K Number
K180262
Device Name
SICAT Endo
Date Cleared
2018-03-12

(41 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Aiding diagnosis in the oral-maxillofacial region - Aiding comparisons of different treatment options - · Aiding endodontic treatment planning - · Aiding treatment planning for endodontic surgical guides
Device Description
SICAT Endo is a pure software device. SICAT Endo is a software tool intended for viewing and analyzing medical information: - medical 3D volume data such as volumetric X-ray data from Cone Beam CT (CBCT) and CT scanners, and - . intraoral images, and - . 3D optical surface data like optical impression data from optical scanners, and SICAT Endo provides tools for analyzing the root canal and to mark it visually. It allows to define a drill canal and ordering of a corresponding surgical quide with a drill sleeve.
More Information

Not Found

No
The summary describes a software device for viewing and analyzing medical 3D data and intraoral images, providing tools for root canal analysis and surgical guide planning. There is no mention of AI, ML, or related terms, and the description focuses on visualization and analysis tools rather than automated decision-making or pattern recognition typically associated with AI/ML in medical imaging.

No
The device is described as a "pure software device" intended for "viewing and analyzing medical information" and aiding in diagnosis and treatment planning. It does not directly deliver therapy.

Yes
The "Intended Use / Indications for Use" section explicitly states "Aiding diagnosis in the oral-maxillofacial region," indicating its role in the diagnostic process.

Yes

The device description explicitly states "SICAT Endo is a pure software device." The rest of the summary describes software functionalities for viewing, analyzing, and planning based on medical imaging 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. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description: The device description clearly states that SICAT Endo is a pure software device intended for viewing and analyzing medical information from imaging modalities like CBCT, CT, intraoral images, and optical surface data. It provides tools for analyzing root canals and planning surgical guides.
  • Intended Use: The intended uses listed are all related to aiding diagnosis, treatment planning, and comparisons based on imaging data, not on analyzing biological samples.
  • Input Data: The input data consists of imaging data, not biological samples.

Therefore, SICAT Endo falls under the category of medical imaging software or surgical planning software, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

  • Aiding diagnosis in the oral-maxillofacial region
  • Aiding comparisons of different treatment options
  • Aiding endodontic treatment planning
  • Aiding treatment planning for endodontic surgical guides

Product codes

LLZ

Device Description

SICAT Endo is a pure software device.

SICAT Endo is a software tool intended for viewing and analyzing medical information:

  • medical 3D volume data such as volumetric X-ray data from Cone Beam CT (CBCT) and CT scanners, and
  • . intraoral images, and
  • . 3D optical surface data like optical impression data from optical scanners, and

SICAT Endo provides tools for analyzing the root canal and to mark it visually. It allows to define a drill canal and ordering of a corresponding surgical quide with a drill sleeve.

Mentions image processing

Yes

Mentions AI, DNN, or ML

No

Input Imaging Modality

Volumetric X-ray data from Cone Beam CT (CBCT) and CT scanners, intraoral images, 3D optical surface data from optical scanners.

Anatomical Site

Oral-maxillofacial region

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)

Special bench testing has been performed with non-clinical data:

  • . to verify the endodontic planning visualization quality and effectiveness
  • overall quantitative accuracy of the root canal treatment planning .

Test reports for integration testing, system verification and validation testing and bench testing are included with this premarket notification.

A verification and validation activities summary report provided with this premarket notification concludes that SICAT Endo passed all verification and validation activities and that safety and effectiveness of the product has been demonstrated in the context of its intended use.

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.

K103723, K171115

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

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

March 12, 2018

Image /page/0/Picture/1 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 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.

SICAT GmbH & Co. KG % Frederik Kunze Quality Management and Regulatory Affairs Brunnenallee 6 Bonn, NRW 53177 GERMANY

Re: K180262

Trade/Device Name: SICAT Endo Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: January 29, 2018 Received: January 30, 2018

Dear Frederik Kunze:

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

2

Indications for Use

510(k) Number (if known) K180262

Device Name SICAT Endo

Indications for Use (Describe)

  • Aiding diagnosis in the oral-maxillofacial region
  • Aiding comparisons of different treatment options
  • · Aiding endodontic treatment planning
  • · Aiding treatment planning for endodontic surgical guides

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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Content and format as required by section 21 CFR 807.92

( http://www.fda.gov/ MedicalDevices/ DeviceRequlationandGuidance/ HowtoMarket YourDevice/PremarketSubmissions/PremarketNotification510k/ucm142651.htm)

1. SUBMITTER/510(K) HOLDER

SICAT GmbH & Co. KG Brunnenallee 6 53177 Bonn Germany

| Establishment

Registration Number:3006098230
Telephone:+49 (228) 854697-82
Facsimile:+49 (228) 854697-99
Primary Contact:Mr. Dr. Manfred Breuer
Secondary Contact:Mr. Frederik Kunze
Date Prepared:January 29th, 2018

2. DEVICE NAME AND DEVICE CLASSIFICATION

Proprietary Name:SICAT Endo
Common/Usual Name:Radiological Visualization Software for Diagnosis and Dental
Treatment Planning
Classification Name:System, Image Processing, Radiological
Regulation Description:Picture archiving and communications system
Product Code:LLZ
Regulation Number:21 CFR 892.2050
Classification Class:Class II Product

3. PREDICATE DEVICES

  • SICAT Implant (K103723) (Primary predicate device) .
  • 3D Endo™ Software (K171115) .

4. DEVICE DESCRIPTION

SICAT Endo is a pure software device.

SICAT Endo is a software tool intended for viewing and analyzing medical information:

4

  • 5 510(k) Summary for SICAT Endo
    • medical 3D volume data such as volumetric X-ray data from Cone Beam CT (CBCT) and CT scanners, and
    • . intraoral images, and
    • . 3D optical surface data like optical impression data from optical scanners, and

SICAT Endo provides tools for analyzing the root canal and to mark it visually. It allows to define a drill canal and ordering of a corresponding surgical quide with a drill sleeve.

5. Indications for Use

Indications for use for SICAT Endo are:

  • Aiding diagnosis in the oral-maxillofacial region
  • . Aiding comparisons of different treatment options
  • . Aiding endodontic treatment planning
  • Aiding treatment planning for endodontic surgical quides .

6. Device Comparison Table

The following table shows a summary of the intended use, technological characteristics, design and function of SICAT Endo and the predicate devices. The predicate device SICAT Implant is the primary predicate device.

| | SICAT Endo | 3D Endo, Dentsply
Sirona
(marketed in EU /
USA cleared under
510(k) K171115) | SICAT
Implant,
SICAT
(marketed in
EU / USA
cleared under
510(k) number
K103723) | | | |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|------------------------------------------------------------------------------------------------------|------------|
| | Common / Usual Name | | | | | |
| | Radiological
Visualization
Software for
Diagnosis and
Endodontic
Treatment Planning | Radiological
Visualization Software
for Diagnosis and
Endodontic Treatment
and Re-treatment
Planning | Radiological
Visualization
Software for
Diagnosis and
Dental Implant
Planning | | | |
| Device Description | | | | | | |
| General Description | SICAT Endo is a
pure software
device.
SICAT Endo is a
software application
for visualization of
imaging information
of the oral-
maxillofacial region.
The imaging data | 3D Endo™ is a CBCT
based software device
designed to improve
endodontic treatment
planning for more
predictability.
It is designed to
improve treatment
quality: to isolate the
tooth of interest, to | SICAT Implant
V1.2 is a pure
software device.
SICAT Implant
V1.2 is a
software
application for
the visualization
of imaging
information of | | | |
| SICAT Endo | 3D Endo, Dentsply
Sirona
(marketed in EU /
USA cleared under
510(k) K171115) | SICAT
Implant,
SICAT
(marketed in
EU / USA
cleared under
510(k) number
K103723) | | | | |
| originates from
medical scanners
such as CT or CBCT
scanners. It is also
used as a software
system to aid
medical
professionals with
the planning, the
evaluation and the
comparison of
treatment options
and the planning of
endodontic accesses
for an endodontic
treatment. The
medical
professionals'
planning data may
be exported from
SICAT Endo and
used for the
realization of the
planned therapy. | clearly visualize the
tooth anatomy in 3D,
to identify all canals
and to anticipate
areas.
The use of 3D Endo
provides:

  • Diagnosis and
    pathology
  • 3D tooth anatomy
  • Canal system
  • 3D canal anatomy
  • Treatment plan
    The Wizard allows to:
    · Diagnose the case;
    • Isolate the tooth of
    interest;
    · Investigate the
    canal system;
    • Understand the 3D
    Canal anatomy;
    · Create a Treatment
    plan.
    The use of 3D Endo
    allows to:
    · evaluate 3D working
    length and cavity
    access depth
    • locate canal orifices
    without opening the
    tooth
    • plan for an optimal
    cavity access and your
    final instrument
    · investigate canals'
    irregularities following
    their curvatures
    In addition, the
    simulated Intra-Root
    Camera View Visualize | the oral-maxillo-
    facial region. The
    imaging data
    originates from
    medical scanners
    such as CT or
    DVT scanners.
    SICAT Implant
    V1.2 is intended
    for use as
    planning and
    simulation
    software to aid
    qualified dental
    professionals in
    the placement of
    dental implants
    and the planning
    of surgical
    treatments.
    SICAT Implant
    V1.2 allows to
    name, position,
    move, rotate,
    resize and
    visualize dental
    implants and
    other planning
    objects (i.e.
    nerve canals)
    within the
    visualized 3D
    volume. Thus,
    dental
    professionals like
    implantologists
    are enabled to
    precisely plan
    the positions,
    orientations,
    types and sizes
    of implants to be
    placed in the
    patient's
    mandible/maxilla | | | | |
    | | SICAT Endo | 3D Endo, Dentsply
    Sirona
    (marketed in EU /
    USA cleared under
    510(k) K171115) | SICAT
    Implant,
    SICAT
    (marketed in
    EU / USA
    cleared under
    510(k) number
    K103723) | | | |
    | | | throughout the canal
    the theoretical cutting
    envelope of the
    Dentsply Sirona
    Endodontics
    instruments. | together with the
    related surgical
    procedures.
    The dental
    professionals'
    planning data
    may be exported
    from SICAT
    Implant V1.2 and
    used as input
    data for CAD or
    Rapid
    Prototyping
    Systems. | | | |
    | Indications for Use | | | | | | |
    | Indications for
    Use | Aiding diagnosis in
    the oral-maxillofacial
    region
    Aiding comparisons
    of different
    treatment options
    Aiding endodontic
    treatment planning
    Aiding treatment
    planning for
    endodontic surgical
    guides | 3D Endo™ Software is
    intended to aid in the
    visualization,
    diagnosis and
    planning of
    endodontic treatment
    and re-treatment
    cases utilizing DICOM
    images. | SICAT Implant is
    a software
    application for
    the visualization
    of imaging
    information of
    the oral-
    maxillofacial
    region. The
    imaging data
    originates from
    medical scanners
    such as CT or
    DVT scanners.
    SICAT Implant is
    intended for use
    as planning and
    simulation
    software to aid
    qualified dental
    professionals in
    the placement of
    dental implants
    and the planning
    of surgical
    treatments. The
    dental
    professionals | | | |
    | | SICAT Endo | 3D Endo, Dentsply
    Sirona
    (marketed in EU /
    USA cleared under
    510(k) K171115) | SICAT
    Implant,
    SICAT
    (marketed in
    EU / USA
    cleared under
    510(k) number
    K103723) | | | |
    | | | | planning data
    may be exported
    from SICAT
    Implant and
    used as input
    data for CAD or
    Rapid
    Prototyping
    Systems. | | | |
    | Contraindications | None | Do not use 3D Endo™
    Software for implants
    or any other dental
    procedure outside
    endodontics.
    There are no known
    serious adverse
    reactions or potential
    safety hazards. | None | | | |
    | | Medical Data Viewing | | | | | |
    | Data types
    visualized | 3D volume data, 3D
    surface data (optical
    impressions), 2D
    radiographs | 2D and 3D visualized
    CBCT data | 3D volume data,
    3D surface data
    (optical
    impressions,
    implant objects) | | | |
    | Imaging data
    visualization
    region | Oral-maxillofacial
    region | Oral-maxillofacial
    region | Oral-maxillofacial
    region | | | |
    | | Viewing Modes typically used for dental procedures | | | | | |
    | *Orthogonal
    slices | Axial, coronal,
    sagittal within the
    Endoline wizard | Axial | Axial, coronal,
    sagittal | | | |
    | *Panoramic view | Panoramic view (ray
    sum) based on a
    panoramic curve.
    Panoramic curve can
    be manually
    adjusted. | No | Panoramic view
    (ray sum) based
    on a panoramic
    curve.
    Panoramic curve
    can be manually
    adjusted. | | | |
    | Curved Planar
    Reformation | Curved planar
    reformation based | Yes | None | | | |
    | | SICAT Endo | 3D Endo, Dentsply
    Sirona
    (marketed in EU /
    USA cleared under
    510(k) K171115) | SICAT
    Implant,
    SICAT
    (marketed in
    EU / USA
    cleared under
    510(k) number
    K103723) | | | |
    | (CPR) also called
    Multi Planar
    Reformation
    (MPR) that is
    less precise | on a spline
    positioned within the
    volume. By
    positioning the
    spline the view is
    adjusted.
    No equidistant scale. | | | | | |
    | *Panoramic slice | Movable "Panoramic
    Slicing Window"
    embedded in
    panoramic view | No | Movable
    "Panoramic
    Slicing Window"
    embedded in
    panoramic view | | | |
    | *TSA and LSA | Transversal slice
    (TSA) and
    longitudinal slice
    (LSA), both with
    respect to
    panoramic curve | Transversal slice | Transversal slice
    (TSA) and
    longitudinal slice
    (LSA), both with
    respect to
    panoramic curve | | | |
    | *3D volume
    rendering | Yes | Yes | Yes | | | |
    | *3D surface
    rendering of
    volume data | Yes | No | Yes | | | |
    | 2D radiographs
    on 3D volumetric
    data | Yes | No | No | | | |
    | Volume Data Navigation and Manipulation | | | | | | |
    | *View
    manipulating
    tools | Zoom, Pan, Change
    of orientation | Zoom, Pan, Change of
    orientation | Zoom, Pan,
    Change of
    orientation | | | |
    | *Color
    manipulating
    tools | Brightness, Contrast | Brightness, Contrast | Brightness,
    Contrast | | | |
    | *Scrolling
    through slices | Yes | Yes | Yes | | | |
    | Measurements | | | | | | |
    | *Overall Length
    Measurement | 100 μm | ± 0.5 mm | 100 μm | | | |
    | | SICAT Endo | 3D Endo, Dentsply
    Sirona
    (marketed in EU /
    USA cleared under
    510(k) K171115) | SICAT
    Implant,
    SICAT
    (marketed in
    EU / USA
    cleared under
    510(k) number
    K103723) | | | |
    | Accuracy | | | | | | |
    | *Overall Angular
    Measurement
    Accuracy | 1 degree | $\pm$ 5° | 1 degree | | | |
    | | Optical Surface Data Visualization | | | | | |
    | *Rendering of
    optical surface
    data | Yes, 3D | No | Yes, 3D | | | |
    | | Optical Surface Data Manipulation | | | | | |
    | *Registration of
    surface data
    (from optical
    impressions) to
    volume data | Semi-automatic,
    using user specified
    reference points. | n/a | Semi-automatic,
    using user
    specified
    reference points. | | | |
    | | Input / Output (I/O) | | | | | |
    | *Volume data
    import | DICOM | DICOM | DICOM | | | |
    | *Optical surface
    data / optical
    impression
    import | Standard STL format
    and proprietary SSI
    or SIXD container
    format.
    Features and
    Algorithms identical
    to SICAT Implant. | No | Standard STL
    format and
    proprietary SSI. | | | |
    | *Data
    Compression | Lossless ZIP
    compression | n/a | Lossless ZIP
    compression | | | |
    | Export of data for
    realization of
    planned therapy | Yes | No | Yes | | | |
    | *Marking of root
    canal pathways | Yes | Yes | No | | | |
    | Planning of
    drillpaths | Yes | No | Yes | | | |
    | Programming Language | | | | | | |
    | | SICAT Endo | C# and C++ | 3D Endo, Dentsply
    Sirona
    (marketed in EU /
    USA cleared under
    510(k) K171115) | no data available | SICAT
    Implant,
    SICAT
    (marketed in
    EU / USA
    cleared under
    510(k) number
    K103723) | C# and C++ |
    | Minimum Technical Requirements | | | | | | |
    | PC Hardware
    requirements
    (minimum) | Operating System:
    Windows 7 64-bit
    SP1+ "Platform
    Update" KB2670838,
    Windows 8 64-bit
    (Desktop), Windows
    8.1 64-bit (Desktop),
    Windows 10 64-bit
    CPU: Quad Core 2.3
    GHz
    RAM: 8 GB
    HDD: 20 GB free
    space
    Video card: 1 GB
    RAM (dedicated),
    must support
    DirectX 11 or higher,
    feat driver WDDM
    1.0 or higher, e.g.
    NVidia GTX 960
    (2GB RAM)
    Screen: 1980x1080
    (Full HD), Scaling
    100 % - 125 %,
    Resolution max.
    3840x2160, Scaling
    100 % - 200 %
    must pass test with
    SMPTE Test pattern
    Additional
    requirements when
    running as SIDEXIS
    XG-DirectDental-
    Plug-In: Sidexis XG:
    Version 2.6.1 (64
    Bit) or Sidexis 4, V
    4.1.2 (64 Bit)
    Additional
    requirements when
    running as SIDEXIS
    4 Module: SIDEXIS | Operation systems:
    Windows 7, 8.1 or 10;
    64-bit
    Processor: 3rd
    Generation Intel®
    Core™ Processors or
    higher
    RAM: 4 GB or more
    Free disk space: 20
    GB or more
    Graphical card
    requirements: On-
    board Intel® HD
    Graphics 2500 or
    higher
    Screen resolution:
    1024 x 768 or better
    Open GL
    requirements: Version
    3.2 or higher | Operating
    System:
    Windows XP
    Professional (32-
    bit) with SP3 and
    .NET 2.0
    Runtime
    Libraries or
    Windows Vista
    Business (32-bit)
    with SP2 or
    Windows 7
    Professional (32-
    bit or 64-bit)
    with SP1
    CPU: Dual Core
    1.6 GHz
    RAM: 2 GB
    Free space on
    HDD: 5 GB
    Video card: 128
    MB external
    video card, 24-
    bit color, Shader
    Model 3 (for
    advanced 3D
    rendering)
    Screen
    resolution:
    1280x1024 pixels | | | |

5

6

7

8

9

10

11

| SICAT Endo | 3D Endo, Dentsply
Sirona
(marketed in EU /
USA cleared under
510(k) K171115) | SICAT
Implant,
SICAT
(marketed in
EU / USA
cleared under
510(k) number
K103723) |
|---------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|
| 4: Sirona Planning
API V4 (starting with
SIDEXIS V 4.2) | | |

  • for functions and algorithms used in SICAT Implant and SICAT Endo having the same principle;

Missing features of SICAT Endo compared to the predicate device SICAT Implant are connected to implant planning. This does not impact the safety and effectiveness of SICAT Endo concerning the visualization of imaging information and treatment planning and evaluation.

Except for the CPR view the software algorithms used in SICAT Endo are similar to the predicate device SICAT Implant. Performance testing has been used to validate the safety and effectiveness of the SICAT Endo device in comparison to the predicate device 3D Endo regarding endodontic planning features, including the CPR view.

7. Non-Clinical Performance Testing and Verification and Validation Activities

For SICAT Endo, software verification and validation activities were performed, in accordance with the following quidance and standards:

  • Principles of Software Validation; Final Guidance for Industry and FDA Staff, ● January 2002
  • AAMI/ANSI/IEC 62304:2006, Medical device software Software life cycle processes ●
  • IEC 62366-1, Medical devices Application of usability engineering to medical ● devices
  • ISO 14971:2007, Medical devices Application of risk management to medical . devices.

Among others the following verification and validation activities were performed:

  • Design Validation/Reviews ●
  • Unit Tests .
  • Code Reviews ●
  • Usability Tests ●
  • Integration Tests ●
  • System Verification Tests ●
  • User Site Tests .

Special bench testing has been performed with non-clinical data:

  • . to verify the endodontic planning visualization quality and effectiveness
  • overall quantitative accuracy of the root canal treatment planning .

Test reports for integration testing, system verification and validation testing and bench testing are included with this premarket notification.

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A verification and validation activities summary report provided with this premarket notification concludes that SICAT Endo passed all verification and validation activities and that safety and effectiveness of the product has been demonstrated in the context of its intended use.

8. Conclusion

Based on the information and supporting documentation provided in the premarket notification, SICAT Endo is considered to be comparable in design, material and function to the predicate devices. It is believed to perform as well as the predicate devices for the visualization of imaging data together with optical impression data, the diagnostic purpose, and the technological approach of planning drill canals and the evaluation of dental treatment options. Any minor differences between SICAT Endo and the predicate devices do not effect safety and effectiveness.