K Number
K212105

Validate with FDA (Live)

Date Cleared
2021-08-23

(48 days)

Product Code
Regulation Number
892.1680
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Solid State X-ray Imager (Flat Panel/Digital Imager) Indicated for use in generating radiographic images of human anatomy. Intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding dental, fluoroscopic, angiographic, and mammographic applications.

Device Description

The PZMEDICAL devices are used in medical x-ray imaging systems. The product can only be used by trained personnel of medical facilities. The product is only used for diagnostic x-ray image acquisition applications. The flat panel detector consists of a Csl scintillator screen and thin-film transistors. The scintillator screen converts the x-rays into visible light. Thin-film transistors convert the visible light to an electrical charge. The flat panel detector can then obtain a digital image by analog to digital conversion and associated circuits. These panels can be used to acquire diagnostic x-ray images as an upgrade to traditional film systems. They can be used wired (Ethernet) or wirelessly (Wi-Fi) and are powered either by AC Line or by rechargeable batteries. The various models are constructed similarly to our previous models cleared in K170480. The suffix "ZF" means FINE pixel size, 99 µm Z means standard pixel size, 139 µm. All models have a battery life indicator. The supporting software PZDR is functionally the same as provided with the predicate. The software performs acquisition of the RAW image and converts it to DICOM format and performs operations as described in the comparison table below. It is functionally unchanged from the predicate software.

AI/ML Overview

The provided text does not contain detailed information about specific acceptance criteria and a study proving a device meets these criteria in the context of an AI/ML-driven medical device. Instead, it is a 510(k) summary for a set of Solid State X-ray Imager (Flat Panel/Digital Imager) devices, which are hardware components (digital X-ray detectors) used to generate radiographic images.

The document discusses the substantial equivalence of these new models to a previously cleared predicate device, focusing on technological characteristics and non-clinical testing for general medical device safety and performance standards. It explicitly states: "Clinical testing. Not required for a determination of substantial equivalence."

Therefore, I cannot provide the requested information about acceptance criteria for an AI/ML device, its performance, sample sizes for test sets, expert qualifications, adjudication methods, MRMC studies, standalone performance, or training set details because:

  • The device is not described as an AI/ML device. It's a digital X-ray detector, a hardware component.
  • The assessment is based on substantial equivalence to a predicate device, not on specific performance criteria for an AI/ML model.
  • Clinical testing was "Not required" for this 510(k) submission, meaning detailed performance studies as would be expected for an AI/ML diagnostic tool were not conducted or reported here.

However, I can extract the provided "performance" information based on technological characteristics and present it in a table format, comparing the new device models to the predicate device, as this is the closest available information to "device performance" in the given document.


Acceptance Criteria and Reported Device Performance (based on Technological Characteristics Comparison for Substantial Equivalence)

Since this submission is for a conventional medical imaging device (digital X-ray detectors) and not an AI/ML device requiring clinical performance criteria like sensitivity, specificity, or AUC, the "acceptance criteria" can be inferred from the technological characteristics that demonstrate substantial equivalence to the predicate device. The "reported device performance" are the values for these characteristics.

1. Table of Acceptance Criteria (Inferred from Predicate) and Reported Device Performance

Characteristic (Inferred "Acceptance Criteria" based on Predicate)Predicate Device (K170480 Models) Value(s)New Device Models (6543Z, 4386Z, etc.) Value(s)Comparison Result / "Performance"
PZ Medical X-ray Detectors
Pixel Pitch ($\mu m$)1403025Z, 3030Z, 3543Z, 4343Z, 4386Z, 6543Z: 139 3025ZF: 77 3543ZF, 4343ZF: 99Similar to or better than predicate
Limiting Resolution (lp/mm)3.63025Z, 3030Z, 3543Z, 4343Z, 4386Z, 6543Z: 3.6 3025ZF: 5.9 3543ZF, 4343ZF: 4.9Same as or better than predicate
DQE at 2 lp/mm (Csl detectors only)32%3025ZF: 36% 3543ZF, 4343ZF: 37% 6543Z, 4386Z, 4343Z, 3543Z, 3030Z, 3025Z: 35%Similar performance (only Csl for new models)
MTF at 2 lp/mm (Csl detectors only)33%3025ZF: 43% 3543ZF, 4343ZF: 42% 6543Z, 4386Z, 4343Z, 3543Z, 3030Z, 3025Z: 39%Similar or better performance
A/D Conversion (bit)1616SAME
Active Area Range (Inches)From 11.3x11.3 to 42.3x16.9From 11.4x9.8 (3025Z) to 25.6x16.9 (6543Z)Similar range of active areas
Dimensions (mm)e.g., 460x460x15 (4343A)e.g., 315x278x15 (3025Z) to 460x676x15 (6543Z)Similar range of dimensions
Pixel Count (Million)From 4.2 (2929A) to 23.6 (A843B)From 3.7 (3025Z) to 18.9 (4386Z)Similar range
Weights (kg)From 1.5 (wired 2929A) to 10.9 (wired A843B)From 1.5 (wired 3025Z/ZF) to 7.0 (wired 6543Z)Similar range
InterfaceWired: Gigabit Ethernet, Wireless: IEEE802.11acWired: Gigabit Ethernet, Wireless: IEEE802.11acSAME
Power SourceAC Line and/or Rechargeable Lithium BatteryAC Line and/or Rechargeable Lithium BatterySAME
Electrical Safety and EMC Standards ComplianceIEC 60601-1, IEC 60601-1-2, IEEE 802.11ac, FCCIEC 60601-1, IEC 60601-1-2, IEEE 802.11ac, FCCSAME
Software Functionality (e.g., DICOM output, Patient Management, Image Processing)YesYes (functionally unchanged from predicate software)SAME

Additional Information (Not Applicable or Not Provided for an AI/ML Device)

  1. Sample size used for the test set and the data provenance: Not applicable in the context of performance testing for an AI/ML device, as no clinical performance study was reported. Non-clinical bench testing was performed to demonstrate technical characteristics.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for an AI/ML model was not established as described.
  3. Adjudication method for the test set: Not applicable.
  4. 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: No MRMC study was done, as this is not an AI-assisted device.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
  6. The type of ground truth used: For the technical performance characteristics listed (e.g., pixel pitch, resolution, DQE, MTF), the "ground truth" is established through physical measurements and engineering specifications according to recognized industry standards (e.g., IEC).
  7. The sample size for the training set: Not applicable, as this is not an AI/ML device requiring a training set.
  8. How the ground truth for the training set was established: Not applicable.

Summary of Study Type:

The study described is a non-clinical bench testing and technological comparison study to demonstrate substantial equivalence of new digital X-ray detector models to a previously cleared predicate device. It primarily focuses on the physical and technical specifications of the detectors and their associated software's functional equivalence, adhering to general medical device safety and performance standards. Clinical testing was not required for this submission.

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Image /page/0/Picture/0 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 and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

PZMedical Technology Co., Ltd. % Mr. Daniel Kamm Principal Engineer Kamm & Associates 8870 Ravello Ct NAPLES FL 34114

Re: K212105

Trade/Device Name: 6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF, 3030Z, 3025ZF Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: July 1, 2021 Received: July 6, 2021

Dear Mr. Kamm:

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

August 23, 2021

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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

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Indications for Use

510(k) Number (if known) K212105

Device Name

6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF, 3030Z, 3025Z, 3025ZF;

Indications for Use (Describe)

Solid State X-ray Imager (Flat Panel/Digital Imager) Indicated for use in generating radiographic images of human anatomy. Intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding dental, fluoroscopic, angiographic, and mammographic applications.

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)

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510(k) Summary K212105

Image /page/3/Picture/1 description: The image shows the logo for PZ Medical. The logo consists of a blue emblem above the words "PZ MEDICAL" in blue font. The emblem is made up of three blue squares, with a stylized "Z" shape running through them. The text is in a bold, sans-serif font.

PZMEDICAL TECHNOLOGY CO., LTD. 5F, Building 13 No. 2 Suide Road Putuo District Shanghai, CN 200331

Administrative Information 1. Submitter: PZMEDICAL TECHNOLOGY CO., LTD. Submission contact person: Thomas Gourgon tgourgon@pzimaging.com Contact telephone: 310-381-3800 Date prepared: July 23, 2021 ldentification: 6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF, 3030Z, 3025Z, 3025ZF 2. Classification Name: Stationary X-Ray System Classification Panel: Radiology Classification Regulation: 21 CFR §892.1680 Device Class: Class II Product Code: MQB

    1. Substantially equivalent device: Manufacturer: Trade Name:
      PZMEDICAL TECHNOLOGY CO., LTD. Models 3543A, 4343A, 2929A and A843B K170480 Stationary X-Ray System Radiology 21 CFR §892.1680 Class II MQB

4. Device description:

510(k) Number:

Device Class:

Product Code:

Classification Name:

Classification Panel:

Classification Regulation:

The PZMEDICAL devices are used in medical x-ray imaging systems. The product can only be used by trained personnel of medical facilities. The product is only used for diagnostic x-ray image acquisition applications. The flat panel detector consists of a Csl scintillator screen and thin-film transistors. The scintillator screen converts the x-rays into visible light. Thin-film transistors convert the visible light to an electrical charge. The flat panel detector can then obtain a digital image by analog to digital conversion and associated circuits. These panels can be used to acquire diagnostic x-ray images as an upgrade to traditional film systems. They can be used wired (Ethernet) or wirelessly (Wi-Fi) and are powered either by AC Line or by rechargeable batteries. The various models are constructed similarly to our previous models cleared in K170480. The suffix "ZF" means FINE pixel size, 99 µm Z means standard pixel size, 139 µm. All models have a battery life indicator. The supporting software PZDR is functionally the same as provided with the predicate. The software performs acquisition of the RAW image and converts it to DICOM format and performs operations as described in the comparison table below. It is functionally unchanged from the predicate software.

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This software consists of following modules which provides a work flow of patient study:

--Patient Management: including patient registration, work list, study management.

  • --Study operation: including body part selection, study items selection, image acquisition.
    --Image preview: including display, layout and processing of image. Also tool options for advanced operation.

--Configuration: including configuration of system, study and user management, especially the configuration for work list and storage.

    1. Indications for Use: Solid State X-ray Imagers (Flat Panel/Digital Imager) Indicated for use in generating radiographic images of human anatomy. Intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding dental, fluoroscopic, angiographic, and mammographic applications.
ComparableK170480 Models 3543A,4343A, 2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFComparisonResults
Indications for useSolid State X-ray Imagers(Flat Panel/Digital Imager)are indicated for use ingenerating radiographicimages of human anatomy.They are intended toreplace radiographicfilm/screen systems in allgeneral-purpose diagnosticprocedures, excludingdental, fluoroscopic,angiographic, andmammographicapplications.Solid State X-ray Imagers (Flat Panel/DigitalImager) Indicated for use in generatingradiographic images of human anatomy.Intended to replace radiographic film/screensystems in all general-purpose diagnosticprocedures, excluding dental, fluoroscopic,angiographic, and mammographic applications.SAME
Digital X-RayDetectorsModels 3543A, 4343A,2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFNew Models
Detector Sizes(Inches)12 x 12 inch14 x 17 inch17 x 17 inch42 x 17 inch12×10 inch12×12 inch14 x 17 inch17 x 17 inch26×17 inch34× 14 inchThe 42 inchsize remainsavailable butthree newsizes areadded.

6. Technological characteristics: Comparison Table

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ComparablePropertiesK170480 Models 3543A,4343A, 2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFComparisonResults
ModelPixel Pitch (µm)
3025Z139Similar to orbetter thanpredicate
3025ZF77
3030Z139
140 µm3543Z139
Pixel Pitch3543ZF99
4343Z139
4343ZF99
4386Z139
6543Z139
Model(lp/mm)
3025Z3.6
3025ZF5.9
Limiting3030Z3.6Same as or
3.6 lp/mm3543Z3.6better than
Resolution3543ZF4.9predicate
4343Z3.6
4343ZF4.9
4386Z3.6
6543Z3.6
The DQE values at 2 lp/mm are listed in the tablebelow (only for Csl):Similarperformance,
32% at 2 lp/mm (Csl)15% at 2 lp/mm (GOS)3025ZF3543ZF4343ZF6543Z; 4386Z;4343Z; 3543Z;3030Z; 3025ZOnly CSI is
DQE
36%37%35%the new
models
The MTF value at 2 lp/mm are listed in the tablebelow (only for Csl):
MTF33% at 2 lp/mm (Csl)24% at 2 lp/mm (GOS)3025ZF3543ZF4343ZF6543Z4386Z4343Z3543Z3030Z3025ZSimilar orbetterperformance
43%42%39%
A/D Conversion16 bit16 bitSAME

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ComparablePropertiesK170480 Models 3543A,4343A, 2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFComparisonResults
Active Area4343A: 430.08 x 430.08 mmor 16.9 x 16.9 inchModel Active Area 3025Z 290×250 mm or 11.4×9.8 inch 3025ZF 300×240 mm or 11.8×9.4 inch 3030Z 290×290 mm or 11.4×11.4 inch 3543Z 350×430 mm or 13.8 x 16.8 inch 3543ZF 350×430 mm or 13.8 x 16.8 inch 4343Z 430×430 mm or 16.9 x 16.9 inch 4343ZF 430×430 mm or 16.9 x 16.9 inch 4386Z 430×860 mm or 13.8×33.5 inch 6543Z 650×430 mm or 25.6×16.9 inchSimilar rangeof activeareas
3543A: 350.00 x 427.28 mmor 13.8 x 16.8 inch
2929A: 286.72 x 286.72 mmor 11.3 x 11.3 inch
A843B: 1075.2 x 430.08 mmor 42.3 x 16.9 inch
Dimensions4343A: 460 x 460 x 15 mm3543A: 383 x 460 x 15 mmModel Dimensions ( W ×L ×H) 3025Z 315×278×15 mm 3025ZF 328×268×15 mm 3030Z 315×315×15 mm 3543Z 460×383×15 mm 3543ZF 460×383×15 mm 4343Z 460×460×15 mm 4343ZF 460×460×15 mm 4386Z 891×383×15 mm 6543Z 460×676×15 mmSimilar rangeofdimensions
ComparablePropertiesK170480 Models 3543A,4343A, 2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFComparisonResults
Pixels3543A: 2500 x 3052 (7.6 Million)4343A: 3072 x 3072 (9.4 Million)2929A: 2048 x 2048 (4.2 Million)A843B: 7680 x 3072 (23.6 Million)Model Pixels 3025Z 2048×1792 (3.7 Million) 3025ZF 3108×3956 (12.3 Million) 3030Z 2048x2048 (4.2 Million) 3543Z 2500×3052 (7.6 Million) 3543ZF 3534×4302 (15.2 Million) 4343Z 3072x3072 (9.4 Million) 4343ZF 4302x4302 (18.5 Million) 4386Z 3072×6144 (18.9 Million) 6543Z 4608×3072 (14.2 Million)Similar range
2929A: 316 x 316 x 15 mmA843B: 1120 x 465 x 20 mm
Weights4343A: 4.3 kg (wireless, w/batteries) 4.3 kg (wired, w/obatteries)3543A: 3.3 kg (wireless, w/batteries) 2.9 kg (wired, w/obatteries)Model Weights 3025Z 1.7kg(wireless, w/ batteries)1.5 kg(wired, w/o batteries) 3025ZF 1.7kg(wireless, w/ batteries)1.5 kg(wired, w/o batteries) 3030Z 2.1 kg(wireless, w/ batteries)1.9 kg(wired, w/o batteries) 3543Z 3.1 kg (wireless, w/ batteries)2.7 kg (wired, w/o batteries) 3543ZF 3.1 kg (wireless, w/ batteries)2.7 kg (wired, w/o batteries) 4343Z 3.6 kg (wireless, w/ batteries)3.2 kg (wired, w/o batteries) 4343ZF 3.6 kg (wireless, w/ batteries)3.2 kg (wired, w/o batteries) 4386Z 3.7kg(wireless, w/ batteries)3.4kg(wired, w/o batteries) 6543Z 7.5kg (wireless, w/ batteries)7.0kg(wired, w/o batteries)Similar range
InterfaceWired: Gigabit Ethernet (1000Base-T)Wireless: IEEE802.11ac, backward compatibleWired: Gigabit Ethernet (1000Base-T)Wireless: IEEE802.11ac, backward compatibleSAME
Power SourceAC Line and/orRechargeable LithiumBatteryAC Line and/or Rechargeable Lithium BatterySAME
Electrical safety andEMCElectrical Safety per IEC60601-1 and EMC perIEC 60601-1-2 as well asIEEE 802.11ac.Meets FCC requirements.Electrical Safety per IEC 60601-1 and EMC perIEC 60601-1-2 as well as IEEE 802.11ac.Meets FCC requirements.SAME
StandardsSame as belowSee belowSAME
Software Related
2929A: 1.8 kg (wireless, w/batteries) 1.5 kg (wired, w/obatteries)SoftwareOutputs a DICOM imageOutputs a DICOM imageSAME
A843B: 11.6 kg (wireless, w/batteries) 10.9 kg (wired, w/obatteries)SW NamePZDRPZDRSAME
DICOMYesYesSAME
DICOM ImageTransmissionYesYesSAME
Image AcquisitionInterfaceYesYesSAME
Patient Body PartSelectionYesYesSAME
Image ProcessingYesYesSAME
Basic Image Editingand Marking (pan,zooming,window/leveladjusting, textmarking)YesYesSAME
Image BrowsingYesYesSAME

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ComparablePropertiesK170480 Models 3543A,4343A, 2929A and A843B6543Z, 4386Z, 4343Z, 4343ZF, 3543Z, 3543ZF,3030Z, 3025Z, 3025ZFComparisonResults
Patient Registrationand ManagementYesYesSAME
Local registration ofpatient informationYesYesSAME
Quick registrationYesYesSAME
Checking/modificationof patient'sinformationYesYesSAME
Image acquisitioninterfaceYesYesSAME
Deletion of recordYesYesSAME
Image processingparameter settingYesYesSAME
Image browsing(Zooming, Marker,Text, Window/WidthAdjustment, Moving,ROI, Clipping,Rotation,YesYesSAME
Dicom imagetransmissionYesYesSAME
Image exporting to CDYesYesSAME
Image printing (w/printer setting)YesYesSAME
System management(detector selection,storage setting)YesYesSAME
Management ofinspection (Patientsize selection of large,medium, thin,children; patientposition of standing orlying; patient imagingbody part)YesYesSAME
Setting of imageprocessing methods(strong/medium/soft)YesYesSAME
Option for imagedisplay (position, textinformation, etc.)YesYesSAME
System logoutYesYesSAME

Non clinical testing: Testing was performed successfully according to the following standards:

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StandardDevelopingOrganizationStandard DesignationNumber And DateTitle Of Standard
ANSI/AAMIANSI/AAMI ES60601-1: 2005+C1:2009 +A2:2020+A1:3012Medical Electrical Equipment Part1: General Requirements For BasicSafety And Essential Performance
IEC60601-1-2:2014Medical Electrical Equipment Part 12: General Requirements For Basic SafetyAnd Essential Performance Collateral Standard: ElectromagneticDisturbances Requirements And Tests

The AC to DC power supply is UL Listed as a medical grade power supply.

In recognition of possible cybersecurity threats to the software, we consulted this guidance: Content of Premarket Submissions for Management of Cybersecurity in Medical Devices Guidance for Industry and Food and Drug Administration Staff. As a result, we updated our own internal standard operating procedures and added cybersecurity precautions to the software users' manuals.

Since the three new digital receptor panels have not had previous FDA clearance, testing was performed according to the FDA guidance document: Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices, Guidance for Industry and Food and Drug Administration Staff.

7. Clinical testing. Not required for a determination of substantial equivalence.

8. Substantial Equivalence Discussion.

These updated digital x-ray receptor panels and software perform the same functions using the same technological methods to produce diagnostic x-ray images as the predicate. In all material aspects, the new panel models and software are substantially equivalent to each other.

9. Substantial Equivalence Conclusion:

After analyzing bench test results, and clinical evaluation, it is the conclusion of PZMEDICAL that the new models of digital x-ray imaging panels are as safe and effective as the predicate devices, have few technological differences, and has the same indications for use, thus rendering them substantially equivalent to the predicate device.

§ 892.1680 Stationary x-ray system.

(a)
Identification. A stationary x-ray system is a permanently installed diagnostic system intended to generate and control x-rays for examination of various anatomical regions. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A radiographic contrast tray or radiology diagnostic kit intended for use with a stationary x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.