K Number
K103565
Device Name
MEDVOXEL HEARTPRO SOFTWARE APPLICATION
Date Cleared
2011-04-12

(127 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
HeartPro consists of software that analyzes DICOM-compliant cardiovascular images acquired from magnetic resonance (MR) scanners. HeartPro specifically analyzes the blood flow to the heart and its major vessels using multi-phase and velocity encoded MR images. It provides clinically relevant and reproducible, quantitative data and has been tested and validated on MR images acquired from both 1.5T and 3.0 T MR Scanners. The data produced by HeartPro is intended to be used to support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making. It is a support tool that provides relevant clinical data as a resource to the clinician and is not intended to be a source of medical advice or to determine or recommend a course of action or treatment for a patient.
Device Description
MedVoxel HeartPro is a web-accessible, self-contained image analysis software application. The application uses cardiac-specific MR scans as a data source for their blood flow analysis computations. Pre-existing MR images are sent from the PACS (or scanner) to the MedVoxel HeartPro software application, image corrections (specific to aliasing errors) are applied to the set of images prescribed by the user, contour are placed and advanced analysis algorithms are applied. Easily reproducible test results are produced and stored in the Measurement Record of the patients' study. HeartPro does not interface directly with any MR or data collection equipment; instead HeartPro imports data files previously generated by such equipment. HeartPro provides quantitative measurements specific to blood flow analysis for MRI data sequences. The software application focuses on what is visible to the eye and applies advanced automated methods to avoid tedious, time-consuming manual methods. The software does not perform any functions which cannot be accomplished by a trained user utilizing manual tracing methods; the intent of the software is to save time and automate potential error-prone manual tasks. The software has functions for loading, analysing, saving datasets and will generate screen displays, computation and aggregated statistics.
More Information

Not Found

No
The summary describes "advanced analysis algorithms" and "advanced automated methods" for image processing and quantitative measurements, but it explicitly states the software does not perform functions that cannot be accomplished manually and focuses on automating manual tasks. There is no mention of AI, ML, or related terms, nor is there information about training or test sets typically associated with AI/ML development.

No
The device is a software application that analyzes existing MR images to provide quantitative data for clinical decision-making; it does not directly treat or diagnose, nor does it recommend a course of action or treatment.

Yes
The device analyzes medical images (MR scans) to provide quantitative data (blood flow analysis) intended to "support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making." This indicates its use in understanding a patient's medical condition.

Yes

The device is described as a "web-accessible, self-contained image analysis software application" that imports pre-existing data files and does not interface directly with hardware. Its function is solely the analysis of existing image data.

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. They are used to examine these samples outside of the body.
  • HeartPro's function: HeartPro analyzes images acquired from MR scanners. It processes and quantifies data derived from these images, which represent the blood flow within the body. It does not analyze biological samples taken from the patient.
  • Input data: The input data for HeartPro is DICOM-compliant cardiovascular images, not biological specimens.

While HeartPro provides data that supports clinical decision-making, its method of obtaining and analyzing that data falls outside the scope of an In Vitro Diagnostic. It is an image analysis software tool used in conjunction with medical imaging equipment.

N/A

Intended Use / Indications for Use

HeartPro consists of software that analyzes DICOM-compliant cardiovascular images acquired from magnetic resonance (MR) scanners. HeartPro specifically analyzes the blood flow to the heart and its major vessels using multi-phase and velocity encoded MR images. It provides clinically relevant and reproducible, quantitative data and has been tested and validated on MR images acquired from both 1.5T and 3.0 T MR Scanners.

The data produced by HeartPro is intended to be used to support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making. It is a support tool that provides relevant clinical data as a resource to the clinician and is not intended to be a source of medical advice or to determine or recommend a course of action or treatment for a patient.

Product codes

LLZ

Device Description

MedVoxel HeartPro is a web-accessible, self-contained image analysis software application. The application uses cardiac-specific MR scans as a data source for their blood flow analysis computations.

Pre-existing MR images are sent from the PACS (or scanner) to the MedVoxel HeartPro software application, image corrections (specific to aliasing errors) are applied to the set of images prescribed by the user, contour are placed and advanced analysis algorithms are applied. Easily reproducible test results are produced and stored in the Measurement Record of the patients' study.

HeartPro does not interface directly with any MR or data collection equipment; instead HeartPro imports data files previously generated by such equipment.

HeartPro provides quantitative measurements specific to blood flow analysis for MRI data sequences. The software application focuses on what is visible to the eye and applies advanced automated methods to avoid tedious, time-consuming manual methods. The software does not perform any functions which cannot be accomplished by a trained user utilizing manual tracing methods; the intent of the software is to save time and automate potential error-prone manual tasks.

The software has functions for loading, analysing, saving datasets and will generate screen displays, computation and aggregated statistics.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Magnetic Resonance (MR)

Anatomical Site

Cardiovascular (heart and its major vessels)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Qualified cardiologist, radiologist or other licensed professional healthcare practitioners

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

Nonclinical verification and validation test results established that the device meets its design requirements and intended use, and that it is as safe, as effective, and performs as well as the predicate device and that no new issues of safety and effectiveness were raised.

Key Metrics

Not Found

Predicate Device(s)

K042203

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).

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Image /page/0/Picture/1 description: The image shows the logo for MedVoxel. The logo consists of a grid of nine squares arranged in a diamond shape, followed by the text "MedVoxel". The squares are all black, and the text is in a simple, sans-serif font. The logo is simple and modern.

510(k) Premarket Notification for MedVoxel HeartPro

APR 1 2 2011

510(k) Summary
Submitter:MedVoxel Systems Inc.
7363-515 W. Hastings Street
Vancouver, British Columbia
Canada V6B 5K3
Phone: (604)889-3512/(778) 960-5401
Web: www.medvoxel.com
Contact:Bonnie Sewlochan
Regulatory Consultant on behalf of MedVoxel Systems Inc.
2867 Crosscurrent Drive, Mississauga
Ontario, Canada L5N 6L1
Phone: (647) 234-6643
Device Name:
Trade NameMedVoxel HeartPro Software Application
Common NameCardiovascular Image Analysis Software
ClassificationSystem, Image Processing, Radiological
CFR Section /Product Code21 CFR 892.2050, LLZ
Device ClassClass II
Date of Preparation ofMarch 28, 2011

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Predicate Device

Summary:

.

`--.

Trade Name510(k) Submitter/Manufacturer510(k) NumberDate Cleared
Leonardo Syngo Cardiology
Workstation (Argus)Siemens Medical Solutions Inc.
51 Valley Stream Parkway
Malvern, PA 19355K042203September 24,
2004

510(k) Summary: Page 1 of 4

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Image /page/1/Picture/1 description: The image shows the logo for MedVoxel. The logo consists of a diamond shape made up of smaller squares, followed by the text "MedVoxel" in a sans-serif font. The diamond shape is black, and the text is also black.

Device Description

MedVoxel is a software company that focuses primarily on cardiac specific, clinical post-processing packages and has made it their mandate to offer a product solution that will allow the user to manipulate the image set such that the background phase aliasing errors can be minimized if not eliminated from the images.

MedVoxel HeartPro is a web-accessible, self-contained image analysis software application. The application uses cardiac-specific MR scans as a data source for their blood flow analysis computations.

Pre-existing MR images are sent from the PACS (or scanner) to the MedVoxel HeartPro software application, image corrections (specific to aliasing errors) are applied to the set of images prescribed by the user, contour are placed and advanced analysis algorithms are applied. Easily reproducible test results are produced and stored in the Measurement Record of the patients' study.

HeartPro does not interface directly with any MR or data collection equipment; instead HeartPro imports data files previously generated by such equipment.

HeartPro provides quantitative measurements specific to blood flow analysis for MRI data sequences. The software application focuses on what is visible to the eye and applies advanced automated methods to avoid tedious, time-consuming manual methods. The software does not perform any functions which cannot be accomplished by a trained user utilizing manual tracing methods; the intent of the software is to save time and automate potential error-prone manual tasks.

The software has functions for loading, analysing, saving datasets and will generate screen displays, computation and aggregated statistics.

Intended Use

HeartPro consists of software that analyzes DICOM-compliant cardiovascular images acquired from magnetic resonance (MR) scanners. HeartPro specifically analyzes the blood flow to the heart and its major vessels using multi-phase and velocity encoded MR images. It provides clinically relevant and reproducible, quantitative data and has been tested and validated on MR images acquired from both 1.5T and 3.0 T MR Scanners.

The data produced by HeartPro is intended to be used to support qualified cardiologist or other licensed professional healthcare practitioners for clinical decision making. It is a support tool that provides relevant clinical data as a resource to the clinician and is not intended to be a source of medical advice or to determine or recommend a course of action or treatment for a patient.

Comparison to the Predicate

The intended use and technological characteristics of the MedVoxel HeartPro software application are substantially equivalent, in the opinion of MedVoxel Systems, to those of the predicate device and do not pose any new issues of safety and effectiveness. A comparison table has been included on the next page.

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Image /page/2/Picture/0 description: The image shows the logo for MedVoxel. The logo consists of a geometric shape made up of nine smaller squares arranged in a larger square pattern, with the name "MedVoxel" written to the right of the shape. The geometric shape is black, and the text is in a simple, sans-serif font.

TABLE: Comparison of features and specifications of HeartPro vs. Predicate Device
Device FeatureMedVoxel HeartProSiemens Argus
510(k) NumberK103565K042203
Overview
DICOM complianceSupports DICOM 3.0Supports DICOM 3.0
Comparative review2D2D
2D measurementsROI tools with statisticsROI tools with statistics
WorkflowAutomated contouringAutomated contouring
Automated measurementsAutomated measurements
Manual correction.Manual correction.
GUI Interface/Input/output
Image inputDICOM 3.0 via TCP/IP
DICOM via secure FTPDICOM 3.0 via TCP/IP
Data Acquisition
Protocol for Blood
Flow AnalysisCardiovascular images (specifically, multi-phase,
multi-slice and velocity encoded images acquired
from magnetic resonance scanners).
Same approach to general usage - performs Blood
Flow calculations, and output the desired data
parameters.Cardiovascular images (specifically, multi-phase,
multi-slice and velocity encoded images acquired
from magnetic resonance scanners).
Same approach to general usage - performs Blood
Flow calculations, and output the desired data
parameters.
User InteractionsUsers can browse, select, and load CMRI scan files.
Users can save and load analyses, export to files.
User can generate a report that displays quantitative
data items and can be saved to a PDF file. DICOM
info displayed.User can browse, select, and load CMRI scan files.
Users can save and load analyses, export to files. User
can generate a report that displays quantitative data
items.
Measurement
information pageBlood flow chart displayedBlood flow chart displayed
RepeatabilityRe-enter the parameters recorded in the previously
made reports. Fully repeatable when relying on
automated ROI definition.
If manually defined - Not easily reproducible
(identical to predicate) due to significant manual
involvement.Not easily reproducible due to significant manual
involvement
Contouring/Editing
ROI vessel contour detectionAutomatic contour detection with user input (optional: can be followed by manual user editing).Automatic contour detection without initial user input followed by manual user editing
ROI vessel contour editingContour editorContour editor
Analytical Processing /Quantitative Outputs
Phase aliasing error correctionPhase alias correction provided via user interfacePhase alias correction provided via user interface
Measurement algorithm generates quantitative clinical data, including parameters such as net blood flow rate, and blood flow volume.With manual assistance, measurement algorithm generates quantitative clinical data, including parameters such as net blood flow rate, and blood flow volume.
Screen Functions and Image Manipulations
Feature SetsExtensive set of features for image manipulation, presented as toolbars, mouse-overs, screen-tips, pan/zoom, scroll bars, pull-down menusExtensive set of features for image manipulation, presented as toolbars, mouse-overs, screen-tips, pan/zoom, scroll bars, pull-down menus:
Pan/zoom, magnify, maximize and minimize image displays. Scroll through slice stack Adjust window level, contrast, brightness Single image ROI placement, automated 2D ROI copy. ROI edit functions. 2D Velocity Color MapPan/zoom, magnify, maximize and minimize image displays. Scroll through slice stack Adjust window level, contrast, brightness Single image ROI placement, automated 2D ROI copy. ROI edit functions. 2D Velocity Color Map
Scan quality assessments
Expected FormatExpected format is DICOM, must receive DICOM compliant image studies. Only lossless compression.Expected format is DICOM, must receive DICOM compliant image studies. Only lossless compression.
User BaseIntended to be used to support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making.Intended to be used to support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making

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tures and specifications of HeartPro vs. Predicate Device

510(k) Summary: Page 3 of 4

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Image /page/3/Picture/0 description: The image shows the logo for MedVoxel. The logo consists of a diamond shape made up of smaller squares on the left, and the word "MedVoxel" in a sans-serif font on the right. The diamond shape is black, and the word "MedVoxel" is also black.

Summary of Testing

Nonclinical verification and validation test results established that the device meets its design requirements and intended use, and that it is as safe, as effective, and performs as well as the predicate device and that no new issues of safety and effectiveness were raised.

510(k) Summary: Page 4 of 4

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Image /page/4/Picture/0 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized image of a caduceus, which is a symbol of medicine and health. The caduceus is made up of three wavy lines that represent the snakes of Asclepius, the Greek god of medicine.

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

MedVoxel Systems, Inc. % Ms. Bonnie Sewlochan Regulatory Consultant Bolynn Corp. 2867 Crosscurrent Drive, Mississauga Ontario, LSN 6L1 CANADA

APR 1 2 2011

Re: K103565

Trade/Device Name: MedVoxel HeartPro Software Application Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications systems Regulatory Class: II Product Code: LLZ Dated: April 4, 2011 Received: April 7, 2011

Dear Ms. Sewlochan:

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 of

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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 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 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 toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Yours.

Mary S Pastel

Mary S. Pastel, Sc.D. Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

6

Indications for Use Statement

510(k) Number: K103565

Device Name : MedVoxel HeartPro Software Application

Indications for Use:

HeartPro consists of software that analyzes DICOM-compliant cardiovascular images acquired from magnetic resonance (MR) scanners. HeartPro specifically analyzes the blood flow to the heart and its major vessels using multi-phase and velocity encoded MR images. It provides clinically relevant and reproducible, quantitative data and has been tested and validated on MR images acquired from both 1.5T and 3.0 T MR Scanners.

The data produced by HeartPro is intended to be used to support qualified cardiologist, radiologist or other licensed professional healthcare practitioners for clinical decision making. It is a support tool that provides relevant clinical data as a resource to the clinician and is not intended to be a source of medical advice or to determine or recommend a course of action or treatment for a patient.

Prescription Use __

AND/OR

Over-The-Counter Use

(per 21 CFR 801 Subpart D)

(Part 21 CFR 801 Subpart C)

Page 1 of 1

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Mary S Pool

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

510K K103565