K Number
K112380
Device Name
CLEARVISION
Manufacturer
Date Cleared
2011-11-22

(97 days)

Product Code
Regulation Number
872.1800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ClearVision is intended to be used by dentists and other qualified professionals for producing diagnostic x-ray radiographs of dentition, jaws and other oral structures.
Device Description
ClearVision is a digital imaging system for dental radiographic application. The product is to be used for routine dental radiographic examinations such as bitewings, periapicals, etc. Two different sized sensors (size 1 and size 2) are utilized to image different anatomy and for different patient sizes. The CMOS sensor connects directly to a USB connection in a PC without the need for an intermediate electrical interface. ClearVision works with a standard dental intraoral x-ray source without any connection to the x-ray source. ClearVision captures an image automatically upon sensing the production of x-ray and after the x-ray is complete, transfers the image to an imaging software program on the PC. Disposable sheaths are used with each use to prevent cross-contamination between patients.
More Information

None

No
The summary describes a standard digital dental x-ray sensor and associated imaging software. There is no mention of AI, ML, or any features that would typically utilize these technologies for image analysis, diagnosis, or processing beyond basic image transfer. The performance studies focus on image quality and sensor durability, not algorithmic performance.

No
The device is used for producing diagnostic x-ray radiographs, which is a diagnostic function, not a therapeutic one. It captures images but does not treat any condition.

Yes

The "Intended Use / Indications for Use" states that ClearVision is "for producing diagnostic x-ray radiographs".

No

The device description explicitly mentions and describes hardware components (CMOS sensor, USB connection, PC) and includes performance studies related to the sensor's electrical, mechanical, and imaging characteristics, as well as electrical safety and hermetic classification. This indicates it is a system with both hardware and software components, not software-only.

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

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use of ClearVision is to produce diagnostic x-ray radiographs of dentition, jaws, and other oral structures directly on the patient. It does not involve the analysis of biological samples like blood, urine, or tissue.
  • The device description focuses on imaging the patient directly. It describes a digital imaging system that captures x-ray images of the patient's oral anatomy.
  • The performance studies involve imaging phantoms and a tooth phantom. These are not biological specimens from a human body.

Therefore, ClearVision falls under the category of a medical imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

ClearVision is intended to be used by dentists and other qualified professionals for producing diagnostic x-ray radiographs of dentition, jaws and other oral structures.

Product codes

MUH

Device Description

ClearVision is a digital imaging system for dental radiographic application. The product is to be used for routine dental radiographic examinations such as bitewings, periapicals, etc. Two different sized sensors (size 1 and size 2) are utilized to image different anatomy and for different patient sizes. The CMOS sensor connects directly to a USB connection in a PC without the need for an intermediate electrical interface. ClearVision works with a standard dental intraoral x-ray source without any connection to the x-ray source. ClearVision captures an image automatically upon sensing the production of x-ray and after the x-ray is complete, transfers the image to an imaging software program on the PC. Disposable sheaths are used with each use to prevent cross-contamination between patients.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray

Anatomical Site

dentition, jaws and other oral structures

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dentists and other qualified professionals

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

An imaging performance comparison was done of the ClearVision sensor versus the Schick CDR and Gendex GXS-700 sensors. The details of this testing can be found in Section 18. This testing consisted of using each sensor to image a line pair phantom, an aluminum step wedge, and a tooth phantom.

Summary of Performance Studies

An imaging performance comparison was done of the ClearVision sensor versus the Schick CDR and Gendex GXS-700 sensors. This testing consisted of using each sensor to image a line pair phantom, an aluminum step wedge, and a tooth phantom. In this testing, the ClearVision sensor was shown to be equivalent to the Gendex GXS-700 in all three tests and superior to the Schick sensor in all three imaging tests.

Significant electrical, mechanical, and imaging tests were performed on the sensors as part of engineering verification. In all cases, the sensor was found to meet the requirements identified earlier in the design phase. Extensive imaging performance testing was done in various configurations of connections of the sensor to a PC workstation (varying lengths of cable and the presence of USB hubs and extenders). The sensor showed itself to be completely reliable in capturing an image and transferring the image to the workstation over an extended life period. Image quality of the sensor was shown to meet requirements and to be consistent over the expected lifetime exposures to radiation. The sensor was put through extensive mechanical testing that tested the durability of the sensor housing and cable. Once again, the sensor met all specified requirements. An external test laboratory confirmed the ClearVision system meets the electrical safety and EMI/EMC provisions of IEC 60601-1 and 60601-1-2. Testing by the sensor supplier by an external laboratory confirmed the sensor met hermetic classification IP67 per IEC 60529.

Key Metrics

Not Found

Predicate Device(s)

Schick CDR (K072134), Gendex GXS-700 (K090458)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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K 1123 80 Page 1 of 3

. . . . . . .

510(k) Summary

Date:June 9, 2011
Submitter:Midmark Corporation
675 Heathrow Drive
Lincolnshire, IL 60069 USA
Contact Person:Lisa Bartakovics
Director of Quality and Regulatory Affairs
(847) 415-9800
Device Name:ClearVision Digital Sensor System
Predicate Devices:Schick CDR (K072134)
Gendex GXS-700 (K090458), approved under Dexis name
Description of Device:ClearVision is a digital imaging system for dental radiographic
application. The product is to be used for routine dental radiographic
examinations such as bitewings, periapicals, etc. Two different sized
sensors (size 1 and size 2) are utilized to image different anatomy and
for different patient sizes. The CMOS sensor connects directly to a USB
connection in a PC without the need for an intermediate electrical
interface. ClearVision works with a standard dental intraoral x-ray
source without any connection to the x-ray source. ClearVision captures
an image automatically upon sensing the production of x-ray and after
the x-ray is complete, transfers the image to an imaging software
program on the PC. Disposable sheaths are used with each use to
prevent cross-contamination between patients.
Intended Use:ClearVision is intended to be used by dentists and other qualified
professionals for producing diagnostic x-ray radiographs of dentition,
jaws and other oral structures.

1

K112380
Page 2 of 3

Substantial Equivalence:

| Technical

CharacteristicClearVisionSchick CDRGendex GXS-700 (Dexis)
Sensor Sizes (mm)37 x 24
43 x 3031 x 22
37 x 24
43 x 3037 x 25
42 x 31
Sensor TechnologyCMOSCMOSCMOS
Pixel Size (µm)19.040.019.5
ScintillatorCsICsICsI
Interface to PCUSBUSBUSB
Electronic
Interface
Assembly?NoYesNo
Intended UseClearVision is
intended to be used
by dentists and other
qualified professionals
for producing
diagnostic x-ray
radiographs of
dentition, jaws and
other oral structures.The Computed Oral
Radiology System is
intended for intra-oral
examinations and indicated
for dental patients. It
produces instant, digital,
intra-oral x-ray images of a
patient's mouth while
reducing the necessary x-ray
dosage.The DEXIS sensor is a USB-
driven digital sensor which
is intended to acquire
dental intra-oral
radiography images. The
DEXIS sensor shall be
operated by healthcare
professionals, who are
educated and competent
to perform the acquisition
of dental intra-oral
radiographs. The DEXIS
sensor can be used either
in combination with
special positioning devices
to facilitate positioning
and alignment with the x-
ray beam or it may also be
positioned by hand with
the assistance of the.

Tests Conducted:

An imaging performance comparison was done of the ClearVision sensor versus the Schick CDR and Gendex GXS-700 sensors. The details of this testing can be found in Section 18. This testing consisted of using each sensor to image a line pair phantom, an aluminum step wedge, and a tooth phantom. In this testing, the ClearVision sensor was shown to be equivalent to the Gendex GXS-700 in all three tests and superior to the Schick sensor in all three imaging tests.

2

K112380
Page 3 of 3

Significant electrical, mechanical, and imaging tests were performed on the sensors as part of engineering verification. The full details of this testing is found in Section 18. In all cases, the sensor was found to meet the requirements identified earlier in the design phase. Extensive imaging performance testing was done in various configurations of connections of the sensor to a PC workstation (varying lengths of cable and the presence of USB hubs and extenders). The sensor showed itself to be completely reliable in capturing an image and transferring the image to the workstation over an extended life period. Image quality of the sensor was shown to meet requirements and to be consistent over the expected lifetime exposures to radiation. The sensor was put through extensive mechanical testing that tested the durability of the sensor housing and cable. Once again, the sensor met all specified requirements. An external test laboratory confirmed the ClearVision system meets the electrical safety and EMI/EMC provisions of IEC 60601-1 and 60601-1-2. Testing by the sensor supplier by an external laboratory confirmed the sensor met hermetic classification IP67 per IEC 60529.

Conclusion:

The ClearVision sensor system is substantially equivalent to other legally marketed devices in the United States. The ClearVision sensor system is substantially equivalent in technical characteristics and intended use to the CDR sensor marketed by Schick Technologies and the GXS-700 sensor marketed by Gendex Dental Systems (approved under the Dexis name).

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the circumference. Inside the circle is a stylized emblem featuring three curved lines that resemble a bird in flight or a symbolic representation of human services.

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 2 2 2011

Ms. Lisa Bartakovics Director, Quality and Regulatory Affairs Progency Dental Midmark Corporation 675 Heathrow Drive LINCOLNSHIRE IL 60069

Re: K112380

Trade/Device Name: Progeny ClearVision Digital Sensor System Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: MUH Dated: October 18, 2011 Received: October 18, 2011

Dear Ms. Bartakovics:

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,

Mary Pastel

Mary S. Pastel, Sc.D. 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 Form

510(k) Number (if known): _ K \2380__________________________________________________________________________________________________________________________________________

Device Name: Progeny ClearVision Digital Sensor System

Indications for Use: ClearVision is intended to be used by dentists and other qualified professionals for producing diagnostic x-ray radiographs of dentition, jaws and other oral structures.

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

Over the Counter Use__________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Signature

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K112380

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