K Number
K091752
Device Name
VIZTEK WL
Manufacturer
Date Cleared
2009-11-12

(149 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This digital radiographic system is intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremittes, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Excludes fluoroscopy, angiography, and mammography.
Device Description
This digital diagnostic x-ray system consists of a tubehead/collimator assembly mounted on a ceiling suspension OR a U-Arm, along with a generator, generator control, and an elevating x-ray table. Power ratings for the available generators are in the rage of 50 kw to 80 kW. Exposure voltage range varies from 40 - 125 KV or 40 - 150 kV with current of 300 - 100 mA. Exposure time is 1 ms - 10 s. Models: Model DR3000 (U-arm single detector) and Model DR4000 (dual detector-ceiling suspension and table and upright bucky) and DR1000 single detector (standing bucky and ceiling suspension. The digital panel is the Pixium 3543pR (K090625) and the digital subsystem is the SmartRad, CMT Medical Technologies, K003438.
More Information

No
The document describes a standard digital radiographic system and does not mention any AI or ML capabilities in the device description, intended use, or performance studies.

No
The device is described as a "digital radiographic system" intended for "taking diagnostic radiographic exposures," which means it is used for diagnosis, not therapy.

Yes

The "Intended Use / Indications for Use" section states that the system is "for taking diagnostic radiographic exposures." The "Device Description" also refers to it as a "digital diagnostic x-ray system." Furthermore, the "Summary of Performance Studies" mentions "Viztek WL Digital Diagnostic X-Ray Systems."

No

The device description clearly outlines multiple hardware components including a tubehead/collimator assembly, generator, generator control, elevating x-ray table, and digital panel. This is a physical medical device system, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done "in vitro" (in glass or outside the body).
  • Device Function: The description clearly states this is a digital radiographic system that takes diagnostic radiographic exposures (X-rays) of various body parts. This is an in vivo (within the living body) imaging technique.
  • Intended Use: The intended use is for taking diagnostic radiographic exposures of the patient's body, not for testing samples from the patient.

Therefore, based on the provided information, this device falls under the category of medical imaging devices, not In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

This digital radiographic system is intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremittes, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Excludes fluoroscopy, angiography, and mammography.

Product codes

KPR, MQB

Device Description

This digital diagnostic x-ray system consists of a tubehead/collimator assembly mounted on a ceiling suspension OR a U-Arm, along with a generator, generator control, and an elevating x-ray table. Power ratings for the available generators are in the rage of 50 kw to 80 kW. Exposure voltage range varies from 40 - 125 KV or 40 - 150 kV with current of 300 - 100 mA. Exposure time is 1 ms - 10 s. Models: Model DR3000 (U-arm single detector) and Model DR4000 (dual detector-ceiling suspension and table and upright bucky) and DR1000 single detector (standing bucky and ceiling suspension. The digital panel is the Pixium 3543pR (K090625) and the digital subsystem is the SmartRad, CMT Medical Technologies, K003438.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

skull, spinal column, chest, abdomen, extremittes, and other body parts

Indicated Patient Age Range

adult and pediatric subjects

Intended User / Care Setting

qualified/trained doctor or technician

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)

The results of bench and test laboratory indicates that the new device is as safe and effective as the predicate devices.
After analyzing bench and external laboratory testing to applicable standards, it is the conclusion of Viztek Inc that the Viztek WL Digital Diagnostic X-Ray Systems are as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering them substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K082604, K090625, K003438

Reference Device(s)

K090625, K003438

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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510(k) Summarv P. 1 of 2 510(k) Number K09/752 Viztek, Inc. 6491 Powers Avenue Jacksonville, FL 32217 Phone: 800.366.5343 Fax: 904.448.9936 NOV 12 2009 Date Prepared: May 27, 2009 Contact: Bruce Ashby, Sales and Marketing Manager

l . Identification of the Device: Proprietary-Trade Name: Viztek WL Series Digital Diagnostic Digital X-Ray Systems (Multiple Models) Classification Name: Stationary x-ray system, Product Code 90 KPR and Solid State X-Ray Imager (Flat Panel/Digital Imager) 90 MQB, Common/Usual Name: Digital Stationary Diagnostic X-Ray System

    1. Equivalent legally marketed device: K082604, VIZTEK DR, MODELS: DR1000, DR3000, DR4000 and K090625, WIRELESS PORTABLE DETECTOR FD-W17, PHILIPS MEDICAL SYSTEMS NORTH AMERICA CO (This is the 510(k) for the wireless panel); K003438.SmartRad, CMT Medical Technologies. (This is the 510(k) for the software)
    1. Indications for Use (intended use) This digital radiographic system is intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremittes, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Excludes fluoroscopy, angiography, and mammography.
    1. Description of the Device: This digital diagnostic x-ray system consists of a tubehead/collimator assembly mounted on a ceiling suspension OR a U-Arm, along with a generator, generator control, and an elevating x-ray table. Power ratings for the available generators are in the rage of 50 kw to 80 kW. Exposure voltage range varies from 40 - 125 KV or 40 - 150 kV with current of 300 - 100 mA. Exposure time is 1 ms - 10 s. Models: Model DR3000 (U-arm single detector) and Model DR4000 (dual detector-ceiling suspension and table and upright bucky) and DR1000 single detector (standing bucky and ceiling suspension. The digital panel is the Pixium 3543pR (K090625) and the digital subsystem is the SmartRad, CMT Medical Technologies, K003438.
  • Safety and Effectiveness, comparison to predicate device. The results of bench and test 5. laboratory indicates that the new device is as safe and effective as the predicate devices.

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K091752
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6. Substantial Equivalence Chart
CharacteristicK082604, VIZTEK DR, MODELS:
DR1000, DR3000, DR4000 andViztek WL Series
Intended Use:Intended for use by a
qualified/trained doctor or technician
on both adult and pediatric subjects
for taking diagnostic radiographic
exposures of the skull, spinal column,
chest, abdomen, extremities, and
other body parts. Applications can be
performed with the patient sitting,
standing, or lying in the prone or
supine position.SAME, but updated: "Excludes
fluoroscopy, angiography, and
mammography." (Statement added
for the sake of clarity)
ConfigurationU-Arm mount or Ceiling SuspensionSAME
Performance Standard21 CFR 1020.30SAME
GeneratorHigh frequency made by SedecalSAME
Digital PanelPixium 4600
Pixel size 143 µm
3000 x 3000 pixelsPixium 3543pR (K090625)
Pixel size 144 µm
2372 x 3000 pixels
SoftwareEmploys K003438.SmartRad, CMT
Medical Technologies.SAME
Electrical safetyElectrical Safety per IEC-60601. UL
listedSAME

7. Conclusion

After analyzing bench and external laboratory testing to applicable standards, it is the conclusion of Viztek Inc that the Viztek WL Digital Diagnostic X-Ray Systems are as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering them substantially equivalent to the predicate devices.


පිහිටා පිහිටා ක්‍රියා විශ්වයි.

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Image /page/2/Picture/0 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

NOV 12 2009

Viztek, Inc. % Mr. Daniel Kamm, P.E. Regulatory Engineer, Submission Correspondent Kamm & Associates 333 Milford Rd. DEERFIELD IL 60015

Re: K091752

Trade/Device Name: Viztek WL Diagnostic Digital X-Ray System Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR and MOB Dated: September 9, 2009 Received: September 11, 2009

Dear Mr. Kamm:

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 (PMA), it may be subject to 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); medical device reporting of medical

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device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Janine M. Morris

Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

' Indications for Use

510(k) Number (if known): K.09/ 7 2 2

Device Name: Viztek WL Diagnostic Digital X-Ray System

Indications For Use:

This Digital Radiographic System is intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Excludes fluoroscopy, angiography, and mammography.

Prescription Use _X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Vom K2hz

(Division Sign-O (Division Sign-Off)
Division of Reproductive, Abdominal, Division of Rical Devices 510(k) Number

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