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510(k) Data Aggregation

    K Number
    K051745
    Device Name
    ECHOSYSTEM
    Manufacturer
    Date Cleared
    2005-07-14

    (15 days)

    Product Code
    Regulation Number
    892.2050
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Medstrat echoeSYSTEM™ is intended to enable the communication, storage, viewing and manipulation of diagnostic medical images and data. The echoeSYSTEM™ can show images on workstations locally and/or across computer networks at widely distributed locations. The echoeSYSTEM™ software is intended for assisting healthcare professionals in preoperative planning and postoperative evaluation of orthopedic surgery. The device allows for overlaying of prosthesis templates on radiological images, and includes tools for performing measurements on the image and positioning the templates. The typical echoeSYSTEM™ users are trained professionals such as orthopedic surgeons, referring and collaborating physicians, and other authorized medical professionals.

    It is the user's responsibility to bear in mind the display monitor's quality, ambient light conditions and the tradeoff between image compression ratio and clinical effectiveness for specific image study indications.

    Device Description

    ECHOES™ is a client-server software system designed to allow viewing access to medical images on a personal computer by authorized medical professionals. This product is designed to function with off-the-shelf hardware and software products including standard communications products. It does not require specialized, or nonstandard, devices of any type.

    Image acquisition is via the industry standard DICOM 3.0 protocol allowing the images to be produced from the digital data originated by the imaging modality.

    The software will run on standard off-the-shelf hardware and system configurations,

    AI/ML Overview

    The provided text is a 510(k) Summary for the Medstrat echoeSYSTEM™, a Picture Archiving and Communication System (PACS). This document focuses on demonstrating substantial equivalence to predicate devices rather than proving a device meets specific acceptance criteria through a performance study with quantitative results.

    Therefore, many of the requested sections (e.g., specific acceptance criteria, sample sizes for test/training sets, number of experts, adjudication methods, MRMC studies, standalone performance, and ground truth establishment) are not present in the provided text.

    The summary describes the device's intended use and compares its features to two predicate devices to establish substantial equivalence. It does not contain information about a study designed to evaluate the statistical performance of the device against predefined acceptance criteria for clinical accuracy or efficacy.

    Here's an analysis of what can be extracted based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    There are no explicit acceptance criteria or quantitative performance metrics reported in the provided document. The analysis focuses on substantial equivalence to predicate devices based on shared features and intended use.

    FeatureAcceptance Criteria (Not Explicitly Stated/Quantitative)Reported Device Performance (Comparison to Predicates)
    Indications for UseImplicit: Similar to predicate devices."Similar" to eFILM Workstation with Modules and Amicas Web/Intranet Server. Intended to enable communication, storage, viewing, and manipulation of diagnostic medical images and data, assisting healthcare professionals in preoperative planning and postoperative evaluation of orthopedic surgery, including overlaying prosthesis templates and measurements.
    Target PopulationImplicit: Competent health professionals."Health Professionals" (same as predicates).
    Uses Off-the-Shelf MonitorsImplicit: Yes."yes" (same as predicates).
    Lossy Image CompressionImplicit: Yes, adhering to standards."yes" (same as predicates), compression methods "believed to conform to the voluntary recognized consensus JPEG standard."
    TCP/IP CommunicationsImplicit: Yes."yes" (same as predicates).
    Software OnlyImplicit: Yes."yes" (same as predicates).
    Image MeasurementsImplicit: Yes."yes" (same as predicates).
    DICOM image dataImplicit: Yes."yes" (same as predicates), uses industry standard DICOM 3.0 protocol for image acquisition.
    Pixel-for-Pixel ZoomImplicit: Yes."yes" (same as predicates).
    User Login/AuthenticationImplicit: Yes."yes" (compared to Amicas, NA for eFilm), provides secure Internet and extranet interfaces through authentication mechanisms.
    Digital templatesImplicit: Yes."yes" (compared to eFilm, no for Amicas), allows overlaying of prosthesis templates.
    Editable state savesImplicit: Yes."yes" (compared to both predicates which report "no"), provides functions for communicating, storing, and editing state save data of annotations, measurements, and image manipulation states.

    2. Sample size used for the test set and the data provenance:

    • Not provided. The document describes a comparison to predicate devices' features and intended use, not a clinical performance study with a test set.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not provided. No test set or ground truth establishment process is described.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • Not provided. No test set or adjudication method is described.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • No, an MRMC study was not done/reported. The device is a PACS system for viewing and manipulation; it's not described as an AI-powered diagnostic aid that would typically undergo such a study for "human reader improvement."

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • Not applicable/Not provided. The echoeSYSTEM™ is described as a client-server software system and PACS for viewing and manipulation, not a standalone AI algorithm with independent diagnostic performance. Its primary function is displaying and managing images and providing tools for human professionals.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

    • Not provided. No clinical ground truth is mentioned as a basis for validating the device's performance, as the submission focuses on substantial equivalence of functionality.

    8. The sample size for the training set:

    • Not provided. There is no mention of a training set, as the device is not an AI/machine learning system in the sense of requiring a "training set."

    9. How the ground truth for the training set was established:

    • Not provided/Not applicable. As no training set is mentioned, the method for establishing its ground truth is also not applicable.
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