(42 days)
Not Found
No
The summary describes image processing and bone suppression technology, but does not mention AI, ML, or deep learning.
No
The device is an image post-processing application intended to facilitate the confirmation of lines/tubes by improving their visibility in a secondary radiographic image. It provides adjunctive information and is not a substitute for the original image, nor does it directly treat or cure a condition.
No
Explanation: The device is intended to enhance existing images for better visualization of lines and tubes, providing adjunctive information rather than independently diagnosing conditions.
Yes
The device is described as a "dedicated post-processing application" that generates an enhanced image from a digital radiographic image. This indicates it is a software product that operates on existing image data and does not include any 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 tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
- Device Function: ClearRead +Confirm is a software application that processes digital radiographic images (X-rays) of the chest. It does not analyze biological samples from the patient.
- Intended Use: The intended use is to enhance existing medical images to improve the visibility of lines and tubes within the chest, aiding in the interpretation of these images by trained professionals. This is a form of medical image processing, not an in vitro diagnostic test.
Therefore, ClearRead +Confirm falls under the category of medical imaging software or a picture archiving and communication system (PACS) adjunct, not an IVD.
N/A
Intended Use / Indications for Use
ClearRead +Confirm is intended to generate an enhanced, secondary digital radiographic image of the chest to facilitate confirmation of line/tubes. The enhanced AP or PA image of the chest provides improved visibility of lines and tubes. The ClearRead +Confirm image provides adjunctive information and is not a substitute for the original PA/AP image. This device is intended to be used by trained professionals, such as physicians, radiologists, and technicians, on patients with lines and tubes and is not intended to be used on pediatric patients.
Product codes
LLZ
Device Description
ClearRead +Confirm is a dedicated post-processing application that generates an enhanced, secondary digital radiographic image of the chest to facilitate confirmation of line/tubes.
Mentions image processing
Yes
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
digital radiographic image
Anatomical Site
chest
Indicated Patient Age Range
not intended to be used on pediatric patients.
Intended User / Care Setting
trained professionals, such as physicians, radiologists, and technicians
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
Functional verification testing and development validation were conducted to verify that the design output met the design input requirements. Documentation outlining the functional verification testing of the ClearRead +Confirm software (E030-D V&V Test Plan and E032-A V&V Test Report) is provided in Appendix B.
Clinical validation was conducted in a multi-reader multicase (MRMC) study to validate that the device conformed to the defined user needs and intended uses. The reader study measured the reduction in time required by the radiologists to localize the tips of tubes, lines, and electrical cardiac wires (TLW) when using ClearRead +Confirm. The study also measured the radiologists' accuracy in localizing the TLW when using ClearRead +Confirm.
Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
Clinical validation was conducted in a multi-reader multicase (MRMC) study to validate that the device conformed to the defined user needs and intended uses. The reader study measured the reduction in time required by the radiologists to localize the tips of tubes, lines, and electrical cardiac wires (TLW) when using ClearRead +Confirm. The study also measured the radiologists' accuracy in localizing the TLW when using ClearRead +Confirm. ClearRead Confirm was found to significantly decrease read times in analyses both including and excluding outliers. The difference from true locations in ClearRead Confirm reads and unaided reads were not found to be statistically significant. The results indicated that ClearRead +Confirm is a useful adjunct for the interpretation of chest radiographs when looking for TLW. Documentation of clinical validation testing in the ClearRead +Confirm Reader Study (E045-A Protocol and E046-A Report) is provided in Appendices C and D.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
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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Traditional 510(k) Premarket Notification ClearRead +Confirm™
Riverain Technologies Page 6
DEC 2 7 2012
510(K) SUMMARY 3.0
November 15, 2012 Submission Date:
Submitter Information:
Company Name: Riverain Technologies, LLC.
Company Address: 3020 South Tech Blvd., Miamisburg, OH 45342-4860
Contact Person:
Jennifer Butsch Director, Regulatory Affairs and Quality Assurance Riverain Technologies 800.990.3387 937.425.6493 jbutsch@riveraintech.com
Device Information:
Trade Name: Regulation Number: Regulation Name: Regulatory Class: Product Code:
ClearRead +Confirm™ 21 CFR §892.2050 System, Image Processing, Radiological Class II LLZ
Predicate Devices:
ClearRead Bone Suppression (SoftView) (K092363) Riverain Technologies, LLC Class II
DRX-Revolution (K120062) Carestream Health, Inc. Class II
Device Description:
Intended Use:
ClearRead +Confirm is a dedicated post-processing application that generates an enhanced, secondary digital radiographic image of the chest to facilitate confirmation of line/tubes.
ClearRead +Confirm is intended to generate an enhanced, secondary digital radiographic image of the chest to facilitate confirmation of line/tubes.
1
| Indications for Use: | ClearRead +Confirm is intended to generate an enhanced,
secondary digital radiographic image of the chest to |
|----------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | facilitate confirmation of line/tubes. The enhanced AP or
PA image of the chest provides improved visibility of lines
and tubes. The ClearRead +Confirm image provides |
| | adjunctive information and is not a substitute for the |
| | original PA/AP image. This device is intended to be used
by trained professionals, such as physicians, radiologists, |
| | and technicians, on patients with lines and tubes and is not
intended to be used on pediatric patients. |
Comparison to Predicate Devices Technical Characteristics:
ClearRead +Confirm uses the same bone suppression mechanism as the Riverain ClearRead Bone Suppression predicate device, with enhancements to improve the visibility of lines and tubes. ClearRead +Confirm and ClearRead Bone Suppression also share a common user platform for DICOM communication and system configuration.
ClearRead +Confirm and the Carestream DRX-Revolution are similar in that both include software with the ability to enhance lines and tubes on AP/PA chest radiographs.
Differences in the design and performance from the cited predicate devices do not affect either the safety or the effectiveness of ClearRead +Confirm for its intended use.
Functional verification testing and development validation were conducted to verify that the design output met the design input requirements. Documentation outlining the functional verification testing of the ClearRead +Confirm software (E030-D V&V Test Plan and E032-A V&V Test Report) is provided in Appendix B.
Clinical validation was conducted in a multi-reader multicase (MRMC) study to validate that the device conformed to the defined user needs and intended uses. The reader study measured the reduction in time required by the radiologists to localize the tips of tubes, lines, and electrical cardiac wires (TLW) when using ClearRead +Confirm. The study also measured the radiologists' accuracy in localizing the TLW when using ClearRead +Confirm. ClearRead Confirm was found to significantly decrease read times in analyses both including and excluding outliers. The
Testing Summary:
2
difference from true locations in ClearRead Confirm reads and unaided reads were not found to be statistically significant. The results indicated that ClearRead +Confirm is a useful adjunct for the interpretation of chest radiographs when looking for TLW. Documentation of clinical validation testing in the ClearRead +Confirm Reader Study (E045-A Protocol and E046-A Report) is provided in Appendices C and D.
Substantial Equivalence:
The reader study described above used similar methods to the reader study that was reviewed by FDA when clearing the ClearRead Bone Suppression predicate device (K092363). In both cases, an image processing application generates a secondary image for the radiologist to view. Both devices enable reviewing, storing, printing, and distribution of DICOM-compliant images across hospital networks.
3
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with its wings spread, enclosed within a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
December 27,2012
Ms. Jennifer Butsch Director Regulatory Affairs & Quality Assurance Riverain Technologies 3020 South Tech Blvd. MIAMISBURG, OH 45324
Re: K123526
Trade/Device Name: ClearRead +Confirm 1.0 Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communication system Regulatory Class: II Product Code: LLZ Dated: November 15, 2012 Received: November 15, 2012
Dear Ms. Butsch:
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 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); medical device reporting (reporting of medical
4
Page 2 - Ms. Sarah Harrington
device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set de recordinated adverse or and (2) regulation (21 CFR Part 820); and if applicable, the electronic form in and qualify of ovisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 Diagnostics and Radiological Health 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 I ou may obtain other generers, 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,
Michael J. D. O'Hara
Janine M. Morris Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health
Enclosure
5
Indications for Use
510(k) Number (if known): K123526
Device Name:_ClearRead +Confirm™
Indications For Use:
ClearRead +Confirm is intended to generate an enhanced, secondary digital radiographic image of the chest to facilitate confirmation of line/tubes. The enhanced AP or PA image of the chest provides improved visibility of lines and tubes. The ClearRead +Confirm image provides adjunctive information and is not a substitute for the original PA/AP image. This device is intended to be used by trained professionals, such as physicians, radiologists, and technicians, on patients with lines and tubes and is not intended to be used on pediatric patients.
Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)
Michael D. O'Hara
(Division Sign Off)
Page 1 of 1
Division of Radiological Health
Office of In Vitro Diagnostics and Rediological Health
510(k) K123526