CerebralGo Plus

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration" in a larger font and the word "Administration" in a smaller font. Yukun (Beijing) Technology Co., Ltd. % Wang Qi Regulatory Affairs Manager Room 313/315, Building 3, No.11 Chuangxin Road, Science Park Beijing, Beijing 102200 CHINA Re: K213986 April 13, 2023 Trade/Device Name: CerebralGo Plus Regulation Number: 21 CFR 892.2050 Regulation Name: Medical image management and processing system Regulatory Class: Class II Product Code: QIH, LLZ Dated: March 12, 2023 Received: March 13, 2023 Dear Wang Qi: 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. 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 {1}------------------------------------------------ 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. Jessica Lamb Jessica Lamb, Ph.D. Assistant Director Imaging Software Team DHT 8B: Division of Radiological Imaging Devices and Electronic Products OHT 8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K213986 Device Name CerebralGo Plus #### Indications for Use (Describe) CerebralGo Plus is an image processing software package to be used by trained professionals, including, but not limited to physicians and medical technicians. The software runs on standard "off-the-shel" hardware and can be used for image viewing and processing. Data and images are acquired through DICOM compliant imaging devices. CerebralGo Plus provides viewing and processing capabilities for imaging datasets acquired with adult's CTA (CT Angiography). CerebralGo Plus is not intended for primary diagnostic use. | Type of Use (Select one or both, as applicable) | | |-------------------------------------------------|--| | | | X Prescription Use (Part 21 CFR 801 Subpart D) | | Over-The-Counter Use (21 CFR 801 Subpart C) #### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Image /page/3/Picture/0 description: The image contains a logo and a number. The logo is a stylized letter 'M' composed of overlapping lines in shades of blue and purple. To the right of the logo is the number 'K213986' in a clear, sans-serif font. The number is likely an identification or tracking code. This 510(k) summary of safety and effectiveness is being submitted in accordance with the requirements of 21 CFR 807.92. | A. SUBMITTER | Yukun (Beijing) Technology Co., Ltd<br>Room 313/315, Building 3, No.11 Chuangxin Road,<br>Science Park, Chuangxin Road, Science Park, Changping<br>District, Beijing, China 102200<br>Phone: +86 10-8973-5152 | | |----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--| | Contact Person: | Wang Qi, Regulatory Affairs Manager<br>Email: wangqi@shukun.net<br>Contact Phone: +86 10-89735152 | | | Date Summary Prepared: | Mar. 21, 2023 | | | B. DEVICE | | | | Trade or Proprietary Name: | CerebralGo Plus | | | Version: | 1.0 | | | Common Name: | Picture Archiving and Communications System | | | Regulation Name: | Medical Image Management and Processing System | | | Regulation Number: | 21 CFR 892.2050 | | | Regulatory Class: | Class II | | | Product Code: | QIH, LLZ | | ### C. LEGALLY MARKETED PREDICATE DEVICE | 510(k) Number | Product Code | Trade Name | Manufacturer | |---------------|--------------|----------------------|-------------------| | K192692 | LLZ | Brainomix 360° e-CTA | Brainomix Limited | This predicate device has not been subject to a design-related recall. There are no reference devices in this submission. #### D. DEVICE DESCRIPTION CerebralGo Plus is a medical image management and processing software package to be used by trained professionals, including, but not limited to physicians and medical technicians. The software runs on standard "off-the-shelf" hardware and can be used for image viewing, and processing images of DICOM compliant CTA imaging which, when interpreted by a trained clinician, may yield information useful in clinical decision making. CerebralGo Plus system provides a wide range of basic image viewing, processing, and manipulation functions, through multiple output formats. The software is used to visualize large vessels from head and neck CTA imaging. {4}------------------------------------------------ Image /page/4/Picture/0 description: The image shows a logo with an abstract design. The logo features a stylized letter "M" composed of several overlapping geometric shapes in shades of pink, purple, and blue. To the right of the "M" is a small, solid blue circle, which serves as a visual anchor and balances the composition. CerebralGo Plus can connect with other DICOM-compliant devices (e.g., Picture Archiving and Communication System (PACS), Workstations, CT Scanners) to receive CTA scans. After processing, results and images can be sent to a PACS via DICOM transfer and can be viewed on a PACS workstation or via a web user interface contained and accessed within a hospital network and firewall. Algorithm training of CerebralGo Plus has been conducted on images collected from China as training dataset. Algorithm verification has been conducted on US images. ### E. INDICATIONS FOR USE The proposed indications for use for CerebralGo Plus are as follows: CerebralGo Plus is an image processing software package to be used by trained professionals, including, but not limited to physicians and medical technicians. The software runs on standard "off-the-shelf" hardware and can be used for image viewing, and processing. Data and images are acquired through DICOM compliant imaging devices. CerebralGo Plus provides viewing and processing capabilities for imaging datasets acquired with adult's CTA (CT Angiography). CerebralGo Plus is not intended for primary diagnostic use. #### F. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE The technological design features of CerebralGo Plus have been compared to the predicate in intended use, indications for use, design, function, and technology and it is demonstrated that they are substantially equivalent. | | Table 2 Technological Characteristics Comparison Table | | |----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Characteristics | Predicate Device | Subject Device | | | Brainomix 360° e-CTA<br>(K192692) | CerebralGo Plus<br>(K213986) | | | Brainomix Limited | Yukun (Beijing) Technology Co.,<br>Ltd | | Regulatory Class | Class II | Class II | | Product Code | LLZ | QIH, LLZ | | Regulation | 21 CFR 892.2050 | 21 CFR 892.2050 | | Device Description | Brainomix 360° e-CTA is a<br>software package that provides<br>for the study of changes of<br>tissue in digital images<br>captured by CT. Brainomix<br>360° e-CTA provides viewing<br>and quantification for CTA<br>images. | CerebralGo Plus is a software<br>package that provides for the<br>visualization digital images<br>capture by<br>CTA. | | Intended<br>Use/Indications for<br>Use | Brainomix 360° e-CTA is an<br>image processing software<br>package to be used by trained<br>professionals, including, but<br>not<br>limited to physicians and<br>medical technicians. The<br>software runs on standard "off-<br>the-shelf" hardware (physical<br>or virtualized) and can be used<br>to perform image viewing,<br>processing and analysis of<br>images. Data and images are<br>acquired through DICOM<br>compliant imaging devices.<br>Brainomix 360° e-CTA<br>provides viewing and analysis<br>capabilities for imaging<br>datasets acquired with CTA<br>(CT Angiography).<br>Brainomix 360° e-CTA is not<br>intended for mobile diagnostic<br>use. | CerebralGo Plus is an image<br>processing software package to be<br>used by trained professionals,<br>including, but not limited to<br>physicians<br>and<br>medical<br>technicians. The software runs on<br>standard "off-the-shelf" hardware<br>and can be used for image<br>viewing and processing. Data and<br>images are acquired through<br>compliant<br>DICOM<br>imaging<br>devices.<br>CerebralGo<br>Plus<br>provides<br>processing<br>and<br>viewing<br>capabilities for imaging datasets<br>acquired with adult's CTA (CT<br>Angiography).<br>CerebralGo Plus is not intended<br>for primary diagnostic use. | | Environment of Use | Clinical/Hospital Environment | Clinical/Hospital Environment | | Energy used an/or<br>delivered | None—software only<br>application. The software<br>application does not deliver or<br>depend on energy delivered to<br>or from patients | None—software only<br>application. The software<br>application does not deliver or<br>depend on energy delivered to or<br>from patients | | End User | Trained clinicians | Trained clinicians | Table 2 Technological Characteristics Comparison Table {5}------------------------------------------------ Image /page/5/Picture/0 description: The image shows a stylized logo with an abstract design. The logo features a series of connected shapes in varying shades of purple, blue, and teal. The shapes are arranged to resemble a stylized letter 'M' or a mountain range, with a small dot to the right of the main structure. {6}------------------------------------------------ Image /page/6/Picture/0 description: The image shows a logo with two stylized, connected shapes that resemble the letter 'M'. The shapes are formed by rounded, parallel lines in a gradient of colors, transitioning from pink and purple on the left to blue and teal on the right. A small, solid teal circle is positioned to the right of the shapes, adding a subtle accent to the overall design. The logo has a modern and abstract appearance. | Supported Modalities<br>for image processing<br>and visualization | CTA | CTA | |-------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------| | PACS Functionality | View process and analyze<br>medical images. Performs<br>standard PACS functions with<br>respect to querying and listing | View process and analyze<br>medical images. Performs<br>standard PACS functions with<br>respect to querying and listing | | DICOM Compliance | Yes | Yes | | Computer Platform | Standard Physical and Virtual<br>off-the shelf Server | Standard off-the shelf server | | Data Acquisition | Acquires medical image data<br>from DICOM compliant<br>imaging devices and<br>modalities | Acquires medical image data<br>from DICOM compliant imaging<br>devices and modalities | | CTA modality | CTA large vessel | CTA large vessel | | Performance Data | Stand-alone software<br>performance testing | Stand-alone software<br>performance testing | ## G. PERFORMANCE DATA The results of software performance testing demonstrate that CerebralGo Plus has met all design requirements and specifications associated with the intended use of the software. All testing has been carried out in compliance with the requirements of 21 CFR 820 and in adherence to the DICOM standard. Regarding the validation of the algorithm, the test data was used independently from training dataset. The algorithm testing of CerebralGo Plus has been performed using 141 images collected from US, which covered different gender, age, ethnicity, equipment and CT protocol used to collect images. The information of demographic and equipment distribution was as follows: | Demographic information | | Quantity | |-------------------------|--------|----------| | Gender | Male | 68 | | | Female | 73 | | Age | <40 | 6 | | | 40~70 | 58 | | | >70 | 54 | {7}------------------------------------------------ Image /page/7/Picture/0 description: The image shows a logo with a stylized letter 'M' formed by overlapping geometric shapes in shades of purple, blue, and teal. The shapes create a sense of depth and movement, with the colors blending together to form a gradient effect. A small teal circle is positioned to the right of the 'M', possibly serving as a period or a design element to balance the composition. | | Unknown | 23 | |-----------------------|---------------------------|----------| | Ethnicity | Black or African American | 1 | | | Hispanic/Latino | 2 | | | Non-Hispanic/Latino | 82 | | | White | 5 | | | Unknown | 51 | | Equipment information | | Quantity | | Equipment information | | Quantity | |-----------------------|---------|----------| | Equipment | GE | 4 | | | Siemens | 6 | | | Philips | 101 | | | Toshiba | 30 | The reference standard of 141 images was created by 3 radiologists from US. When the two radiologists conflicted, the third radiologist would arbitrate and generate the reference standard. The results output by algorithm were compared with the reference standard, the value of Dice coefficient was 0.942, the value of 95% Hausdorff Distance was 3.692. The subgroups analysis was conducted based on scanning equipment, gender and age, and the results were shown in the table below: | Parameter | Dice | HD95 | | |-----------|---------|-------|--------| | Equipment | TOSHIBA | 0.936 | 3.979 | | | Philips | 0.945 | 3.494 | | | SIEMENS | 0.942 | 1.328 | | | GE | 0.924 | 10.098 | | Gender | Female | 0.941 | 3.702 | | | Male | 0.944 | 3.682 | | Age | <40 | 0.955 | 1.000 | | | 40-70 | 0.946 | 2.426 | {8}------------------------------------------------ Image /page/8/Picture/0 description: The image shows a logo with a stylized letter 'M'. The 'M' is formed by three overlapping shapes in shades of blue, purple, and pink, creating a gradient effect. To the right of the 'M' is a small, solid blue circle, which appears to be a dot. The logo has a modern and abstract design. | | >=70 | 0.940 | 4.846 | |--|------|-------|-------| |--|------|-------|-------| ### Clinical Information Not applicable; determination of substantial equivalence is not based on assessment of clinical performance data. # H. CONCLUSION Based upon the information provided in this 510(k) submission, it has been determined that the subject device is substantially equivalent to the predicate device in regards to indications for use, intended use, design, technology, and performance.