K083639 · Ge Medical Systems Information Technologies · DQK · Feb 17, 2009 · Cardiovascular
Device Facts
Record ID
K083639
Device Name
MUSE CARDIOLOGY INFORMATION SYSTEM WITH VMWARE
Applicant
Ge Medical Systems Information Technologies
Product Code
DQK · Cardiovascular
Decision Date
Feb 17, 2009
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 870.1425
Device Class
Class 2
Attributes
Software as a Medical Device, Pediatric
Indications for Use
The MUSE Cardiology Information System is intended to store, access and manage cardiovascular information on adult and pediatric patients. The information consists of measurements, text, and digitized waveforms. The MUSE Cardiology Information System provides the ability to review and edit electrocardiographic procedures on screen, through the use of reviewing, measuring, and editing tools including ECG serial comparison. The MUSE Cardiology Information System is intended to be used under the direct supervision of a licensed healthcare practitioner, by trained operators in a hospital or facility providing patient care. The MUSE Cardiology Information System is not intended for primary monitoring. The MUSE Cardiology Information System is not intended for pediatric serial comparison.
Device Story
MUSE Cardiology Information System manages cardiovascular data (measurements, text, waveforms) from GE and non-GE diagnostic/monitoring equipment; provides tools for on-screen review, measurement, and editing of ECG procedures, including serial comparison. System operates as a network PC-based client/server configuration. This version introduces an off-the-shelf (OTS) virtualization software layer (VMWare) to host the operating system, allowing multiple OS shells on a single hardware server. Used in hospitals/clinics by trained operators under licensed practitioner supervision. Output assists clinicians in diagnostic review and management reporting. Benefits include centralized data access and efficient workflow for cardiology information management.
Clinical Evidence
No clinical data required; substantial equivalence supported by non-clinical bench testing, including risk analysis, requirements/design reviews, and system verification/validation.
Technological Characteristics
Networked PC-based client/server system. Utilizes off-the-shelf (OTS) virtualization software (VMWare) to host the operating system on server hardware. Functions as a programmable diagnostic computer for ECG data management. Software-based system; no specific hardware materials or sterilization requirements noted.
Indications for Use
Indicated for storage, access, and management of cardiovascular information (measurements, text, digitized waveforms) for adult and pediatric patients. Used in hospitals or care facilities under licensed practitioner supervision. Contraindicated for primary monitoring and pediatric serial comparison.
Regulatory Classification
Identification
A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.
{0}------------------------------------------------
K083639
# FEB 1 7 2009
## GE Healthcare 510(k) Premarket Notification Submission MUSE Cardiology Information System with VMWare
### 510(k) Summary
In accordance with 21 CFR 807:92 the following summary of information is provided:
| Date: | December 5, 2008 |
|---------------------------|-------------------------------------------------------------------|
| Submitter: | Larry Lepley |
| | Regulatory Affairs - Diagnostic Cardiology |
| | 9900 Innovation Drive |
| | Wauwatosa, WI 53226 |
| Primary Contact Person: | Larry Lepley |
| | Regulatory Affairs - Diagnostic Cardiology |
| | 9900 Innovation Drive |
| | Wauwatosa, WI 53226 |
| | T: (414) 721-2593 |
| | F: (414) 721-3899 |
| Secondary Contact Person: | Patricia Taige |
| | Regulatory Affairs - Diagnostic Cardiology |
| | 9900 Innovation Drive |
| | Wauwatosa, WI 53226 |
| | T: (414) 721-3222 |
| | F: (414) 721-3899 |
| | |
| Device:<br>Trade Name: | MUSE Cardiology Information System |
| Common/Usual Name: | ECG Analysis Computer, Programmable Diagnostic Computer |
| Classification Names: | 21 CFR 870.1425 |
| Product Code: | DQK |
| Predicate Device(s): | K072502 MUSE Cardiology Information System |
| Device Description: | The MUSE Cardiology Information System is intended to store, |
| | access and manage cardiology information on adult and pediatric |
| | patients. MUSE Cardiology Information System has been |
| | marketed to operate within Microsoft Windows Operating System |
| | (OS) directly interacting with the host hardware. GE Healthcare |
| | intends to change this interaction by running MUSE Cardiology |
| | Information System with an Off the Shelf virtualization software |
| | layer. GE feels that this proposed change alters the principal of |
| | operation of the Operating System. This proposed change will be |
| | marketed as a software only offering, which will utilize an |
| | OTS software that virtualizes the host hardware. This will allow |
| | multiple OS shells to run on a single hardware server, one of |
| | which is the OS hosting the predicate MUSE Cardiology |
| | Information System program. |
17
Page. 1 OF 3
{1}------------------------------------------------
### GE Healthcare 510(k) Premarket Notification Submission MUSE Cardiology Information System with VMWare
The functional intent of MUSE Cardiology Information System with VMWare will remain the same as the premarket notification reviewed in 2007 (K072502). For conveyance the description for (K072502) is the following:
The MUSE Cardiology Information System is a network PC based system comprised of a client workstation /servor configuration that manages adult and pediatric diagnosis cardiology data by providing centralized storage and ready access U:Ree) from OF HiRes) from GE and non-GE diagnostic and monitoring equipment.
The device provides the ability
- . To review and edit stored data consisting of measurements, text, and digitized waveforms on screen, through the use of reviewing, measuring and editing tools including ECG serial comparison
- To generate formatted management reports, ad-hoc . database search reports and clinical patient reports on selected stored data.
The MUSE Cardiology information System is intended to be used under the direct supervision of a licensed healthcare practitioner, by trained operators in a hospital or facility providing patient care.
Intended Use:
The MUSE Cardiology Information System is intended to store, access and manage cardiovascular information on adult and pediatric patients. The information consists of measurements, text, and digitized waveforms. The MUSE Cardiology Information System provides the ability to review and edit electrocardiographic procedures on screen, through the use of reviewing, measuring, and cditing tools including ECG serial comparison. The MUSE Cardiology Information System is intended to be used under the direct supervision of a licensed healthcare practitioner, by trained operators in a hospital or facility providing patient care. The MUSE Cardiology Information System is not intended for primary monitoring. The MUSE Cardiology Information System is not intended for pediatric serial comparison.
Technology:
The MUSE Cardiology Information System with VMWare
{2}------------------------------------------------
## GE Healthcare
### 510(k) Premarket Notification Submission MUSE Cardiology Information System with VMWare
employs a different functional scientific technology as its predicate devices.
Determination of Substantial Equivalence:
Summary of Non-Clinical Tests:
The MUSE Cardiology Information System with VMWare and its applications comply with voluntary standards as detailed in Section 9, 11 and 17 of this premarket submission. The following quality assurance measures were applied to the development of the system:
- � Risk Analysis
- Requirements Reviews .
- . Design Reviews
- Testing on unit level (Module verification) .
- Integration testing (System verification) .
- Final acceptance testing (Validation) .
- Performance testing (Verification)
- Safety testing (Verification)
#### Summary of Clinical Tests:
The subject of this premarket submission, MUSE Cardiology Information System with VMWare, did not require clinical studies to support substantial equivalence.
Conclusion:
GE Healthcare considers the MUSE Cardiology Information System with VMWare to be as safe, as effective, and performance is substantially equivalent to the predicate device(s).
Page 3 OF 3
{3}------------------------------------------------
#### DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/3/Picture/1 description: The image shows the seal for the Department of Health & Human Services - USA. The seal is circular and contains an eagle with three stripes on its back. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
### FEB 1 7 2009
GE Medical Systems Information Technologies c/o Mr. Larry Lepley Regulatory Affairs - Diagnostic Cardiology 9900 Innovation Drive Wauwatosa, WI 53226
Re: K083639
Trade/Device Name: MUSE Cardiology Information System with VMWare Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II (two) Product Code: DQK Dated: December 5, 2008 Received: December 6, 2008
#### Dear Mr. Lepley:
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 approvat of a premailet approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of 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 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
{4}------------------------------------------------
Page 2 - Mr. Larry Lepley
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 clectronic 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 (240) 276-0120. 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 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/cdrh/industry/support/index.html.
Sincerely yours,
001 Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{5}------------------------------------------------
## GE Healthcare
510(k) Premarket Notification Submission MUSE Cardiology Information System with VMWare
510(k) Number (if known):
K083639
Device Name:
MUSE Cardiology Information System with VMWare
#### Indications for Use:
The MUSE Cardiology Information System is intended to store, access and manage cardiovascular information on adult and pediatric patients. The information consists of measurements, text, and digitized waveforms. The MUSE Cardiology Information System provides the ability to review and edit electrocardiographic procedures on screen, through the use of reviewing, measuring, and editing tools including ECG serial comparison. The MUSE Cardiology Information System is intended to be used under the direct supervision of a licensed healthcare practitioner, by trained operators in a hospital or facility providing patient care. The MUSE Cardiology Information System is not intended for primary monitoring. The MUSE Cardiology Information System is not intended for pediatric serial comparison.
Prescription Use X (Part 21 CITR 801 Subpart D)
· Over-The-Counter Use (Part 21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
AND/OR
Concurrence of CDRH, Office of Device Evaluation (ODE)
Mitchel Stein for B Zuckerman
Division Sian-Offi 2/17/09 Division of Cardlovascular Devices 510(k) Number KO8363
ા ર
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.