INTEGRATED DIGITAL MEDICAL RECORD (IDMR)

K993338 · Ibm Israel , Ltd. · LLZ · Dec 29, 1999 · Radiology

Device Facts

• Record ID: K993338
• Device Name: INTEGRATED DIGITAL MEDICAL RECORD (IDMR)
• Applicant: Ibm Israel , Ltd.
• Product Code: LLZ · Radiology
• Decision Date: Dec 29, 1999
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.2050
• Device Class: Class 2

Indications for Use

The IBM Integrated Digital Medical Record (IDMR) provides integrated access to digital patient folders and manages digital information flow in a networked health care environment. It integrates all sources of multimedia patient data into a single patient folder, combining demographic, clinical, and radiological information.

Device Story

IDMR system manages multimedia patient data in networked healthcare environments; integrates demographic, clinical, and radiological information into single digital patient folder. Inputs include data from medical imaging modalities (CT, MR, US, EKG, NM, frame-grabbers) and other PACS/RIS/HIS/CIS systems. Operates on UNIX (IBM RS/6000, AIX) and Windows/NT client/server architecture. System components include Data Interface Server, Folder Management System, and Storage Management System. Healthcare providers access data via diagnostic reading, clinical viewing, report transcription, and remote consultation stations. Facilitates centralized data management and information flow, supporting clinical decision-making by providing comprehensive, integrated patient records.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Client/server architecture using UNIX (IBM RS/6000, AIX) and Windows/NT. Supports SQL databases (IBM DB2/6000, Oracle). Connectivity via TCP/IP over Ethernet, Token Ring, FDDI, ATM, and ISDN. Implemented in C and C++. Supports DICOM 3.0 standard. Modular design allows distribution of file management, data interface, and storage management servers.

Indications for Use

Indicated for use in a networked health care environment to provide integrated access to digital patient folders and manage digital information flow, including demographic, clinical, and radiological data.

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

• IMAGING WORKBENCH (K943383)

Submission Summary (Full Text)

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

DEC 2 9 1999

## SUMMARY OF SAFETY AND EFFECTIVENESS

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

Submitter: IBM Israel Ltd., 2 Weizmann Street Tel Aviv ISRAEL 61336 Tel: [phone],Fax: [phone]

Name of the Device: IBM Integrated Digital Medical Record (IDMR).

Predicate Device The IDMR is substantially equivalent to the IMAGING WORKBENCH, manufactured by BRIT SYSTEMS, subject of K943383.

Intended Use: The IBM Integrated Digital Medical Record (IDMR) provides integrated access to digital patient folders and manages digital information flow in a networked health care environment. It integrates all sources of multimedia patient data into a single patient folder, combining demographic, clinical, and radiological information.

## Description of the Device:

- ា The IDMR system is UNIX and Windows/NT based, with UNIX (IBM RS/6000 and AIX) servers and clients, and Windows/NT clients.
- ப IDMR uses standard IBM hardware and software (RISC System/6000, AIX, IBM/PC, ADSM) components.
- ධා IDMR uses the industry standard structured query language (SQL) database. The system currently supports IBM DB2/6000 and Oracle databases.
- IDMR is designed to operate over local and wide area networks. : Standard transmission control protocol/Internet protocol (TCP/IP) is used throughout the communication networks. The communication systems supported include (but are not limited to) token ring, Ethernet, fiber distributed data interface (FDDI), asynchronous transfer mode (ATM), and integrated services and digital network (ISDN).
- IDMR is implemented using the C and C++ programming languages.
- The system implements state-of-the-art client/server technology and enables seamless addition of hardware modules. The system servers (file management system (FMS), data interface server (DIS), storage management system (SMS) can be installed on larger central UNIX machines or can be distributed to smaller machines in various departments.
- IDMR supports DICOM 3.0 standard for data model, and [] interconnectivity protocol.

IBM Israel Ltd.

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

The system architecture is shown in the following figure:

Image /page/1/Figure/1 description: The image shows a functional architecture diagram labeled "IDMR - Functional Architecture." The diagram illustrates the flow of data between various medical imaging modalities (CT, MR, US, Frame-Grabber, EKG, NM, FILM PRINTER, Other PACS Systems) and different components of an image management system. Key components include a Data Interface Server, Layered Storage (Magnetic, Optical, Tape), Folder Management System, Security System, Diagnostic Reading Station, Clinical Viewing Station, Report Transcription Station, Remote Consultation Station, RIS, HIS, and CIS.

Dr. Uri Shani, Manager of IDMR Development, September 30, 1999

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

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Image /page/2/Picture/3 description: The image shows a black and white drawing of a stylized bird. The bird is facing to the right, and its wings are spread. The bird's body is made up of three curved lines. The word "HEALTH" is written vertically along the left side of the image.

DEC 2 9 1999

IBM Israel Ltd. C/o Eli Orbach International Regulatory Consultants P.O. Box 6718 Efrat 90435 ISRAEL

Re:

K993338 Integrated Digital Medical Record Dated: September 30, 1999 Received: October 5, 1999 Regulatory Class: II 21 CFR 892.2050/procode: 90 LLZ

Dear Mr. Orbach:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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 III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 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 Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification"(21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone], or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

CART David S. Collier, M.D.

CAPT Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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

510(k) Number (if known)___ K 99 33 38

Device Name. : Integrated Digital Medical Record (IDMR).

Indications For Use: The IBM Integrated Digital Medical Record (IDMR) provides integrated access to digital patient folders and manages digital information flow in a networked health care environment. It integrates all sources of multimedia patient data into a single patient folder, combining demographic, clinical, and radiological information.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices

| 510(k) Number | K993338 |
|---------------|---------|
|---------------|---------|

| Prescription Use | X |
|----------------------|---|
| (Per 21 CFR 801.109) | |

OR

| Over The Counter Use | |
|----------------------|--|
|----------------------|--|

(Optional Format 1-2-96)