BRIT PACS SYSTEMS

K081168 · Brit Systems, Inc. · LLZ · Mar 23, 2009 · Radiology

Device Facts

• Record ID: K081168
• Device Name: BRIT PACS SYSTEMS
• Applicant: Brit Systems, Inc.
• Product Code: LLZ · Radiology
• Decision Date: Mar 23, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2050
• Device Class: Class 2

Intended Use

The BRIT PACS Systems is an image management system whose intended use is to provide (scaleable ) DICOM compatible PACS solutions for hospital and related institutions/sites, which will archive/ distribute/ retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentations, and will include standard features and other Mammo tools. Lossy compressed mammography images and digitized film screen images must not be used for primary image interpretations. Mammography images may only be interpreted using an FDA approved monitor that offers at least 5 mega pixel resolution and meets other technical specifications approved by the FDA. Application areas include imaging centers, radiologist central reading rooms and any other locations where trained medical professionals would require access or desire patient images, demographic information or other patient medical information captured in the system.

Device Story

BRIT PACS Systems is a modular, DICOM-compliant image management solution for hospitals and clinics. It ingests medical images from modalities (CR, CT, DR, MR) and information systems. Components include: BRIT SCAN (film digitizer), BRIT Quality Workbench (QC), BRIT Roentgen RIS (scheduling/exam management), BRIT Roentgen Files (DICOM/Web server, archive, HL-7 interface), and various viewing workbenches (BRIT Vision, BRIT View, BRIT Lite). The system enables remote reading, image distribution, and diagnostic viewing. Radiologists and clinicians use the workstations to view, manipulate, and interpret images. The system supports mammography via 5MP monitors. It facilitates clinical decision-making by providing access to patient images and data across multiple locations. Benefits include improved workflow, scalability, and timely access to diagnostic information for healthcare providers.

Clinical Evidence

No clinical data provided. The submission relies on a comparison of technological characteristics and intended use to established predicate devices.

Technological Characteristics

DICOM-compliant PACS architecture; modular software components; PC-based workstations; supports 5MP monitors for mammography; HL-7 interface engine; web-based client for RIS; DICOM/Web server; film digitization hardware. Connectivity via network/DICOM standards.

Indications for Use

Indicated for use in hospitals, imaging centers, and reading rooms by trained medical professionals to archive, distribute, retrieve, and display medical images and data from modalities including CR, CT, DR, and MR. Includes display of structured reports and mammography images. Contraindications: Lossy compressed mammography images and digitized film screen images must not be used for primary 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

• AMICAS Vision Series PACS (K062477)
• DR Systems PACS (K041935)

Submission Summary (Full Text)

{0}------------------------------------------------

# MAR 2 \$ 2009

Ka81168
Page 1 of 3

# 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS (21CFR 807.92)

### DATE PREPARED: 4/21/2008 I.

- II. SUBMITTER: BRIT Systems, Inc. 1909 Hi-Line Dr.
CONTACT PERSON: III.

Dallas, TX 75207

Robert Murry VP of Engineering [e-mail] Phone: [phone] Fax:

#### IV. DEVICE NAME:

Classification Name: Trade/Proprietary Name: Picture Archiving and Communications System (PACS) BRIT PACS SYSTEMS

- V. DEVICE CLASSIFICATION Class II CFR section: 892.2050 Product code: LLZ Panel: Radiology
#### VL PREDICATE DEVICES:

K062477 AMICAS Vision Series PACS Class II Decision Date: 10/27/2007

K041935 DR Systems PACS Class II Decision Date: 08/16/2004

{1}------------------------------------------------

KC81/68
Page 2 of 3

### SUBSTANTIAL EQUIVALENCE CONCLUSIONS: VII.

BRIT Systems concludes that the intended use for the BRIT PACS Systems is the same as that of the predicate devices, and that the technological characteristics demonstrate that they are equivalent to the predicate device. A comparison of the technological characteristics of the predicate and legally marketed devices available has been performed.

Thus, this premarket notification has demonstrated substantial equivalence.

# VIII. DEVICE DESCRIPTION AND INTENDED USE:

### System Description:

BRIT PACS Systems provides custom, turn-key solutions for PACS and teleradiology based systems on the latest DICOM standards. Using PACS, medical images can be made available at multiple locations - virtually anywhere at any time. Modular components make BRIT's solutions flexible, upgradeable, and scaleable.

BRIT SCAN is a high-quality film digitization system that allows standard radiographs to be converted into electronic images for transmission to PACS and teleradiolgy systems. BRIT Scan allows the users to integrate standard radiographic studies, which are often used for comparison studies, into the PACS strategy.

BRIT Quality Workbench is a DICOM based application that runs on a PC and is used to provide patient demographic and image data quality control functions within the PACS system.

BRIT Roentgen RIS provides a hospital or clinic with automated tools to electronically schedule and manage patient exam information. The Roentgen RIS utilizes a web based client that provides referring physicians the added flexibility to instantly view and schedule their own patients' radiographic services. The Roentgen RIS also accesses the same database as BRIT'S PACS solution.

BRIT Roentgen Files is the main product for exam and report storage in a PACS environment. It runs a DICOM Server and Web Server plus a selection of the following applications, all using the same database.

- DICOM Archive �
- Modality Worklist Server �
- HL-7 Interface Engine �
- Order Entry/Scheduling package ◆

BRIT Viewing Workbenches offer different viewing applications to address the differing needs of the users.

BRIT Vision is a diagnostic reading workbench which provides radiologists and high-power users a fully configured 12-bit DICOM image viewing workstation.

BRIT Vision Mammography Module is an optional diagnostic module utilizing 5MP monitors that runs in the BRIT Vision medical image viewing workstation.

BRIT View is a clinical viewing workstation or diagnostic reading workbench which provides high quality image viewing and manipulation capabilities in a fully configured 12-bit DICOM workstation, for use in radiology or non-radiological area of the facility such as ER, Surgery, ICU, and other areas.

1239

{2}------------------------------------------------

BRIT Lite is a viewing application that responds to the needs of healthcare organization that require access to images anywhere, anytime, but without the need for advanced visualization tools or large application on each workstation.

BRIT Roentgen Burner is a DICOM compliant automated solution for producing custom-labeled CD's and or DVD's that contain medical images plus BRIT's image viewing software. Radiological studies are sent to this device from any BRIT DICOM workstation on the network.

BRIT Roentgen Works is a workflow management service for radiologists to provide remote reading services for multiple health care facilities.

### Indications for Use:

The BRIT PACS Systems is an image management system whose intended use is to provide (scaleable) DICOM compatible PACS solutions for hospital and related institutions/sites, which will archive/ distribute/ retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR, and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentation", and will include standard features and other Mammo tools. Lossy compressed mammography images and digitized film screen images must not be used for primary image interpretations. Mammography images may only be interpreted using an FDA approved monitor that offers at least 5 mega pixel resolution and meets other technical specifications approved by the FDA.

Application areas include imaging centers, radiologist central reading rooms, and any other locations where trained medical professionals would require access or desire patient images, demographic information, or other patient medical information captured in the system.

#### IX. SAFETY INFORMATION:

The BRIT PACS Systems has no patient contact and is utilized only by trained professionals. Trained professionals allow sufficient review to afford identification and intervention in the event of a malfunction have evaluated the output of the device. Patient data is limited to authorized individuals.

#### X. CONCLUSION:

BRIT PACS Systems believes sufficient information is included to reach a determination of substantial equivalence. We conclude that the subject device is as safe and effective including the component and accessory devices.

{3}------------------------------------------------

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird figure.

# DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 3 2009

Mr. Robert Murry VP of QA/Engineering BRIT Systems 1909 Hi Line Drive DALLAS TX 75207

Re: K081168

Trade/Device Name: BRIT PACS Systems Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications systems Regulatory Class: II Product Code: LLZ Dated: February 18, 2009 Received: February 19, 2009

### Dear Mr. Murry:

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 (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.

{4}------------------------------------------------

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 os 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) | [phone] |
|----------------|----------------------------------|----------------|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | [phone] |
| 21 CFR 892.xxx | (Radiology) | [phone] |
| Other | | [phone] |

Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufactures, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry.suppot/index.html.

Sincerely yours,

Janine M. Morris

Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{5}------------------------------------------------

K081168

MAR 2 3 2009

510(k) Number (if known): N/A Kosilla

Device Name: BRIT PACS Systems

### Indications for Use:

The BRIT PACS Systems is an image management system whose intended use is to provide (scaleable ) DICOM compatible PACS solutions for hospital and related institutions/sites, which will archive/ distribute/ retrieve and display images and data from all hospital modalities (such as CR, CT, DR, MR and other devices) and information systems. This also includes the display of structured reports and mammography images that have been created according to DICOM "For Presentations, and will include standard features and other Mammo tools. Lossy compressed mammography images and digitized film screen images must not be used for primary image interpretations. Mammography images may only be interpreted using an FDA approved monitor that offers at least 5 mega pixel resolution and meets other technical specifications approved by the FDA.

Application areas include imaging centers, radiologist central reading rooms and any other locations where trained medical professionals would require access or desire patient images, demographic information or other patient medical information captured in the system.

# (PLEASE DO NOT WRITE BELOW THIS LINE. CONTINUE ON ANOTHER PAGE IF NEEDED.) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) Over the Counter Use

Tozu In Whan

(Division Sigi Division of Reproductive, Abdominal and Radiological Davices 510(k) Number __