VITAL CONNECT 4.1

K071362 · Vital Images, Inc. · LLZ · May 30, 2007 · Radiology

Device Facts

Record IDK071362
Device NameVITAL CONNECT 4.1
ApplicantVital Images, Inc.
Product CodeLLZ · Radiology
Decision DateMay 30, 2007
DecisionSESE
Submission TypeAbbreviated
Regulation21 CFR 892.2050
Device ClassClass 2
AttributesSoftware as a Medical Device, 3rd-Party Reviewed

Intended Use

ViTALConnect, Version 4.1 is a medical diagnostic software system intended to process, analyze, review, and distribute multi-dimensional digital images acquired from a variety of imaging devices including: CT, MR, CR/DR/DX, SC, US, NM, PET, XA, and RF, etc. VITALConnect is not meant for primary image interpretation in mammography. In addition, the ViTALConnect system has the following specific intended use: Vessel Probe is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians select any artery to view the following anatomical references: the highted vessel in 3D, two rotate-able curved MPR vessel views displayed at angles orthogonal to each other, and cross sections of the vessel. Cross sectional measurements can be obtained using standard Vital Images software measuring tools. Clinicians can manually measure the lumen width to obtain percentage stenosis calculations, based on the ratio of the smallest to the largest diameter. In addition, clinicians can manually measure vessel length along the centerline in standard curved MPR views and examine Hounsfield Units statistics. CT Coronary Artery Analysis is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians can select any coronary artery to view the following anatomical references: the highlighted vessel in 3D, two rotatable curved MPR vessel views displayed at 90 degree angles to each other, and cross sections of the vessel. The clinician can semiautomatically determine contrasted lumen boundaries, stenosis measurements, and maximum and minimum lumen diameters. In addition, clinicians can edit lumen boundaries and examine Houndsfield unit statistics.

Device Story

ViTALConnect 4.1 is a medical diagnostic software system for processing, reviewing, and analyzing multi-dimensional digital images (CT, MR, PET, etc.). Input: DICOM image data retrieved over network. Operation: software provides visualization tools, including 3D rendering, curved multi-planar reconstruction (MPR), and measurement tools. Clinicians use the interface to select images, manipulate views in real-time, annotate, and perform measurements (lumen width, stenosis, vessel length, Hounsfield units). Specific modules include 'Vessel Probe' (manual measurements) and 'CT Coronary Artery Analysis' (semiautomatic lumen boundary determination). Output: visualized anatomy/pathology, measurements, and reports exported to printers, web servers, or DICOM devices. Used in clinical settings by physicians/clinicians to aid in diagnosis and clinical decision-making. Benefits include enhanced visualization and quantitative analysis of complex vascular anatomy.

Clinical Evidence

Bench testing only. Software design, development, and validation performed according to internal procedures. Integration testing, verification, and Beta validation conducted to ensure performance and safety. Risk Management Plan implemented to control potential hazards.

Technological Characteristics

Medical diagnostic software; DICOM-compliant; supports multi-dimensional image processing (3D, MPR); features include manual and semiautomatic measurement tools for coronary artery analysis (lumen boundaries, stenosis, Hounsfield units). Operates on networked hardware; standalone software architecture.

Indications for Use

Indicated for clinicians requiring processing, analysis, review, and distribution of multi-dimensional digital images (CT, MR, CR/DR/DX, SC, US, NM, PET, XA, RF) for anatomy and pathology assessment. Includes specific coronary artery analysis tools. Not for primary mammography interpretation.

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

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ KO7/362 # 6.0 510(k) Summary ## Submitter's Name / Contact Person MAY 3 0 2007 Timothy J. Kappers, MBA, RAC Director, Quality Systems, Regulatory & Clinical Affairs Vital Images, Inc. 5850 Opus Parkway, Suite 300 Minnetonka, MN 55343 ### General Information | Device Trade Name | ViTALConnect™ 4.1 - Medical Image Processing Software | |----------------------------------------|------------------------------------------------------------------------------------------------------------------| | Common / Usual Name | System, Image Processing, Radiological | | Classification | 892.2050 Picture Archiving and Communications System<br>(LLZ; Class II) | | Identification of<br>Predicate Devices | ViTALConnect Version 4.0 (K062154)<br>Vital Images, Inc.<br>Vitrea®, Version 3.9 (K061624)<br>Vital Images, Inc. | ## Device Description The ViTALConnect system is a medical diagnostic device that allows the processing, review, analysis, communication and media interchange of multi-dimensional digital images acquired from a variety of imaging devices. The ViTALConnect system provides multi-dimensional visualization of digital images to aid clinicians in their analysis of anatomy and pathology. The ViTALConnect system user interface follows typical clinical workflow patterns to process, review, and analyze digital images, including: - Retrieve image data over the network via DICOM . - Display images that are automatically adapted to exam type via dedicated protocols . - Select images for closer examination from a gallery of up to six 2D or 3D views . - . Interactively manipulate an image in real-time to visualize anatomy and pathology - . Annotate, tag, measure, and record selected views {1}------------------------------------------------ - Output selected views to standard film or paper printers, or post a report to an Intranet . Web server or export views to another DICOM device - Retrieve reports that are archived on a Web server . #### Intended Use VITALConnect, Version 4.1 is a medical diagnostic software system intended to process. analyze, review, and distribute multi-dimensional digital Images acquired from a variety of imaging devices including: CT, MR, CR/DR/DX, SC, US, NM, PET, XA, and RF, etc. VTALConnect is not meant for primary image interpretation in mammography. In addition. the VITALConnect system has the following specific intended use: Vessel Probe is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians select any artery to view the following anatomical references: the highted vessel in 3D, two rotate-able curved MPR vessel views displayed at angles orthogonal to each other, and cross sections of the vessel. Cross sectional measurements can be obtained using standard Vital Images software measuring tools. Clinicians can manually measure the lumen width to obtain percentage stenosis calculations, based on the ratio of the smallest to the largest diameter. In addition, clinicians can manually measure vessel length along the centerline in standard curved MPR views and examine Hounsfield Units statistics. CT Coronary Artery Analysis is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians can select any coronary artery to view the following anatomical references: the highlighted vessel in 3D, two rotatable curved MPR vessel views displayed at 90 degree angles to each other, and cross sections of the clinician can semiautomatically determine contrasted lumen boundaries, stenosis measurements, and maximum and minimum lumen diameters. In addition, clinicians can edit lumen boundaries and examine Houndsfield unit statistics. ### Predicate Device Comparison The VITALConnect 4.1 system and its predicate devices allow for the analysis, communication and media interchange of digital images acquired from a variety of acquisitiondevices. All devices support the DICOM protocol for communication of images with other medical imaging devices. ### Summary of Studies The software utilized was designed, developed, tested, and validated according to written procedures. These procedures specify individuals within the organization responsible for developing and approving product specifications, coding, testing, validating, and maintenance. Page 25 {2}------------------------------------------------ The ViTALConnect 4.1 system will successfully complete integration testing/verification testing prior to Beta validation. Software Beta testing/validation will be successfully completed prior to release. In addition, potential hazards have been studied and controlled by a Risk Management Plan. {3}------------------------------------------------ Image /page/3/Picture/0 description: The image shows a seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES" written around the left side of the seal. To the right of the text is an image of an eagle. The eagle is drawn with three lines that form the shape of the bird. Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850 # MAY 3 0 2007 Vital Images, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313 Re: K071362 . Trade/Device Name: VITALConnect™ 4.1 Medical Image Processing Software Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: May 14, 2007 Received: May 15, 2007 Dear Mr. Job: 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. 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 (Premarket Approval), 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. Image /page/3/Picture/10 description: The image is a circular logo with the text "1906-2006" at the top. The letters "FDA" are in the center of the logo. Below the letters, the word "Centennial" is written in cursive. Three stars are below the word "Centennial". The text "U.S. Food & Drug Administration" is written around the edge of the circle. time and Promoting Publio Roalth {4}------------------------------------------------ Page 2 - 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); 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. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification 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 contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter: | 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | 240-276-0115 | |----------------|----------------------------------|--------------| | 21 CFR 884.xxx | (Obstetrics/Gynecology) | 240-276-0115 | | 21 CFR 894.xxx | (Radiology) | 240-276-0120 | | Other | | 240-276-0100 | Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrl/industry/support/index.litm1. Sincerely yours. Nancy C Hodgon Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ Vital Images, Inc. VITAL Connect™ Varsion 4.1 3.0 Intended Use Statement 07/202 510(k) Number (if known): Device Name: VITALConnect™ 4.1 Medical Image Processing Software ViTALConnect, Version 4.1 is a medical diagnostic software system intended to process, analyze, review, and distribute multi-dimensional digital images acquired from a variety of imaging devices including: CT, MR, CR/DR/DX, SC, US, NM, PET, XA, and RF, etc. VITALConnect is not meant for primary image interpretation in mammography. In addition, the ViTALConnect system has the following specific intended use: Vessel Probe is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians select any artery to view the following anatomical references: the highted vessel in 3D, two rotate-able curved MPR vessel vlews displayed at angles orthogonal to each other, and cross sections of the vessel. Cross sectional measurements can be obtained using standard Vital Images software measuring tools. Clinicians can manually measure the lumen width to obtain percentage stenosis calculations, based on the ratio of the smallest to the largest diameter. In addition, clinicians can manually measure vessel length along the centerline in standard curved MPR views and examine Hounsfield Units statistics. CT Coronary Artery Analysis is intended for viewing the anatomy and pathology of a patient's coronary arteries. Clinicians can select any coronary artery to view the following anatomical references: the highlighted vessel in 3D, two rotatable curved MPR vessel views displayed at 90 degree angles to each other, and cross sections of the vessel. The clinician can semiautomatically determine contrasted lumen boundaries, stenosis measurements, and maximum and minimum lumen diameters. In addition, clinicians can edit lumen boundaries and examine Houndsfield unit statistics. | Prescription Use | X | |-----------------------------|---| | (Part 21 CFR 801 Subpart D) | | AND/OR | Over-The-Counter Use | | |------------------------|--| | (21 CFR 801 Subpart C) | | (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) | | Page __ of __ | |--|---------------| | | | | | | Nancy Brogdon | (Division Sign-Off) | | |---------------------------------------------------------------|---------| | Division of Reproductive, Abdominal, and Radiological Devices | | | 510(k) Number | K071362 | | May 04, 2007<br>Abbreviated 510(k) Premarket Notification | Page 10 | |-----------------------------------------------------------|---------| |-----------------------------------------------------------|---------|
Innolitics
510(k) Summary
Decision Summary
Classification Order
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