K Number
K163282
Manufacturer
Date Cleared
2017-02-28

(99 days)

Product Code
Regulation Number
872.1800
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Apex Dental Sensors is intended to be used for a radiographic examination by a dental professional to assist in the diagnosing of diseases of the teeth, jaw and oral structures.

Device Description

The Apex Dental Sensors is an electronic medical device used to acquire intra-oral radiographic images. The sensor can be operated by Radiologists, Dental Assistants and other healthcare professionals, who are both trained and competent to take Dental X-ray radiographs. Intra-oral positioning of the sensor is accomplished by the use of dedicated intra-oral positioning devices that facilitate the accurate alignment of the x-ray beam. The sensor may also be aligned with the assistance of the patient. The Apex Dental Sensors is an indirect light converting digital x-ray detector. A scintillating device composed of Cesium Iodide (Csl) converts incident x-rays into visible light that is optically coupled to a light detection imager based on CMOS technology. The Apex Dental Sensors allow for automatic detection of such incident x-rays in order to generate data. Software interprets this data into images used for dental applications. The Apex Dental Sensors support USB 2.0 direct connectivity to personal computers and or laptops with dedicated electronics and a sensor software driver. The subject device does not control the generator, it is only a receiver. The X-ray system and the software used are not a part of this submission.

AI/ML Overview

The provided document is a 510(k) premarket notification for a medical device called "Apex Dental Sensors". The purpose of this notification is to demonstrate substantial equivalence to a legally marketed predicate device, QuickRay HD Intraoral Sensor (K151926).

The document does not describe a study involving patient data, expert evaluation, or MRMC comparative effectiveness to establish the device's performance in a clinical context or against specific acceptance criteria related to diagnostic accuracy. Instead, the performance data presented focuses on engineering and safety standards to show that the new device performs equivalently to its predicate.

Therefore, many of the requested items (sample size, data provenance, number of experts, adjudication method, MRMC study, standalone performance, training set details) are not applicable or cannot be extracted from this specific 510(k) summary.

Here's a breakdown based on the information available:


1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria provided are primarily based on equivalence to the predicate device and conformity to various engineering and safety standards. There are no clinical performance acceptance criteria (e.g., sensitivity, specificity for detecting a specific disease) reported in this document.

ParameterAcceptance Criteria (Equivalent to Predicate / Standard Conformance)Reported Device Performance
General
Intended UseEquivalent to PredicateRadiographic examination to assist with diagnosis of diseases of the teeth, jaw, and oral structure
Indications for UseEquivalent to PredicateIntended to be used for a radiographic examination by a dental professional to assist in the diagnosing of diseases of the teeth, jaw and oral structures.
Classification (Class, Panel)Equivalent to PredicateClass II, Dental Panel
Common NameEquivalent to PredicateIntraoral Digital x-ray Sensor
Product CodeEquivalent to PredicateMUH
Regulation NumberEquivalent to Predicate21 CFR 872.1800
Classification NameEquivalent to PredicateExtraoral source x-ray System
Key Features
Number of SensorsEquivalent to Predicate2
Cable LengthEquivalent to Predicate2m
Pixel SizeEquivalent to Predicate20 x 20μm
ResolutionEquivalent to Predicate20 Lp/mm typ (S11684-12)
TechnologyEquivalent to PredicateCMOS chip +optical fiber plate + CsI scintillator
Matrix dimensions (Active Area)Equivalent to Predicate600mm² (Size 1), 884mm² (Size 2)
Principles of OperationEquivalent to PredicateX-ray (radiation) => scintillator (convert to light) => fiber optic (filtering) => CMOS (convert to digital) => electronics => PC (capture & display image)
Software-Image ManagementEquivalent to Predicate (Apteryx XrayVision)Apteryx XrayVision
Sensor BoardEquivalent to Predicate (control electronics integrated on CMOS chip)All control electronics directly integrated on CMOS sensor chip
Sensor Input VoltageEquivalent to Predicate (5V)USB2.0 (5V, 4.25min)
Operating TemperatureEquivalent to Predicate (0°C to 35°C)0°C ~ +35°C
Other Requirements / Standards
Recommended PC RequirementsComparable to PredicateProcessor: Intel 1.2GHz or above, Memory: 1G+, Hard disk: 40G+, Interface: USB 2.0, Display: 1024x758+, OS: Windows XP, IEC 60950-1:2005 compliant PC.
Connection to Imaging PCEquivalent to Predicate (USB 2.0)USB 2.0 Interface
Electrical SafetyConformance to IEC 60601-1-1Conforms to AAMI ES 60601-1:2005/(R) 2012
EMCConformance to IEC 60601-1-2Conforms to IEC 60601-1-2 - Edition 3-2007, IEC 61326-1
Performance ImagingConformance to IEC 6220-1Conforms to IEC 6220-1:2003 (Determination of DQE)
Dental X-ray EquipmentConformance to IEC 60601-2-65Conforms to IEC 60601-2-65:2012
FDA GuidanceConformance to Solid State X-ray Imaging Devices guidanceIn compliance with FDA guidance document (Solid State X-ray Imaging Devices)

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This document describes a premarket notification based on technical and performance equivalence to a predicate device and adherence to industry standards, not a clinical study with a test set of patient data. Therefore, this information is not applicable and not provided.


3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable, as no clinical test set requiring expert ground truth establishment is described.


4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable, as no clinical test set is described.


5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is an intraoral digital x-ray sensor, a hardware component for image acquisition, not an AI-powered diagnostic software. Therefore, an MRMC study related to AI assistance for human readers is not relevant or described.


6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. This is a hardware sensor, not an algorithm, so standalone AI performance is not relevant.


7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

Not applicable, as no clinical study requiring ground truth is described. The "ground truth" in this context is the predicate device's established performance and the requirements of various engineering and safety standards.


8. The sample size for the training set

Not applicable. This is a hardware device; thus, there is no AI model requiring a training set.


9. How the ground truth for the training set was established

Not applicable, as there is no training set for an AI model.

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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, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized design featuring three profiles facing to the right, with flowing lines above them. The design is simple and monochromatic.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

February 28, 2017

Masterlink LLC % Parul Chansoria Regulatory Consultant Elexes 6494 Tralee Village Drive DUBLIN CA 94568

Re: K163282

Trade/Device Name: Apex Dental Sensors Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: MUH Dated: February 6, 2017 Received: February 6, 2017

Dear Parul Chansoria:

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.

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.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free 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" (21 CFR 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 Industry and Consumer Education 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.

Michael D'Hara
For

Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K163282

Device Name Apex Dental Sensors

Indications for Use (Describe)

The Apex Dental Sensors is intended to be used for a radiographic examination by a dental professional to assist in the diagnosing of diseases of the teeth, jaw and oral structures.

Type of Use (Select one or both, as applicable)

X 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)

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This 510(k) Summary has been created per the requirements of the Safe Medical Device Act (SMDA) of 1990, and the content is provided in conformance with 21 CFR Part 807.92.

Submitter's Information

Table 1 : Submitter's Information
Submitter's Name:Tom Birney, CEOMasterlink, LLC.
Address:24654 N. Lake Pleasant ParkwaySuite 103-501 Peoria, AZ 85383
Contact Person:Ms. Parul ChansoriaFounder, Elexes
Phone:650-528-2445
Fax:----------
Email:parul@elexes.com
Date of SummaryPreparation:11-11-2016

Device Information

Table 2 : Device Information
Trade Name:Apex Dental Sensors
Common Name:Intraoral Digital x-ray Sensors
ClassificationName:Extraoral source x-ray system
ClassificationNumber:Class II per 21 CFR 872.1800
Product Code:MUH
ClassificationPanel:Dental

Predicate Device Information

QuickRay HD Intraoral Sensor (K151926)

Device Description

The Apex Dental Sensors is an electronic medical device used to acquire intra-oral radiographic images. The sensor can be operated by Radiologists, Dental Assistants and other healthcare professionals, who are both trained and competent to take Dental X-ray radiographs. Intra-oral

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positioning of the sensor is accomplished by the use of dedicated intra-oral positioning devices that facilitate the accurate alignment of the x-ray beam. The sensor may also be aligned with the assistance of the patient. The Apex Dental Sensors is an indirect light converting digital x-ray detector. A scintillating device composed of Cesium Iodide (Csl) converts incident x-rays into visible light that is optically coupled to a light detection imager based on CMOS technology. The Apex Dental Sensors allow for automatic detection of such incident x-rays in order to generate data. Software interprets this data into images used for dental applications. The Apex Dental Sensors support USB 2.0 direct connectivity to personal computers and or laptops with dedicated electronics and a sensor software driver. The subject device does not control the generator, it is only a receiver. The X-ray system and the software used are not a part of this submission.

MFR.ModelKv/mAAdultChild
AnteriorPosteriorAnteriorPosterior
ProgenyPreva65*/*7.080-.125.125-.200.040-.064.064-.100
SironaHeliodent Plus70*/7.06-.10.10-.16.04-.06.04-.08
SironaHeliodent DS60/7.80-.12.12-.20.04-.06.04-.10
Gendex765DC/Expert DC65/7.080-.125.125-.200.040-.063.040-.100
Gendex77070/76-7 Pulses7-10 Pulses4-5 Pulses5-7 Pulses
PlanMecaIntra66*/8*.080-.120.120-.200.040-.080.040-.100
BelmontBelray70/7*.06-.10.10-.16.04-.06.04-.08
AribexNormad (Handheld)60/2.5.34-.40.40-.50.25-.30.30-.36

The following are the types of x-ray systems that would integrate with the Apex Dental Sensors.

  • Adjustable

The following hardware and software requirements need to be taken into account to ensure successful integration of Apex Dental Sensors with the X-ray systems.

Hardware requirements:

The type of x-ray systems that integrate with the Apex Dental Sensors are wall-mounted x-ray generators (both AC and DC) with a tube current between 1 and 15 mA inclusive, and with a tube voltage between 50 and 100 kV inclusive, with in-built controls to set exposure parameters. Generators allow variable mA/kV to be selected, all will control the exposure time.

The subject device is only a receiver, and not a controller. The subject device and the software cannot act as the controller of an x-ray generators are controlled by built-in controllers.

Software requirements:

The Apteryx Xray Vision software needs assistance from a TWAIN driver to recognise X-ray images. The recommended requirements for PC hardware for the sensor and software combination would be:

  • . Processor: Intel 1.2GHz chip or above
  • . Memory: Above 1G
  • . Hard disk: Above 40G

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  • Interface: USB 2.0
  • Display: Resolution 1024 × 758 (15") or above
  • Operating System: Windows XP
  • . The computer connected to system shall be in accordance with IEC 60950-1:2005

Indications for Use

The Apex Dental Sensors is intended to be used for a radiographic examination by a dental professional to assist in the diagnosing of diseases of the teeth, jaw and oral structures.

Technological Characteristics

The Apex Dental Sensors (Subject Device) makes use of a Predicate Device, QuickRay HD Intraoral Sensor (K151926). The detectors in Apex Dental Sensors are the same as the detectors in the predicate device. The subject device and the predicate device are identical and sourced from the same supplier Hamamatsu. The model numbers of the Apex dental sensors are:

  • S11684-12 is Size #1 ●
  • S11685-12 is Size #2 .
Table 3: Substantial Equivalence Table for Apex Dental Sensors
ParameterProposed Device (SubjectDevice) Apex DentalSensorsQuickRay HDIntraoral Sensor(Predicate Device)K151926Equivalence
General
ManufacturerMasterlink LLCDenterpriseInternational, Inc.Equivalent
Intended UseRadiographic examinationto assist with diagnosis ofdiseases of the teeth, jaw,and oral structureRadiographicexamination to assistwith diagnosis ofdiseases of the teeth,jaw, and oralstructureEquivalent
Indication for UseThe Apex Dental Sensors isintended to be used for aradiographic examination bya dental professional to assistin the diagnosing of diseasesof the teeth, jaw and oralstructures.QuickRay HD isused for aradiographicexamination by adental professional toassist in thediagnosing ofdiseases of the teeth,jaw and oralstructuresEquivalent
ClassIIIIEquivalent
Common NameIntraoral Digital x-raySensorIntraoral Digital x-ray sensorEquivalent
Table 3: Substantial Equivalence Table for Apex Dental Sensors
ParameterProposed Device (Subject Device) Apex Dental SensorsQuickRay HD Intraoral Sensor (Predicate Device) K151926Equivalence
Product CodeMUHMUHEquivalent
Classification PanelDentalDentalEquivalent
Regulation Number21 CFR 872.180021 CFR 872.1800Equivalent
Classification NameExtraoral source x-ray SystemExtraoral source x-ray systemEquivalent
Key Features
Number of Sensors22Equivalent
Cable Length2m2mEquivalent
Pixel Size20 x 20μm20 x 20μmEquivalent
Resolution20 Lp/mm typ (S11684-12)>= 20 Lp/mmEquivalent
TechnologyCMOS chip +optical fiber plate + CsI scintillatorCMOS chip +optical fiber plate + CsI scintillatorEquivalent
Matrix dimensions (mm²)Sensor Active Area:600mm² (Size 1)884mm² (Size 2)Sensor Active Area:600mm² (Size 1)884mm² (Size 2)Equivalent
Principles of OperationX-ray (radiation) =>scintillator (convert tolight) => fiber optic(filtering) => CMOS(convert to digital)=>electronics=> PC (capture& display image)X-ray (radiation) =>scintillator (convertto light) => fiberoptic (filtering) =>CMOS (convert todigital)=>electronics=> PC(capture & displayimage)Equivalent
Other Requirements
Recommended PC RequirementsProcessor: Intel 1.2GHzchip or above;Memory: Above 1G ;Hard disk: Above 40G;Interface: USB 2.0;Display: Resolution 1024 ×758 (15") or aboveOperating System:Windows XPThe computer connected tosystem shall be inaccordance with IEC60950-1:2005.Pentium 4 or betterprocessor. At least 1GB RAM, 200MB ofhard drive space forthe software, plusadditional space forthe user database(recommended 40GBminimum), USB 2.0or 3.0 and 100MBwired Ethernetconnection is neededif networked.Equivalent
Table 3: Substantial Equivalence Table for Apex Dental Sensors
ParameterProposed Device (SubjectDevice) Apex DentalSensorsQuickRay HDIntraoral Sensor(Predicate Device)K151926Equivalence
Connection toImaging Practice PCUSB 2.0 InterfaceUSB 2.0 High-SpeedEquivalent
Software-ImageManagementApteryx XrayVisionApteryxXrayVisionEquivalent
Sensor BoardAll control electronicsdirectly integrated onCMOS sensor chipAll controlelectronics directlyintegrated on CMOSsensor chipEquivalent
Sensor input voltageand currentUSB2.0 (5V, 4.25min)5V (via USBconnection); 0.15AMaxEquivalent
OperatingTemperature0°C~+35°C0 °C to 35 °CEquivalent
Electrical Safety
Standards ofConformityIEC 60601-1-1 (Electrical)IEC 60601-1-2 (EMC)62220-1 (Performance)IEC 61326-1 (EMC)IEC 60601-2-65(Electrical)IEC 60601-1(Electrical); IEC60601-1-2 (EMC)62220-1(Performance) 60529(IP Code)Equivalent

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Similarities

  • . The Apex Dental Sensors and Predicate Device both are available in two sizes
  • The interface to PC of both Apex Dental Sensors and the Predicate is USB
  • . Both Apex Dental Sensors and the Predicate Sensor use CMOS technology, the pixel size for both sensors is 20 x 20um
  • The Sensor Active Area for Apex Dental Sensors and Predicate Device is the same i.e., 600mm² ●

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(Size 1) and 884mm² (Size 2)

  • . The principles of operation of Apex Dental Sensors and Predicate Device is the same, i.e., X-ray (radiation)=> scintillator (convert to light) => fiber optic (filtering) => CMOS (convert to digital)=> electronics=> PC (capture & display image)
  • The Software-Image Management of Apex Dental Sensors and Predicate Device is the same, i.e., Apteryx XrayVision which has been cleared by the FDA under (K983111)
  • Both Apex Dental Sensors and Predicate Device have all control electronics directly integrated on CMOS sensor chip
  • . The sensor input voltage is 5V in both Apex Dental Sensors and Predicate Device
  • . The operating temperature of Apex Dental Sensors and Predicate Device is also comparable, i.e., 0°C~+35°C
  • . The Apex Dental Sensors and the Predicate Device are tested per IEC 60601-1-1 and 60601-1-2 for Electrical Safety and Electromagnetic compatibility
  • . The recommended PC requirements in Apex Dental Sensors and the Predicate Device is also comparable. The processor that is recommended for Apex Dental Sensors is Intel 1.2GHz chip or above whereas the processor for the Predicate Device is Pentium 4 or better.
  • The Apex Dental Sensors and the Predicate Device have the same sensor resolution.
  • The Apex Dental Sensors and the Predicate have the same cable lengths. The sensor cable length in Apex Dental Sensors is 2m and in Predicate Device is also 2m.
  • . The interface for Apex Dental Sensors requires USB 2.0, and the Predicate Device also utilizes USB 2.0.

Performance Data

The following Performance testing has been performed on the Subject Device in accordance with appropriate FDA guidance documents and relevant standards, to support the determination of substantial equivalence. The test data showed that the Subject device is safe and effective for its intended use.

  • . The Subject Device was tested to conform to the electrical and safety requirements established in AAMI ES 60601-1:2005/(R) 2012 and the electromagnetic compatibility requirements in IEC 60601-1-2 - Edition 3-2007
  • . The Subject Device was also tested to conform to IEC 6220-1:2003 - Determination of the Detective Quantum Efficiency Detectors used in Radiographic Imaging
  • . The Subject Device is in compliance with IEC 60601-2-65:2012 – Particular requirements for the basic safety and essential performance of dental intra-oral X-ray equipment
  • . The Subject Device is also in compliance with FDA guidance document - Guidance for the submission of 510(k)s for Solid State X-ray Imaging Devices

Conclusion

The Apex Dental Sensors is substantially equivalent to the Predicate, and does not raise any new or different questions of safety or effectiveness. The subject and the predicate devices are identical, the only difference exists in the trade names (for marketing purposes).

§ 872.1800 Extraoral source x-ray system.

(a)
Identification. An extraoral source x-ray system is an AC-powered device that produces x-rays and is intended for dental radiographic examination and diagnosis of diseases of the teeth, jaw, and oral structures. The x-ray source (a tube) is located outside the mouth. This generic type of device may include patient and equipment supports and component parts.(b)
Classification. Class II.