K Number
K211114
Device Name
Will3D
Manufacturer
Date Cleared
2021-12-15

(245 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Will3D is a software application used for the display and 3D visualization of medical image files from scanning devices, such as Dental CT scanner. It is intended for use by radiologists, clinicians, referring physicians and other qualified individuals to retrieve, process, render, store, print, assist in diagnosis, and distribute images utilizing standard PC hardware. Additionally, Will3D is a preoperative software application and evaluation and evaluation of dental implants, orthodontic planning and surgical treatments.
Device Description
Will3D is one of the components of a Picture Archiving and Communications System(PACS). Will3D is the software application that provides image viewing and manipulation in the diagnostic imaging setting.
More Information

No
The summary describes standard image viewing and manipulation software for medical images and does not mention AI or ML capabilities.

No
The device is a software application for viewing and manipulating images, assisting in diagnosis, and preoperative planning, but it does not directly apply therapy to a patient.

Yes
The "Intended Use" section explicitly states that the software is intended to "assist in diagnosis." The "Device Description" also mentions its use in a "diagnostic imaging setting."

Yes

The device description explicitly states "Will3D is the software application" and "Will3D is one of the components of a Picture Archiving and Communications System(PACS)". It also mentions utilizing "standard PC hardware" for its function, implying the device itself is the software component running on existing hardware, not a new hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that Will3D is for the display and visualization of medical image files from scanning devices (like Dental CT scanners). It's used by medical professionals to retrieve, process, render, store, print, assist in diagnosis, and distribute images. It also mentions preoperative planning and evaluation for dental procedures.
  • Device Description: It's described as a software application for image viewing and manipulation within a PACS system.
  • Lack of IVD Characteristics: IVD devices are typically used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. Will3D works with images generated in vivo (within the body) by a scanning device.

The functions described for Will3D are consistent with medical image viewing and processing software, which falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

Will3D is a software application used for the display and 3D visualization of medical image files from scanning devices, such as Dental CT scanner. It is intended for use by radiologists, clinicians, referring physicians and other qualified individuals to retrieve, process, render, store, print, assist in diagnosis, and distribute images utilizing standard PC hardware. Additionally, Will3D is a preoperative software application and evaluation and evaluation of dental implants, orthodontic planning and surgical treatments.

Product codes

LLZ

Device Description

Will3D is one of the components of a Picture Archiving and Communications System(PACS). Will3D is the software application that provides image viewing and manipulation in the diagnostic imaging setting.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found.

Input Imaging Modality

CT image data

Anatomical Site

Not Found.

Indicated Patient Age Range

Not Found.

Intended User / Care Setting

radiologists, clinicians, referring physicians and other qualified individuals

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

Not Found.

Key Metrics

Not Found.

Predicate Device(s)

K170180

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).

0

December 15, 2021

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name written out to the right of it. The words "U.S. FOOD & DRUG" are on the first line, and "ADMINISTRATION" is on the second line.

Hdx Will Corp. % Kim In-Young Staff #105, 106, 201, 202, 203, 204, 38, Osongsaengmyeong 4-ro, Osong-eup, Heungdeok-gu Cheongju-si, Chungcheongbuk-do 28161 REPUBLIC OF KOREA

Re: K21114

Trade/Device Name: Will3D Regulation Number: 21 CFR 892.2050 Regulation Name: Medical image management and processing system Regulatory Class: Class II Product Code: LLZ Dated: November 2, 2021 Received: November 12, 2021

Dear Kim In-Young:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

1

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 (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 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,

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) K211114

Device Name Will3D

Indications for Use (Describe)

Will3D is a software application used for the display and 3D visualization of medical image files from scanning devices, such as Dental CT scanner. It is intended for use by radiologists, clinicians, referring physicians and other qualified individuals to retrieve, process, render, store, print, assist in diagnosis, and distribute images utilizing standard PC hardware. Additionally, Will3D is a preoperative software application and evaluation and evaluation of dental implants, orthodontic planning and surgical treatments.

Type of Use (Select one or both, as applicable)
X Prescription I Ise (Part 21 CER 801 Subnart D)Over-The-Counter I lea (21 CER 801 Subnart C)

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Image /page/3/Picture/0 description: The image shows the logo for HDX Will. The logo consists of a green square with a white "W" inside, followed by the text "HDX Will" in blue. The logo is simple and modern, and the colors are bright and eye-catching.

510(k) Summary

[As required by 21 CFR 807.92]

K211114

1. Date Prepared [21 CFR 807.92(a)(1)]

November 2th 2021

2. Submitter's Information [21 CFR 807.92(a)(1)]

- Name of Manufacturer:HDX WILL Corp.
- Address:#105, 106, 201, 202, 203, 204, 38, Osongsaengmyeong
4-ro, Osong-eup, Heungdeok-gu, Cheongju-si,
Chungcheongbuk-do, 28161, Republic of Korea
- Contact Person:In Young Kim / Staff
- Telephone No.:+82-43-710-7318
- Fax No.:+82-43-710-7312
- Email Address:kiy@iwillmed.com
- Registration No.:3013511605

3. Trade Name, Regulation Name, Classification [21 CFR 807.92(a)(2)]

Device NameWill3D
Regulation Number21 CFR 892.2050
Common/Usual NameMedical Image Management and Processing System
Regulatory ClassClass II
Product CodeLLZ
Classification NameSystem, Image Processing, Radiological
PanelRadiology

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Image /page/4/Picture/0 description: The image shows the logo for HDX Will. The logo consists of a green and blue square with the letter "W" in white inside the square. To the right of the square is the text "HDX Will" in blue. The logo is simple and modern.

4. Identification of Predicate Device(s) [21 CFR 807.92(a)(3)[

The identified predicate devices within this submission are shown as follow;

Predicate device

K170180 HDX WILL CORP. Will3D

There are no significant differences between the Will3D and the predicate device that would adversely affect the use of the product. It is substantially equivalent to these devices in design, function, and technical characteristics

5. Description of the Device [21 CFR 807.92(a)(4)]

Will3D is one of the components of a Picture Archiving and Communications System(PACS). Will3D is the software application that provides image viewing and manipulation in the diagnostic imaging setting.

| No. | Feature /
Functionality | Description |
|-----|----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1 | Authentication | Software user authentication process function |
| 2 | License | Software license check function |
| 3 | Main | Software configuration and execution function
View |
| 4 | File | Register/search the data desired by the user in the
database and load the selected data |
| 5 | OTS
DICOM | Scan, organize image files and convert from software to
DICOM image files, process offline media, and send
images over a network connection |
| 6 | MPR | Display the image visualized in 2D/3D and show the
image from a selected direction
A function that visualizes the input DICOM image in
2D/3D and outputs it on the screen, allowing the user to
view the image from the desired direction. |
| 7 | Panorama | Reconfigure the panoramic and cross-sectional images
and draw the nerve in the panoramic image |
| 8 | Implant | Display the Implant Model registered in a database and
virtually place implants in the ideal position |
| 9 | TMJ | Display the 2D/3D images of the TMJ field on the screen
and provide an interface to easily observe the TMJ area |
| 10 | 3D Ceph | Provide the cephalometric analysis and surgical
simulation functions |
| 11 | Face Simulation | A surface model can be created from the input volume |

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Image /page/5/Picture/0 description: The image shows the logo for HDX Will. The logo consists of a blue square with a green upper-right corner and a white "W" inside the square. To the right of the square is the text "HDX Will" in a stylized blue font. The text is slightly slanted to the right.

| | | and 2D photo can be mapped, and the 3D photo created
in this way or the 3D photo created by the equipment can
be mapped to the input volume.
In addition, the function of comparing the image result of
surgical simulation performed by 3D Ceph with the
existing image. | |
|--------|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| 12 | Super imposition | Visually compare and observe changes before and after
surgery by outputting two different volumes on one
screen | |
| 13 | Endoscopy | Provide a virtual endoscopic function for airway
observation | |
| 14 | Report | Create the patient report | |
| | Common | | |
| 15 | View Tool | 'View' motion control function | |
| 16 | Measure Tool | Measure function | |
| 17 | Common Tool | Commonly used functions such as project saving,
printing, screen capture, and software information | |
| 18 | OTF Tool | Adjust the color, transparency, and color range of Volume
Rendering video | |
| Engine | | | |
| 19 | MPR Engine | Generate MPR image | |
| 20 | VR Engine | Create Volume Rendering and Surface Rendering
images (*VR means Volume Rendering) | |
| 21 | OTS 3D
Rendering | Create a 2D/3D screen with texture mapping, special
effects, and other visual functions | |

6. Indications for Use [21 CFR 807.92(a)(5)]

Will3D is a software application used for the display and 3D visualization of medical image files from scanning devices, such as Dental CT scanner. It is intended for use by radiologists, clinicians, referring physicians and other qualified individuals to retrieve, process, render, review, store, print, assist in diagnosis, and distribute images utilizing standard PC hardware. Additionally, Will3D is a preoperative software application used for the simulation and evaluation of dental implants, orthodontic planning and surgical treatments.

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Image /page/6/Picture/0 description: The image shows the logo for HDX Will. The logo consists of a green and blue square with the letter "W" in white inside the square. To the right of the square is the text "HDX Will" in blue.

7. Determination of Substantial Equivalence

Summary of technological characteristics of the device compared to the predicate device. [21 CFR 807.92(a)(6)]

a) Technological Characteristics

Subject DevicePredicate DeviceSE Note
Model NameWill3DWill3D (K170180)-
ManufacturerHDX WILL CORP.HDX WILL CORP.-
K NumberK211114K170180-
Classification
NameSystem, Image Processing,
RadiologicalSystem, Image Processing,
RadiologicalSame
Regulatory
Number21 CFR 892.205021 CFR 892.2050Same
Product CodeLLZLLZSame
ClassificationIIIISame
Indication for
UseWill3D is a software application
used for the display and 3D
visualization of medical image
files from scanning devices,
such as Dental CT scanner. It
is intended for use by
radiologists, clinicians,
referring physicians and other
qualified individuals to retrieve,
process, render, review, store,
print, assist in diagnosis, and
distribute images utilizing
standard PC hardware.
Additionally, Will3D is a
preoperative software
application used for the
simulation and evaluation of
dental implants, orthodontic
planning and surgical
treatments.Will3D is a software application
used for the display and 3D
visualization of medical image
files from scanning devices,
such as Dental CT scanner. It
is intended for use by
radiologists, clinicians,
referring physicians and other
qualified individuals to retrieve,
process, render, review, store,
print, assist in diagnosis, and
distribute images utilizing
standard PC hardware.
Additionally, Will3D is a
preoperative software
application used for the
simulation and evaluation of
dental implants, orthodontic
planning and surgical
treatments.Same
Type of UsePrescription UsePrescription UseSame
ComponentStandalone softwareStandalone softwareSame
Modality
SupportCT image dataCT image data.Same
Operating
SystemWindow 7 or higher and Mac
os Yosemite or higherWindow 7 or higher and Mac
os Yosemite or higherSame
Subject DevicePredicate DeviceSE Note
Model NameWill3DWill3D (K170180)-
Image
Communication
StandardDICOMDICOMSame
Feature/
Functionality- File
  • MPR
  • Panorama
  • Implant
  • TMJ
  • 3D Ceph
  • Face Simulation
  • Super imposition
  • Endoscopy
  • Report | - File
  • MPR
  • Panorama
  • Implant
  • TMJ
  • Orthodontic
  • 3D Ceph
  • Face Simulation
  • Super imposition
  • Endoscopy
  • Report | Same |

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Image /page/7/Picture/0 description: The image contains the logo for HDXWILL. The logo consists of a green square with a white "W" inside, followed by the text "HDXWILL" in a bold, blue font. The logo appears to be for a company or organization.

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Image /page/8/Picture/0 description: The image shows the logo for HDXWill. The logo consists of a green square with a white "W" inside, followed by the text "HDXWill" in blue. The font is sans-serif and the overall design is modern and professional.

b) Differences between Subject and Predicate Devices

The Will3D is substantially equivalent to the predicate device identified above with respect to intended use and technological characteristics. From the information provided in table above, it is understood that the subject device does not introduce any new technology and/or indications of use. Therefore, the Will3D is considered substantially equivalent to the predicate device.

8. Non-Clinical Test Summary

The Will3D contains MODERATE level of concern software. Software was designed and developed according to a software development process and was verified and validated.

Software information is provided in accordance with FDA guidance: "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, issued on May 11, 2005."

Cybersecurity information is provided in accordance with FDA guidance: "Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, issued on October 2, 2014"

9. Conclusion [21 CFR 807.92(b)(3)]

The Will3D has same indications for use and technical characteristic to the predicate device. The differences in technological characteristics do not raise different questions of safety and effectiveness. In addition, performance testing conducted demonstrate that the subject device is as safe as effective as the predicate. Therefore, the subject device is substantially equivalent to the predicate device.