K Number
K172256
Device Name
SoftVue
Date Cleared
2018-03-02

(219 days)

Product Code
Regulation Number
892.1560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
SoftVue™ is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast when used with an automatic scanning curvilinear array transducer. The device is not intended to be used as a replacement for screening mammography.
Device Description
SoftVue™ 3.0 is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast using a curvilinear array transducer that completely surrounds the breast. The SoftVue™ System is comprised of the following subsystems: Transducer, Table/Housing Assembly, Water Conditioning System, Computer Control System, Image Reconstruction System, Power System, and the Data Acquisition System. The SoftVue™ System has a built-in curvilinear transducer that is used to acquire ultrasound data. Data are acquired from a patient lying prone on the table with their breast submerged in an imaging chamber filled with warm (body temperature) water. The breast is positioned in the center of the transducer. A Breast Interface Assembly connects to the distal end of the breast using a gentle vacuum, drawing the breast downward to center, shape, and stabilize the breast for optimal imaging. Cameras located at the bottom of the imaging chamber provide a live video feed to the system operator to aid in positioning the patient's breast. Once the scan is initiated, the transducer collects data that are processed to produce a series of B-mode ultrasound image slices that can be stacked to yield a volumetric ultrasound image of the breast. SoftVue™ also outputs colorized and grayscale relative stiffness image stacks that provide the radiologist with additional reference information. The Water Control System is used to de-gas and warm the water that is used as the image acquisition medium. The Computer Control System controls the functionality of the other subsystems. The reconstruction engine processes the image data acquired by the transducer ring into B-mode ultrasound images. The system includes a touchscreen display (user interface). The touchscreen display allows the user to control the system and perform an imaging procedure. Patient information is entered into the system using the QWERTY keyboard on the touchscreen display, or the user can import the patient information from a DICOM modality worklist on an externally networked RIS server. Device errors and warnings are displayed on the touchscreen display. SoftVue™ outputs the images to an externally networked PACS server which allows the images to be stored until they are reviewed on a workstation.
More Information

Not Found

No
The document describes standard image processing and reconstruction techniques for ultrasound data and does not mention AI or ML.

No
The device is described as an "ultrasonic imaging system" used to produce images of the breast, and there is no mention of it being used for treatment or therapy. Its purpose is diagnostic imaging.

Yes

The device is an imaging system (B-mode ultrasonic imaging system) that produces images and "colorized and grayscale relative stiffness image stacks that provide the radiologist with additional reference information." This information is used by a radiologist to make a diagnosis.

No

The device description clearly outlines multiple hardware components including a transducer, table/housing assembly, water conditioning system, computer control system, power system, data acquisition system, and a touchscreen display. It is an imaging system that relies on physical hardware to acquire and process data.

Based on the provided text, the SoftVue™ device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the body (like blood, urine, tissue). The SoftVue™ device is an imaging system that uses ultrasound to visualize the breast within the body.
  • The intended use and device description clearly state it's an imaging system for the breast. It acquires ultrasound data and processes it into images.
  • There is no mention of analyzing biological samples or performing tests on specimens.

Therefore, SoftVue™ falls under the category of a medical imaging device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

SoftVue™ is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast when used with an automatic scanning curvilinear array transducer. The device is not intended to be used as a replacement for screening mammography.

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

IYO, ITX

Device Description

SoftVue™ 3.0 is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast using a curvilinear array transducer that completely surrounds the breast. The SoftVue™ System is comprised of the following subsystems: Transducer, Table/Housing Assembly, Water Conditioning System, Computer Control System, Image Reconstruction System, Power System, and the Data Acquisition System.

The SoftVue™ System has a built-in curvilinear transducer that is used to acquire ultrasound data. Data are acquired from a patient lying prone on the table with their breast submerged in an imaging chamber filled with warm (body temperature) water. The breast is positioned in the center of the transducer. A Breast Interface Assembly connects to the distal end of the breast using a gentle vacuum, drawing the breast downward to center, shape, and stabilize the breast for optimal imaging. Cameras located at the bottom of the imaging chamber provide a live video feed to the system operator to aid in positioning the patient's breast.

Once the scan is initiated, the transducer collects data that are processed to produce a series of B-mode ultrasound image slices that can be stacked to yield a volumetric ultrasound image of the breast. SoftVue™ also outputs colorized and grayscale relative stiffness image stacks that provide the radiologist with additional reference information.

The Water Control System is used to de-gas and warm the water that is used as the image acquisition medium. The Computer Control System controls the functionality of the other subsystems. The reconstruction engine processes the image data acquired by the transducer ring into B-mode ultrasound images.

The system includes a touchscreen display (user interface). The touchscreen display allows the user to control the system and perform an imaging procedure. Patient information is entered into the system using the QWERTY keyboard on the touchscreen display, or the user can import the patient information from a DICOM modality worklist on an externally networked RIS server. Device errors and warnings are displayed on the touchscreen display.

SoftVue™ outputs the images to an externally networked PACS server which allows the images to be stored until they are reviewed on a workstation.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

B-mode ultrasonic imaging

Anatomical Site

patient's breast

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Radiologist

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)

The function and performance of the modified SoftVue device has been evaluated through non-clinical design verification and validation testing, consisting of both subsystem and full system evaluation. Testing includes system performance and image quality tests. The results of the evaluation tests demonstrate that the modified SoftVue device successfully meets the requirements of its intended use.

No clinical testing is required to be performed to assess the changes to the SoftVue System. However, a phantom imaging analysis was conducted to assess performance against established requirements. A description of the phantom testing and results are contained in this submission.

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.

K142517

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

§ 892.1560 Ultrasonic pulsed echo imaging system.

(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Delphinus Medical Technologies % Ms. Jillian M. Reed Regulatory and Clinical Affairs Consultant 45525 Grand River Avenue NOVI MI 48374

March 2, 2018

Re: K172256

Trade/Device Name: SoftVue Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO, ITX Dated: January 26, 2018 Received: January 31, 2018

Dear Ms. Reed:

We have reviewed vour 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 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

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Michael D. O'Hara
For

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

Enclosure

2

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)K172256
Device NameSoftVue
Indications for Use (Describe)SoftVue™ is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast when used with an automatic scanning curvilinear array transducer. The device is not intended to be used as a replacement for screening mammography.
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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (1/14)Page 1 of 1
-----------------------------------

3

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Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWD
DopplerColor
(Specify)Combined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging & OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Breast)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral VesselPeripheral vessel
Other (Specify)

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4

1.0 Submitter Information

  • 1.1 This Premarket Notification is submitted by:
    Delphinus Medical Technologies, Inc. 45525 Grand River Avenue Novi, MI 48374

  • 1.2 Contact Information:

Contact Name:Jillian M. Reed
Office Telephone:860-238-7724
E-mail:jillianreed@charter.net
  • 1.3 Date: February 20, 2018

Device Name 2.0

  • Trade/ Proprietary Name: SoftVue 2.1
  • 2.2 Common Name:
    • A System, Imaging, Pulsed Echo Ultrasonic
    • Transducer, Ultrasonic, Diagnostic A

2.3 Classification Name:

  • 21 CFR § 892.1560: Ultrasonic pulsed echo imaging system

  • 21 CFR § 892.1570: Diagnostic ultrasonic transducer

2.4 Product Codes

  • IYO Ultrasonic pulsed echo imaging system

  • ITX Diagnostic ultrasound transducer

3.0 Predicate Device

The predicate device is identified as SoftVue™ 2.0, manufactured by Delphinus Medical Technologies. SoftVue™ 2.0 received market clearance under 510(k) number K142517.

4.0 Device Description

SoftVue™ 3.0 is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast using a curvilinear array transducer that completely surrounds the breast. The SoftVue™ System is comprised of the following subsystems: Transducer, Table/Housing Assembly, Water Conditioning System, Computer Control System, Image Reconstruction System, Power System, and the Data Acquisition System.

5

The SoftVue™ System has a built-in curvilinear transducer that is used to acquire ultrasound data. Data are acquired from a patient lying prone on the table with their breast submerged in an imaging chamber filled with warm (body temperature) water. The breast is positioned in the center of the transducer. A Breast Interface Assembly connects to the distal end of the breast using a gentle vacuum, drawing the breast downward to center, shape, and stabilize the breast for optimal imaging. Cameras located at the bottom of the imaging chamber provide a live video feed to the system operator to aid in positioning the patient's breast.

Once the scan is initiated, the transducer collects data that are processed to produce a series of B-mode ultrasound image slices that can be stacked to yield a volumetric ultrasound image of the breast. SoftVue™ also outputs colorized and grayscale relative stiffness image stacks that provide the radiologist with additional reference information.

The Water Control System is used to de-gas and warm the water that is used as the image acquisition medium. The Computer Control System controls the functionality of the other subsystems. The reconstruction engine processes the image data acquired by the transducer ring into B-mode ultrasound images.

The system includes a touchscreen display (user interface). The touchscreen display allows the user to control the system and perform an imaging procedure. Patient information is entered into the system using the QWERTY keyboard on the touchscreen display, or the user can import the patient information from a DICOM modality worklist on an externally networked RIS server. Device errors and warnings are displayed on the touchscreen display.

SoftVue™ outputs the images to an externally networked PACS server which allows the images to be stored until they are reviewed on a workstation.

Intended Use 5.0

SoftVue™ is indicated for use as a B-mode ultrasonic imaging system for imaging of a patient's breast when used with an automatic scanning curvilinear array transducer. The device is not intended to be used as a replacement for screening mammography.

Predicate Device Comparison 6.0

Delphinus Medical Technologies claims that the SoftVue device is substantially equivalent to the SoftVue system cleared by the FDA in K142517. Delphinus Medical Technologies claims substantial equivalence because the proposed device has an equivalent intended use, manufacturing materials, operating principles, physical and operational specifications as compared to the predicate device.

The SoftVue device and the predicate device utilize B-mode grayscale ultrasound images to achieve their intended use. Both the modified SoftVue device and the predicate SoftVue device are table-top systems that have automatic scanning transducers to image breast tissue.

The specific details regarding similarities and differences between the modified SoftVue 3.0 device and the predicate SoftVue 2.0 device have been identified and explained in the

6

Comparison Table section of this submission. A summary of the similarities and differences between the modified SoftVue 3.0 device and the predicate SoftVue 2.0 device is included below. The differences noted between the modified SoftVue 3.0 device and the predicate SoftVue 2.0 device do not present any new issues related to safety and effectiveness.

Similarities:

  • A The modified and predicate SoftVue devices use an automated transducer to acquire stacked coronal images of a patient's breast.
  • The modified and predicate SoftVue devices use broadband transducers. A
  • A The modified and predicate SoftVue devices have a single operating frequency of 3 MHz.
  • A Both systems acquire and process B-mode grayscale images of a patient's breast.
  • A Both systems position the patient in a prone position lying on the examination table with the patient's breast in a pendulous position within an imaging chamber.
  • A Both systems position the patient's breast in a fluid environment to eliminate the need for breast compression and facilitate the transmission of ultrasound waves.

Differences:

  • A The modified SoftVue device includes a Breast Interface Assembly which is used to center, stabilize, and optimize the shape of the breast. The predicate device does not have a Breast Interface Assembly.
  • A The modified SoftVue device allows user access to directly view the sound speed images used to create the color relative stiffness maps. Access to these images is for additional reference information only. The predicate device does not allow user access to sound speed images.
  • A The modified SoftVue device uses a single-crystal transducer. The predicate device uses a standard PZT crystal.
  • A The modified SoftVue device uses a different transducer array firing pattern, as compared to the predicate device.
  • The modified SoftVue device delivers an update transmit pulse configuration to enhance low frequency content.

  • A The modified SoftVue device offers an alternative reflection imaging output that combines reflection and sound speed images, as additional reference information for radiologists. The predicate device does not output an alternative reflection image.

7.0 Summary of Non-Clinical Testing

  • The function and performance of the modified SoftVue device has been evaluated 7.1 through non-clinical design verification and validation testing, consisting of both subsystem and full system evaluation. Testing includes system performance and image

7

quality tests. The results of the evaluation tests demonstrate that the modified SoftVue device successfully meets the requirements of its intended use.

  • 7.2 The SoftVue system has undergone acoustic output testing and was found to be well within industry-accepted limits.
  • 7.3 The SoftVue system has been tested to applicable industry safety standards listed in Table 3, below.
Standard # and DateStandard Title
AAMI/IEC 60601-1:2005;
Corr. 1:2006; Corr. 2:2007Medical Electrical Equipment - Part 1: General Requirements for Safety, 1988;
Amendment 1, 1991-11, Amendment 2, 1995
IEC 60601-1-2:2007Medical Electrical Equipment - Part 1-2: General Requirements for Safety -
Collateral standard: Electromagnetic Compatibility - Requirements and Tests
(Edition 2:2001 with Amendment 1:2004)
IEC 62304:2006Medical device software - Software life cycle processes
IEC 60601-2-37:2007Medical electrical equipment - Part 2-37: Particular requirements for the basic
safety and essential performance of ultrasonic medical diagnostic and
monitoring equipment.

Table 1: Safety Testing

8.0 Summary of Clinical Testing

  • 8.1 No clinical testing is required to be performed to assess the changes to the SoftVue System. However, a phantom imaging analysis was conducted to assess performance against established requirements. A description of the phantom testing and results are contained in this submission.

9.0 Conclusion

The modified SoftVue 3.0 device performs as intended and is substantially equivalent to the predicate SoftVue 2.0 device with respect to intended use, design, principles of operation, technology, materials, and performance. Any noted differences do not raise any new issues of safety and effectiveness.