K Number
K100960
Device Name
WDS X-POD AND ZEN-X DIGITAL X-RAY SENSORS
Manufacturer
Date Cleared
2010-10-21

(197 days)

Product Code
Regulation Number
872.1800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The WDS X-POD and ZEN-X Digital X-Ray Sensors are intended to capture intraoral digital images when exposed to X-Rays. The process is automatic and transmits the digital image to a personal computer by wireless Bluetooth connection or by USB link. Additional legally marketed components such as conventional X-ray tubes and image capture software that are currently available commercially can be used with the WDS X-POD and ZEN-X Digital X-Ray Sensors.
Device Description
The X-POD is comprised of the X-POD X-Ray sensitive digital sensor, with cable and connector, to be connected to a hand-held unit. X-POD X-ray Digital Sensor is a CMOS Sensor that receives the X-Ray image and converts it into an electronic format. The X-POD hand-held unit receives the X-ray images from the sensor and stores them on an secure digital card. It includes a color display with touch-screen capability. The display allows the user to check if the X-ray was correctly positioned on the image. It also includes an electronic board which allows the X-POD sensor to communicate with the PC through USB® and Bluetooth® links, and controls the display including the on-board circuits for charge control and monitoring the rechargeable battery. The X-POD handheld unit also includes an SD card to store the images. A Wall mount Battery Charger is used for recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A. The rechargeable battery pack supplies the electricity to the electronic board and the sensor. The battery compartment is enclosed by a screwmounted panel and can only be replaced by qualified technicians (service). The battery charger is used for fast recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A. The ZEN-X Sensor consists of the following components which are described in detail below: . ZEN-X Intraoral Sensor - ZEN-X interface . - CD-ROM with software, driver, and manuals . The ZEN-X intraoral sensor receives the X-ray image and converts it to an electronic format. The data from the X-ray image is transmitted from the sensor to the PC through the interface. The image data sent by the X-ray sensor is converted by the interface circuit into standard logic levels for the electronic circuit board to process the image data. The USB interface controls the flow of data and commands between the ZEN-X Interface and the computer. The ZEN-X Interface controls the timing and functions of the image data conversion and transmission.
More Information

Not Found

No
The description focuses on the hardware components and basic image capture/transmission, with no mention of AI or ML for image analysis or processing beyond simple display and storage.

No.
The device is an X-ray sensor used to capture diagnostic images, not to provide therapy.

No.
The devices are image capture devices that convert X-ray images into digital format, which are then transmitted to a computer for viewing. They do not interpret the images or provide a diagnosis.

No

The device description clearly outlines multiple hardware components including sensors, a hand-held unit with a display and storage, a battery, and a battery charger. While software is mentioned (CD-ROM with software, driver, and manuals), it is part of a system that includes significant hardware.

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

Here's why:

  • Intended Use: The intended use is to "capture intraoral digital images when exposed to X-Rays." This describes a medical imaging device, not a device used to examine specimens derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of disease.
  • Device Description: The description details components for capturing and transmitting X-ray images. There is no mention of analyzing biological samples or performing tests on bodily fluids or tissues.
  • Anatomical Site: The anatomical site is "Intraoral," which refers to within the mouth, consistent with dental imaging.
  • Input Imaging Modality: The input is "X-Rays," a form of radiation used for imaging, not for analyzing biological samples.

IVD devices are specifically designed to perform tests on samples like blood, urine, tissue, etc., to provide diagnostic information. This device is clearly for capturing images using X-rays for diagnostic purposes, which falls under the category of medical imaging devices.

N/A

Intended Use / Indications for Use

The WDS X-POD and ZEN-X Digital X-Ray Sensors are intended to capture intraoral digital images when exposed to X-Rays. The process is automatic and transmits the digital image to a personal computer by wireless Bluetooth connection or by USB link. Additional legally marketed components such as conventional X-ray tubes and image capture software that are currently available commercially can be used with the WDS X-POD and ZEN-X Digital X-Ray Sensors.

Product codes (comma separated list FDA assigned to the subject device)

MUH

Device Description

The X-POD is comprised of the X-POD X-Ray sensitive digital sensor, with cable and connector, to be connected to a hand-held unit. X-POD X-ray Digital Sensor is a CMOS Sensor that receives the X-Ray image and converts it into an electronic format.

The X-POD hand-held unit receives the X-ray images from the sensor and stores them on an secure digital card. It includes a color display with touch-screen capability. The display allows the user to check if the X-ray was correctly positioned on the image. It also includes an electronic board which allows the X-POD sensor to communicate with the PC through USB and Bluetooth links, and controls the display including the on-board circuits for charge control and monitoring the rechargeable battery. The X-POD handheld unit also includes an SD card to store the images.

A Wall mount Battery Charger is used for recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A. The rechargeable battery pack supplies the electricity to the electronic board and the sensor. The battery compartment is enclosed by a screwmounted panel and can only be replaced by qualified technicians (service).

The battery charger is used for fast recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A.

ZEN-X Digital X-Ray Sensor

The ZEN-X Sensor consists of the following components which are described in detail below:

  • . ZEN-X Intraoral Sensor
  • ZEN-X interface .
  • CD-ROM with software, driver, and manuals .

The ZEN-X intraoral sensor receives the X-ray image and converts it to an electronic format. The data from the X-ray image is transmitted from the sensor to the PC through the interface. The image data sent by the X-ray sensor is converted by the interface circuit into standard logic levels for the electronic circuit board to process the image data. The USB interface controls the flow of data and commands between the ZEN-X Interface and the computer. The ZEN-X Interface controls the timing and functions of the image data conversion and transmission.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-Ray

Anatomical Site

Intraoral

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): 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.

K061114

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

§ 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.

0

Special 510(k) Summary for WDS X-POD and ZEN-X Digital X-Ray Sensors

1. SPONSOR

Cefla, s.c. - Cefla Dental Group via Selice Prov. le 23/a Imola, IT-BO Italy 40026

OCT 2 1 2010

Contact Person: Sergio Ghezzi
Telephone: +39 0542 653111
Facsimile: +39 0542 753344

K 100960

2. DEVICE NAME

Proprietary Name:WDS XPOD and ZEN-X
Common/Usual Name:Intraoral X-ray sensor system
Classification Name:Extraoral source x-ray system

3. PREDICATE DEVICE

WDS Digital X-Ray Sensors, Cefla, s.c. - Cefla Dental Group, K061114

4. INTENDED USE

The WDS X-POD and ZEN-X Digital X-Ray Sensors are intended to capture intraoral digital images when exposed to X-Rays. The process is automatic and transmits the digital image to a personal computer by wireless Bluetooth connection or by USB link. Additional legally marketed components such as conventional X-ray tubes and image capture software that are currently available commercially can be used with the WDS X-POD and ZEN-X Digital X-Ray Sensors.

5. DEVICE DESCRIPTIONS

The X-POD is comprised of the X-POD X-Ray sensitive digital sensor, with cable and connector, to be connected to a hand-held unit. X-POD X-ray Digital Sensor is a CMOS Sensor that receives the X-Ray image and converts it into an electronic format.

The X-POD hand-held unit receives the X-ray images from the sensor and stores them on an secure digital card. It includes a color display with touch-screen capability. The

April 5, 2010

ﺔ ﺍﻟ

1

display allows the user to check if the X-ray was correctly positioned on the image. It also includes an electronic board which allows the X-POD sensor to communicate with the PC through USB® and Bluetooth® links, and controls the display including the on-board circuits for charge control and monitoring the rechargeable battery. The X-POD handheld unit also includes an SD card to store the images.

A Wall mount Battery Charger is used for recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A. The rechargeable battery pack supplies the electricity to the electronic board and the sensor. The battery compartment is enclosed by a screwmounted panel and can only be replaced by qualified technicians (service).

The battery charger is used for fast recharge of the internal battery, or to operate the hand-held unit when the battery level is under a minimum value. The battery charger provides 9VDC, 1.5A. The battery charger is shown in Figure 3.

ZEN-X Digital X-Ray Sensor

The ZEN-X Sensor consists of the following components which are described in detail below:

  • . ZEN-X Intraoral Sensor
  • ZEN-X interface .
  • CD-ROM with software, driver, and manuals .

The ZEN-X intraoral sensor receives the X-ray image and converts it to an electronic format. The data from the X-ray image is transmitted from the sensor to the PC through the interface. The image data sent by the X-ray sensor is converted by the interface circuit into standard logic levels for the electronic circuit board to process the image data. The USB interface controls the flow of data and commands between the ZEN-X Interface and the computer. The ZEN-X Interface controls the timing and functions of the image data conversion and transmission.

6. TECHNICAL CHARACTERISTICS AND SUBSTANTIAL EQUIVALENCE

The overall design of the X-POD and ZEN-X Sensors are identical to the design of the parent WDS Sensor. The design modifications made to produce the X-POD and ZEN-X were implemented to improve the functional performance by allowing more images and ease of use of the digital X-ray sensor. The modifications are limited to changing the sensor from a CCD (charge coupled device) Sensor to a Complementary Metal Oxide Semiconductor (CMOS) sensor. The WDS X-POD and ZEN-X sensors when

CONFIDENTIAL APPENDIX E - Page 2 of 3

2

exposed to radiation capture the image in the form of a charge pattern on its surface. The resulting electronic output signals are digitized by a processor and sent to a computer screen for image presentation

The appropriate design verification and design validation activities were conducted to address the potential risks identified in the Risk Analysis. These activities (discussed in Section 10.2) included electrical safety testing and electromagnetic compatibility testing to ensure that all design requirements were fulfilled. The results confirm that the modified X-POD and ZEN-X are safe and effective for capturing of digital X-ray images.

Based on the comparison of intended use and technical features, and considering the results of the design control activities, Cefla, s.c. - Cefla Dental Group believes that the X-POD and ZEN-X is substantially equivalent to the parent device, the WDS Sensor (K061114). The proposed and predicate devices have the same general intended use and principles of operation. The overall design of the proposed and predicate devices is similar. The differences between these devices are limited to design modifications implemented to improve the convenience and functional performance of the proposed devices. These design modifications are minor and raise no new issues of safety or effectiveness.

Cefla, s.c. - Cefla Dental Group Special 510(k) WDS X-POD and ZEN-X

CONFIDENTIAL APPENDIX E - Page 3 of 3

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the department's mission. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

Cefla Dental Group % Cynthis J. M. Notle, Ph.D., RAC Senior Regulatory Consultant Medical Device Consultants, Inc. 49 Plain Street NORTH ATTLEBORO MA 02760

OCT 2 1 2010

Re: K100960

Trade/Device Name: WDS X-POD and ZEN-X Sensors Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: MUH Dated: September 3, 2010 Received: September 8, 2010

Dear Dr. Notle:

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,

signature

David G. Brown, Ph.D. Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): 100 960

100 960

Device Name: WDS X-POD and ZEN-X Sensors

Indications for Use:

The WDS X-POD and ZEN-X Sensors are intended to capture intraoral digital images when exposed to X-Rays. The process is automatic and continues transmitting the digital image to a personal computer by wireless Bluetooth connection or by USB link. Additional legally marketed components such as conventional X-ray tubes and image capture software that are currently available commercially can be used with the WDS X-POD and ZEN-X Digital X-Ray Sensors.

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)

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety

510K. K160960

Cefla, s.c. - Cefla Dental Group Special 510(k) WDS X-POD and ZEN-X Digital X-Ray Sensors

April 5, 2010

Page vii