RESOLUTIONMD MOBILE 3.1 MODEL RMD-MOB-31

K123186 · Calgary Scientific, Inc. · LLZ · Mar 14, 2013 · Radiology

Device Facts

• Record ID: K123186
• Device Name: RESOLUTIONMD MOBILE 3.1 MODEL RMD-MOB-31
• Applicant: Calgary Scientific, Inc.
• Product Code: LLZ · Radiology
• Decision Date: Mar 14, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2050
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

The ResolutionMD™ Mobile software is a software-based Picture Archiving and Communication System (PACS) used with general purpose computing servers and specific mobile devices. It provides for communication, storage, reformatting, rendering on the server component and communication and display of DICOM 3.0-compliant CT and MR medical images as well as reports on the mobile device. The ResolutionMD Mobile provides wireless and portable access to medical images. The device is intended for use as a diagnostic, review, and analysis tool by trained professionals such as radiologists, physicians and technologists. This device is not intended to replace full workstations and should be used only when there is no access to a workstation. The ResolutionMD Mobile is not to be used for mammography.

Device Story

ResolutionMD Mobile 3.1 is a software-based PACS enabling wireless access to medical images. Input: DICOM 3.0-compliant CT and MR images. Operation: Server-side processing, reformatting, and rendering; transmission to mobile devices (iOS/Android). Output: Display of images and reports on mobile screens. Used in clinical settings by radiologists, physicians, and technologists as a diagnostic, review, and analysis tool. Supplements primary workstations; provides portable access to clinical data. Benefits: Enables timely clinical decision-making by allowing remote image review when primary workstations are inaccessible.

Clinical Evidence

Clinical testing involved a panel of three board-certified radiologists performing side-by-side comparative assessments of Android mobile devices versus predicate iOS devices. Reviewers evaluated typical CT and MR cases for image quality and diagnostic confidence. All radiologists concluded Android devices were comparable to iOS devices, providing adequate quality for clinical use, with equivalent image contrast and sharpness. No image artifacts were noted. Bench testing included display performance qualification per AAPM 2005 standards by an ISO 17025-certified third party.

Technological Characteristics

Software-based PACS; server-client architecture. Supports iOS and Android mobile devices. Connectivity: Wireless. Image processing: Server-side rendering and reformatting of DICOM 3.0 data. Compliance: ISO 14971 (risk management), ISO 62304 (software lifecycle), and 21 CFR 892.2050. Display performance validated against AAPM 2005 standards.

Indications for Use

Indicated for trained professionals (radiologists, physicians, technologists) to access, review, and analyze DICOM 3.0-compliant CT and MR images and reports on mobile devices. Not for mammography. Not intended to replace full workstations; for use when workstation access is unavailable.

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

• ResolutionMD Mobile (K111346)

Submission Summary (Full Text)

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K123186

MAR 1 4 2013

# 5 510(k) Summary As required by 21 CFR Part 807 87(h)

| Submitter: | Kyle Peterson<br>Director, Regulatory & Corporate Affairs<br>Calgary Scientific Inc.<br>Suite 208, 1210 - 20th Ave. SE<br>Calgary, Alberta<br>T2G 1M8<br>CANADA |
|---------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Telephone Number: | [phone] |
| Fax Number: | [phone] |
| Name / Address of Manufacturer: | Calgary Scientific Inc.<br>Suite 208, 1210 - 20th Ave. SE<br>Calgary, Alberta<br>T2G 1M8<br>CANADA |
| Date of Submission: | September 14, 2012 |
| Identification of the Device | |
| Device Proprietary Name: | ResolutionMD Mobile 3.1 |
| Common Name: | Picture Archiving and Communication System |
| Classification Name: | Picture Archiving and Communication System per<br>21 CFR 892.2050 |
| Product Code: | LLZ |
| Device Class: | Class II |

# Marketed Device to which Equivalence is claimed:

| Device | Manufacturer | 510(k) Number |
|---------------------|-------------------------|---------------|
| ResolutionMD Mobile | Calgary Scientific Inc. | K111346 |

******************************************************************************************************************************************************************************

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# Device Description:

The ResolutionMD™ Mobile 3.1 software is a software-based Picture Archiving and Communication System (PACS) used with general purpose computing servers and highresolution Apple Inc. iOS and Google Inc. Android OS-based wireless mobile devices for the display and advanced visualization of medical image data. It provides for communication, storage, processing, rendering on the server and the display of DICOM 3.0 compliant image data derived from CT and MRI on the mobile device.

# Indications for Use:

The ResolutionMD™ Mobile software is a software-based Picture Archiving and Communication System (PACS) used with general purpose computing servers and specific mobile devices. It provides for communication, storage, reformatting, rendering on the server component and communication and display of DICOM 3.0-compliant CT and MR medical images as well as reports on the mobile device.

The ResolutionMD Mobile provides wireless and portable access to medical images. The device is intended for use as a diagnostic, review, and analysis tool by trained professionals such as radiologists, physicians and technologists. This device is not intended to replace full workstations and should be used only when there is no access to a workstation.

The ResolutionMD Mobile is not to be used for mammography.

# Technological Characteristics

The ResolutionMD™ Mobile 3.1 software adds support for mobile devices running the Android operating system and has the same uses and applications as the predicate device. Both the device and predicate are used by the clinician as a diagnostic, review, and analysis tool for radiological images.

# Software Verification and Validation Testing

Verification testing consisting of more 160 separate testers, each executed multiple times by different testers, was performed for this device. Testing included functional, smoke and regression tests and was complemented by beta tests performed by Calgary Scientifie's OEM distribution partners. The vast majority of tests passed our testing criteria. Any defects found or reported were either fixed or logged in the Unresolved Anomalies report included with this submission and annotated as to any impact on safety or effectiveness including applicable workarounds.

Validation testing based on typical clinical workflows was performed by trained radiology personnel. Validation includes usability assessment and consistency across three client platforms; Web, iOS and Android (the subject of this submission and both phone and tablet devices.

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# Performance Testing

Performance testing was conducted to qualify an Android smartphone and an Android as devices whose off-the-shelf performance in combination with the overall attributes of the ResolutionMD Mobile solution provides acceptable image quality for diagnostic radiology.

The tests were performed in accordance with the description and requirements described in the AAPM Assessment of Display Performance for Medical Imaging Devices (2005) document by an ISO 17025-certified third party to ensure high quality laboratory results. The test equipment and calibration was certified traceable to NIST.

Nine tests of display performance were conducted for each mobile device running ResolutionMD Mobile and both devices passed all of the tests.

# Clinical Testing

Clinical testing was conducted by a panel of three board-certified radiologists in the United States. The radiologists conducted a side-by-side comparative assessment of the Android mobile devices running ResolutionMD Mobile with the predicate iOS devices. A series of typical CT and MR cases were reviewed on each device. Comparative assessments of image quality and diagnostic confidence were made by each radiologist.

All three radiologists agreed that the Android mobile devices, both the smartphone and tablet, were comparable to the predicate iPhone and iPad devices and of adequate quality for clinical use. They were comfortable with the diagnoses made on the Android mobile devices using the ResolutionMD Mobile software. All agreed that the overall clinical image display quality on the Android devices was equivalent to the iOS devices for the identification of clinically-relevant pathology. There were similar comments on image contrast and sharpness with comments including "very comparable" and "is diagnostic". No image artifacts were noted by the reviewers.

All three radiologists indicated that the software and devices provide acceptable quality for regular use and they were comfortable reviewing images on the devices.

#### Safety and Effectiveness

The device is designed and manufactured under Quality System Regulations as outlined in 21 CFR 820. All requirements of Picture Archiving and Communications System (21 CFR 892.2050) are met, and software is in compliance with ISO 14971 and ISO 62304.

#### Substantial Equivalence:

Based on the above considerations, Calgary Scientific Inc. believes that the ResolutionMD Mobile 3.1 software is substantially equivalent to the predicate device. The device and the predicate are both post-processing and provide the same features of visualization of radiological data on mobile devices.

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Image /page/3/Picture/0 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, with three wavy lines representing the branches of government. The seal is encircled by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". The overall design is simple and conveys the department's focus on health and human welfare.

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

March 14, 2013

Kyle Peterson Director, Regulatory and Corporate Affairs Calgary Scientific Inc. Suite 208, 1210 - 20th Avenue SE CALGARY, ALBERTA T2G 1M8 CANADA

Re: K123186

Trade/Device Name: ResolutionMD™MD™ Mobile 3.1 Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: February 14, 2013 Received: February 19, 2013

Dear Mr. Peterson:

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. Iisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading,

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

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### Page 2-Mr. Peterson

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Sm.h.P)

for

Janine M. Morris Director. Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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#### Indications for Use Statement 4

Applicant: Calgary Scientific, Inc., Suite 208 - 1210 20th Ave. SE, Calgary, Alberta, CANADA T2G 1M8

510(k) Number: K123186

Device Name: ResolutionMD™ Mobile 3.1

Indications for Use:

The ResolutionMD™ Mobile software is a software-based Picture Archiving and Communication System (PACS) used with general purpose computing servers and specific mobile devices. It provides for communication, storage, reformatting, rendering on the server component and communication and display of DICOM 3.0compliant CT and MR medical images as well as reports on the mobile device.

The ResolutionMD Mobile provides wireless and portable access to medical images. The device is intended for use as a diagnostic, review, and analysis tool by trained professionals such as radiologists, physicians and technologists. This device is not intended to replace full workstations and should be used only when there is no access to a workstation.

The ResolutionMD Mobile is not to be used for mammography.

Prescription Use X (Part 21 CFR 801 Subpart D) OR

Over-The-Counter Use __ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In-Vitro Diagnostics and Radiological Health (OIR)


(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510 (k) K123186

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