For the objective and reproducible analysis of multi-slice, spin-echo MR data sets of the liver for the measurement of liver R2 and liver iron concentration.
Device Story
Software tool for import/visualization of multi-slice, spin-echo MRI data sets of abdomen; vendor-independent. Principle of operation: fits signal decay curves to image signal intensities at different echo times on voxel-by-voxel basis to determine transverse relaxation rate (R2) images; transforms R2 images via calibration to provide quantitative measure of liver iron concentration in vivo. Used in clinical settings to support clinicians in assessment of liver iron status and clinical research trials. Output provides objective, reproducible liver parameters; assists clinical decision-making regarding iron status and intervention monitoring.
Clinical Evidence
No clinical data provided. Substantial equivalence is based on technological characteristics and intended use.
Technological Characteristics
Software-based image processing tool. Operates on multi-slice, spin-echo MRI data sets. Principle: voxel-by-voxel signal decay curve fitting to determine transverse relaxation rate (R2). Vendor-independent. Connectivity: imports MRI data sets.
Indications for Use
Indicated for use as an accessory diagnostic device to present images reflecting magnetic resonance spectra for the determination of iron in the liver. Intended for prescription use.
Regulatory Classification
Identification
A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).
Special Controls
*Classification.* Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.
Hitachi, Magnetic Resonance Diagnostic Device Version 6 Operating System Software (K961969)
Submission Summary (Full Text)
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K04327/
510(k) Submission: R2-MRI Analysis System
JAN 2 1 2005
# Inner Vision Biometrics Pty Ltd
### 510(K) SUMMARY 3.
| SUBMITTED BY: | Inner Vision Biometrics Pty Ltd |
|-------------------------|--------------------------------------------------|
| | 216 Stirling Highway |
| | Claremont WA 6010 |
| | Australia |
| Contact in Australia: | Dr Janet Preuss |
| | Quality Assurance and Regulatory Affairs Manager |
| | Tel: +61 8 9286 5307 |
| | Fax: +61 8 9286 5399 |
| Contact in the US: | Mr Greg Holland |
| | Regulatory Specialists Inc. |
| | 3722 Ave. Sausalito |
| | Irvine, CA 92606 |
| | Tel: 949-262-0411 |
| | Fax: 949 552 2821 |
| DATE: | November 24 2004 |
| NAME OF DEVICE: | R2-MRI Analysis System |
| Classification Name: | System, Image Processing |
| Classification Number: | 892.1000 |
| Trade/Proprietary Name: | R-MRI Analysis System |
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Image /page/1/Picture/1 description: The image shows a handwritten note with the word "KOBZZZI" on the top line. The second line contains the text "June 2024". The handwriting is somewhat cursive and slightly difficult to read.
Medis, MRI (Magnetic resonance Analytical PREDICATE DEVICE(S): K994283: Software System) Resonance Diagnostic KARI ARA
Magnetic Hitachi. Device Version 6 Operating System Software
Software tool used as an accessory to an MR scanning DEVICE DESCRIPTION: facilitate the import and visualization of machine, to data sets encompassing the multi-slice, spin-echo MRI independent of the MRI abdomen, with functionality equipment vendor, to provide objective and reproducible determination of liver parameters to support clinicians in the assessment of liver iron status.
- The operational principle of the R2-MRI Analysis System is Scientific Concepts: based on fitting signal decay curves to the image signal intensities (e.g. of the liver) at the different echo times for the MR data set on a voxel-by-voxel (3-D pixel) basis to determine transverse relaxation rate (R2) images, that may be further transformed by a defined calibration to provide a quantitative measure of liver iron concentrations in vivo.
- For the analysis of multi-slice, spin-echo MRI data sets of the INTENDED USE: liver for the measurement of liver R2 and liver iron concentration.
## SUBSTANTIAL EQUIVALENCE INFORMATION:
The device has been shown to substantially equivalent to the Medis MRI (Magnetic resonance Analytical Software System) and the Hitachi, Magnetic Resonance Diagnostic Device Version 6 Operating System Software:
| | R2-MRI Analysis<br>System | Medis, MRI (Magnetic<br>resonance Analytical<br>Software System) | Hitachi, Magnetic<br>Resonance Diagnostic<br>Device Version 6<br>Operating System<br>Software |
|------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Regulatory Class | II | II | II |
| 510(k) number | N/A | K994283 | K961969 |
| Classification Name | System, Nuclear<br>Magnetic Resonance<br>Imaging, System, Image<br>Processing Radiological | System, Image<br>Processing | System, Nuclear<br>Magnetic Resonance<br>Imaging |
| CFR Section | 892.1000 | 892.1000 | 892.1000 |
| Product Code and<br>Classification Panel | LNH | LNH | LNH |
| | R2-MRI Analysis<br>System | Medis, MRI (Magnetic<br>resonance Analytical<br>Software System) | Hitachi, Magnetic<br>Resonance Diagnostic<br>Device Version 6<br>Operating System<br>Software |
| Device Name | R2-MRI Analysis<br>System | MRI-Magnetic<br>Resonance Analytical<br>Software System | Magnetic Resonance<br>Diagnostic Device |
| Trade/Common Name | R2-MRI Analysis<br>System | MASS (Magnetic<br>resonance Analytical<br>Software System) | Version 6 Operating<br>System Software |
| Description | Software tool to<br>facilitate the import and<br>visualization of<br>multi-slice, spin-echo<br>MRI data sets<br>encompassing the<br>abdomen, with<br>functionality<br>independent of the MRI<br>equipment vendor, to<br>provide objective and<br>reproducible<br>determination of liver<br>parameters to support<br>clinicians in the<br>assessment of liver iron<br>status. | Software tool to<br>facilitate the import and<br>visualization of<br>multi-slice, multi-phase<br>MRI data sets<br>encompassing the<br>cardiac chambers, with<br>functionality<br>independent of the MRI<br>equipment vendor, to<br>provide objective and<br>reproducible<br>determination of cardiac<br>parameters to support<br>clinicians in the<br>assessment of heart<br>function. | Revisions of a software<br>operating system for<br>MR scanners that<br>"include the addition of<br>RF spoiling, SSP for<br>enhanced 3D MRA, RF<br>Fat Suppression, MTC<br>for background<br>suppression, 3D-FSE,<br>3D-FIR, rephrase added<br>to 2D-FSE and 2D-GFE,<br>2D-FIR Dual Contrast,<br>RF coil uniformity<br>image post-processing,<br>and adaptive image<br>post-processing" where<br>"images may be<br>produced in which the<br>contrast is primarily<br>dependent on T1<br>relaxation, T2 relaxation,<br>proton density , or a<br>combination of all three. |
| Intended use | For the objective and<br>reproducible analysis of<br>multi-slice, spin-echo<br>MR data sets of the liver<br>for the measurement of<br>liver R2 and liver iron<br>concentration. | For the objective and<br>reproducible analysis of<br>multi-slice, multi-phase<br>left and right ventricular<br>function from cardiac<br>MR data sets. | "... intended to provide<br>the physician with<br>physiological and<br>clinical information,<br>obtained non-invasively<br>and without the use of<br>ionizing radiation" of<br>"... cross-sectional<br>images that display the<br>internal structure of the<br>head, body, or<br>extremities". |
| Intended purpose(s) | 1. Supporting clinical<br>diagnoses about the<br>status of liver iron<br>concentration.<br>2. Supporting the | "1. Supporting clinical<br>diagnoses about the<br>status of the global and<br>regional function and<br>anatomy of the cardiac<br>chambers. | "Intended to provide the<br>physician with<br>physiological and<br>clinical information,<br>obtained non-<br>invasively." "When |
| | R2-MRI Analysis<br>System | Medis, MRI (Magnetic<br>resonance Analytical<br>Software System) | Hitachi, Magnetic<br>Resonance Diagnostic<br>Device Version 6<br>Operating System<br>Software |
| | decision-making<br>processes.<br>3. Supporting the use<br>in clinical research<br>trials, directed at<br>studying changes in<br>liver iron concentration<br>as a result of<br>interventions. | 2. Supporting the<br>subsequent clinical<br>decision-making<br>processes.<br>3. Supporting the use<br>in clinical research<br>trials, directed at<br>studying changes in<br>function and anatomy of<br>the heart chambers as a<br>result of interventions." | interpreted by a trained<br>physician, these images<br>provide information that<br>can be useful in<br>diagnosis<br>determination."<br>"Diagnostic uses"<br>include "T1, T2, proton<br>density measurements". |
| Image-type utilized | Magnetic Resonance | Magnetic Resonance | Magnetic Resonance |
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=
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/4/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with three lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
## JAN 2 1 2005
Inner Vision Biometrics Pty Ltd. % Mr. Greg Holland Regulatory Consultant 3722 Ave. Sausalito IRVINE CA 92606
Re: K043271
Trade/Device Name: R2-MRI Analysis System Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: 90 LNH Dated: November 24, 2004 Received: November 26, 2004
Dear Mr. Holland:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced we have leveleved your becared by equivalent (for the indications for use stated in above and have deteninmed the at predicate devices marketed in interstate commerce prior to the cliciosure) to regally markets president Device Amendments, or to devices that have been May 26, 1770, the clacinent dato of the Federal Food, Drug, and Cosmetic Act (Act) that reclassified in accordation with the proval application (PMA). You may, therefore, market the do not require approval on a premanes approvisions of the Act. The general controls provisions of the Act device, subject to the general volual 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 (Premarket 11 your device is classinod (300 as 10) and controls. Existing major regulations affecting your Apploval), it may be sabject to addreaderal Regulations, Title 21, Parts 800 to 898. In addition, FDA device can oc round in moncements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that F Case of advised that + Dr. I on that your device complies with other requirements of the Act or any For has made a decemination and mistered by other Federal agencies. You must comply with all the I car statues and regulations as and limited to registration and listing (21 CFR Part 807); labeling ACC STEQuirements, mediating practice requirements as set forth in the quality systems (QS) (21 CFR Part 801); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act): 21 CFR 1000-1050.
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This letter will allow you to begin marketing your device as described in your Section 510(k) This fetter will anow you to begin manuting of substantial equivalence of your device to a legally premarket nothication. The I DA midnig of bassification for 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 If you desire specific advice tor your correct of the following numbers, based on the regulation number at the top of this letter:
| 21 CFR 876.xxxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|-----------------|----------------------------------|--------------|
| 21 CFR 884.xxxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 892.xxxx | (Radiology) | 240-276-0120 |
| Other | | 240-276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, please note the regulation entires) formation on your responsibilities under the Act from the 807.97). Tou may obtain other general and Consumer Assistance at its toll-free number (800) DVISION of 311an Manufacturers, Internet address http://www.fda.gov/cdrb/dsmadsmamain.html
Sincerely yours,
Nancy C. brogdon
Nancy C. È rogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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#### INDICATIONS FOR USE STATEMENT 2.
510(k) Number (if known): Ko 4 327/
R2-MRI Analysis System Device Name:
The R2-MRI Analysis System is an accessory diagnostic device to Indications For Use: The R. Nr. International for diagnostic use to present images that reflect the magnetic resonance spectra for the determination of iron in the liver.
Prescription Use _____________________________________________________________________________________________________________________________________________________________
AND/OR
Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________
(Part 21 CFR 801 Subpart D)
(21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of ____________________________________________________________________________________________________________________________________________________________________
Nancy C. Brogdon
Olvision Sign-Off) ivision of Reproductive, Abdominal, and Radiological Devices 510(k) Number
Inner Vision Biometrics Pty Ltd
Confidential
Page 10
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.