(30 days)
Not Found
No
The summary describes a standard dental X-ray and CBCT system with no mention of AI or ML capabilities in the device description, intended use, or performance studies.
No
The device is described as an X-ray imaging system intended to provide diagnostic information, not to treat conditions.
Yes
The "Intended Use / Indications for Use" section explicitly states that the device is intended to "provide diagnostic information."
No
The device description explicitly states it is a "complete dental X-ray system equipped with x-ray tube, generator and dedicated SSXI detector" and a "dental CBCT system is based on CMOS digital X-ray detector," indicating it includes significant hardware components.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
- Device Function: The PaX-Duo3D Plus is an X-ray imaging system. It takes images of the oral and craniofacial anatomy directly from the patient's body. It does not analyze samples taken from the body.
- Intended Use: The intended use is to provide diagnostic information through imaging, not through the analysis of biological samples.
Therefore, the function and intended use of the PaX-Duo3D Plus clearly fall outside the scope of In Vitro Diagnostics.
N/A
Intended Use / Indications for Use
PaX-Duo3D Plus is a computed tomography x-ray system intended to take panoramic and cross-sectional images of the oral and craniofacial anatomy to provide diagnostic information for adult and pediatric patients. The device is operated and used by physicians, dentists, dental assistants, x-ray technicians and other professionals who are licensed by the law of the State in which he or she practices to use the device.
Product codes (comma separated list FDA assigned to the subject device)
OAS
Device Description
PaX-Duo3D Plus (PCT-5000), a dental radiographic imaging system, consists of dual image acquisition modes; panorama, and cone beam computed tomography. Specifically designed for dental radiography of the teeth or jaws, PaX-Duo3D Plus (PCT-5000) is a complete dental X-ray system equipped with x-ray tube, generator and dedicated SSXI detector for dental panoramic and cone beam computed tomographic radiography.
The dental CBCT system is based on CMOS digital X-ray detector. CMOS CT detector is used to capture radiographic diagnostic images of oral anatomy in 3D for dental treatment such as oral surgery or implant. The device can also be operated as the panoramic dental x-ray system based on CMOS X-ray detector.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
X-ray
Anatomical Site
oral and craniofacial anatomy
Indicated Patient Age Range
adult and pediatric patients
Intended User / Care Setting
operated and used by physicians, dental assistants, x-ray technicians and other professionals who are licensed by the State in which he or she practices to use the device.
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)
Non-clinical & Clinical considerations according to FDA Guidance "Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices" were performed.
Acceptance test according to IEC 61223-3-4 and IEC 61223-3-5 was performed.
All test results were satisfactory.
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.
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
§ 892.1750 Computed tomography x-ray system.
(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.
0
Special 510(k) Summary
MAY 2 4 2012
This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 872.1800.
Date
4/18/2012
Manufacturer
Vatech Co., Ltd.
23-4, Seogu-Dong, Hwaseong-Si, Gyeonggi-Do, 445-170, Korea Republic
Tel: +82-31-379-9585 Fax: +82-31-379-9638 Contact person: Mr. Sonny Park
Official Correspondent (U.S. Designated agent)
Mtech Group 12946 Kimberley Ln, Houston, TX 77079 Tel: +713-467-2607 Fax: +713-464-8880 Contact person: Mr. Dave Kim (davekim(@mtech-inc.net)
Trade/Proprietary Name:
PaX-Duo3D Plus (PCT-5000)
Common Name:
Computed Tomography X-ray System
Classification Name:
X-ray, Tomography, Computed, Dental (21CFR 892.1750, Product code OAS, Class2)
1
Description:
PaX-Duo3D Plus (PCT-5000), a dental radiographic imaging system, consists of dual image acquisition modes; panorama, and cone beam computed tomography. Specifically designed for dental radiography of the teeth or jaws, PaX-Duo3D Plus (PCT-5000) is a complete dental X-ray system equipped with x-ray tube, generator and dedicated SSXI detector for dental panoramic and cone beam computed tomographic radiography.
The dental CBCT system is based on CMOS digital X-ray detector. CMOS CT detector is used to capture radiographic diagnostic images of oral anatomy in 3D for dental treatment such as oral surgery or implant. The device can also be operated as the panoramic dental x-ray system based on CMOS X-ray detector.
Indication for use:
PaX-Duo3D Plus is a computed tomography x-ray system intended to take panoramic and cross-sectional images of the oral and craniofacial anatomy to provide diagnostic information for adult and pediatric patients. The device is operated and used by physicians, dental assistants, x-ray technicians and other professionals who are licensed by the State in which he or she practices to use the device.
Predicate Device:
| Manufacturer | : Vatech Co., Ltd |
|---|---|
| Device | : PaX-Duo3D Plus |
| 510(k) Number | : K102102 (Decision Date - 3/11/2011) |
Substantial Equivalence:
PaX-Duo3D Plus (PCT-5000) described in this 510(k) has the similar intended use and technical characteristics as PaX-Duo3D Plus of Vatech Co., Ltd.
| Characteristic | Proposed
Vatech Co., Ltd.
PaX-Duo3D Plus
(PCT-5000) | Predicate
Vatech Co., Ltd.
PaX-Duo3D Plus |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) number | | K102102 |
| Indications
for use | PaX-Duo3D Plus is a computed
tomography x-ray system intended to
take panoramic and cross-sectional
images of the oral and craniofacial
anatomy to provide diagnostic
information for adult and pediatric
patients. The device is operated and
used by physicians, dentists, dental
assistants, x-ray technicians and other
professionals who are licensed by the
law of the State in which he or she
practices to use the device. | PaX-Duo3D Plus is a computed
tomography x-ray system intended
to take panoramic and cross-
sectional images of the oral and
craniofacial anatomy to provide
diagnostic information for adult
and pediatric patients. The device
is operated and used by physicians,
dentists, dental assistants, x-ray
technicians and other professionals
who are licensed by the law of the
State in which he or she practices
to use the device. |
| Performance | Panoramic and computed | Panoramic and computed |
| Specification | tomography (CBCT) | tomography (CBCT) |
| Input Voltage | AC 100-120 / 200-240 V | AC 110 / 230 V ~ |
| Tube Voltage | 50-90 kV | 50-90 kV |
| Tube Current | 2-10 mA | 2-10 mA |
| Focal Spot Size | 0.5 mm | 0.5 mm |
| Exposure Time | Max 20.2 s | 6.8 - 24 s |
| Total Filtration | 2.8 mmAl | 2.8 mm Al |
| Size of Imaging
Volume | CT (Xmaru0712CF)
: 5 x 5 cm / 8 x 5 cm / 8 x 8 cm
CT (Xmaru1215CF Plus)
: 5 x 5 cm / 8 x 5 cm /
8.5 x 8.5 cm / 12 x 8.5 cm
CT(Xmaru1215CF
Master
Plus)
: 5 x 5 cm / 8 x 5 cm /
8.5 x 8.5 cm / 12 x 8.5 cm
CT(Xmaru1524CF) :
5 x 5 cm / 8 x 5 cm /
8.5 x 8.5 cm / 12 x 8.5 cm | CT(Xmaru1524CF) :
5 x 5 cm / 8 x 5 cm /
8.5 x 8.5 cm /12 x 8.5 cm |
| | Panoramic
(Xmaru1501CF) : 5.0 lp/mm | Panoramic
(Xmaru1501CF) : 5.0 lp/mm |
| | CT (Xmaru0712CF)
: 3.5 lp/mm | |
| Pixel Resolution | CT (Xmaru1215CF Plus)
: 3.5 lp/mm | |
| | CT(Xmaru1215CF Master
Plus)
: 10.1 lp/mm- full resolution
5.0 lp/mm -2x2 binning
2.5 lp/mm-4x4 binning | CT (Xmaru1524CF) : 2.5 lp/mm |
| | | |
| | | |
| | | |
| | | |
| | CT(Xmaru1524CF) : 2.5 lp/mm | |
| | Panoramic
(Xmaru1501CF): 100 μm | Panoramic
(Xmaru1501CF): 100 μm |
| | CT (Xmaru0712CF)
: 140 μm | |
| | CT (Xmaru1215CF Plus)
: 140 μm | |
| Pixel Size | CT(Xmaru1215CF Master
Plus)
: 49.5 μm-full resolution
99 μm-2x2 binning
198 μm-4x4 binning | CT (Xmaru1524CF) : 200 μm |
| | | |
| | | |
| | | |
| | CT(Xmaru1524CF): 200 μm | |
| | CMOS photodiode array – | |
| | panoramic (Xmaru1501CF) &
CT(Xmaru0712CF,
Xmaru1215CF Plus,
Xmaru1215CF Master Plus,
Xmaru1524CF) | CT (Xmaru1524CF) with Flat
Panel Detector |
| Image Receptor | | |
| | | |
| | | |
2
510(k) Submission – PaX-Duo3D Plus (PCT-5000)
3
.
4
Indications for use, safety characteristics, and non-clinical performance for panoramic and CBCT sensors of PaX-Duo3D Plus (PCT-5000) and PaX-Duo3D Plus are similar. The primary differences are as follows: PaX-Duo3D Plus (PCT-5000) introduces three new cone beam CT sensors: Xmaru0712CF, Xmaru1215CF Plus. Xmaru1215CF Master Plus. The non-clinical performance and clinical consideration report for the new SSXI CBCT sensors are provided separately in this submission. Based on the nonclinical and clinical consideration and the outcome of an expert review of image comparisons for both devices, new PaX-Duo3D Plus (PCT-5000) is substantially equivalent, in terms of safety and effectiveness, with PaX-Duo3D Plus, the predicate device.
Safety, EMC and Performance Data:
Electrical, mechanical, environmental safety and performance testing according to standard IEC 60601-1(A1+A2, 1995), IEC 60601-1-1 (2001), IEC 60601-1-3 (Ed. 1, 1994), IEC 60601-2-7 (1998), IEC 60601-2-28 (Ed. 1, 1993), IEC 60601-2-32 (Ed. 1, 1994) and IEC 60601-2-44 (Ed. 2, 2002) were performed, and EMC testing were conducted in accordance with standard IEC 60601-1-2.
PaX-Duo3D Plus (PCT-5000) meets the provisions of NEMA PS 3.1-3.18, Digital Imaging and Communications in Medicine (DICOM) Set.
Non-clinical & Clinical considerations according to FDA Guidance "Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices" were performed.
Acceptance test according to IEC 61223-3-4 and IEC 61223-3-5 was performed.
All test results were satisfactory.
Conclusion:
In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on
5
the information provided in this premarket notification. Vatech Co., Ltd. concludes that PaX-Duo3D Plus (PCT-5000) is safe and effective and substantially equivalent to predicate device as described herein.
END
6
Image /page/6/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three wing feathers, representing the department's mission to protect the health of all Americans and provide essential human services. The eagle is encircled by the words "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
Vatech Co., Ltd. % Mr. Dave Kim Medical Device Regulatory Affairs Mtech Group 12946 Kimberly Lane HOUSTO TX 77079
MAY 2 4 2012
Re: K121236
Trade/Device Name: PaX-Duo3D Plus Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: OAS Dated: April 18, 2012-Received: April 24, 2012
Dear Mr. Kim:
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
7
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,
Janine M. Morris
Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health
Enclosure
8
Indications for Use
510(K) Number (if known): K12J236
Device Name: PaX-Duo3D Plus
Classification: Computed tomography X-ray system
Indications for Use:
PaX-Duo3D Plus is a computed tomography x-ray system intended to take panoramic and cross-sectional images of the oral and craniofacial anatomy to provide diagnostic information for adult and pediatric patients. The device is operated and used by physicians, dentists, dental assistants, x-ray technicians and other professionals who are licensed by the law of the State in which he or she practices to use the device.
Prescription Use (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (Part 21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF néededi
Arul D'A
Office of In
510K K121236
Concurrence of CDRH, Office of Device Evaluation(ODE)
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