K Number
K143361
Device Name
Mammo Workstation
Manufacturer
Date Cleared
2015-03-26

(122 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MammoWorkstation is designed to assist radiologists in conducting primary diagnostic review for diagnostic and screening mammography through flexible and interactive manipulation of multi-modality softcopy images. It provides image review, manipulation, analysis, post-processing and printing capabilities that support image management display needs in the medical environment. MammoWorkstation is designed to give easy and economic access to and display of multi-modality softcopy images, structured reports, and CAD results through interfaces to various image storage devices using DICOM or similar interface standards. It supports creation of structured reports according to the DICOM breast imaging report templates. MammoWorkstation supports teleradiology and teleconferencing providing access to multi-modality softcopy images and structured reports in multiple locations within and outside the hospital. Lossy compressed mammographic images must not be used for primary diagnostic interpretation unless approved for use in digital mammography. Display monitors used for primary diagnostic interpretation of mammographic images must be approved for use in digital mammography. All images sent to or imported in the Mammoworkstation must conform to regulatory requirements. Image quality must conform with applicable quality guidelines. All modalities must be certified for soft-copy reading.
Device Description
The MammoWorkstation is a medical image review workstation software for diagnostic and screening mammography. MammoWorkstation has the capability to review Digital Breast Tomosynthesis (DBT) images that are compatible with DICOM Breast Tomosynthesis Image Storage. A synthetized 2D image, called V-Preview, is generated from the GE DBT set by MammoWorkstation and can be displayed before or during the diagnostic interpretation review of the DBT set. It can be used for the pre-review of the DBT set or as additional image but does not replace the FFDM image. It is a software product
More Information

Not Found

No
The document describes a medical image review workstation with standard image processing and display capabilities. There is no mention of AI, ML, or related terms, nor any description of training or test sets typically associated with AI/ML development. The focus is on image manipulation, display, and integration with existing systems and standards.

No.
The device is for reviewing and manipulating images for diagnostic purposes, not for treating or preventing disease.

Yes
The 'Intended Use / Indications for Use' section explicitly states that "MammoWorkstation is designed to assist radiologists in conducting primary diagnostic review for diagnostic and screening mammography." This indicates its role in the diagnostic process.

Yes

The device description explicitly states "It is a software product" and the functionality described (image review, manipulation, analysis, post-processing, reporting, teleradiology) is consistent with software-based image processing and management, without mentioning any dedicated hardware components included with the device. While it interacts with hardware (displays, storage devices), the device itself is presented as software.

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

Here's why:

  • IVD Definition: IVD devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This information is typically used for diagnosis, monitoring, or screening.
  • MammoWorkstation's Function: The MammoWorkstation is a software workstation designed for the review and manipulation of medical images (specifically mammography images). It assists radiologists in interpreting these images for diagnostic and screening purposes. It does not analyze biological specimens.

The device description and intended use clearly indicate that its function is related to image processing and display for diagnostic interpretation by a radiologist, not the analysis of biological samples.

N/A

Intended Use / Indications for Use

MammoWorkstation is designed to assist radiologists in conducting primary diagnostic review for diagnostic and screening mammography through flexible and interactive manipulation of multi-modality softcopy images. It provides image review, manipulation, analysis, post-processing and printing capabilities that support image management display needs in the medical environment.

MammoWorkstation is designed to give easy and economic access to and display of multi-modality softcopy images, structured reports, and CAD results through interfaces to various image storage devices using DICOM or similar interface standards. It supports creation of structured reports according to the DICOM breast imaging report templates.

MammoWorkstation supports teleradiology and teleconferencing providing access to multi-modality softcopy images and structured reports in multiple locations within and outside the hospital.

Lossy compressed mammographic images must not be used for primary diagnostic interpretation unless approved for use in digital mammography.

Display monitors used for primary diagnostic interpretation of mammographic images must be approved for use in digital mammography.

All images sent to or imported in the MammoWorkstation must conform to regulatory requirements. Image quality must conform with applicable quality guidelines. All modalities must be certified for soft-copy reading.

Product codes

LLZ

Device Description

The MammoWorkstation is a medical image review workstation software for diagnostic and screening mammography. MammoWorkstation has the capability to review Digital Breast Tomosynthesis (DBT) images that are compatible with DICOM Breast Tomosynthesis Image Storage. A synthetized 2D image, called V-Preview, is generated from the GE DBT set by MammoWorkstation and can be displayed before or during the diagnostic interpretation review of the DBT set. It can be used for the pre-review of the DBT set or as additional image but does not replace the FFDM image. It is a software product.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

multi-modality softcopy images, Digital Breast Tomosynthesis (DBT) images, mammographic images

Anatomical Site

Breast

Indicated Patient Age Range

Not Found

Intended User / Care Setting

radiologists, medical environment, hospital

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)

Summary of Non-Clinical Tests: The MammoWorkstation and its applications comply with voluntary standards as detailed in Section 9, 11 and 17 of this premarket submission. The following quality assurance measures: Risk Analysis Requirements, Reviews, Design Reviews, Testing on unit level (Module verification), Integration testing (System verification), Performance testing (Verification), Safety testing (Verification), Simulated use testing (Validation).

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.

MammoWorkstation (K123575)

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

March 26, 2015

GE Healthcare % Mr. Mounir Zaouali Regulatory Affairs Leader Oskar-Schlemmer-Str. 11 Munich D-80807 GERMANY

Re: K143361

Trade/Device Name: MammoWorkstation Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: March 4, 2015 Received: March 9, 2015

Dear Mr. Zaouali:

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.

1

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/Resourcesfor You/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,

Robert A Ochs

Robert Ochs, Ph.D. Acting Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K143361

Device Name MammoWorkstation

Indications for Use (Describe)

MammoWorkstation is designed to assist radiologists in conducting primary diagnostic review for diagnostic and screening mammography through flexible and interactive manipulation of multi-modality softcopy images. It provides image review, manipulation, analysis, post-processing and printing capabilities that support image management display needs in the medical environment.

MammoWorkstation is designed to give easy and economic access to and display of multi-modality softcopy images, structured reports, and CAD results through interfaces to various image storage devices using DICOM or similar interface standards. It supports creation of structured reports according to the DICOM breast imaging report templates.

MammoWorkstation supports teleradiology and teleconferencing providing access to multi-modality softcopy images and structured reports in multiple locations within and outside the hospital.

Lossy compressed mammographic images must not be used for primary diagnostic interpretation unless approved for use in digital mammography.

Display monitors used for primary diagnostic interpretation of mammographic images must be approved for use in digital mammography.

All images sent to or imported in the Mammoworkstation must conform to regulatory requirements. Image quality must conform with applicable quality guidelines. All modalities must be certified for soft-copy reading.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the logo for General Electric (GE). The logo is a blue circle with the letters "GE" in white inside. The letters are in a stylized font, and there are swirling lines around the letters. The logo is simple and recognizable.

GE Healthcare 510(k) Premarket Notification Submission

510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:March 24, 2015
Submitter:GE Healthcare (Image Diagnost International)
Oskar-Schlemmer-Str. 11;
80807 München, Germany
Primary Contact Person:Mounir Zaouali, RAC
Regulatory Affairs Leader
GE Healthcare,
283 RUE DE LA MINIERE
78530 BUC - FRANCE
Phone : + 33 1 30 70 45 39
Fax : + 33 1 30 70 41 40
Mounir.Zaouali@ge.com
Secondary Contact Person:Gregory Pessato
Regulatory Affairs Leader
GE Healthcare,
283 RUE DE LA MINIERE
78530 BUC - FRANCE
Phone : + 33 1 30 70 93 16
Fax : + 33 1 30 70 41 40
Gregory.Pessato@ge.com
Device Trade Name:MammoWorkstation
Common/Usual Name:Medical imaging software
Classification Names:Picture archiving and communication system
Class II CFR 892.2050 System, Image Processing, Radiological,
Product Code:LLZ
Predicate Device(s):MammoWorkstation (K123575)
Device Description:The MammoWorkstation is a medical image review workstation
software for diagnostic and screening mammography.
MammoWorkstation has the capability to review Digital Breast
Tomosynthesis (DBT) images that are compatible with DICOM
Breast Tomosynthesis Image Storage.
A synthetized 2D image, called V-Preview, is generated from the
GE DBT set by MammoWorkstation and can be displayed before
or during the diagnostic interpretation review of the DBT set. It
can be used for the pre-review of the DBT set or as additional
image but does not replace the FFDM image.
It is a software product
Intended Use:
MammoWorkstation is designed to assist radiologists in
conducting primary diagnostic review for diagnostic and
screening mammography through flexible and interactive
manipulation of multi-modality softcopy images.
It provides image review, manipulation, analysis, post-processing
and printing capabilities that support image management display
needs in the medical environment.
MammoWorkstation is designed to give easy and economic
access to and display of multi-modality softcopy images,
structured reports, and CAD results through interfaces to various
image storage devices using DICOM or similar interface
standards. It supports creation of structured reports according to
the DICOM breast imaging report templates.
MammoWorkstation supports teleradiology and teleconferencing
providing access to multi-modality softcopy images and
structured reports in multiple locations within and outside the
hospital.
Lossy compressed mammographic images must not be used for
primary diagnostic interpretation unless approved for use in
digital mammography.
Display monitors used for primary diagnostic interpretation of
mammographic images must be approved for use in digital
mammography.
All images sent to or imported in the MammoWorkstation must
conform to regulatory requirements. Image quality must conform
with applicable quality guidelines. All modalities must be
certified for soft-copy reading.
Technology:MammoWorkstation is software product. It is designed to run on
a standard workstation with a minimum of three monitors, one
control monitor and high-resolution monitor (s) that are cleared
for mammography review.
It runs on Windows Operating System.
Comparison of technological characteristics with the predicate
device
Adequate display and manipulation for the review of
Mammography and DBT images are the technological principles
for both the subject and predicate device.
The main differences between the subject and the predicate
device are :
V-Preview images on the predicate device were used for pre-
review of the breast before diagnostic review of the DBT set of
images.
To enhance the radiology workflow, the subject device has
incorporated the following changes:
The V-Preview images will be labeled as "2D: Synthesized"
and
"V-Preview
For navigation use only
does not replace FFDM"
to distinguish them from non-synthesized images.
V-Preview images can be annotated and printed or transferred
to a PACS for storage or viewing in alternate locations.
In addition to the standard MammoWorkstation configuration,
V-Preview images can be generated by the DicomShuttle
configuration.
Determination of
Substantial Equivalence:Summary of Non-Clinical Tests:
The MammoWorkstation and its applications comply with
voluntary standards as detailed in Section 9, 11 and 17 of this
premarket submission. The following quality assurance measures

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Image /page/4/Picture/0 description: The image shows the General Electric (GE) logo. The logo consists of the letters "GE" intertwined in a stylized, cursive font. The letters are enclosed within a circular border that has a swirling design around the perimeter. The logo is colored in a light blue hue.

GE Healthcare 510(k) Premarket Notification Submission

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Image /page/5/Picture/0 description: The image shows the logo for General Electric (GE). The logo is a blue circle with the letters "GE" in a stylized font in the center. There are decorative swirls around the letters. The logo is simple and recognizable, and it is often used to represent the company.

GE Healthcare 510(k) Premarket Notification Submission

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Image /page/6/Picture/0 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'GE' in a stylized, cursive font, enclosed within a circular shape. The logo is colored in a light blue hue. The logo is simple and recognizable.

GE Healthcare 510(k) Premarket Notification Submission

Risk Analysis Requirements Reviews Design Reviews Testing on unit level (Module verification) Integration testing (System verification) Performance testing (Verification) Safety testing (Verification) Simulated use testing (Validation)
Conclusion:GE Healthcare considers the MammoWorkstation to be as safe, as effective, and performance is substantially equivalent to the predicate device.