K Number
K042840
Device Name
SHIMADZU COLLIMATOR R-20J
Manufacturer
Date Cleared
2004-12-03

(50 days)

Product Code
Regulation Number
892.1610
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This collimator is to be used in conjunction with an x-ray generator and x-ray tube to limit the area of radiation that is emitted to a confined field of view. This limits the potential for radiation to the general population in the exam area. This device is intended to be used in the radiology. This device is operated and used by Physicians and X-ray technologist. The object of this device is total patient populations. As mentioned at "Intended Use" in this clearance letter, the intended use of the R-20J is the same as that of predicate beam limiting device R-30H (K031771). Consequently, the indications for use of the R-20J are also the same as that of the beam limiting device R-30H (K031771) and there are no additional indications.
Device Description
Not Found
More Information

Not Found

No
The document describes a collimator, a device used to limit the x-ray beam. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices. The description focuses on the physical function of the device and its intended use in conjunction with standard x-ray equipment.

No
The device is a collimator that limits x-ray radiation to a confined field of view, used for safety to limit radiation exposure to the general population in the exam area, not for treating any condition or disease.

No

The device is a collimator used to limit X-ray radiation, meaning it is an accessory to an imaging device rather than a diagnostic device itself. Its purpose is to ensure safety by confining the radiation field, not to diagnose medical conditions.

No

The device description is not found, but the intended use clearly describes a "collimator" used with an "x-ray generator and x-ray tube" to limit radiation. This strongly indicates a physical hardware component, not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is used in conjunction with an x-ray generator and tube to limit radiation exposure during imaging procedures. This is a function related to the imaging process itself, not the analysis of biological samples or specimens taken from the body.
  • Device Description (or lack thereof): While the description is not found, the intended use strongly suggests a physical component of an x-ray system.
  • Input Imaging Modality: The input is x-ray, which is an imaging modality used to visualize internal structures, not to analyze biological samples.
  • No mention of biological samples or analysis: The entire description focuses on radiation control and imaging, with no mention of blood, urine, tissue, or any other biological material that would be analyzed in an in vitro diagnostic test.

In vitro diagnostics are devices used to examine specimens, such as blood, urine, or tissue, that have been taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is entirely external to the patient and related to the operation of the imaging equipment.

N/A

Intended Use / Indications for Use

  • This collimator is to be used in conjunction with an x-ray generator and x-ray tube to limit the area of radiation that is emitted to a confined field of view. This limits the potential for radiation to the general population in the exam area.
  • This device is intended to be used in the radiology.
  • This device is operated and used by Physicians and X-ray technologist.
  • The object of this device is total patient populations.

Product codes

90 IZX

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

total patient populations

Intended User / Care Setting

Physicians and X-ray technologist / radiology

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K031771

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1610 Diagnostic x-ray beam-limiting device.

(a)
Identification. A diagnostic x-ray beam-limiting device is a device such as a collimator, a cone, or an aperture intended to restrict the dimensions of a diagnostic x-ray field by limiting the size of the primary x-ray beam.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

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Image /page/0/Picture/1 description: The image contains a logo with a stylized depiction of an eagle or bird-like figure, composed of three curved lines that suggest feathers or wings. To the left of the emblem, there's text arranged vertically, curving along the edge of the logo. The text and the emblem are both rendered in black, contrasting with the white background.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC - 3 2004

Re: K042840

Trade/Device Name: Beam Limiting Device R-20J Regulation Number: 21 CFR 892.1610 Regulation Name: Diagnostic x-ray beam-limiting device Regulatory Class: II

Product Code: 90 IZX Dated: October 4, 2004 Received: October 25, 2004

Dear Mr. Walkeri:

Shimadzu Corporation

% Mr. Randal Walkeri

Director, National Service

Shimadzu Medical Systems

20101 South Vermont Avenue

TORRANCE CA 90502-1328

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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such 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); 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.

1

This Ictter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology) 240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Nancy C. brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Page 19

INDICATION FOR USE SECTION XIII:

Page1 of1

Unknown 510(K) Number(if known) : ____________________________________________________________________________________________________________________________________________________

Device Name: R-20J

Indications For Use :

  • / This collimator is to be used in conjunction with an x-ray generator and x-ray tube to limit the area of radiation that is emitted to a confined field of view. This limits the potential for radiation to the general population in the exam area.
  • / This device is intended to be used in the radiology.
  • This device is operated and used by Physicians and X-ray technologist. /
  • / The object of this device is total patient populations.

As mentioned at "Intended Use" in this clearance letter, the intended use of the R-20J is the same as that of predicate beam limiting device R-30H (K031771). Consequently, the indications for use of the R-20J are also the same as that of the beam limiting device R-30H (K031771) and there are no additional indications.

(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED )

Concurrence of CDRH, Office of Device Evaluation(ODE)

Prescription Use V (Per21CFR801.109)

OR

Over-The-Counter Use

Nancy C Brogdon

(Division Sign-Off) 0 0
Division of Reproductive, Abdominal,
and Radiological Devices
51((k) Number K042840