K Number
K091529
Device Name
ICAD VERALOOK CTC CAD SOFTWARE
Manufacturer
Date Cleared
2010-08-04

(439 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
iCAD's VeraLook™ CTC CAD is intended to automatically detect potential polyps in CT Colonography exams. The identified polyps can then be highlighted to the interpreting physician after initial review of the CTC exam with the intent of identifying additional potential polyps that may not have been identified on initial review.
Device Description
The VeraLook is a software-based CAD system for detecting the location and extent of polyps in CTC exams. The product is intended to receive CTC images in standard DICOM format from any 3D workstation manufacturer, perform automated analysis on the images to identify polyps, and then produce information about the identified regions that can be received and displayed by CTC review workstations to help radiologists in the detection of polyps.
More Information

Unknown
The summary describes automated analysis and detection, which could be implemented using traditional image processing or AI/ML. Without explicit mention of AI/ML terms or details about the algorithms used, it's impossible to definitively confirm the presence of AI/ML.

No.
The device is a computer-aided detection (CAD) system for identifying polyps, which assists in diagnosis rather than providing treatment or therapy.

Yes

The device automatically detects potential polyps in CT Colonography exams, highlights them to the interpreting physician to identify additional potential polyps that may not have been identified on initial review. This process of identifying and highlighting abnormalities is fundamental to diagnosis.

Yes

The device description explicitly states "The VeraLook is a software-based CAD system" and describes its function as receiving, analyzing, and producing information from images, without mentioning any associated hardware components provided by the manufacturer.

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

Here's why:

  • IVD definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device function: The VeraLook™ CTC CAD analyzes medical images (CT Colonography exams) to identify potential polyps. It does not analyze biological samples from the patient.
  • Intended Use: The intended use clearly states it's for detecting polyps in CT Colonography exams, which are imaging studies.

Therefore, the VeraLook™ CTC CAD falls under the category of medical imaging software or Computer-Aided Detection (CAD) software, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

iCAD's VeraLook™ CTC CAD is intended to automatically detect potential polyps in CT Colonography exams. The identified polyps can then be highlighted to the interpreting physician after initial review of the CTC exam with the intent of identifying additional potential polyps that may not have been identified on initial review.

Product codes

JAK

Device Description

The VeraLook is a software-based CAD system for detecting the location and extent of polyps in CTC exams. The product is intended to receive CTC images in standard DICOM format from any 3D workstation manufacturer, perform automated analysis on the images to identify polyps, and then produce information about the identified regions that can be received and displayed by CTC review workstations to help radiologists in the detection of polyps.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT Colonography exams

Anatomical Site

colon

Indicated Patient Age Range

Not Found

Intended User / Care Setting

interpreting physician, radiologists

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

Non-clinical and clinical data was supplied to determine substantial equivalence to the predicate devices.

Summary of Performance Studies

Non-clinical and clinical data was supplied to determine substantial equivalence to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K042674, K042605

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

SECTION 2: 510(K) SUMMARY AS REQUIRED BY CFR 807.92(c)

COMPANY NAME/ADDRESS/PHONE/FAX:

iCAD Inc. 98 Spitbrook Road, Suite 100 Nashua, NH 03062 T: 937-431-7945 F: 603-880-3843

AUG 0 4 2010

NAME OF CONTACT:

John A. DeLucia VP, Regulatory Affairs and Quality Assurance

DATE:

May 21, 2009

DEVICE NAME:

Computed Tomographic Colonography Computer-Aided Detection Software

TRADE NAME:

iCAD VeraLook™ CTC CAD Software

COMMON NAME:

Software for Computed Tomographic Colonography Computer-Aided Detection

CLASSIFICATION NAME:

21 CFR 892.1750 Class II System, x-ray, tomography, computed JAK

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Proprietary Information of iCAD, Inc.

Page 5 of 60

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NAME OF LEGALLY MARKETED DEVICE FOR WHICH A CLAIM OF SUBSTANTIAL EQIVALENCE IS MADE

iCAD's VeraLook™ CTC CAD Software is substantially equivalent to the following legally marketed predicate devices that display and visualize 2D and 3D medical image data of the colon derived from CT scans, for the purpose of assisting radiologists and other clinicians in the evaluation of polyps.

510(k) Reference No.Device NameManufacturer
K042674Colon CAR 1.2Medicsight
K042605Syngo Colonography
Software Package With
Extended FunctionalitySiemens Ag, Medical
Solutions

DEVICE DESCRIPTION

The VeraLook is a software-based CAD system for detecting the location and extent of polyps in CTC exams. The product is intended to receive CTC images in standard DICOM format from any 3D workstation manufacturer, perform automated analysis on the images to identify polyps, and then produce information about the identified regions that can be received and displayed by CTC review workstations to help radiologists in the detection of polyps.

INDICATION FOR USE

VeraLook CTC CAD Software is intended to automatically detect potential polyps in CT Colonography exams. The identified polyps can then be highlighted to the interpreting physician after initial review of the CTC exam with the intent of identifying additional potential polyps that may not have been identified on initial review.

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS

VeraLook CTC CAD Software has similar intended use, principles of operation, features or and characteristics as the previously cleared predicate devices. VeraLook and each of the predicate devices are intended to detect, display, visualize, and measure colon lesions or polyps. VeraLook and the predicate devices all assist the radiologist in evaluating and confirming the presence or absence of colon lesions. VeraLook also shares common workflow features and characteristics as that of the predicate devices such as DICOM 3.0 Receiving, Polyp Size and Volume Measurement, and ability to generate reports.

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ﺮ ﺍﻟﻤﺮﺍﺟﻊ ﺍﻟﻤﺴﺎﺣﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍ

VeraLook does differ from the predicates in that VeraLook expressly claims to identify "additional potential polyps that may not have been identified on initial review". This difference in intended use from the predicate devices could raise issues of safety and effectiveness. Recognizing this, iCAD has supplied clinical data in addition to bench testing and simulations to assess safety and effectiveness of this claim.

GENERAL SAFETY AND EFFECTIVENESS CONCERNS:

The device labeling contains instructions for use and any necessary cautions and warnings to provide for safe and effective use of this device. Risk management is ensured via a risk analysis, which is used to identify potential hazards. These potential hazards are controlled via software development, verification and validation testing.

ASSESSMENT OF NON-CLINICAL AND CLINICAL PERFORMANCE DATA

Non-clinical and clinical data was supplied to determine substantial equivalence to the predicate devices.

CONCLUSION:

This 510(k) Pre-Market Notification for iCAD's VeraLook CTC CAD Software contains adequate information and data to determine substantial equivalence to the predicate devices.

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Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is circular and contains the department's name around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or a bird in flight, composed of three stylized lines.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Mr. John A. DeLucia Vice President Regulatory Affairs and Quality Assurance iCAD. Inc. 98 Spitbrook Road, Suite 100 NASHUA NH 03062

AUG 0 4 2010

Re: K091529

Trade/Device Name: VeraLook™ CTC CAD Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: JAK Dated: February 1, 2010 Received: February 2, 2010

Dear Mr. DeLucia:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

4

medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 legal) y renaketed predicate device results in a classification for your device and thus, permits your dry ince to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office

of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its tollyfre no (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Donald J. Trump

Donald J. St.Pierre Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety . Center for Devices and Radiological Health

Enclosure

5

SECTION 1: INDICATIONS FOR USE STATEMENT

2091529 510(k) Number (if known):

Device Name: VeraLook™ CTC CAD

AUG Q 4 2010

Indications for Use:

iCAD's VeraLook™ CTC CAD is intended to automatically detect potential polyps in CT Colonography exams. The identified polyps can then be highlighted to the interpreting physician after initial review of the CTC exam with the intent of identifying additional potential polyps that may not have been identified on initial review.

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 Breater Bratication (@DB) (

Page 1 of 1

(Posted November 13, 2003)

(Division Sign-Off)

Division of Radiological Devices Office of In Vitro Diagnostic Devices
Office of In Vitro Diagnostic Devices
Office of In Vitro Diagnostic Device Evaluation and Safety

510K. K091529

Proprietary Information of iCAD, Inc.