K Number
K210682
Device Name
SOTA Cloud Imaging
Date Cleared
2021-05-04

(57 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
SOTA Cloud Imaging is indicated for use as a clinical software application that receives images and data from Clio or Clio Prime sensors and various imaging sources (e.g., radiographic devices, digital video capture devices, and generic image devices such as scanners). In addition, SOTA Cloud Imaging enables the storage of clinical notes and clinical exam data. SOTA Cloud Imaging is intended to acquire, display, process, edit (e.g., resize, adjust contrast, annotate, etc.), review, store, print, and distribute images using standard PC hardware. SOTA Cloud Imaging is also intended for use for diagnostic and non-diagnostic purposes in the field of Dentistry by dental professionals who are responsible for providing dental care.
Device Description
SOTA Cloud Imaging is a cloud-based dental imaging software that allows access to diagnostic images on any PC with an active internet connection. SOTA Cloud Imaging's single page application design makes the inbrowser imaging experience fast, familiar, and simple to operate. SOTA Cloud Imaging is feature rich, including full feature parity with traditional client-server based dental imaging software. With SOTA Cloud Imaging, you can use digital dental imaging devices in a manner consistent with your existing imaging solutions, and bridge patient information either from your existing client-server-based practice management software or modern cloud-based practice management software. SOTA Cloud Imaging is a Class II dental imaging software that includes the ability to acquire, view, annotate, and organize dental radiographs and color images. SOTA Cloud Imaging integrates with most major client-server and web-based practice management software. Images stored using SOTA Cloud Imaging are saved using lossless compression, and can be exported as DICOM, PNG, JPEG, or PDF files. SOTA Cloud Imaging is a software-only dental image device which allows the user to acquire images using standard dental imaging devices, such as intraoral X-ray sensors and intraoral cameras. SOTA Cloud Imaging is imaging software designed for use in dentistry. The main SOTA Cloud Imaging software functionality includes image acquisition, organization, and annotation. SOTA Cloud Imaging is used by dental professional for the visualization of patient images retrieved from a dental imaging device or scanner, for assisting in case diagnosis, review, and treatment planning. Doctors, dental clinicians, and other qualified individuals can display and review images, apply annotations, and manipulate images. SOTA Cloud Imaging is a standalone product but is designed to work cooperatively with dental practice management software that is used for scheduling, clinical note taking, and billing, The software operates upon standard PC hardware and displays images on the PC's connected display/monitor. SOTA Cloud Imaging neither contacts the patient nor controls any life sustaining devices. Diagnosis is not performed by this software but by doctors and other qualified individuals. A physician, providing ample opportunity for competent human intervention, interprets images and information being displayed and printed.
More Information

Not Found

No
The document describes standard dental imaging software functionalities like acquisition, display, processing, editing, storage, and distribution. There is no mention of AI, ML, or any features that would typically be associated with these technologies, such as automated analysis, diagnosis support beyond visualization, or predictive capabilities. The focus is on image management and basic manipulation.

No.
The document explicitly states that SOTA Cloud Imaging is "imaging software designed for use in dentistry" and is used for "image acquisition, organization, and annotation," assisting in "case diagnosis, review, and treatment planning." It processes images from devices like X-ray sensors and cameras, but it does not directly perform any therapeutic function. The software itself is for diagnostic and non-diagnostic purposes, and the "Diagnosis is not performed by this software but by doctors and other qualified individuals."

Yes

The text explicitly states: "SOTA Cloud Imaging is also intended for use for diagnostic and non-diagnostic purposes in the field of Dentistry by dental professionals who are responsible for providing dental care." It also mentions "assisting in case diagnosis."

Yes

The device description explicitly states, "SOTA Cloud Imaging is a software-only dental image device." While it interacts with hardware (standard PC hardware, dental imaging devices), the device itself, as described, is solely the software application.

Based on the provided information, SOTA Cloud Imaging is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Definition of IVD: An IVD is a medical device used to perform tests on samples such as blood, urine, or tissue to detect diseases or other conditions. These tests are performed in vitro (in a lab setting, outside the body).
  • SOTA Cloud Imaging's Function: SOTA Cloud Imaging is a software application that processes, stores, and displays medical images (specifically dental radiographs and color images). It does not perform any tests on biological samples. Its function is related to the management and visualization of images acquired from imaging devices.
  • Intended Use: The intended use clearly states that it is for acquiring, displaying, processing, editing, reviewing, storing, printing, and distributing images for diagnostic and non-diagnostic purposes in dentistry. It does not mention any testing of biological samples.
  • Device Description: The description reinforces that it is a dental imaging software that works with imaging devices like X-ray sensors and intraoral cameras. It focuses on image management and visualization.
  • Lack of Biological Sample Testing: There is no mention of handling or testing any biological samples throughout the document.

Therefore, SOTA Cloud Imaging falls under the category of medical imaging software, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

SOTA Cloud Imaging is indicated for use as a clinical software application that receives images and data from Clio or Clio Prime sensors and various imaging sources (e.g., radiographic devices, digital video capture devices, and generic image devices such as scanners). In addition, SOTA Cloud Imaging enables the storage of clinical notes and clinical exam data.

SOTA Cloud Imaging is intended to acquire, display, process, edit (e.g., resize, adjust contrast, annotate, etc.), review, store, print, and distribute images using standard PC hardware. SOTA Cloud Imaging is also intended for use for diagnostic and non-diagnostic purposes in the field of Dentistry by dental professionals who are responsible for providing dental care.

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

LLZ

Device Description

SOTA Cloud Imaging is a cloud-based dental imaging software that allows access to diagnostic images on any PC with an active internet connection. SOTA Cloud Imaging's single page application design makes the inbrowser imaging experience fast, familiar, and simple to operate. SOTA Cloud Imaging is feature rich, including full feature parity with traditional client-server based dental imaging software. With SOTA Cloud Imaging, you can use digital dental imaging devices in a manner consistent with your existing imaging solutions, and bridge patient information either from your existing client-server-based practice management software or modern cloud-based practice management software.

SOTA Cloud Imaging is a Class II dental imaging software that includes the ability to acquire, view, annotate, and organize dental radiographs and color images. SOTA Cloud Imaging integrates with most major client-server and web-based practice management software. Images stored using SOTA Cloud Imaging are saved using lossless compression, and can be exported as DICOM, PNG, JPEG, or PDF files.

SOTA Cloud Imaging is a software-only dental image device which allows the user to acquire images using standard dental imaging devices, such as intraoral X-ray sensors and intraoral cameras.

SOTA Cloud Imaging is imaging software designed for use in dentistry. The main SOTA Cloud Imaging software functionality includes image acquisition, organization, and annotation. SOTA Cloud Imaging is used by dental professional for the visualization of patient images retrieved from a dental imaging device or scanner, for assisting in case diagnosis, review, and treatment planning. Doctors, dental clinicians, and other qualified individuals can display and review images, apply annotations, and manipulate images.

SOTA Cloud Imaging is a standalone product but is designed to work cooperatively with dental practice management software that is used for scheduling, clinical note taking, and billing,

The software operates upon standard PC hardware and displays images on the PC's connected display/monitor.

SOTA Cloud Imaging neither contacts the patient nor controls any life sustaining devices. Diagnosis is not performed by this software but by doctors and other qualified individuals. A physician, providing ample opportunity for competent human intervention, interprets images and information being displayed and printed.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray sensors, radiographic devices, digital video capture devices, generic image devices such as scanners, intraoral cameras, flatbed scanners, digital cameras

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Intended User: dental professionals
Care Setting: dental facilities, dental practices, dental office

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)

SOTA Imaging has conducted extensive non-clinical (bench) performance testing and validation and verification testing of SOTA Cloud Imaging. All the different components of the SOTA Cloud Imaging have been stress tested to ensure that the SOTA Cloud Imaging provides all the capabilities necessary to operate in a manner substantially equivalent to the XV Web predicate.

SOTA Imaging has performed performance testing to compare SOTA Cloud Imaging to the XV Web predicate. Based on the performance testing of the XV Web predicate and SOTA Cloud Imaging, SOTA Cloud Imaging is substantially equivalent in performance specification to the XV Web predicate. Test information can be located within the Software Documentation included with this submission.

Additionally, the results of the performance testing, which included positive and negative testing against the device requirements, predicate testing and human factors testing, has demonstrated that SOTA Cloud Imaging is safe and effective for its intended use and that SOTA Cloud Imaging is substantially equivalent to the currently marketed XV Web predicate.

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.

K132342

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

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, featuring a stylized design. To the right is the FDA logo, with the acronym "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in a larger, bolder font, and "ADMINISTRATION" in a smaller font below.

Sota Precision Optics, Inc. dba SOTA Imaging % Mr. W. Edward Johansen Official Correspondent 1073 North Batavia Street, Suite B ORANGE CA 90404

Re: K210682

Trade/Device Name: SOTA Cloud Imaging Regulation Number: 21 CFR 892.2050 Regulation Name: Medical image management and processing system Regulatory Class: Class II Product Code: LLZ Dated: March 9, 2021 Received: March 10, 2021

Dear Mr. Johansen:

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/cfpmp/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 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

May 4, 2021

1

https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 medical devices and radiation-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,

For

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

2

Indications for Use

510(k) Number (if known) K210682

Device Name

SOTA Cloud Imaging

Indications for Use (Describe)

SOTA Cloud Imaging is indicated for use as a clinical software application that receives images and data from Clio or Clio Prime sensors and various imaging sources (e.g., radiographic devices, digital video capture devices, and generic image devices such as scanners). In addition, SOTA Cloud Imaging enables the storage of clinical notes and clinical exam data.

SOTA Cloud Imaging is intended to acquire, display, process, edit (e.g., resize, adjust contrast, annotate, etc.), review, store, print, and distribute images using standard PC hardware. SOTA Cloud Imaging is also intended for use for diagnostic and non-diagnostic purposes in the field of Dentistry by dental professionals who are responsible for providing dental care.

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)

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

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(k) Summary

K210682

Dated: April 30, 2021

A. Submitter's Name: Sota Precision Optics, Inc. dba SOTA Imaging

Address: 1073 North Batavia Street, Suite B, Orange, California 92867

Telephone: (714) 532-6100

Official Correspondent: W. Edward Johansen,

Telephone: (310) 795-7425

E-mail address: wedjohansen@msn.com

Address: 1239 Stanford Street, #205, Santa Monica, California 90404

B. Identification of New Device

Owner/Operator/Manufacturer: SOTA Imaging

Establishment Registration Number: 3000190675

510(k) Premarket Notification Number: K210682

Trade Name: SOTA Cloud Imaging

Common Name: Dental imaging software

Classification Name: Medical Image Management and Processing System

Product Code: LLZ

Classification: Class II

Panel: Radiology

Class: II

Panel: Radiology

Regulation Number: 21 C.F.R. §892.2050

C. Identification of Predicate Device

Owner/Operator/Manufacturer: Apertyx, Inc.

4

510(k) Premarket Notification Number: K132342

Trade Name: XV Web

Common Name: Dental imaging software

Classification Name: Medical Image Management and Processing System

Product Code: LLZ

Classification: Class II

Panel: Radiology

Requlation: Number: 21 C.F.R. §892.2050

D. Device Description

SOTA Cloud Imaging is a cloud-based dental imaging software that allows access to diagnostic images on any PC with an active internet connection. SOTA Cloud Imaging's single page application design makes the inbrowser imaging experience fast, familiar, and simple to operate. SOTA Cloud Imaging is feature rich, including full feature parity with traditional client-server based dental imaging software. With SOTA Cloud Imaging, you can use digital dental imaging devices in a manner consistent with your existing imaging solutions, and bridge patient information either from your existing client-server-based practice management software or modern cloud-based practice management software.

SOTA Cloud Imaging is a Class II dental imaging software that includes the ability to acquire, view, annotate, and organize dental radiographs and color images. SOTA Cloud Imaging integrates with most major client-server and web-based practice management software. Images stored using SOTA Cloud Imaging are saved using lossless compression, and can be exported as DICOM, PNG, JPEG, or PDF files.

SOTA Cloud Imaging is a software-only dental image device which allows the user to acquire images using standard dental imaging devices, such as intraoral X-ray sensors and intraoral cameras.

SOTA Cloud Imaging is imaging software designed for use in dentistry. The main SOTA Cloud Imaging software functionality includes image acquisition, organization, and annotation. SOTA Cloud Imaging is used by

5

dental professional for the visualization of patient images retrieved from a dental imaging device or scanner, for assisting in case diagnosis, review, and treatment planning. Doctors, dental clinicians, and other qualified individuals can display and review images, apply annotations, and manipulate images.

SOTA Cloud Imaging is a standalone product but is designed to work cooperatively with dental practice management software that is used for scheduling, clinical note taking, and billing,

The software operates upon standard PC hardware and displays images on the PC's connected display/monitor.

SOTA Cloud Imaging neither contacts the patient nor controls any life sustaining devices. Diagnosis is not performed by this software but by doctors and other qualified individuals. A physician, providing ample opportunity for competent human intervention, interprets images and information being displayed and printed.

E. Intended Use

SOTA Cloud Imaging software is designed for use by dental practices for tracing and presenting patient images which are utilized by dental professionals to assist in treatment planning and case diagnosis. Results produced by the software's diagnostic and treatment planning tools are dependent on the interpretation of trained and licensed dental practitioners.

SOTA Cloud Imaging is indicated for use as a clinical software application that receives images and data from Clio or Clio Prime x-ray sensors and various other imaging sources (e.g., radiographic devices, digital video capture devices, and generic image devices such as scanners). In addition, SOTA Cloud Imaging enables the storage of clinical notes and clinical exam data.

It is intended to acquire, display, process, edit (e.g., resize, adjust contrast, annotate, etc.), review, store, print, and distribute images using standard PC hardware.

SOTA Cloud Imaging interacts with imaging devices connected to a Windows PC. SOTA Cloud Imaging controls the direct capture of digital xray images from Clio and Clio Prime intraoral x-ray sensors and other FDA

6

approved radiographic imaging devices, views and captures live image from intraoral cameras via USB 2.0 or video capture card, imports images from various sources such as radiographic devices, flatbed scanners, digital cameras, and generic image devices, exports, e-mail, prints images, processes digital images with several tools to enhance their diagnostic value, and creates a database of patients and store images in patient folders on cloud server storage.

F. Indications for Use

SOTA Cloud Imaging is indicated for use as a clinical software application that receives images and data from Clio or Clio Prime sensors and various imaging sources (e.g., radiographic devices, digital video capture devices, and generic image devices such as scanners). In addition, SOTA Cloud Imaging enables the storage of clinical notes and clinical exam data.

SOTA Cloud Imaging is intended to acquire, display, process, edit (e.g., resize, adjust contrast, annotate, etc.), review, store, print, and distribute images using standard PC hardware. SOTA Cloud Imaging is also intended for use for diagnostic and non-diagnostic purposes in the field of Dentistry by dental professionals who are responsible for providing dental care.

G. Technical Characteristics

SOTA Cloud Imaging is a software only device that is operated by users via a modern web-browser. On the server side, SOTA Cloud Imaging is written in C# and runs in a stateless containerized environment. SOTA Cloud Imaging uses Microsoft Azure SQL databases and Microsoft Azure Blob storage to store application metadata and images. On the client-side, SOTA Cloud Imaging executes in a modern web-browser using HTML5, CSS3, and JavaScript.

H. Off-the-Shelf Software

SOTA Imaging has conducted an appropriate hazard analysis and basic documentation of all off-the-shelf software prior to its utilization in the SOTA Cloud Imaging product, in accordance with the OTS Software Decision Schematic in the FDA guidance document entitled "Off-The-Shelf Software Use in medical Devices" issued on September 27th, 2019. All included offthe-shelf software is used strictly in non-diagnostic capacity and is not directly interacted with by the user. The off-the-shelf software used in this product is documented in the Software Information section of this filing.

7

I. Summary of Non-Clinical (bench) Performance Testing

SOTA Imaging has conducted extensive non-clinical (bench) performance testing and validation and verification testing of SOTA Cloud Imaging. All the different components of the SOTA Cloud Imaging have been stress tested to ensure that the SOTA Cloud Imaging provides all the capabilities necessary to operate in a manner substantially equivalent to the XV Web predicate.

J. Summary of Clinical Performance Testing

SOTA Imaging has performed performance testing to compare SOTA Cloud Imaging to the XV Web predicate. Based on the performance testing of the XV Web predicate and SOTA Cloud Imaging, SOTA Cloud Imaging is substantially equivalent in performance specification to the XV Web predicate. Test information can be located within the Software Documentation included with this submission.

Additionally, the results of the performance testing, which included positive and negative testing against the device requirements, predicate testing and human factors testing, has demonstrated that SOTA Cloud Imaging is safe and effective for its intended use and that SOTA Cloud Imaging is substantially equivalent to the currently marketed XV Web predicate.

K. Non-Applicable Requirements

SOTA Cloud Imaging is a software product. Therefore, the requirement of Sterilization does not apply.

SOTA Cloud Imaging is a software product. Therefore, the requirement of specifying Shelf Life does not apply.

SOTA Cloud Imaging does not contain patient contacting elements. Therefore, the requirement for Biocompatibility does not apply.

SOTA Cloud Imaging is a software product which does not have electronic components. Therefore, the requirement of Electromagnetic Compatibility does not apply.

SOTA Cloud Imaging is a software product which does not have electronic components. Therefore, the requirement of Electrical Safety does not apply.

8

L. Summary of Animal Performance Testing

Based on the device hazard analysis and classification SOTA Imaging has not performed animal performance testing to compare SOTA Cloud Imaging to the XV Web predicate.

M. Comparing SOTA Cloud Imaging to the XV Web predicate

The following comparison table compares SOTA Cloud Imaging to the XV Web predicate with respect to intended use, indications of use, environment of use. limitations of use, technical performance and technological characteristics and provides additional information regarding the basis for the determination of substantial equivalence.

N. SOTA Cloud Imaging and the XV Web Predicate Differences

Unlike the XV Web predicate device. SOTA Cloud Imaging does not require the installation of a separate image acquisition user interface, outside of the cloud-based web application.

None of the above-mentioned differences in features changes any of the Safety or Effectiveness or Indications for Use of SOTA Cloud Imaging as compared to the XV Web predicate.

O. Substantial Equivalence Rationale

SOTA Imaging has conducted extensive performance testing for validation and verification of SOTA Cloud Imaging and has done analysis to compare SOTA Cloud Imaging to the XV Web predicate. Based on this testing analysis SOTA Cloud Imaging provides all the capabilities necessary to operate in a manner substantially equivalent to the XV Web predicate. The comparison table compares SOTA Cloud Imaging to the XV Web predicate with respect to intended use, indications of use, environment of use, limitations of use, technical performance, and technological characteristics. The comparison chart provides additional information regarding the basis for the determination of substantial equivalence. Additionally, the results of the performance testing demonstrate that SOTA Cloud Imaging is safe and effective for its intended use. Based on the intended use, product design, performance and software information provided in this notification, SOTA Cloud Imaging is considered substantially equivalent to the currently marketed XV Web predicate.

9

Comparison table

510(k) NumberK132342K210682
Device NameXV WebSOTA Cloud Imaging
Classification NamePicture Archiving and
Communications
System (PACS)Medical Image
Management
and Processing System
Common\Usual nameDental Imaging
SoftwareDental Imaging
Software
ManufacturerApteryx, Inc.SOTA Precision
Optics, Inc. dba SOTA
Imaging
ClassificationClass IIClass II
Regulation Number892.2050892.2050
Product CodeLLZLLZ
Classification panelRadiologyRadiology
Medical SpecialtyDentistryDentistry
ImplementationDental OfficeDental Office
Host PlatformWeb Based Software
ApplicationWeb Based Software
Application
Intended UseXV Web is a Picture
Archiving and
Communications
System (PACS) that
enables dental facilities
to query and access
digitally stored hard
and soft tissue intraoral
/extraoral radiological
images using an
internet/web browser.
A web-based interface
provides users the
needed functionality to
display patient images
and studies in
commercially available
web browsers. Patient
images/studies can be
accessed by usersSOTA Cloud Imaging
is indicated for use as
a clinical software
application that
receives images and
data from Clio or Clio
Prime x-ray sensors
and various other
imaging sources (e.g.,
radiographic devices,
digital video capture
devices, and generic
image devices such as
scanners). In addition,
SOTA Cloud Imaging
enables the storage of
clinical notes and
clinical exam data.
It is intended to
acquire, display
locally within theprocess, edit (e.g.,
system or across aresize, adjust contrast,
wide-area network atannotate, etc.), review,
distributed locations.store, print, and
Acquisition can bedistribute images using
included via integrationstandard PC hardware.
with a DICOM-SOTA Cloud Imaging
compatible imagingcontrols the direct
application or servercapture of digital x-ray
configured to forwardimages from Clio and
images to the XV WebClio Prime intraoral x-
database. The systemray sensors and other
allows users to:FDA approved
manipulate (e.g.,radiographic imaging
rotate, flip, etc.):devices, views and
enhance (e.g.,captures live image
increase or decreasefrom intraoral cameras
brightness/contrast,via USB 2.0 or video
gamma correction);capture card, imports
add labels (e.g.,images from various
measurements, lines,sources such as
arrows, etc.),radiographic devices,
annotations to patientflatbed scanners,
images/studies anddigital cameras, and
other relevantgeneric image devices,
operations forexports, e-mail, prints
diagnostic purposes.images, processes
XV Web is designeddigital images with
for medium-to-largeseveral tools to
dental practices and isenhance their
intended for traineddiagnostic value, and
dental professionalscreates a database of
and technicians topatients and store
access, manipulate,images in patient
and enhance dentalfolders on cloud server
images for diagnosticstorage.
purposes only.
Indications for UseXV Web is a PictureSOTA Cloud Imaging
Archiving andis indicated for use as
Communicationsa clinical software
System (PACS) that
enables dental facilities
to query and access
digitally stored hard
and soft tissue
intraoral/extraoral
radiological images
using an internet/web
browser. A web-based
interface provides
users the needed
functionality to display
patient images and
studies in commercially
available web
browsers. Patient
images/studies can be
accessed by users
locally within the
system or across a
wide-area network at
distributed locations.
Acquisition can be
included via integration
with a DICOM -
compatible Imaging
and/or PACS system
configured to forward
images to the XV Web
database. XV Web is
compatible with
programs that run on
standard "off-the-shelf
personal computers,
business computers,
and servers running
standard operating
systems. The system
allows users to:
manipulate (e.gapplication that
receives images and
data from Clio or Clio
Prime sensors and
various imaging
sources (e.g.,
radiographic devices,
digital video capture
devices, and generic
image devices such as
scanners). In addition,
SOTA Cloud Imaging
enables the storage of
clinical notes and
clinical exam data.
SOTA Cloud Imaging
is intended to acquire,
display, process, edit
(e.g., resize, adjust
contrast, annotate,
etc.), review, store,
print, and distribute
images using standard
PC hardware. SOTA
Cloud Imaging is also
intended for use for
diagnostic and non-
diagnostic purposes in
the field of Dentistry by
dental professionals
who are responsible
for providing dental
care.
rotate, flip, etc.);
enhance (e.g.,
increase or decrease
brightness/contrast,
gamma correction);
add labels (e.g.,
measurements, lines,
arrows, etc.),
annotations to patient
images/studies and
other relevant
operations for
diagnostic purposes.
XV Web is designed
for medium to large
dental practices and is
intended for trained
dental professionals
and technicians to
access, manipulate,
and enhance dental
images for diagnostic
Featurespurposes only.
Browsing images by
date and/or source
Viewing an Image
Uploading an Image
file (via integration with
DICOM-compatible
imaging application or
PACS)
Acquiring an Image
from a Web camera
(via integration with
DICOM-compatible
imaging application)Browsing images by
date and/or source
Viewing an Image
Uploading an Image
file
Acquiring an Image
from a Web cam
Acquiring an Image
from a TWAIN device
(via integration withAcquiring an Image
from a TWAIN device
DICOM-compatible
imaging application)
Acquiring an image
from standard dental
imaging devices (via
integration with
DICOM-compatible
imaging application)
Copying an Image to
the local computer
Add labels and
annotations on patient
images (Text, lines,
arrows, ect.)
Saving a Modified
Image
Saving an Image that
has been modified with
labels/overlays.
Annotating an Image
Zooming in on an
Image
Inverting Colors on an
Image
Rotating an Image
(increments of 90
degrees)
Flipping an Image
Horizontally or
Vertically
Image contrast
Increase and decrease
image contrast
Increase and decrease
image brightness,
Adjust gamma function
N/A
N/AAcquiring an image
from standard dental
imaging devices
Copying an Image to
the local computer
Saving a Modified
Image
Annotating an Image
Zooming in on an
Image
Inverting Colors on an
Image
Rotating an image
(increments of 90
degrees)
Flipping an image
Horizontally or
Vertically
N/A
Increase and decrease
contrast
Increase and decrease
brightness
Adjust gamma function
Spotlight sharpness
enhancement tool
Staff audit logging
Technical
Characteristics
N/A/
Cropping image
Inverting colors of an
image
Web-based application
and interface
Secure data
transmission (HTTPS)
Database
Management and
Storage
Secure server and
InfrastructureStaff software-use
analytics
N/A
N/A
Responsive single
page web-based
application and
interface
Secure data
transmission (HTTPS,
TLS v1.2)
Secure Database
Management and
Storage
Secure server and
Infrastructure
Multi-zone redundant,
highly available
DICOM CompliantDICOM File Compliant
Lossless Image
CompressionLossless Image
Compression
Zoom Depth, fit and
relative
XV Web is designed
for medium to large
dental practices and is
intended for trained
dental professionals
and technicians to
access, manipulate
and enhance dental
images for diagnostic
and non-diagnostic
purposes.SOTA Cloud Imaging
is designed for single
dental practice, group
dental practice, and
corporate dental
service organization
environments. SOTA
Cloud Imaging is
intended for trained
dental professionals
and technicians to
access, manipulate,
and enhance dental
images for diagnostic
and non-diagnostic
purposes.

10

11

12

13

14

15

P. Recognized Standards and Not Recognized Standard

SOTA Cloud Imaging is software that conforms to the following recognized standards.

13-79 ISO 14971: Medical Devices-Application of Risk Management to Medical Devices

5-125 IEC 62304: Medical Device Software-Software Life Cycle Processes

NR ISO 13485:2016 Medical devices -- Quality management systems -- Requirements for regulatory purposes

Q. Conclusion

Based on the comparison of intended use, indications for use and technological characteristics, SOTA Cloud Imaging is substantially equivalent to the XV Web predicate. SOTA Imaging has conducted extensive performance testing for validation and verification indicating that SOTA Cloud Imaging provides reliable post-processing information to ensure that SOTA Cloud Imaging provides all the capabilities necessary to operate in a manner substantially equivalent to the XV Web predicate.