K Number
K061479
Device Name
ARGOS
Date Cleared
2007-04-05

(310 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Argos is intended as an aid to the surgeon for precisely locating anatomical structures on the human body in either open or percutaneous procedures. It links tracked probes to virtual computer image space on a patient's preoperative or intraoperative image data. The system is indicated for any medical condition in which the use of stereotactic surgery may appropriate and where the reference to a rigid anatomical structure, such as the skull, a long bone, or vertebra can be identified relative to medical images such as CT, MR , fluoroscopic or ultrasound images. Example procedures include but are not limited to: Cranial Procedures: Cranial biopsies Tumor resection Craniotomies/Craniectomies Skull base procedures Thalamotomies/Pallidotomies Spinal Procedures: Spinal implant procedures such as pedicle screw placement ENT procedures: Transsphenoidal procedures Intranasal procedures Sinus procedures, such as Maximillary anstrostomies. Ethmoidectomies Sphenoidotomies/Sphenoid explorations, Turbinate resection and Frontal sinusotomies
Device Description
Argos is a system for computer-assisted stereotactic surgery. It is designed to be used as an aid to the location of, and surgical approach to, lesions within the anatomical structures on the human body and to help define the exact anatomical relations of such lesions to surrounding structures. Prior to the brain surgery, the Argos system acquires contiguous MRI or CT scans of the area containing the lesion and uses them to construct an accurate three-dimensional representation of the patient's anatomy used initially to facilitate surgical planning. During the operation the Argos system continuously monitors the position of a pointing instrument, used by the surgeon, and visualizes it on a monitor screen in relation to the three-dimensional virtual anatomy of the patient. It is therefore possible to verify during the operation that the real position of various anatomical reference points, including the lesion, corresponding to those identified during surgical planning.
More Information

Not Found

No
The description focuses on image processing for triangulation and 3D reconstruction, which are traditional computer vision techniques, not explicitly AI/ML. There is no mention of AI, ML, or related concepts like training or test sets.

No

The device is an aid to the surgeon for precisely locating anatomical structures and facilitating surgical planning and navigation; it does not directly treat or alleviate a medical condition.

No

The device is described as an aid for precisely locating anatomical structures and helping define the exact anatomical relations of lesions to surrounding structures during surgery. It assists with surgical planning and navigation, but it does not make a diagnosis of a disease or condition.

No

The device description explicitly states it is a "system" that "continuously monitors the position of a pointing instrument" and uses "video cameras" to process images and calculate 3D coordinates. This indicates the presence of hardware components beyond just software.

Based on the provided information, the Argos 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. They are used to provide information for diagnosis, monitoring, or screening.
  • Argos's Function: Argos is a surgical navigation system. Its purpose is to aid the surgeon in precisely locating anatomical structures during surgical procedures by linking tracked instruments to pre- or intraoperative medical images. It does not analyze biological samples from the patient.
  • Intended Use: The intended use clearly states it's an "aid to the surgeon for precisely locating anatomical structures on the human body in either open or percutaneous procedures." This is a surgical guidance function, not an in vitro diagnostic function.
  • Device Description: The description reinforces its role in computer-assisted stereotactic surgery, monitoring instrument position in relation to patient anatomy visualized on a monitor.

Therefore, Argos falls under the category of a surgical navigation or guidance system, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Argos is intended as an aid to the surgeon for precisely locating anatomical structures on the human body in either open or percutaneous procedures. It links tracked probes to virtual computer image space on a patient's preoperative or intraoperative image data. The system is indicated for any medical condition in which the use of stereotactic surgery may appropriate and where the reference to a rigid anatomical structure, such as the skull, a long bone, or vertebra can be identified relative to medical images such as CT, MR , fluoroscopic or ultrasound images.

Example procedures include but are not limited to:
Cranial Procedures: Cranial biopsies Tumor resection Craniotomies/Craniectomies Skull base procedures Thalamotomies/Pallidotomies

Spinal Procedures: Spinal implant procedures such as pedicle screw placement

ENT procedures: Transsphenoidal procedures Intranasal procedures Sinus procedures, such as Maximillary anstrostomies. Ethmoidectomies Sphenoidotomies/Sphenoid explorations, Turbinate resection and Frontal sinusotomies

Product codes (comma separated list FDA assigned to the subject device)

HAW

Device Description

Argos is a system for computer-assisted stereotactic surgery. It is designed to be used as an aid to the location of, and surgical approach to, lesions within the anatomical structures on the human body and to help define the exact anatomical relations of such lesions to surrounding structures.

Prior to the brain surgery, the Argos system acquires contiguous MRI or CT scans of the area containing the lesion and uses them to construct an accurate three-dimensional representation of the patient's anatomy used initially to facilitate surgical planning. During the operation the Argos system continuously monitors the position of a pointing instrument, used by the surgeon, and visualizes it on a monitor screen in relation to the three-dimensional virtual anatomy of the patient. It is therefore possible to verify during the operation that the real position of various anatomical reference points, including the lesion, corresponding to those identified during surgical planning.

Device main components:
Argos Controller, consisting of computers and touch-screen monitor.
The Camera System, consisting of infrared cameras that can be stand alone (on wheels), mounted on the controller or mounted on the operating microscope.
Localizers and Pointers
Planning Workstation (optional), that allows the pre-operative planning

Physical characteristics:
Main Unit:
Height 152cm
Width 51 cm
Depth 54 cm
Weight ca. 80Kg
Camera System (Type SS):
Height 12 cm (30cm width the handle)
Width 62cm
Depth 16
Weight ca. 4.0kg
Camera System (Type M):
Height 4.6 cm
Width 16cm
Depth 9.5
Weight ca. 0.8 kg

Localization technology:
Optical tracking, based on infrared cameras and wire-less passive instruments (by means of retro-reflective markers). The objects to be tracked are fitted with retro-reflective markers. The images coming from the video cameras are processed and the 3D coordinates of the markers are calculated by triangulation.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

MRI, CT, fluoroscopic or ultrasound images

Anatomical Site

human body (e.g., skull, long bone, vertebra), brain, spine, ENT (maxillary, ethmoid, sphenoid, frontal sinuses, turbinates)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Surgeon, clinical (surgical procedures)

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K003589

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 882.4560 Stereotaxic instrument.

(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).

0

APR 5 - 2007 061479

APPENDIX 2

510(k) Summary of Safety and Effectiveness for ARGOS

Submitted By:

3D Line Medical System ,srl Address: via Bernardo Rucellai 23 - 20161 MILAN - ITAL Y Tel.: + 39 02 2550161 Fax: + 39 02 25501642

Contact Person: Marco Luzzara, Director, QA Manager

Summary Date: January 18,2006

Device Trade Name: ARGOS

Common Name: Image guided surgery system

Classification name: instrument, stereotaxic.

Predicate Device:

Vectorvision, (K003589) manufactured by BRAINLAB AG Ammerthalstrasse 8 Heimstetten, GM 85551

Description of the Device:

Argos is a system for computer-assisted stereotactic surgery. It is designed to be used as an aid to the location of, and surgical approach to, lesions within the anatomical structures on the human body and to help define the exact anatomical relations of such lesions to surrounding structures.

Prior to the brain surgery, the Argos system acquires contiguous MRI or CT scans of the area containing the lesion and uses them to construct an accurate three-dimensional representation of the patient's anatomy used initially to facilitate surgical planning. During the operation the Argos system continuously monitors the position of a pointing instrument, used by the surgeon, and visualizes it on a monitor screen in relation to the three-dimensional virtual anatomy of the patient. It is therefore possible to verify during the operation that the real position of various anatomical reference points, including the lesion, corresponding to those identified during surgical planning.

1 /

1

Intended use of the device:

Argos is intended as an aid to the surgeon for precisely locating anatomical structures on the human body in either open or percutaneous procedures. It links tracked probes to virtual computer image space on a patient's preoperative or intraoperative image data. The system is indicated for any medical condition in which the use of stereotactic surgery may appropriate and where the reference to a rigid anatomical structure, such as the skull, a long bone, or vertebra can be identified relative to medical images such as CT, MR , fluoroscopic or ultrasound images.

Example procedures include but are not limited to:

Cranial Procedures: Cranial biopsies Tumor resection Craniotomies/Craniectomies Skull base procedures Thalamotomies/Pallidotomies

Spinal Procedures: Spinal implant procedures such as pedicle screw placement

ENT procedures: Transsphenoidal procedures Intranasal procedures Sinus procedures, such as Maximillary anstrostomies. Ethmoidectomies Sphenoidotomies/Sphenoid explorations, Turbinate resection and Frontal sinusotomies

2

Substantial Equivalence to Predicate Device:

ARGOS and VECTORVISION are both image guided surgery systems. They link tracked probes to virtual computer image space on a patient's image. The relevant characteristics are compared below.

ARGOSVECTORVISON
Indication for
Use3Dline Argos is intended as an aid
to the surgeon for precisely locating
anatomical structures on the human
body in either open or percutaneous
procedures. It links tracked probes
to virtual computer image space on a
patient's preoperative or
intraoperative image data. The
system is indicated for any medical
condition in which the use of
stereotactic surgery may appropriate
and where the reference to a rigid
anatomical structure, such as the
skull, a long bone, or vertebra can be
identified relative to medical images
such as CT, MR, fluoroscopic or
ultraosund images.BRAINLAB VectorVision is intended to
be an intraoperative image guided
localizaton system to enable minimally
invasive surgery. It links a freehand
probe, tracked by a passive marker
sensor system to virtual computer image
space on a patient's preoperative image
data being processed by a VectorVision
workstation. The system is indicated for
any medical condition in which the use
of stereotactic surgery may be
considered to be safe and effective and
where a reference to a rigid anatomical
structure, such as the skull, a long bone,
or vertebra, can be identified relative to
a CT, X-ray or MR based model of
anatomy.
Device main
components
Argos Controller, consisting
of computers and touch-
screen monitor.
The Camera System,
consisting of infrared
cameras that can be stand
alone (on wheels), mounted
on the controller or mounted
on the operating microscope.
Localizers and Pointers
Planning Workstation
(optional), that allows the
pre-operative planningI
Brainlab VectorVision navigation
system integrates computers,
touch-screen monitors and
infrared cameras. The video
cameras cannot be separated
from the main unit.
Workstation for pre-operative
planning
Localizers and pointers
Physical
characteristicsMain Unit:
Height 152cm
Width 51 cm
Depth 54 cm
Weight ca. 80Kg
Camera System (Type SS):
Height 12 cm (30cm width the
handle)
Width 62cm
Depth 16
Weight ca. 4.0kg
Camera System (Type M):
Height 4.6 cm
Width 16cm
Depth 9.5
Weight ca. 0.8 kgMain Unit:
Height 162cm
Width 95cm (115cm max)
Depth
72cm
Weight ca. 150Kg
Camera System:
Height 9.5 cm
Width 62cm
Depth 16.5
Weight 2.5kg
ARGOSVECTORVISON
Localization
technologyOptical tracking, based on infrared
cameras and wire-less passive
instruments (by means of retro-
reflective markers).
The objects to be tracked are fitted
with retro-reflective markers.
The images coming from the video
cameras are processed and the 3D
coordinates of the markers are
calculated by triangulation.Optical tracking, based on infrared
cameras and wire-less passive
instruments (by means of retro-reflective
markers).
The objects to be tracked are fitted with
retro-reflective markers.
The images of the video cameras are
processed and the 3D coordinates of
the markers are calculated by
triangulation.

ਾ ।

100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000

3

Conclusion: ARGOS has been found to be substantially equivalent to BRAINLAB VECTORVISION, 510/k) No. K003589.

1 : 1

4

Image /page/4/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized eagle with its head facing left and three stripes representing the three levels of government. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES . USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 5 - 2007

3D Line Medical Systems S.R.L. % TUV America, Inc. Mr. Stefan Preiss 1775 Old Highway 8 New Brighton, Minnesota 55112-1891

Re: K061479

Trade/Device Name: ARGOS Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic instrument Regulatory Class: II Product Code: HAW Dated: March 19, 2007 Received: March 21, 2007

Dear Mr. Preiss:

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 (PMA), 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.

5

Page 2 - Mr. Stefan Preiss

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 (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours

Paz Pelo Rmz

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indication for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: ARGOS

Indications for Use:

Argos is intended as an aid to the surgeon for precisely locating anatomical structures on the Argos is intended in an an an apercutaneous procedures. It links tracked probes to virtual computer image space on a patient's preoperative or intraoperative image data. The system is configure mago bpace on condition in which the use of stereotactic surgery may appropriate and where the reference to a rigid anatomical structure, such as the skull, a long bone, or vertebra can be identified relative to medical images such as CT, MR, fluoroscopic or ultrasound images. Example procedures include but are not limited to:

Cranial Procedures: Cranial biopsies Tumor resection Craniotomies/Craniectomies Skull base procedures Thalamotomies/Pallidotomies

Spinal Procedures: Spinal implant procedures such as pedicle screw placement

ENT procedures: Transsphenoidal procedures Intranasal procedures Sinus procedures, such as Maximillary anstrostomies, Ethmoidectomies Sphenoidotomies/Sphenoid explorations, Turbinate resection and Frontal sinusotomies

Prescription Use YES (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use NO (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office

(Division

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