COMPACS, VERSION 1.0

K041581 · Intelligent Images Srl · LLZ · Jun 22, 2004 · Radiology

Device Facts

• Record ID: K041581
• Device Name: COMPACS, VERSION 1.0
• Applicant: Intelligent Images Srl
• Product Code: LLZ · Radiology
• Decision Date: Jun 22, 2004
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2050
• Device Class: Class 2
• Attributes: Software as a Medical Device, 3rd-Party Reviewed

Intended Use

ComPACS is a software device intended to be used by qualified medical professionals, after proper installation on an appropriate hardware platform, for capturing, viewing, printing, processing, analyzing, reporting and communicating medical digital studies such as cardiac catheterization, echocardiography or general radiological studies. The software can be used in a variety of network configurations ranging from a stand-alone workstation to a network of workstations connected to a ComPACS server configuration. DICOM compatible imaging devices can transfer studies directly to the ComPACS archive using DICOM network protocols or DICOM removable media.

Device Story

ComPACS is a modular software suite for medical imaging management; operates on standard hardware platforms. Inputs include DICOM-compliant medical images (cardiac cath, echo, general radiology) via network or removable media; analog video signals via ComPACS Recorder. Modules perform image viewing, archiving, quantitative analysis (QCA, LVA, IVUS), and reporting. Used in clinical settings by physicians and technicians. Output includes processed images, quantitative measurements, and clinical reports. Enhances clinical decision-making by providing multi-window/multi-monitor review, audio dictation integration, and centralized study management. Benefits include improved workflow efficiency, flexible image management, and comprehensive diagnostic support across various imaging modalities.

Clinical Evidence

Bench testing only. Performance validated through image storage, query, and retrieval testing using diverse image sets from multiple manufacturers. No clinical data provided.

Technological Characteristics

Modular software architecture; DICOM-compliant; supports multi-window/multi-monitor display. Features include image viewing, archiving, quantitative analysis (QCA, LVA, IVUS), and reporting modules. Connectivity via DICOM network protocols and removable media. Supports various color encoding and compression options. Includes analog-to-digital video conversion via ComPACS Recorder.

Indications for Use

Indicated for use by qualified medical professionals for the management, processing, and analysis of medical digital studies, including cardiac catheterization, echocardiography, and general radiological studies.

Regulatory Classification

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.

Special Controls

*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).

Predicate Devices

• AETMED IMAGE PROCESSING SOFTWARE (K012093)
• PROSOLV® CARDIOVASCULAR (K023112)
• IMAGE-ARENA (K040546)
• IN-VISION VIEW WITH MEASUREMENTS MODULE (K022940)

Submission Summary (Full Text)

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K04 1581

'JUN 2 2 2004

Image /page/0/Picture/2 description: The image shows the logo for MediMatic. The logo consists of a circular arrangement of letters spelling out "medicati" and the word "MediMatic" in bold, black letters. Below the word "MediMatic" is the text "Intelligent Images S.r.l. - www.medimatic.com".

Intelligent Images S.r.l.

Page 1 of 10

Amministrazione e Uffici:

Viale Cembrano 4C/4, 16148 GENOVA, ITALY el: [phone] Fax: [phone]

## ComPACS 510 (k) Summary

The following safety and effectiveness summary has been prepared pursuant to requirement for 510(k) summaries specified in 21 CFR 807.92(a).

#### 807.92(a)(1)

## Submitter Information

Intelligent Images S.r.l. 4C/4 Viale Cembrano 16148 Genova, ITALY

| Phone: | [phone] |
|-----------------|-----------------------|
| Fax: | [phone] |
| Contact Person: | Maria Rosa Bellisario |
| Date: | May 20, 2004 |

807.92(a)(2)

## Device Name

- Trade Name: ComPACS, ComPACS Components ComPACS Common Name:
- Classification Name(s): System, Image Processing

892.2050 Classification Number:

LLZ Product Code:

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Image /page/1/Picture/1 description: The image shows the word "MediMatic" in a large, bold, sans-serif font. Below the word "MediMatic" is the text "Intelligent Images S.r.l. - www.medimatic.com" in a smaller font. The text appears to be the name of a company and its website address.

.

Intelligent Images S.r.I.

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Amministrazione e Uffici:

Viale Cembrano 4C/4, 16148 GENOV
Tel: [phone] Fax: +39 010 3

## 807.92(a)(3)

## ComPACS 510 {k} Summary - Predicate Device(s)

| Manufacturer: | AETMED, S.P.A.<br>VIA SIFFREDI 58<br>GENOVA, I-16153, ITALY |
|----------------|----------------------------------------------------------------------------------------|
| Tradename: | AETMED IMAGE PROCESSING SOFTWARE |
| 510(k) Number: | K012093 |
| Manufacturer: | PROBLEM SOLVING CONCEPTS, INC.<br>8020 CASTLEWAY DR.<br>INDIANAPOLIS, IN 46250, USA |
| Tradename: | PROSOLV® CARDIOVASCULAR |
| 510(k) Number: | K023112 |
| Manufacturer: | TOMTEC IMAGING SYSTEMS, GMBH<br>EDISONSTRASSE 6<br>UNTERSCHLEISSHEIM, D-85716, GERMANY |
| Tradename: | IMAGE-ARENA |
| 510(k) Number: | K040546 |
| Manufacturer: | INTELLIGENT IMAGES SRL<br>VIALE CEMBRANO 4C/4<br>GENOVA, I-16148, ITALY |
| Tradename: | IN-VISION VIEW WITH MEASUREMENTS MODULE |
| 510(k) Number: | K022940 |

Additional substantial equivalence information is provided in the following substantial equivalence section.

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K041581
Page 3 of 6

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**MediMatic**
Intelligent Images S.r.l. - www.medimatic.com

Amministrazione e Uffici:

ale Cembrano 4C/4, 16148 GENOVA, ITALY Tel: [phone] Fax: [phone]

#### ComPACS 510 (k) Summary - Device Description 807.92(a)(4)

ComPACS is a software device intended to be used by qualified medical professionals, after proper installation on an appropriate hardware platform, for capturing, archiving, viewing, processing, analyzing, reporting and communicating medical digital studies such as cardiac cathetetization, echocardiography or general radiological studies.

ComPACS is a modular software device composed of different software modules operating in synergy and each responsible of different functions. The modules can be distinguished into general review station components, analysis components, reporting components, server components and gateway components.

#### General Review Station Components

CornPACS viewer constitutes the basic module for a review station providing viewing capabilities and retrieving capabilities from DICOM files in removable media. ComPACS Archive introduces archiving and retrieving of studies on the local review station. ComPACS Net Client allows a review station to archive and retrieve studies from a ComPACS Net Archive or from a third party DICOM compliant PACS. ComPACS Multi-Media extends ComPACS Archive to import and archive multi-media files with conversion to the DICOM format. ComPACS audio introduces digital audio management capabilities.

#### Analysis Components

The review station can be extended with different analysis modules. ComPACS QCA and ComPACS LVA provide respectively quantitative coronary analysis and left ventricular analysis on angiographic images. ComPACS Echocardiac, ComPACS Stress Echo provide different echo analysis features. ComPACS IVUS allows measurements and longitudinal image reconstruction on IVUS images.

#### Reporting Components

ComPACS Reporting allows report creation and management. This component can be further subdivided into subcomponents in relation to the different type of reports: Generic, Echocardiac, angiographic, etc. ComPACS Dictation extends the reporting module to allow for audio dictation into the report.

#### Server Components

ComPACS Net Archive is the basic server modules allowing and retrieving of studies from remote workstations equipped with a ComPACS Net Client module. ComPACS Security introduces user activity logging and user rights profiles management. ComPACS Storage Server provides DICOM network storage services as SCP. ComPACS Dictation Server manages the dictated reports and transfers them to an external transcription service.

ComPACS Small Business Server and ComPACS Enterprise Server provide DICOM network services for small and large size networks respectively.

#### Gateway Components

ComPACS Recorder is a device capable of digitizing analog video signals and converting to DICOM compliant files for storage on media or network transfer to a DICOM server.

#### Intelligent Images S.r.l.

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Image /page/3/Picture/1 description: The image shows the logo for MediMatic. The logo consists of a circular arrangement of smaller circles, each containing a letter, spelling out "medimatic". To the right of the circular arrangement is the word "MediMatic" in a bold, sans-serif font. Below the word "MediMatic" is the text "Intelligent Images S.r.l. - www.medimatic.com".

Amministrazione e Uffici:

Viale Cembrano 4C/4, 16148 GENOVA, ITALY Tel: [phone] Fax: [phone]

### 807.92(a)(5)

## ComPACS 510 (k) Summary - Intended Use(s)

ComPACS is a software device intended to be used by qualified medical professionals, after proper installation on an appropriate hardware platform, for capturing, viewing, printing, processing, analyzing, reporting and communicating medical digital studies such as cardiac catheterization, echocardiography or general radiological studies.

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Image /page/4/Picture/1 description: The image shows a circular arrangement of eight smaller circles. Each circle contains a letter, spelling out the word 'medicate' in a clockwise direction. The letters are 'a', 'm', 'e', 'd', 'i', 'c', 't', and 'i'.

Amministrazione e Uffici:

ale Cembrano 4C/4, 16148 GENOVA, ITALY [phone] Fax: [phone]

## 807.92(a)(6)

## ComPACS 510 (k) Summary -Substantial Equivalence

CornPACS is substantially equivalent to Aetmed Image Processing Software, Prosolv® Cardiovascular, and Image-Arena. While there are some technological differences between ComPACS and the substantially equivalent devices, these differences do not affect the safety or effectiveness of the new device.

The primary difference between ComPACS and these three substantially equivalent devices is in the image management flexibility and DICOM format support. ComPACS appears to have a more advanced multi-window and multi-monitor image management and a wider support of the DICOM format in the different color encoding and compression options as well as a greater tolerance to slightly non compliant files. These features add to the safety and effectiveness of the device.

While all the devices are capable of performing analysis on different type of image modalities, ComPACS appears to provide analysis support for a wider set of modalities than any of the single equivalent devices although there no modality for which ComPACS provides unique support. This adds to the effectiveness of the device without compromising the safety.

Another difference between ComPACS and these three substantially equivalent devices is the management of audio data and report dictation, adding to the effectiveness of the device.

ComPACS is also substantially equivalent to In-Vision View with Measurements Module, an stand-alone software from Intelligent Images. The substantial equivalence is related to the ComPACS viewer and ComPACS IVUS components for the viewing and measurement functions on IVUS images. The only significant difference is ComPACS ability to support multi-window and multi-monitor display.

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KREBS
Kinetik

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**MediMatic**
Intelligent Images S.r.l. - www.medimatic.com

Amministrazione e Uffici:

no 4C/4 16148 GENOVA

## ComPACS 510 (k) Summary

807.92(b)(1)(2)

## Non Clinical Tests

ComPACS performance is substantially equivalent to Aetmed Image Processing Software, Prosolv® Cardiovascular, and Image-Arena. While there are some technological differences between ComPACS and the substantially equivalent devices, these differences do not affect the safety or effectiveness of the new device.

ComPACS image storage, query and retrieval, including DICOM network connectivity, have been tested using image sets from different imaging devices from different manufactures. The primary differences between ComPACS these three substantially equivalent devices appears to be in the wider support of both DICOM formats and proprietary formats (DSR-TIFF, DEFF) and in a wider range of search criteria for study query purposes. These features add to the safety and effectiveness of the device.

ComPACS performance is also substantially equivalent to In-Vision View with Measurements Module, a stand-alone software from Intelligent Images with an added support in ComPACS multi-window and multi-monitor display. These features add to the safety and effectiveness of the device.

807.92(b)(3)

## Non Clinical Tests - Conclusions

The nonclinical and clinical tests demonstrate that ComPACS is substantially equivalent to Aetmed Image Processing Software, Prosolv® Cardiovascular, Image-Arena and In-Vision View with Measurements Module. The tests show that ComPACS is as safe, as effective and performs as well or better than such legally marketed predicate devices.

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Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three lines forming its body and wings. The eagle faces to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 2 2004

Intelligent Images S.r.l. (MediMatic) % Mr. Daniel W. Lehtonen Staff Engineer Intertek Testing Services NA, Inc. 70 Codman Hill Road BOXBOROUGH MA 01719

Re: K041581

Trade/Device Name: ComPACS Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: 90 LLZ

Dated: June 12, 2004 Received: June 14, 2004

Dear Mr. Lehtonen:

We have reviewed your Section 510(k) premarket notification of intent to market the device vio neve rove 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 nay, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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 that I Dri has 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to ocgin hantoung of substantial equivalence of your device to a legally premarket notincation. The FDF member of your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please In you desire specific advice for your dence on one of the following numbers, based on the regulation number at the top of the letter:

| 8xx. 1xxx | [phone] |
|----------------------------------|----------------|
| 876.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | [phone] |
| 892.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| Other | [phone] |

Additionally, for questions on the promotion and advertising of your device, please contact the Auditionally, for questions on the promotes as a measure the regulation entitled, "Misbranding Other of Compliance at (301) 597 - 1037. 1253) you may obtain. Other general by reletence to premarked notified in (= 1) = 1 = 1 = 1 = 1 = 1 = 1 = 1 = (200) = 2 = 1 = (200) = 2 = 1 = (200) = 2 = 1 information on your responsionales and consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Nancy C. Brogden

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/8/Picture/0 description: The image shows a circular arrangement of small circles, each containing a letter. The letters, when read clockwise, spell out the word 'medicati'. The arrangement gives the impression of a ring or a cycle, with each letter representing a component or step in a process. The letters are in lowercase and appear to be in a simple, sans-serif font.

**MediMatic**
Intelligent Images S.r.l. - www.medimatic.com

Amministrazione e Uffici:

Viale Cembrano 4C/4, 16148 GENOVA, ITALY Tel: [phone] Fax: [phone]

# ComPACS 510 (k) Summary - Indications for Use Statement

Vcr/ 3 - 4/24/96

Applicant: Intelligent Images S.r.l.

K041581 510(k) Number (if known): _

Device Name: ComPACS

Indications For Use:

ComPACS is a software device intended to be used by qualified medical professionals, after proper installation on an appropriate hardware platform, for capturing, viewing, printing, processing, Instalation on and communicating medical digital studies such as cardiac catheterization, echocardiography or general radiological studies.

The software can be used in a variety of network configurations ranging from a stand-alone workstation The votwork of workstations connected to a ComPACS server configuration. DICOM compatible imaging devices can transfer studies directly to the ComPACS archive using DICOM network protocols or. DICOM removable media.

## (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

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Concurrence of CDRH, Office of Device Evaluation (ODE)

David Miller Hodgson

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices

(Per 21 CFR 801.109)

Prescription Use (Per 21 CFR 801.109) Page 15 of 75