PACENTRIC CONNECT, TRAVELER AND WEB

K100837 · Fimreite Software AS · LLZ · Dec 3, 2010 · Radiology

Device Facts

• Record ID: K100837
• Device Name: PACENTRIC CONNECT, TRAVELER AND WEB
• Applicant: Fimreite Software AS
• Product Code: LLZ · Radiology
• Decision Date: Dec 3, 2010
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 892.2050
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

PaCentric Web is a software device intended for viewing of images acquired from CT, MR, CR, US and other DICOM compliant medical imaging systems when installed on suitable commercial standard hardware. Images and data can be captured, stored, communicated, processed, and displayed within the system and or across computer networks at distributed locations. The device is not intended for clinical viewing of mammography images.

Device Story

PaCentric Web is a web-based software application for read-only review of DICOM images and reports. It enables remote access to clinical data via web browsers, requiring a key and password provided by the sender. The device facilitates image display, measurement (distance, area, volume, angle, ratios), window-leveling, brightness control, color mapping, and image manipulation (flipping, zooming). It generates simple printable reports containing patient demographics and clinical data. Used by radiologists, specialists, and other medical professionals in clinical settings to review images acquired at different geographic locations. The system ensures secure, time-limited access to data through encrypted internet communication. By providing remote access to diagnostic images, it supports clinical decision-making and patient care coordination across distributed networks.

Clinical Evidence

No clinical data. Bench testing only. The device underwent risk analysis, requirements reviews, design reviews, module verification, system integration testing, final acceptance validation, and performance testing to ensure compliance with voluntary standards.

Technological Characteristics

Software-only device; operates on commercial standard hardware. Uses DICOM standard for image communication. Connectivity via internet using VeriSign Class 3 Extended Validation SSL CA, HTTP with Privacy TLS 1.0, AES 128-bit encryption, and RSA 1024-bit key exchange. Features include DICOM-compliant image processing tools (window/level, measurements, color maps).

Indications for Use

Indicated for radiologists, cardiologists, surgeons, chiropractors, dentists, and other trained medical professionals to review clinical DICOM images (CT, MR, CR, US) acquired at remote locations. Not indicated for clinical viewing of mammography images.

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

• iQ-System PACS (K062488)

Submission Summary (Full Text)

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510(k): Abbreviated Pre-market Notification Submission

## 5 510(k) Summary

As required by section 807.92{c}

DEC - 3 2010

| 510(k) owner's<br>name: | Fimreite Software AS |
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| Address: | Torggata 26, 3181 Horten, Norway |
| Phone: | (47) 93 21 56 27 |
| Contact person: | Svein Fimreite |
| Date of preparation: | 29 October 2010 |
| Name of Device | PaCentric Web |
| Trade Name: | PaCentric Web |
| Common Name: | Picture Archiving and Communications Systems and Workstation |
| Classification Name: | 21 CFR 892.2050 System, Image Processing, Radiological |
| Predicate Device: | K062488 iQ-System PACS |
| Device Description: | PaCentric Web is an Internet application for read-only review of external image<br>deliveries. |
| | PaCentric Web facilitates the display and/or transfer of clinical DICOM images<br>and reports to a Web browser. PaCentric is ensuring secure and time-limited<br>access to clinical data. The receiver will only have access to the relevant data<br>for a particular delivery. Using PaCentric, patient data can be delivered to a<br>specific recipient anywhere in the world. |
| | PaCentric Web gives a qualified user read-only access to an image delivery.<br>Access is given with a key and password, which must be provided by the<br>Sender. |
| | PaCentric Web features commonly used tools and features found on DICOM<br>workstations: |
| | • Preview image icons from which the user may select images to review in<br>full size |
| | • Measurements: Distance, Area, Volume, Angle and ratios. Measurement<br>calibration based on information provided by the relevant DICOM tag. The<br>measurements are performed by having the user select a caliper and<br>marking end points by clicking with a mouse button. The results are being<br>displayed and updated in a results area on the screen. |
| | • Horizontal and Vertical invert, i.e. flipping the image sideways or upside-<br>down. |
| | • Color maps. A pixel consists of three sets of values from 0 to 255 that<br>together constitute a color or a gray level. Technically, these RGB values<br>are reduced according to desired color hue. A grayscale image therefore<br>will not lose any details in the image for higher or lower values. This<br>function is mostly used for MONOCHROME1 and MONOCHROME2 images. |
| | • Window-leveling and Brightness control. These Attributes is only used for<br>Images with Photometric Interpretation (0028,0004) values of |
| | MONOCHROME1 and MONOCHROME2. They have no meaning for other<br>Images. |
| | When working with DICOM images, the user has the ability to make<br>changes to the displayed images, on a global level, by manipulating the<br>Window Level. Tonal changes to specific areas of an image. Window Center<br>DICOM TAG 0028,1050 and Window Width DICOM TAG 0028,1051 specify<br>a linear conversion from stored pixel values (after any Modality LUT or |
| | Rescale Slope and Intercept specified in the IOD have been applied) to |
| | values to be displayed. Window Center contains the input value that is the<br>center of the window. Window Width contains the width of the window.<br>Note: The terms "window center" and "window width" are not consistently<br>used in practice, nor were they defined in previous versions of the<br>standard. The definitions here are presented for the purpose of defining<br>consistent meanings for identity and threshold transformations while<br>preserving the common practice of using integral values for center and<br>width.<br>• Zoom - Image is downloaded in its original size, but the height and width<br>definition can be adjusted and will therefore function as zoom.<br>• Language selection. Default language is based on current location derived<br>from the IP address of the viewer.<br>• Simple printable report with preview and selectable fields: Display of<br>patient demographics: Sex, age, date of examination, nationality, operator,<br>weight, referring physician, height, performing physician, body surface<br>area (BSA), location, BP, Sender address, Description, Diagnosis,<br>Comments, Images, selectable signature lines<br>• Ability to display up to eight independent image areas at the same time |
| Intended Users: | Intended users PaCentric Web include radiologists, specialists including<br>cardiologists, surgeons, chiropractors, dentists and other trained medical<br>professionals who have a need for reviewing clinical data acquired at some<br>other geographic location. |
| Intended Use: | PaCentric Web is a software device intended for viewing of images acquired<br>from CT, MR, CR, DR, US and other DICOM compliant medical imaging systems<br>when installed on suitable commercial standard hardware.<br>Images and data can be captured, stored, communicated, processed, and<br>displayed within the system and or across computer networks at distributed<br>locations.<br>The device is not intended for clinical viewing of mammography images. |
| Technology: | PaCentric Web use the same functional scientific technology as its predicate<br>devices including a transfer protocol based on Query/Retrieve within the<br>DICOM standard. In addition, PaCentric uses secure transfer protocols with<br>VeriSign Class 3 Extended Validation SSL CA HTTP with Privacy TLS 1.0, AES with<br>128 bit encryption (High); RSA with 1024 bit exchange for internet<br>communication. |
| Test Summary: | PaCentric Web complies with the voluntary standards as detailed in Section 9.<br>The following quality assurance measures were applied to the development:<br>• Risk Analysis<br>• Requirements Reviews<br>• Design Reviews<br>• Testing on unit level (Module verification)<br>• Integration testing (System verification)<br>• Final acceptance testing (Validation)<br>• Performance testing |
| Conclusion: | Fimreite Software AS considers features of PaCentric Web substantially<br>equivalent to those of the predicate device, but believes that PaCentric should<br>be considered a device with Moderate Level of Concern. |

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510(k): Abbreviated Pre-market Notification Submission

Image /page/1/Picture/1 description: The image shows the logo for "Fimreite SOFTWARE AS". The word "Fimreite" is in bold, and the words "SOFTWARE AS" are in a smaller font size below the word "Fimreite". To the right of the word "Fimreite" is a partial circle with three dots inside of it.

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Mr. Svein Fimreite Managing Director Fimreite Software AS Torggata 26. Horten. 3181 NORWAY

DEC - 3 2010

Re: K100837

Trade/Device Name: PaCentric Web Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: June 28, 2010 Received: November 9, 2010

Dear Mr. Fimreite:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 807); labeling (21 CFR Parts 801 and 809); medical device reporting of

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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Dan

David G. Brown, Ph.D. Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Image /page/4/Picture/0 description: The image shows the logo for Fimreite SOFTWARE AS. The word "Fimreite" is in bold, black letters, with "SOFTWARE AS" in smaller letters below. To the right of the word "Fimreite" is a partial circle with three dots inside.

510(k): Abbreviated Pre-market Notification Submission

## 4 Indications for Use Statement

510(k) Number: K100837

Device Name: PaCentric Web

Indications for Use:

PaCentric is a software only device intended for viewing of images acquired from CT, MR, CR, US and other DICOM compliant medical imaging systems when installed on suitable commercial hardware. Images and data can be captured, stored, communicated, processed, and displayed within the system and or across computer networks at distributed locations. The device is not intended for clinical viewing of mammography images.

Prescription Use YES (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use NO

(21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign

Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety

510K K160837

Fimreite Software AS Torggata 26, 3181 Horten, Norway