K Number
K162555
Device Name
EVS 4343, EVS 4343G
Manufacturer
Date Cleared
2016-12-21

(99 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EVS 4343 and EVS 4343G Digital X-ray detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. This device is intended to replace film or screen based radio graphic systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.
Device Description
The EVS 4343(G) is a wired flat-panel type digital X-ray detector that captures projection radiographic images in digital format within seconds, eliminating the need for an entire x-ray film or an image plate as an image capture medium. EVS 4343(G) differs from traditional X-ray systems in that, instead of exposing a film and chemically processing it to create a hard copy image, a device called a Detector is used to capture the image in electronic form. The EVS 4343(G) Detector is an indirect conversion device in the form of a square plate in which converts the incoming X-rays into visible light. This visible light is then collected by an optical sensor, which generates an electric charges representation of the spatial distribution of the incoming X-ray quanta. The charges are converted to a modulated electrical signal thin film transistors. The amplified signal is converted to a voltage signal and is then converted from an analog to digital signal which can be transmitted to a viewed image print out, transmitted to remote viewing or stored as an electronic data file for later viewing.
More Information

Not Found

No
The summary describes a standard digital X-ray detector and its image capture process. There is no mention of AI, ML, or any advanced image processing that would suggest the use of these technologies. The performance study focuses on demonstrating equivalence to predicate devices based on image quality and diagnostic capability, not on the performance of an AI/ML algorithm.

No
The device is described as a digital X-ray detector intended for diagnostic imaging, which is used for diagnosis rather than therapy.

Yes
The "Intended Use / Indications for Use" section states that the device is "indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy."

No

The device description explicitly states it is a "wired flat-panel type digital X-ray detector" and describes the physical components and processes involved in capturing X-ray images, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "general radiographic diagnosis of human anatomy." This involves imaging the internal structures of the body using X-rays.
  • Device Description: The description details how the device captures X-ray images electronically. This is consistent with medical imaging devices used for diagnosis in vivo (within the living body), not in vitro (outside the body, typically involving samples like blood or tissue).
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any of the typical components or processes associated with in vitro diagnostics.

Therefore, the EVS 4343 and EVS 4343G Digital X-ray detector is a medical imaging device, not an IVD.

N/A

Intended Use / Indications for Use

The EVS 4343 and EVS 4343G Digital X-ray detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. This device is intended to replace film or screen based radio graphic systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.

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

MQB

Device Description

The EVS 4343(G) is a wired flat-panel type digital X-ray detector that captures projection radiographic images in digital format within seconds, eliminating the need for an entire x-ray film or an image plate as an image capture medium. EVS 4343(G) differs from traditional X-ray systems in that, instead of exposing a film and chemically processing it to create a hard copy image, a device called a Detector is used to capture the image in electronic form.
The EVS 4343(G) Detector is an indirect conversion device in the form of a square plate in which converts the incoming X-rays into visible light. This visible light is then collected by an optical sensor, which generates an electric charges representation of the spatial distribution of the incoming X-ray quanta.
The charges are converted to a modulated electrical signal thin film transistors. The amplified signal is converted to a voltage signal and is then converted from an analog to digital signal which can be transmitted to a viewed image print out, transmitted to remote viewing or stored as an electronic data file for later viewing.
The subject device integrates with X-ray system through three modes such as Auto Trigger mode (AT), Sync. Trigger mode and USB SW mode. The Auto Trigger Mode (AT) is available for acquiring images without any connection to X-ray generator interface cable is not required. The Sync. Trigger mode is the most common and recommended exposure mode at B2B scopes. User can achieve the high quality images with Sync. Tigger Mode. The USB SW Mode is the most common and recommended exposure mode at a retrofit scope. User can achieve high quality images with USB SW Mode.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

human anatomy, General Radiography

Indicated Patient Age Range

Not Found. The predicate device mentions "including both pediatric and adult patients" but this is not directly stated for the subject device.

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

A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted.
Clinical images were provided; these images were not necessary to establish substantial equivalence based on the modifications to the device (note X-ray detector technology that is identical to the predicate device) but they provide further evidence in addition to the laboratory performance data to show that the subject device works as intended.

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

Non-Clinical Data:
The non-clinical performance testing constrains that the main physical values for comparison of Xray devices like DQE and MTF are basically equal or worth than the predicate device.
DQE:
EVS 4343: 43.9 % at 1 lp/mm, 16.5% at 3 lp/mm
EVS 4343G: 23.6 % at 1 lp/mm, 5 % at 3 lp/mm
MTF:
EVS 4343: 35 % at 2.0 lp/mm
EVS 4343G: 34 % at 2.0 lp/mm

Clinical Data:
A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted, and the study confirmed that the new x-ray detectors EVS 4343G provide images of equivalent diagnostic capability to the predicate devices (K142475 and K150766) and its results demonstrate substantial equivalence.

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

DQE: EVS 4343: 43.9 % at 1 lp/mm, 16.5% at 3 lp/mm; EVS 4343G: 23.6 % at 1 lp/mm, 5 % at 3 lp/mm
MTF: EVS 4343: 35 % at 2.0 lp/mm; EVS 4343G: 34 % at 2.0 lp/mm
Resolution: 3.5 lp/mm

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.

K142475, K150766

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

§ 892.1680 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 consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image 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

December 21, 2016

DRTECH Corporation % Choul-Woo Shin Suite No. 2, 310 Floor, 29, Dunchon-daero541 beon-gil, Jungwon-gu, Seongnam-si, Gyeonggi-do, 13230 REPUBLIC OF KOREA

Re: K162555

Trade/Device Name: EVS 4343. EVS 4343G Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: MOB Dated: December 2, 2016 Received: December 6, 2016

Dear Choul-Woo Shin:

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.

1

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 Ochs

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) K162555

Device Name EVS 4343, EVS 4343G

Indications for Use (Describe)

The EVS 4343 and EVS 4343G Digital X-ray detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. This device is intended to replace film or screen based radio graphic systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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510(k) Summary

[As required by 21 CFR 807.92]

This 510(k) summary of safety and effectiveness information is prepared in accordance with 21 CFR 807.92

1. Date Prepared [21 CFR 807.92(a) (1)]

09/08/2016

2. Submitter's Information [21 CFR 807.92(a) (1)]

Name of Sponsor:DRTECH Corporation
Address:Suit No. 2, 3 Floor, 29, Dunchon-daero541 beon-gil,
Jungwon-gu, Seongnam-si, Gyeonggi-do, 13230
Republic of Korea
Contact Name:Choul-Woo Shin
Telephone No.:+ 82-31-779-7783
Fax No .:+ 82-31-779-7790
Email Address :cwshin@drtech.co.kr
Registration Number:3005172103
Name of Manufacturer:Same as Sponsor

3. Trade Name, Common Name, Classification [21 CFR 807.92(a) (2)]

Trade Name:EVS 4343, EVS 4343G
Common Name:Digital Flat Panel X-ray Detector
Classification Name:Stationary X-ray System
Classification Panel:Radiology
Classification Regulation:21 CFR 892.1680
Product Code:MQB
Device Class:II
501(k) Number:K162555

4. Identification of Predicate Device(s) [21 CFR 807.92(a) (3)]

ParameterPredicate Device
• 510(k) Number:K142475 K150766
• Applicant:DRTECH Corporation Carestream Health, Inc.
• Trade Name:Carestream DRX-1 System w/ DRX Plus Detectors EVS 4343
• Classification Name:Stationary X-ray System
• Classification Panel:Radiology
• Classification Regulation:21 CFR 892.1680
• Product Code:MQB
• Device Class:II

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5. Description of the Modified Device [21 CFR 807.92(a) (4)]

  • The EVS 4343 was removed the function of wireless communication to transfer data.
  • . Addition of EVS 4343G: This is to notify that EVS 4343 / EVS 4343G are same Hardware, Software and components. But scintillator layer are different. Scintillator is a phosphor that produces scintillations.
Model NameScintillator layer
EVS 4343CsI (Cesium Iodide)
EVS 4343GGoS (Gadolinium Oxysulfide)

The EVS 4343(G) is a wired flat-panel type digital X-ray detector that captures projection radiographic images in digital format within seconds, eliminating the need for an entire x-ray film or an image plate as an image capture medium. EVS 4343(G) differs from traditional X-ray systems in that, instead of exposing a film and chemically processing it to create a hard copy image, a device called a Detector is used to capture the image in electronic form.

6. Intended Use [21 CFR 807.92(a)(5)]

The intended use has not changed as a result of the modification and is as follows:

The EVS 4343 and EVS 4343G Digital X-ray detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. This device is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.

7. Technological Characteristics [21 CFR 807.92(a)(6)]

The EVS 4343(G) Detector is an indirect conversion device in the form of a square plate in which converts the incoming X-rays into visible light. This visible light is then collected by an optical sensor, which generates an electric charges representation of the spatial distribution of the incoming X-ray quanta.

The charges are converted to a modulated electrical signal thin film transistors. The amplified signal is converted to a voltage signal and is then converted from an analog to digital signal which can be transmitted to a viewed image print out, transmitted to remote viewing or stored as an electronic data file for later viewing.

Comparisons with the predicate, devices show the technological characteristics of the EVS 4343(G) to be same to the predicate devices. The EVS 4343(G) is functionally identical to the predicate devices.

The subject device integrates with X-ray system through three modes such as Auto Trigger mode (AT), Sync. Trigger mode and USB SW mode. The Auto Trigger Mode (AT) is available for acquiring images without any connection to X-ray generator interface cable is not required. The Sync. Trigger mode is the most common and recommended exposure mode at B2B scopes. User can achieve the high quality images with Sync. Tigger Mode. The USB SW Mode is the most common and recommended exposure mode at a retrofit scope. User can achieve high quality images with USB SW Mode.

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Image /page/5/Picture/0 description: The image shows the word "DRTECH" in blue font. The letters are all capitalized and sans-serif. There is a small blue square above and to the left of the "D" in "DRTECH". A cursor is pointing at the "D".

8. Hardware and Software Requirements

  • X-ray System Requirement
ContentsRequirements
GeneratorPower frequency30kHz ~ 240kHz
KV40kVp ~ 150kVp
mA Range10mA ~ 1000mA
Exposure Time0.001~10sec
mAs Range0.1~1000mAs
Accuracy$\pm$ 5%
BuckyOperating Typemoving
Stepping Motor
Spring
CAM Motor type
Static(Fixed)
Trey size (mm)460 x 460 x 15 or higher
GridRatio5:1, 6:1, 8:1, 10:1, 12:1, 15:1
Line85 ~ 215 Line
SID100 ~ 180 cm
  • The EVS 4343(G) detector is not compatible with trays that are less than 460 mm x 15 mm.

- Software Requirement

The EVS 4343(G) detector is compatible with Econsole1 (K152172).

9. Substantial Equivalence [21 CFR 807.92(b)]

ParameterSubject DevicePredicate DeviceRemark
510(K) NumberUnknownK142475K150766-
ManufacturerDRTECH
CorporationDRTECH
CorporationCarestream
Health, Inc.-
Model NameEVS 4343, EVS
4343GEVS 4343Carestream DRX-1
System w/ DRX
Plus Detectors-
Classification
NameStationary X-ray Systemsame
Classification PanelRadiologysame
Classification
Regulation21 CFR 892.1680same
Product CodeMQBsame
Device ClassClass IIsame
Intended UseThe EVS 4343 and
EVS 4343G Digital
X-ray detector is
indicated
for digital imaging
solution designed for
providing generalThe EVS 4343
Digital X-ray
detector is
indicated
for digital imaging
solution designed
for providingThe device is
intended to
capture for
display
radiographic
images of humansame
radiographic
diagnosis of human
anatomy. This device
is intended to replace
film or screen based
radiographic systems
in all general purpose
diagnostic
procedures. This
device is not
intended for
mammography
applicationsgeneral
radiographic
diagnosis of
human anatomy.
This device is
intended to
replace film or
screen based
radiographic
systems in all
general purpose
diagnostic
procedures. This
device is not
intended for
mammography
applicationsanatomy
including both
pediatric and
adult patients.
The device is
intended for use
in general
projection
radiographic
applications
wherever
conventional
screen-film
systems or CR
systems may be
used. Excluded
from the
indications for
use are
mammography,
fluoroscopy, and
angiography
applications.
DesignPanel
ShapeSquare PanelSquare PanelRectangular Panelsame
Detector
Size17" X 17"17" X 17"13" X 17"same
Dimensions460(W) x 460(L) x
15(H)460(W) x 460(L)
x 15(H)-same
Pixel
Pitch140μm140μm139µmsame
Image
Size3,072 x 3,0723,072 x 3,072-same
Materials
ScintillatorTFT -amorphous
SiliconTFT -amorphous
SiliconTFT -amorphous
Siliconsame
EVS 4343: CsI
EVS 4343G: GOSEVS 4343: CsIGOSsame
PerformanceDQEEVS 4343:
43.9 % at 1 lp/mm
16.5 % at 3 lp/mm
EVS 4343G:
23.6 % at 1 lp/mm
5 % at 3 lp/mm28 % at 1 lp/mm
13 % at 3 lp/mm29.7 % at 1 lp/mm
5.0 % at 3 lp/mmsimilarity
MTFEVS 4343: 35 % at
2.0 lp/mm35 % at 2.0 lp/mm17.4% at 2 lp/mmsame
EVS 4343G: 34 % at
2.0 lp/mmsame
Resolution3.5 lp/mm3.5 lp/mm3.5 lp/mmsame
Anatomical SitesGeneral RadiographyGeneral RadiographyGeneral Radiographysame
Power Supply100240V, 50/60 Hz100240V, 50/60 Hz100240V, 50/60 Hzsame
Communication
InterfaceWired: EthernetWireless:
2.4g/802.11g/n
5g/802.11a/n
Wired: Ethernet-different

6

IDRTECH

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Image /page/7/Picture/0 description: The image shows the logo for DR TECH. The logo is in blue and features a square above the letters 'DR'. The letters 'TECH' are in a slightly lighter shade of blue than the 'DR'. A mouse cursor is visible near the left side of the logo.

When compared to the predicate device (K142475 and K150766), the EVS 4343(G) presented in this submission has the same:

  • Intended Use
  • Technological characteristics
  • Operating principle
  • · Design features
  • · Performance (DQE, MTF, Resolution)
  • Materials Scintillator

A few differences are as follows

  • Communication Method
    There are no significant differences between the EVS 4343(G) and the predicate device(s) that would adversely affect the use of the product. It is substantially equivalent to these devices in design, function, materials, operational principles and intended use.

10. Summary of Non-Clinical Data [21 CFR 807.92(b)(1)]

The non-clinical performance testing constrains that the main physical values for comparison of Xray devices like DQE and MTF are basically equal or worth than the predicate device as following table:

ParameterModified DevicePredicate DeviceRemark
K142475K150766
DQEEVS 4343:
43.9 % at 1
lp/mm
16.5% at 3 lp/mm28 % at 1 lp/mm
13 % at 3 lp/mm29.7 % at 1 lp/mm
5.0 % at 3 lp/mmsame
similarity
EVS 4343G:
23.6 % at 1
lp/mm
5 % at 3 lp/mm
MTFEVS 4343: 35 % at 2.0 lp/mm35 % at 2.0 lp/mm17.4% at 2.0 lp/mmsame

8

| EVS 4343G:
34 % at 2.0

lp/mmsame
------------------------------------------

The EVS 4343(G) complies with the following international and FDA-recognized consensus standards:

| AAMI ANSI ES60601-1: | Medical Electrical Equipment -- Part 1: General Requirements for Basic
Safety And Essential Performance (IEC 60601-1:2005, Mod) |
|----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IEC 60601-1-2: | Medical Electrical Equipment - Part 1-2: General Requirements For Basic
Safety And Essential Performance - Collateral Standard: Electromagnetic
Compatibility - Requirements And Tests (Edition 3) |
| ISO 14971: | Medical Devices - Application of Risk Management to Medical Devices.
(General I (QS/RM)) |
| IEC 62220-1: | Medical electrical equipment - Characteristics of digital X-ray imaging
devices - Part 1: Determination of the detective quantum efficiency |
| NEMA PS 3.1 - 3.20: | Digital Imaging and Communications in Medicine (DICOM) Set |

11. Summary of Clinical Data [21 CFR 807.92(b)(2)]

A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted, and the study confirmed that the new x-ray detectors EVS 4343G provide images of equivalent diagnostic capability to the predicate devices (K142475 and K150766) and its results demonstrate substantial equivalence.

Clinical images were provided; these images were not necessary to establish substantial equivalence based on the modifications to the device (note X-ray detector technology that is identical to the predicate device) but they provide further evidence in addition to the laboratory performance data to show that the subject device works as intended.

12. Conclusion [21 CFR 807.92(b)(3)]

The modified EVS 4343(G) is substantially equivalent to the currently marketed and predicate device (EVS 4343, K142475) in terms of design features, fundamental scientific technology, indications for use, and safety and effectiveness.

Additionally, Substantial equivalence was demonstrated through the non-clinical performance, which complied with the requirements specified in the international and FDA-recogmized consensus standards, IEC60601-1, IEC 60601-1-2, IEC6220-1 and IEC 62133 and the clinical test, which complied with the requirements specified in the CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices.

The results of these tests demonstrate that EVS 4343(G) meets the acceptance criteria and is adequate for this intended use. The comparison of technological characteristics, non-clinical performance data, safety testing, and clinical image concurrence data demonstrates that the device is as safe, as effective, and performs as well or better than the predicate devices.