K Number
K152584
Device Name
Stroke VCAR
Date Cleared
2016-01-20

(132 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Stroke VCAR is a CT image analysis software package that provides information to physicians to assist them in the analysis and visualization of Brain CT data derived from DICOM 3.0 compliant CT scans. Stroke VCAR is designed for the purpose of segmenting and assessing intracerebral and intracranial hemorrhages in the brain using semi-automated tools on non-contrast CT exams. Additionally Stroke VCAR provides a set of workflow tools for the segmentation and visualization of aneurysms in the brain from contrast enhanced CT exams. It is intended for use by clinicians to process, review, archive, print and distribute CT studies. This software will assist the user by providing initial 3D segmentation, measurements and visualization of hemorrhages and aneurysm in the brain. The user has the ability to adjust, review and has to confirm the final segmentation.
Device Description
Stroke VCAR is intended to provide 2D and 3D processing, review and analysis of CT images originally acquired to evaluate the cerebral vascular system and/or intracranial bleeding. The combination of the acquired images, reconstructed images, and measurements performed by the clinician using Stroke VCAR are intended to provide the referring physician clinically relevant information for the purpose of diagnosis, treatment planning and follow-up.
More Information

No
The summary describes "semi-automated tools" and "initial 3D segmentation" that the user can adjust and confirm. While this involves automation and image processing, there is no mention of AI, ML, deep learning, or any related terms, nor is there a description of training or test sets in a way that would typically indicate an ML model. The description points to traditional image processing and segmentation algorithms rather than AI/ML.

No
The device is a CT image analysis software designed for diagnosis and treatment planning, not for providing direct therapy. It assists clinicians by processing and visualizing CT data.

Yes
The "Intended Use / Indications for Use" section states that the software "provides information to physicians to assist them in the analysis and visualization of Brain CT data" for "segmenting and assessing intracerebral and intracranial hemorrhages" and "segmentation and visualization of aneurysms". The "Device Description" also notes that the information combined with clinician measurements is "intended to provide the referring physician clinically relevant information for the purpose of diagnosis, treatment planning and follow-up." These statements clearly indicate the device's role in the diagnostic process.

Yes

The device is described as a "CT image analysis software package" and its function is to process and analyze CT images. There is no mention of accompanying hardware or hardware components being part of the device itself.

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: The description clearly states that Stroke VCAR is a CT image analysis software package. It processes and analyzes medical images (CT scans) of the brain.
  • No mention of biological samples: There is no indication that this device interacts with or analyzes any biological samples from the patient. Its input is image data.

Therefore, Stroke VCAR falls under the category of medical image processing software, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Stroke VCAR is a CT image analysis software package that provides information to physicians to assist them in the analysis and visualization of Brain CT data derived from DICOM 3.0 compliant CT scans. Stroke VCAR is designed for the purpose of segmenting and assessing intracerebral and intracranial hemorrhages in the brain using semi-automated tools on non-contrast CT exams. Additionally Stroke VCAR provides a set of workflow tools for the segmentation and visualization of aneurysms in the brain from contrast enhanced CT exams. It is intended for use by clinicians to process, review, archive, print and distribute CT studies.

This software will assist the user by providing initial 3D segmentation, measurements and visualization of hemorrhages and aneurysm in the brain. The user has the ability to adjust, review and has to confirm the final segmentation.

Product codes

JAK

Device Description

Stroke VCAR is intended to provide 2D and 3D processing, review and analysis of CT images originally acquired to evaluate the cerebral vascular system and/or intracranial bleeding. The combination of the acquired images, reconstructed images, and measurements performed by the clinician using Stroke VCAR are intended to provide the referring physician clinically relevant information for the purpose of diagnosis, treatment planning and follow-up.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT

Anatomical Site

Brain

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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

A clinical evaluation study using consented clinical images was conducted by three CT technologists in Part 1 and three board certified neuroradiologists in Part 2a and Part 2b who were considered experts. The study was meant to assess the following:

  • Productivity benefits of automated vs. manual hematoma segmentation (Part 1)
  • General user Qualitative feedbacks of the Stroke VCAR edition tools (Part 2a and Part 2b)

The study results demonstrated that the workflow time to perform automated hematoma segmentation utilizing the Stroke VCAR hematoma edition tool was significantly less than the workflow time to perform hematoma segmentation manually.

Additionally study results clearly show that Stroke VCAR adds diagnostic value to the current hematoma and aneurysm clinical workflow and is a useful tool for neuroradiologists to providing comprehensive stroke work-up including automated hematoma and aneurysm processing and analysis, quantification and monitoring.

Key Metrics

Not Found

Predicate Device(s)

K041521 - Volume Viewer Plus

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of two main elements: a circular text element and a symbol. The text element reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion. The symbol is a stylized representation of three human profiles facing to the right, with flowing lines beneath them.

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

January 20, 2016

Ge Medical Systems SCS % Jeme Wallace Regulatory Affairs Director GE Healthcare 540 W Northwest Highway BARRINGTON IL 60010

Re: K152584

Trade/Device Name: Stroke VCAR Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: JAK Dated: December 17, 2015 Received: September 18, 2015

Dear Jeme Wallace:

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 Oolo

Robert Ochs. Ph.D. 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) K152584

Device Name Stroke VCAR

Indications for Use (Describe)

Stroke VCAR is a CT image analysis software package that provides information to physicians to assist them in the analysis and visualization of Brain CT data derived from DICOM 3.0 compliant CT scans. Stroke VCAR is designed for the purpose of segmenting and assessing intracerebral and intracranial hemorrhages in the brain using semi-automated tools on non-contrast CT exams. Additionally Stroke VCAR provides a set of workflow tools for the segmentation and visualization of aneurysms in the brain from contrast enhanced CT exams. It is intended for use by clinicians to process, review, archive, print and distribute CT studies.

This software will assist the user by providing initial 3D segmentation, measurements and visualization of hemorrhages and aneurysm in the brain. The user has the ability to adjust, review and has to confirm the final segmentation.

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

X 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/1 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'g' and 'e' intertwined in a stylized script, enclosed within a blue circle. The circle is surrounded by a decorative, swirling pattern, also in blue, giving the logo a classic and recognizable appearance.

510(k) Summary

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

Date:September 9, 2015
Submitter:GE Medical Systems SCS
283, rue de la Minière
78530 Buc, France
Primary Contact Person:Peter Uhlir
Regulatory Affairs Leader
Tel: 00 36 1 4793318
Fax: (847) 277 5240
Secondary Contact
Person:Jeme Wallace
Regulatory Affairs Director
GE Healthcare
Tel: (847) 277 4468
Fax: (847) 277 5240
Device Trade Name:Stroke VCAR
Common/Usual Name:Stroke VCAR
Classification Names:21CFR 892.1750, Radiology
Product Code:JAK
Predicate Device(s):K041521 - Volume Viewer Plus
Device Description /
Intended Use:Stroke VCAR is intended to provide 2D and 3D processing,
review and analysis of CT images originally acquired to evaluate
the cerebral vascular system and/or intracranial bleeding. The
combination of the acquired images, reconstructed images,
and measurements performed by the clinician using Stroke
VCAR are intended to provide the referring physician clinically
relevant information for the purpose of diagnosis, treatment
planning and follow-up.
Indications for Use:Stroke VCAR is a CT image analysis software package that
provides information to physicians to assist them in the analysis
and visualization of Brain CT data derived from DICOM 3.0
compliant CT scans. Stroke VCAR is designed for the purpose of
segmenting and assessing intracerebral and intracranial
hemorrhages in the brain using semi-automated tools on non-
contrast CT exams. Additionally Stroke VCAR provides a set of
workflow tools for the segmentation and visualization of
aneurysms in the brain from contrast enhanced CT exams. It is
intended for use by clinicians to process, review, archive, print
and distribute CT studies.
This software will assist the user by providing initial 3D segmentation, measurements and visualization of hemorrhages and aneurysm in the brain. The user has the ability to adjust, review and has to confirm the final segmentation.
Technology:The Stroke VCAR software employs the same fundamental
scientific technology as its predicate device.
Determination of
Substantial Equivalence:Summary of Non-Clinical Tests:
The Stroke VCAR software complies with NEMA PS 3.1 - 3.20
(2011) Digital Imaging and Communications in Medicine (DICOM)
Set (Radiology) standard.
The Stroke VCAR software employs the same fundamental
scientific technology as its predicate device (Volume Viewer).
Stroke VCAR SW uses the equivalent CT DICOM image data
input requirements. It has equivalent display, formatting,
archiving and visualization technologies compared to the
predicate device. Stroke VCAR utilizes the enhanced
segmentation tools (threshold, auto-select) already found in
Volume Viewer and optimizes the segmentation algorithms for Hematoma segmentation and Aneurysm segmentation.
Thorough testing of these capabilities has not raised any safety or effectiveness issues.
The following quality assurance measures were applied to the development of the system:
Risk Analysis Requirements Reviews Design Reviews Integration testing (System verification) Performance testing (Bench testing, validation) Safety testing (Verification)
Summary of Clinical tests:
A clinical evaluation study using consented clinical images was
conducted by three CT technologists in Part 1 and three board
certified neuroradiologists in Part 2a and Part 2b who were
considered experts. The study was meant to assess the
following:
■ Productivity benefits of automated vs. manual hematoma
segmentation (Part 1)
■ General user Qualitative feedbacks of the Stroke VCAR
edition tools (Part 2a and Part 2b)
The study results demonstrated that the workflow time to
perform automated hematoma segmentation utilizing the
Stroke VCAR hematoma edition tool was significantly less than
the workflow time to perform hematoma segmentation
manually.
Additionally study results clearly show that Stroke VCAR adds
diagnostic value to the current hematoma and aneurysm
clinical workflow and is a useful tool for neuroradiologists to
providing comprehensive stroke work-up including automated
hematoma and aneurysm processing and analysis,
quantification and monitoring.
The substantial equivalence determination is based on the
software documentation for a MODERATE level of concern
device.
Conclusion:GE Healthcare considers the Stroke VCAR software application
to be as safe, as effective, and performance is substantially
equivalent to the predicate device.

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Image /page/4/Picture/1 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 swirling lines around the letters, giving the impression of movement or energy. The logo is simple and recognizable, and it is often used to represent the company's brand.

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Image /page/5/Picture/1 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'GE' in a stylized script, enclosed within a blue circle. The circle has a swirling pattern around the letters, giving it a dynamic and recognizable appearance.