K Number
K122298
Device Name
AJEX 1200 H / AJEX 240H MOBILE X-RAY GENERATOR
Date Cleared
2014-03-28

(605 days)

Product Code
Regulation Number
892.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
This equipment is used for generating X-ray to get the X-ray image for the purpose of diagnosis of patient. This equipment is possible to move the place for patient because it is designed for portable type. This equipment is possible to combine with the mobile stand unit for convenience for patient positioning according to user's needs. The AJEX 1200H/ AJEX 240H Mobile X-ray Generator is designed for the following applications : - Physician with general practice - Bedside exposures in hospital ward - Surgery and Orthopedics
Device Description
The AJEX 1200H and AJEX 240H are portable x-ray units which operate at 110V or 220V, 50/60 HZ. The units have an LED display with up and down soft keys to control KvP. In addition the unit has preset memory keys to store and select KvP. The units can be installed on a mobile stand, a support arm or can be hand held. The unit should be used only by qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of body parts. The usual safety precautions regarding the use of x-ray units must be observed by the operator.
More Information

Not Found

No
The summary describes a portable X-ray generator with basic controls and memory functions, with no mention of AI or ML capabilities.

No
The device is described as an X-ray generator used for diagnosis, not for therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that the equipment is used "for the purpose of diagnosis of patient."

No

The device description explicitly states it is a "portable x-ray unit" and mentions hardware components like an LED display, soft keys, and power requirements (110V or 220V). This indicates it is a physical hardware device that generates X-rays, not a software-only medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that this equipment is used for generating X-rays to get X-ray images for the purpose of diagnosis of a patient. This is an in vivo diagnostic method, meaning it involves examining the patient directly, not analyzing samples taken from them.
  • Intended Use: The intended uses listed (general practice, bedside exposures, surgery, orthopedics) all involve direct imaging of the patient's body.

Therefore, this device falls under the category of medical imaging equipment, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

This equipment is used for generating X-ray to get the X-ray image for the purpose of diagnosis of patient.

This equipment is possible to move the place for patient because it is designed for portable type.

This equipment is possible to combine with the mobile stand unit for convenience for patient positioning according to user's needs.

The AJEX 1200H/ AJEX 240H Mobile X-ray Generator is designed for the following applications :

  • Physician with general practice

  • Bedside exposures in hospital ward

  • Surgery and Orthopedics

Product codes

IZL

Device Description

The AJEX 1200H and AJEX 240H are portable x-ray units which operate at 110V or 220V, 50/60 HZ. The units have an LED display with up and down soft keys to control KvP. In addition the unit has preset memory keys to store and select KvP. The units can be installed on a mobile stand, a support arm or can be hand held.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Not Found

Indicated Patient Age Range

adult and pediatric subjects

Intended User / Care Setting

qualified/trained doctor or technician, Physician with general practice, Bedside exposures in hospital ward, Surgery and orthopedics

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)

MinX-ray HF100+, MinX-ray HF120/610Hz PowerPlus

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1720 Mobile x-ray system.

(a)
Identification. A mobile x-ray system is a transportable device system intended to be used to generate and control x-ray for diagnostic procedures. 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

K122298
Pag 1 of 2

EXHIBIT 4 (Page 1 of 2) 510 (k) Summary

June 14, 2013

l. Submitter:

Company: JPI Healthcare Solutions 52 Newtown Plaza Plainview, NY 11803 516-513-1330 ext 108 Telephone: William Little Contact:

  1. Identification of Device:

Proprietary-Trade Name: AJEX 1200H and AJEX 240H Portable X-ray Units Mobile X-ray System Classification Name: Product Code: 90 IZL Portable general Purpose X-ray Unit. Common/Usual Name:

  1. Equivalent Marketed Devise:

This product is substantially equivalent to the MinX-ray HF100+ and HF120/610Hz PowerPlus Portable X-ray units (Predicate Device), which have been found to be substantially equivalent through the 510 (k) premarket notification process.

  1. Description of Device:

The AJEX 1200H and AJEX 240H are portable x-ray units which operate at 110V or 220V, 50/60 HZ. The units have an LED display with up and down soft keys to control KvP. In addition the unit has preset memory keys to store and select KvP. The units can be installed on a mobile stand, a support arm or can be hand held. The unit should be used only by qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of body parts. The usual safety precautions regarding the use of x-ray units must be observed by the operator.

Intended Use of AJEX 1200H AND AJEX 240H: న్.

This equipment is used for generating X-ray to get the X-ray image for the purpose of diagnosis of patient.

This equipment is possible to move the place for patient because it is designed for portable type.

This equipment is possible to combine with the mobile stand unit for convenience for patient positioning according to user's needs.

The AJEX 1200H/ AJEX 240H Mobile X-ray Generator is designed for the following applications :

  • Physician with general practice

  • Bedside exposures in hospital ward

  • Surgery and orthopedics

1

K122298
page 2 of 2

EXHIBIT 4 (Page 2 of 2) 510 (k) Summary

6. Substantial Equivalence Chart

| Characteristics | HF100+ | HF120/60Hz
PowerPlus | AJEX-1200H | AJEX-240H |
|----------------------|-----------------------------------------|--------------------------------|-----------------------------------|--------------------------------|
| Intended use. | SAME | SAME | SAME | SAME |
| MA | 20,25,30 | 14-60 | 15-80 | 15-40 |
| kVp | 40-100 | 40-120 | 40-120 | 40-120 |
| mAs | 0.6-100 | 0.6-212 | 0.6-168 | 0.4-140 |
| Focal Spot | 1.2mm | 1.2mm | 1.8mm | 1.2mm |
| Power
requirement | 100-140VAC
or 200-260VAC,
50/60Hz | 100-260VAC,
50/60Hz | 110 or 220V,
50/60Hz | 110 or 220V,
50/60Hz |
| User Interface | Exposure
Switch and
Console | Exposure Switch
and Console | Exposure
Switch and
Console | Exposure Switch
and Console |
| Collimator | manual | manual | manual | manual |
| Size | 9.5"x 8.75" x
16" | 16"x8.8"x9.5" | 13.4" x 9.9" x
9.8" | 13.4" x 7.6" x 6.4" |
| Weight | 45.5lbs | 38.6lbs | 44lbs | 32lbs |

Conclusion:

After analyzing all the data it is the conclusion of JPI that the AJEX-1200H and 240H are as safe and effective as the predicate devise. The systems have few technological differences, and have no new indication for use. thus rendering them substantially equivalent to the predicate devices.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the words "Public Health Service" in bold, black font. The words are stacked on top of each other, with "Public" on the top line, "Health" on the second line, and "Service" on the third line. The text appears to be extracted from a document or sign.

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

March 28, 2014

AJEX Meditech, Ltd. % Mr. William Little Product Manager JPI Healthcare Solutions, Inc. 52 Newtown Plaza PLAINVIEW NY 11803

Re: K122298

Trade/Device Name: AJEX 1200H and AJEX 240H Portable X-ray Units Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: II Product Code: IZL Dated: November 8, 2013 Received: November 12, 2013

Dear Mr. Little:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 (reporting of medical 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.

3

Page 2-Mr. Little

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resources.for You/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Smh.f)

for

Janine M. Morris Director, Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

4

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K122298

Device Name

AJEX 1200H I AJEX 240H Mobile X-ray Generator

Indications for Use (Describe) This equipment is used for generating X-ray to get the X-ray image for the purpose of diagnosis of patient.

This equipment is possible to move the place for patient because it is designed for portable type.

This equipment is possible to combine with the mobile stand unit for convenience for patient positioning according to user's needs.

The AJEX 1200H/ AJEX 240H Mobile X-ray Generator is designed for the following applications :

  • Physician with general practice

  • Bedside exposures in hospital ward

  • Surgery and Orthopedics

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Heatth (CDRH) (Signature)

Smh. 7)

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