K Number
K151924
Device Name
Q-Rad Radiographic System with Auto-Tracker Option
Date Cleared
2015-08-07

(25 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The O-Rad Radiographic System is indicated for use in obtaining diagnostic quality radiographic images to aid the physician with diagnosis. The system can be used to perform radiographic imaging of various portions of the human body, including the skull, spinal column, extremities, chest, abdomen and other body parts. The Q-Rad System is not indicated for use in mammography.
Device Description
The Q-Rad Radiographic System is general-purpose radiographic (X-ray) system used for acquiring radiographic images of various portions of the human body. The Q-Rad System consists of a combination of several components including various models of Xray generators and control panels or workstation computers, various models of patient support tables with integrated image receptor(s), wall-mounted image receptor/detector units for upright imaging, tube supports (ceiling-suspended or floor-mounted), and an Xray source and collimator (beam-limiting device). The Q-Rad System is available with conventional analog (film cassette), digital radiography (DR) and computed radiography (CR) receptors: systems equipped with DR or CR modalities can also be configured to include a workstation computer that is fully integrated with the X-ray generator to allow communication of information such as image exposure factors directly from a connected RIS/PACS (radiology information system / picture archiving and communications system). The currently marketed Q-Rad System requires manual motion control for 3axis alignment of the X-ray source (tube) and the image receptor/detector located in the patient table or wall stand. This Special 510(k): Device Modification is for the introduction of optional Auto-Tracker functionality to improve the ergonomics of the user - device interface of the currently marketed Q-Rad Radiographic System. The Auto-Tracker function provides optional automated, motorized vertical tracking of the X-ray tube to the image receptor. Q-Rad Systems with the Auto-Tracker option will have a motor added to the X-ray tube support, and position sensors incorporated into the image receptors/detectors located in the patient table and/or in the wall-mounted image receptor unit. The motor and image receptors are linked via a CANbus communication interface, which allows the X-ray tube to automatically align with the vertical position of the image receptor, which is still manually positioned by the operator. The automated tracking feature applies only to vertical positioning; the operator must still manually align the X-ray tube with the image receptor in the X- and Y-axes (longitudinal and lateral/transverse positioning). The addition of a motor to the X-ray tube support also enabled the addition of optional motorized vertical positioning of the X-ray tube using a "tube-up" or "tube-down" switch; this option is independent of the auto-tracking capability, and is offered as a convenience to the operator as an alternative to the fully manual tube up/down positioning on standard (non-Auto-Tracker) Q-Rad Systems. The standard O-Rad System without Auto-Tracker option will still be available, and the operator will have the option of disabling the Auto-Tracker function at any time if fully manual tube positioning is preferred.
More Information

Not Found

No
The device description focuses on automated vertical tracking using motors and sensors, which is a form of automation but does not involve AI or ML for image analysis or decision-making. The "Mentions AI, DNN, or ML" section is also explicitly marked as "Not Found".

No.

The device is indicated for obtaining diagnostic quality radiographic images, not for therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that "The O-Rad Radiographic System is indicated for use in obtaining diagnostic quality radiographic images to aid the physician with diagnosis."

No

The device description explicitly details numerous hardware components including X-ray generators, control panels, patient support tables, wall-mounted image receptor units, tube supports, X-ray source, collimator, motors, and sensors. The software component (Auto-Tracker) is an optional addition to this hardware system.

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

Here's why:

  • Intended Use: The intended use is to obtain diagnostic quality radiographic images of the human body to aid physicians in diagnosis. This involves imaging the internal structures of the body using X-rays.
  • Device Description: The device is a general-purpose radiographic (X-ray) system. It uses X-rays to create images.
  • IVD Definition: In Vitro Diagnostics (IVDs) are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.

This device operates by imaging the body directly, not by analyzing samples taken from the body. Therefore, it falls under the category of medical imaging devices, not IVDs.

N/A

Intended Use / Indications for Use

The Q-Rad Radiographic System is indicated for use in obtaining diagnostic quality radiographic images to aid the physician with diagnosis. The system can be used to perform radiographic imaging of various portions of the human body, including the skull, spinal column, extremities, chest, abdomen and other body parts. The Q-Rad System is not indicated for use in mammography.

Product codes

KPR

Device Description

The Q-Rad Radiographic System is general-purpose radiographic (X-ray) system used for acquiring radiographic images of various portions of the human body. The Q-Rad System consists of a combination of several components including various models of Xray generators and control panels or workstation computers, various models of patient support tables with integrated image receptor(s), wall-mounted image receptor/detector units for upright imaging, tube supports (ceiling-suspended or floor-mounted), and an Xray source and collimator (beam-limiting device). The Q-Rad System is available with conventional analog (film cassette), digital radiography (DR) and computed radiography (CR) receptors: systems equipped with DR or CR modalities can also be configured to include a workstation computer that is fully integrated with the X-ray generator to allow communication of information such as image exposure factors directly from a connected RIS/PACS (radiology information system / picture archiving and communications system). The currently marketed Q-Rad System requires manual motion control for 3axis alignment of the X-ray source (tube) and the image receptor/detector located in the patient table or wall stand.

This Special 510(k): Device Modification is for the introduction of optional Auto-Tracker functionality to improve the ergonomics of the user - device interface of the currently marketed Q-Rad Radiographic System. The Auto-Tracker function provides optional automated, motorized vertical tracking of the X-ray tube to the image receptor. Q-Rad Systems with the Auto-Tracker option will have a motor added to the X-ray tube support, and position sensors incorporated into the image receptors/detectors located in the patient table and/or in the wall-mounted image receptor unit. The motor and image receptors are linked via a CANbus communication interface, which allows the X-ray tube to automatically align with the vertical position of the image receptor, which is still manually positioned by the operator. The automated tracking feature applies only to vertical positioning; the operator must still manually align the X-ray tube with the image receptor in the X- and Y-axes (longitudinal and lateral/transverse positioning). The addition of a motor to the X-ray tube support also enabled the addition of optional motorized vertical positioning of the X-ray tube using a "tube-up" or "tube-down" switch; this option is independent of the auto-tracking capability, and is offered as a convenience to the operator as an alternative to the fully manual tube up/down positioning on standard (non-Auto-Tracker) Q-Rad Systems. The standard O-Rad System without Auto-Tracker option will still be available, and the operator will have the option of disabling the Auto-Tracker function at any time if fully manual tube positioning is preferred.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Various portions of the human body, including the skull, spinal column, extremities, chest, abdomen and other body parts.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician (for diagnosis)

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)

Performance testing includes the following: electrical safety testing per IEC 60601-1, safety and performance evaluation for X-ray systems per IEC 60601-2-54, radiation protection for X-ray systems per IEC 60601-1-3, usability evaluation per IEC 60601-1-6 and IEC 62366, and EMC testing per IEC 60601-1-2. Software verification and validation testing was performed to confirm that the modified device performs as intended, and that no unintended errors or failure modes have been introduced. Testing has demonstrated that the Q-Rad Radiographic System with Auto-Tracker option meets all design requirements, performs as intended, and is capable of fulfilling its intended use.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K011486

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract image of three human profiles facing to the right, stylized to resemble a bird.

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

August 7, 2015

Quantum Medical Imaging Division of Carestream % Pamela Papineau, RAC President Delphi Medical Device Consulting, Inc. 5 Whitcomb Avenue AYER MA 01432

Re: K151924

Trade Name: Q-Rad Radiographic System with Auto-Tracker Option Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR Dated: July 8, 2015 Received: July 13, 2015

Dear Ms. Papineau:

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.

Michael D'Hara

For

Robert Ochs, Ph.D. Acting Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K151924

Device Name

Q-Rad Radiographic System with Auto-Tracker Option

Indications for Use (Describe)

The O-Rad Radiographic System is indicated for use in obtaining diagnostic quality radiographic images to aid the physician with diagnosis. The system can be used to perform radiographic imaging of various portions of the human body, including the skull, spinal column, extremities, chest, abdomen and other body parts. The Q-Rad System is not indicated for use in mammography.

Type of Use (Select one or both, as applicable)X Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)X Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
X Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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Section 5 - Special 510(k) Summary

General Information

Date Prepared:July 8, 2015
Owner's Name:
Address:Quantum Medical Imaging Division of Carestream
2002-B Orville Drive North
Ronkonkoma, NY 11779
Telephone Number:631-737-7237
Fax Number:
Contact Person:613-567-5074
Mark Camirand
Subject Device Name:
Trade Name:
Common/Usual Name:Q-Rad Radiographic System with Auto-Tracker Option
Q-Rad Radiographic System with Auto-Tracker Option
X-Ray System
Product Code:KPR
Classification Name:Stationary X-Ray System
21 CFR 892.1680; Class II
Predicate Device Name:Q-Rad Radiographic System
Trade Name:Q-Rad Radiographic System
Common/Usual Name:X-Ray System
Product Code:KPR
Classification Name:Stationary X-Ray System
21 CFR 892.1680; Class II
Premarket Notification:K011486; Quantum Medical Imaging Q-Rad Radiographic
System (SE date June 20, 2001)

Predicate Device Description

The Q-Rad Radiographic System is general-purpose radiographic (X-ray) system used for acquiring radiographic images of various portions of the human body. The Q-Rad System consists of a combination of several components including various models of Xray generators and control panels or workstation computers, various models of patient support tables with integrated image receptor(s), wall-mounted image receptor/detector units for upright imaging, tube supports (ceiling-suspended or floor-mounted), and an Xray source and collimator (beam-limiting device). The Q-Rad System is available with conventional analog (film cassette), digital radiography (DR) and computed radiography (CR) receptors: systems equipped with DR or CR modalities can also be configured to include a workstation computer that is fully integrated with the X-ray generator to allow

4

communication of information such as image exposure factors directly from a connected RIS/PACS (radiology information system / picture archiving and communications system). The currently marketed Q-Rad System requires manual motion control for 3axis alignment of the X-ray source (tube) and the image receptor/detector located in the patient table or wall stand.

Indications for Use

The Q-Rad Radiographic System is indicated for use in obtaining diagnostic quality radiographic images to aid the physician with diagnosis. The system can be used to perform radiographic imaging of various portions of the human body, including the skull, spinal column, extremities, chest, abdomen and other body parts. The Q-Rad System is not indicated for use in mammography. The indications for use of the modified Q-Rad Radiographic System with Auto-Tracker option remain identical to those of the currently marketed "standard" Q-Rad System.

Device Modifications

This Special 510(k): Device Modification is for the introduction of optional Auto-Tracker functionality to improve the ergonomics of the user - device interface of the currently marketed Q-Rad Radiographic System. The Auto-Tracker function provides optional automated, motorized vertical tracking of the X-ray tube to the image receptor. Q-Rad Systems with the Auto-Tracker option will have a motor added to the X-ray tube support, and position sensors incorporated into the image receptors/detectors located in the patient table and/or in the wall-mounted image receptor unit. The motor and image receptors are linked via a CANbus communication interface, which allows the X-ray tube to automatically align with the vertical position of the image receptor, which is still manually positioned by the operator. The automated tracking feature applies only to vertical positioning; the operator must still manually align the X-ray tube with the image receptor in the X- and Y-axes (longitudinal and lateral/transverse positioning). The addition of a motor to the X-ray tube support also enabled the addition of optional motorized vertical positioning of the X-ray tube using a "tube-up" or "tube-down" switch; this option is independent of the auto-tracking capability, and is offered as a convenience to the operator as an alternative to the fully manual tube up/down positioning on standard (non-Auto-Tracker) Q-Rad Systems. The standard O-Rad System without Auto-Tracker option will still be available, and the operator will have the option of disabling the Auto-Tracker function at any time if fully manual tube positioning is preferred.

The changes described in this Special 510(k) are limited to the addition of the optional Auto-Tracker functionality and motorized vertical X-ray tube positioning. There are no other changes to the device specifications and performance. The intended use and

5

indications for use remain unchanged. The same fundamental scientific technology for X-ray imaging is present in the "standard" Q-Rad System cleared in K011486 and in the Q-Rad Systems with optional Auto-Tracker functionality.

Risk Management

Risk management for the modified device has been performed and documented in accordance with ISO 14971:2007. Risk analysis has been performed for the modified device to identify any new risks associated with the new functionality. Any new risks have been thoroughly documented and appropriate risk reductions have been applied. Verification and validation testing has been performed to confirm that the device modifications have been thoroughly evaluated to ensure that design outputs meet design inputs, and that all risk mitigations are effective in achieving their intended effect. Riskbenefit analysis has been performed to establish that all residual risks for the modified device have been reduced as far as possible, and are outweighed by expected benefits. The outputs of the risk management process were utilized to ensure that appropriate performance testing and software V&V requirements have been identified to ensure that the modified device meets design specifications and is free from unacceptable risk.

Design Controls and Performance Testing

The proposed modification to add optional Auto-Tracker functionality to the currently marketed Q-Rad Radiographic System has been fully documented via a design control system that is compliant with 21 CFR 820.30. The modified design has been verified and validated in accordance with documented protocols and procedures which include predetermined acceptance criteria. Performance testing includes the following: electrical safety testing per IEC 60601-1, safety and performance evaluation for X-ray systems per IEC 60601-2-54, radiation protection for X-ray systems per IEC 60601-1-3, usability evaluation per IEC 60601-1-6 and IEC 62366, and EMC testing per IEC 60601-1-2. Software verification and validation testing was performed to confirm that the modified device performs as intended, and that no unintended errors or failure modes have been introduced. Testing has demonstrated that the Q-Rad Radiographic System with Auto-Tracker option meets all design requirements, performs as intended, and is capable of fulfilling its intended use.

Conclusion

The modified device (Quantum Medical Imaging Q-Rad Radiographic System with Auto-Tracker Option) is substantially equivalent to the predicate Quantum Medical Imaging O-Rad Radiographic System cleared in K011486.