K Number
K153060
Device Name
Digital Dental Intra Oral Sensor, EzSensor Classic, EzSensor HD, HDI-P, HDI-S
Manufacturer
Date Cleared
2015-11-10

(20 days)

Product Code
Regulation Number
872.1800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Digital Dental Intra Oral Sensor is intended to collect dental x-ray photons and convert them into electronic impulses that may be stored, viewed and manipulated for diagnostic use by dentists.
Device Description
Digital Dental Intra Oral Sensor is a device which acquires digital intra-oral images. Direct digital systems acquire images with a sensor that is connected to a computer to produce an image almost instantaneously following exposure. The primary advantage of direct sensor systems is the speed with which images are acquired. For patient comfort, the ergonomic design is based on human intraoral anatomy. - Excellent image quality based on advanced CMOS technology - More comfortable sensor ergonomic shape for the human oral structure - Lower dose exposure (Compared to film sensor) - Enhanced durability - Easy-to-use USB interface
More Information

No
The summary describes a standard digital dental x-ray sensor and its performance characteristics, with no mention of AI or ML for image processing, analysis, or any other function.

No.
The device is used for diagnostic purposes by capturing images, not for treating or preventing disease.

Yes
The "Intended Use / Indications for Use" states that the device is for "diagnostic use by dentists."

No

The device description clearly states it is a "sensor" that "acquires digital intra-oral images" and is "connected to a computer." It also mentions "advanced CMOS technology" and a "USB interface," all of which are hardware components. The performance studies also include testing related to hardware characteristics like DQE, MTF, and electrical/mechanical safety.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Digital Dental Intra Oral Sensor collects dental x-ray photons and converts them into electronic impulses for diagnostic use by dentists. It works by capturing images directly from within the patient's mouth using radiation, not by analyzing biological samples.
  • Intended Use: The intended use clearly states it's for collecting dental x-ray photons and converting them into electronic impulses for diagnostic use by dentists. This is an in-vivo (within the living body) imaging process, not an in-vitro (outside the living body) diagnostic test.

The device is a medical imaging device, specifically a digital dental x-ray sensor.

N/A

Intended Use / Indications for Use

Digital Dental Intra Oral Sensor is intended to collect dental x-ray photons and convert them into electronic impulses that may be stored, viewed and manipulated for diagnostic use by dentists.

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

MUH

Device Description

Digital Dental Intra Oral Sensor is a device which acquires digital intra-oral images. Direct digital systems acquire images with a sensor that is connected to a computer to produce an image almost instantaneously following exposure. The primary advantage of direct sensor systems is the speed with which images are acquired. For patient comfort, the ergonomic design is based on human intraoral anatomy.

  • · Excellent image quality based on advanced CMOS technology
  • · More comfortable sensor ergonomic shape for the human oral structure
  • · Lower dose exposure (Compared to film sensor)
  • · Enhanced durability
  • · Easy-to-use USB interface

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray

Anatomical Site

intraoral anatomy / dental

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dentists

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)

Non-clinical according to FDA Guidance "Guidance for the Submissions of 510(k)'s for Solid State X- ray Imaging Devices" was performed.
The DQE, MTF and linear response to X-ray exposure test demonstrated that the subject sensor performed equivalently compared to the predicate device with the same dynamic range.
Electrical, mechanical, environmental safety and performance testing were performed according to standard IEC 60601-1: 2005 + CORR.1(2006) + CORR(2007) (Medical electrical equipment Part 1:General requirements for basic safety and essential performance). EMC testing was conducted in accordance with standard IEC 60601-1-2:2007.

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.

K150797

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.

K150747, K143753

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

§ 872.1800 Extraoral source x-ray system.

(a)
Identification. An extraoral source x-ray system is an AC-powered device that produces x-rays and is intended for dental radiographic examination and diagnosis of diseases of the teeth, jaw, and oral structures. The x-ray source (a tube) is located outside the mouth. This generic type of device may include patient and equipment supports and component parts.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized graphic of three human profiles facing to the right, stacked on top of each other.

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

November 10, 2015

Rayence Co., Ltd. % Mr. Dave Kim Medical Device Regulatory Affairs Mtech Group 8310 Buffalo Speedway HOUSTON TX 77025

Re: K153060

Trade/Device Name: EzSensor Classic, EzSensor HD, HDI-P, HDI-S, Digital Dental Intra Oral Sensor IOS-U20VF, IOS-U15VF, IOS-U10VF, IOS-U20IF, IOS-U15IF, IOS-U10IF, IOS-U20VB, IOS-U15VB, IOS-U10VB, IOS-U20IB IOS-U15IB, IOS-U10IB, HDI-U20DB, HDI-U20DB, HDI-U10DB HDI-U20DF, HDI-U15DF, HDI-U10DF Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: MUH Dated: October 16, 2015 Received: October 21, 2015

Dear Mr. Kim:

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

1

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 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. 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 Ocklo

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)

K153060

Device Name

EzSensor Classic, EzSensor HD, HDI-P, HDI-S, Digital Dental Intra Oral Sensor IOS-U20VF,IOS-U15VF,IOS-U10VF, IOS-U20IF,IOS-U15IF,IOS-U10IF, IOS-U20VB,IOS-U15VB IOS-U10VB、IOS-U20IB.IOS-U15IB.IOS-U10IB、HDI-U20DB,HDI-U15DB,HDI-U10DB, HDI-U20DF HDI-U15DF, HDI-U10DF

Indications for Use (Describe)

Digital Dental Intra Oral Sensor is intended to collect dental x-ray photons and convert them into electronic impulses that may be stored, viewed and manipulated for diagnostic use by dentists.

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

× Prescription Use (Part 21 CFR 801 Subpart D)

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

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1. 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date 510K summary prepared: October 16, 2015

Submitter's Name, address, telephone number, a contact person:

Submitter's Name :Rayence Co., Ltd.
Submitter's Address:14, Samsung 1-ro 1-gil, Hwaseong-si, Gyeonggi-do, Korea
Submitter's Telephone:+82-31-8015-6459
Contact person:Mr. Kee Dock Kim / RA Team Manager / +82-31-8015-6459
Official Correspondent:Dave Kim (davekim@mtech-inc.net)
Address:8310 Buffalo Speedway, Houston, TX 77025
Telephone:+713-467-2607
Fax:+713-583-8988

Name of the device, including the trade or proprietary name if applicable, the common or usual name and the classification name, if known:

| Trade/proprietary name: | EzSensor Classic, EzSensor HD, HDI-P, HDI-S
Digital Dental Intra Oral Sensor
(IOS-U20VF, IOS-U15VF, IOS-U10VF,
IOS-U20IF, IOS-U15IF, IOS-U10IF,
IOS-U20VB, IOS-U15VB, IOS-U10VB,
IOS-U20IB, IOS-U15IB, IOS-U10IB,
HDI-U20DB, HDI-U15DB, HDI-U10DB,
HDI-U20DF, HDI-U15DF, HDI-U10DF |
|-------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Digital Dental Intra Oral Sensor |
| Regulatoin number: | 21 CFR 872.1800 |
| Classification Name : | Extraoral source X-ray system |
| Product Code: | MUH |

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510(k) Submission – IOS-U20VF, IOS-U15VF, IOS-U10VF, IOS-U20IF, IOS-U15IF, IOS-U10IF, IOS-U20VB, IOS-U15VB, IOS-U10VB, IOS-U20IB, IOS-U15IB, IOS-U10IB, HDI-U20DB, HDI-U10DB, HDI-U10DB, HDI-U120DF, HDI-U15DF, HDI-U10DF

Predicate Device: Rayence Co., Ltd.
Manufacturer: Rayence Co., Ltd.
Device: Digital Dental Intra Oral Sensor, EzSensor Smart,
IOS-U15VF, IOS-U10VF, IOS-U15IF, IOS-U10IF,
IOS-U15VB, IOS-U10VB, IOS-U15IB, IOS-U10IB,
HDI-U15DB, HDI-U10DB, HDI-U15DF, HDI-U10DF
510(k) Number: K150797 (Decision Date – May 1, 2015)
The Regulation Number: 21 CFR 872.1800
Classification Name: Extraoral Source X-ray System
Primary Product Code: MUH

2. Device Description

Digital Dental Intra Oral Sensor is a device which acquires digital intra-oral images. Direct digital systems acquire images with a sensor that is connected to a computer to produce an image almost instantaneously following exposure. The primary advantage of direct sensor systems is the speed with which images are acquired. For patient comfort, the ergonomic design is based on human intraoral anatomy.

  • · Excellent image quality based on advanced CMOS technology
  • · More comfortable sensor ergonomic shape for the human oral structure
  • · Lower dose exposure (Compared to film sensor)
  • Enhanced durability
  • Easy-to-use USB interface

3. Indication for use

Digital Dental Intra Oral Sensor is intended to collect dental x-ray photons and convert them into electronic impulses that may be stored, viewed and manipulated for diagnostic use by dentists.

4. Summarv of Design Control Risk management

The risks and the hazardous impact of the device modification were analyzed with FMEA method. The specific risk control and protective measures to mitigate the risks from the modification were reviewed and implemented in the new product design phase. The overall assessment concluded that all risks and hazardous conditions identified arising from the design change were successfully mitigated and accepted.

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5. Summary of the technological characteristics of the device compared to the predicate device

Digital Dental Intra Oral Sensor described in this 510(k) has the same indications for use and similar technical characteristics as its predicate device.

A new sensor size 2.0 is added to the existing sensor sizes 1.0 and 1.5 of the predicate device.

These differences do not raise the questions of safety or effectiveness. Based on the laboratory testing results submitted in this 510k, we conclude that the subject device is substantially equivalent to the predicate device.

The potential risks for new sensor size such as electroic shock, device failure, misdiagnosis, tissue damage, serious leakage current, etc... were analyzed by conducting complete verification for IEC/EN 60601-1 and drop & vibration test.

While applying the stainless steel material to the inside of the frame, soft silicon material surrounds the exterior of the USB connector to reduce the protected from a potential external impact. Additional risk analysis was conducted to mitigate the potential risks that may arise with respect to leakage current, sensor fracture or breakage, and cable disconnection. The risk mitigation measures were satisfactory to manage the new risks identified and the residual risks were within acceptable limits.

CharacteristicProposedPredicate
Device's model nameRayence Co., Ltd.
IOS-U15VF, IOS-U10VF,
IOS-U15IF, IOS-U10IF,
IOS-U15VB, IOS-U10VB,
IOS-U15IB, IOS-U10IB,
HDI-U15DB, HDI-U10DB,
HDI-U15DF, HDI-U10DF
IOS-U20VF, IOS-U20IF,
IOS-U20VB, IOS-U20IB,
HDI-U20DB, HDI-U20DFRayence Co., Ltd.
IOS-U15VF, IOS-U10VF,
IOS-U15IF, IOS-U10IF,
IOS-U15VB, IOS-U10VB,
IOS-U15IB, IOS-U10IB,
HDI-U15DB, HDI-U10DB,
HDI-U15DF, HDI-U10DF
FeatureImage: Cable with USB and sensorImage: Cable with USB and sensor

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510(k) Submission – IOS-U20VF, IOS-U15VF, IOS-U10VF, IOS-U20IF, IOS-U10IF, IOS-U10IF, IOS-U20VB, IOS-U15VB, IOS-U10VB, IOS-U20IB, IOS-U15IB, IOS-U10IB, HDI-U20DB, HDI-U15DB, HDI-U10DB, HDI-U20DF, HDI-U15DF, HDI-U110DF

510(k) number-K150797
Indications
for useDigital Dental Intra Oral
Sensor is intended to collect
dental x-ray photons and
convert them into electronic
impulses that may be stored,
viewed, and manipulated for
diagnostic use by dentists.Digital Dental Intra Oral
Sensor is intended to collect
dental x-ray photons and
convert them into electronic
impulses that may be stored,
viewed and manipulated for
diagnostic use by dentists.
Sensor Dimension(mm)
(±10%)Size 1.0: 36.8 x 25.4
Size 1.5: 39.5 x 29.2
Size 2.0: 42.9 x 31.3Size 1.0: 37.6 x 25.4
Size 1.5: 39.5 x 29.2
Sensor Thickness(mm)4.84.8
Active Area(mm)Size 1.0: 30.01 x 20.01
Size 1.5: 33.00 x 23.98
Size 2.0: 35.99 x 25.99Size 1.0: 30.01 x 20.00
Size 1.5: 33.00 x 23.98
USB ModuleIntegrated USB 2.0 moduleIntegrated USB 2.0 module
PixelFull Resolution14.814.8
Pitch(µm)Binning mode29.629.6
DQEFull Resolution0.380.38
(6 lp/mm)Binning mode0.340.34
MTFFull Resolution0.6420.642
(3 lp/mm)Binning mode0.6300.630
Typical dose range(µGy)Incisor & Canine : 300 ~ 500 / Molar: 400 ~ 600
Viewer SoftwareEasydent or
EzDent-i(K150747)Easydent or
EzDent-i(K150747)

With the identical hardware configuration, the subject device has different model names distinguished by the sensor size and type of image viewing software utilized. The software functions include the patient information management, image capture, and an image viewer.

Easydent/Dental Imaging Viewer and EzDent i image viewing software have the same functionality and performance. The main difference is the design of the user interface (UI) and new consulting simulation tool for EzDent i. EzDent i requires a license registration for a fee whereas Easydent/ Dental Imaging Viewer is provided free of charge.

| Viewer

Software510(k) NumberManufacturerComment
EasydentSame viewer software
used for EzSensor Soft,
K143753Rayence Co., Ltd.Easydent and Dental Imaging
Viewer is same Software.
Difference is that CI is displayed on

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510(k) Submission – IOS-U20VF, IOS-U15VF, IOS-U10VF, IOS-U20IF, IOS-U15IF, IOS-U10IF, IOS-U20VB, IOS-U15VB, IOS-U10VB, IOS-U20IB, IOS-U15IB, IOS-U10IB, HDI-U20DB, HDI-U10DB, HDI-U20DF, HDI-U15DF, HDI-U110DF

| Dental
Imaging
Viewer | - | the UI for marketing purposes.
Rayence Co., Ltd. |
|-----------------------------|---------|-----------------------------------------------------|
| EzDent i | K150747 | EWOO SOFT

  •                                  |
    

*NOTE : Naming rules

Image /page/7/Figure/3 description: The image shows a diagram with five arrows pointing upwards. Each arrow is labeled with a number from 1 to 5 in a circle. Above the arrows, there are several squares with a dash in between them. The arrows point to the line below the squares.

  • (1) digit means buyer information-IOS, HDI

  • (2) digit means type

  • (3) digit means size- 15: 1.5 20: 2.0

  • (4) digit means operated using software

    • V: Easydent D: Dental Imaging Viewer(=Easydent)
  • (5) digit means function Mode- F: Full mode B: Binning mode

  • Representative model description

ModelInformation
IOS-U20VF1. buyer : IOS
  1. Sensor Type : CMOS Image Sensor
  2. Sensor Size : 2.0
  3. Version of SW : Easydent
  4. Mode : Full |

6.Summary of Performance Testing

The intended use, application and detector type of IOS-U20VF AND 17MODELS is the same as that of the predicate device, IOS-U20VF AND 11MODELS.

Both the subject and predicate devices use the same amorphous silicon alley and materials for fluorescent as the sensing means. The performance test result indicates that the IOS-U20VF AND 17MODELS detector performed equally the predicated device: IOS-U20VF AND 11MODELS and no additional safety risk is identified in the bench test: Non-clinical report.

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Non-clinical according to FDA Guidance "Guidance for the Submissions of 510(k)'s for Solid State X- ray Imaging Devices" was performed.

Clinical images were not necessary to establish substantial equivalence based on the modifications to the device. The laboratory performance data shows that the subject device operates similar to the predicate device.

The DQE, MTF and linear response to X-ray exposure test demonstrated that the subject sensor performed equivalently compared to the predicate device with the same dynamic range.

Electrical, mechanical, environmental safety and performance testing were performed according to standard IEC 60601-1: 2005 + CORR.1(2006) + CORR(2007) (Medical electrical equipment Part 1:General requirements for basic safety and essential performance). EMC testing was conducted in accordance with standard IEC 60601-1-2:2007.

7. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification. Rayence Co., Ltd. concludes IOS-U20VF AND 17MODELS is safe and effective and substantially equivalent to predicate device as described herein.