K Number
K080351
Device Name
DEXELA DEX TOP MAMMOGRAPHY WORKSTATION, MODEL MAMWKVI
Manufacturer
Date Cleared
2008-04-22

(71 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The DexTop Mammography Workstation is a mammography review workstation software package, which provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar, medical image data. The DexTop Workstation is designed to assist the radiologist in conducting screening and primary diagnosis through flexible, fast and efficient image hanging and processing of multimodality softcopy images with special emphasis and optimization for mammography. When interpreted by a skilled physician, this software provides information that may be useful in screening and diagnosis. However, the final judgment must rely on the knowledge and skill of the physician.
Device Description
The DexTop Mammography Workstation is a software product, which runs on a high end personal computer, for the purpose of non-invasive multi-modality review. It provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar medical image data. The DexTop Mammography Workstation receives digital image data from various sources including a variety of diagnostic imaging systems, Hospital PACS, Electronic media and local file systems. The architecture of the DexTop Workstation means that it can be deployed as a central base station with satellite workstations all using the same user configuration store and image data. The Dexela DexTop Mammography Workstation supports the following image network communications: - Standard 10/100/1000 Base-T Ethernet protocols . - . DICOM 3.0 Storage SCP and Query/Retrieve SCU. - . TCP/IP network layer The hardware configuration used with the software typically will include a PC, a single standard color monitor, a multi-function keypad (for increased productivity), and two high resolution monitors for mammographic Image review.
More Information

Not Found

No
The summary describes image viewing, processing, and analysis software, but does not mention AI or ML capabilities. The "Mentions AI, DNN, or ML" field is explicitly "Not Found".

No

Explanation: The device is described as a software package designed for viewing, processing, and analyzing medical image data (specifically mammography) to assist radiologists in screening and diagnosis. It does not provide any form of treatment or therapy.

Yes
The device is described as a "mammography review workstation software package" and is "designed to assist the radiologist in conducting screening and primary diagnosis". It explicitly states that "When interpreted by a skilled physician, this software provides information that may be useful in screening and diagnosis." These functions directly support the process of diagnosing medical conditions based on medical images.

No

While the device is described as a "software product," the Device Description explicitly states that the "hardware configuration used with the software typically will include a PC, a single standard color monitor, a multi-function keypad, and two high resolution monitors for mammographic Image review." This indicates that specific hardware components are considered part of the overall system for the intended use, even if the submission focuses on the software.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The DexTop Mammography Workstation processes and displays medical images (MG, MR, CR, US), which are generated by imaging equipment and represent the internal structure of the body, not biological specimens like blood, urine, or tissue samples.
  • The intended use is for image review, processing, and analysis to assist in diagnosis. While this is a diagnostic aid, it operates on image data, not biological samples.
  • The device description focuses on software for image handling and display. It describes receiving digital image data and providing tools for viewing and processing.

In summary, the DexTop Mammography Workstation is a medical image processing and review workstation, which falls under the category of medical devices, but not specifically In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The DexTop Mammography Workstation is a mammography review workstation software package, which provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar, medical image data.

The DexTop Workstation is designed to assist the radiologist in conducting screening and primary diagnosis through flexible, fast and efficient image hanging and processing of multimodality softcopy images with special emphasis and optimization for mammography.

When interpreted by a skilled physician, this software provides information that may be useful in screening and diagnosis. However, the final judgment must rely on the knowledge and skill of the physician.

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

LLZ

Device Description

The DexTop Mammography Workstation is a software product, which runs on a high end personal computer, for the purpose of non-invasive multi-modality review. It provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar medical image data.

The DexTop Mammography Workstation receives digital image data from various sources including a variety of diagnostic imaging systems, Hospital PACS, Electronic media and local file systems.

The architecture of the DexTop Workstation means that it can be deployed as a central base station with satellite workstations all using the same user configuration store and image data.

The Dexela DexTop Mammography Workstation supports the following image network communications:

  • Standard 10/100/1000 Base-T Ethernet protocols .
  • . DICOM 3.0 Storage SCP and Query/Retrieve SCU.
  • . TCP/IP network layer

The hardware configuration used with the software typically will include a PC, a single standard color monitor, a multi-function keypad (for increased productivity), and two high resolution monitors for mammographic Image review.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

MG, MR, CR, US

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)

The non-clinical testing for the DexTop Workstation includes performance of system requirements testing according to the Software Testing Strategy and following the test cases as defined in the Software Requirements Test Specification Document.

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.

K033400

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

5 510(k) Summary of Safety and Effectiveness

Ko80351

SUBMITTER:Dexela Limited
CONTACT PERSON:Michael Henry
APR 22 2008
DATE PREPARED:31 January, 2008
DEVICE TRADE NAME:DexTop Mammography Workstation
COMMON NAME:DexTop Mammography Workstation
CLASSIFICATION NAME:Picture Archiving and Communication System
PREDICATE DEVICE(S):General Electric Medical Systems: Seno Advantage (K033400)

DEVICE DESCRIPTION:

The DexTop Mammography Workstation is a software product, which runs on a high end personal computer, for the purpose of non-invasive multi-modality review. It provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar medical image data.

The DexTop Mammography Workstation receives digital image data from various sources including a variety of diagnostic imaging systems, Hospital PACS, Electronic media and local file systems.

The architecture of the DexTop Workstation means that it can be deployed as a central base station with satellite workstations all using the same user configuration store and image data.

The Dexela DexTop Mammography Workstation supports the following image network communications:

  • Standard 10/100/1000 Base-T Ethernet protocols .
  • . DICOM 3.0 Storage SCP and Query/Retrieve SCU.
  • . TCP/IP network layer

The hardware configuration used with the software typically will include a PC, a single standard color monitor, a multi-function keypad (for increased productivity), and two high resolution monitors for mammographic Image review.

See the following table.

1

ComponentQuantity
SYSTEM: Multi-core (>2) 64-bit processor1
Memory: Minimum 2GB RAMNA
STORAGE: DVD Drive SONY DDU1615 or equivalent1
RAM: Minimum 80 GB (MAXTOR ATLAS SCSI drive or equiv)NA
DISPLAYS: Any HIPAA approved display monitors1 or 2 depending on configuration
PERIPHERALS: Standard keyboard
Standard mouse
X-KEYS SE USB - LCD keypad1 each
SOFTWARE: Windows XP Professional X64
Dexela Mammography Workstation Software1 each

INDICATION FOR USE:

The DexTop Mammography Workstation is a mammography review workstation software package, which provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar, medical image data.

The DexTop Workstation is designed to assist the radiologist in conducting screening and primary diagnosis through flexible, fast and efficient image hanging and processing of multimodality softcopy images with special emphasis and optimization for mammography.

When interpreted by a skilled physician, this software provides information that may be useful in screening and diagnosis. However, the final judgment must rely on the knowledge and skill of the physician.

Hardware
64 bit Windows Operating SystemMore memory for larger data sets and increase
speed of workflow
Multi-core processorMakes full use of new multi core CPUs to
maximize throughput
Remote workstation configurationMultiple workstations can view the same data.
Easy to use shortcut keypadShortcut keys to often used functions are
presented on a separate keypad for ease of use
Communications
DICOMDICOM compliant communications
Software
ModalitiesMG,MR,CR,US
Multi-vendor imagingFully IHE and DICOM compliant image display
allows any vendor image to be displayed
correctly
Window centre and width adjustmentWindow centre and width can be freely adjusted
Hardware
for any image maintaining the predefined curve
if it exists
Use of imbedded VOI LUTsCorrect implementation of the DICOM LUTS
imbedded in the image file, including the ability
for the user to adjust the image maintain the
Linear and Sigmoid LUTssame curve
Switch between the use of a linear or a sigmoid
Pull-scale functioncurve for the display of gray scale images
Function allowing the user to focus on a specific
area with regard to window centre and width
User specific window center and widthThe system can remember the individual's
preference for an image with regard to changes
made to its default window centre and width
Highly flexible patient and technical
information displayThe user can specify which pieces of patient and
technical information should appear on which
screen
XML based annotationAllows the radiologist to annotate the images in
a very flexible way. The annotation can be
hidden and deleted as required
Flip, Zoom, Invert and PanThe images can be manipulated on screen in all
the usual ways
TilingImages series or planar images can be tiled to
the screen allowing some or all of the frames to
viewed at the same time.
Shutter-ViewA type of shutter view of the image where two
synchronized images have a mask overlaid so
only the same small portion of each image is
visible.
1:1 viewDisplay of the image data at one pixel per image
data.
Life-size viewDisplay of the image at life size
Magnifying glassA zoomed in portion of the image at the current
cursor position
Hot lamp / Bright LightA portion of the image is displayed as if a
brighter light had been applied to that area of
the screen.
CLAHE and Un-sharp MaskImage processing techniques can be applied to
sharpen and equalize the images
Highly configurable hangingHanging protocols are designed per user with
unlimited categories and limitless flexibility with
respect to screen use and positioning
Smart-Merge ProtocolSpecific technology that brings together user
preferences from different aspects of film type
and screen use and combines them to form a
new hanging from images that are only loosely
specified.
DICOM printingDICOM printing
Data exportExport data to CD or for presentations

TECHNOLOGICAL CHARACTERISTICS:

2

:

·

:

·

:

.

·

·

3

NON-CLINICAL REQUIREMENTS TEST:

The non-clinical testing for the DexTop Workstation includes performance of system requirements testing according to the Software Testing Strategy and following the test cases as defined in the Software Requirements Test Specification Document.

CONCLUSIONS:

Software Development for the DexTop workstation has been performed in accordance with the Software Development Plan and following the guidance of the Dexela Design and Development Procedures, and which includes, in addition to other documents, a Product Risk Analysis, Software Requirements, Design and Development Plan, detailed Architecture documents , Testing Strategy, and Software Requirements Test Specification. Therefore Dexela is confident that the system as developed will perform according to the specifications detailed in the User Requirements Specification and System Requirements Specification.

4

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the three branches of government. The eagle is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the logo.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 22 2008

Dexela, Ltd. % Mr. Barry Sall, RAC Principal Consultant Parexel Consulting 200 West St. WALTHAM MA 02451

Re: K080351

Trade/Device Name: Dexela DexTop Mammography Workstation Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: March 28, 2008 Received: March 31, 2008

Dear Mr. Sall:

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 (PMA), 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, Rarts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

5

Page 2

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.

This letter will allow you to begin marketing your device as described in your Section 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 Center for Devices and Radiological Health's (CDRH's) Office 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" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrb/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

6

510(k) Number (if known): K080351

Device Name: Dexela DexTop Mammography Workstation

The DexTop Mammography Workstation is a mammography review workstation software package, which provides very high performance viewing, processing and analysis of multimodality two and three dimensional, as well as planar, medical image data.

The DexTop Workstation is designed to assist the radiologist in conducting screening and primary diagnosis through flexible, fast and efficient image hanging and processing of multimodality soft-copy images with special emphasis and optimization for mammography.

Dexela DexTop Mammography Workstation will display the full fidelity DICOM image in a non-compressed format. Lossy compressed mammography images and digitized film screen images must not be used for the purpose of primary diagnosis. Mammographic images may only be interpreted using an FDA approved monitor that offers at least 5 megapixel resolution and meets other technical specifications reviewed and accepted by the FDA

When interpreted by a skilled physician, this software provides information that may be useful in screening and diagnosis. However, the final judgment must rely on the knowledge and skill of the physician.

The device will display only DICOM "For Presentation" images for primary image diagnosis. The device does not perform any image processing (except simple manipulation such as gray scale changes by window level and window width) of the proprietary image processing algorithm of the FFDM manufacturers.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

Over-the-Counter Use (21 CFR 807 Subpart C) AND/OR

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K080351