K Number
K182419
Device Name
Centricity Universal Viewer
Manufacturer
Date Cleared
2018-12-14

(100 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Centricity Universal Viewer is a device that displays medical images and data from various imaging sources, and from other healthcare information sources. Medical images and data can be displayed, communicated, stored, and processed. Typical users of this system are authorized healthcare professionals. Centricity Universal Viewer is intended to assist in the viewing, analysis, diagnostic interpretation, and sharing of images and other information. Mammography images may only be interpreted using a monitor compliant with requirements of local regulations and must meet other technical specifications reviewed and accepted by the local regulatory agencies. Contraindications: Centricity Universal Viewer is contraindicated for the use of lossy compressed mammographic images. Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations.
Device Description
Centricity Universal Viewer is an Internet based medical image display and interpretation software product that is part of a picture archiving and communications system that assists radiologists and cardiologists in their diagnostic workflows. It provides users with capabilities relating to the acceptance, transfer, display, storage, and digital processing of medical images (including digital mammograms). Centricity Universal Viewer provides APIs (Application Program Interfaces) to integrate with third-party medical devices and non-medical devices, which include integration with Tomtec-Arena ™ [1] for advanced cardiology applications. Centricity Universal Viewer supports DICOM SOP classes to access and manage medical imaging studies from Computed Tomography (CT), Magnetic Resonance (MR), Ultrasound (US), Nuclear Medicine (NM), Computerized Radiography (CR), Digital mammoaraphy (MG), Digital X-ray (DX), Positron Emission Tomoaraphy (PET/PT), X-Ray Angiography (XA), Digital Intra-oral X-Ray (IO), Radiofluoroscopic X-ray (RF), Secondary Capture Images (SC), Visible Light (VL) Endoscopic and Photographic Image Storage, Slide Coordinates Microscopic Image Storage, Presentation States (PS), Key Image Notes (KIN), and other DICOM imaging modalities. Centricity Universal Viewer is not intended for the diagnosis of digital pathology images. Centricity Universal Viewer is designed to be deployed over conventional TCP/IP networking infrastructure available in most healthcare organizations and utilizes commercially available computer platforms and operating systems. The system does not produce any original medical images. All images located on the Centricity Universal Viewer have been received from DICOM compliant modalities and/or image acquisition systems.
More Information

No
The document describes a medical image display and interpretation software with standard image processing capabilities and integrations, but there is no mention of AI or ML technologies being used for analysis or interpretation.

No
The device is described as an "Internet based medical image display and interpretation software product" that assists in viewing, analysis, diagnostic interpretation, and sharing of images. It does not provide therapy or treatment.

Yes
The "Intended Use" section explicitly states that the device is "intended to assist in the viewing, analysis, diagnostic interpretation, and sharing of images and other information." Additionally, the "Device Description" mentions that it "assists radiologists and cardiologists in their diagnostic workflows."

Yes

The device description explicitly states it is an "Internet based medical image display and interpretation software product" and that it "does not produce any original medical images." It relies on commercially available computer platforms and operating systems and receives images from external DICOM compliant modalities. While it integrates with third-party devices, the core medical device functionality described is purely software-based for display, processing, and interpretation.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Centricity Universal Viewer is a software product that displays, processes, and manages medical images acquired from various imaging modalities (CT, MR, X-ray, etc.). It assists healthcare professionals in the viewing, analysis, and interpretation of these images.
  • Lack of Specimen Analysis: The device does not interact with or analyze biological specimens. Its input is medical images, not samples from the human body.

Therefore, while it is a medical device used for diagnostic purposes, it falls under the category of medical imaging software rather than an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Centricity Universal Viewer is a device that displays medical images and data from various imaging sources, and from other healthcare information sources. Medical images and data can be displayed, communicated, stored, and processed. Typical users of this system are authorized healthcare professionals.

Centricity Universal Viewer is intended to assist in the viewing, analysis, diagnostic interpretation, and sharing of images and other information.

Mammography images may only be interpreted using a monitor compliant with requirements of local regulations and must meet other technical specifications reviewed and accepted by the local regulatory agencies.

Contraindications:

Centricity Universal Viewer is contraindicated for the use of lossy compressed mammographic images. Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations.

Product codes

LLZ

Device Description

Centricity Universal Viewer is an Internet based medical image display and interpretation software product that is part of a picture archiving and communications system that assists radiologists and cardiologists in their diagnostic workflows. It provides users with capabilities relating to the acceptance, transfer, display, storage, and digital processing of medical images (including digital mammograms).

Centricity Universal Viewer provides APIs (Application Program Interfaces) to integrate with third-party medical devices and non-medical devices, which include integration with Tomtec-Arena ™ [1] for advanced cardiology applications.

Centricity Universal Viewer supports DICOM SOP classes to access and manage medical imaging studies from Computed Tomography (CT), Magnetic Resonance (MR), Ultrasound (US), Nuclear Medicine (NM), Computerized Radiography (CR), Digital mammoaraphy (MG), Digital X-ray (DX), Positron Emission Tomoaraphy (PET/PT), X-Ray Angiography (XA), Digital Intra-oral X-Ray (IO), Radiofluoroscopic X-ray (RF), Secondary Capture Images (SC), Visible Light (VL) Endoscopic and Photographic Image Storage, Slide Coordinates Microscopic Image Storage, Presentation States (PS), Key Image Notes (KIN), and other DICOM imaging modalities.

Centricity Universal Viewer is not intended for the diagnosis of digital pathology images.

Centricity Universal Viewer is designed to be deployed over conventional TCP/IP networking infrastructure available in most healthcare organizations and utilizes commercially available computer platforms and operating systems.

The system does not produce any original medical images. All images located on the Centricity Universal Viewer have been received from DICOM compliant modalities and/or image acquisition systems.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Computed Tomography (CT), Magnetic Resonance (MR), Ultrasound (US), Nuclear Medicine (NM), Computerized Radiography (CR), Digital mammography (MG), Digital X-ray (DX), Positron Emission Tomography (PET/PT), X-Ray Angiography (XA), Digital Intra-oral X-Ray (IO), Radiofluoroscopic X-ray (RF), Secondary Capture Images (SC), Visible Light (VL) Endoscopic and Photographic Image Storage, Slide Coordinates Microscopic Image Storage, Presentation States (PS), Key Image Notes (KIN), and other DICOM imaging modalities.

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Typical users of this system are authorized healthcare professionals.
Designed to be utilized inside and outside of radiology and cardiology.

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

The software documentation was provided for a moderate level of concern device following the FDA's "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices".

The Centricity Universal Viewer with the proposed modifications has been verified against design requirements and validated against defined user needs and intended uses, in accordance with the voluntary standards as detailed in this premarket notification submission. The same Cath Tools features were previously cleared in the premarket notification K063628.

The performance characteristics of the Centricity Universal Viewer has been verified against design requirements and validated against defined user needs and intended uses as follows:

  • Validation of user needs and intended uses was performed using the recommended hardware platform
  • System verification testing of system level requirements was performed using the recommended hardware platform
  • Regression testing included in verification testing
  • Integration and interoperability verification testing of software functional requirements
  • Unit testing of Product Design Detail (PDD) statements
  • Product usability formative and summative testing
  • Cybersecurity analysis

The subject of this submission, Centricity Universal Viewer, did not require animal testing, biological testing, sterility testing, electrical safety testing or electromagnetic compatibility testing.

Key Metrics

Not Found

Predicate Device(s)

K150420

Reference Device(s)

K063628

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

0

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December 14, 2018

GE Healthcare Renee Webb Senior Regulatory Affairs Manager 500 West Monroe Street CHICAGO, IL 60661

Re: K182419

Trade/Device Name: Centricity Universal Viewer Regulation Number: 21 CFR 892.2050 Regulation Name: Picture Archiving And Communications System Regulatory Class: Class II Product Code: LLZ Dated: September 20, 2018 Received: September 26, 2018

Dear Renee Webb:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

1

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 (QS) 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 (Sections 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 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.

Hole 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

2

Indications for Use

510(k) Number (if known) K182419

Device Name Centricity Universal Viewer

Indications for Use (Describe)

Centricity Universal Viewer is a device that displays medical images and data from various imaging sources, and from other healthcare information sources. Medical images and data can be displayed, communicated, stored, and processed. Typical users of this system are authorized healthcare professionals.

Centricity Universal Viewer is intended to assist in the viewing, analysis, diagnostic interpretation, and sharing of images and other information.

Mammography images may only be interpreted using a monitor compliant with requirements of local regulations and must meet other technical specifications reviewed and accepted by the local regulatory agencies.

Contraindications:

Centricity Universal Viewer is contraindicated for the use of lossy compressed mammographic images. Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations.

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 GE Healthcare. On the left is the GE logo, which is a blue circle with the letters "GE" in white. To the right of the logo is the text "GE Healthcare" in black. The text is in a sans-serif font and is aligned to the left.

510(k) Summary

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

SUBMITTER l.

GE Healthcare 500 West Monroe Chicago, IL 60661

Primary Contact Person: Renee Webb Senior Regulatory Affairs Manager GE Healthcare Phone: 847-707-8783

Secondary Contact Person:John Manarik
Regulatory Affairs Manager
GE Healthcare
Phone: 224-532-0907

Date Prepared: December 12, 2018

II. DEVICE

Name of Device:Centricity Universal Viewer
Common Name:Picture Archiving and Communication System
Classification Name:21 CFR 892.2050, System, Image Processing,
Radiological
Regulatory Class:II
Product Code:LLZ

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Image /page/4/Picture/0 description: The image shows the logo for GE Healthcare. The logo consists of the GE logo on the left and the words "GE Healthcare" on the right. The GE logo is a blue circle with the letters "GE" in white inside.

III. PREDICATE DEVICE

Primary - K150420 (May 2015)- Centricity Universal Viewer by GE Healthcare Reference - K063628 (December 2006) -Centricity Radiology RA600, Cardiology CA1000 and Digital Hardcopy.

IV. DEVICE DESCRIPTION

Centricity Universal Viewer is an Internet based medical image display and interpretation software product that is part of a picture archiving and communications system that assists radiologists and cardiologists in their diagnostic workflows. It provides users with capabilities relating to the acceptance, transfer, display, storage, and digital processing of medical images (including digital mammograms).

Centricity Universal Viewer provides APIs (Application Program Interfaces) to integrate with third-party medical devices and non-medical devices, which include integration with Tomtec-Arena ™ [1] for advanced cardiology applications.

Centricity Universal Viewer supports DICOM SOP classes to access and manage medical imaging studies from Computed Tomography (CT), Magnetic Resonance (MR), Ultrasound (US), Nuclear Medicine (NM), Computerized Radiography (CR), Digital mammoaraphy (MG), Digital X-ray (DX), Positron Emission Tomoaraphy (PET/PT), X-Ray Angiography (XA), Digital Intra-oral X-Ray (IO), Radiofluoroscopic X-ray (RF), Secondary Capture Images (SC), Visible Light (VL) Endoscopic and Photographic Image Storage, Slide Coordinates Microscopic Image Storage, Presentation States (PS), Key Image Notes (KIN), and other DICOM imaging modalities.

Centricity Universal Viewer is not intended for the diagnosis of digital pathology images.

Centricity Universal Viewer is designed to be deployed over conventional TCP/IP networking infrastructure available in most healthcare organizations and utilizes commercially available computer platforms and operating systems.

The system does not produce any original medical images. All images located on the Centricity Universal Viewer have been received from DICOM compliant modalities and/or image acquisition systems.

[1] Tomtec-Arena™ K132544 has been FDA cleared and CE Marked.

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Image /page/5/Picture/0 description: The image shows the logo for GE Healthcare. The logo consists of the GE monogram enclosed in a circular design with swirling lines, colored in blue. To the right of the monogram is the text "GE Healthcare" in a simple, sans-serif font, with "GE" in a slightly larger font size than "Healthcare".

V. INDICATIONS FOR USE

Centricity Universal Viewer is a device that displays medical images and data from various imaging sources, and from other healthcare information sources. Medical images and data can be displayed, communicated, stored, and processed. Typical users of this system are authorized healthcare professionals.

Centricity Universal Viewer is intended to assist in the viewing, analysis, diagnostic interpretation, and sharing of images and other information.

Mammoaraphy images may only be interpreted using a monitor compliant with requirements of local requlations and must meet other technical specifications reviewed and accepted by the local requlatory agencies.

Contraindications:

Centricity Universal Viewer is contraindicated for the use of lossy compressed mammographic images. Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations.

The Intended Use / Indications for Use statement is identical to the Predicate device.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The subject Centricity Universal Viewer device continues to support the display, storage, analysis and processing of various medical images using similar technology.

The basis for this premarket notification is a modification of the legally marketed Centricity Universal Viewer device to incorporate additional features. These modifications do not change the Intended Use. These changes include enhancements and other updates to support customer feedback and to enhance usability of the software application. These modifications improve on the subject device's ability to assist healthcare professionals in the display, storage, processing, and diagnostic analysis of various medical images similarly to the predicate Centricity Universal Viewer.

The Centricity Universal Viewer architecture and SOUP software and software core algorithms have not changed. The Cath Tools algorithm has not changed. Cath Tools adds functionality that already existed in K063628 onto the Centricity Universal Viewer software technology stack.

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Image /page/6/Picture/1 description: The image shows the logo for GE Healthcare. The logo consists of a blue circular emblem with a stylized "GE" inside, followed by the text "GE Healthcare" in black. The text is positioned to the right of the emblem and is written in a clear, sans-serif font.

The following table contains a comparison of the key changes since the last 510k clearance K150420:

| Feature | Predicate Device
Centricity Universal
Viewer
(K150420) | Subject Device
Centricity Universal
Viewer
with Cath Tools | Discussion of
Differences |
|----------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use /
Indications For
Use | Centricity Universal
Viewer is a device that
displays medical images
and data from various
imaging sources, and
from other healthcare
information sources.
Medical images and data
can be displayed,
communicated, stored,
and processed.
Typical users of this
system are authorized
healthcare professionals.
Centricity Universal
Viewer is intended to
assist in the viewing,
analysis, diagnostic
interpretation, and
sharing of images and
other information.
Mammography images
may only be interpreted
using a monitor
compliant with
requirements of local
regulations and must
meet other technical
specifications reviewed
and accepted by the
local regulatory
agencies. | Identical to
predicate device | No change |
| Contraindication | Centricity Universal Viewer
is contraindicated for the
use of lossy compressed
mammographic images. | Identical to
predicate device | No change |
| Feature | Predicate Device
Centricity Universal
Viewer
(K150420) | Subject Device
Centricity Universal
Viewer
with Cath Tools | Discussion of
Differences |
| | Lossy compressed
mammographic images
and digitized film screen
images must not be
reviewed for primary image
interpretations. | | |
| Cath Analysis
Tools | Not supported | Supported in the
subject device.
The following tools
are available to help
perform an analysis
of images received
as a result of a
catheterization
procedure:

  1. Stenosis Analysis
  2. Left ventricular
    analysis
  3. Catheter
    calibration
    • Point to Point
    Calibration
    • Calibration
    extension
  4. Distance
    measurement | Equivalent. Cath
    Tools modifications
    do not change the
    Intended Use. The
    Cath Tools
    functionality added is
    identical to the Cath
    Tools in GE
    Healthcare's,
    Centricity Radiology
    RA600, Cardiology
    CA1000 cleared
    under K063628. Test
    results for these
    modifications do not
    raise different issues
    of safety or
    effectiveness. There
    are no new potential
    hazards and no
    changes to existing
    potential hazards,
    and no change in the
    final risk ratings for
    the device. |
    | Workflow | | | |
    | Interactive
    search for
    studies | Search by:
  5. Patient name
  6. ID
  7. Accession Number
  8. Study date
  9. Study description
  10. Modality
  11. Study status
  12. Referring Physician
  13. Date of Birth
  14. Referring Service | Same as predicate,
    except:
  • Retrieval of off-
    line study
  • Access to
    confidential
    patient studies
    based on
    privileges
  • Increase number
    of studies the | Equivalent. Adding
    the modifications
    under interactive
    search for studies
    does not impact the
    device safety and
    effectiveness. |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | | 11. Priority
  1. Online status (CPACS
    only)
  2. 0 image studies
    (CPACS only)
  3. Performing physician
  4. Location (Enterprise
    Archive (EA) only for
    Cardiology) | worklist can
    display and
    remove 30 study
    limit on custom
    worklists
  • Support for
    Technologist
    study verification
    workflow and
    teaching folder
  • Create, access,
    save and display
    key images | |
    | Search from
    DICOM server | Search for studies
    located on the external
    DICOM compliant server.
    Supported only on IW
    backend | Same as predicate,
    except:
  • search and
    retrieve prior
    exams from
    external DICOM
    server
  • save and display
    DICOM grayscale
    presentation
    state object to
    work with any
    type of under-
    lying hanging
    protocol | Equivalent. Adding
    the modifications
    under the search
    from DICOM server
    does not impact the
    device safety and
    effectiveness. |
    | Image Display | | | |
    | Ability to display
    information | Ability to display the
    following:
  1. Image
  2. Report
  3. Patient information
  4. Exam information
  5. DICOM Header
    information
  6. GSPS
  7. RPPS
  8. FCE
  9. Key Image Notes
  10. Exam Notes | Same as predicate,
    except:
  • native support of
    diagnostic
    interpretation for
    2D and DBT
    mammo images
  • user, group and
    system level step
    protocols
  • support DICOM
    metadata in
    overlay / | Equivalent. These
    modifications do not
    change the Intended
    Use. The device
    continues to support
    the display, storage,
    analysis and
    processing of various
    medical images using
    a similar technology.
    Test results for these
    modifications do not
    raise different issues |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | | 11. Modality and VOI LUT
  1. Structured Reports | annotation editor
  • support
    synchronized ECG
    curve, ECG scroll
    and ECG curve
    height selector
  • support Dorsal
    view (Reverse
    ACR IHE) for
    mammography | of safety or
    effectiveness. There
    are no new potential
    hazards and no
    changes to existing
    potential hazards,
    and no change in the
    final risk ratings for
    the device. |
    | Image
    Annotations and
    measurements | 1. Line
  1. Angle
  2. SUV
  3. OB Measurements
  4. Digital Subtraction
    Angiography (DSA)
  5. Triangulation
  6. MIP/MPR
  7. Spine Labeling
  8. Using "imager pixel
    spacing" - DICOM field to
    enable measurements
    across all CR/DX/US
    exams.
  9. Cardio Thoracic Ratio
    (CTR)
  10. Image Annotations | Same as predicate,
    except:
  • Automatically
    mark images as
    key when image is
    annotated
  • Use "imager pixel
    spacing" DICOM
    field to enable
    measurements
    across CR/DX/US
    exams | Equivalent. Adding
    the modifications for
    image annotations
    and measurements
    does not impact the
    device safety and
    effectiveness. These
    enhancements
    provide information
    already available to
    be used in the same
    way as the predicate,
    for the same purpose
    and by the same
    users. |
    | Customized
    Hanging
    Protocols | Smart Reading Protocols
    -Regular Hanging
    protocols to launch
    multiple MIP/MPRs | Same as predicate,
    except:
  • multi-modality and
    multi-vendor
    hanging protocol
  • dedicated toolbar
    for mammography
    features
  • smart reading
    protocols learn
    user's preferences
    for MRI
    multiphasic
    studies | Equivalent. Adding
    the modifications for
    customized hanging
    protocols does not
    impact the device
    safety and
    effectiveness. These
    enhancements
    provide information
    to be used in the
    same way as the
    predicate, for the
    same purpose and by
    the same users. |
    | Maximum
    Intensity | Maximum Intensity
    Projection (MIP) MIP with | Same as predicate,
    except: | Equivalent. These
    modifications do not |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | Projection (MIP)
    MIP with
    interactive
    window-level
    clipping volume
    of interest,
    zoom, pan, and
    rotate | interactive window-level
    clipping volume of
    interest, zoom, pan, and
    rotate | - Recalculate
    standard update
    value on the fly for
    PET/CT images
  • Multi-planar
    reconstruction
    support multiple
    oblique
    reconstruction
  • Support for non-
    square pixel image
    calibration | change the Intended
    Use. The device
    continues to support
    the display, storage,
    analysis and
    processing of various
    medical images using
    a similar technology.
    Test results for these
    modifications do not
    raise different issues
    of safety or
    effectiveness. There
    are no new potential
    hazards and no
    changes to existing
    potential hazards,
    and no change in the
    final risk ratings for
    the device. |
    | Printing | | | |
    | Key
    Images/Print
    Pages | Created Print Pages from
    selected Key Images,
    one-click placement;
    customized templates;
    one click-full screen
    snapshot | Identical to
    predicate device | No change |
    | Print to Film /
    Paper | Print collage of images to
    printer | Identical to
    predicate device | No change |
    | Connectivity,
    Interfaces &
    Interoperability | | | |
    | Integration | Integration COM service | Identical to
    predicate device | No change |
    | Interfaces | Generic interface to
    integrate outbound with
    third party applications
    and internal GEHC
    applications that meet
    the interface
    requirements. | Same as predicate,
    except:
  • Update to API
    connectivity to
    launch newer
    versions of 3rd
    party software | Equivalent. Adding
    modifications for the
    interfaces does not
    impact the device
    safety and
    effectiveness. There
    are no new potential
    hazards. |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | | | applications such
    as GE Healthcare's
    EchoPAC and
    Advantage
    Workstation
    applications | hazards and no
    changes to existing
    potential hazards,
    and no change in the
    final risk ratings for
    the device. |
    | External system
    launch | The viewer can be
    launched via a 3rd party
    application using the
    following methods:
  1. url launch
  2. IVAPI
  3. Inbound API | Same as predicate,
    except:
  • Updates in
    interfaces with 3rd
    party software
    applications
  • URL launch using
    SUID when study
    associated with
    multiple orders | Equivalent. Adding
    modifications under
    external system
    launch does not
    impact the device
    safety and
    effectiveness. These
    enhancements
    provide information
    to be used in the
    same way as the
    predicate, for the
    same purpose and by
    the same users. |
    | Administrative | | | |
    | Interactive
    query | In console, supporting
    wildcards | Identical to
    predicate device | No change |
    | Setup | Wizard and silent | Identical to
    predicate device | No change |
    | On-line help | Yes | Identical to
    predicate device | No change |
    | User Interface
    and User
    Manual
    Languages | 1. English, 2. German,
  1. Japanese, 4. French,
  2. Simplified Chinese
  3. Italian, 7. Polish, 8.
    Spanish
  4. Turkish, 10. Brazilian
    Portuguese, 11. Dutch,
  5. Swedish, 13. Russian
  6. Korean, 15. Finnish,
  7. Danish, 17.
    Norwegian,
  8. Traditional Chinese
  9. Portuguese, 20.
    Greek,
  10. Hungarian | Identical to
    predicate device | No change |
    | Feature | Predicate Device Centricity Universal Viewer (K150420) | Subject Device Centricity Universal Viewer with Cath Tools | Discussion of Differences |
    | Administrative rights assignment | Per user/group | Identical to predicate device | No change |
    | Automatic notification messages | By email. HL7 | Same as predicate, except: - auto refresh and notification when new images arrive - merge two studies into one - audit log to track export of images | Equivalent. Adding modifications under automatic notification messages does not impact the device safety and effectiveness. These enhancements provide information to be used in the same way as the predicate, for the same purpose and by the same users. |
    | System logging | Combined system log | Identical to predicate device | No change |
    | Compression | Wavelet compression
  11. JPEG2000 lossless
  12. JPEG2000 lossy
    Non-wavelet compression
  13. JPEG lossless
  14. JPEG lossy
    JPEG2000 lossless for images received uncompressed | Identical to predicate device | No change |
    | Minimal System Requirements
    Offering | 1. Turnkey solution (GEHC IT provides both the software and hardware required to function as a complete system)
  15. Software only solution (GEHC IT provides and deploys the Software). | Identical to predicate device | No change |
    | ESXi | VMware vSphere ESXi | Identical to predicate device | No change |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | Workstation
    Features | | | |
    | Operating
    System for
    Diagnostic
    Workstation | Microsoft™ Windows 7 -
    64 bit
    Microsoft™ Windows 8.1
  • 64 bit | Same as predicate,
    except:
  • adding support for
    Windows 10
    operating system
    32 or 64 bit with
    Internet Explorer
    11 | Equivalent. Adding
    support for Windows
    10 operating system
    32 or 64 bit with
    Internet Explorer 11
    does not impact the
    device safety and
    effectiveness. |
    | Minimum
    Hardware
    requirement for
    Diagnostic
    Workstation | 2 Quad-core processor of
    2.0
    GHz or more
    8GB RAM minimum
    146GB drive in Raid 0
    configuration
    DVD-RW Optical drive
    One 1GB NIC
    10/100/1000 Mb
    Ethernet
    network
    4 Mbps and faster TCP-IP
    network | Identical to
    predicate device | No change |
    | Security | | | |
    | User
    Authentication
    using a 3rd
    Party
    Authentication
    Server | Active Directory | Same as predicate,
    except:
  • Provides common
    authentication
  • security
    hardening and
    cybersecurity
    improvements | Equivalent. Adding
    common
    authentication
    support and security
    hardening does not
    impact the device
    safety and
    effectiveness. |
    | Enterprise
    Imaging | | | |
    | DICOM Protocol | 1. Supports DICOM SOP
    classes
  1. Receive images -
    DICOM storage SCP
  2. Support DICOM 3.0
    input | Same as predicate,
    except:
  • support additional
    color (YBR)
    interpretations
    with US images
  • support saving | Equivalent. Adding
    modifications under
    DICOM protocol does
    not impact the device
    safety and
    effectiveness. These
    enhancements |
    | Feature | Predicate Device
    Centricity Universal
    Viewer
    (K150420) | Subject Device
    Centricity Universal
    Viewer
    with Cath Tools | Discussion of
    Differences |
    | | presentation states | image calibration
    information in
    Presentation
    State | provide information
    to be used in the
    same way as the
    predicate, for the
    same purpose and by
    the same users. |
    | (XED) Cross
    Enterprise
    Display | Provides the ability to
    view patient information
    across multiple
    enterprise sites based on
    matching patient ID
    numbers. | Same as predicate,
    except:
  • New API to access
    patient history in
    FHIR format and
    from different
    sources
  • Enhance ability to
    group studies
    anatomically
  • matching patient
    studies from
    remote sites with
    the same patient | Equivalent. Adding
    modifications under
    cross enterprise
    display does not
    impact the device
    safety and
    effectiveness. These
    enhancements allow
    patient history to be
    used in the same way
    as the predicate, for
    the same purpose
    and by the same
    users. |
    | User
    Environment | Designed to be utilized
    inside and outside of
    radiology and cardiology | Identical to
    predicate device | No change |
    | Designed to be
    utilized inside
    and outside of
    radiology | | | |

7

Image /page/7/Picture/0 description: The image shows the GE Healthcare logo. The logo consists of a blue circular emblem with a stylized "GE" inside. To the right of the emblem, the words "GE Healthcare" are written in a bold, sans-serif font. The text is black, providing a strong contrast against the white background.

8

Image /page/8/Picture/0 description: The image contains the logo for GE Healthcare. The logo consists of a circular emblem on the left and the text "GE Healthcare" on the right. The emblem is blue and features a stylized "GE" monogram. The text "GE Healthcare" is in a bold, sans-serif font.

9

Image /page/9/Picture/0 description: The image shows the GE Healthcare logo. The logo consists of a blue circular emblem with a stylized "GE" inside, followed by the text "GE Healthcare" in a bold, sans-serif font. The text is black and positioned to the right of the emblem.

10

Image /page/10/Picture/0 description: The image shows the GE Healthcare logo. The logo consists of a blue circular emblem with a stylized "GE" inside. To the right of the emblem, the words "GE Healthcare" are written in a bold, sans-serif font. The text is black, providing a strong contrast against the white background.

11

Image /page/11/Picture/0 description: The image shows the GE Healthcare logo. The logo consists of a blue circular emblem with a stylized "GE" monogram inside. To the right of the emblem, the words "GE Healthcare" are written in a bold, sans-serif font. The text is black, providing a strong contrast against the white background.

12

Image /page/12/Picture/0 description: The image shows the logo for GE Healthcare. The logo consists of a blue circular emblem with a stylized "GE" monogram inside. To the right of the emblem is the text "GE Healthcare" in a bold, sans-serif font. The text is black and stands out against the white background.

13

Image /page/13/Picture/0 description: The image contains the GE Healthcare logo. The logo consists of a circular emblem with the letters 'GE' intertwined in a stylized font. To the right of the emblem, the words 'GE Healthcare' are written in a clear, sans-serif font. The emblem is in blue, while the text is in black.

14

Image /page/14/Picture/0 description: The image shows the GE Healthcare logo. The logo consists of a blue circular emblem with a stylized "GE" monogram inside. To the right of the emblem, the words "GE Healthcare" are written in a simple, bold, sans-serif font. The text is black, contrasting with the white background.

VII. PERFORMANCE DATA

Summary of Non-Clinical Tests

The software documentation was provided for a moderate level of concern device following the FDA's "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices".

The Centricity Universal Viewer with the proposed modifications has been verified against design requirements and validated against defined user needs and intended uses, in accordance with the voluntary standards as detailed in this premarket notification submission. The same Cath Tools features were previously cleared in the premarket notification K063628.

15

Image /page/15/Picture/1 description: The image shows the logo for GE Healthcare. The logo consists of the letters 'GE' in a stylized blue circle on the left. To the right of the logo is the text 'GE Healthcare' in black font. The text is aligned horizontally with the logo.

The performance characteristics of the Centricity Universal Viewer has been verified against design requirements and validated against defined user needs and intended uses as follows:

  • Validation of user needs and intended uses was performed using the recommended hardware platform
  • System verification testing of system level requirements was performed using the recommended hardware platform
  • · Regression testing included in verification testing
  • Integration and interoperability verification testing of software functional requirements
  • · Unit testing of Product Design Detail (PDD) statements
  • · Product usability formative and summative testing
  • · Cybersecurity analysis

The subject of this submission, Centricity Universal Viewer, did not require animal testing, biological testing, sterility testing, electrical safety testing or electromagnetic compatibility testing.

VIII. CONCLUSION

A comparison of the Intended Use / Indications for Use, the technological characteristics, and performance specifications demonstrate the functional equivalence of the subject device to the predicate device.

Verification and validation testing demonstrate that the Centricity Universal Viewer continues to provide a reasonable assurance of safety and effectiveness with respect to the intended use of each feature. Regression testing confirmed that changes did not affect previously cleared features of the Centricity Universal Viewer.

The Centricity Universal Viewer device will continue to have an intended use and functionality fitting within the definition of 21 CFR 892.2050, Picture Archiving and Communication Systems, Product Code LLZ.

Information provided in this premarket notification submission supports the Centricity Universal Viewer medical device to be as safe, as effective and substantially equivalent to its predicate device.