K Number
K213731
Device Name
EFAI CARDIOSUITE SPECT Myocardial Perfusion Agile Workflows
Date Cleared
2022-05-31

(186 days)

Product Code
Regulation Number
892.1200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS is an image processing software that provides analysis on DICOM images acquired from GE Medical Systems Nuclear Quantitative Perfusion SPECT software to support appropriately trained healthcare professionals in the evaluation and assessment of myocardial perfusions. It provides the following functionality: - Segmentation of the Bull's Eye images from the original DICOM - Analysis of the Bull's Eye images to help assess perfusion - Custom settings to generate text reports The results of this processing may be used to aid in evaluating and assessing myocardial perfusions. The system is an adjunct tool for GE Medical Systems Nuclear Quantitative Perfusion SPECT software.
Device Description
The device allows users to interact with the software application via a web interface to upload, inspect, assess myocardial perfusion from Bull's Eye images. The user can change the quantitative settings to correct for numerical calculations and clinical adjustments. The device is designed to take images produced by GE Medical Systems Nuclear Quantitative Perfusion SPECT software and process the data to provide both numerical analysis of the Bull's Eye images to help assess for myocardial perfusions, and generate a report based on the users report settings and preference. The algorithm segments bull's eye images from SPECT images generated by GE's workstation and conducts quantitative analysis based on the color settings set by the user. The color scale is designed to follow GE's design convention, where the color red is indicative of a normal condition and blue representing severe perfusion. Each of the 17 segments would produce a quantitative evaluation under rest and stress conditions based on the color scale. The clinician would then design and fill in diagnosis terminologies that is best suited for each associated numerical results of each segment and generate a template report documenting the patient's condition.
More Information

Not Found

No
The description focuses on image processing, segmentation, and quantitative analysis based on user-defined color scales and settings, without mentioning AI or ML algorithms.

No
The device is described as image processing software that provides analysis and aids in evaluating and assessing myocardial perfusions, but it does not directly treat or prevent a disease or condition.

Yes

This device is designed to provide analysis on medical images to support healthcare professionals in evaluating and assessing myocardial perfusions, which is a diagnostic purpose. It helps clinicians in diagnosing the patient's condition by providing numerical analysis and generating reports.

Yes

The device is described as "image processing software" and its functionality is entirely based on processing existing DICOM images and generating reports. There is no mention of any hardware component being part of the device itself; it relies on images acquired from a separate GE Medical Systems hardware system.

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

Here's why:

  • IVDs analyze biological samples: IVDs are designed to examine specimens taken from the human body, such as blood, urine, tissue, etc., to provide information about a person's health.
  • This device analyzes medical images: The EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS software processes DICOM images acquired from a SPECT scanner. It analyzes the visual data within these images, not biological samples.
  • The intended use is image processing and analysis: The description clearly states it's "image processing software" and provides "analysis on DICOM images."

While the software aids in the evaluation of myocardial perfusion, which is a physiological process, it does so by analyzing the output of an imaging modality (SPECT), not by directly testing a biological sample.

N/A

Intended Use / Indications for Use

EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS is an image processing software that provides analysis on DICOM images acquired from GE Medical Systems Nuclear Quantitative Perfusion SPECT software to support appropriately trained healthcare professionals in the evaluation and assessment of myocardial perfusions.

It provides the following functionality:

  • Segmentation of the Bull's Eye images from the original DICOM
  • Analysis of the Bull's Eye images to help assess perfusion
  • Custom settings to generate text reports

The results of this processing may be used to aid in evaluating and assessing myocardial perfusions.

The system is an adjunct tool for GE Medical Systems Nuclear Quantitative Perfusion SPECT software.

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

KPS, LLZ

Device Description

The device allows users to interact with the software application via a web interface to upload, inspect, assess myocardial perfusion from Bull's Eye images. The user can change the quantitative settings to correct for numerical calculations and clinical adjustments.

The device is designed to take images produced by GE Medical Systems Nuclear Quantitative Perfusion SPECT software and process the data to provide both numerical analysis of the Bull's Eye images to help assess for myocardial perfusions, and generate a report based on the users report settings and preference.

The algorithm segments bull's eye images from SPECT images generated by GE's workstation and conducts quantitative analysis based on the color settings set by the user. The color scale is designed to follow GE's design convention, where the color red is indicative of a normal condition and blue representing severe perfusion. Each of the 17 segments would produce a quantitative evaluation under rest and stress conditions based on the color scale. The clinician would then design and fill in diagnosis terminologies that is best suited for each associated numerical results of each segment and generate a template report documenting the patient's condition.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Nuclear Medicine Cardiology SPECT Perfusion Image (specifically, GE SPECT Scanning (Bull's eye image in DICOM file))

Anatomical Site

Left Ventricle

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The intended users of the device are trained nuclear radiologists.

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)

To demonstrate safety and effectiveness of EFAI SPECT Workflows and to show substantial equivalence to the predicate device, EFAI completed the non-clinical tests. Results confirm that the design inputs and performance specifications for the device are met. The EFAI SPECT Workflows passed the testing in accordance with internal requirements, national standards, and international standards shown below, supporting its safety and effectiveness, and its substantial equivalence to the predicate device:

  • Software verification and validation per IEC 62304/FDA Guidance
  • Application of usability engineering to medical devices - Part 1 per IEC 62366-1
  • Guidance on the application of usability engineering to medical devices per IEC 62366-2

EFAI SPECT Workflows did not require clinical study since substantial equivalence to the currently market and predicate device was demonstrated with the following attribute:

  • Principle of Operation;
  • Indications for Use;
  • Fundamental scientific technology;
  • Non-clinical performance testing:
  • Safety and effectiveness.

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.

K040326

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

§ 892.1200 Emission computed tomography system.

(a)
Identification. An emission computed tomography system is a device intended to detect the location and distribution of gamma ray- and positron-emitting radionuclides in the body and produce cross-sectional images through computer reconstruction of the data. This generic type of device may include signal analysis and display equipment, patient and equipment supports, radionuclide anatomical markers, component parts, and accessories.(b)
Classification. Class II.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

Ever Fortune.AI Co., Ltd. % Cheng Ming-Fong Chairman 8F., No. 573, Sec. 2, Taiwan Blvd., West Dist. Taichung City, 403020 TAIWAN

Re: K213731

Trade/Device Name: EFAI CARDIOSUITE SPECT Myocardial Perfusion Agile Workflows Regulation Number: 21 CFR 892.1200 Regulation Name: Emission computed tomography system Regulatory Class: Class II Product Code: KPS, LLZ Dated: March 18, 2022 Received: April 4, 2022

Dear Cheng Ming-Fong:

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 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

for

Michael D. O'Hara, Ph.D. Deputy Director DHT 8C: Division of Radiological Imaging and Radiation Therapy Devices OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K213731

Device Name

EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS

Indications for Use (Describe)

EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS is an image processing software that

provides analysis on DICOM images acquired from GE Medical Systems Nuclear Quantitative Perfusion SPECT software to

support appropriately trained healthcare professionals in the evaluation and assessment of myocardial perfusions.

It provides the following functionality:

  • Segmentation of the Bull's Eye images from the original DICOM
  • Analysis of the Bull's Eye images to help assess perfusion
  • Custom settings to generate text reports

The results of this processing may be used to aid in evaluating and assessing myocardial perfusions.

The system is an adjunct tool for GE Medical Systems Nuclear Quantitative Perfusion SPECT software.

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)[X] Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
[X] Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image contains a logo for a company called "EVER FORTUNE.AI". The logo consists of a stylized human figure with a circular head and outstretched arms, colored in a gradient of light blue and green. Above the figure's head is a green sphere with a network pattern on it. To the right of the figure is the company name, "EVER FORTUNE.AI", also in light blue and green.

510(k) Summary

K213731

The following information is provided in accordance with 21 CFR 807.92 for the Premarket 510(k) Summary:

I. Submitter

Company:EverFortune.AI Co., Ltd.
8 F., No. 573, Sec. 2, Taiwan Blvd.,
West Dist., Taichung City 403020, Taiwan
Phone: (886)-4-2322-6363
Fax: (886)-4-2322-9797
ra99@everfortuneai.com.tw
Correspondence Person:Ming-Fong, Chen (Chairman)
ra99@everfortuneai.com.tw
Applicant Person:Jenna Hsiao (RA)
ra05@everfortuneai.com.tw
Date Prepared:May 18th, 2022
II.
Name of the Device
Name of Device:EFAI CARDIOSUITE SPECT Myocardial Perfusion Agile Workflow
Common Name:EFAI SPECT Workflows
Classification Name:Emission Computed Tomography System
Review PanelRadiology
Proposed Classification:Device Class: II

Predicate Device III.

AutoQUANT® Plus manufactured by ADAC LABORATORIES under K040326 This predicate has not been subject to a design-related recall. No reference devices were used in this submission. Predicate Classification: Class II / KPS / 21 CFR §892.1200

Product Code: KPS, LLZ

Regulation Number: 21 CFR §892.1200

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Image /page/4/Picture/0 description: The image contains a logo for a company called EVER FORTUNE.AI. The logo consists of a stylized human figure with a globe on top, followed by the company name in a sans-serif font. The color scheme is a light teal or cyan, giving the logo a modern and tech-oriented feel.

Device Description IV.

The device allows users to interact with the software application via a web interface to upload, inspect, assess myocardial perfusion from Bull's Eye images. The user can change the quantitative settings to correct for numerical calculations and clinical adjustments.

The device is designed to take images produced by GE Medical Systems Nuclear Quantitative Perfusion SPECT software and process the data to provide both numerical analysis of the Bull's Eye images to help assess for myocardial perfusions, and generate a report based on the users report settings and preference.

The algorithm segments bull's eye images from SPECT images generated by GE's workstation and conducts quantitative analysis based on the color settings set by the user. The color scale is designed to follow GE's design convention, where the color red is indicative of a normal condition and blue representing severe perfusion. Each of the 17 segments would produce a quantitative evaluation under rest and stress conditions based on the color scale. The clinician would then design and fill in diagnosis terminologies that is best suited for each associated numerical results of each segment and generate a template report documenting the patient's condition.

Intended User Population

The intended users of the device are trained nuclear radiologists.

Intended Patient Population

The target population of the device are patients who receive cardiac SPECT imaging.

Description of user interface and outputs

The device displays Bull's Eye images of the heart along with myocardial segments overlaid on top to allow end users to assess myocardial perfusions. The device interacts with DICOM files generated from GE Medical Systems software workstation. The results and settings are displayed via a web interface where the end user uploads files, inspect quantitative results, adjust settings and generate a report.

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Image /page/5/Picture/0 description: The image shows the logo for Ever Fortune AI. The logo consists of a stylized human figure with a green sphere on top, representing the head. The sphere is made up of interconnected dots, suggesting a network or connection. To the right of the figure, the text "EVER FORTUNE.AI" is displayed in a light blue color, with the "O" in "FORTUNE" replaced by a similar sphere as the one on top of the human figure.

V. Intended Use / Indications For Use

EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS is an image processing software that provides analysis on DICOM images acquired from GE Medical Systems Nuclear Quantitative Perfusion SPECT software to support appropriately trained healthcare professionals in the evaluation and assessment of myocardial perfusions.

It provides the following functionality:

  • · Segmentation of the Bull's Eye images from the original DICOM
  • Analysis of the Bull's Eye images to help assess perfusion
  • · Custom settings to generate text reports

The results of this processing may be used to aid in evaluating and assessing myocardial perfusions.

The system is an adjunct tool for GE Medical Systems Nuclear Quantitative Perfusion SPECT software.

Comparison of Technological Characteristics with Predicate Device VI.

The following table compares the EFAI SPECT Workflows to the predicate device with respect to intended use, indications for use, principles of operation, technological characteristics, device modalities and forms the basis for the determination of substantial equivalence. The comparison table shows that the subject device does not raise any new questions of safety or effectiveness as compared to the predicate device.

The subject device and predicate devices share the same technological characteristics:

  • ◆ Interface is able to review, transfer, process, storage and report of myocardial perfusion SPECT images;
  • � Used to receive the SPECT image data;
  • � Generation of display and report the Nuclear Medicine Cardiology medical images

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Image /page/6/Picture/1 description: The image shows a logo for a company called "EVER FORTUNE.AI". The logo consists of a stylized human figure with a globe on top of its head, and the company name is written in a sans-serif font to the right of the figure. The color scheme is a light teal.

Table - Comparison Table
Proposed DevicePredicate Device
AttributeEFAI SPECT Workflows
(K213731)AutoQUANT® Plus
(K040326)Difference
ManufacturerEver Fortune.AI Co., Ltd.ADAC LABORATORIESNA
Regulation
Number21 CFR §890.120021 CFR §890.1200Same
Regulatory ClassClass IIClass IISame
Product CodeKPSKPSSame
Device PropertySoftware (SaMD)Software applications
(Module)Same
Intended Use / Indications for Use
EFAI SPECT
Workflows
(K213731)EFAI CARDIOSUITE SPECT MYOCARDIAL PERFUSION AGILE WORKFLOWS is an
image processing software that provides analysis on DICOM images acquired from GE Medical
Systems Nuclear Quantitative Perfusion SPECT software to support appropriately trained
healthcare professionals in the evaluation and assessment of myocardial perfusions.
It provides the following functionality:
• Segmentation of the Bull's Eye images from the original DICOM
• Analysis of the Bull's Eye images to help assess perfusion
• Custom settings to generate text reports
The results of this processing may be used to aid in evaluating and assessing myocardial
perfusions.
The system is an adjunct tool for GE Medical Systems Nuclear Quantitative Perfusion SPECT
software.
AutoQUANT®
Plus (K040326)AutoQUANT® Plus applications are intended to enable an automated display, review, and
quantification of Nuclear Medicine Cardiology medical images and datasets.
AutoQUAINT® Plus may be used in multiple settings including the hospital, clinic, doctors
office, or remotely via dial up. The results provided should be reviewed by qualified healthcare
professionals (e.g., radiologists, cardiologists, or general nuclear medicine physicians) trained in
the use of medical imaging devices.
Data Type /
Device SourceEFAI SPECT Workflows
(K213731)AutoQUANT® Plus
(K040326)Difference
Applied Body
PartsLeft VentricleLeft VentricleSame
Data File TypeNuclear Medicine
Cardiology SPECT
Perfusion ImageNuclear Medicine
Cardiology SPECT
Perfusion ImageSame
Data Device SourceGE Medical System Israel,
Functional Imaging :
Myovation Software,
K201103All types of cardiac SPECT
dataset; Nuclear Medicine
Cardiology medical imagesSimilar.
The data sources both
came from similar type
of SPECT device.
Input Data
(Image Modality)GE SPECT Scanning (Bull's
eye image in DICOM file)All type Cardiac SPECT
raw data (Nuclear Medicine
Cardiology medical images
in DICOM SC file)No Significant
Difference.
The proposed device
acquires the GE SPECT
scanning images;
The predicate device
acquires the cardiac
SPECT raw data.
Both devices can receive
SPECT scanning & data.
Output Format
(Report Modality)Texts and Pictures;
Web page, HTML;
Structured Text File.DICOM SC for snapshots
saved to the database; TIFF
or PNG for screen captures
saved to a folder on a local
drive; Output files are for
PowerPoint use only. Any
other usage of output files
(outside of PowerPoint) is
not supported.Similar type output
format in pictures
format;
The proposed device has
conducted the software
test report to ensure the
functionalities is safe and
effective.
Data StorageReport format can be store
(PDF, word, TXT) in
Database Unit.Storage of all generated
results in a separate review
file.
Available formats are:Similar.
The proposed device is
used the texts and
pictures file format
TIFF, JPEG, PNG, BMP,
DICOM SC.stored in Database Unit;
The predicate device is
used the snapshot file
saved in the local patient
database.
Both devices can store
the SPECT images.
Features/FunctionsEFAI SPECT Workflows
(K213731)AutoQUANT® Plus
(K040326)Difference
Segmentation
AlgorithmYES
Hough Transform
(Segmentation of the Bull's
Eye Image)YES
(Ventricular Segmentation)Both devices include
segmentation algorithm.
Orientation
MethodNOYESNo orientation method
was used in proposed
device.
The difference does not
raise any new questions
of safety or effectiveness.
Segmental
Perfusion Scores
(Stress, Rest)YES
(Based on 17- Segment)YES
(Based on 17- or 20- Segment)Same in 17- segment
perfusion scores.
Processing
FunctionsSegmentation of the Bull's
Eye images from the
original DICOM :
  • Stress/Rest Score
  • Percentage extent of the
    defect in the polar map

Analysis of the Bull's Eye
images to help assess
perfusion :

  • Color bar react in each of | Quantitative Perfusion
    SPECT (QPS) &
    Quantitative Gated SPECT
    (QGS) :
  • Determine the location,
    orientation, and anatomical
    extent of the left ventricle
    of the heart
  • Construct 3D contour
    maps of the heart
  • Calculate the heart volume | The processing function
    shares the same clinical
    use including:
  • 17-Segment mapper
    Calculation and
    display of polar map
  • Stress/ Rest Score

The target of region on
the Visual Score on two
devices are not same, |
| | into 4 categories
(Max/Min/Mean/Median)

  • Color Bar for user to
    adjust threshold of scoring,
    number of split (3/4/5)
  • Area diagnosis of the
    evaluation for coronary
    heart disease | - Calculate Transient
    Ischemic Dilation (TID)
    Quantitative Blood Pool
    SPECT (QBS) :
  • Generation left and right
    valve plans and ventricular
    endocardial surfaces
  • Calculation left and right
    valve ventricular volumes
  • Calculate left and right
    ventricular ejection
    fractions
  • Calculation and display of
    polar maps
    Quantitative Perfusion
    Change (QPC) | devices are aimed to
    score the region of
    perfusion polar maps. | |
    | Interface | Custom settings to generate | - ARG (automatic report | Similar. | |
    | Functions | text reports :
  • Modify and approve the
    report
  • Download the report
  • Report filter setting
  • Select and edit the
    clinical findings | generation)
  • QARG (for reporting
    purposes | Two devices can generate
    and edit the report for
    the users. | |

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Image /page/8/Picture/0 description: The image contains a logo for a company called "EVER FORTUNE.AI". The logo consists of a stylized figure with a circular head and a plus-shaped body, rendered in a gradient of light blue. Above the figure's head is a green sphere with a network of lines connecting points on its surface. To the right of the figure is the company name, with "EVER" in a larger font size and "FORTUNE.AI" in a smaller font size below it.

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Image /page/9/Picture/0 description: The image contains a logo for a company called EVER FORTUNE.AI. The logo consists of a stylized human figure with a globe above its head, all in a teal color. The text "EVER" is positioned to the right of the figure, with "FORTUNE.AI" below it in a smaller font size.

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Image /page/10/Picture/0 description: The image shows the logo for Ever Fortune AI. The logo consists of a stylized person icon with a globe on top, followed by the text "EVER FORTUNE.AI". The person icon and text are in a light blue color, while the globe is in a light green color.

Performance Data - Non-Clinical VII.

The following performance data were provided in support of the substantial equivalence determination.

To demonstrate safety and effectiveness of EFAI SPECT Workflows and to show substantial equivalence to the predicate device, EFAI completed the non-clinical tests. Results confirm that the design inputs and performance specifications for the device are met. The EFAI SPECT Workflows passed the testing in accordance with internal requirements, national standards, and international standards shown below, supporting its safety and effectiveness, and its substantial equivalence to the predicate device:

  • . Software verification and validation per IEC 62304/FDA Guidance
  • . Application of usability engineering to medical devices - Part 1 per IEC 62366-1
  • . Guidance on the application of usability engineering to medical devices per IEC 62366-2

EFAI SPECT Workflows did not require clinical study since substantial equivalence to the currently market and predicate device was demonstrated with the following attribute:

  • . Principle of Operation;
  • . Indications for Use;
  • . Fundamental scientific technology;
  • . Non-clinical performance testing:
  • . Safety and effectiveness.

Statement of Substantial Equivalence VII.

EverFortune.AI Co., Ltd. Choose the AutoQUANT® Plus (K040326) as a predicate device.

AutoQUANT® Plus is a suite of application are intended to enable an automated display, review, and quantification of Nuclear Medicine Cardiology medical images and datasets.

The proposed device is available to assess "bull's eye" images to show whether there are any potential areas of perfusion defects and automatically generates a report for clinicians; the predicate device integrates 2 functionalities, Quantitative Perfusion SPECT (QPS) and Quantitative Gated SPECT (QGS) into a single application for LV (Left Ventricle) extraction and analysis.

Both devices can assist clinicians in assessing bull's eye images and generating report, increasing the work efficiency.

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Image /page/11/Picture/0 description: The image shows the logo for Ever Fortune AI. The logo consists of a stylized figure in teal with a green globe above it. To the right of the figure is the text "EVER" in a larger font, with "FORTUNE.AI" below it in a smaller font. The logo has a modern and tech-oriented design.

EFAI SPECT Workflows is substantial equivalence to the function of storing, quantifying and report the nuclear medicine cardiology medical images with predicate device - AutoOUANT® Plus.

EFAI SPECT Workflows does not raise different questions of safety and effectiveness than associated with the predicate device.

IX. Conclusion

EFAI SPECT workflows is submitted the information in this premarket notification, including the performance testing and predicate device comparisons support the device; the verification and validation activities demonstrate that EFAI SPECT Workflows perform as intended in the specific use conditions. The difference between the proposed device and predicate devices do not affect the indication for use, safety and effectiveness. And no issues are raised regarding safety regarding safety and effectiveness.

The result of the comparison of the design, intended use and testing results with the software release acceptance criteria, EverFortune.AI is the opinion, that AutoQUANT® Plus is substantial equivalent to and perform as well as the predicate device EFAI SPECT workflows.