K Number
K193042
Device Name
Optimized Positioning System (OPS) ReView
Manufacturer
Date Cleared
2020-06-26

(239 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
OPSReView™ is intended to be used as a postoperative tool for visualising and quantifying component alignment to aid in the analysis of hip alignment following hip replacement surgery. OPSReView™ provides the surgeon with information to the in-situ implant placement as well as associated functional analysis and 3D biomechanical measurements, based on landmarks derived from patient specific postoperative imaging.
Device Description
OPSReView™ is an image analysis tool that provides surgeons with postoperative information regarding the femoral stem and acetabular cup orientations and patient pelvic parameters following hip replacement surgery. OPSReView™ is provided to the surgeon in the form of a static PDF report that displays the results of the analysis and uses post-operative CT and X-ray imaging as inputs. The information provided in the OPS™ ReView report includes the patient's pelvic parameters, in-situ implant measurement describing the in-situ implant placement and post-operative radiographic images. The implant parameters, including 3D geometry and associated landmarks, required to calculate the in-situ implant measurements are contained within a controlled database.
More Information

Not Found

No
The description focuses on image analysis and measurement based on landmarks and a controlled database, without mentioning AI or ML techniques.

No.
The device is an image analysis tool used for visualizing and quantifying component alignment after hip replacement surgery, providing information to aid in analysis rather than directly treating a condition.

Yes

Explanation: The device is described as providing information for analysis of hip alignment and provides surgeons with "in-situ implant placement as well as associated functional analysis and 3D biomechanical measurements." This information is used to "aid in the analysis of hip alignment," which is a diagnostic purpose.

Yes

The device description explicitly states it is an "image analysis tool" and is "provided to the surgeon in the form of a static PDF report," indicating it is a software-based tool that processes image inputs and outputs a report, without mentioning any associated hardware components being part of the device itself.

Based on the provided information, this device is NOT an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended to be used in vitro for the examination of specimens, including blood, tissue, and urine, derived from the human body, solely or principally for the purpose of providing information concerning a physiological state, state of health, or disease or congenital abnormality.
  • OPSReView™ Function: OPSReView™ is an image analysis tool that processes medical images (CT and X-ray) to provide information about the alignment of hip implants after surgery. It does not analyze biological specimens from the patient's body.
  • Intended Use: The intended use is to aid in the analysis of hip alignment following hip replacement surgery, providing information about implant placement and biomechanical measurements based on imaging. This is a diagnostic aid based on imaging, not an in vitro test.

Therefore, OPSReView™ falls under the category of a medical device, specifically an image analysis software, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

OPSReView™ is intended to be used as a postoperative tool for visualising and quantifying component alignment to aid in the analysis of hip alignment following hip replacement surgery.

OPSReView™ provides the surgeon with information relating to the in-situ implant placement as well as associated functional analysis and 3D biomechanical measurements, based on landmarks derived from patient specific postoperative imaging.

Product codes

LLZ, LZO, MEH, LWJ, PLW

Device Description

OPSReView™ is an image analysis tool that provides surgeons with postoperative information regarding the femoral stem and acetabular cup orientations and patient pelvic parameters following hip replacement surgery. OPSReView™ is provided to the surgeon in the form of a static PDF report that displays the results of the analysis and uses post-operative CT and X-ray imaging as inputs.

The information provided in the OPS™ ReView report includes the patient's pelvic parameters, in-situ implant measurement describing the in-situ implant placement and post-operative radiographic images.

The implant parameters, including 3D geometry and associated landmarks, required to calculate the in-situ implant measurements are contained within a controlled database.

Mentions image processing

OPSReView™ is an image analysis tool that provides surgeons with postoperative information regarding the femoral stem and acetabular cup orientations and patient pelvic parameters following hip replacement surgery. OPSReView™ is provided to the surgeon in the form of a static PDF report that displays the results of the analysis and uses post-operative CT and X-ray imaging as inputs.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

post-operative CT and X-ray imaging

Anatomical Site

hip

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained medical professionals

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)

Non-clinical testing was performed to assess the accuracy of the device, the usability of the OPS™ ReView report provided to the Surgeon, and to demonstrate that the software utilized in the device functions as intended.

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

Not Found

Predicate Device(s)

K172346, K171847, K183038, K190834

Reference Device(s)

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).

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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the agency's name, "U.S. Food & Drug Administration," in blue text.

June 26, 2020

Corin USA % Ms. Martina Cecconi Regulatory and Clinical Affairs Team Leader Corin (Australia) 17 Bridge Street Sydney, New South Wales 2073 AUSTRALIA

Re: K193042

Trade/Device Name: Optimized Positioning System (OPS) ReView Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: Class II Product Code: LLZ, LZO, MEH, LWJ, PLW Dated: June 9, 2020 Received: June 10, 2020

Dear Ms. Cecconi:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K193042

Device Name Optimized Positioning System (OPS) ReView

Indications for Use (Describe)

OPSReView™ is intended to be used as a postoperative tool for visualising and quantifying component alignment to aid in the analysis of hip alignment following hip replacement surgery.

OPSReView™ provides the surgeon with information to the in-situ implant placement as well as associated functional analysis and 3D biomechanical measurements, based on landmarks derived from patient specific postoperative imaging.

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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510(K) SUMMARY

K193042

1. Applicant/Sponsor:Corin USA Limited
Distributor12750 Citrus Park Lane
Suite 120
Tampa, Florida 33625
Establishment Registration No.: 1056629
    1. Manufacturer: Optimized Ortho Pty Ltd 17 Bridge Street Pymble NSW 2073 Australia Establishment Registration No: 3012916784
    1. Contact Person: Crissy Tomarelli Quality & Regulatory Director - Australia Corin Australia 0011 61 2 94977400 crissy.tomarelli@coringroup.com

Lucinda Gerber Global Regulatory Affairs Manager Corin USA Limited 1 (772) 321-2478 Lucinda.Gerber@coringroup.com

    1. Date: Tuesday, June 9, 2020
    1. Trade Name: Optimized Positioning System (OPS™) ReView
  • OPSReView™ 6. Common Name:
    1. Classification Product Code(s): LLZ

Additional Product Code(s): LZO, MEH, LWJ, PLW

    1. Classification Name:

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21 CFR 892.2050 – Picture archiving and communications

Additional Classification Names:

21 CFR 888.3353 – Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

21 CFR 888.3350 - Hip joint metal/polymer semi-constrained cemented Prosthesis

9. Substantially Equivalent (predicate) device(s):

10. Device Description:

OPSReView™ is an image analysis tool that provides surgeons with postoperative information regarding the femoral stem and acetabular cup orientations and patient pelvic parameters following hip replacement surgery. OPSReView™ is provided to the surgeon in the form of a static PDF report that displays the results of the analysis and uses post-operative CT and X-ray imaging as inputs.

The information provided in the OPS™ ReView report includes the patient's pelvic parameters, in-situ implant measurement describing the in-situ implant placement and post-operative radiographic images.

The implant parameters, including 3D geometry and associated landmarks, required to calculate the in-situ implant measurements are contained within a controlled database.

11. Indications for Use / Intended Purpose:

OPSReView™ is intended to be used as a postoperative tool for visualising and quantifying component alignment to aid in the analysis of hip alignment following hip replacement surgery.

OPSReView™ provides the surgeon with information relating to the in-situ implant placement as well as associated functional analysis and 3D biomechanical measurements, based on landmarks derived from patient specific postoperative imaging.

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12. Summary of Technologies/Substantial Equivalence:

The device comparison showed that the subject device is substantially equivalent to the predicate the EOS Imaging SterEOS Workstation (K172346), Corin OPS™ Plan (K171847, K183038) and Corin OPS™ FHA (K190834). The subject device and SterEOS Workstation (K172346) can both be used as a postoperative tool to provide an image-based analysis and associated measurements of a patient's hip. The subject device and Corin OPS™ Plan (K171847, K183038) can both be used as tool to provide an image-based analysis of a patient's hip. The subject device and the Corin OPS™ FHA (K190834) both provide calculated outputs of the hip joint during functional activities and information about functional orientation of the acetabular cup.

The subject device and predicate devices EOS Imaging SterEOS Workstation (K172346), Corin OPS™ Plan (K171847, K183038) and Corin OPS™ FHA (K190834), have similar technological characteristics and principles of operation, all utilizing imaging scans to generate a patient specific report. The end user for the subject and predicate devices are trained medical professionals and the subject and predicate devices do not have contact with the patient. Based on these similarities, Corin believes that the OPS™ ReView is substantially equivalent to the predicate devices.

13. Non-Clinical Testing:

Non-clinical testing was performed to assess the accuracy of the device, the usability of the OPS™ ReView report provided to the Surgeon, and to demonstrate that the software utilized in the device functions as intended.

14. Clinical Testing:

Clinical testing was not necessary for this Traditional 510(k).

15. Conclusion:

The subject device has similar intended uses, technological characteristics, and principles of operation as its predicate devices. The differences between the subject device and its predicates raise no new issues in terms of safety or effectiveness.