SYNAPSE MPR FUSION

K113244 · Fujifilm Medical System U.S.A., Inc. · LLZ · Dec 22, 2011 · Radiology

Device Facts

• Record ID: K113244
• Device Name: SYNAPSE MPR FUSION
• Applicant: Fujifilm Medical System U.S.A., Inc.
• Product Code: LLZ · Radiology
• Decision Date: Dec 22, 2011
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.2050
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. Synapse MPR/Fusion is not intended for Mammography use.

Device Story

Synapse MPR/Fusion V2.5 is a software application for PACS environments; enables display, comparison, and fusion of 3D (MIP/MPR) medical images from CT, MR, PET, and SPECT modalities. Operated by radiologists, technologists, and clinicians in clinical settings. Inputs include DICOM-compliant datasets; system performs image registration, fusion, and multi-planar reformatting. Features include automatic orientation correction for supine/prone scans, drag-and-drop fusion combinations, and measurement tools. Output is visualized on workstation displays to assist in clinical assessment, such as treatment response evaluation and lesion identification. Benefits include improved visualization of multimodal data, facilitating comparison of anatomical and functional information that would otherwise be viewed disjointedly.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Software-based PACS application; runs on standard workstation hardware. Supports DICOM 3.0 standards for image data. Features include 3D MIP/MPR rendering, image registration algorithms, and automated orientation correction. Connectivity via networked PACS environment.

Indications for Use

Indicated for radiologists, technologists, and clinicians to display, compare, and fuse 3D (MIP/MPR) CT, MR, PET, and SPECT medical images. Not intended for mammography.

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

• Mirada XD (K101228)

Submission Summary (Full Text)

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## KII 3244

DEC 2 2 2011

Section 5

### SYNAPSE MPR Fusion V2.5 510(k) Summary

This Section contains:

510(k) Summary

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DEC 2 2 2011

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# FUJKFILM

FUJIFILM MEDICAL SYSTEMS U.S.A., INC.

419 WEST AVENUE STAMFORD, CT 06902 203-324-2000 PHONE: TOLL-FREE: 800-431-1850 203-353-0926 FAX:

#### SYNAPSE MPR Fusion V2.5

Special 510(k) Summary

October 31, 2011 Date Prepared:

#### Submitter's Information

FUJIFILM Medical Systems U.S.A., Inc. 419 West Avenue Stamford, Connecticut 06902 [phone] Telephone: Facsimile: [phone] Contact: Debbie Peacock

#### Device Name and Classification:

| Product Name: | Synapse MPR/Fusion Software V2.5 |
|-----------------------|-----------------------------------------------|
| Classification Name: | Picture Archiving Communication System (PACS) |
| Classification Panel: | Radiology |
| CFR Section: | 21 CFR 892.2050 |
| Device Class: | Class II |
| Product Code: | LLZ |

#### Substantial Equivalence/Predicate Devices:

Proposed SYNAPSE MPR/Fusion V2.5 Indications for Use:

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. Synapse MPR/Fusion is not intended for Mammography use.

#### Predicate Mirada XD (K101228) Indications for Use:

Mirada XD is intended to be used by trained medical professionals including, but not limited to, radiologists, nuclear medicine physicians, and physicists. Mirada XD is a software application intended to display and visualize 2D & 3D multimodal medical image data. The user may process, render, review, store, print and distribute DICOM 3.0 compliant datasets within the system and/or across computer networks. Supported modalities include, CT, MR, PET SPECT and planar NM. The user may also create, display, print, store and distribute reports resulting from interpretation of the datasets.

Mirada XD allows the user to register combinations of anatomical and functional images and display them with fused and non-fused displays to facilitate the comparison of image data by the user. The result of the registration operation can assist the user in assessing changes in image data, either within or between examinations and aims to help the user obtain a better understanding of the combined information that would otherwise have to be visually compared disjointedly. Mirada XD provides a number of tools such as rulers and region of interests, which are intended to be used for the assessment of regions of an image to support a clinical workflow. Examples of such workflows included, but are not limited to, the evaluation of the presence or absence of lesions, determination of treatment response and follow-up.

Mirada XD allows the user to define, transform and store the export regions of interest structures in DICOM format including RT format for use in radiation therapy planning systems.

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| Additional Function | Description |
|----------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Additional Modality | Supports Fusion of Nuclear Medicine (SPECT) images. |
| Save to Synapse Server | Now has the ability to save reformats to new series on<br>Synapse PACS. |
| Auto correcting orientation | Automatically corrects orientation when scans are performed<br>in supine and prone position. |
| Fusion combination | Arbitrary combination between CT,MR,PET and NM/SPECT<br>by Drag&Drop on currently-cleared Fusion View (which<br>currently allows for PET CT Fusion only). |
| Compare in Fusion View | Compare images and measurements in the current study to<br>the previous study in Fusion View. |
| Provides Additional Functional Enhancements such as: | |
| • Automatic rotation of<br>PET | Keeping rotating whole MIP image by rolling the mouse wheel<br>while pressing the [Ctrl] key |
| • Ability to top/bottom | Ability to top/bottom PET and SPECT images using mouse |
| • Smooth scrolling | Smoother scrolling of whole MIP image in Fusion View |
| • Reference Line | Draw reference lines in Fusion View. |
| • Oblique in Fusion<br>View | Rotating plane in Fusion View by dragging a reference line |
| • Fusion Ratio | Setting default fusion ratio |
| • Display formats | Additional layout formats are added. |
| • Top default value<br>in the combo box<br>control in Fusion<br>View | Setting Top default values in the combo box control in<br>Fusion View |

Should you have any questions, please contact me by phone at 203-602-3774, fax: [phone] or e-mail at [e-mail].

Sincerely,

Doris Peacock

Debbie Peacock Regulatory Affairs Manager

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Public Health Service

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

Ms. Debbie Peacock Regulatory Affairs Manager FUJIFILM Medical Systems USA, Inc. 419 West Avenue STANFORD CT 06902

DEC 2 2 2011

Re: K113244

Trade/Device Name: Synapse MPR/Fusion software Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: December 12, 2011 Received: December 13, 2011

Dear Ms. Peacock:

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 (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,

Mary Pastel

Mary S. Pastel. Sc.D. 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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### Indications for Use

510(k) Number (if known):

Device Name: Synapse MPR/Fusion software

Indications for Use:

Synapse MPR/Fusion software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians.

Synapse MPR/Fusion is not intended for Mammography use.

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) 0

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

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety

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