K980918 · Philips Medical Systems (Cleveland), Inc. · LMD · Jun 3, 1998 · Radiology
Device Facts
Record ID
K980918
Device Name
JPACS
Applicant
Philips Medical Systems (Cleveland), Inc.
Product Code
LMD · Radiology
Decision Date
Jun 3, 1998
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.2020
Device Class
Class 1
Attributes
Software as a Medical Device
Indications for Use
The JPACS radiology suite is intended to provide access to clinical reports and images via computer networks. It is also intended to provide short, medium and long range storage of clinical images from any authorized workstation within an intranet or over the Internet. The full feature imaging suite can be used for in-house image distribution, on-call teleradiology, and advance visual display features. The JPACS radiology suite also includes functionality for generation and distribution of clinical reports.
Device Story
JPACS is a radiology suite for image/report management; inputs include clinical images (CR, CT, MR, XA, SC, US, NM, PET, RT) via computer networks. System provides short, medium, and long-term storage; enables in-house image distribution, on-call teleradiology, and advanced visual display. Operated by clinicians/radiologists at authorized workstations within intranets or over the Internet. Output consists of displayed images and generated clinical reports; assists healthcare providers in diagnostic review and clinical decision-making. Benefits include improved access to diagnostic data and streamlined teleradiology workflows.
Clinical Evidence
No clinical data; bench testing only. System adheres to UL 187 and IEC 601-1 standards for electrical, mechanical, and radiation safety.
Technological Characteristics
PACS software suite; utilizes DICOM V. 3.0 NEMA standards (PS3.1-PS3.13). Connectivity via intranet or Internet. Designed for compliance with UL 187 and IEC 601-1 safety standards.
Indications for Use
Indicated for access to clinical reports and images for any part of human anatomy (CR, CT, MR, XA, SC, US, NM, PET, RT). Used for in-house distribution, teleradiology, and report generation. Prescription use only.
Regulatory Classification
Identification
A medical image communications device provides electronic transfer of medical image data between medical devices. It may include a physical communications medium, modems, and interfaces. It may provide simple image review software functionality for medical image processing and manipulation, such as grayscale window and level, zoom and pan, user delineated geometric measurements, compression, or user added image annotations. The device does not perform advanced image processing or complex quantitative functions. This does not include electronic transfer of medical image software functions.
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3 1898 JUN
K980918
## JPACS SUBSTANTIAL EQUIVALENCE SUMMARY K980918, page 1 OF 3
The following information is being submitted in accordance with 21 CFR 807.92(a) and in the order specified in that section.
(1) The submitter's name, address, telephone number, a contact person, and the date the summary was prepared;
| Submitter: | Picker International, Inc.<br>595 miner Road<br>Highland Heights, Ohio 44143<br>(440)473-3000 |
|------------|---------------------------------------------------------------------------------------------------------------------|
| Contact: | Robert L. Turocy<br>Picker International, Inc.<br>595 Miner Road<br>Highland Heights, Ohio 44143<br>(440) 473-3528 |
Date of Summary: March 26, 1998
(2) The name of the device, including the trade name or proprietary name if applicable, the common or usual name, and the classification name, if known;
| Device Name<br>(Proprietary Name): | JPACS |
|------------------------------------|------------------------------------------|
| Classification Name: | Picture Archiving & Communication System |
| Common Name: | Picture Archiving & Communication System |
The FDA has classified the JPACS as a Class II device, "Unclassified" Procode 90 LLZ based on recommendation of the Radiology Devices Panel.
(3) An identification of the legally marketed device to which the submitter claims equivalence. A legally marketed device to which a new device may be compared for a determination regarding substantial equivalence is a device that was legally marketed prior to May 28, 1976, or a device which has been reclassified from Class III to Class II or I the predicate) or a device which has been found to be substantially equivalent through the 510(k) Premarket Notification process.
Picker claims equivalence to the legally marketed device identified as the Medisurf manufactured by Algotec Systems Ltd. granted marketing permission in Document Control Number K971347.
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## JPACS SUBSTANTIAL EQUIVALENCE SUMMARY K980918, page 2 OF 3
(4) A description of the device that is the subject of the Premarket Notification submission, such as might be found in the labeling or promotional material for the device, including an explanation of how the device functions, the scientific concepts that form the basis for the device, and the significant physical and performance characteristics of the device such as device design, material used, and physical properties;
The JPACS radiology suite is intended to provide access to clinical reports and images via computer networks. It is also intended to provide short, medium and long range storage of clinical images from any authorized workstation within an intranet or over the Internet. The full feature imaging suite can be used for in-house image distribution, on-call teleradiology, and advance visual display features. The JPACS radiology suite also includes functionality for generation and distribution of clinical reports. Picker adheres to FDA 21 CFR 820 and voluntary standards for safety and effectiveness (UL 187) all of which mandate that components are tested to minimize hazards (electrical, mechanical, and radiation). In addition, the system is designed to conform to IEC 601-1. The subject device has the same technological characteristics as a legally marketed predicate device. Specifically, the features, specifications, materials, and mode of operation are equivalent. External communication uses DICOM V. 3.0 NEMA Standards Publication Parts PS3.1 through PS3.13, dated 1996.
(5) A statement of the intended use of the device that is subject of the Premarket Notification submission, including a general description of the diseases or conditions that the device will diagnose, treat, prevent, cure, or will mitigate, including a description, where appropriate, of the patient population for which the device is intended. If the indication statements are different from those of the legally marketed device identified in paragraph (a)(3) of this section, the 510(k) summary shall contain an explanation as to why the differences are not critical to the intended therapeutic, diagnostic, prosthetic, or surgical use of the device, and why the differences do not affect the safety and effectiveness of the device when used as labeled: and
Intended Use Statement: The JPACS radiology suite is intended to provide access to clinical reports and images via computer networks. It is also intended to provide short, medium and long range storage of clinical images from any authorized workstation within an intranet or over the Internet. The full feature imaging suite can be used for in-house image distribution, on-call teleradiology, and advance visual display features. The JPACS radiology suite also includes functionality for generation and distribution of clinical reports.
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## JPACS SUBSTANTIAL EQUIVALENCE SUMMARY K980918, page 3 OF 3
(6) If the device has the same technological characteristics (i.e., design, material, chemical composition, energy source) as the predicate device identified in paragraph (a)(3) of this section, a summary of the technological characteristics of the new device in comparison to those of the predicate device. If the device has different technological characteristics from the predicate device, a summary of how the technological characteristics of the device compare to a legally marketed device identified in paragraph (a)(3) of this section.
Claims: The JPACS is a comparable type and substantially equivalent to legally marketed devices. The intended use of the JPACS is the same as legally marketed device Medisurf manufactured by Algotec Systems Ltd. granted marketing permission and no new questions of safety or effectiveness are raised with the JPACS. The subject device has the same technological characteristics as a legally marketed predicate device. Specifically, the features, specifications, materials, mode of operation are equivalent.
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DEPARTMENT OF HEALTH & HUMAN SERVICES. USA
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
3 1000 IN
Robert L. Turocy Regulatory Affairs & Compliance Manager Picker International, Inc. 595 Miner Road Highland Heights, Ohio 44143
K980918 Re:
JPACS Dated: March 6, 1998 Received: March 11, 1998 Regulatory class: Unclassified Procode: 90 LMD
Dear Mr. Turocy:
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 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 II (Special Controls) or 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 Fecteral 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 (OS) 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 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 (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address "http://www.fda.gov/odrh/dsmaldsmamain.html".
Sincerely yours,
Kilian Yin
Lillian Yin, Ph.D Director, Division of Reproductive Abdominal, Ear. Nose and Throa and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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page 1 of 1
510(K) Number (if known): K98 ଫ 9 / 8
Device Name: JPACS
Indications for Use:
The JPACS radiology suite provides access to clinical reports and images via computer networks. Given the following information objects, the JPACS radiology suite may be used on any part of the human anatomy: CR, CT, MR, XA, SC, US, NM, PET, and RT. The suite also provides short, medium, and long term storage of these clinical images from any authorized workstation within an intranet or over the Internet. The full feature imaging suite can be used for in-house image distribution, on-call teleradiology, and advance visual display features. The JPACS radiology suite also includes functionality for generation and distribution of clinical reports.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Gind A. Segger
(Division Sign-Off)
Division of Reproductive, Abdominal, ENT, and Radiological Devices
510(k) Number K980918
Prescription Use (Per 21 CFR 801.109)
OR
Over-The Counter Use
(Optional Format 1-2-96)
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1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
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Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
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How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
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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.
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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.