K Number
K181460
Device Name
OnePacs System
Manufacturer
Date Cleared
2018-10-11

(129 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentation", and will include standard features and other tools for analyzing mammography images. Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary diagnosis or image interpretation. For primary diagnosis, post process DICOM "for presentation" images must be used. Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images.
Device Description
The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. The OnePacs system is a software only product and does not include any hardware accessories or peripheral devices. It is designed to work on generic PC hardware that meets minimum system requirements. The OnePacs System is comprised of following main interrelated software elements/ components: - OnePacs Cloud (OPS) - OnePacs Workstation (OPW) - OnePacs Workstation for macOS (OPX) - OnePacs Webviewer (OPWEBV) - OnePacs Study Retriever (OPSR) - OnePacs Gateway (OPG)
More Information

Not Found

No
The document describes a standard PACS system for image management and display, with no mention of AI or ML capabilities in the intended use, device description, or performance studies.

No
This device is an image management system (PACS) that archives, distributes, retrieves, and displays medical images and data. It is not intended to provide therapy.

No

The device is an image management system (PACS) that archives, distributes, retrieves, and displays images. It specifically states that it is not for primary diagnosis or image interpretation for certain image types, indicating its role is for management and display, not direct diagnostic interpretation or analysis.

Yes

The device description explicitly states, "The OnePacs system is a software only product and does not include any hardware accessories or peripheral devices." It is designed to run on generic PC hardware, further supporting its classification as software-only.

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

Here's why:

  • IVDs are used to examine specimens from the human body. The OnePacs System is an image management system that archives, distributes, retrieves, and displays medical images from various modalities (CR, CT, DR, MR, etc.). It does not involve the analysis of biological samples like blood, urine, or tissue.
  • The intended use is focused on image management and display. The description clearly states its purpose is to handle and display medical images and related data for diagnostic review by physicians.
  • The device description aligns with a PACS (Picture Archiving and Communication System). PACS systems are used for managing medical images, not for performing diagnostic tests on biological specimens.

Therefore, the OnePacs System falls under the category of a medical imaging device or a medical image management system, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentation", and will include standard features and other tools for analyzing mammography images.

Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary diagnosis or image interpretation. For primary diagnosis, post process DICOM "for presentation" images must be used. Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images.

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

LLZ

Device Description

The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems.

The OnePacs system is a software only product and does not include any hardware accessories or peripheral devices. It is designed to work on generic PC hardware that meets minimum system requirements.

The OnePacs System is comprised of following main interrelated software elements/ components:

  • OnePacs Cloud (OPS)
  • OnePacs Workstation (OPW)
  • OnePacs Workstation for macOS (OPX)
  • OnePacs Webviewer (OPWEBV)
  • OnePacs Study Retriever (OPSR)
  • OnePacs Gateway (OPG)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CR, CT, DR, MR, and other devices

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospitals and related institutions and sites. Prescription Use.

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 performance testing includes the comprehensive software validation as provided in the submission. In addition, the OnePacs System complies with the following performance standards:

  • . NEMA PS 3.1 - 3.20 (2016) Digital Imaging And Communications In Medicine (Dicom) Set
  • . IEC/ ISO 10918-1, Edition 1 (1994-02-15), Information Technology - Digital Compression and Coding Of Continuous-Tone Still Images: Requirements And Guidelines [Including: Technical Corrigendum 1 (2005)

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.

ClearCanvas RIS/ PACS (K110332), OsiriX MD (K101342)

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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Image /page/0/Picture/0 description: The image contains two logos. On the left is the logo for the Department of Health & Human Services - USA, featuring a stylized human figure. To the right is the logo for the U.S. Food & Drug Administration (FDA), with the FDA acronym in a blue square and the full name "U.S. FOOD & DRUG ADMINISTRATION" written in blue text.

October 11, 2018

OnePacs, LLC Justin Falk Director of IT 530 Lytton Ave PALO ALTO, CA 94301

Re: K181460

Trade/Device Name: OnePacs System Regulation Number: 21 CFR 892.2050 Regulation Name: Picture Archiving and Communications System Regulatory Class: Class II Product Code: LLZ Dated: May 29, 2018 Received: September 11, 2018

Dear Justin Falk:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-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,

Hse 2. Nils

for Robert A. 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)

K181460

Device Name OnePacs System

Indications for Use (Describe)

The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentation", and will include standard features and other tools for analyzing mammography images.

Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary diagnosis or image interpretation. For primary diagnosis, post process DICOM "for presentation" images must be used. Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images.

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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SECTION 5

510(k) Summary

K181460

1. Sponsor

OnePacs, LLC 530 Lytton Ave Palo Alto, CA 94301 Phone: 877-881-7227 x117 Fax: 201-399-6580 Contact: Justin Falk Email: jfalk@onepacs.com

Summary Preparation Date: May 29, 2018

2. Device

Trade NameOnePacs System
Common NamePicture archiving and communications system (PACS)
ClassificationClass II
Product CodeLLZ
Regulation Number21 CFR 892.2050
Review PanelRadiology

3. Predicate Device

4. Device Description

The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems.

The OnePacs system is a software only product and does not include any hardware accessories or peripheral devices. It is designed to work on generic PC hardware that meets minimum system requirements.

4

The OnePacs System is comprised of following main interrelated software elements/ components:

  • · OnePacs Cloud (OPS)
  • · OnePacs Workstation (OPW)
  • · OnePacs Workstation for macOS (OPX)
  • · OnePacs Webviewer (OPWEBV)
  • · OnePacs Study Retriever (OPSR)
  • · OnePacs Gateway (OPG)

5. Indications for Use

The OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions and sites, which will archive, distribute, retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentation", and will include standard features and other tools for analyzing mammography images.

Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary diagnosis or image interpretation. For primary diagnosis, post process DICOM "for presentation" images must be used. Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images

6. Technological Characteristics and Substantial Equivalence

The proposed OnePacs System is substantially equivalent to the referenced predicate devices in regard to the intended use, fundamental scientific technology, and technological characteristics, as outlined in the following table:

CharacteristicSubject DevicePredicate DevicePredicate Device
Trade NameOnePacs SystemClearCanvas RIS/PACS (K110332)OsiriX MD (K101342)
SubmitterOnePacs LLCClearCanvas Inc.Pixmeo, Sarl
ClassificationDevice Class: 2 Product Code: LLZ 21 CFR 892.2050Device Class: 2 Product Code: LLZ 21 CFR 892.2050Device Class: 2 Product Code: LLZ 21 CFR 892.2050
Indications for UseThe OnePacs System is an image management system intended to provide scaleable DICOM compatible PACS solutions for hospitals and related institutions andThe ClearCanvas RIS/PACS is an image management system whose intended use is to provide scaleable DICOM compatible PACS solutions for hospitals andOsiriX MD is a software device intended for viewing of images acquired from CT, MR, CR, DR, US and other DICOM compliant medical
CharacteristicSubject DevicePredicate DevicePredicate Device
Trade NameOnePacs SystemClearCanvas RIS/PACS
(K110332)OsiriX MD (K101342)
sites, which will archive,
distribute, retrieve and
display images and data
from all hospital modalities
(such as CR, CT, DR, MR,
and other devices) and
information systems. This
also includes the display of
structured reports and
mammography images
that have been created
according to DICOM "For
Presentation", and will
include standard features
and other tools for
analyzing mammography
images.
Lossy compressed
mammographic images
and digitized film screen
images must not be
reviewed for primary
diagnosis or image
interpretation. For primary
diagnosis, post process
DICOM "for presentation"
images must be used.
Mammographic images
should only be viewed with
a monitor approved by
FDA for viewing
mammographic images.related institutions and
sites, which will archive,
distribute, retrieve and
display images and data
from all hospital
modalities (such as CR,
CT, DR, MR, and other
devices) and information
systems. This also
includes the display of
structured reports and
mammography images
that have been created
according to DICOM "For
Presentation", and will
include standard features
and other tools for
analyzing mammography
images.
Lossy compressed
mammography images
and digitized film screen
images must not be used
for primary image
interpretations.
Mammography images
may only be interpreted
using an FDA approved
monitor that offers at least
5 mega-pixel resolution
and meets other technical
specifications approved
by the FDA.imaging systems when
installed on suitable
commercial standard
hardware.
Images and data can be
captured, stored,
communicated,
processed, and displayed
within the system and or
across computer
networks at distributed
locations.
Lossy compressed
mammographic images
and digitized film screen
images must not be
reviewed for primary
diagnosis or image
interpretation. For primary
diagnosis, post process
DICOM "for presentation"
images must be used.
Mammographic images
should only be viewed
with a monitor approved
by FDA for viewing
mammographic images.
It is the User's
responsibility to ensure
monitor quality, ambient
light conditions, and
image compression ratios
are consistent with the
clinical application.
CharacteristicSubject DevicePredicate DevicePredicate Device
Trade NameOnePacs SystemClearCanvas RIS/PACS
(K110332)OsiriX MD (K101342)
Prescription /
Over-The-
Counter (OTC)
UsePrescription UsePrescription UsePrescription Use
Device
Description and
Key
ComponentsThe OnePacs System
software is primarily
written in Java/ Javascript.
The system is designed to
work on generic PC
hardware that meets
minimum system
requirements.
The OnePacs System is
comprised of following
interrelated software
components:
OnePacs Cloud
OnePacs Application
Server is inherently
enterprise wide, deployed
in multi-tenant cloud
architecture. The OnePacs
Cloud allows medical
studies to be securely
transmitted so that a
physician may view and
interpret the study and
complete the medical
report.
OnePacs Workstation
(OPW) & OnePacs
Workstation for macOS
(OPX)
Communicates with
OnePacs Server for image
retrieval and metadata.
The OPW and OPX
provide navigation and
visualization of multi-
modality and
multidimensional images.
They act as DICOM viewer
capable of connecting to a
DICOM network
OnePacs Web Viewer
(OPWEBV)
enables the display andClearCanvas RIS/PACS
software is primarily
written in C#, employing
the most current best
practices in object
oriented and component-
oriented software
architecture resulting in a
highly scalable and
extensible design. The
system is also designed
to work on generic PC
hardware that meets the
minimum system
requirements.
The ClearCanvas
RIS/PACS is a system of
interrelated software
components:
ClearCanvas Workstation
a desktop client that is
primarily used to retrieve,
display, enhance and
analyze medical images.
Access to patient
demographic data is also
possible through the
Workstation when
working with the RIS
server.
ClearCanvas Webstation
a browser-based web
application that allows the
user to retrieve images
from the ImageServer for
review. Primarily intended
for referring physicians
and as an image viewer
for EMR systems, the
images are JPEG-
compressed.
ClearCanvas
ImageServerThe OsiriX MD software is
an interactive image
display and navigation
program that was
designed to display
medical imaging
modalities. It supports all
types of images
generated by variety of
imaging equipment and
scanners available today.
lt supports the DICOM
standard for image
communication as well as
a variety of other image
formats used in academic
and research community.
OsiriX MD is tailored for
large sets of
multidimensional and
multi-modality images
such as combined PET-
CT studies that require
three-dimensional image
fusion and volume
rendering. The software is
developed on a
Macintosh platform taking
advantage of the
underlying UNIX kernel of
the Mac OS X operating
optimized 3D graphic
capabilities of Open GL
graphic standard that is
widely used for computer
games and animations
and is highly optimized on
the Macintosh platform for
taking advantage of any
hardware graphic
accelerator boards that
would be available. The
software was developed
in Objective-C in Apple
Cocoa development
environment. In the
design of the software a
CharacteristicSubject DevicePredicate DevicePredicate Device
Trade NameOnePacs SystemClearCanvas RIS/PACS
(K110332)OsiriX MD (K101342)
review of medical images
OnePacs Study Retriever
(OPSR)
facilitates the secure
transmission of medical
images from the OnePacs
Cloud servers to the local
desktop of a radiologist.
OnePacs Gateway (OPG)
a gateway or bridge to the
OnePacs Cloud. The OPG
software enables access
to the cloud by offering the
following functionality. It
provides DICOM image
routing, security, and
compression, HL7
mapping connectivity and
mappinga server application that
receives images from
imaging modalities, stores
and archives them, and
distributes them to client
applications.
ClearCanvas RIS
a server application that
acts as an online
transaction processor for
the management
of patient and workflow
information.
ClearCanvas
IntegrationServer
a server application
composed of optional
modules that implement
integration and
interoperability, such as
an inbound and outbound
HL7 processor.
ClearCanvas
EnterpriseServer a server
application that provides
enterprise-wide facilities
such as user
authentication,
authorization and
auditing.special attention was
given to adapt the user
interface to navigating
through large sets of
image data. The graphical
user interface also uses
the Macintosh interface.
Users can change and
customize the software by
adding and removing
tools and items from the
program toolbar and
menu bars. This allows
for adapting the software
for number of functions
and avoiding the users to
be overwhelmed by an
excessive number of
unnecessary tools and
functions that are not
always needed.
Operating
system/
platformWindows, Mac OS X
(Apple), LinuxWindowsMac OS X (Apple)
Device type/
formSoftware device that
operates on off-the-shelf
hardwareSoftware device that
operates on off-the-shelf
hardwareSoftware device that
operates on off-the-shelf
hardware
Mode of
delivery/
installationOnePacs System is to be
downloaded from
OnePacs Cloud.
The OPX component is
provided as a macOS
package download. The
package is installed
through the macOS
Installer tool.Installation from optical
media and/or download
from the serverOsiriX MD is provided as
a DMG (Apple Disk
Image) download. When
mounted, the DMG offers
an installer application to
be executed by the user.
Characteristic
Trade NameSubject Device
OnePacs SystemPredicate Device
ClearCanvas RIS/PACS
(K110332)Predicate Device
OsiriX MD (K101342)
Functions and
Capabilities
Query, Import,
Send, Receive
DICOM imagesYesYesYes
Image PrintingYesYesYes
Export of
DICOM images
to optical
mediaYesYesYes
Reporting –
save, email,
DICOM send,
or print to
standard
printersYesYesYes
Image analysis
tools W/L,
zoom, pan,
stack, move,
rotate, flip, and
deleteYesYesYes
Measurement
and annotationYesYesYes
Multi-monitor
awarenessYesYesYes
Image layoutYesYesYes
Image
thumbnailsYesYesYes
Reference lines
and spatial
locator for
tomographic
imagesYesYesYes
User
annotations of
imagesYesYesYes
Synchronized
stackingYesYesYes
Probe toolYesYesYes
ShuttersYesYesYes
Key image
markingYesYesYes
CharacteristicSubject DevicePredicate DevicePredicate Device
Trade NameOnePacs SystemClearCanvas RIS/PACS
(K110332)OsiriX MD (K101342)
Multiplanar
Reformat
(MPR)YesYesYes
Lossy and
lossless
compressionYesYesYes
Automatic
routing of
imagesYesYesYes
Image
archivingYesYesYes
Patient
information and
workflow
management
components-YesYesYes
Image
streaming from
serverYesYesYes
PET/CT fusionNoYesYes
Enterprise
distribution of
images and
data via
Internet or
IntranetYesYesYes
Web-delivered
viewing
softwareYesYesYes
Conformity to
Standards
DICOM
standard
for data
exchangeNEMA PS 3.1 - 3.20
(2016) Digital Imaging And
Communications In
Medicine (Dicom) SetConformity to the
essential requirements of
the DICOM standard for
data exchange (PS 3.3 -
PS 3.12)Conformity to the
essential requirements of
the DICOM standard for
data exchange (PS 3.3 -
PS 3.12)
JPEG
standard
for image
compressio
nIEC/ ISO 10918-1, Edition
1 (1994-02-15),
Information Technology -
Digital Compression And
Coding Of Continuous-
Tone Still Images:
Requirements And
Guidelines [Including:
Technical Corrigendum 1
(2005)IEC/ ISO 10918-1, Edition
1 (1994-02-15),
Information Technology -
Digital Compression And
Coding Of Continuous-
Tone Still Images:
Requirements And
Guidelines [Including:
Technical Corrigendum 1
(2005)IEC/ ISO 10918-1, Edition
1 (1994-02-15),
Information Technology -
Digital Compression And
Coding Of Continuous-
Tone Still Images:
Requirements And
Guidelines [Including:
Technical Corrigendum 1
(2005)

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The indications for use of the OnePacs System are similar to the indications for use of the referenced predicate devices. No new indications are claimed for the OnePacs System. Fundamentally, the OnePacs System is the referenced predicate devices in that it is an image management system. As detailed above in the comparison table, most of their specifications and features are also same and comparable,

The ClearCanvas Workstation is chosen as one of the predicates for this submission for comparing the 'OnePacs Workstation for Windows' i.e. the OPW element of OnePacs System. The OPW was designed to use the ClearCanvas Workstation (CCW) as an application framework. The core implementation of the CCW was relatively complete as a viewer, but was also designed to be highly extensible. The maiority (but not all) of OPW-specific functionality has been implemented as plug-ins, leaving the base CCW code mostly as-is, except where such functionality was not possible via the plug-in interface.

The OsiriX MD is chosen as one of the predicates for this submission for comparing the OnePacs Workstation for macOS i.e. the OPX element of OnePacs System. The final free/open source version of OsiriX released as version 5.8 was used as the starting point to develop OnePacs Workstation for macOS (OPX). The OsiriX was rebranded to Horos without introduction of any new features. OnePacs further rebranded Horos to OPX with the changes described further in this section.

The differences between the OnePacs System and the predicate devices ClearCanvas and OsiriX MD mainly relate to the changes in GUI, plugins, defaults, reporting, rebranding, Region Preferences and Certifications. These differences have been addressed through comprehensive software validation performed by OnePacs; and thereby do not raise any new concerns of safety or effectiveness.

7. Non-clinical Bench (Performance) testing

The performance testing includes the comprehensive software validation as provided in the submission. In addition, the OnePacs System complies with the following performance standards:

  • . NEMA PS 3.1 - 3.20 (2016) Digital Imaging And Communications In Medicine (Dicom) Set
  • . IEC/ ISO 10918-1, Edition 1 (1994-02-15), Information Technology - Digital Compression and Coding Of Continuous-Tone Still Images: Requirements And Guidelines [Including: Technical Corrigendum 1 (2005)

8. Clinical Testing

The submission does not contain any data from clinical testing.

9. Conclusion:

Based on the intended use, technological characteristics and performance data provided in the submission; the proposed 'OnePacs System' is substantially equivalent to the referenced predicate devices.