K Number
K123644
Device Name
VIZION + DR
Manufacturer
Date Cleared
2013-01-11

(46 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ViZion + DR is intended for digital image capture use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. ViZion + allows imaging of the skull, chest, shoulders, spine, abdomen, pelvis, and extremities.
Device Description
The ViZion + DR system represents the straightforward integration of a new digital x-ray receptor panel and our previously cleared software. This is a MODIFICATION of our clearance K112661 wherein we have changed the supplier of the panel. ViZion + DR is a Digital Radiography system, featuring an integrated flat panel digital detector (FPD) ViZion + is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the Viztek PACS and the new receptor panel were not changed. Our main predicate is ViZion DR, K112661, wherein we combined our OPAL-RAD software with a new digital panel. We now also offer two sizes of panels: 14" x 17" and 17" x 17" panels.
More Information

No
The summary describes a digital radiography system with a new detector panel and previously cleared software, focusing on image capture and replacement of film. There is no mention of AI, ML, or related concepts, nor any description of training or test sets typically associated with such technologies.

No
The device is described as a digital x-ray system intended for image capture in radiographic examinations, not for therapeutic purposes.

No

Explanation: The device is described as an image capture system (Digital X-Ray) for general radiographic examinations, and its intended use focuses on providing images for viewing, not on making a diagnosis or providing diagnostic interpretations.

No

The device description explicitly states it is an "integrated flat panel digital detector (FPD)" and a "Digital Radiography system," indicating it includes hardware components beyond just software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD devices are used to examine specimens taken from the human body. This device is a digital X-ray system used for capturing images of the internal structures of the body directly.
  • The intended use and device description clearly state it's for general radiographic examinations. This involves imaging the skull, chest, spine, etc., which is a form of in vivo imaging (imaging within the living body), not in vitro (imaging outside the living body).
  • There is no mention of analyzing biological samples or performing tests on specimens.

Therefore, based on the provided information, the ViZion + DR system is a medical imaging device, specifically a digital radiography system, and not an IVD.

N/A

Intended Use / Indications for Use

ViZion + DR is intended for digital image capture use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. ViZion + allows imaging of the skull, chest, shoulders, spine, abdomen, pelvis, and extremities.

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

MQB

Device Description

The ViZion + DR system represents the straightforward integration of a new digital x-ray receptor panel and our previously cleared software. This is a MODIFICATION of our clearance K112661 wherein we have changed the supplier of the panel.
ViZion + DR is a Digital Radiography system, featuring an integrated flat panel digital detector (FPD) ViZion + is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the Viztek PACS and the new receptor panel were not changed. Our main predicate is ViZion DR, K112661, wherein we combined our OPAL-RAD software with a new digital panel. We now also offer two sizes of panels: 14" x 17" and 17" x 17" panels.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Solid State X-Ray Imager (Flat Panel/Digital Imager)

Anatomical Site

skull, chest, shoulders, spine, abdomen, pelvis, and extremities.

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)

Clinical images were acquired and evaluated by a board certified radiologist who concluded the images from the new panel are as good as or better than the images acquired with the predicate panel.

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.

K112661, K113812

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.

K090742, K063337, K110040

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

§ 892.1680 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.

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510(k) Summary 510(k) Number K12 364 Y

JAN 1 1 2013

Viztek, LLC. 6491 Powers Avenue Jacksonville, FL 32217 Phone: 800.366.5343 Fax: 904.448.9936 Date Prepared: November 9, 2012 Bruce Ashby, Sales and Marketing Manager Contact:

    1. Identification of the Device: Proprietary-Trade Name: ViZion + DR Classification Name: Solid State X-Ray Imager (Flat Panel/Digital Imager) 90 MQB, Common/Usual Name: Digital X-Ray Receptor Panel
    1. Equivalent legally marketed device: Viztek ViZion DR, K112661 and Atlaim ATAL 8, K113812.
    1. Indications for Use (intended use) ViZion + DR is intended for digital image capture use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. ViZion + allows imaging of the skull, chest, shoulders, spine, abdomen, pelvis, and extremities.
    1. Description of the Device: The ViZion + DR system represents the straightforward integration of a new digital x-ray receptor panel and our previously cleared software. This is a MODIFICATION of our clearance K112661 wherein we have changed the supplier of the panel.
    • ViZion + DR is a Digital Radiography system, featuring an integrated flat panel digital detector (FPD) ViZion + is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the Viztek PACS and the new receptor panel were not changed. Our main predicate is ViZion DR, K112661, wherein we combined our OPAL-RAD software with a new digital panel. We now also offer two sizes of panels: 14" x 17" and 17" x 17" panels.
    1. Safety and Effectiveness, comparison to predicate device. The results of clinical image inspection, bench, and test laboratory results indicates that the new device is as safe and effective as the predicate devices. Clinical images collected demonstrate equal or better image quality as compared to our predicates.

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6. Substantial Equivalence Chart

CharacteristicViztek ViZion DRAtlaim ATAL 8, K113812.Viztek ViZion + DR
K112661
Intended Use:ViZion DR is intended for
digital image capture use in
general radiographic
examinations, wherever
conventional screen-film
systems may be used,
excluding fluoroscopy,
angiography and
mammography. ViZion
allows imaging of the skull,
chest, shoulders, spine,
abdomen, pelvis, and
extremities.The ATAL 8 and ATAL
8c is indicated for use 'in
general radiographic
images of human anatomy.
It is intended to replace
radiographic film/screen
systems in all general-
purpose diagnostic
procedures,
excluding fluoroscopic,
angiographic, and
mammographic
applicationsViZion + DR is intended
for digital image capture
use in general radiographic
examinations, wherever
conventional screen-film
systems may be used,
excluding fluoroscopy,
angiography and
mammography. ViZion +
allows imaging of the
skull, chest, shoulders,
spine, abdomen, pelvis,
and extremities.
ConfigurationThis submission is for the
Digital Panel and Software
only, no generator or stand
provided.This submission is for the
Digital Panel and Software
only, no generator or stand
provided.This submission is for the
Digital Panel and Software
only, no generator or stand
provided.
Digital PanelSamsung LTX240AA01-A
(K090742)
Pixel size 143 μm
3072 x 3072 pixels 9
million pixels.Pixel size 139 μm
3072 X 3072 pixels (9
million pixelsiRay Technology
(Shanghai) Ltd.
For the 17" x 17" panel:
Pixel size 139 μm
3064×3072 pixels (9
million pixels)
For the 14" x 17" panel:
Pixel size 150 μm
2288×2800 pixels (6.4
million pixels)
SoftwareEmploys OPAL-RAD
PACS image viewing and
acquire interface software
technology, K063337The Atal-8 can be used
with any FDA-cleared off-
the-shelf radiographic
image acquisition software
package that outputs a
suitable DICOM image
like OmniVision software
by OmniVision, cleared
under K110040.SAME as K112661, outputs a DICOM image.
DICOMYesOptionYes
Power sourceAC LineAC LineAC Line
Electrical
safety and
EMCElectrical Safety per IEC-
  1. UL listed | Electrical Safety per IEC
    60601-1 and EMC per IEC
    60601-1-2. | Electrical Safety per IEC
    60601-1 and EMC per IEC
    60601-1-2. |
    1. Summary of Bench Testing Conducted: IEC Standards were employed for: Electrical Safety and Electromagnetic Compatibility. MTF and DQE measurements, Risk Analysis and Software validation was conducted in accordance with FDA guidance documents. .

2

    1. Summary of Clinical Testing: Clinical images were acquired and evaluated by a board certified radiologist who concluded the images from the new panel are as good as or better than the images acquired with the predicate panel.
    1. Conclusion: After analyzing bench, clinical image, and external laboratory testing to applicable standards, it is the conclusion of Viztek Inc that the Viztek ViZion + DR is as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering it substantially equivalent to the predicate device.

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized graphic of an eagle or bird-like figure with three curved lines representing its wings or body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

January 11, 2013

Viztek LLC % Mr. Daniel Kamm, P.E. Principal Engineer Kamm & Associates 8870 Ravello Ct. NAPLES FL 34114

Re: K123644

Trade/Device Name: ViZion + DR. Digital Flat Panel X-Ray Detector System Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary X-ray System Regulatory Class: II Product Code: MQB Dated: November 15, 2012 Received: November 28, 2012

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. 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

4

Page 2-Mr. Kamm

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Sean M. Boyd -S

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

Enclosure

5

Indications for Use 510(k) Number (if known): K12:3644

Device Name: ViZion + DR, Digital Flat Panel X-Ray Detector System

Indications For Use:

ViZion + DR is intended for digital image capture use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. ViZion + allows imaging of the skull, chest, shoulders, spine, abdomen, pelvis, and extremities.

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)

Sean M.Boyd -S.

(Division Sign Off)

Division of Radiological Health

Office of In Vitro Diagnostics and Radiological

51000 K123644

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