K Number
K113855
Date Cleared
2012-01-25

(27 days)

Product Code
Regulation Number
892.1680
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

IMIX PanoRad and PanoRad SL X-Ray Systems are indicated for use in generating radiographic images of human anatomy. They have Solid State X-ray Imaging systems intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. (Not for mammography.)

Device Description

The modified device can produce digital x-ray images in various configurations.

AI/ML Overview

The provided text is a 510(k) summary for the IMIX ADR Finland OY PanoRad and PanoRad SL Systems. This document aims to demonstrate substantial equivalence to previously cleared devices, rather than establishing acceptance criteria for a new, distinct device's performance.

Therefore, the document does not contain the information requested in your prompt regarding acceptance criteria, device performance studies, and ground truth establishment because it is focused on demonstrating that the revised device is substantially equivalent to existing, legally marketed devices.

Here's why each of your requested points is not present in the provided text:

  1. A table of acceptance criteria and the reported device performance: This document doesn't define new performance criteria or report performance against them. Instead, it compares the characteristics of the modified device to a predicate device to show they are essentially the same.
  2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): No specific test sets or clinical studies for performance evaluation are described. The filing relies on the established safety and effectiveness of the existing predicate devices and the individual components.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience): Since no new performance studies are detailed, there's no mention of experts establishing ground truth.
  4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable, as there's no new test set described.
  5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: This is not an AI/CAD device. It's an X-ray imaging system, so MRMC studies, especially with AI assistance, are not relevant to this filing.
  6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable, as this is a hardware device (X-ray system), not an algorithm.
  7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable, as there's no new performance study requiring ground truth.
  8. The sample size for the training set: Not applicable, as this is not an AI/Machine Learning device that requires a training set.
  9. How the ground truth for the training set was established: Not applicable for the same reason as point 8.

In summary, the provided document focuses on demonstrating substantial equivalence of a modified X-ray system to a predicate device by comparing technical specifications and intended use, rather than presenting a de novo performance study with specific acceptance criteria and ground truth validation.

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JAN 2 5 2012

510(k) Summary K113855

IMIX ADR Finland OY Peltokatu 16 D3 33100 Tampere, Finland Telephone: +358 (3) 2129 850 Fax: +358 (3) 2129 852 E-mail: emea@imixadr.com Contact: Peter Reinli President Date Prepared: November 11, 2011

    1. Identification of the Device: Proprietary-Trade Name: PanoRad and PanoRad SL Systems Classification Name: Stationary X-ray system, Product Codes Product Codes KPR, MQB, and LLZ Common/Usual Name: General purpose diagnostic X-ray Units with Digital X-ray receptor panels.
    1. Equivalent legally marketed devices: IMIX PanoRad (K101435); This modified system employs the DRTech FLAATZ 560 (K111583), OR the DRTech FLAATZ 750E (K080064) OR Konica Minolta AERO DR (K102349) AND K070618, DICOM Pacs made by O&R. .
    1. Indications for Use (intended use) PanoRad and PanoRad SL X-Ray Systems are indicated for use in generating radiographic images of human anatomy. It has a Solid State X-ray Imaging system intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. Not for mammography.
    1. Description of the Device: The modified device can produce digital x-ray images in various configurations.
ProductNameMechanicsGeneratorDetectorWorkstationSoftware
PanoRadShinYoung for M Co.SU-1001CPICMP 200 or CMP200DR50 or 65 kW-OR-Stadler Elektronik8x Series50 or 65 kW-OR-EMD TechnologiesEPS 45-80 RadFOR ALL MODELSIMIX ADR OYIMIX 2000 UNV3K or 4K-OR-DRTech FLAATZ 560(K111583) orFLAATZ 750E (K080064)-OR-AERO DR(K102349 KONICAMINOLTA)Oehm undRehbeindicomPACS(K070618) AnImage Acquisitionworkstation withDICOM 3complianceFOR ALLDETECTORS(except Aero DR)
PanoRadSLShinYoung for M Co.SU-1001 or SU-3001

Here is a product configuration matrix:

    1. Safety and Effectiveness, comparison to predicate device. The results of bench, clinical, and standards testing indicates that the modified device is as safe and effective as the predicate devices. The changed components are in fact identical to the predicate devices.

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6. Substantial Equivalence Chart, PanoRad and PanoRad SL Systems

CharacteristicIMIX PanoRad and SomaRad X-Ray Systems, K101435PanoRad or PanoRad SL X-Ray Systems, Modified device
Intended Use:Indicated for use in generatingradiographic images of humananatomy. It has a Solid State X-rayImaging system intended to replaceradiographic film/screen systems in allgeneral-purpose diagnostic procedures.Not for mammographySAME
User InterfaceSoftware Driven Touch Panel LCDSoftware Driven Touch Panel LCD
GeneratorCPI or StadlerCPI, Stadler, or EMD Technologies
Maximum output50 and 65 kW45, 50, 65 or 80 kW
StandSupplied by Shinyoung For M Co LtdSupplied by Shinyoung For M Co Ltd
Image AcquisitionIMIX or Varian Digital RadiographicDetectorsIMIX ADR OYIMIX 2000 UNV3K or 4K-OR-DRTech FLAATZ 560 (K111583)or FLAATZ 750E (K080064)-OR-AERO DR(K102349)
Digital Panel Size14" x 17" (4336R)17" x 17: (4343R)16" x 16"Added panels:FLAATZ 750E 14 x 14FLAATZ 560 14 x 17AERO DR: 14 x 14 or 14 x 17
Digital Panel SupplierIMIX panels, same as in K073114 OR:Varian 4343R or 4336RIMIX panels, DRTech, or KonicaMinolta
Digital Resolution7.9 megapixel or 9.4 megapixel. 139 μFLAATZ 750E: 6.6 megapixel 168 μFLAATZ 560 7.9 megapixel 139 μAERO DR: 5 megapixel 175μ
DICOMYes, via O&R software cleared inK091364Yes, via O&R software cleared inK091364
Method of ControlTouch Panel LCDTouch Panel LCD
CollimatorRalco R302L/A DHHSRalco R302L/A DHHS
SafetyUL listedUL listed
  1. Conclusion: After analyzing bench, clinical, and standards testing data, it is the conclusion of IMIX ADR that the IMIX PanoRad and PanoRad SL X-Ray Systems are as safe and effective as the predicate devices, have few technological differences, and have no new indications for use, thus rendering them substantially equivalent to the predicate devices.

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol resembling an eagle or bird in flight, composed of three curved lines.

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

IMIX ADR Finland OY % Mr. Daniel Kamm, P.E. Regulatory Engineer Kamm & Associates 8870 Ravello Court NAPLES FL 34114

JAN- 2 5-2012 .

Re: K113855

Trade/Device Name: PanoRad, PanoRad SL X-Ray Systems Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR, MQB, LLZ Dated: December 20, 2011 Received: December 29, 2011

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 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

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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

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Indications for Use 510(k) Number (if known):K11 30

Device Name: PanoRad, PanoRad SL X-Ray Systems

Indications For Use:

IMIX PanoRad and PanoRad SL X-Ray Systems are indicated for use in generating radiographic images of human anatomy. They have Solid State X-ray Imaging systems intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. (Not for 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 In Vitro Diagnostic Devices (OIVD)

Page 1 of 1

Mary Spatel

Division of Radiological Devic Office of In Vit 510K

§ 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.