K Number
K082167
Date Cleared
2008-09-26

(57 days)

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

The Portable X-ray System (Model: DIOX-602, PROX) is intended to be used by trained dentists and dental technicians as extraoral x-ray source for producing diagnostic x-ray images using intraoral image receptors. Its use is intended for both adult and pediatric subjects.

Device Description

The Portable X-ray System (Model: DIOX-602, PROX) is portable dental X-ray system that operates on 24VDC supplied by a rechargeable Li-Polymer battery pack. The X-ray controls and power source are assembled into a single hand-held enclosure. The package includes battery charger.

The Portable X-ray System generates and controls X-ray in order to diagnose of tooth and jaw. It is composed of X-ray generator, controller and beam limiting device. Operating principle is that X-ray generated by high voltage electricity into X-ray tube, which penetrates tooth and jaw, and makes X-ray images on receptor (chemical film or digital sensor).

The Portable X-ray System (Model: DIOX-602, PROX) is a diagnostic x-ray system, which is intended to be used by trained dentists and dental technicians as an extra-oral xray source for producing diagnostic x-ray images using intra-oral image receptors.

Its use is intended for both adult and pediatric subjects. This device includes a high frequency inverter that changes direct current to alternating current, X-ray tube, electrical protective devices, and other elements. The portable X-ray system (Model: DIOX-602, PROX) provides with sharp and clear images and keeps patients and dentists away from radiation using small dose of radiation.

AI/ML Overview

The provided text is a 510(k) summary for the DIGIMED Portable X-Ray System. It primarily focuses on demonstrating substantial equivalence to a predicate device and outlines technical specifications rather than specific performance acceptance criteria or a detailed study proving the device meets them.

Therefore, many of the requested details, especially those related to AI algorithm performance, sample sizes for training/test sets, expert adjudication, and ground truth establishment, are not present in this document, as the device is an X-ray system, not an AI-powered diagnostic tool.

Here's a breakdown of what can be extracted and what cannot:

1. Table of Acceptance Criteria and Reported Device Performance:

The document doesn't explicitly state numerical acceptance criteria or performance metrics for diagnostic accuracy in the way an AI algorithm study would. Instead, it relies on demonstrating substantial equivalence to an existing predicate device based on technical specifications and safety/EMC testing.

FeaturePredicate Device (PORT-X II) PerformanceSubject Device (DIOX-602, PROX) PerformanceAcceptance Criteria (Implied)
Energy Source22.2V DC Li-Polymer battery24V DC Li-Polymer batteryComparable rechargeable battery power
Exposure Time0.01-2.0 seconds0.01-1.6 secondsWithin clinically acceptable range for dental X-rays
Time Accuracy$\pm$ (10%+1ms)$\pm$ (10%+1ms)Same accuracy as predicate device
mA2mA fixed2mA fixedSame fixed current as predicate
kVp60kV fixed60kV fixedSame fixed voltage as predicate
Wave FormConstant Potential (DC)Constant Potential (DC)Same wave form as predicate
Safety & EMCIEC 60601-1, -2-7, -2-28, -2-32IEC 60601-1, -2-7, -2-28, -2-32Compliance with international safety and EMC standards
Source to Skin Dist20cm20cmSame distance as predicate (important for radiation dose)
Cone Diameter7cmDIOX-602: 6.5cm, PROX: 6cmComparable beam limiting
User InterfaceExposure time: up, down. Selection buttons of parts of teeth, adult/child, film/sensor with display.Exposure time: up, down. Two buttons for modes and selection of parts of teeth, adult/child, film/sensor with display.Comparable user-friendly interface for dental practitioners
Exposure SwitchControl panel and remote controllerControl panel and remote controllerSame flexible control options
Intended UseExtraoral x-ray source for diagnostic x-ray images using intraoral image receptors for adult/pediatric subjects.SameSame intended use as predicate

Study Proving Device Meets Acceptance Criteria:

The document states: "The result of bench testing and clinical evaluation indicates that the subject device is as safe and effective as the predicate devices."

And "EMS testing was conducted by EMC Compliance Co., Ltd. for DIOX-602 and SGS Testing Korea Co., Ltd. for PROX in accordance with Standard EN/IEC 60601-1-2. All test results were satisfactory."

This indicates that the "study" was primarily bench testing for technical specifications and EMC (Electromagnetic Compatibility) testing to ensure compliance with relevant IEC standards (e.g., IEC 60601 series). A clinical evaluation was also performed, but no details are provided about its design, methodology, or results beyond the general statement of safety and effectiveness.

2. Sample Size Used for the Test Set and Data Provenance:

  • Sample Size: Not specified.
  • Data Provenance: Not specified. The "clinical evaluation" is mentioned, but no details on where or how the data was collected. Given the manufacturers are Korean, it's possible some data was from Korea, but this is speculative.
  • Retrospective/Prospective: Not specified.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications:

  • This information is not provided. As this is an X-ray hardware submission, not an AI diagnostic algorithm, the concept of "ground truth" derived from expert consensus on images is less central. The "clinical evaluation" would likely focus on image quality and safety, possibly involving dentists or technicians evaluating the images produced.

4. Adjudication Method:

  • Not specified.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

  • No. This is not an AI-assisted diagnostic device, so an MRMC study comparing human readers with and without AI assistance is not applicable and was not performed.

6. Standalone (Algorithm Only) Performance:

  • No. This is an X-ray hardware system, not an algorithm. Standalone algorithm performance is not relevant.

7. Type of Ground Truth Used:

  • For the "clinical evaluation," the ground truth implicitly would be the diagnostic quality of the X-ray images produced by the device, evaluated by trained professionals, and compared to the images produced by the predicate device and the clinical needs of dentistry. This is not explicitly pathology or outcomes data but rather an assessment of image utility for diagnosis.
  • For the technical and safety testing, the "ground truth" is adherence to the specified technical parameters (e.g., kVp, mA, exposure time accuracy) and compliance with international standards (IEC 60601 series) as verified by tests performed in certified labs.

8. Sample Size for the Training Set:

  • Not applicable/Not specified. This device does not involve a "training set" in the context of machine learning.

9. How the Ground Truth for the Training Set Was Established:

  • Not applicable/Not specified. As there is no AI component, there is no training set and therefore no ground truth established for it.

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K082 167

Image /page/0/Picture/1 description: The image contains the word "DigiMed" in a stylized font. To the left of the word is an oval shape that is divided into sections of varying shades of gray and black. The text is in a bold, slightly italicized font, giving it a modern and professional appearance. The overall composition is simple and clean, with a focus on the text and the abstract oval shape.

SEP 2 6 2008

5 510(k) Summary

5.1 Company and Correspondent Making the Submission:

Date Prepared:June 16, 2008
Name:DIGIMED Corporation
Address:#715, World Meridian Venture Center II, 426-5 Gasan-DongGumcheon-Gu, Seoul, 153-803, Korea
Tel:+82-2-2025-8780
Fax:+82-2-2025-8782
E-mail:digi-med@hanmail.net
Contact:Youngbae Kwon, Managing Director

: 上一篇:

5.2 US Agent for FDA Contact:

Name:Shin Kuk Yoo
Company:LSK BioPartners, Inc.
Address:215 S. State St. STE100B
Salt Lake City, Utah 84111
Tel:801-303-7440 (Ext. 202)
Fax:801-303-7455
Email:skyone@LSKBioPartners.com

5.3 Device Information:

. ...

.

Proprietary-Trade Name:Portable X-Ray System (Models: DIOX-602, PROX)
Classification Name:Extraoral Source X-Ray System: EHD, Class II per regulation 21CFR 872.1800
Common/Usual Name:Portable X-Ray System
Manufacturer:GENORAY Co., Ltd.
Device:Portable X-Ray System (Model: PORT-X II)
Classification:Extraoral Source x-Ray System: EHD, Class II per regulation 21CFR 872.1800
510(k) Number:K063121 (Decision Date: Jan. 11, 2007)

:

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5.5 Indications for Use (Intended Use):

The Portable X-ray System (Model: DIOX-602, PROX) is intended to be used by trained dentists and dental technicians as extraoral x-ray source for producing diagnostic x-ray images using intraoral image receptors. Its use is intended for both adult and pediatric subjects.

5.6 Description of Device

The Portable X-ray System (Model: DIOX-602, PROX) is portable dental X-ray system that operates on 24VDC supplied by a rechargeable Li-Polymer battery pack. The X-ray controls and power source are assembled into a single hand-held enclosure. The package includes battery charger.

The Portable X-ray System generates and controls X-ray in order to diagnose of tooth and jaw. It is composed of X-ray generator, controller and beam limiting device. Operating principle is that X-ray generated by high voltage electricity into X-ray tube, which penetrates tooth and jaw, and makes X-ray images on receptor (chemical film or digital sensor).

The Portable X-ray System (Model: DIOX-602, PROX) is a diagnostic x-ray system, which is intended to be used by trained dentists and dental technicians as an extra-oral xray source for producing diagnostic x-ray images using intra-oral image receptors.

Its use is intended for both adult and pediatric subjects. This device includes a high frequency inverter that changes direct current to alternating current, X-ray tube, electrical protective devices, and other elements. The portable X-ray system (Model: DIOX-602, PROX) provides with sharp and clear images and keeps patients and dentists away from radiation using small dose of radiation.

5.7 Safety and Effectiveness, Comparison to Predicate Device:

The result of bench testing and clinical evaluation indicates that the subject device is as safe and effective as the predicate devices.

5.8 Safety, EMC and Performance Data:

The portable x-ray system, DIOX-602 and PROX, will comply with applicable requirements of the Underwriters Laboratories Standard for Safety-UL/IEC 60601-1, IEC 60601-1-3, IEC 60601-2-7, IEC 60601-2-28 and IEC 60601-2-32. All required documents and reports will be submitted to the appropriate oversight agency to establish compliance with the applicable requirements.

EMS testing was conducted by EMC Compliance Co., Ltd. for DIOX-602 and SGS Testing Korea Co., Ltd. for PROX in accordance with Standard EN/IEC 60601-1-2. All test results were satisfactory.

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5.9 Substantial Equivalence Chart

CompanyGENORAY Co.DIGIMED Corp.
ModelPORT-X IIDIOX-602PROX
510(k) NoK063121New
Energy sourceRechargeable 22.2VDC Lithium Polymerbattery packRechargeable 24V, DC Lithium Polymer Battery pack
Expose time0.01-2.0 seconds0.01 increments0.01-1.6 seconds, 0.01 increments
Time accuracy$\pm$ (10%+1ms)$\pm$ (10%+1ms)
mA2mA fixed2mA fixed
kVp60kV fixed60kV fixed
Wave formConstant Potential (DC)Constant Potential (DC)
Safety, EMC andperformanceIEC 60601-1, IEC 60601-2-7IEC 60601-2-28,IEC 60601-2-32IEC 60601-1, IEC 60601-2-7, IEC 60601-2-28,IEC 60601-2-32
Source to skindistance20cm20cm
Cone diameter7Cm6.5 Cm6 Cm
User InterfaceExposure time: up, down.Selection buttons of partsof teeth, adult and child,film and sensor withdisplay.Exposure time: up, down.Two buttons for modesand selection of parts ofteeth, adult and child,film and sensor withdisplay.Exposure time: up, down.Selectionbuttons of parts ofteeth, adult and child,film and sensor withdisplay.
Exposure switchControl panel andremote controllerControl panel and remote controller
Tube headmountingYesYes
Intended useIntended to use by trained dentists and dental technicians as an extra-oral x-raysource for producing diagnostic x-ray images using intra-oral image receptors orfilm. It is intended to use for both adult and pediatric subjects.

5.10 Conclusion

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided the above comparison table, the DIGIMED Corporation concludes that the portable X-ray System (Model: DIOX-602, PROX) is safe and effective and substantially equivalent to the predicate device as described above.

.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The caduceus is depicted with a modern, abstract design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 6 2008

DIGIMED Corporation % Mr. Shin Kuk Yoo Business Development Manager LSK BioPartners, Inc. 215 S. State Street, STE 100B SALT LAKE CITY UT 84111

Re: K082167

Trade/Device Name: Portable x-ray system (Models: DIOX-602, PROX) Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: EHD Dated: July 29, 2008 Received: July 31, 2008

Dear Mr. Yoo:

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 ffor 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 (PMA), 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.

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Page 2

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.

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 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.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/odrh/industry/support/index.html.

Sincerely yours.

hope Mr. Whang

Joyce M. Whang, Ph.D. Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K082167

Device Name: Portable x-ray system (Models: D1OX-602, PROX) Indications for Use:

The Portable X-ray System (Model: DIOX-602, PROX) is intended to be used by trained dentists and dental technicians as extraoral x-ray source for producing diagnostic x-ray images using intraoral image receptors. Its use is intended for both adult and pediatric subjects.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (Part 21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hw Lewis

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

§ 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.