K Number
K080859
Device Name
DRF 4343
Date Cleared
2008-06-04

(69 days)

Product Code
Regulation Number
892.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DRF 4343 is a digital image acquisition system to be used in conjunction with a solid-state detector during radiography or fluoroscopy x-ray examination to capture, digitalize, review images and format images according to DICOM protocol to be sent through network connection. This device is not intended for mammography use.
Device Description
The DRF 4343 is Intended to capture digital images from a radiographic/fluoroscopic system through a dynamic digital flat panel, to digitalize, archive and review images and to provide a network connection via DICOM protocol to various output (e.g. hardcopy, softcopy and archive) devices which uses a device.
More Information

No
The summary describes a standard digital image acquisition system for radiography/fluoroscopy, focusing on image capture, digitalization, review, and DICOM formatting. There is no mention of AI, ML, or any advanced image processing that would typically indicate the use of such technologies. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No
This device is for digital image acquisition and processing for diagnostic purposes (radiography/fluoroscopy), not for treating a disease or condition.

Yes
The device is described as an "image acquisition system" for "radiography or fluoroscopy x-ray examination" which captures, digitalizes, reviews, and formats images. While it doesn't explicitly state "diagnosis," the purpose of acquiring and reviewing medical images is for diagnostic interpretation by a healthcare professional.

No

The device description explicitly states it is a "digital image acquisition system to be used in conjunction with a solid-state detector" and captures images from a "dynamic digital flat panel," indicating it includes hardware components beyond just software.

Based on the provided information, the DRF 4343 is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens (like blood, urine, or tissue) taken from the human body. They are used in vitro (outside the body) to provide information about a person's health.
  • The DRF 4343 is an image acquisition system used during radiography or fluoroscopy x-ray examinations. This involves capturing images in vivo (within the body) using x-rays.
  • The intended use and device description clearly state its function is to capture, digitalize, review, and format medical images obtained from x-ray procedures. There is no mention of analyzing biological specimens.

Therefore, the DRF 4343 falls under the category of a medical imaging device, not an IVD.

N/A

Intended Use / Indications for Use

The DRF 4343 is a digital image acquisition system to be used in conjunction with a solid-state detector during radiography or fluoroscopy x-ray examination to capture, digitalize, review images and format images according to DICOM protocol to be sent through network connection.
This device is not intended for mammography use.

Product codes

JAA, MQB

Device Description

The DRF 4343 is Intended to capture digital images from a radiographic/fluoroscopic system through a dynamic digital flat panel, to digitalize, archive and review images and to provide a network connection via DICOM protocol to various output (e.g. hardcopy, softcopy and archive) devices which uses a device.

Mentions image processing

Not Found

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)

Not Found

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

Not Found

Predicate Device(s)

Nical NDR+/DIVA-D (K053029), Siemens AXIOM Luminos dRF (K062623), Shimadzu DAR7000 RADspeed SAFIRE (K050925)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1650 Image-intensified fluoroscopic x-ray system.

(a)
Identification. An image-intensified fluoroscopic x-ray system is a device intended to visualize anatomical structures by converting a pattern of x-radiation into a visible image through electronic amplification. 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). An anthrogram tray or radiology dental tray intended for use with an image-intensified fluoroscopic 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. In addition, when intended as an accessory to the device described in paragraph (a) of this section, the fluoroscopic compression device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

Ko80859

JUN - 4 2008

510 (k) Summary

This summary of safety and effectiveness information is submitted in accordance with the
requirements of 21 CFR 807.92.

| Submitter: | Villa Sistemi Medicali S.p.A.
via delle Azalea 3
20090 Buccinasco (MI)
ITALY
Registration # 8021091 |
|-------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Paolo Casagrande Santin
QA Manager
Phone: +39 02 48859 239
Fax: +39 02 48859 303
Email: p.casagrande@villasm.com |
| Designated Agent: | Bill Kosteckl
Dol Medical Imaging
QA/RA Manager
Registration # 9027610 |
| Date Prepared: | March 14, 2008 |
| Trade Name: | DRF 4343 |
| Common Name: | Operator Console and Imaging Workstation for Stationary Digital X-Ray Systems |
| Classification Name: | 892.1630 Solid State x-ray Imaging system |
| Predicate Devices: | The DRF 4343 is compared with the following predicate devices:
• Nical NDR+/DIVA-D (K053029),
• Siemens AXIOM Luminos dRF (K062623),
• Shimadzu DAR7000 RADspeed SAFIRE (K050925). |
| Product Description: | The DRF 4343 is Intended to capture digital images from a radiographic/fluoroscopic
system through a dynamic digital flat panel, to digitalize, archive and review images
and to provide a network connection via DICOM protocol to various output (e.g.
hardcopy, softcopy and archive) devices which uses a device. |
| Indication for Use: | The DRF 4343 is a digital image acquisition system to be used in conjunction
with a solid-state detector during radiography or fluoroscopy x-ray examination to
capture, digitalize, review images and format images according to DICOM
protocol to be sent through network connection.
This device is not intended for mammography use. |
| Rationale for
Substantial Equivalence: | The DRF 4343 has the same indication for use as the predicate devices. It shares the
same technological characteristics as the predicate devices. Minor technological
differences do not raise any new questions regarding safety or effectiveness of the
device. |

510(k) for DRF 4343 - rev. 3

...__________________________________________________________________________________________________________________________________________________________________________



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March 25, 2008

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Image /page/1/Picture/0 description: The image shows the logo for the Department of Health & Human Services. The logo includes a symbol with stylized human figures and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" in blue font. The symbol is on the left side of the text.

· Public Health Service

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

Mr. Paolo Casagrande Santin Quality Assurance Manager Villa Sistemi Medicali S.p.A. Via delle Azalee 3 BUCCINASCO (MI) 20090 ITALY

AUG - 9 2013

Re: K080859 Trade/Device Name: DRF 4343 Regulation Number: 21 CFR 892.1650 Regulation Name: Image-intensified Fluoroscopic x-ray system Regulatory Class: II Product Code: JAA and MQB Dated: March 25, 2008 Received: March 28, 2008

Dear Mr. Santin:

This letter corrects our substantially equivalent letter of June 4, 2008.

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

2

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

3

Indication for Use Statement

510k Number: (if known):

Device Name: DRF 4343

Indications for Use:

The DRF 4343 is a digital image acquisition system to be used in conjunction with a solid-state detector during radiography or fluoroscopy x-ray examination to capture, digitalize, review images and format images according to DICOM protocol to be sent through network connection.

This device is not intended for mammography use.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use X
(Per 21 CFR 801.109)OROver-The-Counter

(Optional Format 1-2-96)

(Division Sign-Off)
Division of Reproductive, Abdominal and Radiological Devices
510(k) NumberK080859

510(k) for DRF 4343 - rev. 1

: :

March 25, 2008

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