricity™ PACS include the following major components: Workstation, Web Client, and Infrastructure.

The Centricity™ PACS workstation is used to view, edit, manipulate, annotate, analyze, store and distribute images and data that are stored and managed in the Centricity™ PACS infrastructure for diagnosis. This software-based product provides capabilities for the acceptance, transmission, printing, display, storage, editing and digital processing of medical images and associated data.

All acquired image data is preserved in the format in which it is received. Changes may be made to the presentation of the images. These changes are saved as display definitions only and do not alter the acquired image pixel data. Any and all display definitions applied to an image can always be reversed to the acquired state.

The Centricity™ PACS workstation may also be used in a remote location, away from the healthcare facility, as long as the workstation has the ability to connect, via network, to the primary healthcare facility where the Centricity™ PACS infrastructure is located.

The Centricity™ PACS Workstation extends its diagnostic and productivity capabilities into the mammography reading environment and may also be used for the primary interpretation of digital mammography images.

The Centricity™ PACS Workstation can also provide the hardware and OS platform for users to integrate and operate 3rd party software and/or other GE software applications such as RIS, voice recognition, or advanced imaging analysis (for example 3D reconstruction, MIP/MPR, and bone templating, etc.) and view any data presented through those applications.

The Centricity™ PACS Workstation software application may be sold as software only for use with 'off the shelf' PC hardware technology that meets defined minimum specifications or as a turnkey solution integrated with hardware components to be configured to meet the users specific needs.

The Centricity™ Web is an internal and external image and information distribution system for the clinical review of medical images and reports. The Centricity™ Web is not intended for primary diagnosis. The Centricity™ Web is available as a supplemental sub-system to Centricity™ PACS or as a standalone Web-based image and information distribution system.

The Centricity™ PACS Infrastructure consists of a combined set of servers and software applications, which together with the Centricity™ PACS workstation and the Centricity™ Web, make up the Centricity™ PACS.

Centricity™ Enterprise Archive delivers a complete, scalable storage solution for diagnostic images. Images can be stored in uncompressed, lossless, lossy or in Wavelet/Multi-resolution formats. The system also has the ability to send data to DICOM ready devices via the DICOM standard protocol. It is a DICOM compliant solution for image storage, retrieval and transmission. The Enterprise Archive provides redundancy in long-term storage in several ways, including Redundant Archives, Media Copy, and Application Service Provider (ASP) Archive.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Computed Tomography (CT), Magnetic Resonance (MR), Computed Radiography (CR), Digital X-Ray (DX), Digital Mammography (MG), Ultrasound (US), Nuclear Medicine (NM), Positron Emission Tomography (PET), X-Ray Angiography (XA), and any other DICOM devices.

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses. Clinical review workstation throughout the healthcare facility.

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

The Centricity™ PACS System 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 Centricity™ PACS System: Risk Analysis, Requirements Reviews, Design Reviews, Testing on unit level (Module verification), Integration testing (System verification), Final acceptance testing (Validation), Performance testing, Safety testing. The Centricity™ PACS System is as safe, as effective, and performs as well as the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K023557, K033400

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

Section 2 510(k) Summary of Safety and Effectiveness

Date:November 24, 2004
Submitter:GE Medical Systems Information Technologies
800 Business Center Drive
Mount Prospect, IL 60056
Contact Person:Carol Alloian
Sr. Regulatory Affairs Specialist
GE Medical Systems, Information Technologies
Phone: (847) 704-3060
Fax: (847) 704-8560
Device:
Trade Name:Centricity TM PACS System
Common/Usual Name:Picture Archiving and Communications Systems and Workstation
Classification Names:21 CFR 892.2050 System, Image Processing, Radiological
Predicate Device:K023557: Centricity TM PACS Plus
K033400: Seno Advantage
Device Description:The Centricity TM PACS include the following major components:
Workstation, Web Client, and Infrastructure.
The Centricity TM PACS workstation is used to view, edit,
manipulate, annotate, analyze, store and distribute images and
data that are stored and managed in the Centricity TM PACS
infrastructure for diagnosis. This software-based product
provides capabilities for the acceptance, transmission, printing,
display, storage, editing and digital processing of medical images
and associated data.
All acquired image data is preserved in the format in which it is
received. Changes may be made to the presentation of the
images. These changes are saved as display definitions only and
do not alter the acquired image pixel data. Any and all display
definitions applied to an image can always be reversed to the
acquired state.
The Centricity TM PACS workstation may also be used in a remote
location, away from the healthcare facility, as long as the
workstation has the ability to connect, via network, to the primary
healthcare facility where the Centricity TM PACS infrastructure is
located.
The Centricity TM PACS Workstation extends its diagnostic and
productivity capabilities into the mammography reading
environment and may also be used for the primary interpretation
of digital mammography images.
The Centricity TM PACS Workstation can also provide the
hardware and OS platform for users to integrate and operate 3rd
party software and/or other GE software applications such as

1

RIS, voice recognition, or advanced imaging analysis (for example 3D reconstruction, MIP/MPR, and bone templating, etc.) and view any data presented through those applications.

The Centricity™ PACS Workstation software application may be sold as software only for use with 'off the shelf' PC hardware technology that meets defined minimum specifications or as a turnkey solution integrated with hardware components to be configured to meet the users specific needs

The Centricity™ Web is an internal and external image and information distribution system for the clinical review of medical images and reports. The Centricity™ Web is not intended for primary diagnosis. The Centricity™ Web is available as a supplemental sub-system to Centricity™ PACS or as a standalone Web-based image and information distribution system.

The Centricity™ PACS Infrastructure consists of a combined set of servers and software applications, which together with the Centricity™ PACS workstation and the Centricity™ Web, make up the Centricity™ PACS.

Centricity™ Enterprise Archive delivers a complete, scalable storage solution for diagnostic images. Images can be stored in uncompressed, lossless, lossy or in Wavelet/Multi-resolution formats. The system also has the ability to send data to DICOM ready devices via the DICOM standard protocol. It is a DICOM compliant solution for image storage, retrieval and transmission. The Enterprise Archive provides redundancy in long-term storage in several ways, including Redundant Archives, Media Copy, and Application Service Provider (ASP) Archive.

The Centricity™ PACS provides scaleable image, data Intended Use: management and storage solutions for medical imaging. The system is intended for the storage, reading, diagnostic review, analysis, annotation, distribution, printing, editing, and processing of digital images and data acquired from diagnostic imaging devices such as Computed Tomography (CT), Magnetic Resonance (MR), Computed Radiography (CR), Digital X-Ray (DX), Digital Mammography (MG), Ultrasound (US), Nuclear Medicine (NM), Positron Emission Tomography (PET), X-Ray Angiography (XA), and any other DICOM devices.

The Centricity™ PACS Workstation is intended for use as a primary diagnostic and analysis tool for diagnostic images by trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses. It is also intended for use as a clinical review workstation throughout the healthcare facility. The workstation interface provides the user with a means to display, manipulate, archive, print, and export images when connected with the Centricity™ PACS infrastructure.

2

To be viewed for primary interpretation, the digital mammography images must be acquired from an FDA approved Full Field Digital Mammography (FFDM) device for primary interpretation. Furthermore, the FFDM must be able to provide, to the Centricity™ PACS, a viewable DICOM 'for presentation' mammography image as approved by the FDA for primary interpretation. Images that are printed to film must be printed using a FDA approved printer for the diagnosis of digital mammography images.

To be viewed for primary diagnosis, digital mammography images must be viewed on a display system that has been cleared by the FDA for the diagnosis of digital mammography images.

The Web client software allows the user to display and manipulate images stored in the Centricity™ PACS or other DICOM archive device including the Centricity™ Enterprise Archive. The Centricity™ Web is not intended for primary diagnosis.

The Centricity™ Infrastructure provides for the system's database management, storage, printing, HL-7 interfacing, and all DICOM services such as Store, Print, Query/ Retrieve, Send, etc.

It is the user's responsibility to ensure quality, ambient light conditions and image compression ratios are consistent with the clinical application.

  • Technology: The Centricity™ PACS employs the same functional scientific technology as its predicate devices
  • The Centricity™ PACS System complies with the voluntary Test Summary: standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the Centricity™ PACS System:
    • Risk Analysis .
    • Requirements Reviews ●
    • Design Reviews
    • Testing on unit level (Module verification) ●
    • . Integration testing (System verification)
    • Final acceptance testing (Validation)
    • Performance testing ●
    • . Safety testing
    • The Centricity™ PACS System is as safe, as effective, and Conclusion: performs as well as the predicate devices.

3

Image /page/3/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 streams emanating from its wing. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

GE Medical Systems % Mr. Marc M. Mouser Senior Project Engineer/ Program Reviewer Conformity Assessment Services Underwriters Laboratories, Inc. 2600 NW Lake Road CAMAS WA 98607

Re: K043415 Trade/Device Name: Centricity™ PACS System Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: 90 LLZ Dated: January 4, 2005 Received: January 6, 2005

Dear Mr. Mouser:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced we have itenced your becaller be (1) personally equivalent (for the indications for use stated in above and nave decormined the all predicate devices marketed in interstate commerce prior to the closure) to regary manological Device Amendments, or to devices that have been May 26, 1770, the chactinent dato of the Federal Food, Drug, and Cosmetic Act (Act) that Icclassified in accordantes while approval application (PMA). You may, therefore, market the do not require approval or a premation of the Act. The general controls provisions of the Act device, subject to the general vetices proon, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

JAN 2 I 2005

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket n your device is classified (000 as 11 additional controls. Existing major regulations affecting your Apployal), It may oc subject to sail. aderal Regulations, Title 21, Parts 800 to 898. In addition, FDA active can of round minouncements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that I reast be advised that 1271 s astal your device complies with other requirements of the Act or any FDA has made a decemination alla your as be other Federal agencies. You must comply with all the r cocrail statues and regulation but not limited to registration and listing (21 CFR Part 807); labeling Act s requirements, metading practice requirements as set forth in the quality systems (QS) (21 CFR Part 801); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

4

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow your o ocgin manteling your interest of your device to a legally premarket nothication. The PDA midnig of substantial equice 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 devices on 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 Allso, please note the regulation entired, "Thisoration on your responsibilities under the Act from the 807.97). You may outlar other general international and Consumer Assistance at its toll-free number (800) DVNSIOI or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrl/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

5

Page 1 of 1

K043415 filed on November 24, 2004

Device Name: Centricity™ PACS System

Indications for Use:

The Centricity™ PACS provides scaleable image, data management and storage solutions for medical imaging. The system is intended for the storage, reading, diagnostic review, analysis, medion, distribution, printing, editing, and processing of digital images and data acquired from diagnostic imaging devices such as Computed Tomography (CT), Magnetic Resonance (MR), Computed Radiography (CR), Digital X-Ray (DX), Digital Mammography (MG), Ultrasound (US), Ounlear Medicanaphy (Critron Emission Tomography (PET), X-Ray Angiography (XA), and any other DICOM devices.

The Centricity™ PACS Workstation is intended for use as a primary diagnostic and analysis tool for diagnostic images by trained healthcare professionals, including radiologists, physicians, technologists, clinicians and nurses. It is also intended for use as a clinical review workstation throughout the healthcare facility. The workstation interface provides the user with a means to throughout the neathrive, print, and export images when connected with the Centricity™ PACS infrastructure.

To be viewed for primary interpretation, the digital mammography images must be acquired from an FDA approved Full Field Digital Mammography (FFDM) device for primary interpretation. Furthermore, the FFDM must be able to provide, to the Centricity™ PACS, a viewable DICOM ffor presentation' mammography image as approved by the FDA for primary interpretation. Images that are printed to film must be printed using a FDA approved printer for the diagnosis of digital mammography images.

To be viewed for primary digital mammography images must be viewed on a display system that has been cleared by the FDA for the diagnosis of digital mammography images.

The Web client software allows the user to display and manipulate images stored in the Centricity™ PACS or other DICOM archive device including the Centricity™ Enterprise Archive. The Centricity™ Web is not intended for primary diagnosis.

The Centricity™ Infrastructure provides for the system's database management, storage, printing, HL-7 interfacing, and all DICOM services such as Store, Print, Query/ Retrieve, Send, etc.

It is the user's responsibility to ensure quality, ambient light conditions and image compression ratios are consistent with the clinical application.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH. Office of Device Evaluation (ODE)

Varint G. Lignm
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number