K Number
K042260
Date Cleared
2004-09-07

(15 days)

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

PHOT-X II MODEL 303 is a extraoral source dental radiographic x-ray unit. This unit works as a diagnostic purpose x-ray source for human teeth with the resultant image recorded on intraoral dental x-ray film or image receptor . The design, function and positioning of the x-ray unit is similar to most all other x-ray machines manufactured for this specific purpose over the past thirty years.

Device Description

PHOT-X II, MODEL 303 dental x-ray contains; control box, wall mounting, adjustable support arm and x-ray generating tubehead. Package includes Operators Manual, Installation Manual and Warrantee.

AI/ML Overview

The provided document is a 510(k) premarket notification for a dental X-ray device (PHOT-X II, MODEL 303). This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving clinical effectiveness or diagnostic accuracy through a traditional clinical study with acceptance criteria for device performance. It's a regulatory filing, not an efficacy study report.

Therefore, many of the requested items related to clinical performance studies (such as acceptance criteria, sample size for test sets, ground truth establishment, expert qualifications, MRMC studies, or standalone performance) are not applicable in this context.

The document does not describe an acceptance criteria or a study that proves the device meets specific performance criteria in terms of diagnostic accuracy or clinical outcomes. Instead, it demonstrates that the new device has similar technical specifications and characteristics to previously cleared devices.

Here's the information that can be extracted from the document based on your request:

1. A table of acceptance criteria and the reported device performance

As this is a 510(k) submission focused on substantial equivalence based on technical specifications rather than diagnostic performance, explicit "acceptance criteria" and "reported device performance" in the typical sense of a clinical study are not provided. The comparison provided is between the new device and predicate devices on various electrical and radiation parameters. The "acceptance criteria" here is implicitly that the new device's specifications should be comparable to or within acceptable ranges of the predicate devices.

ParameterPredicate Device (MODEL 2001CP) (K874238)Predicate Device (HELIODENT DS) (K960819)Predicate Device (PROSTYLE INTRA) (K970975)Proposed Device (MODEL 303)
X-RAY WAVE FORMDC Constant waveN/AN/ADC Constant wave
FILAMENTPre-heating systemN/AN/APre-heating system
CONTROL PANEL LOCATIONAt arm mounting bracketN/AN/ASeparable from power board
PRE-HEATING TIMEManually adjustedN/AN/AAutomatically adjusted
HIGH VOLTAGE GENERATOR75 kHz high frequency inverterN/AN/A80 kHz high frequency inverter
FILAMENT CIRCUIT50 kHz high frequency inverterN/AN/A25 kHz high frequency inverter
Focal Point Measurement0.8mm×0.8mm0.7mm×0.7mm0.7mm×0.7mm0.7mm×0.7mm
Rated tube potential60kV, 70kV60kV50,53,55,57,60,63,66,70 kV60kV, 70kV
Rated tube current10mA7mA8mA4mA, 7mA
Maximum rated tube potential70kV60kV70kV70kV
Rated line voltage120VAC100VAC-125VAC110VAC-115VAC120VAC
Line voltage range105VAC-130VAC90VAC-137.5VAC99VAC-126VAC108VAC-132VAC
Range of line voltage regulation2-5%2.5%10%2-5%
Rated line current14A at 70KV,10mAN/AN/A10.8A at 70KV,7mA
Maximum line current17A at 70KV,10mA11A9.0A12A at 70KV,7mA
Exposure time0.01-2.0sec., 27steps0.01-3.2sec., 23steps0.01-3.2sec., 23steps0.01-3.2sec., 23steps
Timer accuracy±10% or ±10msec, whichever is greater±10%±10%±5msec (below 0.1sec), ±10msec (0.1sec & up)
Inherent filtration1.3mmAl Equivalent0.55mmAl Equivalent1.0mmAl Equivalent at 70KV1.7mmAl Equivalent
Added filtration2.0mmAlN/AN/A0.3mmAl
Minimum filtration permanently in useful beam3.3mmAl Equivalent at 70KV2.0mmAl Equivalent2.0mmAl Equivalent at 70KV2.0mmAl Equivalent at 70kV
Nominal roentgen output (Regular cone)6.3mGy/s±40% (60kV,10mA)10mGy/s±30%N/A5.4mGy/s±40% (60kV,4mA), 9.4mGy/s±40% (60kV,7mA)
Nominal roentgen output (Long cone)2.2mGy/s±40% (60kV,10mA), 2.9mGy/s±40% (70kV,10mA)N/AN/A2.4mGy/s±40% (60kV,4mA), 4.2mGy/s±40% (60kV,7mA), 3.1mGy/s±40% (70kV,4mA), 5.5mGy/s±40% (70kV,7mA)
Source to skin distance (Regular cone)203mm203mm200mm203mm
Source to skin distance (Long cone)350mm305mm300mm305mm
Leaking technique factor70kV/0.48mA0.12mAN/A70kV/0.14mA
Duty cycle1:201:601:151:50
Maximum deviation of tube potential and tube current±10kV,±5mA (0.01-0.05sec); ±5kV,±2mA (0.06-2.0sec)±6.0kV (tube potential), ±0.7mA (tube current)±2.0kV (tube potential), ±10% (tube current)±10kV,±2mA (below 0.1sec); ±5kV,±1mA (0.1sec & up)
Intended UseFor diagnostic purposes of teeth, jaw, oral structuresFor diagnostic purposes of teeth, jaw, oral structuresN/AFor diagnostic purposes of teeth, jaw, oral structures

2. Sample size used for the test set and the data provenance

Not applicable. This document is a 510(k) submission, not a study report. It focuses on comparing technical specifications of a new device to existing predicate devices. No test set of patient data is mentioned or used.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. No test set requiring expert ground truth is described in this regulatory filing.

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

Not applicable. No test set requiring adjudication 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 a dental X-ray unit, which is a hardware device for image acquisition, not an AI-assisted diagnostic tool.

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

Not applicable. This relates to an AI algorithm's performance, which is not relevant for a dental X-ray hardware device.

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

Not applicable. As no clinical performance study for diagnostic accuracy is presented, no ground truth is established or used. The "ground truth" in this context is the technical specifications and safety standards met by the predicate devices, against which the new device is compared for substantial equivalence.

8. The sample size for the training set

Not applicable. No machine learning or AI component is described, so there is no training set mentioned.

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

Not applicable. No machine learning or AI component is described, so there is no training set or ground truth for it.

§ 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.