(42 days)
RADIN can be used whenever digital images and associated data acquired or generated by different third party modalities have to be accepted, displayed, transmitted, stored, distributed, processed and archived in order to be available for professional health care personnel. RADIN is not intended to assist the healthcare personnel in diagnosis. RADIN can be used together with appropriate and proper installed computer platforms according to the recommendations made in the labeling.
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 Mpixel resolution and meets other technical specifications reviewed and accepted by FDA.
Typical users are trained healthcare professionals including but not limited to physicians, licenced practitioners, nurses.
RADIN 3.0 is a system to distribute medical images and reports within and outside of health care environments. It is available as a stand-alone software package. RADIN consists of the following set of software modules: RADIN.online, RADIN.web, RADIN.archive. RADIN offers three types of clients: RADIN.Classic Client, RADIN.Expert Client, RADIN.Expert dual monitor Client. RADIN requires standard PC-Hardware.
The provided document is a 510(k) Premarket Submission for the SOHARD RADIN 3.0 device, which is a Picture Archiving and Communications System (PACS). The submission focuses on establishing substantial equivalence to a predicate device and ensuring compliance with quality system regulations. It does not describe an AI/algorithm-driven diagnostic device, and therefore, many of the requested elements for acceptance criteria and study design (like ground truth, expert adjudication, MRMC studies, or standalone performance) are not applicable.
Here's a breakdown of the available information based on your request:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly state quantitative acceptance criteria or performance metrics for the RADIN device in terms of diagnostic accuracy or clinical effectiveness. Instead, the "acceptance criteria" are implied by its substantial equivalence to a predicate device (Thinking Systems ThinkingNet (K010271)) and compliance with various regulatory standards and quality systems.
The reported "performance" focuses on its functionality and technical characteristics, demonstrating its ability to distribute, store, and display medical images and reports, mirroring the predicate device.
| Feature/Characteristic | Acceptance Criteria (Implied by Substantial Equivalence & Compliance) | Reported Device Performance (RADIN 3.0) |
|---|---|---|
| Intended Use | Equivalent to predicate device; Distribution of medical images/reports within and outside healthcare environments; Not for primary image interpretation of lossy compressed mammograms. | Distributes medical images and reports within and outside of healthcare environments. Receives DICOM data from hospital network; Transfers data to clients (Intranet/Internet); Integrates with HIS/RIS/CIS; Displays images and reports in web browser; Offers image manipulation and measurements. 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. |
| Technological Characteristics | Equivalent to predicate device (e.g., networking, DICOM compliance, platform, operating system, compression, security, client features). | Networking: TCP/IP Image Acquisition/Communication: DICOM Compliant, DICOM 3.0 file formats Imaging Modalities: Multi Modality (CR, CT, DR, DS, DX, ES, GM, IO, MG, MR, NM, PT, OT, RF, RT, US, XA, XC) Platform: PC, Windows OS Data Compression: Original Format, JPEG Lossless, JPEG Lossy (5-100%), Wavelet (5-100%) Security: User authentication, SSL encryption/VPN for data transmission, User Management (accounts, groups, levels) Viewing Clients: RADIN.Classic, RADIN.Expert, RADIN.Expert Dual Monitor Image Manipulation: Zoom, Quick Zoom, Magnifying glass, Pan, Window leveling, Edge enhancement, Grayscale inversion, Rotating, flipping Measurements: Distance, Angulation, Greyscale density (probe), Manual distance calibration Workflow: Database Filters, DICOM query/retrieve, patient assignment changes, multiple series loading, preloading, study availability, display with reports, RIS/HIS integration, Windows Copy/Print. Archiving: DVD-R Jukebox, Harddisk RAID, Data verification, Manipulation detection, Database consistency check. |
| Safety & Effectiveness | No new safety or effectiveness issues compared to predicate; Compliance with quality systems and regulations; Mitigates identified hazards. | Risk analysis performed; Hazards controlled by risk management plan; Verification and validation tests performed; Evaluations by hospitals; No software components expected to result in death or injury; Requirement tracing, integration testing, and decision reviews ensure fulfillment of requirements. All potential hazards classified as minor. |
| Regulatory Compliance | Compliance with relevant standards and regulations. | Complies with 21 CFR 820, ISO 9001:2000, ISO 13485:2000, 93/42/EEC, (IEC) 60601-1-4. |
2. Sample Size Used for the Test Set and Data Provenance
The document does not describe a "test set" in the context of an algorithm's performance evaluation against ground truth. The validation and verification mention "evaluations by hospitals" and "integration and system testing including full testing of hazard mitigation," but no specific sample size of medical cases or data provenance is provided for such evaluations within this submission.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications
Not applicable. As this is not an AI/algorithm-driven device requiring diagnostic performance evaluation, there is no mention of experts establishing ground truth for a test set.
4. Adjudication Method for the Test Set
Not applicable. No test set requiring expert adjudication is described.
5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs without AI Assistance
Not applicable. The RADIN device is a PACS system for image distribution and viewing, not an AI-assisted diagnostic tool.
6. If a Standalone (i.e. algorithm only without human-in-the loop performance) Was Done
Not applicable. The RADIN device is a standalone software package, but its "standalone performance" refers to its functionality as a PACS, not its performance as a diagnostic algorithm independently of human review. The document explicitly states: "A physician, providing ample opportunity for competent human intervention interprets images and information delivered by RADIN." And for primary image interpretation, it emphasizes that "The final decision regarding diagnoses, however, lies with the doctors and/or their medical staff in their very own responsibility."
7. The Type of Ground Truth Used
Not applicable in the context of diagnostic accuracy. The "ground truth" for this device would be its adherence to DICOM standards, successful image transfer, display, storage, and retrieval, and compliance with general software quality and safety regulations, which are implicitly verified through testing and validation activities mentioned (e.g., integration test plan, hazard analysis).
8. The Sample Size for the Training Set
Not applicable. This is not an AI/machine learning device that requires a training set.
9. How the Ground Truth for the Training Set Was Established
Not applicable. This is not an AI/machine learning device that requires a training set.
Summary:
The SOHARD RADIN 3.0 submission details a PACS system. Its acceptance criteria are primarily based on demonstrating substantial equivalence to a legally marketed predicate device (Thinking Systems ThinkingNet, K010271) and adherence to established quality system regulations (e.g., 21 CFR 820, ISO standards). The "study" proving it meets these criteria consists of software development processes including verification and validation tests, risk analysis, and compliance with relevant standards. The document does not describe an AI/algorithm-driven diagnostic device and thus lacks information related to specific clinical performance metrics, ground truth establishment, expert review, or machine learning-related study designs.
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. A SOHARD Premarket Submission RADIN
SOHARD AG Wuerzburger Str. 197 90766 Fuerth Germany
Image /page/0/Picture/3 description: The image shows the date 11/19/2004 at the top. Below the date is a line, and below the line is the text 'K04 3483'. The text appears to be handwritten in a dark ink. The background is white.
E. Administrative Information
JAN 2 8 2005
E.1 510(k) Summary of Safety and Effectiveness
E.1.1 Company Identification
SOHARD AG Wuerzburger Str. 197 90766 Fuerth Germany 011-49911-97341-0 Tel.: 011-49911-97341-10 Fax.:
E.1.2 Official Correspondent
Ralph Loos, RA/QM Wuerzburger Str. 197 90766 Fuerth Germany 011-49911-97341-553 Tei.: 011-49911-97341-510 Fax .:
E.1.3 Date of Submission
11/19/2004
E.1.4 Device Name
| Trade name: | RADIN |
|---|---|
| Release Version: | 3.0 |
| Common name: | RADIN |
| Classification Name: | Picture Archiving and Communications System |
| Reference: | per 21 CFR 892.2050 |
| Class: | II |
| Review Panel: | Radiology |
| Product Classification: | 90 LLZ, Picture Archiving and Communications System |
Guidance for the submission of premarket notifications for Guidance document: medical image management systems (issued on july 27, 2000)
E.1.5 Substantial Equivalence
The RADIN Software is substantially equivalent, in the opinion of SOHARD AG, to Thinking Systems ThinkingNet (K010271, Class II).
E.1.6 Device Description
RADIN 3.0 is a system to distribute medical images and reports within and outside of health care environments. It is available as a stand-alone software package.
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RADIN consists of the following set of software modules:
- t RADIN.online is the main component, its scalable server architecture provides high availability of medical images
- . RADIN.web provides standardized internet technology for web-based image communication
- RADIN.archive enhances RADIN.online with long term archiving on media (e.g. harddisk, jukebox)
RADIN offers three types of clients:
- RADIN.Classic Client provides the basic viewing and workflow features, e.g. . support of CR, CT, MR and NM modalities, support of greyscale, color and multiframe images.
- . RADIN.Expert Client additionally offers gamma adjustment, display of scoutlines and image export.
- . RADIN.Expert dual monitor Client supports dual monitor operation
RADIN requires standard PC-Hardware, recommendations are made within the labeling.
E.1.7 Intended Use
RADIN 3.0 is a system to distribute medical images and reports within and outside of health care environments.
The RADIN Server receives image data in DICOM format via the hospital network. This provides universal connections to archives, modalities and workstations. The modalities that are supported by RADIN are listed in the DICOM Conformance Statement [1].
For data transfer to clients you have to activate strong SSL data encryption to make the transfer secure.
Data that are stored on the RADIN server can be accessed simultaneously by many viewing stations within a healthcare enterprise or from elsewhere outside. The image data transfer is done in DICOM format via the Intranet or the Internet, for example to stations located in a doctor's office, throughout hospitals or a physician's home.
Integration with other hospital information systems (HIS, RIS, CIS) is possible via a special OEM interface.
Images can be viewed directly within a web browser (Internet Explorer). The system offers simple functions for image manipulation and measurements. Reports can be viewed together with the images on one page.
RADIN can support physicians and/or their medical staff with the diagnosis. In that case the user is responsible for all suitable hardware being used in proper working conditions. The final decision regarding diagnoses, however, lies with the doctors and/or their medical staff in their very own responsibility.
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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 Mpixel resolution and meets other technical specifications reviewed and accepted by FDA (concerning only the USA).
RADIN offers an archiving option for long-term storage of image data. Only the data consistency on archive media is guaranteed, the system provider has to take own appropriate means (e.g. redundancy) for safety against data loss caused by media destruction. Without the archiving option, the RADIN System features no components for long-term data archiving. Additional archiving on film or in digital form is therefore necessary.
RADIN provides three types of clients:
RADIN.Classic for basic functionality RADIN.Expert for full functionality RADIN.Expert Dual Monitor with RADIN.Expert functionality and support of two monitors
All text and messages displayed in the image viewer can be viewed in either: German English French Spanish Italian Portuguese
The Online Help for the image viewer is available in German and English. The text of the administration pages and the Online Help of the administration pages are available in English only.
To guarantee flawless operation of the RADIN system, no additional 30 party software may be installed on RADIN server. Furthermore, no part of the RADIN product may be manipulated in any way.
If the system is configured to use only patient ID for matching of patient data, the system provider has to make sure that each patient ID is unique for the whole system. Therefore, all interfaces that can deliver images into the system have to be considered especially interfaces to external institutions.
E.1.8 Software Development
SOHARD AG certifies, that the RADIN software is designed, developed, tested and validated according to written procedures identify individuals within the organization responsible for developing and approving product specifications, coding and testing, validation testing and field maintenance.
All employees receive the appropriate quality system training.
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The SOHARD Quality System is in compliance with the following voluntary and mandatory standards and regulations:
| Standard/Requlation | Title |
|---|---|
| 21 CFR 820 | Quality Systems Regulation |
| ISO 9001:2000 | Quality Management Systems - Requirements |
| ISO 13485:2000 | Quality Systems - Medical Devices - Particular requirementsfor the application of ISO 9001 |
| 93/42/EEC | Medical Device Directive |
| (IEC) 60601-1-4 | International Electrotechnical Commission |
E.1.9 Substantial Equivalence Comparison Chart
RADIN has equivalent Intended use and technological characteristics as the predicate device and therefore raises no new safety or effectiveness issues.
| Product | RADIN | Thinking Net |
|---|---|---|
| General | ||
| Networking | TCP/IP | TCP/IP |
| Image Acquisition/Communication | DICOM Compliant | DICOM Compliant |
| Image file formats | DICOM 3.0 | DICOM 3.0Interfile 3.3 |
| Imaging modalities | Multi Modality | Multi Modality |
| Platform | PC | PC |
| Operating System | Windows | Windows |
| Standard Microsoft Technology | Yes | Yes |
| DICOM 3.0 Compliant | Yes | Yes |
| Patient Demographics | Yes | Yes |
| DICOM Storage SCP | Yes | Yes |
| DICOM Storage SCU | Yes | Yes |
| DICOM Query/Retrieve SCU/SCP | Yes | Yes |
| HIPAA compliant | Yes | Yes |
| Scalability | RADIN.Online1 to several 500 users | yes |
| Data Compression | ||
| Original Format | Yes | Yes |
| JPEG Lossless | Yes | Yes |
| JPEG Lossy | Yes (5-100%) | Yes |
| Wavelet | Yes (5-100%) | No |
| Storage Space Management | ||
| Intelligent storage management | Yes | Yes |
| Product | RADIN | Thinking Net |
| DICOM Network | ||
| DICOM Conformance | DICOM 3.0 | DICOM 3.0 |
| Hardware and SoftwareRequirements | ||
| Hardware | PC Pentium III, min500MHz512 MB RAM20 GB Harddisk | OTS Hardware ac-cording to specifiedminimum hardwarerequirements |
| Software | Windows 2000 ServerInternet Explorer 6 | Windows 2000 Server |
| RADIN.Web | ||
| Security Features | ||
| User authentication | yes | yes |
| Secure data transmission | SSL encryption(optional:encryption)VPN | VPN encryption |
| User Management | ||
| User Account | Yes | Yes |
| User groups | Yes | Yes |
| User Levels | Yes | Yes |
| Workflow Features | ||
| DICOM report interface | Yes | Unknown |
| File based report interface | Yes | Unknown |
| URL interface for OEM integration | Yes | Unknown |
| Creation of patient media (CD, DVD)according to DICOM standard | Yes | Yes |
| Hardware and SoftwareRequirements | ||
| Hardware | Pentium 2 GHz512 MB RAM50-100 GB Harddisk | OTS Hardware ac-cording to specifiedminimum hardwarerequirements |
| Software | Windows 2000 ServerInternet Explorer 6 | Windows 2000 Server |
| RADIN.Archive | ||
| Storage Modules | ||
| DVD-R Jukebox | Yes | Yes |
| Harddisk RAID | Yes | Yes |
| Data Security | ||
| Data verification on media | Yes | Unknown |
| Manipulation detection | Yes | Unknown |
| Database consistency check | Yes | Unknown |
| Hardware and SoftwareRequirements | ||
| Product | RADIN | Thinking Net |
| Hardware | Pentium 2 GHz512 MB RAM50-100 GB Harddisk | OTS Hardware ac-cording to specifiedminimum hardwarerequirements |
| Software | Windows 2000 ServerInternet Explorer 6 | Windows 2000 Server |
| RADIN.ClassicClients | ||
| Key Features | ||
| Full DICOM images on clients | Yes | Yes |
| No Software Installation, just InternetExplorer needed | Yes | Yes |
| Supported Modalities | CR, CT, DR, DS, DX,ES, GM, IO, MG, MR,NM, PT, OT, RF, RT,US, XA, XC | CR, CT, DR, MRI,MRA, US, PET |
| Supported Image Types | ||
| Greyscale | Yes | Yes |
| Color | Yes | Yes |
| Multiframe | Yes | Yes |
| Image Manipulation Functions | ||
| Zoom | Yes | Yes |
| Quick Zoom | Yes | Yes |
| Magnifying glass | Yes | Yes |
| Pan | Yes | Yes |
| Window leveling | Yes | Yes |
| Edge enhancement | Yes | Yes |
| Grayscale inversion | Yes | Yes |
| Rotating, flipping | Yes | Yes |
| MPR, MIP | No | Yes |
| Measurement Functions | ||
| Distance | Yes | Yes |
| Angulation | Yes | Yes |
| Area | No | Yes |
| Perimeter | No | Yes |
| Greyscale densitiy (probe) | Yes | No |
| Manual distance calibration | Yes | No |
| Cine Mode | Yes | Yes |
| Workflow features | ||
| Database Filters | Yes | Yes |
| DICOM query/retrieve from archivesand workstations | Yes | Yes |
| Product | RADIN | Thinking Net |
| Change user and group assignment of patients | Yes | Yes |
| Multiple series loading | Yes | Yes |
| Preloading of images to the client | Yes | Yes |
| Study availability status | Yes | Yes |
| Display of images together with reports | Yes | Yes |
| Easy integration with RIS/HIS systems | Yes | Yes |
| Windows Copy and Print Functions | Yes | Yes |
| Hardware and Software Requirements | ||
| Hardware | Pentium III 500 MHz,(Pentium IV 2 GHz recommended)128 MB RAM (512 MB recommended)Standard PC graphics card, 1024 * 768 minimum resolution2 GB HarddiskNetwork or telephone adapter | OTS Hardware ac-cording to specified minimum hardware requirements |
| Software | MSWindows NT4.0, 98, 2000 or XPInternet Explorer 5.5 or 6 | Microsoft Windows OS, Internet Explorer |
| Additional Features | ||
| Dual Monitor Support | Yes | No |
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E.1.10Safety and Effectiveness
E.1.10.1 General Safety and Effectiveness Concerns
RADIN is a medical device that is to be used by trained health care professionals who are responsible for the correct and accurate use of medical images e.g. as a means for providing diagnosis.
The device labeling contains instructions for use and the intended use/indications for use. Warnings, faults etc are explained in the users manual.
lmages that are compressed are properly identified in the image information as being compressed as specified by the DICOM standard. This compression identification remains with the image for the entire life of the image.
E.1.10.2 Validation and Effectiveness
The RADIN risk analysis has been performed to identify all potential safety or health hazards during system operation. The hazards are controlled by a risk management plan, including hazard analysis, verification and validation tests (according to our software development process) and evaluations by hospitals.
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According to our risk analysis and risk management there are no software components within the RADIN Software, whose failure or latent design flaw would be expected to result in death or injury to a patient.
Requirement tracing covering specification, design, implementation and verification/validation ensures the fulfillment of all phase requirements, EHR and DMR ensures direct access to all documents.
Integration test plan defines full testing at integration and system testing level. According to this test plan integration and system testing including full testing of hazard mitigation has been performed.
Decision Reviews at the conclusion of each software development phase ensure the fulfillment of the phase results and the validity of the Intended Use and the risk analysis.
Testing is an integral part of our Software Design Process.
Substantial Equivalence E.1.10.3
Any differences between the RADIN Software and the substantially equivalent device have no significant influence on safety and effectiveness.
E.1.10.4 Technological characteristics
RADIN is a stand-alone software package used on general purpose hardware, as long as the minimum hardware requirements specified in the manuals are met.
It is based upon standard Microsoft™ technology.
The device does not contact the patient, nor does it control any life sustaining devices.
A physician, providing ample opportunity for competent human intervention interprets images and information delivered by RADIN.
E.1.10.5 Conclusion
SOHARD
We believe, that the 510(k) premarket notification contains adequate information and data to enable FDA to determine substantial equivalence to the predicate device.
RADIN has been and will be manufactured in accordance with the mandatory and voluntary standards listed in this submission.
This submission contains the result of the hazard analysis and all potential hazards have been classified as minor.
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Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 2 8 2005
SoHard, AG % Ms. Joan C. Mazur Vice President Integrated Modular Systems, Inc. 2500 W. Township Line Road P.O. Box 616 HAVERTOWN PA 19083
Re: K043483 Trade/Device Name: RADIN V3.0 Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: 90 LLZ Dated: December 14, 2004 Received: December 17, 2004
Dear Ms. Mazur:
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.
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This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will and on the FDA finding of substantial equivalence of your device to a legally premaince nonthoutine 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 If you dosire 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 |
| Other | 240-276-0100 |
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
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Premarket Submission RADIN
11/19/2004
D. Statement of Indications for Use
K04 3483 510(k) Number (if known): _
Device Name: RADIN Indications for Use:
RADIN can be used whenever digital images and associated data acquired or generated by different third party modalities have to be accepted, displayed, transmitted, stored, distributed, processed and archived in order to be available for professional health care personnel. RADIN is not intended to assist the healthcare personnel in diagnosis. RADIN can be used together with appropriate and proper installed computer platforms according to the recommendations made in the labeling.
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 Mpixel resolution and meets other technical specifications reviewed and accepted by FDA.
Typical users are trained healthcare professionals including but not limited to physicians, licenced practitioners, nurses.
| Prescription Use | AND/OR | Over-The-Counter Use | ||
|---|---|---|---|---|
| (Part 21 CFR 801 Subpart D) | (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)
| (Division Sign-Off) | Page ___ of ___ | |
|---|---|---|
| Division of Reproductive, Abdominal, and Radiological Devices | ||
| 510(k) Number | K043483 |
§ 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).