K Number
K223071
Device Name
Xenoview VDP
Manufacturer
Date Cleared
2022-12-23

(84 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
XENOVIEW VDP is image processing software that analyzes a pulmonary hyperpolarized 129-Xe MR image and a proton chest MR image to provide visualization of lung ventilation in adults and pediatric patients aged 12 years and older.
Device Description
XENOVIEW VDP is an image analysis platform that quantifies normalized xenon intensity of a ventilated space using a pulmonary hyperpolarized 129-Xe ventilation MR image and accompanying proton chest MR image. The XENOVIEW VDP image analysis process includes loading and viewing images, image registration and seqmentation, normalization and statistical analysis of 129Xe signal intensity distribution within the ventilation scan, and ultimately reporting the fraction of ventilated lunq volume as a percentage of thoracic cavity volume. This software will be used by clinicians to assist in the interpretation and numerical classification of hyperpolarized 129-Xe ventilation MR images. The HP 129Xe ventilation MR images are generated using an MRI scanner and appropriate RF chest coil with a patient that has inhaled XENOVIEW (xenon Xe 129 hyperpolarized). The software provides a user-friendly interface and simple workflow that helps quide the user through the image analysis process, including the loading of images, registration of the anatomical image sets to the HP 129Xe image sets, segmentation of the lung, and automated classification of normalized ventilation distribution into multiple intensity levels via analysis of hyperpolarized 129Xe signal intensity within the segmented lung volume. The results of the image analysis are output as medical images of the classified ventilation, a summary report, and data files containing quantitative statistical analysis results.
More Information

Not Found

No
The description focuses on standard image processing techniques like registration, segmentation, normalization, and statistical analysis, without mentioning AI or ML algorithms.

No.
The device is image processing software designed to visualize lung ventilation and assist clinicians in interpreting MR images; it does not directly treat or prevent a disease or condition.

Yes

The device analyzes MR images to provide visualization and quantitative analysis of lung ventilation, which assists clinicians in the interpretation and numerical classification of images for diagnostic purposes.

Yes

The device description explicitly states "XENOVIEW VDP is image processing software" and "XENOVIEW VDP is an image analysis platform". The entire description focuses on the software's functions of loading, viewing, registering, segmenting, normalizing, and analyzing MR images. While it processes images generated by an MRI scanner, the device itself is the software performing the analysis.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to examine these samples outside of the body.
  • Device Function: The XENOVIEW VDP software analyzes medical images (MR images) of the lung. It processes these images to visualize and quantify lung ventilation. This is an analysis of data acquired from within the body (in vivo), not an analysis of a sample taken from the body (in vitro).

Therefore, while it is a medical device used in the diagnostic process, it does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

XENOVIEW VDP is image processing software that analyzes a pulmonary hyperpolarized 129-Xe MR image and a proton chest MR image to provide visualization of lung ventilation in adults and pediatric patients aged 12 years and older.

Product codes

LLZ

Device Description

XENOVIEW VDP is an image analysis platform that quantifies normalized xenon intensity of a ventilated space using a pulmonary hyperpolarized 129-Xe ventilation MR image and accompanying proton chest MR image.

The XENOVIEW VDP image analysis process includes loading and viewing images, image registration and seqmentation, normalization and statistical analysis of 129Xe signal intensity distribution within the ventilation scan, and ultimately reporting the fraction of ventilated lunq volume as a percentage of thoracic cavity volume.

This software will be used by clinicians to assist in the interpretation and numerical classification of hyperpolarized 129-Xe ventilation MR images.

The HP 129Xe ventilation MR images are generated using an MRI scanner and appropriate RF chest coil with a patient that has inhaled XENOVIEW (xenon Xe 129 hyperpolarized).

The software provides a user-friendly interface and simple workflow that helps quide the user through the image analysis process, including the loading of images, registration of the anatomical image sets to the HP 129Xe image sets, segmentation of the lung, and automated classification of normalized ventilation distribution into multiple intensity levels via analysis of hyperpolarized 129Xe signal intensity within the segmented lung volume. The results of the image analysis are output as medical images of the classified ventilation, a summary report, and data files containing quantitative statistical analysis results.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

pulmonary hyperpolarized 129-Xe MR image and a proton chest MR image

Anatomical Site

lung / thoracic cavity

Indicated Patient Age Range

adults and pediatric patients aged 12 years and older

Intended User / Care Setting

clinicians

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The safety and performance of the XENOVIEW VDP software has been evaluated and verified in accordance with software specifications through software verification and validation testing per FDA's guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" (May 11, 2005).

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K103480

Reference Device(s)

Not Found

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).

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December 23, 2022

Polarean, Inc. % Rita King CEO Methodsense, Inc. 1 Copley Pkwy, Ste. 410 Morrisville, North Carolina 27560

Re: K223071

Trade/Device Name: Xenoview VDP Regulation Number: 21 CFR 892.2050 Regulation Name: Medical Image Management And Processing System Regulatory Class: Class II Product Code: LLZ Dated: September 29, 2022 Received: September 30, 2022

Dear Rita King:

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.

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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 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.

Daniel M. Krainak, Ph.D. Assistant Director Magnetic Resonance and Nuclear Medicine Team DHT8C: 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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Indications for Use

510(k) Number (if known) K223071

Device Name XENOVIEW VDP

Indications for Use (Describe)

XENOVIEW VDP is image processing software that analyzes a pulmonary hyperpolarized 129-Xe MR image and a proton chest MR image to provide visualization of lung ventilation in adults and pediatric patients aged 12 years and older.

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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Summary of 510(k)

Polarean, Inc K223071

This 510(k) Summary is in conformance with 21CFR 807.92

| Submitter: | Polarean, Inc.
PO Box 14805
Research Triangle Park, NC 27709-4805 |
|------------------|--------------------------------------------------------------------------------------------------------------------|
| Primary Contact: | Rita King, CEO
MethodSense, Inc.
Email: ritaking@methodsense.com
Phone: 919-313-3961
Fax: 919-313-3979 |
| Company Contact: | Neil Wadehra
Title: VP of Operations
Email: nwadehra@polarean.com
Phone: (919) 206-7900 |
| Date Prepared: | September 30, 2022 |

Device Name and Classification

Trade Name:XENOVIEW VDP
Common Name:Medical Imaging Software
Classification:Class II
Regulation Number:21 CFR 892.2050
Classification Panel:Radiology

LLZ

Product Code:

Predicate Device:

Trade NameTHORACIC VCAR
Common NameTHORACIC VCAR
510(k) Submitter / HolderGE Healthcare, (GE Medical Systems LLC)
510(k) NumberK103480
Regulation Number21 CFR 892.2050
Classification PanelPicture Archiving and Communications
System
Product CodeLLZ

The predicate device has not been subject to a design-related recall.

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Device Description

XENOVIEW VDP is an image analysis platform that quantifies normalized xenon intensity of a ventilated space using a pulmonary hyperpolarized 129-Xe ventilation MR image and accompanying proton chest MR image.

The XENOVIEW VDP image analysis process includes loading and viewing images, image registration and seqmentation, normalization and statistical analysis of 129Xe signal intensity distribution within the ventilation scan, and ultimately reporting the fraction of ventilated lunq volume as a percentage of thoracic cavity volume.

This software will be used by clinicians to assist in the interpretation and numerical classification of hyperpolarized 129-Xe ventilation MR images.

The HP 129Xe ventilation MR images are generated using an MRI scanner and appropriate RF chest coil with a patient that has inhaled XENOVIEW (xenon Xe 129 hyperpolarized).

The software provides a user-friendly interface and simple workflow that helps quide the user through the image analysis process, including the loading of images, registration of the anatomical image sets to the HP 129Xe image sets, segmentation of the lung, and automated classification of normalized ventilation distribution into multiple intensity levels via analysis of hyperpolarized 129Xe signal intensity within the segmented lung volume. The results of the image analysis are output as medical images of the classified ventilation, a summary report, and data files containing quantitative statistical analysis results.

Indications for Use

XENOVIEW VDP is image processing software that analyzes a pulmonary hyperpolarized 129-Xe MR image and a proton chest MR image to provide visualization and evaluation of lung ventilation in adults and pediatric patients aged 12 years and older.

Substantial Equivalence

The Polarean XENOVIEW VDP is substantially equivalent to predicate device, the GE Medical Systems Thoracic VCAR (K103480) currently on the market.

The table below provides a detailed comparison of the Polarean XENOVIEW VDP software to the predicate device.

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Detailed Comparison of the Subject and Predicate Devices

CharacteristicSubject DevicePredicate DeviceComparison
XENOVIEW VDPThoracic VCAR (K103480)
Intended Use /
Indications for UseXENOVIEW VDP is an
image processing software
technology that analyzes a
pulmonary hyperpolarized
129Xe MR image and a
proton chest MR image to
provide visualization and
evaluation of lung ventilation
in adults and pediatric
patients aged 12 years and
olderThoracic VCAR is a CT, non-
invasive image analysis software
package, which may be used in
conjunction with CT lung images
to aid in the assessment of
thoracic disease diagnosis and
management.
The software will provide
automatic segmentation of the
lungs and automatic segmentation
and tracking of the airway tree.
The software will provide
quantification of Hounsfield units
and display by color the
thresholds within a segmented
region.Identical intended use as both subject
and predicate device are non-invasive
image processing technologies of the
lung.
Equivalent indications for use as both
predicate and subject device provide
visualization and evaluation of the
lungs.
XENOVIEW VDP uses hyperpolarized
129Xe MR images and proton MR
images, while Thoracic VCAR
(K103480) uses CT lung images. This
difference does not impact the
intended use of the device, and the
safety and effectiveness are
confirmed with testing.
Modality Supported
(MRI / CT)MRICTDifferent modality. The difference
does not impact the intended use of
the device, and the safety and
effectiveness are confirmed with
testing.
CharacteristicSubject Device
XENOVIEW VDPPredicate Device
Thoracic VCAR (K103480)Comparison
Lung Analysis
PerformedYes – Entirety of lung is
analyzed by the softwareYes - Entirety of lung is analyzed
by the software; also, analysis of
Lobes, Airway, or user-defined
"zone", may be individually
analyzed by the softwareEquivalent, with the difference being
that Thoracic VCAR (K103480)
performs additional analysis of the
individual lung lobes and the airway.
Input
Radiological Images
of the LungsYes - Anatomical and xenon
images are registeredYes - Anatomical imageEquivalent, with the difference being
the number of images by each. This
difference does not impact the
intended use of the device, and the
safety and effectiveness are
confirmed with testing.
User Interface:
Screen SaveYesYesIdentical
Window LevelYesYesIdentical
MagnificationYesYesIdentical
Dynamic rotationYesYesIdentical
User annotationYesYesIdentical
Simultaneous loading
of two studiesNo – only one study may be
opened at once within the
XENOVIEW VDP program.Yes – Two standard CT images
may be viewed at once within the
Thoracic VCAR program.Different; XENOVIEW VDP does not
contain a feature to open multiple
studies within the same instance of
the program.
Image Functionality
Image RegistrationYes - Anatomical MR and
Xenon MR ImagesNo – CT Image OnlyDifferent; additional registration
functionality is needed due to
difference in modalities. This
difference does not impact the
intended use of the device, and the
safety and effectiveness are
confirmed with testing.
CharacteristicSubject DevicePredicate DeviceComparison
XENOVIEW VDPThoracic VCAR (K103480)
Automatic
SegmentationYes - Lung segmentationYes - Lung segmentation, lobe
segmentation, airway
segmentation, and airway trackingEquivalent, with the difference being
that Thoracic VCAR (K103480)
performs segmentation of additional
anatomical structures.
Manual
Segmentation
AdjustmentYes - Lung segmentationYes - Lung segmentation, lobe
segmentation, airway
segmentation, and airway trackingEquivalent, with the difference being
that Thoracic VCAR (K103480)
performs segmentation of additional
anatomical structures.
Volume
MeasurementYes - Thoracic Cavity
VolumeYes - Thoracic Cavity Volume and
User-Defined Zone VolumesEquivalent, with the difference being
that Thoracic VCAR (K103480)
additionally performs user-defined
zone volumes measurements.
Lung Volume
RenderingYesYesIdentical
Color MappingYes - Color mapping of the
MR images from diagnostic
imaging agent 129 Xe.Yes - Color mapping of the tissue
density from CT images.Equivalent, with the difference being
that XENOVIEW VDP color mapping
is based on contrast of imaging from
129Xe, while the Thoracic VCAR
(K103480) color mapping is based on
the tissue density obtained from of the
quantification of Hounsfield units
unique to CT scans. This difference
does not impact the intended use of
the device, and the safety and
effectiveness are confirmed with
testing.
CharacteristicSubject DevicePredicate DeviceComparison
XENOVIEW VDPThoracic VCAR (K103480)
Density Mapping by
User-Defined
ThresholdYes - Lung Volume FractionYes - Hounsfield UnitsEquivalent, with the difference being
that the XENOVIEW VDP value for
threshold is defined by Xenon, while
the Thoracic VCAR (K103480) value
for threshold is defined by Hounsfield
Units. This difference does not impact
the intended use of the device, and
the safety and effectiveness are
confirmed with testing.
Statistics displayed
by lungYes - Bins calculated based
on Lung Volume PercentageYes - "Bins" or ranges of data
calculated by Hounsfield UnitsEquivalent, with the difference being
that the XENOVIEW VDP value for
threshold is defined by Lung Volume
Fraction, while the Thoracic VCAR
(K103480) value for threshold is
defined by Hounsfield Units. This
difference does not impact the
intended use of the device, and the
safety and effectiveness are
confirmed with testing.
Image Measurement
ToolYes - Ruler tool availableYes - Ruler / measurement tool
available, explicit labeling of
various anatomical featuresEquivalent, with the difference being
that the Thoracic VCAR (K103480)
user interface provides additional
functionality for measurements.
Simultaneous loading
of examsNo - Only one exam can be
opened at once for analysisYes - Multiple exams can be open
simultaneously for comparisonDifferent; XENOVIEW VDP does not
contain a feature to load multiple
exams within the same instance of the
program.
CharacteristicSubject Device
XENOVIEW VDPPredicate Device
Thoracic VCAR (K103480)Comparison
Save StateNo - Save to files without
ability to restore sessionsYes - Ability to save and restore at
any time the current work for
staged analysisDifferent; XENOVIEW VDP does not
contain a feature to re-open a
previous work session.
Reporting capabilitiesYes - Medical report
available for clinical analysisYes - Medical report available for
clinical analysisIdentical

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Summary of Non-Clinical Testing

The safety and performance of the XENOVIEW VDP software has been evaluated and verified in accordance with software specifications through software verification and validation testing per FDA's guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" (May 11, 2005).

Summary of Clinical Testing

XENOVIEW VDP did not require clinical studies to support substantial equivalence.

Conclusion

Based on the information submitted in this premarket notification, and based on the indications for use, technological characteristics, and performance testing, the XENOVIEW VDP software raises no new questions of safety and effectiveness and is substantially equivalent to the predicate device in terms of safety and effectiveness.