K Number
K060267
Device Name
VIRTUAL IMPLANT PLACEMENT (VIP) DENTAL IMPLANT SURGERY PLANNING SOFTWARE
Date Cleared
2006-03-17

(44 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This device employs previously scanned DICOM CT images in a software tool which serves as an aid to visualizing and pre-planning of dental implant surgery.
Device Description
Virtual Implant Placement, or simply VIP, is a software program that will allow dental implant clinicians to pre-plan their implant surgeries and/or to design surgical appliances that will be used during surgery. The program will presents the clinician with various reformatted CT images of their patient's jaw(s), allow the placement and manipulation of virtual implants, and provide measurement and other tools to assist the clinician. In typical usage a dentist evaluating a patient for dental implant surgery will often refer the patient for a CT scan to better visualize the patient's anatomy, and check the amount and density of the bone for its suitability for placing implants. The CT scan site will return the axial images from the CT scan on a CD in industry-standard DICOM format. Upon receipt of the CD, the doctor will "process" the case using VIP. Axial images are well-known to radiologists, but foreign to dentists. Processing involves the removal of unnecessary images which are outside the region of interest, and drawing a curve which will be used for the later reformatting of the data to produce images more familiar to dentists. After opening a disk of images, VIP will display the axial images and thumbnails of these, along with a scout view and a checklist of stops to follow in processing the case. After the case has been processed, the axial data will be processed to make panoramic images, which are parallel to the curve that was drawn during processing, and cross-sectional images, which are perpendicular to the panoramic image. Both types of images are normally generated by the Panorex machines dentists are familiar with. Since the primary purpose of VIP is to aid in the planning of implant surgeries, VIP will allow the surgeon to place simulated implants on the image and to gauge their size and position relative to the surrounding anatomy. The simulated implants will be generic models of standard dental implants, which range from cylindrical to conical. When the data becomes available from various implant manufacturers, VIP will allow the user to pick from specific, currently-manufactured implants to approximately model any of their favorite implants.
More Information

No
The description focuses on standard image processing, visualization, and measurement tools for pre-planning, with no mention of AI or ML algorithms for analysis, prediction, or automated tasks.

No.
The device is a software tool for visualizing and pre-planning dental implant surgery using CT images, not for directly treating a disease or condition.

No

The device is described as an "aid to visualizing and pre-planning of dental implant surgery." It helps clinicians to pre-plan surgeries and design surgical appliances by processing and reformatting existing CT images, allowing virtual implant placement and measurements. It does not provide medical diagnoses itself, but rather tools for surgical planning based on previously acquired diagnostic images.

Yes

The device description explicitly states "Virtual Implant Placement, or simply VIP, is a software program" and details its functions as processing and visualizing existing DICOM CT images and allowing virtual implant placement within the software interface. There is no mention of accompanying hardware components or hardware-specific functions beyond processing existing image data.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: This device is a software tool that uses previously acquired medical images (DICOM CT scans) to aid in the visualization and pre-planning of a surgical procedure (dental implant surgery). It does not analyze biological samples from the patient.
  • Intended Use: The intended use is for surgical planning and visualization, not for diagnosing a disease or condition based on in vitro analysis.

The device falls under the category of medical image processing and surgical planning software, which is distinct from in vitro diagnostics.

N/A

Intended Use / Indications for Use

This device employs previously scanned DICOM CT images in a software tool which serves as an aid to visualizing and pre-planning of dental implant surgery.

Product codes

LLZ

Device Description

Virtual Implant Placement, or simply VIP, is a software program that will allow dental implant clinicians to pre-plan their implant surgeries and/or to design surgical appliances that will be used during surgery. The program will presents the clinician with various reformatted CT images of their patient's jaw(s), allow the placement and manipulation of virtual implants, and provide measurement and other tools to assist the clinician. In typical usage a dentist evaluating a patient for dental implant surgery will often refer the patient for a CT scan to better visualize the patient's anatomy, and check the amount and density of the bone for its suitability for placing implants. The CT scan site will return the axial images from the CT scan on a CD in industry-standard DICOM format. Upon receipt of the CD, the doctor will "process" the case using VIP. Axial images are well-known to radiologists, but foreign to dentists. Processing involves the removal of unnecessary images which are outside the region of interest, and drawing a curve which will be used for the later reformatting of the data to produce images more familiar to dentists. After opening a disk of images, VIP will display the axial images and thumbnails of these, along with a scout view and a checklist of stops to follow in processing the case. After the case has been processed, the axial data will be processed to make panoramic images, which are parallel to the curve that was drawn during processing, and cross-sectional images, which are perpendicular to the panoramic image. Both types of images are normally generated by the Panorex machines dentists are familiar with. Since the primary purpose of VIP is to aid in the planning of implant surgeries, VIP will allow the surgeon to place simulated implants on the image and to gauge their size and position relative to the surrounding anatomy. The simulated implants will be generic models of standard dental implants, which range from cylindrical to conical. When the data becomes available from various implant manufacturers, VIP will allow the user to pick from specific, currently-manufactured implants to approximately model any of their favorite implants.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

DICOM CT

Anatomical Site

patient's jaw(s)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dental implant clinicians

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

ImplantMaster K042212, SimPlant system K033849

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.2050 Medical image management and processing system.

(a)
Identification. A medical image management and processing system is a device that provides one or more capabilities relating to the review and digital processing of medical images for the purposes of interpretation by a trained practitioner of disease detection, diagnosis, or patient management. The software components may provide advanced or complex image processing functions for image manipulation, enhancement, or quantification that are intended for use in the interpretation and analysis of medical images. Advanced image manipulation functions may include image segmentation, multimodality image registration, or 3D visualization. Complex quantitative functions may include semi-automated measurements or time-series measurements.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern).

0

K060267

MAK 1 7 2006

EXHIBIT 2 510(k) Summary Implant Logic Systems, Ltd. 76 Spruce St. Cedarhurst, NY 11516 Tel 516-295-1121 Fax 516-295-2992 www.implantlogic.com Contact: Michael Klein, DDS, President January 30, 2006

    1. Identification of the Device: Proprietary-Trade Name: Virtual Implant Placement™ (VIP) Dental Implant Surgery Planning Software Classification Name/Product Code: Picture archiving and communications system, 90 LLZ Common/Usual Name: Picture archiving and communications system
    1. Equivalent legally marketed devices: ImplantMaster K042212 (I-Dent Ltd.) and SimPlant system, K033849, (Materialise.)
    1. Indications for Use (intended use): This device employs previously scanned DICOM CT images in a software tool which serves as an aid to visualizing and pre-planning of dental implant surgery.
  • Description of the Device: Virtual Implant Placement, or simply VIP, is a software 4. program that will allow dental implant clinicians to pre-plan their implant surgeries and/or to design surgical appliances that will be used during surgery. The program will presents the clinician with various reformatted CT images of their patient's jaw(s), allow the placement and manipulation of virtual implants, and provide measurement and other tools to assist the clinician. In typical usage a dentist evaluating a patient for dental implant surgery will often refer the patient for a CT scan to better visualize the patient's anatomy, and check the amount and density of the bone for its suitability for placing implants. The CT scan site will return the axial images from the CT scan on a CD in industry-standard DICOM format. Upon receipt of the CD, the doctor will "process" the case using VIP. Axial images are well-known to radiologists, but foreign to dentists. Processing involves the removal of unnecessary images which are outside the region of interest, and drawing a curve which will be used for the later reformatting of the data to produce images more familiar to dentists. After opening a disk of images, VIP will display the axial images and thumbnails of these, along with a scout view and a checklist of stops to follow in processing the case. After the case has been processed, the axial data will be processed to make panoramic images, which are parallel to the curve that was drawn during processing, and cross-sectional images, which are perpendicular to the panoramic image. Both types of images are normally generated by the Panorex machines dentists are familiar with. Since the primary purpose of VIP is to aid in the planning of implant surgeries, VIP will allow the surgeon to place simulated implants on the image and to gauge their size and position

1

relative to the surrounding anatomy. The simulated implants will be generic models of standard dental implants, which range from cylindrical to conical. When the data becomes available from various implant manufacturers, VIP will allow the user to pick from specific, currently-manufactured implants to approximately model any of their favorite implants.

DescriptionSimPlant system, K033849, (Materialise.)ImplantMaster K042212 (I-Dent Ltd.)Virtual Implant Placement™ (VIP)
Image SourceCT ScannerDICOM CTDICOM CT
Main indicationIndicated for use as a is a medical
front-end software that can be used
by medically trained people for the
purpose of visualizing gray value
images. It is indicated as a software
interface and image segmentation
system for the transfer of imaging
information from a medical
scanner such as a CT scanner or a
Magnetic Resonance scanner. It is
also indicated for use as a planning
and simulation software for dental
implant placement and surgical
treatmentUses DICOM CT data
for visualization,
diagnosis and treatment
planning for dental
implant surgery.This device employs
previously scanned DICOM
CT images in a software tool
which serves as an aid to
visualizing and pre-planning
of dental implant surgery.
ToolsVisualization, Implant placement,
measurement of distances, angles
and densityVisualization, Implant
placement.Visualization,
Implant placement,
Distance measurement,
Angle measurement,
Rectangular measurement,
Elliptical measurement
Host platformPCPCPC
Operating systemNot specifiedWindows XP SP2 or
Win 2000 SP4Windows 98, 2000 and XP®
Host RAMNot specified512 Mb256 MB RAM
Host Magnetic
StorageNot specified1 GB10 GB hard drive
CD ROMYes (for installation) or downloadYes (for installation)Yes (for installation)
Host Processor
SpeedNot specifiedIntel P4 1.6 GHz
(recommended: 2.8
GHz)Pentium III, 500 MHz
    1. Safety and Effectiveness, comparison to predicate devices:
    1. Conclusion: In all important respects, the VIP is substantially equivalent to one or more predicate systems, including the one named above. This is based on testing to verify compliance with product specifications.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines representing its wings. The eagle is positioned within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Implant Logic Systems Ltd. % Mr. Daniel Kamm, P.E. Principal Consultant Kamm & Associates P.O. Box 7007 DEERFIELD IL 60015

Re: K060267

MAR 1 7 2006

Trade/Device Name: Virtual Implant Placement™ (VIP) Dental Implant Surgery Planning Software Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: January 30, 2006 Received: February 1, 2006

Dear Mr. Kamm:

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. 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 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html

Sincerely vours.

Nancy C. Brigdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known):

Device Name: Virtual Implant Placement™ (VIP) Dental Implant Surgery Planning Software

Indications For Use:

This device employs previously scanned DICOM CT images in a software tool which serves as an aid to visualizing and pre-planning of dental implant surgery.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel Chisholm

cal Devices 510(k) Num

Page 1 of 1