(405 days)
The X-VIEW, IMAGEN, a panoramic x-ray imaging system with cephalometric capabilities, is an extraoral source x-ray system intended for dental radiographic examination of the teeth, jaw, and oral structures, specifically for panoramic examinations and implantology and for TMI studies and cephalometry. It has the capability of using cone beam volumetric technology techniques to generate dento-maxillofacial 3D images. The device uses a cone shaped x-ray beam projected onto a flat panel detector, and the examined volume image is reconstructed to be viewed via 3D viewing stations. 2D Images are obtained using the standard narrow beam technique. The device is to be operated and used by dentists, radiologists and other legally qualified health care professionals.
X-VIEW, IMAGEN is a 3-dimensional CBCT system that allows the execution of all commonly used x-rays in both dental and orthodontic fields (excluding intraoral radiographs) and also allows the acquisition of tomographic radiographs, or volumetric 3D. It uses CBCT (Cone Beam Computed Tomography) with a flat panel detector to provide high-definition volumetric images.
Here's an analysis of the provided text regarding the acceptance criteria and study information for the X-VIEW, IMAGEN device:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly define acceptance criteria in a quantitative manner (e.g., minimum sensitivity, specificity, or resolution thresholds for clinical performance). Instead, the acceptance is based on demonstrating substantial equivalence to predicate devices through technical specifications and adherence to safety and performance standards.
| Criterion | Acceptance / Status | Reported Device Performance |
|---|---|---|
| Technical Specifications (Comparison to Predicates) | Substantially Equivalent | |
| - Indications for Use | Same as predicate devices | X-VIEW, IMAGEN: Dental radiographic examination of teeth, jaw, oral structures (panoramic, implantology, TMI, cephalometry), and 3D dento-maxillofacial images using CBCT. Operates by dentists, radiologists, and other qualified healthcare professionals. |
| - Generator/Tube X-ray Generator | High Frequency (Matches predicates) | High Frequency |
| - Focal Spot Size (mm) | 0.5 (Matches predicates) | 0.5 |
| - Tube Voltage (kV) | Within predicate ranges | 61-85 kV |
| - Tube Current (mA) | Within predicate ranges | 4-10 mA |
| - 3D Technology | Cone-beam computed tomography (Matches predicates) | Cone-beam computed tomography |
| - FOV (D x H) (mm) | 85 x 85 mm (Comparable to predicate Planmeca ProMax 3D's 80 x 80 mm; smaller than Papaya 3D Plus's 140 x 140 mm max) | 85 x 85 mm |
| - Exposure Time (sec) | 13.8 (PAN), 18 (CT) (Comparable but different from predicates: Planmeca 6 (PAN)/18 (CT), Papaya 17 (PAN)/15 (CT)/12 (CEPH)) | 13.8 (PAN), 18 (CT) |
| - Sensor Technology | CMOS Flat-panel detector (Matches predicates) | CMOS Flat-panel detector |
| - Sensor Pixel Pitch (µm) | 100 x 100 µm (Matches Papaya 3D Plus CT; different from Planmeca's 127 x 127 µm and Papaya's PAN/CEPH 75 x 75 µm) | 100 x 100 µm |
| - Active Area (mm) | 130 x 130 mm (Matches Planmeca ProMax 3D; different from Papaya 3D Plus's various active areas for different modes) | 130 x 130 mm |
| Safety and Performance Standards Compliance | Compliance demonstrated | Tested for compliance to IEC 60601-1, IEC 60601-1-3, IEC 60601-2-63, IEC 60601-1-2, IEC 60601-1-6, IEC 62366, EN 62304. |
| Detector Performance (FDA Guidance "Submissions of 510(k)'s for Solid State X-Ray Imaging Devices") | Satisfactory | MTF: 50-57% at 1.0 lp/mm. DQE: ~70% at 0 lp/mm. Dynamic Range: 66-69 dB. |
| Clinical Evaluation Report | Satisfactory | Volumetric reconstructive images of a human subject were acquired. All test results were satisfactory, indicating the device is as safe and effective as predicate devices. |
2. Sample size used for the test set and the data provenance
- Sample Size for Test Set: The document mentions that a "Clinical Evaluation report in which volumetric reconstructive images of a human subject were acquired." This indicates a very limited sample size of one human subject for the clinical evaluation component and is explicitly stated as one human subject.
- Data Provenance: The document does not specify the country of origin of the data. It implies a prospective test set since it describes images being "acquired."
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
The document does not provide information on the number of experts used to establish ground truth or their specific qualifications (e.g., radiologist with X years of experience). The clinical evaluation report simply states that "all test results were satisfactory," implying an internal assessment rather than an independent expert review with explicit ground truth labeling.
4. Adjudication method for the test set
The document does not describe any specific adjudication method (e.g., 2+1, 3+1, none) for the test set.
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
There is no indication that a multi-reader multi-case (MRMC) comparative effectiveness study was done, nor is there any mention of human readers improving with or without AI assistance. The device is an imaging system, and the evaluation focuses on its technical performance and equivalence to predicates, not on the impact of AI on human reader performance.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
This question is not directly applicable in the typical sense of AI algorithms. The "device" here is a hardware imaging system (X-VIEW, IMAGEN) with associated imaging processing software (OnDemand3D). The evaluation is of the imaging system's ability to acquire and reconstruct images, not of a standalone AI algorithm to interpret images. The performance metrics (MTF, DQE, Dynamic Range) relate to the detector's standalone technical performance as an imaging component.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
The document does not explicitly state the type of ground truth used for the clinical evaluation. Given the nature of a CBCT system, the "satisfactory" test results for images of a human subject likely imply that the images were deemed diagnostically acceptable and of sufficient quality for their intended use by the evaluating party, possibly against known anatomical features or expected image characteristics, but it doesn't specify a formal ground truth like pathology or expert consensus on clinical findings.
8. The sample size for the training set
No training set is mentioned or implied for the evaluation of this device. The X-VIEW, IMAGEN is an imaging acquisition system. Its evaluation focused on hardware specifications, compliance with standards, and a limited clinical evaluation, not on the performance of a machine learning model that would require a training set.
9. How the ground truth for the training set was established
Not applicable, as no training set is mentioned.
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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
June 7, 2016
EDLEN IMAGING LLC % Mr. Nick Radachi General Manager 16441 North 91st Street, Suite 102 SCOTTSDALE AZ 85260
Re: K151137
Trade/Device Name: X-VIEW, IMAGEN Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: II Product Code: OAS, MUH Dated: April 21, 2016 Received: April 27, 2016
Dear Mr. Radachi:
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.
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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education 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.
Robert Ocko
Robert Ochs. Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known) K151137
Device Name X-VIEW, IMAGEN
Indications for Use (Describe)
The X-VIEW, IMAGEN, a panoramic x-ray imaging system with cephalometric capabilities, is an extraoral source x-ray system intended for dental radiographic examination of the teeth, jaw, and oral structures, specifically for panoramic examinations and implantology and for TMI studies and cephalometry. It has the capability of using cone beam volumetric technology techniques to generate dento-maxillofacial 3D images. The device uses a cone shaped x-ray beam projected onto a flat panel detector, and the examined volume image is reconstructed to be viewed via 3D viewing stations. 2D Images are obtained using the standard narrow beam technique. The device is to be operated and used by dentists, radiologists and other legally qualified health care professionals.
| Type of Use (Select one or both, as applicable) |
|---|
| ------------------------------------------------- |
| Prescription Use (Part 21 CFR 801 Subpart D) |
|---|
| Over-The-Counter Use (21 CFR 801 Subpart C) |
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510 (k) Summary
This summary of safety and effectiveness information is submitted in accordance with the requirements of 21 CFR 892.1750.
| Submitter: | Edlen Imaging LLC16441 N 91st Street Suite 102Scottsdale, Arizona USA 85260 |
|---|---|
| Contact Person: | Nick Radachi |
| 480-452-2939 | |
| nick@edlenimaging.com | |
| Date Prepared: | April 22, 2015 |
| Subject Device: | X-VIEW, IMAGEN |
| Common Name: | Dental CBCT |
| Classification Name: | Computed Tomography X-ray System |
| Class: | II |
| Product Code: | OAS, MUH |
| Predicate Device: | Planmeca ProMax |
| Classification Name: | Extraoral source x-ray system |
| Class: | II |
| 510K Number: | K060328 |
| Product Code: | MUH |
| Predicate Device: | Papaya 3D Plus |
| Classification Name: | X-ray, tomography, computed, dental |
| Class: | II |
| 510K Number: | K150354 |
| Product Code: | OAS |
| Regulation Number: | 21 CFR 892.1750 |
Product Description
X-VIEW, IMAGEN is a 3-dimensional CBCT system that allows the execution of all commonly used x-rays in both dental and orthodontic fields (excluding intraoral radiographs) and also allows the acquisition of tomographic radiographs, or volumetric 3D. It uses CBCT (Cone Beam Computed Tomography) with a flat panel detector to provide high-definition volumetric images.
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Image /page/4/Figure/0 description: The image shows a technical drawing of a piece of equipment. The drawing includes two views: a side view showing a height of 2290, and a top view showing dimensions of 910 and 1070. The drawing appears to be for manufacturing or installation purposes, providing precise measurements for the equipment.
The flat panel detector operates via 5 th Generation X-ray CMOS technology. This sensor delivers three times more sensitivity and five times more signal-to-noise performance than other standard technologies of its kind, reducing patient dose in dynamic x-ray imaging modalities like computed tomography. It features a 1300 x 1300 pixel resolution, with 100 um pixel pitch, integrated memory buffer and integrated faraday cage. The detector captures Medium Field of View Cone Beam Computed Tomography images at 30 frames per second, and frame-based panoramic images at 300 frames per second.
All images are acquired by the device and processed via an external PC and imaging software. The device will utilize OnDemand3D (K113543) imaging software to store, manipulate and optimize the images acquired by the X-VIEW, IMAGEN. It is a complete imaging solution used by dentists, researchers and orthodontists. It provides a module-based software that allows DICOM data storage, and includes customizable tools to aid in diagnosis and treatment planning.
Indication for Use
X-VIEW, IMAGEN is an extra-oral source x-ray system intended for dental radiographic examination of the teeth, jaw, and oral structures. It uses Cone Beam Computed Tomography and a flat panel detector to generate 3-dimensional volumetric images that are reconstructed via software. 2D panoramic images can be obtained using a standard narrow-beam technique. The device is to be operated and used by dentists, radiologists and other legally qualified health care professionals.
Rationale for Substantial Equivalence
The X-VIEW, IMAGEN is defined as Substantially Equivalent (SE) to the ProMax3D, manufactured by Planmeca (060328) and the Papaya 3D Plus, manufactured by Genoray. X-VIEW, IMAGEN has the same indication for use as the predicate devices. It shares the same technological characteristics as the predicate devices. Minor technological differences do not raise any new questions regarding safety or effectiveness of the devices. X-VIEW, IMAGEN has the same indication for use as the predicate devices. lt performs the same functions based on well-known technology and shares the same technological
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characteristics as the predicate devices in identical environments. Minor technological differences do not raise any new questions regarding safety or effectiveness of the devices, so it is as safe and effective as the predicate devices.
| Edlen ImagingX-VIEW, IMAGENK151137/S001 | PlanmecaProMax 3DK060328 | GenorayPapaya 3D PlusK150354 | |
|---|---|---|---|
| Indications for Use | X-VIEW, IMAGEN isan extra-oral sourcex-ray systemintended for dentalradiographicexamination of theteeth, jaw, and oralstructures. It usesCone BeamComputedTomography and aflat panel detector togenerate 3-dimensionalvolumetric imagesthat arereconstructed viasoftware. 2Dpanoramic imagescan be obtainedusing a standardnarrow-beamtechnique. Thedevice is to beoperated and usedby dentists,radiologists andother legally qualifiedhealth careprofessionals. | Planmeca Promax 3D is athree dimensional ConeBeam ComputedTomographic (CBCT) x-ray system, which isintended for dentalradiographic examinationand diagnosis of diseasesof the teeth, jaw, andoral structures. Thedevice uses cone shapedx-ray beams projected onto a flat panel detector,and the examinedvolume image isreconstructed to beviewed in 3D viewingstations. The device is tobe operated and used bydentists and other legallyqualified professionals | PAPAYA 3D Plus is a digitalpanoramic, cephalometric andtomographic extra-oral X-raysystem, indicated for use in: (i)producing panoramic X-rayimages of the maxillofacialarea, for diagnosticexamination of dentition(teeth), jaws and oralstructures; and (ii) producingradiographs of jaws, parts ofthe skull and carpus for thepurpose of cephalometricexamination, when equippedwith the cephalometric arm;(iii) producing tomographicimages of the oral andmaxillofacial structure, fordiagnostic examination ofdentition(teeth), jaws ,oralstructures and some cranialbones if equipped with CBCToption. The systemaccomplishes tomographicexam by acquiring a 360-degree rotational X-raysequence of images andreconstructing a three-dimensional matrix of theexamined volume, producingtwo dimensional views of thisvolume and displaying bothtwo dimensional images andthree-dimensional renderings |
| Generator/TubeX-ray Generator | High Frequency | High Frequency | High Frequency |
The following table compares the X-VIEW, IMAGEN to the predicate devices:
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| Focal Spot Size (mm) | 0.5 | 0.5 | 0.5 |
|---|---|---|---|
| Tube Voltage (kV) | 61-85 | 54-84 | 60-90 |
| Tube Current (mA) | 4-10 | 1-16 | 4-12 |
| Device Details | |||
| Power Supply Voltage (V) | 115 | 110-120 | 100-120 |
| Dimensions (mm) | 2230 x 1200 x 1200 | 2432 x 1000 x 1250 | 1832 x 1130 x 2383 |
| Weight (kg) | 150 | 113 | 160 |
| 2D/3D Exams | |||
| 3D Technology | Cone-beam computed tomography | Cone-beam computed tomography | Cone-beam computed tomography |
| FOV (D x H) (mm) | 85 x 85 | 80 x 80 | 140 x 140 (max) |
| Exposure Time (sec) | 13.8 (PAN)18 (CT) | 6 (PAN)18 (CT) | 17 (PAN)15 (CT)12 (CEPH) |
| Sensor Technology | CMOS Flat-panel detector | CMOS Flat-panel detector | CMOS Flat-panel detector |
| Sensor Pixel Pitch (µm) | 100 x 100 | 127 x 127 | 75 x 75 (PAN/CEPH)100 x 100 (CT) |
| Active Area (mm) | 130 x 130 | 130 x 130 | 152 x 6.45 (PAN)130.2 x 128 (CT)228 x 6.45 (CEPH) |
Safety and Effectiveness Information
The device labeling contains operating instructions for safe and effective use of X-VIEW, IMAGEN. Final device validation and risk assessment has been conducted to identify any potential hazards that could cause an error or injury based on its use. Appropriate steps have been taken to control all identified risks.
Safety, EMC and Performance Data Comparison to Predicate
The device has been tested for compliance to IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Safety and its derivatives. Specifically:
- . IEC 60601-1: Medical electrical equipment Part 1: General requirements for basic safety and essential performance
- . IEC 60601-1-3: Medical electric equipment Part 1-3: General requirements for basic safety and essential performance – Collateral Standard: Radiation protection in diagnostic X-ray equipment
- . IEC 60601-2-63: Medical electrical equipment – Part 2-63: Particular requirements for the basic safety and essential performance of dental extra-oral x-ray equipment
- . IEC 60601-1-2: Medical electrical equipment Part 1: General requirements for basic safety and essential performance – Collateral standard: Electromagnetic compatibility – Requirements and tests
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- o IEC 60601-1-6: Medical electrical equipment – Part 1-6: General requirements for basic safety and essential performance – Collateral standard: Usability
IEC 62366: Medical devices – Application of usability engineering to medical devices
EN 62304: Medical device software – software life cycle processes
FDA Guidance "Guidance for the Submissions of 510(k)'s for Solid State X-Ray Imaging Devices" was performed for the detector of X-VIEW, IMAGEN. Detector test results are as follows: The MTF of the X-VIEW, IMAGEN detector shows the resolution of 50-57% at 1.0 lp/mm and the DQE of them shows the performance of about 70% at 0 lp/mm. The dynamic range of them shows 66-69 dB.
X-VIEW, IMAGEN was tested for safety and effectiveness related in a Clinical Evaluation report in which volumetric reconstructive images of a human subject were acquired.
All test results were satisfactory. The result of bench and clinical evaluation indicates that the new device is as safe and effective as the predicate devices.
Conclusion
X-VIEW, IMAGEN performs the same functions in the same environment as the predicate device. It shares the same technology as the predicate device. It is based on wellknown technology. It is as safe and effective as the predicate devices. We believe it does not introduce any new potential safety risks and is substantially equivalent to the predicate devices.
§ 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.