The Precision AI Surgical Planning System (PAI-SPS) is a software and hardware system designed to assist surgeons in preoperative planning and intraoperative guidance for shoulder replacement surgeries. It creates a 3D model of the patient's shoulder joint from CT scans, allowing surgeons to visualize and plan implant placement precisely. Custom surgical guides are also produced to help accurately position shoulder implant components during surgery, enhancing surgical outcomes.
The Precision AI Planning Software is intended to be used as a pre-surgical planner for simulation of surgical interventions for shoulder joint arthroplasty. The software is used to assist in the positioning of shoulder components by creating a 3D bone construct of the joint and allows the surgeon to visualize, measure, reconstruct, annotate and edit pre-surgical plan data. The software leads to the generation of a surgery report along with a pre-surgical plan data file which can be used as input data to design the Precision AI Shoulder Guide and Biomodels. The Precision AI Planning System Guides and Biomodels are intended to be used as patient-specific surgical instruments to assist in the intraoperative positioning of shoulder implant components used with total and reverse shoulder arthroplasty by referencing anatomic landmarks of the shoulder that are identifiable on preoperative CT-imaging scans. The Glenoid Guide is used to place the k-wire and the Humeral Guide is used to place humeral pins for humeral head resection. The Precision AI Guides and Biomodels are indicated for single use only. The Precision AI Surgical Planning System is indicated for use on adult patients that have been consented for shoulder joint arthroplasty. Both humeral and glenoid guides are suitable for a delto-pectoral approach only. The Precision AI Surgical Planning System is indicated for total and reverse shoulder arthroplasty using the following Enovis implant systems and their compatible components: - AltiVate Anatomic Shoulder System (K162024) - AltiVate Anatomic Augmented Glenoid (K213387) - Turon Shoulder System (K111629) - Reverse Shoulder Prosthesis (K051075, K092873, K111629)
The system consists of two main components: the Precision AI Surgical Planning Software which generates a 3D construct of the patient's shoulder joint for surgical planning, incorporating non-adaptive machine or deep learning algorithms for semi-automatic segmentation and landmark identification from CT scans; and the Precision AI Surgical Guides which are patient-specific, 3D-printed surgical instruments manufactured from biocompatible medical grade Nylon (Polyamide-12) to assist intraoperative implant positioning according to the preoperative plan.
Non-clinical performance testing included biocompatibility, dimensional stability, packaging, impact, compression, debris wear, and software validation tests. Performance tests included composite bone model and cadaveric testing. Additionally, a post-market clinical evaluation on 35 subjects was performed with post-operative CT to assess measurement accuracy, demonstrating the device is as safe and effective as the predicate device.
No predicate devices specified
Submission
12/18/2023
FDA Approval
8/5/2024
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