EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2/EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
K203128 · Olympus Medical Systems Corp. · IYN · Nov 9, 2020 · Radiology
Device Facts
Record ID
K203128
Device Name
EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2/EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
Applicant
Olympus Medical Systems Corp.
Product Code
IYN · Radiology
Decision Date
Nov 9, 2020
Decision
SESE
Submission Type
Special
Regulation
21 CFR 892.1550
Device Class
Class 2
Indications for Use
This ultrasound center is intended to be used with Olympus ultrasound endoscopes, Olympus ultrasound probes or Olympus esophageal ultrasound probes to observe and to store real-time ultrasound images and indicated for use within the gastrointestinal (GI) tract, biliary and pancreatic ducts and surrounding organs, and tracheobronchial tree, and urinary tract.
Device Story
EVIS EUS Endoscopic Ultrasound Center (EU-ME2/EU-ME2 PREMIER PLUS) is a diagnostic ultrasound system used with Olympus ultrasound endoscopes/probes. It acquires, displays, and stores real-time ultrasound images. Inputs include ultrasound signals from compatible transducers; the system processes these to generate B-mode, PWD, Color/Power Doppler, 3D, Harmonic (Premier Plus only), and Elastography (Premier Plus only) images. It performs measurements (distance, area, volume, velocity). Operated by trained healthcare professionals in hospitals. Output is displayed on-screen, recorded to internal memory or external devices, and printed. Assists clinicians in visualizing internal anatomy for diagnostic purposes.
Clinical Evidence
No clinical study was performed. Substantial equivalence is supported by bench testing, including software verification and validation, electrical safety (ANSI/AAMI ES 60601-1), EMC (IEC 60601-1-2), and human factors validation.
Technological Characteristics
Diagnostic ultrasound system; supports B-mode, PWD, Color/Power Doppler, 3D, Harmonic, and Elastography. Connectivity includes external recording/printing. Standards: ANSI/AAMI ES 60601-1, IEC 60601-2-18, IEC 60601-1-2, IEC 60601-2-37. Dimensions: 445(w) x 495(d) x 184(h) mm. Weight: 22.5 kg.
Indications for Use
Indicated for use by appropriately-trained healthcare professionals in hospital settings for real-time ultrasound imaging of the GI tract, biliary/pancreatic ducts, surrounding organs, tracheobronchial tree, and urinary tract.
Regulatory Classification
Identification
An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.
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Olympus Medical Systems Corp. % Lisa Boyle RA Program Manager Olympus Corporation of the Americas 3500 Corporate Parkway PO Box 610 Center Valley, Pennsylvania 18034-0610 November 9, 2020
Re: K203128
Trade/Device Name: EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2/ EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic Pulsed Doppler Imaging System Regulatory Class: Class II Product Code: IYN, IYO, ITX, ODG Dated: September 30, 2020 Received: October 19, 2020
Dear Lisa Boyle:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. 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.
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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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
For
Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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#### Indications for Use
510(k) Number (if known) K203128
Device Name
EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2/ EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
#### Indications for Use (Describe)
This ultrasound center is intended to be used with Olympus ultrasound endoscopes, Olympus ultrasound probes or Olympus esophageal ultrasound probes to observe and to store real-time ultrasound images and indicated for use within the gastrointestinal (GI) tract, biliary and pancreatic ducts and surrounding organs, and tracheobronchial tree, and urinary tract.
<Modes of operation>
B, PWD (Pulsed Wave Doppler), Color Doppler (including Power Doppler), Combination of each operating mode) and other (3-D Imaging and Harmonic Imaging*). *Only for the EU-ME2 PREMIER PLUS.
<Operator qualifications> Appropriately-trained healthcare professional.
<Device use settings> Hospital.
Type of Use (Select one or both, as applicable)
> Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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Date Prepared: September 30, 2020
# 510(k) Summary
# K203128
# 1. GENERAL INFORMATION
| ■ 510(k) Submitter: | OLYMPUS MEDICAL SYSTEMS CORP.<br>2951 Ishikawa-machi, Hachioji-shi, Tokyo 192-8507 Japan |
|-----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ■ Contact Person: | Lisa M. Boyle<br>Olympus Corporation of the Americas<br>3500 Corporate Parkway PO Box 610<br>Center Valley, PA 18034-0610, USA<br>Phone: 484-896-3676<br>Fax: 484-896-7128<br>Email: lisa.boyle@olympus.com |
| ■ Manufacturing site: | Shirakawa Olympus Co., Ltd.<br>3-1 Okamiyama, Odakura, Nishigo-mura,<br>Nishishirakawa-gun, Fukushima 961-8061, Japan |
## 2. DEVICE IDENTIFICATION
| Device Name: | Model Name: |
|-------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| EVIS EUS ENDOSCOPIC<br>ULTRASOUND CENTER | OLYMPUS EU-ME2 |
| EVIS EUS ENDOSCOPIC<br>ULTRASOUND CENTER | OLYMPUS EU-ME2 PREMIER PLUS |
| ■ Accessories included in the<br>subject device | Keyboard MAJ-1995<br>ULTRASOUND CABLE MAJ-2056 |
| ■ Common Name: | Diagnostic Ultrasound System |
| ■ Regulation Number: | 892.1550 Ultrasonic pulsed doppler imaging system<br>892.1560 Ultrasonic pulsed echo imaging system<br>892.1570 Diagnostic ultrasonic transducer<br>876.1500 Endoscope and Accessories |
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| Regulatory Class: | II |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Product Code: | IYN: System, Imaging, Pulsed Doppler, Ultrasonic<br>IYO: System, Imaging, Pulsed Echo, Ultrasonic<br>ITX: Transducer, Ultrasonic, Diagnostic<br>ODG: Endoscopic ultrasound system,<br>Gastroenterology-urology |
| Classification Panel: | Radiology |
#### 3. PREDICATE DEVICE
#### ■ Predicate device
| Subject device name | Predicate device<br>name | 510(k) Submitter | 510(k) No. |
|----------------------------------------------------------------------------|---------------------------------------------|-------------------------------------|------------|
| EVIS EUS ENDOSCOPIC<br>ULTRASOUND CENTER<br>OLYMPUS EU-ME2 | ENDOSCOPIC<br>ULTRASOUND<br>CENTER EU-Y0006 | OLYMPUS<br>MEDICAL<br>SYSTEMS CORP. | K121564 |
| EVIS EUS ENDOSCOPIC<br>ULTRASOUND CENTER<br>OLYMPUS EU-ME2<br>PREMIER PLUS | ENDOSCOPIC<br>ULTRASOUND<br>CENTER EU-Y0008 | OLYMPUS<br>MEDICAL<br>SYSTEMS CORP. | K130058 |
| MAJ-1995<br>Keyboard | MAJ-Y0140<br>Keyboard | OLYMPUS<br>MEDICAL<br>SYSTEMS CORP. | K121564 |
| MAJ-2056<br>ULTRASOUND CABLE | XMAJ-1597<br>ULTRASONIC<br>CABLE | OLYMPUS<br>MEDICAL<br>SYSTEMS CORP. | K070983 |
#### 4. DEVICE DESCRIPTION
#### General Description of the subject device . EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2
The subject system (OLYMPUS EU-ME2) combined with Ultrasound videoscopes or Ultrasound probes to make an endoscopic ultrasound imaging system that can acquire and display high-resolution and high-penetration, real-time ultrasound images of the target organs.
The subject system has modes of B, PWD, Color Doppler, Combined (combination of each operating mode) and other (3-D Imaging).The subject system has no Harmonic Imaging function compared to the predicate device.
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The subject system provides measurements and calculations of distance, area, circumference, volume, time, and blood velocity. It also allows for the storage and retrieval of images for reviewing and printing.
The subject system enables the user to print and record images to an external recording device.
The subject system can identify and recognize the compatible Olympus transducers and display endoscopic and ultrasound images.
The basic design, system configuration, general operation and user interface of this subject system is substantially equivalent to the predicate devices.
#### EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
The subject system (OLYMPUS EU-ME2 PREMIER PLUS) combined with Ultrasound videoscopes or Ultrasound probes to make an endoscopic ultrasound imaging system that can acquire and display high-resolution and high-penetration, real-time ultrasound images of the target organs.
The subject system has modes of B, PWD, Color Doppler, Combined (combination of each operating mode), other (3-D Imaging and Harmonic Imaging) and Elastography function which visualizes the amount of strain in tissue (hardness of tissue) during compression and retraction.
The subject system provides measurements and calculations of distance, area, circumference, volume, time and blood velocity. It also allows for the storage and retrieval of images for reviewing and printing.
The subject system enables the user to print and record images to an external recording device. Additionally, the subject system enables the user to record movies to internal memory.
The subject system can identify and recognize compatible Olympus transducers and display endoscopic and ultrasound images.
The basic design, system configuration, general operation, and user interface of this subject system is substantially equivalent to the predicate devices.
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#### 5. INDICATIONS FOR USE
# EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2/ EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
This ultrasound center is intended to be used with Olympus ultrasound endoscopes, Olympus ultrasound probes or Olympus esophageal ultrasound probes to observe and to store real-time ultrasound images and indicated for use within the gastrointestinal (GI) tract, biliary and pancreatic ducts and surrounding organs, airways and tracheobronchial tree, and urinary tract.
<Modes of operation>
B, PWD (Pulsed Wave Doppler), Color Doppler (including Power Doppler), Combined (combination of each operating mode) and other (3-D Imaging and Harmonic Imaging*). *Only for the EU-ME2 PREMIER PLUS.
<Operator qualifications> Appropriately-trained healthcare professional.
<Device use settings> Hospital.
# 6. COMPARISON OF TECHNOLOGY CHARACTERISTICS WITH THE PREDICATE DEVICE
#### EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2
The subject device has the same fundamental scientific technology, principle of operation and energy source as the legally marketed ENDOSCOPIC ULTRASOUND CENTER (EU-Y0006) in K121564, with the following modifications. A side by side comparison of the subject device and the predicate device is provided in the table below.
| Item | Subject Device<br>OLYMPUS EU-ME2 | Predicate Device<br>EU-Y0006<br>(K121564) |
|-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | This ultrasound center is<br>intended to be used with<br>Olympus ultrasound<br>endoscopes, Olympus | This ultrasound center is<br>intended to be used with<br>Olympus ultrasound<br>endoscopes, Olympus |
| Item | Subject Device<br>OLYMPUS EU-ME2 | Predicate Device<br>EU-Y0006<br>(K121564) |
| | ultrasound probes or<br>Olympus esophageal<br>ultrasound probes to observe<br>and to store real-time<br>ultrasound images and<br>indicated for use within the<br>gastrointestinal (GI) tract,<br>biliary and pancreatic ducts<br>and surrounding organs,<br>airways and tracheobronchial<br>tree, and urinary tract<br><br><Modes of operation><br>B, PWD (Pulsed Wave<br>Doppler), Color Doppler<br>(including Power Doppler),<br>Combined (combination of<br>each operating mode) and<br>other (3-D Imaging and<br>Harmonic Imaging*).<br>*Only for the EU-ME2<br>PREMIER PLUS.<br><br><Operator qualifications><br>Appropriately-trained<br>healthcare professional.<br><br><Device use settings><br>Hospital. | ultrasound probes or<br>Olympus esophageal<br>ultrasound probes to observe<br>and to store real-time<br>ultrasound images and<br>indicated for use within the<br>gastrointestinal (GI) tract,<br>biliary and pancreatic ducts<br>and surrounding organs,<br>airways and tracheobronchial<br>tree, and urinary tract. |
| Mode | B | B |
| | PW Doppler(PWD) | PW Doppler(PWD) |
| | Color flow<br>(Color Doppler) | Color flow<br>(Color Doppler) |
| | Power flow<br>(Power Doppler) | Power flow<br>(Power Doppler) |
| | Not applicable | Tissue harmonic echo<br>(Harmonic Imaging) |
| | Combined | Combined |
| | 3-D Imaging | 3-D Imaging |
| Item | Subject Device<br>OLYMPUS EU-ME2 | Predicate Device<br>EU-Y0006<br>(K121564) |
| Patient Contact<br>Material | None | None |
| 510(k) track | Track 3 | Track 3 |
| Outer Dimensions<br>(mm) | Main Unit :<br>445(w) X 495(d) X 184(h)<br>Keyboard :<br>392(w) X 207(d) X 39(h) | Main Unit :<br>445(w) X 500(d) X 183 (h)<br>Keyboard :<br>392(w) X 207(d) X 42(h) |
| Weight (kg) | 22.5 | 22 |
Table 1: Comparison of the Subject and Predicate Device
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#### EVIS EUS ENDOSCOPIC ULTRASOUND CENTER OLYMPUS EU-ME2 PREMIER PLUS
The subject device has the same fundamental scientific technology, principle of operation and energy source as the legally marketed ENDOSCOPIC ULTRASOUND CENTER (EU-Y0008) in K130058, with the following modifications. A side by side comparison of the subject device and the predicate device is provided table below.
| Item | Subject Device<br>OLYMPUS EU-ME2<br>PREMIER PLUS | Predicate Device<br>EU-Y0008<br>(K130058) |
|--------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | This ultrasound center is<br>intended to be used with<br>Olympus ultrasound<br>endoscopes, Olympus<br>ultrasound probes or<br>Olympus esophageal<br>ultrasound probes to observe<br>and to store real-time<br>ultrasound images and<br>indicated for use within the<br>gastrointestinal (GI) tract,<br>biliary and pancreatic ducts<br>and surrounding organs,<br>airways and tracheobronchial<br>tree, and urinary tract.<br><Modes of operation><br>B, PWD (Pulsed Wave<br>Doppler), Color Doppler<br>(including Power Doppler), | This ultrasound center is<br>intended to be used with<br>Olympus ultrasound<br>endoscopes, Olympus<br>ultrasound probes or<br>Olympus esophageal<br>ultrasound probes to observe<br>and to store real-time<br>ultrasound images and<br>indicated for use within the<br>gastrointestinal (GI) tract,<br>biliary and pancreatic ducts<br>and surrounding organs,<br>airways and tracheobronchial<br>tree, and urinary tract. |
| Item | Subject Device | Predicate Device |
| | OLYMPUS EU-ME2<br>PREMIER PLUS | EU-Y0008<br>(K130058) |
| | Combined (combination of<br>each operating mode) and | |
| | other (3-D Imaging and | |
| | Harmonic Imaging*). | |
| | *Only for the EU-ME2<br>PREMIER PLUS. | |
| | <Operator qualifications><br>Appropriately-trained<br>healthcare professional. | |
| | | |
| | <Device use settings><br>Hospital. | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| Mode | B | B |
| | PW Doppler(PWD) | PW Doppler(PWD) |
| | Color flow<br>(Color Doppler) | Color flow<br>(Color Doppler) |
| | Power flow<br>(Power Doppler) | Power flow<br>(Power Doppler) |
| | Tissue harmonic echo<br>(Harmonic Imaging) | Tissue harmonic echo<br>(Harmonic Imaging) |
| | Combined | Combined |
| | 3-D Imaging | 3-D Imaging |
| Image function | Elastography | Elastography |
| Patient Contact | None | None |
| Material | None | None |
| 510(k) track | Track 3 | Track 3 |
| Outer Dimensions<br>(mm) | Main Unit :<br>445(w) X 495(d) X 184(h)<br>Keyboard :<br>392(w) X 207(d) X 39(h) | Main Unit :<br>445(w) X 500(d) X 183 (h)<br>Keyboard :<br>392(w) X 207(d) X 42(h) |
| Weight (kg) | 22.5 | 22 |
Table 2: Comparison of the Subject and Predicate Device
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### 7. PERFORMANCE DATA
The following performance testing was conducted in support of the substantial equivalence determination.
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#### 7.1 Software verification and validation testing
Software verification and validation testing was conducted and documentation is provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" and "Content of Premarket Submissions for Management of Cybersecurity in Medical Devices".
### 7.2 Electrical safety and electromagnetic compatibility (EMC)
Electrical safety and EMC testing was conducted in accordance with the ANSI/AAMI ES 60601-1:2005/(R) 2012 and A1:2012, and IEC 60601-2-18:2009 standards for safety, and IEC 60601-1-2:2014 standards for EMC and IEC 60601-2-37:2015.
#### 7.3 Performance testing - Animal
No animal study was performed to demonstrate substantial equivalence.
#### 7.4 Performance testing - Clinical
No clinical study was performed to demonstrate substantial equivalence.
#### 7.5 Risk management
Risk management was performed in accordance with ISO 14971:2007, and a human factors validation was conducted in accordance with the FDA Guidance, "Applying Human Factors and Usability Engineering to Medical Devices". The design verification tests and their acceptance criteria were identified and performed as a result of this risk management.
## 8. CONCLUSIONS
Based on the indications for use, technological characteristics, performance testing and technological comparison to the predicate device, the subject device raises no new issue of safety and effectiveness and is substantially equivalent to the predicate device in terms of safety, effectiveness and performance.
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Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.