Medical Device Reports (MDRs); MAUDE database; Internal product complaint data
Post-market surveillance data from predicate devices was reviewed to identify potential safety and effectiveness issues and to support the risk assessment for the new device family.
post-market surveillance; MDR; MAUDE; complaint data
Clinical Evidence
Study Design
Population
Comparator
Key Endpoints
Post-market surveillance review of predicate devices; Retrospective review of post-market data
Users of predicate Lares Research handpieces; Number of Sites: Not applicable
Not applicable for this study
Safety and effectiveness issues
Indications for Use
The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces is intended to be used by licensed dental professionals to reduce hard tooth structure, carry out cavity preparations and perform restorative dentistry.
Device Story
Air-driven high-speed turbine dental drills; used by licensed dental professionals in clinical settings for tooth structure reduction, cavity preparation, and restorative dentistry. Device connects to standard ISO 9168 Type 2 or optional Kavo Multi-Flex compatible dental unit hoses. Operates via drive air, cooling air, and water delivered to the cutting bur area; optional solid glass fiber optic element provides illumination. Features push-button chuck for bur retention. Output is mechanical rotation of the bur for dental procedures. Benefits include efficient removal of tooth structure and improved visibility via fiber optics. Substantially equivalent to existing Lares and Kavo handpieces.
Clinical Evidence
No clinical field trials conducted. Substantial equivalence supported by bench testing per ISO 14457:2012, biocompatibility studies, and review of predicate device post-market surveillance data (MDRs, MAUDE, and internal complaint data).
Technological Characteristics
Air-driven turbine; stainless steel exterior; stainless steel and polyphenylsulfone (PPSU) internal passages. ISO 9168 Type 2 or Kavo Multi-Flex compatible connections. Push-button chuck. Optional solid glass fiber optic. Operating pressure 32-40 PSI. Free-running speed 340-510 KRPM. Complies with ISO 14457:2012.
Indications for Use
Indicated for licensed dental professionals performing hard tooth structure reduction, cavity preparation, and restorative dentistry.
Regulatory Classification
Identification
A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.
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Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized image of a human face in profile, with three overlapping profiles to represent the department's focus on health, human services, and the well-being of the nation. The seal is black and white.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
October28, 2014
Lares Research Mr. Jason Orgain Engineering Manager 295 Lockheed Avenue Chico, California 95973
Re: K141221
Trade/Device Name: Lares Research 557 and 757 ProStyle model product family of highspeed handpieces Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece and Accessories Regulatory Class: I Product Code: EFB Dated: September 26, 2014 Received: October 6, 2014
Dear Mr. Orgain:
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.
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Page 2 - Mr. Orgain
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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 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.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
{2}------------------------------------------------
#### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
#### Indications for Use
510(k) Number (if known) K141221
Device Name
Lares Research 557 and 757 ProStyle model product family of high-speed handpieces
Indications for Use (Describe)
The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces is intended to be used by licensed dental professionals to reduce hard tooth structure, carry out cavity preparations and perform restorative dentistry.
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)
PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.
#### FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
This section applies only to requirements of the Paperwork Reduction Act of 1995.
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# Submitter
Lares Research 295 Lockheed Ave Chico. Ca 95973
Contact person: Telephone: Date prepared:
Trade Names:
Common Name:
Classification Name:
Requlation Number:
Classification Code:
#### Device Name
Lares Research 557 and 757 ProStyle model product family of high-speed handpieces High-speed Dental Handpiece High-speed Dental Handpiece 21 CFR 872.4200
#### Predicate Devices
Predicate Device #1:
Predicate Device #2:
Predicate Device #3:
Kavo GENTLEforce 6000B. K073478
Lares Research 557 Turbo+, K780038
Lares Research 757 Workhorse,
## Device Description
The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces are the next generation of the Lares high-speed handpiece product line. The Lares Research 557 and 757 ProStyle model product family of highspeed handpieces are substantially similar to the 557 Turbo+ and 757 Workhorse as they are light weight, air-driven high-speed turbine dental drills connected to standard ISO 9168 Type 2 and Type 3 dental unit hose connections. The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces features include a solid glass fiber optic element and optional Kavo Multi-Flex compatible swivel quick connection.
K905541
## Indications for Use
The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces is intended to be used by licensed dental professionals to reduce
## 807.92(a)(4)
807.92(a)(5)
# 807.92(a)(1)
807.92(a)(2)
227-226-V-A
807.92(a)(3)
EFB
Jason Orgain
May 7, 2014
530-345-1767 ext 2860
{4}------------------------------------------------
hard tooth structure, carry out cavity preparations and perform restorative dentistry.
#### Device Technological Characteristics
#### 807.92(a)(6)
Lares Research 557 ProStyle and 757 ProStyle model product family of highspeed handpieces have ISO 9168 Type 2 connections identical to the 557 Turbo+ and 757 Workhorse, or optional Kavo Multi-Flex compatible connections equivalent to the Kavo GENTLEforce 6000B. The Lares Research 557 and 757 Pro-Style model product family of high-speed handpieces have a maximum input air and cooling fluid pressure of 40 PSI, similar to the Kavo GENTLEforce 6000B. The Lares Research 557 and 757 ProStyle model product family of high-speed handpieces also have push button chuck operation and have optional fiber optics for lighted operation equivalent to the 757 Workhorse. Cooling fluid and atomizing spray connections are integral to the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces similar to all the predicate devices. Materials used in the construction of the Lares Research 557 ProStyle and 757 ProStyle model product family of high-speed handpieces include a stainless steel exterior and stainless steel and polymer interior (see Summary Table of Technological Characteristics).
| Summary Table of Technological Characteristics | | | | | |
|------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------------------|
| Product Characteristic | Lares 557 ProStyle | Lares 757<br>ProStyle | Lares 557<br>Turbo+<br>(K780038) | Lares 757<br>Workhorse<br>(K905541) | Kavo 6000B<br>(K073478) |
| Indications for use | The Lares Research 557 and<br>757 ProStyle model product<br>family of high-speed<br>handpieces is intended to be<br>used by licensed dental<br>professionals to reduce hard<br>tooth structure, carry out cavity<br>preparations and perform<br>restorative dentistry. | Identical | Equivalent | Equivalent | Equivalent |
| Basic operation | The handpiece is connected to<br>a dental tubing which delivers<br>drive air, cooling air and water<br>to the cutting bur area. Optional<br>fiber optics deliver light to the<br>cutting area. | Identical | Identical | Identical | Identical |
| Handpiece/ hose<br>connection | ISO 9168 type 2 or Kavo Multi-<br>Flex compatible (optional) | ISO 9168 type 2<br>or Kavo Multi-<br>Flex compatible<br>(optional) | ISO 9168 type<br>2 | ISO 9168 type<br>2 | Kavo Multi-<br>Flex |
| Fiber optics | Solid glass rod (optional) | Solid glass rod<br>(optional) | N/A | Bundled glass<br>fiber (optional) | Solid glass<br>rod (optional) |
| Handpiece head<br>dimensions | Head diam. = 0.410" (10.4mm)<br>Head length =0.486" (12.3mm) | Head diam. =<br>0.510" (13.0mm)<br>Head length<br>=0.583" (14.8mm) | Head diam. =<br>0.400"<br>(10.2mm)<br>Head length<br>=0.486"<br>(14.8mm) | Head diam. =<br>0.510"<br>(13.0mm)<br>Head length<br>=0.583"<br>(14.8mm) | Head diam. =<br>0.493"<br>(12.5mm)<br>Head length<br>=0.516"<br>(13.1mm) |
{5}------------------------------------------------
| Overall handpiece length | 4.61" (117.1mm) - Multi-Flex<br>compatible; 5.46" (138.7mm) -<br>ISO 9168 Type 2 connection | 4.75" (120.7mm)<br>- Multi-Flex<br>compatible; 5.59"<br>(142.0/mm) - ISO<br>9168 Type 2<br>connection | 5.50"<br>(139.7/mm) -<br>ISO 9168 Type<br>2 connection | 5.60"<br>(142.2/mm) -<br>ISO 9168 Type<br>2 connection | 4.67"<br>(118.6mm)<br>Multi-Flex<br>connection |
|------------------------------------------------------------|---------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------|--------------------------------------------------------|--------------------------------------------------------|-------------------------------------------------------|
| Type of chuck | Friction grip Push-button | Friction grip<br>Push-button | Friction grip<br>Wrench type | Friction grip<br>Push-button | Friction grip<br>Push-button |
| Materials used in patient-<br>contact surfaces (external) | Stainless steel | Stainless steel | Stainless steel | Stainless steel | Information<br>not available |
| Materials used in the water<br>and air passages (internal) | Stainless steel,<br>polyphenylsulfone (PPSU) | Stainless steel,<br>polyphenylsulfone<br>(PPSU) | Stainless steel | Stainless steel | Information<br>not available |
| Operating pressure | 32 - 40 PSI | 32 - 40 PSI | 32 - 40 PSI | 32 - 40 PSI | 30 - 51 PSI,<br>40 PSI<br>recommended |
| Free-running speed | 450-510 KRPM | 340-400 KRPM | 450-510 KRPM | 340-400 kRPM | 370 KRPM |
| Compliance Standards | Complies with ISO 14457 | Complies with<br>ISO 14457 | Complies with<br>ISO 7785-1 | Complies with<br>ISO 7785-1 | Complies with<br>ISO 7785-1,<br>ISO 7405,<br>ISO 9168 |
# Nonclinical Tests Discussion
Nonclinical tests included:
Performance tests in accordance to international standards ISO 14457: 2012 for air-driven high-speed dental handpieces have been conducted to determine conformance to the standards for the intended use. Biocompatibility and Sterilization studies have been completed using master device samples of the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces. The master device sample Lares Research 557 and 757 ProStyle model high-speed handpiece passed all the applicable tests of ISO 14457: 2012.
# Clinical Test Discussion
No clinical field trials have been conducted with the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces.
Data from predicate device post market surveillance. MDR's. MAUDE, and internal Lares Research product complaint data was reviewed to identify potential safety and effectiveness issues that would need to be addressed. No additional issues were identified and the Risk Assessment report for the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces is a record of this review.
# Conclusion
The Lares Research 557 and 757 Pro-Style model product family of high-speed handpieces has an equivalent intended use and identical operation as well as substantially similar technological specifications as the predicate devices (Lares Research and Kavo 6000B high-speed handpiece products). The feature
Page 3 of 5
807.92(b)(3)
807.92(b)(2)
807.92(b)(1)
{6}------------------------------------------------
updates incorporated into the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces were made to change the material of the fiber optic elements of the handpiece. Data from biocompatibility evaluations. sterilization testing and field experience of predicate devices indicate the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces pose no additional risks.
Based on the device technological characteristics comparison, nonclinical tests discussion, clinical test discussion and specification comparison the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces is substantially equivalent to the 557 Turbo+, 757 Workhorse and Kavo 6000B handpieces.
#### Guidance document used:
www.fda.gov./.../ucm142651.htm - Content of a 510(k); 510(k) Summary section. This document was used to establish the content for this section.
#### Format for Traditional and Abbreviated 510(K)s
This guidance document provides a process to determine which type of 510(k) submission best suits this product, and the format of the premarket 510(k) document. Based on the information provided, Lares Research determined the Abbreviated 510(k) would be best suited. Specific recommended forms and section headers indicated in this guidance document were used to create the basic formatting for the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces 510(k) document. Any guidance document listed as a reference for further information in each section was also reviewed and included in this premarket 510(k) document as needed.
#### Bundling Multiple Devices or Multiple Indications in a Single Submission
This quidance document was used to determine if the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces could be bundled into a single premarket notification. Based on the discussion in Section B of this guidance document, it was decided that the Lares Research 557 and 757 ProStyle model product family of high-speed handpieces has equivalent indications for use and substantially equivalent performance and technological characteristics, which would allow all Lares Research 557 and 757 ProStvle model product family of high-speed handpieces to be bundled into one 510(k) premarket notification.
#### Dental Handpieces - Premarket Notification [510(k)] Submissions
This guidance document provided specific dental product references for formatting and for information to be included in each section of the 510(k) document. This document also provided a list of standards which are recognized by the FDA for this product code. Specific performance and construction information recommended in this guidance document was also included in the 510(k) premarket notification document.
{7}------------------------------------------------
The New 510(k) Paradigm, Alternate Approaches to Demonstrating Substantial Equivalence in Premarket Notifications.
This guidance document was used to structure the data supporting substantial equivalence between existing legally marketed products and Lares Research 557 and 757 ProStyle model product family of high-speed handpieces.
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Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.