← Product Code [LLZ](/submissions/RA/subpart-b%E2%80%94diagnostic-devices/LLZ) · K092134

# STAT PACS PICTURE ARCHIVING & COMMUNICATION SYSTEM (PACS) (K092134)

_Statrad, LLC · LLZ · Sep 15, 2009 · Radiology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/LLZ/K092134

## Device Facts

- **Applicant:** Statrad, LLC
- **Product Code:** [LLZ](/submissions/RA/subpart-b%E2%80%94diagnostic-devices/LLZ.md)
- **Decision Date:** Sep 15, 2009
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 892.2050
- **Device Class:** Class 2
- **Review Panel:** Radiology
- **Attributes:** Software as a Medical Device, 3rd-Party Reviewed

## Intended Use

The StatPacs™ is a software based PACS product intended to be used by radiologists, technologists and clinicians, to operate on specified off the shelf hardware that will provide a teleradiology and PACS solution for hospital and remote site use. The StatPacs™ software will transmit, receive, display, and store 2D/3D images for clinical evaluation and diagnosis by way of industry standard networked gateways including VPNs, and LAN/WAN through DICOM allowing StatPacs™ to interface to all modalities including but not limited to, CT, MRI, Ultrasound (US), CR, DR, Nuclear Medicine (NM), PET, digitized radiographic films and all administration systems. StatView™ with the Exam Manager™ application, is a primary user interface for processing of medical images for primary image diagnosis. Image compression and encryption adhere to standard industry protocol. StatPacs™, is not to be used for mammography imaging.

## Device Story

StatPacs™ is a software-based Picture Archiving and Communication System (PACS) for teleradiology and image management. It operates on off-the-shelf (OTS) hardware in hospitals, clinics, and remote sites. The system interfaces with imaging modalities (CT, MRI, US, CR, DR, NM, PET) via DICOM-compliant networked gateways (LAN/WAN). It transmits, receives, stores, and displays 2D/3D images. The StatView™ interface with Exam Manager™ allows clinicians to process and perform primary diagnostic evaluations. Data transmission is secured via VPNs and encryption protocols. The device does not contact patients. It assists healthcare providers by enabling remote access to diagnostic-quality images, facilitating timely clinical decision-making and patient care.

## Clinical Evidence

Bench testing only. No clinical data provided.

## Technological Characteristics

Software-based PACS operating on OTS computer hardware. Connectivity via DICOM, LAN/WAN, and VPN. Supports 2D/3D image transmission, storage, and display. Utilizes standard industry protocols for image compression and encryption. No patient-contacting components.

## Regulatory 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

- vRad PACS ([K090649](/device/K090649.md))
- VISAGE PACS/CS ([K062490](/device/K062490.md))
- VISAGE PACS/CS ([K082269](/device/K082269.md))

## Submission Summary (Full Text)

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>
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# SEP 1 5 2009

# 510k Summary of Safety & Effectiveness

K092134
P. 1 of 2

This summary of 510k Safety and Effectiveness information is being submitted in accordance with the requirements of the SMDA 1990 and 21 CFR 807.92.

| Date of Submission:                                    | (updated 8/04/09)                                                                                                |
|--------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| Submitter/Mfg:                                         | StatRad, LLC                                                                                                     |
| Company Contact:                                       | Joe Moock, CEO                                                                                                   |
| Preparer/510k Contact:                                 | Linda J. Moore, Regulatory Consultant, 408-504-0565 lindajm@aol.com                                              |
| Device Name<br>Common/usual name:<br>Proprietary Name: | Picture Archiving & Communications System (PACS)<br>Medical Imaging Processing/Teleradiology System<br>StatPacs™ |
| Predicate device(s):                                   | Virtual Radiologic Corporation<br>11995 Singletree Lane<br>Minneapolis, MN 55344 vRad PACS K090649               |
|                                                        | Mercury Computer Systems Inc.<br>199 Riverneck Rd.<br>Chelmsford, MA 01824-2820 VISAGE PACS/CS K062490           |
|                                                        | VISAGE IMAGING, INC<br>1815 ASTON AVENUE, SUITE 107<br>CARLSBAD, CALIFORNIA, 92008 VISAGE PACS/CS K082269        |

### Description/Intended use:

The StatPacs™ is a software based PACS product, intended to be used by radiologists technologists and clinicians, to operate on specified off the shelf hardware (OTS) that will provide teleradiology and PACS solution for hospitals/clinics and remote site use. The StatPacs™ software will transmit, receive, display, and store 2D/3D images for clinical evaluation and diagnosis.

Networked gateways, including LAN/WAN through DICOM and other industry standards allow StatPacs™ to interface to all modalities including but not limited to, CT, MRI, Ultrasound (US), CR, DR, Nuclear Medicine (NM), PET, digitized radiographic films and all administration systems. StatRad, LLC provides and installs off the shelf hardware including a hospital and central server, at client hospitals and off site facilities to ensure a safe, secured, private network for image transmission via the internet. No equipment is installed in the patient environment. Additionally, VPN's and other encryption methodology are utilized and allow rapid transmission of image compression and encryption adhere to standard industry protocol. StatView™ with the Exam Manager™ application is a primary user interface for processing of medical images for primary image diagnosis. StatPacs™, is not to be used for mammography imaging.

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#### Technical Characteristics:

This is a medical imaging software device that is used with OTS computer hardware in a picture archiving and communications system user environment. The device does not contact the patient, nor does it control any life sustaining devices. The technical characteristics are similar in design, technical requirements and intended use to predicate devices.

## Substantial Equivalence Summary

The StatPacs™ is substantially equivalent in design, technical requirements, and intended use to diagnostic radiological workstations, PACS and image management systems as substantiated in the feature comparison. The predicate device comparison clearly demonstrates that StatPacs™ is substantially equivalent in all areas such as functionality, user/software features, OTS hardware components and connectivity.

### Conclusions:

Based on the information provided in this premarket notification submission, StatPacs™ is substantially equivalent to predicate devices and raises no new issues of safety or effectiveness from its predicate devices.

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Image /page/2/Picture/0 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized eagle with three stripes representing the three levels of government: federal, state, and local. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are 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

SEP 15 2009

StatRad LLC % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

Re: K092134

Trade/Device Name: StatPacs™ Picture Archiving and Communications Systems (PACS) Software Regulation Number: 21 CFR 892.2050

Regulation Name: Picture archiving and communications system

Regulatory Class: II

Product Code: LLZ

Dated: September 1, 2009

Received: September 2, 2009

#### Dear Mr. Job:

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 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 mav 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

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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.

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 (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.html

Sincerely yours,

Lucia M. Merritt

Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# 510k # K 09 21 34

Device Name:

StatPacs™ Picture Archiving and Communications Systems (PACS) Software

#### Indications for Use

The StatPacs™ is a software based PACS product intended to be used by radiologists, technologists and clinicians, to operate on specified off the shelf hardware that will provide a teleradiology and PACS solution for hospital and remote site use. The StatPacs™ software will transmit, receive, display, and store 2D/3D images for clinical evaluation and diagnosis by way of industry standard networked gateways including VPNs, and LAN/WAN through DICOM allowing StatPacs™ to interface to all modalities including but not limited to, CT, MRI, Ultrasound (US), CR, DR, Nuclear Medicine (NM), PET, digitized radiographic films and all administration systems. StatView™ with the Exam Manager™ application, is a primary user interface for processing of medical images for primary image diagnosis. Image compression and encryption adhere to standard industry protocol. StatPacs™, is not to be used for mammography imaging.

Prescription Use (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)

Concurrence or CDRH, Office of Device Evaluation (ODE)

lankh

---

Dimiti Voikore

(Division Division of Reproductive, Abdominal. and Radiological Devices 510(k) Number

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**Source:** [https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/LLZ/K092134](https://fda.innolitics.com/submissions/RA/subpart-b%E2%80%94diagnostic-devices/LLZ/K092134)

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