K Number
K101398
Device Name
STEREOS WORKSTATION
Manufacturer
Date Cleared
2011-02-04

(262 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The sterEOS Workstation is intended for use in the fields of musculoskeletal radiology and orthopedics in both pediatric and adult populations as a general PACS device for acceptance. transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system including interactive 2D measurement tools. When using 2D X-ray images obtained with the EOS Imaging EOS System (K071546), the sterEOS Workstation provides interactive 3D measurement tools: - to aid in the analysis of scoliosis and related disorders and deformities of the spine in adult patients as well as pediatric patients 7 years and older. The 3D measurement tools include interactive analysis based on a model of bone structures derived from an a priori image data set from 175 patients (91 normal patients, 47 patients with moderate idiopathic scoliosis and 37 patients with severe idiopathic scoliosis), and dry isolated vertebrae data. The model of bone structures is not intended for use in patients with a Cobb's angle > 50 degrees and is not intended for use to assess individual vertebral abnormalities. - to aid in the analysis of lower limbs alignment and related disorders and deformities based on angle and length measurements. The 3D measurement tools include interactive analysis based either on identification of lower limb alignment landmarks or as for the spine, on a model of bone structures derived from an a priori image data set. The model of bone structures is not intended for use to assess individual bone abnormalities. The 3D package including model-based measurements and torsion angles is indicated only for patients 15 years or older. Only the 2D/3D ruler is indicated for measurements in patient younger than 15 years old.
Device Description
The sterEOS Workstation is a system for acceptance, transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system, including interactive 2D measurement tools. When used with 2D X-ray images obtained with the EOS Imaging EOS System (K071546), the sterEOS Workstation provides interactive 3D measurement tools to aid in the analysis of skeletal deformities in spine and lower limbs.
More Information

Unknown
The description mentions "statistical inference defined from database" for the 3D reconstruction process, which could potentially involve ML techniques, but it doesn't explicitly state the use of AI or ML.

No
The device is described as a workstation for processing and analyzing 2D X-ray images and providing 3D measurement tools, primarily for diagnostic and analytical purposes related to musculoskeletal deformities, rather than directly treating or preventing a disease.

Yes

The device aids in the analysis of medical conditions (scoliosis, spinal deformities, lower limb alignment disorders) by providing 3D measurement tools based on X-ray images, which directly supports diagnosis.

No

The device description explicitly states it is a "system" and is used "with 2D X-ray images obtained with the EOS Imaging EOS System (K071546)". While the core functionality described is software-based image processing and measurement, its operation is tied to and dependent on the specific hardware of the EOS Imaging EOS System. This suggests it is not a standalone software-only device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • sterEOS Workstation Function: The sterEOS Workstation processes and analyzes medical images (2D X-ray images) of the musculoskeletal system. It does not interact with or analyze biological specimens from the patient.

The device is clearly described as a PACS device and a tool for analyzing medical images to aid in the diagnosis and assessment of musculoskeletal conditions. This falls under the category of medical imaging software or a medical image analysis system, not an IVD.

N/A

Intended Use / Indications for Use

The sterEOS Workstation is intended for use in the fields of musculoskeletal radiology and orthopedics in both pediatric and adult populations as a general PACS device for acceptance. transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system including interactive 2D measurement tools.

When using 2D X-ray images obtained with the EOS Imaging EOS System (K071546), the sterEOS Workstation provides interactive 3D measurement tools:

  • to aid in the analysis of scoliosis and related disorders and deformities of the spine in adult patients as well as pediatric patients 7 years and older. The 3D measurement tools include interactive analysis based on a model of bone structures derived from an a priori image data set from 175 patients (91 normal patients, 47 patients with moderate idiopathic scoliosis and 37 patients with severe idiopathic scoliosis), and dry isolated vertebrae data. The model of bone structures is not intended for use in patients with a Cobb's angle > 50 degrees and is not intended for use to assess individual vertebral abnormalities.
  • to aid in the analysis of lower limbs alignment and related disorders and deformities based on angle and length measurements. The 3D measurement tools include interactive analysis based either on identification of lower limb alignment landmarks or as for the spine, on a model of bone structures derived from an a priori image data set. The model of bone structures is not intended for use to assess individual bone abnormalities. The 3D package including model-based measurements and torsion angles is indicated only for patients 15 years or older. Only the 2D/3D ruler is indicated for measurements in patient younger than 15 years old.

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

LLZ

Device Description

The sterEOS Workstation is a system for acceptance, transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system, including interactive 2D measurement tools.

When used with 2D X-ray images obtained with the EOS Imaging EOS System (K071546), the sterEOS Workstation provides interactive 3D measurement tools to aid in the analysis of skeletal deformities in spine and lower limbs.

The sterEOS workstation is intended to be used by trained medical personnel, physicians and technologists.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

2D X-ray images, EOS radiological images

Anatomical Site

musculoskeletal system, spine, lower limbs

Indicated Patient Age Range

pediatric and adult populations.
scoliosis and related disorders and deformities of the spine in adult patients as well as pediatric patients 7 years and older.
The 3D package including model-based measurements and torsion angles is indicated only for patients 15 years or older. Only the 2D/3D ruler is indicated for measurements in patient younger than 15 years old.

Intended User / Care Setting

trained medical personnel, physicians and technologists

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

A priori image data set from 175 patients (91 normal patients, 47 patients with moderate idiopathic scoliosis and 37 patients with severe idiopathic scoliosis), and dry isolated vertebrae data (for spine).
Database of clinical descriptors measured in 45 lower limbs of healthy adult subjects (for lower limbs).

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)

Accuracy and precision of the automatic measurements computed from the 3D model of the lower limbs have been confirmed with X-ray clinical images. Results validate the interactive 3D measurement tools for lower limb assessment and demonstrate the equivalent performance of the device with conventional measurement methods performed on native X-ray images.

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.

K080529, K090050, K071972

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.

K071546

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

§ 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

K101398

510(k) SUMMARY

FEB - 4 20il EOS imaging's sterEOS Workstation

Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

EOS imaging

10 rue Mercoeur

PARIS F-75011

FRANCE

Phone: +33 1 55 25 60 60

Facsimile: +33 1 55 25 60 61

Contact Person:Karine Chevrie
Date Prepared:Feb 01, 2011
Trade Name:sterEOS Workstation
Common or Usual Name:sterEOS Workstation

Classification:

Classification:

21 CFR 892.2050; radiological image processing system

Product Code:

LLZ

Predicate Devices:

sterEOS Workstation (K080529; K090050)

Agfa Orthopedic Software for Impax Workstations (K071972)

: 上一篇: 上一篇:

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1

Device Description:

The sterEOS Workstation is a system for acceptance, transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system, including interactive 2D measurement tools.

When used with 2D X-ray images obtained with the EOS Imaging EOS System (K071546), the sterEOS Workstation provides interactive 3D measurement tools to aid in the analysis of skeletal deformities in spine and lower limbs.

The sterEOS workstation is intended to be used by trained medical personnel, physicians and technologists. ········

· : : : : Additional details about the device can be found in the table presented below in the substantial equivalence section.

Indications for Use:

The sterEOS Workstation is intended for use in the fields of musculoskeletal radiology and orthopedics in both pediatric and adult populations as a general PACS device for acceptance. transfer, display, storage, and digital processing of 2D X-ray images of the musculoskeletal system including interactive 2D measurement tools.

When using 2D X-ray images obtained with the EOS Imaging EOS System (K071546). the sterEOS Workstation provides interactive 3D measurement tools:

  • to aid in the analysis of scoliosis and related disorders and deformities of the spine in adult patients as well as pediatric patients 7 years and older. The 3D measurement tools include interactive analysis based on a model of bone structures derived from an a priori image data set from 175 patients (91 normal patients, 47 patients with moderate idiopathic scoliosis and 37 patients with severe idiopathic scoliosis), and dry isolated vertebrae data. The model of bone structures is not intended for use in patients with a Cobb's angle > 50 degrees and is not intended for use to assess individual vertebral abnormalities. . . . . .
  • to aid in the analysis of lower limbs alignment and related disorders and deformities based on angle and length measurements. The 3D measurement tools include interactive analysis based either on identification of lower limb alignment landmarks or as for the spine, on a model of bone structures derived from an a priori image data set. The model of bone structures is not intended for use to assess individual bone abnormalities. The 3D package including model-based measurements and torsion angles is indicated only for patients 15 years or older. Only the 2D/3D ruler is indicated for measurements in patient younger than 15 years old.

Technological Characteristics:

The sterEOS Workstation supports DICOM 3.0 formatted images. The sterEOS Workstation is based on the Windows XP operating system and runs on off-the-shelf hardware. The sterEOS Workstation user interface follows typical clinical workflow patterns to process, review, and analyze digital images. and and the comments of the

A table setting forth the technological features of the sterEOS Workstation can be found in the substantial equivalence section below.

2

Performance Data:

Accuracy and precision of the automatic measurements computed from the 3D model of the lower limbs have been confirmed with X-ray clinical images. Results validate the interactive 3D measurement tools for lower limb assessment and demonstrate the equivalent performance of the device with conventional measurement methods performed on native X-ray images.

Substantial Equivalence:

The sterEOS Workstation for the expanded indication for use in the lower extremities is as safe and effective as the company's cleared sterEOS device (K080529; K090050). The device has the same intended uses and similar indications, technological characteristics, and principles of operation as its predicate device. The minor technological differences between the device and its predicate devices raise no new issues of safety or effectiveness. Performance data demonstrate that the device is as safe and effective as the company's cleared sterEOS device and thus, is substantially equivalent.

EOS Imaging MedEOS Imaging MedAgfa
sterEOS WorkstationsterEOS Workstation
K090050Orthopedic Software for
Impax workstation K071972
Intended UseImage processing system
accessory to X-ray imagerImage processing system
accessory to X-ray imagerImage processing system
accessory X-ray imager
Indications for
UseThe sterEOS Workstation is
intended for use in the fields
of musculoskeletal radiology
and orthopedics in both
pediatric and adult
populations as a general
PACS device for
acceptance, transfer,
display, storage, and digital
processing of 2D X-ray
images of the
musculoskeletal system
including interactive 2D
measurement tools.
When using 2D X-ray
images obtained with the
EOS Imaging EOS System
(K071546), the sterEOS
Workstation provides
interactive 3D measurementThe sterEOS Workstation is
intended for use in the fields
of musculoskeletal radiology
and orthopedics in both
pediatric and adult
populations as a general
PACS device for
acceptance, transfer,
display, storage, and digital
processing of 2D X-ray
images of the
musculoskeletal system
including interactive 2D
measurement tools.
When using 2D X-ray
images obtained with the
EOS Imaging EOS System
(K071546), the sterEOS
Workstation provides
interactive 3D measurement
toolsWorkstations are intended for
use in the acquisition, display,
digital processing review,
transfer, storage, archiving and
printing of medical images and
patient demographic
information. They allow the
user to adjust image densities
(window/level), perform basic
length and angle
measurements and highlight
regions of interest. They have
the ability to use 2D, 3D and
time series (cine) images and
data. They are intended for
use by physicians to aid in
diagnosis, and by medical
professionals whenever they
require or desire access to
medical images and patient
demographic information.
tools:
  • to aid in the analysis of
    scoliosis and related
    disorders and
    deformities of the spine
    in adult patients as well
    as pediatric patients 7
    years and older. The
    3D measurement tools
    include interactive
    analysis based on all
    model of bone
    structures derived from
    an a priori image data
    set from 175 patients
    (91 normal patients, 47 | - to aid in the analysis
    of scoliosis and
    related disorders and
    deformities of the
    spine in adult patients
    as well as pediatric
    patients 7 years and
    older. The 3D
    measurement tools:
    include interactive
    analysis based on a
    model of bone
    structures derived
    from an a priori image
    data set from 175
    patients (91 normal | The software application
    allows orthopedic surgeons
    and specialists to assess
    images, plan surgical
    procedures, monitor patient
    progress and educate patients
    in a digital environment.
    It allows assessments to be
    made of geometrical skeletal
    parameters with comparisons
    against normative references
    for adults and children in order
    to draw therapeutic
    conclusions. It includes
    modules for the hip, knee,
    spine, leg, hand, wrist, elbow, |
    | | patients with moderate
    idiopathic scoliosis and
    37 patients with severe
    idiopathic scoliosis),
    and dry isolated
    vertebrae data. The
    model of bone
    structures is not
    intended for use in
    patients with a Cobb's
    angle > 50 degrees
    and is not intended for
    use to assess
    individual vertebral
    abnormalities

  • to aid in the analysis of
    lower limb alignment
    and related disorders
    and deformities. The
    3D measurement tools
    include interactive
    analysis based either
    on identification of
    lower limb alignment
    landmarks or as for the
    spine, on a model of,
    bone structures derived
    from an a priori image
    data set. The model of
    bone structures is not
    intended for use in
    pediatric patients and
    is not intended for use
    to assess individual
    bone abnormalities. | patients, 47 patients
    with moderate
    idiopathic scoliosis
    and 37 patients with
    severe idiopathic
    scoliosis), and dry
    isolated vertebrae
    data. The model of
    bone structures is not
    intended for use in
    patients with a Cobb's
    angle > 50 degrees
    and is not intended for
    use to assess
    individual vertebral
    abnormalities | shoulder, foot, ankle and
    fractures (trauma planning).
    Users can access a library of
    manufacturers electronic
    templates intended to assist in
    the selection and positioning of
    implants and the marking of
    tissues prior to surgery |
    | User
    Population | Trained medical personnel,
    physicians, and
    technologists | Trained medical personnel,
    physicians, and
    technologists | Trained medical personnel,
    physicians, and technologists |
    | Platform | Off the shelf hardware | Off the shelf hardware | Impax workstation |
    | Operating
    system | Windows XP | Windows XP | |
    | Imaging
    modalities | Multimodality for 2D viewer
    EOS radiological images for
    3D visualization | Multimodality for 2D viewer
    EOS radiological images for
    3D visualization | Multimodality for 2D,3D
    viewer. |
    | DICOM
    Conformance | DICOM 3.0 | DICOM 3.0 | DICOM 3.0 |
    | Image type | Monoframe image | Monoframe image | |
    | Hardware | Dell Precision hardware

    Processor : Xeon Processor
    RAM: 2x1 GB
    Hard Disk: 250 Go
    Graphic card: NVIDIA
    Quadro (NVS 295)
    16X DVD+/- RW Drive
    At least 3 external USB port
    connector
    One mouse | Dell Precision 390
    hardware
    Processor : Intel Core 2 Duo
    Processor
    RAM: 2x1 GB
    Hard Disk: 250 Go
    Graphic card: NVIDIA
    Quadro FX mid-range
    (FX 3450)
    16X DVD+/- RW Drive | |

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| | EIZO Radiforce LCD
screen size >21",
resolution >2 million
pixels, luminance > 200
cd/m², response time
21",
resolution >2 million
pixels, luminance > 200
cd/m², response time
50 degrees and is not intended for use to assess individual vertebral abnormalities.

  • to aid in the analysis of lower limbs alignment and related disorders and deformities ﺍ based on angle and length measurements. The 3D measurement tools include interactive analysis based either on identification of lower limb alignment landmarks or as for the spine, on a model of bone structures derived from an a priori image data set. The model of bone structures is not intended for use to assess individual bone abnormalities. The 3D package including model-based measurements and torsion angles is indicated only for patients 15 years or older. Only the 2D/3D ruler is indicated for measurements in patient vounger than 15 years old.
Prescription UseX
(Part 21 C.F.R. 801 Subpart D)

AND/OR

Over-The-Counter Use_
(21 C.F.R. 807 Subpart C)

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

Concurrence of CDRH Office of Device Evarration (OD ///DC - 026967/000001 - 3203067 v1

510K. K101398