K Number
K050718
Device Name
DDRCOMBI TRAUMA
Date Cleared
2005-05-26

(66 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Swissray Medical AG Direct Digital X-ray Radiography diagnostic system class II (stationary) ddRCombi Trauma is a further development of the AddOn Multi System. This system can be used in a standard X-ray room and suitable for emergency / Trauma X-ray rooms. The ddRCombi Trauma is intend for applying general radiography on a patient in a supine, seated or standing position.
Device Description
The major system components are: fix height adjustable patient table, X-ray generator, X-ray tube, Collimator, stand, ceiling suspension, digital AddOn bucky (4 CCD cameras), Image processing software and monitors.
More Information

Not Found

Not Found

No
The summary describes standard digital X-ray system components and image processing functions without mentioning AI or ML.

No.
The document states that the device is a "diagnostic system" and is primarily used for "applying general radiography on a patient" for imaging purposes, not for treating any medical conditions.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is a "Direct Digital X-ray Radiography diagnostic system."

No

The device description explicitly lists multiple hardware components including a patient table, X-ray generator, X-ray tube, collimator, stand, ceiling suspension, digital AddOn bucky, and monitors, in addition to the image processing software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that this device is a "Direct Digital X-ray Radiography diagnostic system." It is used for "applying general radiography on a patient" to produce images.
  • Lack of Sample Analysis: There is no mention of the device analyzing biological samples or performing tests on bodily fluids or tissues. Its function is to generate images of the internal structures of the body using X-rays.

Therefore, this device falls under the category of medical imaging devices, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The Swissray Medical AG Direct Digital X-ray Radiography diagnostic system class II (stationary) ddRCombi Trauma is a further development of the AddOn Multi System. This system can be used in a standard X-ray room and suitable for emergency / Trauma X-ray rooms.

The ddRCombi Trauma is intend for applying general radiography on a patient in a supine, seated or standing position.

With the fix height adjustable patient table and the new flexible detector positioning, the patient must be no more repositioned for the most X-ray applications.

The ddRCombi Trauma allows the operator a full control of the Patient data, positioning, X-ray parameter (automatic by organ selection or manual settings), exposure control and image quality.

The operator can use the following image control functions without losing the original exposure:

Brightness, contrast, shape, rotate, zoom, inverse, cut off etc. l

Storage function (PACS, HL 7) included all X-ray parameter and patient information .

The ddRCombi Trauma allows the operator to print images (DICOM format) in background on a laser printer (the most printer suppliers are available) or CD-ROM.

Product codes

MOB

Device Description

ddRCombi TRAUMA components

  • X-ray detector AddOn-bucky
  • Collimator
  • X-ray tube
  • X-ray Generator and eXpert 4000 control desk + application selection
  • Movable Stand
  • Ceiling suspension
  • Height adjustable fix table IGS TRAUMA
  • Workstation (Image processing)

The major system components are:
fix height adjustable patient table, X-ray generator, X-ray tube, Collimator, stand, ceiling suspension, digital AddOn bucky (4 CCD cameras), Image processing software and monitors.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Performance data : bench data
Please provide phantom data for resolution, gray scale and Contrast, also provide full MTF curve data,
Clinical data

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

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Image /page/0/Picture/0 description: The image shows the logo for Swissray, a company that specializes in direct digital X-ray technology. The logo features the word "Swissray" in a bold, sans-serif font, with the tagline "FIRST IN DIRECT DIGITAL X-RAY" printed below it in a smaller font. To the right of the company name is a graphic of four squares arranged in a 2x2 grid.

RRG/LLD 1/6/93 Rev. 2/6/96

Dreard premarket Notification 510(k) Screening Checklist

510(k) Number & Device Name: ddRCombi TRAUMA__ Company: Swissray Medical AG

ItemPresentNeeded
YesNoY/N ?
1. General Information (i.e., trade & classification name, Est. Reg. No. Device class, meets special controls or A performance standards, etc.)
- Reason for 510(k) – new device or modification
- Identification of legally marketed equivalent device
- Truthful and accurate statement
- SMDA 510(k) summary or statement
2. Proposed Labeling, Labels, Advertisements
- Description of new device/modification
- Intended use statement
- Diagrams, Engineering Drawings, Photographs
- Indication for use Statement
3. Comparison of similarities / differences
Legally marketed equivalent device
Please provide tabular comparison of specifications and Features to one of your predicate devices utilizing one Comparison chart
- Equivalent Device Labeling, Labels, Advertising
- Intended use of equivalent device
4. List all patient contracting materials in new device
Comparison of materials to equivalent device
5. Biocompatibilität information / data for patient
Contacting materials, or certification - identical material / formulation
6. Performance data : bench data
Please provide phantom data for resolution, gray scale and Contrast, also provide full MTF curve data,
Animal data
Clinical data
7. Sterilization information
8. Harware / Software validation & verification
9. If class III, class III Certification & Summary
10. If kit, kit certification
11. Provide prescription labeling in your User manual
12. Your device is consider a Tier 1 device and requires MFR statement of SE and DRAERD Checklist

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1. General Information

1.1 Name and address of manufacturer

Swissray Medical AG Turbistrasse 25 ... 27 CH-6280 Hochdorf Switzerland

Primary Contact

| | Swissray America Inc.
Submission correspondent |
|----------|---------------------------------------------------|
| Resp. | Mr. John Monahan |
| Date | 2005-03-15 |
| Address | 1180 Mclesterstreet Unit #2 |
| City | Elizabeth |
| ZIP Code | NJ 07201 |
| Country | USA |
| Phone | 001 908 35 30 971 |
| FAX | 001 908 35 31 237 |
| E-mail | JMonahan@swissray.com |

1.2 Establishment registration number 8043768

1.3 Classification, common and proprietary names of the device

Classification Name: Stationary X-ray system, 21 CFR 892.1680 Stationary X-ray system Common names: Proprietary Names: ddRCombi TRAUMA

ddRCombi TRAUMA components

  • X-ray detector AddOn-bucky
  • Collimator
  • X-ray tube
  • X-ray Generator and eXpert 4000 control desk + application selection
  • Movable Stand
  • Ceiling suspension
  • Height adjustable fix table IGS TRAUMA
  • Workstation (Image processing)

1.4 Class

Class II

2

Image /page/2/Picture/1 description: The image shows the logo for Swissray. The logo consists of the word "Swissray" in a bold, sans-serif font, with a stylized graphic to the right. The graphic is made up of four squares arranged in a 2x2 grid. Below the word "Swissray" is the text "FIRST IN DIRECT DIGITAL X-RAY" in a smaller font.

1.5 Applicable Standards

Code of Federal Regulations Title 21 subchapter J - Radiological Health, Part 888 Parts 1020.10, 1020.30, 1020.30, 1020.31 and 1020.40

Note: Swissray is not a manufacture of video monitors and film printers

IEC / EN 60601-1 Electrical Safety UL 60601-1 and CSA 22.2 No. M601.1 IEC / EN 60601-2-32 Mechanical safety IEC / EN 60601-1-2 EMC IEC / EN 60601-1-3 X-ray Protection IEC / EN 60601-2-7 X-ray Generator IEC / EN 60601-1-4 Risk analysis for programmable medical electrical systems IEC / EN 60601-2-28 SAFETY OF X-RAY SOURCE ASSEMBLIES AND X-RAY TUBE ASSEMBLIES FOR MEDICAL DIAGNOSIS DICOM 3.0 HL-7 Data Exchange Standard IHE

ARC / NEMA Data Exchange Standard

Quality System ISO EN 9001:2000 and ISO EN 13485:2000 (CAN + ECC)

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services. The logo consists of a blue emblem on the left and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" in blue on the right. The emblem features a stylized human figure with outstretched arms, representing the department's mission to protect the health of all Americans.

Public Health Service

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

Swissray Medical AG % Mr. John Monahan QA Manager Swissray Int., Inc. 1180 Mclester Street, unit #2 ELIZABETH NJ 07201

AUG 2 3 2013

Re: K050718

Trade/Device Name: ddRCombi Trauma Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: MOB Dated: March 16, 2005 Received: April 6, 2005

Dear Mr. Monahan:

This letter corrects our substantially equivalent letter of May 26, 2005.

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

4

medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. 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 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/cdrh/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

510 (K) Number: K050718

Device name : ddRCombi Trauma

Indication for Use

The Swissray Medical AG Direct Digital X-ray Radiography diagnostic system class II (stationary) ddRCombi Trauma is a further development of the AddOn Multi System. This system can be used in a standard X-ray room and suitable for emergency / Trauma X-ray rooms.

The ddRCombi Trauma is intend for applying general radiography on a patient in a supine, seated or standing position.

With the fix height adjustable patient table and the new flexible detector positioning, the patient must be no more repositioned for the most X-ray applications.

The ddRCombi Trauma allows the operator a full control of the Patient data, positioning, X-ray parameter (automatic by organ selection or manual settings), exposure control and image quality.

The operator can use the following image control functions without losing the original exposure:

Brightness, contrast, shape, rotate, zoom, inverse, cut off etc. l

Storage function (PACS, HL 7) included all X-ray parameter and patient information .

The ddRCombi Trauma allows the operator to print images (DICOM format) in background on a laser printer (the most printer suppliers are available) or CD-ROM. The major system components are:

fix height adjustable patient table, X-ray generator, X-ray tube, Collimator, stand, ceiling suspension, digital AddOn bucky (4 CCD cameras), Image processing software and monitors.

(Please do not write below this line- continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (DOE)

Prescription Use or Over-The Counter Use

(Per 21 CFR 801.109)

(Optional Format 1-2-96)

Yancy C. Bringham

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices K050718
510(k) Number