K Number
K123976
Device Name
NOBELCLINICIAN
Manufacturer
Date Cleared
2013-03-26

(90 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NobelClinician software is a software interface for the transfer and visualization of imaging information from equipment such as a CT scanner or a magnetic resonance scanner for the purposes of diagnosis and treatment planning in the dental and cranio-maxillofacial regions. The NobelClinician software can be used to design a surgical template for the purposes of aiding placement of dental implants.
Device Description
NobelClinician is a software interface for the transfer and visualization of imaging information: 3D imaging like medical or Cone Beam CT data, 2D imaging like photographic images and X-ray images. NobelClinician is used to support diagnostics and treatment planning for dental and cranio-maxillofacial treatment through the use of prosthetic-driven implant planning based on the digitized patient data and the scanned radiographic guide representing the ideal diagnostic tooth setup. The planning can be previewed using the software and a surgical template realizing the planning can be ordered.
More Information

Not Found

No
The summary describes a software for image visualization and treatment planning, but does not mention any AI or ML capabilities.

No
The device is described as a software interface for diagnosis and treatment planning, and it aids in designing surgical templates, but it does not directly treat or restore health.

Yes
The "Intended Use / Indications for Use" section explicitly states that the software is for "the purposes of diagnosis and treatment planning." The "Device Description" also mentions that NobelClinician is "used to support diagnostics and treatment planning."

Yes

The device description explicitly states "NobelClinician is a software interface" and describes its function as processing and visualizing imaging data for diagnosis and treatment planning. There is no mention of accompanying hardware components that are part of the device itself.

Based on the provided information, the NobelClinician software 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.
  • NobelClinician's Function: The NobelClinician software processes and visualizes medical imaging data (CT, MRI, X-ray, photographic images) taken from the patient's body. It does not perform tests on samples taken from the body.
  • Intended Use: The intended use is for diagnosis and treatment planning in the dental and cranio-maxillofacial regions, specifically for implant placement. This is based on analyzing existing imaging data, not on analyzing biological samples.
  • Device Description: The description focuses on software processing and visualization of imaging data, not on laboratory testing or analysis of biological specimens.
  • Regulation: The listed regulation (21 CFR 892.2050) is for Radiology devices, specifically Image Processing Systems. This further supports its classification as a radiology device, not an IVD.

In summary, NobelClinician is a medical device that processes and visualizes imaging data for diagnostic and treatment planning purposes, which falls under the category of radiology devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The NobelClinician software interface for the transfer and visualization of imaging information from equipment such as a CT scanner or a magnetic resonance scanner for the purposes of diagnosis and treatment planning in the dental and cranio-maxillofacial regions. The NobelClinician software can be used to design a surgical template for the purposes of aiding placement of dental implants.

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

LLZ

Device Description

NobelClinician is a software interface for the transfer and visualization of imaging information: 3D imaging like medical or Cone Beam CT data, 2D imaging like photographic images and X-ray images. NobelClinician is used to support diagnostics and treatment planning for dental and cranio-maxillofacial treatment through the use of prosthetic-driven implant planning based on the digitized patient data and the scanned radiographic guide representing the ideal diagnostic tooth setup. The planning can be previewed using the software and a surgical template realizing the planning can be ordered.

Mentions image processing

System, Image Processing System, Radiology

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT scanner or a magnetic resonance scanner, medical or Cone Beam CT data, 2D imaging like photographic images and X-ray images.

Anatomical Site

dental and cranio-maxillofacial regions, Maxilla, Mandible, Cranio-maxillofacial

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

The performance of the NobelClinician software was verified and validated following the guidance provided in Guidance for the Content of Premarket Submissions for Software in Medical Devices.

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.

K112251, K050393, K052424

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

§ 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

K123976
page 1 of 5

510(k) Summary of Safety and Effectiveness 1.4

26 2013

| Submitted by: | Phuong Nguyen
Manager Regulatory Affairs | DATE | Clinician | PREDICATE
The Guided Surgery Concept
(K050393) | PREDICATE
Swissmeda Dental Planning
System
(K112251) | PREDICATE
Maxilim
(K052424) |
|----------------------------------------|---------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Address: | Nobel Biocare USA LLC
22715 Savi Ranch Parkway
Yorba Linda, CA 92887 | | atient | DICOM

  • Help assistant
  • Create a new patient record
  • Create and manage planning scenarios and treatments
  • Create and edit 3D Models
  • Create a snapshot of a viewer | DICOM
  • Create a new patient record
  • Create and edit 3D Models | DICOM
  • Help assistant
  • Create a new patient record
  • Add images to a patient
  • Create and manage planning scenarios and treatments
  • Create and edit 3D Models
  • Create a snapshot of a viewer |
    | Telephone: | (714) 282-4800 x7830 | | a patient
    nage
    rios and | - Display and manipulate reslices | - Display and manipulate reslices | - Display and manipulate reslices |
    | Facsimile: | (714) 998-9348 | | 3D Models
    hot of a | - Define the dental curve shape | - Define the dental curve shape
  • Define a new visualization for the volume model | - Annotate structures |
    | Date of Submission: | December 21, 2012 | | anipulate | - Adding prosthetics information | - Adding prosthetics information | - Diagnostic 3D visualisation for diagnostics of maxillofacial anatomy |
    | Classification Name: | System, Image Processing System, Radiology (21 CFR 892.2050) | | cal curve | - Alignment of radiographic guide and patient model | - Alignment of radiographic guide and patient model
  • Indicate and edit nerve structures | - Measure the distance between 2 points |
    | Trade or Proprietary
    or Model Name: | NobelClinician | | isualization
    model | - Annotate structures | - Adding an implant to a planning and edit | - Warning system |
    | Legally Marketed Device(s): | Swissmeda Dental Planning System (K112251)
    The Guided Surgery Concept (K050393)
    Maxilim (K052424) | | tics
    diographic
    ent model | - Measure the distance between 2 points | - Adding an abutment to an implant | |
    | | ures
    visualisation
    of
    atomy
    stance
    ts | - Measure the plane angle between 2 points
  • Indicate and edit nerve structures
  • Adding an implant to a planning and edit | - Manage objects in a 2D and 3D viewer
  • Surgical template visualization
  • Approve function
  • Create and send an order | | | |

Device Description:

NobelClinician is a software interface for the transfer and visualization of imaging information: 3D imaging like medical or Cone Beam CT data, 2D imaging like photographic images and X-ray images. NobelClinician is used to support diagnostics and treatment planning for dental and cranio-maxillofacial treatment through the use of prosthetic-driven implant planning based on the digitized patient data and the scanned radiographic guide representing the ideal diagnostic tooth setup. The planning can be previewed using the software and a surgical template realizing the planning can be ordered.

Indications for Use:

The NobelClinician software interface for the transfer and visualization of imaging information from equipment such as a CT scanner or a magnetic resonance scanner for the purposes of diagnosis and treatment planning in the dental and cranio-maxillofacial regions. The NobelClinician software can be used to design a surgical template for the purposes of aiding placement of dental implants.

Summary of testing to demonstrate safety and effectiveness:

The performance of the NobelClinician software was verified and validated following the guidance provided in Guidance for the Content of Premarket Submissions for Software in Medical Devices.

Conclusions:

The information provided in this submission demonstrates that NobelClinician is substantially equivalent to the predicate device.

Nobel Biocare Traditional 510(k) Notification NobelClinician December 2012

1

Substantial Equivalence Comparison to Predicate Devices

510(k) Summary of Safety and Effectivenes

1.4

Nobel Biocare Traditional 510(k) Notification
NobelClinician
December 2012

K123976
Page 2 of 5

2

CHARACTERISTICCANDIDATEPREDICATEPREDICATEPREDICATE
NobelClinicianThe Guided Surgery Concept (K050393)Swissmeda Dental Planning System (K112251)Maxilim (K052424)
- Adding an abutment to an implant
  • Manage objects in a 2D and 3D viewer
  • Warning system
  • Surgical template visualization
  • Approve function
  • Create and send an order | | |
    | Intended use | - Measure the plane angle between 2 points
  • Indicate and edit nerve structures
  • Adding an implant to a planning and edit
  • Adding an abutment to an implant
  • Manage objects in a 2D and 3D viewer
  • Warning system
  • Surgical template visualization
  • Approve function
  • Create and send an order
  • Diagnostics
  • Surgical planning for dental implants
  • Creation of surgical template | - Diagnostics
  • Surgical planning for dental implants
  • Creation of surgical template | - Diagnostics
  • Surgical planning for dental implants
  • Creation of surgical template | - Diagnostics
  • Surgical planning for dental implants
  • Creation of surgical template |
    | Computer format | PC - Windows based
    MAC - OS | PC - Windows based | PC - Windows based | PC - Windows based |
    | Anatomic areas | Maxilla
    Mandible
    Cranio-maxillofacial | Maxilla
    Mandible | Maxilla
    Mandible | Maxilla
    Mandible
    Cranio-maxillofacial |
    | CHARACTERISTIC | CANDIDATE | PREDICATE | PREDICATE | PREDICATE |
    | Indications for Use | NobelClinician
    The NobelClinician software is
    a software interface for the
    transfer and visualization of
    imaging information from
    equipment such as a CT
    scanner or a magnetic
    resonance scanner for the
    purposes of diagnosis and
    treatment planning in the dental
    and cranio-maxillofacial
    regions. The NobelClinician
    software can be used to design
    a surgical template for the
    purposes of aiding placement
    of dental implants. | The Guided Surgery Concept
    (K050393)
    The Guided Surgery Concept
    and Teeth-in-an-Hour are
    indicated for the treatment of
    single, partially and totally
    edentulous jaws for placement
    of implant fixtures with
    immediate function to restore
    patient esthetics and chewing
    function. The following
    prerequisites must be fulfilled:
  • Adequate amount of jaw
    bone
  • The quality of jaw bone must
    be judged as adequate | Swissmeda Dental Planning
    System
    (K112251)
    Swissmeda Dental Planning
    System is intended for use by
    qualified dental professionals
    for Windows based diagnostics
    and implant planning.
    The software is an interface for
    imaging data that originates
    from medical scanners such as
    CT or DVT scanners and it is
    also a pre-operative software
    for simulation and evaluation of
    dental implant placement in the
    patient's mandible/maxilla and
    for surgical treatment options.
    Swissmeda Implant Planning
    System is not intended to be
    used in direct contact with the
    patient nor is it intended to be
    used with life sustaining
    devices. | Maxilim
    (K052424)
    Maxilim is indicated for use as a
    software interface and image
    segmentation system for the
    transfer of imaging information
    from a medical scanner such as
    a CT scanner. It is also
    indicated for use as a planning
    an simulation software for
    surgical treatment, specifically
    maxillofacial treatment. |
    | | | | The planning data may be
    exported from Swissmeda
    Dental Planning System and
    used as input data for a special
    drilling device from company
    Georg Schick for manufacturing | |
    | CHARACTERISTIC | CANDIDATE | PREDICATE | PREDICATE | PREDICATE |
    | | NobelClinician | The Guided Surgery Concept
    (K050393) | Swissmeda Dental Planning
    System
    (K112251) | Maxilim
    (K052424) |
    | | | | drilling
    templates in a laboratory
    environment. The drilling
    template is then used in direct
    contact with the patient to
    realize the implant planning. | |

Nobel Biocare Traditional 510(k) Notification
NobelClinician
December 2012

K123976
Page 3 of 5

Substantial Equivalence Comparison to Predicate Devices

510(k) Summary of Safety and Effectiveness

1.4

3

510(k) Summary of Safety and Effectiveness 1.4

Substantial Equivalence Comparison to Predicate Devices

Nobel Biocare Traditional 510(k) Notification
NobelClinician
December 2012