K Number
K113244
Device Name
SYNAPSE MPR FUSION
Date Cleared
2011-12-22

(50 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. Synapse MPR/Fusion is not intended for Mammography use.
Device Description
Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies.
More Information

Not Found

No
The summary describes standard medical image processing and display software without mentioning AI, ML, or related concepts.

No
Explanation: This device is for viewing, comparing, and fusing medical images, not for treating diseases or conditions.

Yes.
The device enables the display, comparison, and fusion of medical imaging studies (CT, MR, PET, SPECT), which is a key part of the diagnostic process performed by radiologists and clinicians.

Yes

The device description explicitly states "Synapse MPR/Fusion software" and the intended use describes its function as software enabling display, comparison, and fusion of medical images. There is no mention of accompanying hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The description clearly states that the Synapse MPR/Fusion software is used for the display, comparison, and fusion of medical images (CT, MR, PET, SPECT). It processes and renders existing image data.
  • No Sample Analysis: There is no mention of the device analyzing biological samples or performing tests on bodily fluids or tissues.

The device is a medical image processing and viewing software, which falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

Proposed SYNAPSE MPR/Fusion V2.5 Indications for Use:

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. Synapse MPR/Fusion is not intended for Mammography use.

Product codes

LLZ

Device Description

Not Found

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT, MR, PET and SPECT

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

radiologists, technologists and clinicians.

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K101228

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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KII 3244

DEC 2 2 2011

Section 5

SYNAPSE MPR Fusion V2.5 510(k) Summary

This Section contains:

510(k) Summary

1

DEC 2 2 2011

Image /page/1/Picture/1 description: The image contains a sequence of handwritten digits and symbols. The sequence starts with a less-than symbol, followed by the digits 1, 1, 3, 2, 4, and 4. The digits are written in a simple, slightly irregular style, and the overall impression is that of a quickly jotted down sequence.

FUJKFILM

FUJIFILM MEDICAL SYSTEMS U.S.A., INC.

419 WEST AVENUE STAMFORD, CT 06902 203-324-2000 PHONE: TOLL-FREE: 800-431-1850 203-353-0926 FAX:

SYNAPSE MPR Fusion V2.5

Special 510(k) Summary

October 31, 2011 Date Prepared:

Submitter's Information

FUJIFILM Medical Systems U.S.A., Inc. 419 West Avenue Stamford, Connecticut 06902 (203) 602-3774 Telephone: Facsimile: (203) 363-3813 Contact: Debbie Peacock

Device Name and Classification:

Product Name:Synapse MPR/Fusion Software V2.5
Classification Name:Picture Archiving Communication System (PACS)
Classification Panel:Radiology
CFR Section:21 CFR 892.2050
Device Class:Class II
Product Code:LLZ

Substantial Equivalence/Predicate Devices:

Proposed SYNAPSE MPR/Fusion V2.5 Indications for Use:

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. Synapse MPR/Fusion is not intended for Mammography use.

Predicate Mirada XD (K101228) Indications for Use:

Mirada XD is intended to be used by trained medical professionals including, but not limited to, radiologists, nuclear medicine physicians, and physicists. Mirada XD is a software application intended to display and visualize 2D & 3D multimodal medical image data. The user may process, render, review, store, print and distribute DICOM 3.0 compliant datasets within the system and/or across computer networks. Supported modalities include, CT, MR, PET SPECT and planar NM. The user may also create, display, print, store and distribute reports resulting from interpretation of the datasets.

Mirada XD allows the user to register combinations of anatomical and functional images and display them with fused and non-fused displays to facilitate the comparison of image data by the user. The result of the registration operation can assist the user in assessing changes in image data, either within or between examinations and aims to help the user obtain a better understanding of the combined information that would otherwise have to be visually compared disjointedly. Mirada XD provides a number of tools such as rulers and region of interests, which are intended to be used for the assessment of regions of an image to support a clinical workflow. Examples of such workflows included, but are not limited to, the evaluation of the presence or absence of lesions, determination of treatment response and follow-up.

Mirada XD allows the user to define, transform and store the export regions of interest structures in DICOM format including RT format for use in radiation therapy planning systems.

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Additional FunctionDescription
Additional ModalitySupports Fusion of Nuclear Medicine (SPECT) images.
Save to Synapse ServerNow has the ability to save reformats to new series on
Synapse PACS.
Auto correcting orientationAutomatically corrects orientation when scans are performed
in supine and prone position.
Fusion combinationArbitrary combination between CT,MR,PET and NM/SPECT
by Drag&Drop on currently-cleared Fusion View (which
currently allows for PET CT Fusion only).
Compare in Fusion ViewCompare images and measurements in the current study to
the previous study in Fusion View.
Provides Additional Functional Enhancements such as:
• Automatic rotation of
PETKeeping rotating whole MIP image by rolling the mouse wheel
while pressing the [Ctrl] key
• Ability to top/bottomAbility to top/bottom PET and SPECT images using mouse
• Smooth scrollingSmoother scrolling of whole MIP image in Fusion View
• Reference LineDraw reference lines in Fusion View.
• Oblique in Fusion
ViewRotating plane in Fusion View by dragging a reference line
• Fusion RatioSetting default fusion ratio
• Display formatsAdditional layout formats are added.
• Top default value
in the combo box
control in Fusion
ViewSetting Top default values in the combo box control in
Fusion View

Should you have any questions, please contact me by phone at 203-602-3774, fax: 203-3633813 or e-mail at dpeacock@fujifilm.com.

Sincerely,

Doris Peacock

Debbie Peacock Regulatory Affairs Manager

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized eagle-like symbol with three horizontal lines above it, representing the department's mission to protect the health of all Americans and provide essential human services.

Public Health Service

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

Ms. Debbie Peacock Regulatory Affairs Manager FUJIFILM Medical Systems USA, Inc. 419 West Avenue STANFORD CT 06902

DEC 2 2 2011

Re: K113244

Trade/Device Name: Synapse MPR/Fusion software Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: December 12, 2011 Received: December 13, 2011

Dear Ms. Peacock:

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

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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 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

5

Indications for Use

510(k) Number (if known):

Device Name: Synapse MPR/Fusion software

Indications for Use:

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians.

Synapse MPR/Fusion is not intended for Mammography use.

Prescription Use X (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) 0

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

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety

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