K Number
K141329
Device Name
RADSPA
Date Cleared
2014-06-20

(30 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
RADSpa™ components are intended to be used in hospitals, imaging centers, radiologist reading practices and by any user who requires and is granted access to view patient's images, demographic and report information. RADSpa™ PACS is a flexible, standards-compliant, web-based, workflow management solution designed for centralized and distributed imaging environments. This device consolidates all radiology exam information including images and reports from multiple systems into a centrally managed work list, which can be accessible using any browser. RADSpa™ PACS provides complete PACS functionality used to receive and manage DICOM images and make the data available across a network. RADSpa™ viewer is used for diagnosis and Primary Image Interpretation of DICOM compliant image data derived from all modalities. This component is not intended for mobile devices. RADSpa™ MPR/MIP/3D components are used for post-processing and is designed to assist radiologists in the diagnostic analysis, visualization, and quantification of CT and MR images. This device supports enhanced visualization and analysis techniques such as multi-planar and oblique reformats, maximum intensity projections, image averaging, subtraction and blinking of images acquired at different time points. RADSpa™ MPR/MIP/3D is also used to perform post-processing analysis digital images from CT and MR. The software analysis tools may be applied to image subtractions, reformatted images, multi-planar reformats and maximum intensity projections. The software package includes tools to allow the radiologist to manipulate and fly-through images for enhanced visualization. RADSpa™ MPR/MIP/3D is not intended for mobile devices.
Device Description
RADSpa™ is a software device that consists of RADSpa™ PACS and Viewer&RADSpa™ 2D/MPR/MIP/3D viewer. RADSpa™ PACS components (server-side) enable receiving, storing and sending DICOM images and managing the workflow required for radiologists. The components are developed using .NET and runs on Windows OS. The images are stored in the file system and the workflow-related data in a RDBMS database RADSpa MPR/MIP/3Dviewer components run on Windows OS and enable downloading of images from RADSpa™ server and viewing and manipulating of those images on the workstation Overall features include: - Centralized or Distributed Archive functionality - Uses commercially available computers, servers, operating systems and network infrastructure, with expandable storage capability - Single or Multi server options (i.e. Archive, Web Server and PACS application can reside on a single server computer) - Pre-emptive downloading- perfecting of images in real time Web based solution - Scalable from single practice to enterprise wide PACS - High level of security - DICOM, JPEG and JPEG 2000 compliant
More Information

Not Found

No
The document describes standard PACS and image processing functionalities (MPR, MIP, 3D) without mentioning any AI or ML techniques. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

No.
The device is described as a software device for viewing, managing, and post-processing medical images for diagnostic analysis, not for providing therapy.

Yes

RADSpa™ viewer is explicitly stated to be used for "diagnosis and Primary Image Interpretation", and RADSpa™ MPR/MIP/3D components are designed to "assist radiologists in the diagnostic analysis".

Yes

The device description explicitly states "RADSpa™ is a software device" and details software components (PACS, Viewer, MPR/MIP/3D viewer) running on standard operating systems and utilizing commercial hardware infrastructure. There is no indication of custom or integrated hardware being part of the device itself.

Based on the provided text, 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 description clearly states that RADSpa™ is a software device used for managing, viewing, and processing medical images (DICOM compliant image data) from various modalities like CT and MR. It deals with images of the human body, not samples taken from the body.
  • Intended Use: The intended use focuses on providing access to and manipulating medical images for diagnosis and interpretation by radiologists and other authorized users. This is distinct from performing tests on biological samples.

The device is a medical imaging PACS (Picture Archiving and Communication System) and viewer with advanced post-processing capabilities, which falls under the category of medical imaging software, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

RADSpa™ components are intended to be used in hospitals, imaging centers, radiologist reading practices and by any user who requires and is granted access to view patient's images, demographic and report information.

RADSpa™ PACS is a flexible, standards-compliant, web-based, workflow management solution designed for centralized and distributed imaging environments. This device consolidates all radiology exam information including images and reports from multiple systems into a centrally managed work list, which can be accessible using any browser. RADSpa™ PACS provides complete PACS functionality used to receive and manage DICOM images and make the data available across a network. RADSpa™ viewer is used for diagnosis and Primary Image Interpretation of DICOM compliant image data derived from all modalities. This component is not intended for mobile devices.

RADSpa™ MPR/MIP/3D components are used for post-processing and is designed to assist radiologists in the diagnostic analysis, visualization, and quantification of CT and MR images. This device supports enhanced visualization and analysis techniques such as multi-planar and oblique reformats, maximum intensity projections, image averaging, subtraction and blinking of images acquired at different time points.

RADSpa™ MPR/MIP/3D is also used to perform post-processing andlysis digital images from CT and MR. The software analysis tools may be applied to image subtractions, reformatted images, multi-planar reformats and maximum intensity projections. The software package includes tools to allow the radiologist to manipulate and fly-through images for enhanced visualization.

RADSpa™ MPR/MIP/3D is not intended for mobile devices.

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

LLZ

Device Description

RADSpa™ is a software device that consists of RADSpa™ PACS and Viewer&RADSpa™ 2D/MPR/MIP/3D viewer.

RADSpa™ PACS components (server-side) enable receiving, storing and sending DICOM images and managing the workflow required for radiologists. The components are developed using .NET and runs on Windows OS. The images are stored in the file system and the workflow-related data in a RDBMS database

RADSpa MPR/MIP/3Dviewer components run on Windows OS and enable downloading of images from RADSpa™ server and viewing and manipulating of those images on the workstation

Overall features include:

  • . Centralized or Distributed Archive functionality
  • Uses commercially available computers, servers, operating systems and network . infrastructure, with expandable storage capability
  • Single or Multi server options (i.e. Archive, Web Server and PACS application can ◆ reside on a single server computer)
  • Pre-emptive downloading- perfecting of images in real time Web based solution .
  • Scalable from single practice to enterprise wide PACS .
  • High level of security .
  • DICOM, JPEG and JPEG 2000 compliant .

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

All Modalities (for PACS and Viewer), CT and MR (for MPR/MIP/3D components)

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Hospitals, imaging centers, radiologist reading practices and by any user who requires and is granted access to view patient's images, demographic and report information.

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): 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.

K082693, K061421

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).

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JUN 2 0 2014

K141329
page 10 of 15

Image /page/0/Picture/2 description: The image shows the logo for Telerad Tech. The logo consists of a circle with the letters "T" and "2" inside, and the words "Telerad Tech" to the right of the circle. Below the words "Telerad Tech" are the words "Smarter Healthcare On Demand". The logo is black and white.

Telerad Tech Private Limited

510(k) Summary

Annexure 05

Date prepared:

1st February 2013

Submitter information: 807.92(a) (1)

Mr. Ricky Bedi, CEO

TELERAD TECH Private Limited

Plot # 7G, Vishveshwaraiah Industrial Area.

Whitefield, Bangalore- 560048, India.

Tel: +91-80-40187500, Email: ricky.bedi@teleradtech.com

Name and classification of device: 807.92(a)(2)

Trade name: RADSpa™

Common Name: Picture Archive Communication System (PACS)

Classification name: system, Image processing, Radiological

Class: Class II

Product code: LLZ

Regulation number: 892.2050

Predicate device:

For RADSpa™ MPR/MIP/3Dapplication:

Manufacturer: Calgary Scientific, Inc.

Trade name: ResolutionMDTM 2.1

Common name: Picture Archive Communication System (PACS)

510(k) number: K082693

Classification name: system, Image processing, Radiological

Class: Class II

Product code: LLZ

Regulation number: 892.2050

For RADSpa™ PACS and Viewer:

Manufacturer: eRAD Inc.

Trade name: eRAD PACS

Common name: Picture Archive Communication System (PACS)

510(k) number: K061421

Classification name: PACS

Class: Class II

Product code: LLZ

1

510(k) Summary

Annexure 05

Requlation number: 892.2050

Device description: 21 CFR 807.92 (a)(4)

RADSpa™ is a software device that consists of RADSpa™ PACS and Viewer&RADSpa™ 2D/MPR/MIP/3D viewer.

RADSpa™ PACS components (server-side) enable receiving, storing and sending DICOM images and managing the workflow required for radiologists. The components are developed using .NET and runs on Windows OS. The images are stored in the file system and the workflow-related data in a RDBMS database

RADSpa MPR/MIP/3Dviewer components run on Windows OS and enable downloading of images from RADSpa™ server and viewing and manipulating of those images on the workstation

Overall features include:

  • . Centralized or Distributed Archive functionality
  • Uses commercially available computers, servers, operating systems and network . infrastructure, with expandable storage capability
  • Single or Multi server options (i.e. Archive, Web Server and PACS application can ◆ reside on a single server computer)
  • Pre-emptive downloading- perfecting of images in real time Web based solution .
  • Scalable from single practice to enterprise wide PACS .
  • High level of security .
  • DICOM, JPEG and JPEG 2000 compliant .

2

510(k) Summary

Telerad Tech"

elerad Tech Private Limited

Annexure 05

Substantial Equivalence Comparisons to Predicate Device

PACS and viewer

| Features | Subject device: RADSpa™ PACS and
Viewer | Predicate device: eRAD |
|---------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for use | RADSpa™ PACS is a flexible, standards-compliant, web-based, workflow management solution designed for centralized and distributed imaging environments. This device consolidates all radiology exam information including images and reports from multiple systems into a centrally managed work list, which can be accessible using any browser. | eRAD PACS is a PACS and teleradiology system used to receive DICOM images, scheduling information and textual reports, organize and store them in an internal format, and to make that information available across a network via web and customized user interfaces. eRAD PACS is for hospitals, imaging centers, radiologist reading practices and any user who requires and is granted access to patient image, demographic and report information. |
| | RADSpa™ PACS provides complete PACS functionality used to receive and manage DICOM images and make the data available across a network. RADSpa™ viewer is used for diagnosis and Primary Image Interpretation of DICOM compliant image data derived from all modalities. This component is not intended for mobile devices. | |

3

nnexure 0 erad Tech Private Limite 0(k) Summa erad Tec

disk GB 200 core processor, 4GB RAM, ice, Gigabit Ethernet port RHEL Yes Yes Yes Yes Yes Yes Yes Yes Yes core processor, 4GB RAM, 200 GB Vindows ce, Gigabit Ethernet por yes yes yes yes yes yes yes yes yes . " . mputer operating syst utomatically receive
COM images from an Distribution of images
data via internet and nternet and
Intranet dividual user templat oss sectional viewin Web-delivered viewing
software omputer platform
Inimum requiremen ICOM/HL7 interfac
apabilities ecure administratio nage review and lain film studies

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Telerad Tech Private Limited
Image: Telerad Tech logo
                                                                                                          | 510(k) Summary                                                                                                                                                                            | Annexure 05                                                                                                                           |

| Image measurement tools | yes | Yes |
| Image compression | yes | Yes |
| Modality support | All Modalities | All Modalities |
| Networking communication protocol | TCP/IP | TCP/IP |
| Standard interfaces | DICOM/ HL7/ HTTP/ HTTPS | DICOM/ HL7/ HTTP/ HTTPS |
| Image storage | Yes | Yes |
| Image: Telerad Tech logo | 510(k) Summary | Annexure 05 |
| RADSpaTM Viewer | | |
| Receive, store, retrieve, display and process digital medical images | | Yes |
| Display of clinical patient data when no access to work station | | Yes, Web based |
| Multi Planar Reconstruction (MPR) and 3D image rendering | | Yes |
| Maximum Intensity Projection (MIP) | | Yes |
| Distance measurements | | Yes |
| Standardized Uptake Value (SUV) | | Yes |
| Zoom/pan | | Yes |
| User authentication | | Yes |
| Modalities | | All |
| Operating platform | | Windows 2000 onwards |
| Hardware requirements | | Operating System: Microsoft Windows ALL VERSIONS
Processor speed: greater than 2GHz
RAM: 4 GB
Recommended viewing conditions |
| Image: Telerad Tech logo
Telerad Tech
Crow Homoure On DerTICT
ты | Telerad Tech Private Limited
510(k) Summary
Annexure 05 | |
| Video RAM: minimum of 256MBs Support for Direct X v9.0 drivers dated August, 2008 or more recently Support for Pixel Shader 2.0 or later. | Video RAM: minimum of 256MBS Support for Direct X v9.0 drivers dated August, 2008 or more recently Support for PixelShader 2.0 or later. Operating system: Microsoft Windows ALL VERSIONS | |

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5

Annexure 05

510(k) Summary

Telerad Tech

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elerad Tech Private Limited

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10(k) Summary

Telerad Tech"

Annexure 05

RADSpa™ MPR / MIP/3D

FeaturesSubject : RADSpa™ MPR / MIP/3DPredicate Device: Resolution MD™2.1
Intended use/ indications for useRADSpa™ MPR/MIP/3D components are used for post-processing and is designed to assist radiologists in the diagnostic analysis, visualization, and quantification of CT and MR images.
This device supports enhanced visualization and analysis techniques such as multi-planar and oblique reformats, maximum intensity projections, image averaging, subtraction and blinking of images acquired at different time points.
RADSpa™ MPR/MIP/3D is also used to perform post-processing analysis digital images from CT and MR. The software analysis tools may be applied to image subtractions, reformatted images, multi-planar reformats and maximum intensity projections. TheThe Resolution MD™ 2.1 is a software-based Picture Archiving and Communication System (PACS) used with general-purpose computing hardware for the display and 3D visualization of medical image data. It provides for communication, storage, reformatting, rendering, and display of DICOM 3.0 compliant image data derived from various; sources including CT and MRI.
The ResolutionMD™ 2:1 device incorporates a Calcium Scoring module which is used to identify and quantify calcified plaque within the coronary arteries. This protocol is performed on non contrast enhanced cardiac CT
Image: Telerad Tech logoTelerad Tech Private LimitedAnnexure 05
510(k) Summary
software package includes tools to
allow the radiologist to manipulate and
fly-through images for enhanced
visualization.
RADSpa™ MPR/MIP/3Dis not intended
for mobile devices.data sets. It also includes the
Coronary Artery Analysis protocol
which is used to visually identify
and measure stenosis in the
coronary arteries. This protocol is
performed on contrast-enhanced
cardiac CTA data sets.
The ResolutionMD™2.1 software
is intended for use as a
diagnostic, review, and analysis
tool by trained professionals such
as physicians, technologists, and
nurses. When interpreted by a
trained physician, reviewed
images may be used as an
element for diagnosis. It is the
user's responsibility to ensure
that the software is installed on
appropriate hardware and that
image quality is suitable for the
clinical application. Calgary
Scientific recommends that users
of the ResolutionMD™2.1

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Image: Telerad Tech logoTelerad Tech Private Limited
Telerad Tech510(k) SummaryAnnexure 05
software consult the appropriate
American College of Radiology
Practice Guidelines pertaining to
the anatomy and pathology being
studied.
Lossy compressed mammographic
images and digitized film screen
images must not be reviewed for
primary image interpretations.
Mammographic images may only
be interpreted using an FDA
approved monitor that offers at
least 5 Mpixel resolution and
meets other technical
specifications reviewed and
accepted by FDA.

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510(k) Summary

Telerad Tech

ನ್ನು ಸ

. "

Annexure 05

2D Features
Cross sectional imaging presents a wide array of
Image manipulation possibilities.
Being able to reconstruct multiple planes from a
single CT or MR dataset provides the reporting
physician the ability to view anatomical structures
from different aspects. Maximum Image
Projection views for better evaluation of vascular
structures.
The WL settings are carried over to the MPR or
MIP from the 2D display or the user can apply
presets to the reconstructed images.yesYes
All features of 2DyesYes
Slab MPR (Up To 393.8 mm) with Custom
entry:yesYes
The data set is rendered with a user defined slab
thickness for rapid and flexible reporting of large
datasets. As part of the workflow all views
automatically adjust to the newly applied
thickness. Users see this rendering in real time,
with server-grade performance.yesYes
MIP, minIP, Average Slab Rendering:
Allows the users to adjust the settings for various
rendering displays to see different anatomy and
pathology.yesYes
Orthogonal and Oblique MPR: User can change
the origin and orientation of the displayed MPR
slices by manipulating Image Cursor tool. This
feature allows you to inspect any region of
interest using the three-sided oblique MPR view.yesYes
MIP - Using maximum intensity projection (MIP)
for re-sampling basically gives the maximumyesYes

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Image: Telerad Tech logoTelerad Tech Private Limited
510(k) SummaryAnnexure 05
extent of high attenuation objects within the slab
From the current viewing direction. Another
advantage of MIP re-sampling is an increase of
spatial orientation since dense side objects may
become visible.Yes
MinMIP - Analogously the minimum intensity re-
sampling method (MinMIP) is intended to
emphasize structures of low attenuation.Yes
RaySum - Averaging the voxels projected to one
pixel in image space naturally results in blurred
images. Especially tiny structures tend to fade out
as well as calcified parts may decrease
attenuation. However especially for data sets with
low signal noise ratio this kind of re-sampling
improves the image quality.Yes
CPR: Curved planar reformations are two-
dimensional images that may be used to trace
the course of an anatomic structure through the
entire data set. Curved planar reformations can
delineate a curved path and display the whole
course of an anatomy in a single cross- section
image according to a manually drawn curved line.Yes
3D Features :
2D Features included
Collaboration, Pan, Window Width/Level, Linear
measurement, Zoom, WL Presets Text
Annotation, Keyboard Shortcuts, Screenshot,
Reset To Original View SettingsYes
3D visualization template: Predefined
visualization templates are designed to point out
object of interest such as bones, vessels, skin,
lungs, etc. precise tools for adjusting visualization
templates, creating new templates and saving
them for further use.Yes

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Image: Telerad Tech logo510(k) SummaryAnnexure 05
3D Tools: Trimming: Trimming the image
enables you to expose your region of interest or
remove certain parts of the image. Since the
region of interest can be Considerable smaller
then original image.yesYes
Thin Slab/Oblique Trim: Trim Mode is very
efficient and easy to use, but it can only trim
rectangle/orthogonal regions. Thin Slab tool
enables you to display only the region between
two parallel planes orientated in any direction –
this region is called Thin Slab.yesYes
Sculpting: To remove an arbitrary region from a
3D image, use the Sculpting tool. Sculpting tool
enables you to define a region on the 3D window
and remove all the data that lies within
boundaries of that region.yesYes
3D Flythrough: current position of the camera
and the target at which the camera is looking at.
User can drag the camera and the target to a new
position.yesYes

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Image /page/13/Picture/0 description: The image shows a logo for a company called "Telera". The logo consists of a circle with the letter "T" and the number "2" inside it. Below the letter and number are some lines that look like rays. To the right of the circle is the word "Telera" in a sans-serif font, with the words "Smarter Health" below it in a smaller font.

510(k) Summary

Annexure 05

Intended use:21 CFR 807.92 (a)(5)

RADSpa™ components are intended to be used in hospitals, imaging centers, radiologist reading practices and by any user who requires and is granted access to view patient's images, demographic and report information.

RADSpa™ PACS and Viewer

RADSpa™ PACS is a flexible, standards-compliant, web-based, workflow management solution designed for centralized and distributed imaging environments. This device consolidates all radiology exam information including images and reports from multiple systems into a centrally managed work list, which can be accessible using any browser. RADSpa™ PACS provides complete PACS functionality used to receive and manage DICOM images and make the data available across a network. RADSpa™ viewer is used for diagnosis and Primary Image Interpretation of DICOM compliant image data derived from all modalities. This component is not intended for mobile devices.

RADSpa™ MPR/MIP/3D

RADSpa™ MPR/MIP/3D components are used for post-processing and is designed to assist radiologists in the diagnostic analysis, visualization, and quantification of CT and MR images. This device supports enhanced visualization and analysis techniques such as multi-planar and oblique reformats, maximum intensity projections, image averaging, subtraction and blinking of images acquired at different time points.

RADSpa™ MPR/MIP/3D is also used to perform post-processing analysis digital images from CT and MR. The software analysis tools may be applied to image subtractions, reformatted images, multi-planar reformats and maximum intensity projections. The software package includes tools to allow the radiologist to manipulate and fly-through images for enhanced visualization.

RADSpa™ MPR/MIP/3Dis not intended for mobile devices.

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Image /page/14/Picture/0 description: The image shows the text "Telerad Tech Private Limited" in bold, black font. The text is displayed on a white background. The words are arranged in three lines, with "Telerad Tech" on the first line, "Private" on the second line, and "Limited" on the third line.

510(k) Summary

Annexure 05

Technological characteristics: 21 CFR 807.92 (a)(6)

The device does not contact the patient, nor does it control any life sustaining devices. A specialised physician interprets the images and information being displayed and printed.

Conclusion: 21 CFR 807.92 (b)

The 510(k) Pre-Market Notification for RADSpa™ contains adequate information and data to enable FDA - CDRH to determine substantial equivalence to the predicate device. The subject device has been and will be developed in accordance with the voluntary standards listed in the enclosed voluntary standard survey. The submission contains the results of a hazard analysis and the "Level of Concern for potential hazards has been classified as "minor".

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

June 20, 2014

TELERAD TECH Private Limited % Manoj Zacharias President Liberty Management Group Ltd. 2871 Coastal Drive AURORA IL 60503

Re: K141329 Trade/Device Name: RADSpaTM Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: April 23, 2014 Received: May 21, 2014

Dear Mr. Zacharias:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 device-related adverse events) (21 CFR 803); 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.

16

Page 2-Mr. Zacharias

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Janine M. Morris Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

for

Enclosure

17

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K141329

Device Name RADSpaTM

Indications for Use (Describe)

RADSpa™ components are intended to be used in hospitals, imaging centers, radiologist reading practices and by any user who requires and is granted access to view patient's images, demographic and report information.

RADSpa™ PACS and Viewer

RADSpaTM PACS is a flexible, standards-compliant, web-based, workflow management solution designed for centralized and distributed imaging environments. This device consolidates all radiology exam information including images and reports from multiple systems into a centrally managed work list, which can be accessible using any browser. RADSpa™ PACS provides complete PACS functionality used to receive and manage DICOM images and make the data available across a network. RADSpa™ viewer is used for diagnosis and Primary Image Interpretation of DICOM compliant image data derived from all modalities. This component is not intended for mobile devices.

RADSpa™ MPR/MIP/3D

RADSpa™ MPR/MIP/3D components are used for post-processing and is designed to assist radiologists in the diagnostic analysis, visualization, and quantification of CT and MR images. This device supports enhanced visualization and analysis techniques such as multi-planar and oblique reformats, maximum intensity projections, image averaging, subtraction and blinking of images acquired at different time points.

RADSpa™ MPR/MIP/3D is also used to perform post-processing andlysis digital images from CT and MR. The software analysis tools may be applied to image subtractions, reformatted images, multi-planar reformats and maximum intensity projections. The software package includes tools to allow the radiologist to manipulate and fly-through images for enhanced visualization.

RADSpaTM MPR/MIP/3D is not intended for mobile devices.

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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