ADAC Laboratories

Last updated
ADAC Laboratories
IndustryMedical Devices
Founded1970;55 years ago (1970)
Defunct2000 (2000)
FateAcquired by Philips
Headquarters
United States
Number of employees
720
ARC 3000 Gantry & Patient Table ARC 3000 Gantry.jpg
ARC 3000 Gantry & Patient Table
ARC 3000 showing detector printed circuit boards ARC 3000 showing detector printed circuit boards.jpg
ARC 3000 showing detector printed circuit boards
ARC 3000 Mobile Collimator Cart & Storage Rack ARC 3000 Mobile Collimator Cart & Storage Rack.jpg
ARC 3000 Mobile Collimator Cart & Storage Rack
Argus single head gamma camera Argus DCP2459.jpg
Argus single head gamma camera
Solus dual head gamma camera Solus Dual Head Gamma Camera DCP0146.jpg
Solus dual head gamma camera
Vertex MCD gamma camera with automatic exchanger ADAC Laboratories Vertex MCD gamma camera with automatic exchanger.jpg
Vertex MCD gamma camera with automatic exchanger
Forte dual head gamma camera Forte with Vantage attenuation correction.jpg
Forte dual head gamma camera
Skylight dual headed gamma camera Skylight gamma camera.jpg
Skylight dual headed gamma camera
Pegasys Ultra 10 Pegasys Ultra10.jpg
Pegasys Ultra 10
Skylight serial number label on 2008 manufactured system showing ADAC Laboratories Milpitas address. Skylight serial number label 2008.jpg
Skylight serial number label on 2008 manufactured system showing ADAC Laboratories Milpitas address.

ADAC Laboratories [1] [2] was a Silicon Valley medical device company specialising in nuclear medicine gamma camera manufacturing and associated nuclear medicine processing computers and software. It was originally located at 10300 Bubb Road, Cupertino, California, 95014, then as the company expanded moved in turn to the following locations. 4747 Hellyer Avenue, San Jose, CA 951, [3] then 255 San Geronimo Way, Sunnyvale, CA, [4] then from ~1993, [5] 540 Alder Drive Milpitas, CA 95035. Although most people called the company ADAC or adaclabs, the name ADAC was an acronym of Analytical Development Associates Corporation. [6] It was incorporated in California on October 14, 1970. [7]

Contents

In the early years ADAC developed both small nuclear medicine related hardware and software products but between 1975 and the 1980s, become better known for their computer systems such as the CDS and DPS acquisition and processing systems. In 1987–88 ADAC maintained Philips ARC gamma camera installed base under licence and In ~1991 Philips exited the nuclear medicine market. At that time, the Dutch vendor licensed its nuclear technology to both ADAC and Digital Design of France". [8] The 1990s were the dominant decade for ADAC in terms of gamma camera production, manufacturing the Argus, Genesys, Polaris, Thyrus, Transcam, Vertex, Forte and Skylight gamma cameras as well as the EPIC detector and molecular coincidence detection (MCD) option, along with the Pegasys nuclear medicine processing workstation and radiation treatment planning systems (RTP). In 1993 it was sued by Elscint for patent infringement and in 1994 purchased Philips' nuclear medicine patent portfolio, consisting of 13 U.S. patents and 56 foreign patents and patent applications. [8] "ADAC announced it had filed a patent infringement claim against Elscint in U.S. District Court in San Jose, California, charging Elscint with violating the Philips patents. ADAC filed the lawsuit in direct response to the Elscint litigation". [8] In 1996, ADAC was the recipient of a Malcolm Baldrige National Quality Award [9] [10] and during that year employed 720 people worldwide. [11]

ADAC Laboratories was acquired by Philips in 2000 for $426 million, and incorporated into Philips Medical Systems (later Philips Healthcare). [12] ADAC continued to operate from the Milpitas location until around 2006 and was submitting FDA pre-market filings under the company name ADAC Laboratories, Milpitas, until 2006, whereupon the 540 Alder Drive, Milpitas operation was closed and ADAC become fully integrated into the Philips organisation.

Products

Network based Nuclear Medicine Analysis and early products

YearProductDescriptionNotes
1972Mednet [6] Network based Nuclear Medicine Analysis (off site)
1972Patient Positioning Chair for Mednet System [6]
1974RP/ED (Renal Perfusion/Excretion Determination) [13] Software based feature for Mednet product
1974 [14] AW 1450 automatic well counter [14] Isotometer well counter [14]
-Gamma ProbesSuch as model PA-6 [15]
-Interface Instrumentation
1975 [15] ADAC MUS 10 [15] Mobile uptake system, thyroid uptake, cardiac output, clearance studies such as kidney & liver. Includes Spectrometer/scaler model SS-101, single probe stand on wheels, model SPS-4 and a gamma probe, model PA-6. Optional teleprinter on mobile cart, model ASR-33, ADAC Lister, model ADL-150 [15]

Nuclear Medicine Acquisition/Processing and Processing Only Workstations

YearProductDescriptionNotes
1975Clinical Data System I (CDS I) [16] [17] ADAC first advertised computer for less than $30,000 with 32K memory (Dec 1975) [16] Hardware unknown but probably DEC based.
1976 [18] Clinical Data System II (CDS II) [18] Similar to ADAC's clinical Data System I but with an increase in memory to 40K x 16, dual 7" and 9" displays instead of a single display, 64 shades of gray, 512x512 image matrix, light pen with eight regions of interest (ROI's), dual 8" floppy disc drives. High speed 110 characters/sec printer, clinical software packages, in vivo & in vitro data analysis, optional extras: third disk drive which allows simultaneous processing while acquiring data, 64k x 16 memory, 8" x 10" film camera, Polaroid camera, FORTRAN IV compiler, paper tape reader for input of RIA, high speed disk drive for list mode and mass storage, remote dual displays, color display, image transmission via telephone, Microdot (Serale TM) interface. [18]
1980System I, II, III and IV [19] Nuclear Medicine Acquisition and Processing WorkstationBased on DEC hardware.
1985DPS 3300 Micro [20] Nuclear Medicine Acquisition and Processing Workstation, Ethernet (10BASE5) can be used to connect multiple DPS 3300 micros together. Includes one 5.25" floppy disc drive.Based on DEC 11/23 hardware with RT11 O.S.
-DPS 33000 [21] Nuclear Medicine Processing WorkstationBased on DEC hardware with RT11 O.S.
1988Viewpoint [22] Remote viewing stationMicroVAX system?
1988Centor [21] -MicroVax system
1989PegasysX [23] Nuclear Medicine Processing WorkstationBased on Sun Solaris
1995Pegasys Ultra 1Nuclear Medicine Processing WorkstationBased on Sun Solaris
1997Pegasys Ultra 60Nuclear Medicine Processing WorkstationBased on Sun Solaris
1998Pegasys Ultra 10Nuclear Medicine Processing WorkstationBased on Sun Solaris
-Pegasys HDNuclear Medicine Processing WorkstationBased on Sun Solaris
2001Pegasys Blade 150Nuclear Medicine Processing WorkstationBased on Sun Solaris
2004Jetstream Workspace (2004) [24] PC, Windows O.S.Post Philips acquisition but FDA pre-market filings as ADAC Laboratories, Alder Dr., Milpitas.

Digital Radiography Systems

YearProductDescriptionNotes
1982DPS 2800 [25] [3] Digital Processing System510(k) premarket notification, decision 07/Feb/1982[ [26] Applicant: ADAC Laboratories, Jellingvej 5, 92320 Svenstrup, Denmark, DK [26]
1982DPS 4050 [27] Digital Radiography System [28] 510(k) premarket notification, decision 06/Sep/1982 [28] Applicant: ADAC Laboratories, Jellingvej 5, 92320 Svenstrup, Denmark, DK [28]
1982DPS 6100 [29] Multi Modality Digital Processing System510(k) premarket Notification, Decision 07/Sep/1982 [29] Applicant: ADAC Laboratories, Jellingvej 5, 92320 Svenstrup, Denmark, DK [29]
1983PDX-4800 [30] Electronic Image Processing and Recording Apparatus which Converts Conventional X-Rays to a Digital Format [31] 510(k) premarket notification, decision 03/Jan/1983 [30] Applicant: ADAC Laboratories, Jellingvej 5, 92320 Svenstrup, Denmark, DK [30]
1984DPS 7100Digital Radiography System [32] 510(k) premarket notification, decision 10/Jan/1984 [32] Applicant: ADAC Laboratories, 803 N. Front St. Suite 3, Mchenry, IL 60050 [32]
1985DPS 4070 [33] Digital Radiography System [34] 510(k) premarket notification, decision 16/Apr/1985 [34] Applicant: ADAC Laboratories, 4747 Hellyer Avenue, San Jose, CA 95138. [34]
1988DTV-4114 [35] Fluoroscopic Television Camera [35] 510(k) premarket notification, decision 18/May/1988 [35] Applicant: ADAC Laboratories, 540 Alder Drive, Milpitas, CA 95035.

Gamma Cameras

YearProductDescriptionNotes
-ARC 3000 [3] Single detector.
1987ARC 5000 [36] [37] Single detector.510(k) premarket notification, decision 30/Oct/1987 [37] Applicant: ADAC Laboratories, 540 Alder Drive, Milpitas, CA 95035.
1988Genesys SH [38] Single rectangular detector, dual ring gantry design.
1990Genesys DH [39] Dual rectangular detectors, dual ring gantry design.
1991Cirrus [40] Single detector510(k) premarket notification, decision 23/Oct/1991 [40] Applicant: ADAC Laboratories, 540 Alder Drive, Milpitas, CA 95035.
1993Argus analogue detectorSingle rectangular detector 20"x15". [41]
1993Polaris [42] Single circular detector.Produced by the company's Danish subsidiary, ADAC A/S
1993Thyrus510(k) premarket notification, decision 21/Jun/1993 [43] ADAC Laboratories 540 Alder Dr. Milpitas,  CA  95035. Manufactured by the company's Danish subsidiary, ADAC A/S
1994EPIC DetectorThe EPIC detector was introduced in 1994 and replaces the analogue rectangular detector. [7]
-TranscamSingle round detector, mobileManufactured by the company's Danish subsidiary, ADAC A/S
1994VantageSimultaneous transmission/emission attenuation correctionADAC plans to file for FDA 510(k) clearance for Vantage Jun 1994 [44]
-Argus EPIC detectorSingle rectangular detector.
1995 [45] Vertex ClassicDual rectangular detector, 180/90° user selectable geometry, dual ring gantry design, automatic collimator exchange
1995 [46] Vertex Cardio EPICDual rectangular detector, 90° fixed geometry, dual ring gantry design.
1995 [46] Vertex Solus EPICDual rectangular detector, 180° fixed geometry, dual ring gantry design.
-Vertex PLUSDual rectangular detector, 180/90° user selectable geometry, dual ring gantry design.
-Vertex Amazon V60Dual rectangular detector, 180/90° user selectable geometry, dual ring gantry design.
1995MCD TechnologyMolecular Coincidence Detection (MCD) was introduced in Jun 1995 [7]
1995 [47] Vertex with MCDDual rectangular detector, 180/90° user selectable geometry, dual ring gantry design, with Molecular Coincidence Detection (MCD)
1998 [48] Forte ClassicDual rectangular detector, 180/90° user selectable geometry, single ring gantry design.The Forte gantry was a design by DDD, manufactured by ADAC Laboratories.
-Forte Power PackDual rectangular detector, 180/90° user selectable geometry, single ring gantry design.
-Forte with MCDDual rectangular detector, 180/90° user selectable geometry, single ring gantry design.
1999 [49] Skylight EPICDual rectangular detectors, 19=80/90 user selectable geometry, overhead gantry with suspended detectors. With EPIC detectors
https://www.nist.gov/news-events/news/1996/10/president-clinton-announces-winners-1996-baldrige-quality-awards Adaclabs Malcolm Baldridge Award.jpg
https://www.nist.gov/news-events/news/1996/10/president-clinton-announces-winners-1996-baldrige-quality-awards

Products post Philips acquisition but issuing FDA pre-market filings as ADAC Laboratories, 540 Alder Dr., Milpitas, CA 95035.

YearProductDescriptionNotes
2001Gemini [50]
2001Skylight (modification)Option added: "to acquire a single head acquisition studies on two separate but simultaneous planar patients"
-Skylight (modification)EPIC detectors replaced with AZ detectors.Although the name ADAC Laboratories had been replaced with Philips in regards to the main brand labels on the Skylight, there were still references to ADAC on the serial number labels as late as 2008. See photo. [51]
2005Precedence [52] SPECT/CT imaging system
2006Apollo [53] Larger bore Forte with 3/4" rather the 5/8" crystals, not sold under the name Apollo.From FDA information this product was sold under the name Philips Brightview

Positron Emission Tomography (PET)

YearProductDescriptionNotes
1993C-PET
-C-PET Plus
2001Allegro

Radiation Treatment Planning Systems

YearProductDescriptionNotes
1982RTP 5000 [54]
1985XL-Plan 23 & XL-Plan 73 [55] [56] 510(k) premarket notification, decision 18/Jul/1985 [55]
-Pinnacle [57]
-Pinnacle3 [58]
-ePinnacle [58]

Healthcare Information Systems (ADAC Laboratories, Milpitas and HCIS a subsidiary of ADAC Laboratories )

YearProductDescriptionNotes
~1985-87MARS II [56] Radiology Management SystemFor clerical and administrative functions in a diagnostic imaging department
-Envoi
-QuadRIS [59]
-CorCAAT [60] Cardiology Systems
-CAATi [60] Cardiology Systems

ADAC Laboratories were once the US domestic market leaders [2] and as of 2021 are still in clinical use around the world [61] [62] [63] and are also used for commercial & educational use [64]

Corporate Affairs

Company Acquisitions

Patent Acquisitions

Litigation

Corporate Officers

ADAC International Subsidiaries

References

  1. ↑ "ADAC Laboratories Home Page". Archived from the original on 18 October 1996. Retrieved 2021-12-20.
  2. 1 2 "ADAC LABORATORIES | JOC.com". www.joc.com. Retrieved 2021-12-20.
  3. 1 2 3 ADAC (1 May 1984). "ADAC advertisement for ARC-3000 gamma camera and 2800 and 3300 computers" (PDF). Journal of Nuclear Medicine. 25 (5): 51 52.
  4. ↑ "Medi+Physics advertisement" (PDF). jnm.snmjournals.org. Retrieved 5 April 2023.
  5. ↑ "540 Alder Dr, Milpitas". ClustrMaps.com. Retrieved 2021-12-23.
  6. 1 2 3 ADAC (1 November 1972). "ADAC Mednet, Advert JNM Vol 13 Issue 11" (PDF). Journal of Nuclear Medicine. 13 (11): 22.
  7. 1 2 3 "Adac Laboratories 10K 1996 Annual report | ADAC Filing". docoh.com. Retrieved 2021-12-27.
  8. 1 2 3 4 5 "ADAC patent suit turns tables on nuclear competitor Elscint". Diagnostic Imaging. 2 March 1994. Retrieved 2021-12-23.
  9. ↑ Malcolm Baldrige National Quality Award 1996 Recipient.
  10. ↑ "First Device Firm to Win Baldrige Award Finds Profit in Quality". mddionline.com. 2009-01-01. Retrieved 2021-12-20.
  11. ↑ "Adac Laboratories 10K 1996 Annual report | ADAC Filing". docoh.com. Retrieved 2021-12-20.
  12. ↑ Philips to acquire ADAC Labs
  13. ↑ ADAC (1 March 1974). "RP/ED Analysis" (PDF). Journal of Nuclear Medicine. 15 (3): 29 of adversing.pdf.
  14. 1 2 3 ADAC (1 January 1974). "ADAC AW1450 Automatic Well Counter" (PDF). Journal of Nuclear Medicine. 15 (1): 43, 44.
  15. 1 2 3 4 ADAC (1 February 1975). "ADAC MUS 10 mobile uptake" (PDF). Journal of Nuclear Medicine. 16 (2): 20.
  16. 1 2 ADAC (1 December 1975). "ADAC's first computer (<$30,000) (32K memory)" (PDF). Journal of Nuclear Medicine. 16 (12): 60.
  17. ↑ ADAC (1 June 1975). "ADAC's Clinical Data System" (PDF). Journal of Nuclear Medicine. 16 (6): 63.
  18. 1 2 3 ADAC (1 January 1976). "ADAC Clinical Data System II (1976)" (PDF). Journal of Nuclear Medicine. 17 (1): 41, 42.
  19. ↑ ADAC, Labs (1 December 1980). "System I, II, II & IV" (PDF). Journal of Nuclear Medicine. 21 (12): 16 of advertising.pdf.
  20. ↑ ADAC. "ADAC DPS 3300 Micro, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  21. 1 2 "Dps-33,000 With Centor Option 510(k) FDA Premarket Notification K881017 ADAC LABORATORIES". fda.report. Retrieved 2023-03-29.
  22. ↑ "Viewpoint 510(k) FDA Premarket Notification K882205 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  23. ↑ ADAC (1 November 1989). "ADAC Pegasys" (PDF). Journal of Nuclear Medicine. 30 (11): 15–16.
  24. ↑ ADAC. "ADAC Jetstream Workspace, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  25. ↑ "Adac Model Dps-2800 Digital Processing System 510(k) FDA Premarket Notification K827581 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  26. 1 2 ADAC. "ADAC DPS 2800, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  27. ↑ "Model Dps-4050 Digital Radiography System 510(k) FDA Premarket Notification K827502 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  28. 1 2 3 ADAC. "ADAC DPS 4050 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  29. 1 2 3 ADAC. "ADAC DPS 6100 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  30. 1 2 3 ADAC. "ADAC PDX-4800 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  31. ↑ "PDX-4800 Trademark of ADAC Laboratories Serial Number: 73420747 :: Trademarkia Trademarks". trademark.trademarkia.com. Retrieved 2021-12-27.
  32. 1 2 3 ADAC. "ADAC DPS 7100, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  33. ↑ Arnold, B. A. (1986), "Noise Analysis in Digital Radiography" , Digital Radiography, Boston, MA: Springer US, pp. 55–81, doi:10.1007/978-1-4684-5068-2_4, ISBN   978-1-4684-5070-5 , retrieved 2021-12-21
  34. 1 2 3 ADAC. "ADAC DPS 4070, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  35. 1 2 3 ADAC. "ADAC DTV-4114 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  36. ↑ "Adac Model Arc-5000, Gamma Camera 510(k) FDA Premarket Notification K873075 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  37. 1 2 ADAC. "ADAC ARC 5000, 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  38. ↑ Medicine, Society of Nuclear (1988-09-01). "New Products". Journal of Nuclear Medicine Technology. 16 (3): 174. ISSN   0091-4916.
  39. ↑ Medicine, Society of Nuclear (1990-12-01). "New Products". Journal of Nuclear Medicine Technology. 18 (4): 25A. ISSN   0091-4916.
  40. 1 2 ADAC. "ADAC Cirrus 510(k) Premarket Notification". www.accessdata.fda.gov. Archived from the original on 2021-12-27. Retrieved 2021-12-27.
  41. ↑ ADAC. "ADAC Argus" (PDF). Journal of Nuclear Medicine. 34 (7): 25.
  42. ↑ Medicine, Society of Nuclear (1993-06-01). "New Products". Journal of Nuclear Medicine Technology. 21 (2): 9A. ISSN   0091-4916.
  43. ↑ "Thyrus 510(k) FDA Premarket Notification K930283 ADAC LABORATORIES". fda.report. Retrieved 2021-12-29.
  44. ↑ ADAC (29 June 1994). "ADAC Vantage attenuation correction. SPECT advances propel nuclear medicine at SNM's Orlando show". Diagnostic Imaging. Archived from the original on 2020-10-26. Retrieved 2021-12-30.
  45. ↑ "ADAC enjoys return to growthwith strong third-quarter results". Diagnostic Imaging. 2 August 1995. Retrieved 2021-12-20.
  46. 1 2 "ADAC solidifies market positionwith new SNM product releases". Diagnostic Imaging. 21 June 1995. Retrieved 2021-12-20.
  47. ↑ "Historical Timeline - SNMMI". www.snmmi.org. Retrieved 2021-12-20.
  48. 1 2 3 4 5 6 7 8 9 10 11 12 13 ADAC (1 November 1999). "ADAC Forte with Ultra 60, listing ADAC subsidiaries" (PDF). Journal of Nuclear Medicine. 40 (11): 35–36.
  49. ↑ "FDA clears ADAC Skylight gamma camera". Diagnostic Imaging. 10 May 2000. Retrieved 2021-12-20.
  50. ↑ "Gemini Imaging System 510(k) FDA Premarket Notification K013521 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  51. ↑
    Skylight serial number label 2008.jpg
  52. ↑ "Precedence Spect/ct Imaging System 510(k) FDA Premarket Notification K051351 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  53. ↑ "Apollo Gamma Camera System 510(k) FDA Premarket Notification K062298 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  54. ↑ "Rtp-5000 510(k) FDA Premarket Notification K813439 ADAC LABORATORIES". fda.report. Retrieved 2021-12-21.
  55. 1 2 ADAC. "ADAC XL-PLAN 23 & XL-PLAN 510(k) premarket notification". Archived from the original on 2021-12-30.
  56. 1 2 ADAC (1 March 1987). "ADAC XL-PLAN & MARS II" (PDF). Journal of Nuclear Medicine. 28 (3): 15, 16.
  57. ↑ Abraham, David; Colussi, Valdir; Shina, Donald; Kinsella, Timothy; Sibata, Claudio (2000-12-01). "TBI treatment planning using the ADAC Pinnacle Treatment Planning System" . Medical Dosimetry. 25 (4): 219–224. doi:10.1016/S0958-3947(00)00049-2. ISSN   0958-3947. PMID   11150693.
  58. 1 2 Team, Elekta Web. "Elekta and ADAC announce strategic alliance for complete IMRT Planning and Delivery Solution". Elekta AB. Retrieved 2021-12-20.
  59. ↑ www.adachcis.com, ADAC (13 October 1999). "QuadRIS". www.adachcis.com. Archived from the original on 1999-10-13. Retrieved 21 December 2021.
  60. 1 2 "ADAC HCIS - Cardiology Solutions". 2000-01-24. Archived from the original on 24 January 2000. Retrieved 2021-12-21.
  61. ↑ "VERTEX". BC Technical. Retrieved 2021-12-20.
  62. ↑ "Philips Forte Parts – ANC Medical" . Retrieved 2021-12-20.
  63. ↑ "MIC Ltd - News Archive - IS2 / Positron, Philips / ADAC, DDD, Skylight, FORTE, Pulse". www.mic-nucmed.co.uk. Retrieved 2021-12-20.
  64. ↑ "ADAC Forte positron camera". University of Birmingham. Retrieved 2021-12-20.
  65. 1 2 3 "ADAC HCIS - Company Overview". 2000-03-03. Archived from the original on 3 March 2000. Retrieved 2021-12-21.
  66. 1 2 3 4 5 6 "540 Alder Dr, Milpitas". ClustrMaps.com. Retrieved 2021-12-23.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.