VISIA

K120207 · MeVis Medical Solutions AG · LLZ · Apr 23, 2012 · Radiology

Device Facts

• Record ID: K120207
• Device Name: VISIA
• Applicant: MeVis Medical Solutions AG
• Product Code: LLZ · Radiology
• Decision Date: Apr 23, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2050
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

Visia™ is a medical image processing software application intended for the visualization of images from various sources (e.g., Computed Tomography (CT), Magnetic Resonance (MR), etc). The system provides viewing, quantification, manipulation, and printing of medical images. Visia™ is not meant for primary diagnostic interpretation of mammography.

Device Story

Visia™ is a medical imaging software platform for processing, reviewing, and analyzing multidimensional digital images from various modalities (CT, MR). It integrates into clinical workflows by receiving/transferring DICOM images over computer networks. The software runs on standard off-the-shelf PCs as a standalone workstation or in a distributed server-client configuration. Clinicians use configurable viewing options and hanging protocols to display images; tools are provided for annotation, measurement, and report generation. The device does not perform automated diagnosis; it serves as a tool for radiologists, clinicians, and referring physicians to interpret patient anatomy and pathology. By facilitating efficient image review and quantification, it supports clinical decision-making. It does not contact the patient or control life-sustaining equipment.

Clinical Evidence

No clinical data. Performance was established via nonclinical bench testing, including a Validation Test Plan evaluating all input/output functions and operational modes. Testing confirmed the system meets all design, function, and specification requirements.

Technological Characteristics

Software-only medical image processing platform. Operates on standard off-the-shelf PC hardware. Supports DICOM standard for image communication. Functions as a standalone workstation or distributed server-client network configuration. Does not contact patients. No specific hardware materials or energy sources required beyond standard computing infrastructure.

Indications for Use

Indicated for clinicians requiring visualization, quantification, manipulation, and printing of medical images from sources including CT and MR. Not indicated for primary diagnostic interpretation of 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

• Vitrea® (K071331)

Submission Summary (Full Text)

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

K120207

APR 2 3 2012

Image /page/0/Picture/2 description: The image shows a logo with the words "MEDICAL SOLUTIONS" at the bottom. The words are in a bold, sans-serif font and are arranged in a single line. Above the text is a graphic element that appears to be a stylized representation of a medical symbol or emblem. The logo is simple and professional, suggesting a company in the healthcare industry.

# 510(k) Summary

| Submitted By: | MeVis Medical Solutions AG<br>Universitaetsallee 29<br>28359 Bremen, Germany |
|------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Establishment Name: | MeVis Medical Solutions AG |
| Establishment Registration Number: | Applied for and awaiting assignment by FDA |
| Contact Person: | Thomas E. Tynes<br>President & CEO<br>MeVis Medical Solutions, Inc.<br>N27 W24075 Paul Court - Suite 100<br>Pewaukee, WI 53072<br>USA<br>Phone: [phone]<br>Fax: [phone] |
| Date Prepared: | 1/20/2012 |
| Trade Name: | Visia™ |
| Common Name: | Medical Image Processing Software |
| Classification Name: | Image Processing System |
| Classification Regulation Number: | 892.2050 |
| Class: | II |
| Panel: | Radiology |
| Product Code: | LLZ |

.

.

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

Image /page/1/Picture/0 description: The image shows a logo with the words "MEDICAL SOLUTIONS" at the bottom. The logo is in black and white and appears to be a stylized design. The text is in a simple, sans-serif font and is centered below the design. The image is of low resolution and the details are not clear.

### Device Description

Visia™ is a medical imaging software platform that allows processing, review, and analysis of multidimensional digital images acquired from a variety of medical imaging modalities. Visia™ offers flexible workflow options to aid clinicians in the evaluation of patient anatomy and pathology. The Visia™ system integrates within typical clinical workflow patterns through receiving and transferring medical images over a computer network. The software can be loaded on a standard off-the-shelf personal computer (PC) and can operate as a stand-alone workstation or in a distributed server client configuration across a computer network. Images can be displayed based on physician preferences using configurable viewing options or hanging protocols. Visia™ provides the clinician with a broad set of viewing and analysis tools to annotate, measure, and output selected image views or reports.

#### Intended Use

Visia™ is a medical image processing software application intended for the visualization of images from various sources (e.g., Computed Tomography (CT), Magnetic Resonance (MR), etc). The system provides viewing, quantification, manipulation, and printing of medical images. Visia™ is not meant for primary diagnostic interpretation of mammography.

#### Predicate Device Information & Comparison

| Product | Predicate Device Name | Predicate 510(k)<br>Submission Reference |
|---------|-----------------------|------------------------------------------|
| Visia™ | Vitrea® | K071331 |

The design, function, and specifications of Visia™ are similar to the identified legally marketed predicate device. Visia™ and Vital Image's Vitrea® (K071331) both provide viewing, quantification, manipulation, communication, and printing of medical images. Both contain the functionality for processing and analyzing DICOM anatomical data from multiple vendors and modalities. The differences between the Visia™ system and Vitrea@ (K071331) include a limited number of options and features of the predicate device, which are not included in the submitted device. Visia™ does not include web-based accessibility and optional applications such as cardiac EP planning, plaque characterization or vessel probe tools. Additional modifications include minor user interface variations. These differences between Visia™ and the legally marketed predicate device do not impact device safety or effectiveness.

#### Safety and Effectiveness

The Visia™ labeling contains instructions for use and necessary cautions, warnings and notes to provide for safe and effective use of the device. Risk Management is ensured via MeVis Medical Solution AG's Risk Management procedure, which is used to identify potential hazards. These potential hazards are controlled via software development and verification testing.

> Visia™ 510(k) 510(k) Summary – 1/20/2012 Page 2 of 3

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

Image /page/2/Picture/0 description: The image shows a logo for a company called "MEDICAL SOLUTIONS". The logo is black and white and features the company name in bold letters. The word "MEDICAL" is on the top line, and the word "SOLUTIONS" is on the bottom line. The logo is simple and professional.

# Nonclinical Testing and Performance Information

Nonclinical and performance testing has been performed by designated individuals as required by MeVis Medical Solution AG's quality procedures. The Validation Test Plan was designed to evaluate all input functions, output functions, and actions performed by the software in each operational mode. The complete system configuration has been assessed and tested at the manufacturer's facility and has passed all in-house testing criteria including validating design, function, and specifications. Nonclinical and performance testing results are provided in the 510(k) and demonstrate that the predetermined acceptance criteria are met.

#### Technological Characteristics

Visia™ is a software device that does not contact the patient, nor does it control any life sustaining devices. Diagnosis is not performed by the software but by Radiologists, Clinicians and referring Physicians.

A physician, providing ample opportunity for competent human interprets images and information being displayed and printed.

The new device and predicate devices are substantially equivalent in the areas of technical characteristics, general function, and intended use. The new device does not raise any new potential safety risks and is equivalent in performance to the existing legally marketed devices.

#### Conclusion

The 510(k) Pre-Market Notification for Visia™ contains adequate information, data, and nonclinical test results to enable FDA - CDRH to determine substantial equivalence to the predicate device. MeVis Medical Solutions has determined that its device, Visia™, is substantially equivalent to the identified predicate device listed above. A comparison with the legally marketed predicate device indicates that it is substantially equivalent to this device, and that it does not raise any new safety or efficacy concerns. Nonclinical tests demonstrate that the device is safe, effective, and is substantially equivalent to the predicate device.

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

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings forming a protective shape. 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

APR 2 3 2012

Ms. Rebecca Berghorn Vice President MeVis Medical Solutions AG Universitaetsallee 29 BREMEN 28359 GERMANY

Re: K120207

Trade/Device Name: VisiaTM Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: January 20, 2012 Received: January 24, 2012

### Dear Ms. Berghorn:

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 or uny 1 vith 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

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

## Page 2

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,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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

Image /page/5/Picture/0 description: The image shows the logo for MeVis Medical Solutions. The logo is in black and white, with the word "MeVis" in large, bold letters. Below the word "MeVis" are the words "MEDICAL SOLUTIONS" in smaller letters. The logo is simple and professional, and it is likely used to represent the company on its website and marketing materials.

# Indications for Use Statement

510(k) Number (if known): _

Device Name: Visia™

Indications for Use:

Visia™ is a medical image processing software application intended for the visualization of images from various sources (e.g., Computed Tomography (CT), Magnetic Resonance (MR), etc). The system provides viewing, quantification, manipulation, communication, and printing of medical images. Visia™ is not meant for primary diagnostic interpretation of mammography.

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 IF NEEDED)

H, Office of In Vitro Diagnostic Devices (OIVD) nce of C

Vanne Sharrard

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k)

Visia™ 510(k). Indications for Use Statement – 1/20/2012 Page 1 of 1