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Ezra Plexo Software

Ezra AI Inc. • Radiology • 07/10/2020

510(k)IEC 62304 Class B
FDA Summary PDF

Device Purpose

Ezra Plexo Software is a medical diagnostic application designed to enhance oncological workflows by enabling advanced viewing, manipulation, 3D visualization, and quantitative analysis of MR images, specifically aiding in the detection and characterization of lesions. Its methodology involves providing web-based access to DICOM-compliant tools for volumetric segmentation and measurement, with its performance validated through nonclinical testing against expert radiologist consensus, positioning it as a complementary aid for clinical decision-making.

Summary

Ezra Plexo Software is a medical diagnostic application developed to assist clinicians in oncological workflows by providing tools for viewing, manipulating, 3D-visualizing, and comparing Magnetic Resonance (MR) medical images. Its primary purpose is to help users confirm the absence or presence of lesions, enabling their evaluation, quantification, and documentation. The software, accessed via a web browser, allows radiologists to interact with volumetric MR data, perform volumetric segmentation of regions of interest, edit these segmentations, and derive quantitative measurements. It processes previously generated DICOM image files, making its functionality independent of the MR image acquisition equipment vendor. The system's methodology relies on providing radiologists with 2D and 3D visualization capabilities, manual segmentation, and 2D semi-automated segmentation specifically for MR prostate studies. It also offers tools for linear dimension and volume calculation. Performance of the Ezra Plexo Software was established through nonclinical software validation tests on 150 patient exams, using consensus ground truth from five U.S. board-certified expert radiologists. These tests demonstrated that the software performs as intended, is acceptable for clinical use, and does not introduce new safety or efficacy concerns. It is designed as a complementary tool, with the clinician retaining ultimate responsibility for diagnosis based on standard practices.

AI Regulatory Concerns

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Keywords

Ezra Plexo SoftwareMedical ImagingMRI AnalysisOncology Software3D VisualizationImage SegmentationLesion QuantificationRadiologyDiagnostic AidVolumetric Measurement

Device Metadata

Submission Number
K192969
Company
Ezra AI Inc.
Panel
Radiology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
quantification/feature localization

Relevant Clinical Questions

  • Q1. How does the performance of Ezra Plexo's semi-automated segmentation for MR prostate studies compare to manual segmentation by experienced radiologists in terms of accuracy and time efficiency?; What specific quantitative measurements (e.g., volume, diameter, signal intensity characteristics) can be derived from the segmented lesions, and how have these been validated against ground truth?; Given its web-browser access, what are the specific data security and patient privacy protocols implemented within Ezra Plexo Software, particularly concerning data transfer and storage?; How does the integration of Ezra Plexo Software into existing radiological workflows affect diagnostic turnaround time and inter-observer variability in lesion assessment?; Are there plans to expand the software's capabilities to include other imaging modalities (e.g., CT) or other anatomical regions for semi-automated segmentation, similar to its predicate device?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via 510(k) pathway; IEC 62304 Class B (software safety classification); Authorized before §524B enforcement

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score30/100
SBOM Evidence⚠ Not mentioned in summary
Cyber Risk Assessment✓ Detected in Summary
Postmarket Plan⚠ Not mentioned in summary
§524B ApplicableNo

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(ground truth)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials(server)
✓ Detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM, SaaSBOM detected in AI-generated device summary.

• This device was authorized before §524B took effect. Cybersecurity evidence requirements were less prescriptive at the time.

• Postmarket cybersecurity monitoring plan not clearly documented in AI-generated device summary.

• Not detected in AI-generated device summary: SBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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Ezra Plexo Software - Ezra AI Inc. | ESL FDA AI Device Intelligence