K Number
K130297
Device Name
SCANORA 3DX
Manufacturer
Date Cleared
2013-05-29

(112 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Scanora 3Dx is a Cone Beam 3D x-ray system for imaging the head and neck areas, including the ENT and dentomaxillofacial areas, for use in diagnostic support. Dedicated panoramic imaging is an option. A flat panel detector is used to acquire 3D images and an optional CCD sensor to acquire panoramic images. The device is operated and used by qualified healthcare professionals.
Device Description
Scanora 3Dx is a Cone Beam Computerized Tomography x-ray system for Dentomaxillofacial and Head & Neck (ENT) imaging. Dedicated panoramic imaging is an option. In CT mode it generates a conical x-ray beam during rotation around a patient's head and produces two dimensional projection images on a flat panel detector. Three dimensional images are then reconstructed and viewed with 3rd party software. In panoramic mode panoramic and TMJ images can be taken in the classical way on a separate CCD detector.
More Information

Not Found

No
The summary describes a standard CBCT and panoramic x-ray system with image reconstruction, but makes no mention of AI or ML for image processing, analysis, or any other function.

No.
The device is described as an imaging system for diagnostic support, not for treating any medical conditions.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is "for use in diagnostic support".

No

The device description explicitly states it is a "Cone Beam Computerized Tomography x-ray system" and mentions hardware components like a "flat panel detector" and an "optional CCD detector." This indicates it is a hardware device with associated software, 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 Scanora 3Dx is an imaging system that uses X-rays to create images of the head and neck. It does not perform tests on biological samples.
  • Intended Use: The intended use is for "imaging the head and neck areas... for use in diagnostic support." This clearly describes an imaging modality, not an in vitro test.
  • Device Description: The description details the X-ray technology, detector types, and image reconstruction process, all of which are characteristic of an imaging device.

Therefore, the Scanora 3Dx falls under the category of a medical imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The unit must only be used to take 3D and (optional) panoramic images of the dento-maxillo-facial complex and the head and neck areas, including the ear, nose and throat (ENT) areas of the human skull. The unit must not be used to take images of any other part of the human body.

Note that panoramic and 3D exposures should not be used if conventional intraoral radiographic images (bitewing exposures) would suffice. Note that cone beam computerized tomography images are not adequate for the analysis of soft tissue.

Always use the lowest possible exposure values that will allow you to take an image of sufficient quality for you to perform the required diagnostic examination.

SCANORA 3Dx is a Cone Beam 3D x-ray system for imaging the head and neck areas, including the ENT and dentomaxillofacial areas, for use in diagnostic support. Dedicated panoramic imaging is an option. A flat panel detector is used to acquire 3D images and an optional CCD sensor to acquire panoramic images. The device is operated and used by qualified healthcare professionals.

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

OAS

Device Description

Scanora 3Dx is a Cone Beam Computerized Tomography x-ray system for Dentomaxillofacial and Head & Neck (ENT) imaging. Dedicated panoramic imaging is an option. In CT mode it generates a conical x-ray beam during rotation around a patient's head and produces two dimensional projection images on a flat panel detector. Three dimensional images are then reconstructed and viewed with 3rd party software. In panoramic mode panoramic and TMJ images can be taken in the classical way on a separate CCD detector.

Mentions image processing

Reconstruction from 2D images

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Cone Beam Computerized Tomography (CBCT) x-ray

Anatomical Site

dento-maxillo-facial complex and the head and neck areas, including the ear, nose and throat (ENT) areas of the human skull.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

qualified healthcare 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

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Preference study as an image quality comparison between Scanora 3Dx and the predicate device was performed. Same phantom was imaged with Scanora 3Dx and the predicate Scanora 3D. The results were evaluated by internal reviewers. Validations have been performed successfully to ensure the safety and effectiveness of the Scanora 3Dx system.

Clinical testing has not been conducted on Scanora 3Dx device because CBCT imaging technique and FBP algorithm are widely used. Only a preference study was conducted.

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.

K110839

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

K130297
Page 1 of 4

PALODEX GROUP

MAY 2 9 2013

510(k) Summary

Date: February 4th, 2013

PalaDEx Group Ox

. palodex group. com

Street addre Nahkelantie 160 04300 Tuusuta Finland

Postal address P.O. Box 64 FI-0430 | Tuusula Finland

+358 10 270 2000

Fas +358 9 851 4048

VAT F119774137

BI code 1977413-7

Bank Nordea Bank SWIFT NDEAFIHH Account F19015963000046864

Manufacturer:

PaloDEx Group Oy Nahkelantie 160 Tuusula, Finland 04300

Tel: +358 10 270 2000 Fax: +358 9 851 4048

Contact person: Mr. Matti Tulikoura, Tel +358 400 609 507

Trade Name: SCANORA 3Dx

Common Name: Cone beam 3D X-ray system

Classification Name:

Computed tomography x-ray system (21 CFR § 892.1750, product code OAS)

Description:

Scanora 3Dx is a Cone Beam Computerized Tomography x-ray system for Dentomaxillofacial and Head & Neck (ENT) imaging. Dedicated panoramic imaging is an option. In CT mode it generates a conical x-ray beam during rotation around a patient's head and produces two dimensional projection images on a flat panel detector. Three dimensional images are then reconstructed and viewed with 3rd party software. In panoramic mode panoramic and TMJ images can be taken in the classical way on a separate CCD detector.

Intended Use:

The unit must only be used to take 3D and (optional) panoramic images of the dento-maxillo-facial complex and the head and neck areas, including the ear, nose and throat (ENT) areas of the human skull. The unit must not be used to take images of any other part of the human body.

Note that panoramic and 3D exposures should not be used if conventional intraoral radiographic images (bitewing exposures) would suffice. Note that cone beam computerized tomography images are not adequate for the analysis of soft tissue.

Always use the lowest possible exposure values that will allow you to take an image of sufficient quality for you to perform the required diagnostic examination.

1

PaloDEx Group

Indication For Use

SCANORA 3Dx is a Cone Beam 3D x-ray system for imaging the head and neck areas, including the ENT and dentomaxillofacial areas, for use in diagnostic support. Dedicated panoramic imaging is an option. A flat panel detector is used to acquire 3D images and an optional CCD sensor to acquire panoramic images. The device is operated and used by qualified healthcare professionals.

PaloDEx Group Oy

www.pzlodexgroup.com

Street address Nahkelantic 160 04300 Tuusula Finland

Postal address P.O. Box 64 Fi-04301 Tuusula Finland

Phone +358 10 270 2000

Fax 4.350 9 B51 4048

.

VAT F119774137

Bi code 1977413-7

Bank Nordea Bank SWIFT NDEAFIHH Account F19015963000046864

2

PALODEX GROUP

Summary of Technological Characteristics:

SCANORA 3Dx is substantially equivalent in design, composition and function to the current SCANORA 3D unit [K110839].

PatoDEx Group Oy

www.patodexgroup.com

  • Street address Nahkelantie | 60 04300 Tuusula Finland
    Postal address P.O. Box 64 FI-04301 Tuusula Finland

Phone +350 10 270 2000

Fax +356 9 851 4048

VAT FI19774137

BI code
1977413-7

Bank Nordea Bank swift NDEAFIHH Account F190 | 5963000046864

.

ConceptSCANORA 3DxSCANORA 3D [K110839]
1.X-ray source3D mode: 90 kV, 4-10 mA, pulsed.3D mode: 90 kV, 4-12.5 mA, pulsed.
Pan mode: 60-81 kV, 4-8 mA continuous.Pan mode: 60-81 kV, 4-8 mA
continuous.
kV accuracy +/5kV,kV accuracy +/5kV,
Same x-ray source for 3D and Pan
modes.Same x-ray source for 3D and Pan
modes.
2.Focal spot0.5 mm0.5 mm
3.Image
detector(s)Amorphous Silicon Flat PanelCMOS Flat Panel
+ CCD for panoramic imaging+ CCD for panoramic imaging
4.3D imaging
techniqueReconstruction from 2D imagesReconstruction from 2D images
5.3D's Field Of
ViewH50 x Ø50 mm
H50 x Ø100 mm
H80 x Ø100 mm
H140 x Ø100 mm
H80 x Ø165 mm
H140 x Ø165 mm
H180x Ø165 mm - Stitched
H240x Ø165 mm - StitchedH60 x Ø60 mm
H75 x Ø100 mm
H75 x Ø145 mm
H130xØ145 mm - stitched
6.3D's total
viewing angle360 degrees360 degrees
7.Pixel sizeAmorphous Silicon flat panel: 120 / 240
µm
CCD for panoramic imaging: 48 µmCMOS flat panel: 200 µm
CCD for panoramic imaging: 48 µm
8.Voxel size100/150/200/250/300/350/400/500 µm133/200/250/300/350 µm
9.3D scan time18 - 34 sec10 - 26 sec
10.3D's effective
exposure time2.4 - 6 sec2.25 - 6 sec
11.Indications for
useScanora 3D is a Cone Beam 3D x-ray
system for imaging the head and neck
areas, including the ENT and
dentomaxillofacial areas, for use in
diagnostic support. Dedicated panoramic
imaging is an option. A flat panel detector
is used to acquire 3D images and an
optional CCD sensor to acquire
panoramic images. The device is
operated and used by qualified healthcare
professionals.Scanora 3D is a Cone Beam 3D x-ray
system for imaging the head and neck
areas, including the ENT and
dentomaxillofacial areas, for use in
diagnostic support. Dedicated
panoramic imaging is an option. A flat
panel detector is used to acquire 3D
images and an optional CCD sensor to
acquire panoramic images. The device
is operated and used by qualified
healthcare professionals.
12.System
footprintH197cm x D140cm x W160cmH197cm x D140cm x W160cm
13.Weight310 kg310 kg

3

PALODEX GROUP

Non-clinical Test Data:

Preference study as an image quality comparison between Scanora 3Dx and the predicate device was performed. Same phantom was imaged with Scanora 3Dx and the predicate Scanora 3D. The results were evaluated by internal reviewers. Validations have been performed successfully to ensure the safety and effectiveness of the Scanora 3Dx system.

Clinical Test Data:

Clinical testing has not been conducted on Scanora 3Dx device because CBCT imaging technique and FBP algorithm are widely used. Only a preference study was conducted.

Conclusion:

Based upon the similar technological/performance characteristics to the predicate device and the successful validation of the SCANORA 3D software, the clinical performance of the SCANORA 3Dx is deemed to be substantially equivalent to the predicate devices.

PaloDEx Graup Oy www.palodexgroup.com

Screet address Nahkelande 160 04300 Tuusula Finland

Postal address P.O. Box 64 FI-0430! Tuusula Finland

Phone +358 10 270 2000

Fax +358 9 851 4048

VAT F119774137

ફા દર્ભવ 1977413-7

Bank Nordea Bank swift NDEAFIHH Account £19015963000046864

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, a traditional symbol of medicine, but with three wavy lines instead of snakes.

Public Health Service

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

May 29, 2013

PaloDEx Group Ov % Mr. Matti Tulikoura Regulatory Manager Nahkelantie 160 Tuusula 04300 FINLAND

Re: 510(k) Number: K130297 Trade/Device Name: SCANORA 3Dx Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: Class II Product Code: OAS Dated: April 21, 2013 Received: April 29, 2013

Dear Mr. Tulikoura

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

5

Page 2 – Mr. Tulikoura

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.

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/ResourcesforYou/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/ReportalProblem/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/Industrv/default.htm.

Sincerely yours,

Sm.h.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

6

Indications for Use

510(k) Number (if known): K130297

Device Name: SCANORA 3Dx

Indications for Use:

Scanora 3Dx is a Cone Beam 3D x-ray system for imaging the head and neck areas, including the ENT and dentomaxillofacial areas, for use in diagnostic support. Dedicated panoramic imaging is an option A flat panel detector is used to acquire 3D images and an optional CCD sensor to acquire panoramic images- The device is operated and used by qualified healthcare professionals.

Prescription Use × (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 Diagnostics and Radiological Health (OlR)

: Smh7)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

K130297 510(k)________________________________________________________________________________________________________________________________________________________________________

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