K Number
K180091
Device Name
UNiD Spine Analyzer
Date Cleared
2018-02-08

(27 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The UNiD Spine Analyzer is intended for assisting healthcare professionals in viewing and measuring images as well as planning orthopedic surgeries. The device allows surgeons and service providers to perform generic as well as spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for placement of surgical implants. Clinical judgment and experience are required to properly use the software.
Device Description
The purpose of this submission is to update the UNiD Spine Analyzer with the addition of a new software feature: "Data base of implants". This component will allow a user to draw implants (cages, screws and rods) taken from a range of MEDICREA INTERNATIONAL implants, previously cleared in K08009, K083810, K163595, in addition to the design of custom-made implants specific to a unique patient. A catalog of these implants is provided in this submission.
More Information

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and the description focuses on adding an implant database and measurement tools, not AI/ML capabilities.

No
The device is described as assisting healthcare professionals in viewing and measuring images and planning orthopedic surgeries, including the placement of surgical implants. It is a software tool for planning, not a device that directly treats or prevents a disease or condition.

No
The device is intended for assisting healthcare professionals in viewing and measuring images and planning orthopedic surgeries, not for diagnosing a condition.

Unknown

The summary describes software features and verification/validation activities related to software. However, it does not explicitly state that the device is only software and does not include any hardware components. The description of "drawing implants" and "design of custom-made implants" could potentially imply a hardware output or interaction, although this is not definitively stated. Without a clear statement confirming it is software-only, it's impossible to be certain from this summary.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for "assisting healthcare professionals in viewing and measuring images as well as planning orthopedic surgeries." This is a surgical planning and image analysis tool, not a device used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or treatment.
  • Device Description: The description focuses on software features for image analysis, measurement, and implant planning. It does not mention any interaction with biological samples or diagnostic testing.
  • Input: The input is image data (likely radiological), not biological specimens.
  • Anatomical Site: The focus is on the spine, which is the anatomical site being visualized and planned for surgery, not a source of diagnostic specimens.

IVD devices are specifically designed to perform tests on samples like blood, urine, tissue, etc., to provide diagnostic information. The UNiD Spine Analyzer's function is entirely focused on image-based surgical planning.

N/A

Intended Use / Indications for Use

The UNiD Spine Analyzer is intended for assisting healthcare professionals in viewing and measuring images as well as planning orthopedic surgeries. The device allows surgeons and service providers to perform generic as well as spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for placement of surgical implants. Clinical judgment and experience are required to properly use the software.

Product codes

LLZ

Device Description

The purpose of this submission is to update the UNiD Spine Analyzer with the addition of a new software feature: "Data base of implants". This component will allow a user to draw implants (cages, screws and rods) taken from a range of MEDICREA INTERNATIONAL implants, previously cleared in K08009, K083810, K163595, in addition to the design of custom-made implants specific to a unique patient. A catalog of these implants is provided in this submission.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Healthcare professionals, surgeons, service providers

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)

Performance data for the modified UNiD Spine Analyzer consisted of verification and validation activities. Software verification and validation testing was conducted, and documentation was provided as recommended by FDA's guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained on Medical Devices". The addition of the database of implants creates additional tools which were also tested, and documentation was provided. The software for this device was considered to be of moderate level of concern.

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

Not Found

Predicate Device(s)

K170172

Reference Device(s)

K141669

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).

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 8, 2018

Medicrea International % Mr. David Ryan Chief Operating Officer 5389 Route de Strasbourg-Vancia 69140 Rillieux La Pape FRANCE

Re: K180091

Trade/Device Name: UNiD Spine Analyzer Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: January 4, 2018 Received: January 12, 2018

Dear Mr. Ryan:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice

(https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Michael D. O'Hara For

Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page

510(k) Number (if known)

K180091

Device Name

UNiD Spine Analyzer

Indications for Use (Describe)

The UNiD Spine Analyzer is intended for assisting healthcare professionals in viewing and measuring images as well as planning orthopedic surgeries. The device allows surgeons and service providers to perform generic as well as spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for placement of surgical implants. Clinical judgment and experience are required to properly use the software.

Type of Use (Select one or both, as applicable)区 Prescription Use (Part 21 CFR 801 Subpart D) CFR 801 Subpart C)

_ Over-The-Counter Use (21

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

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FORM FDA 3881 (8/14) SC Publishing S

Page 1 of 1

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510(k) SUMMARY

MEDICREA INTERNATIONAL'S UNiD SPINE ANALYZER

In accordance with 21 CFR 807.92 of the Federal Code of Requlations the following 510(k) summary is submitted to add the UNiD Spine Analyzer.

1. Submitter:

MEDICREA INTERNATIONAL 5389 Route de Strasbourg - Vancia 69140 RILLIEUX LA PAPE FR Phone: +33 (0)4 72 01 87 87 Fax: +33 (0)4 72 01 87 88

Contact Person:

David RYAN MEDICREA INTERNATIONAL 5389 Route de Strasbourg - Vancia 69140 RILLIEUX LA PAPE FR Phone: +33 (0)4 72 01 87 87

Date Prepared: January 04, 2018

    1. Trade name: UNiD Spine Analyzer

Classification Name:

Class II, Picture archiving and communications system (21 C.F.R. 892.2050)

Classification and Regulation:

LLZ: system, image processing, radiological

3. Predicate or legally marketed devices which are substantially equivalent:

  • . UNiD SPINE ANALYZER (MEDICREA INTERNATIONAL, K170172) (primary predicate)
  • SURGIMAP 2.0 (NEMARIS INC, K141669) (reference device) .

4. Description of the new device

The purpose of this submission is to update the UNiD Spine Analyzer with the addition of a new software feature: "Data base of implants". This component will allow a user to draw implants (cages, screws and rods) taken from a range of MEDICREA INTERNATIONAL implants, previously cleared in K08009, K083810, K163595, in addition to the design of custom-made implants specific to a unique patient. A catalog of these implants is provided in this submission.

5. Indication for Use

The UNiD Spine Analyzer is intended for assisting healthcare professionals in viewing and measuring images as well as planning orthopedic surgeries. The device allows surgeons and service providers to perform generic, as well as spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for placement of surgical implants. Clinical judgment and experience are required to properly use the software.

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6. Substantial equivalence claimed to predicate devices

The table below compares the features and technological characteristics of the cleared UNiD Spine Analyzer to the version with the updated software feature, as well as the reference Surgimap 2.0 device.

FeatureUNiD Spine Analyzer with additional componentUNiD Spine Analyzer ( K170172)Surgimap 2.0 (K141669)
ComputerPC CompatiblePC CompatiblePC Compatible
Operating SystemWindows + MACWindows + MACWindows + MAC
Image InputLocalLocalLocal + PACS connectivity
Runs on ServerYesYesNo
Osteotomy ModuleYesYesYes
Generic measurementsYesYesYes
Spine measurementsYesYesYes
Pre-operative planningYesYesYes
Custom implantsYesYesYes
DatabaseYes (implants)NoYes
Case sharingNoNoYes
Human Intervention for interpretation and manipulation of imagesRequiredRequiredRequired
Web contentYesYesYes

Table 1: Substantial Equivalence Comparison

7. Non-clinical test summary

Performance data for the modified UNiD Spine Analyzer consisted of verification and validation activities. Software verification and validation testing was conducted, and documentation was provided as recommended by FDA's guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained on Medical Devices". The addition of the database of implants creates additional tools which were also tested, and documentation was provided. The software for this device was considered to be of moderate level of concern.

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8. Conclusion

The addition of this new component (i.e., data base of cleared implants) to the UNiD Spine Analyzer does not raise new issues of safety or effectiveness compared to the previously cleared version of the UNiD Spine Analyzer. It is thus substantially equivalent to the company's own legally marketed predicate device.