K Number
K163519
Device Name
RX DC
Manufacturer
Date Cleared
2017-01-13

(29 days)

Product Code
Regulation Number
872.1800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
RX DC x-ray unit is designed for use in the dental surgery to make endo-oral x-rays for diagnostic purposes. This equipment can be used to produce traditional x-rays developed using chemicals or, alternatively, it can be used with digital x-ray sensors.
Device Description
The subject device RX DC, in the new 65/70 kV version, is an extraoral source dental X-ray system intended for intraoral imaging. The subject device is a device comprises a double mobile and articulate support arm. At the opposite ends of the arm are located, respectively: - . A control unit equipped with wall plate, extension arm and wired/wireless control device; - A tube head with x-ray tube; . X-rays are produced using the high frequency and constant potential generators with a built in round collimator with the high frequency (HF) technology, X-ray emission at 70 kV and 8 mA (maximum power), and x-ray unit automatically calculates the best exposure time (from 0.02 s to 1.00 s) based on the selected tooth and patient size, as well as an adjustable arm allows for easy positioning. The system can be used either with conventional film or a digital imaging system. RX DC, 65/70 kV version, is manufactured by CEFLA S.C. and available in several versions, and it can be sold under different brands and commercial names for commercial needs, as well as with different type of installation, and also different types of maximum anode voltage (65 kV or 70 kV). To identify the different variants of the RX DC product, CEFLA S.C. designed a reference system to identify any variant via the REF code.
More Information

Not Found

No
The summary describes a standard dental X-ray unit with automatic exposure time calculation based on pre-defined parameters (tooth and patient size), which is a common feature in such devices and does not indicate the use of AI/ML. There is no mention of AI, ML, deep learning, or any related concepts in the document.

No
The device is described as an x-ray unit designed for diagnostic purposes (to make endo-oral x-rays for diagnostic purposes). Therapeutic devices are used for treatment, not diagnosis.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is "designed for use in the dental surgery to make endo-oral x-rays for diagnostic purposes."

No

The device description clearly outlines hardware components including a control unit, extension arm, wired/wireless control device, tube head with x-ray tube, and a double mobile and articulate support arm. This is a physical x-ray system, not a software-only device.

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 (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The provided description clearly states that this device is an extraoral source dental X-ray system used to produce endo-oral x-rays for diagnostic purposes. It generates X-rays that pass through the patient's body to create an image.
  • No Specimen Analysis: The device does not analyze any biological specimens taken from the patient. It interacts directly with the patient's body to create an image.

Therefore, based on the provided information, this device falls under the category of a medical imaging device, specifically a dental X-ray unit, and not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

RX DC x-ray unit is designed for use in the dental surgery to make endo-oral x-rays for diagnostic purposes. This equipment can be used to produce traditional x-rays developed using chemicals or, alternatively, it can be used with digital x-ray sensors.

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

EHD

Device Description

The subject device RX DC, in the new 65/70 kV version, is an extraoral source dental X-ray system intended for intraoral imaging. The subject device is a device comprises a double mobile and articulate support arm. At the opposite ends of the arm are located, respectively:

  • . A control unit equipped with wall plate, extension arm and wired/wireless control device;
  • A tube head with x-ray tube; .
    X-rays are produced using the high frequency and constant potential generators with a built in round collimator with the high frequency (HF) technology, X-ray emission at 70 kV and 8 mA (maximum power), and x-ray unit automatically calculates the best exposure time (from 0.02 s to 1.00 s) based on the selected tooth and patient size, as well as an adjustable arm allows for easy positioning. The system can be used either with conventional film or a digital imaging system. RX DC, 65/70 kV version, is manufactured by CEFLA S.C. and available in several versions, and it can be sold under different brands and commercial names for commercial needs, as well as with different type of installation, and also different types of maximum anode voltage (65 kV or 70 kV). To identify the different variants of the RX DC product, CEFLA S.C. designed a reference system to identify any variant via the REF code.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

endo-oral (dental)

Indicated Patient Age Range

Adult-child

Intended User / Care Setting

dental surgery

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 tests performed on the subject device covering safety and EMC tests in compliance with declared standards (IEC 60601-1:2005, IEC 60601-1-6:2013, IEC 62366: 2014, IEC 60601-1-3:2013, IEC 60601-2-65:2012, IEC 60601-1-2:2007 (EMC)). All requirements were met.
A comparative dosimetric test was performed to measure the air kerma emitted by the subject device and the predicate device RX DC (K080076) for each combination of loading factors according to patient size and anatomical shape of the tooth. The test demonstrated that the RX DC, in the new 65/70 kV version, emits the same quantity of x-ray as the predicate device K080076.

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.

K080076, K120318

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

§ 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.

0

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 emblem featuring three abstract 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

January 13, 2017

CEFLA S.C. % Maurizio Pantaleoni CEO Isemed Srl Via Argentina Altobelli Bonetti 3A Imola, BO 40026 ITALY

Re: K163519 Trade/Device Name: RX DC Regulation Number: 21 CFR 872.1800 Regulation Name: Extraoral source x-ray system Regulatory Class: II Product Code: EHD Dated: November 24, 2016 Received: December 15, 2016

Dear Maurizio Pantaleoni:

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.

Michael D.'Hara

For

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K163519

Device Name RXDC

Indications for Use (Describe)

RX DC x-ray unit is designed for use in the dental surgery to make endo-oral x-rays for diagnostic purposes. This equipment can be used to produce traditional x-rays developed using chemicals or, alternatively, it can be used with digital x-ray sensors.

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

IZJ Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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suggestions for reducing this burden, to:

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FORM FDA 3881 (8/14)

Page 1 of 1

PSC Publishing Services (301) 443-6740 EF

VolOOl-20

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510(k) Summary

This 510(k) Summary is being submitted as required by 21 CFR 807.92.

1. General Information

| Submitter : | CEFLA S.C.
Via Selice Prov.le 23/a
Imola, BO 40026 ITALY
Tel. +39 0542 653441
Fax +39 0542 653607 |
|----------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Consultant/ Contact: | Maurizio Pantaleoni
ISEMED srl
Via Altobelli Bonetti 3/a
Imola, BO 40026 ITALY
Mob. +39 348 4435155
Tel. +39 0542 683803
Fax +39 0542 698456
Email: regulatory@isemed.eu |

Summary Prepared Date:

November 24, 2016

2. Names

Device Name:RX DC
Common Name:Unit, X-Ray, Extraoral with timer
Regulation Name:Extraoral Source X-Ray System
Product Code:EHD
Classification:21CFR 872.1800; Class II

4

Predicate Devices 3.

ApplicantDevice name510(k) Number
CEFLA S.C.RXDCK080076
VIVI S.r.l.VIVI Ergon-X HFK120318

The RX DC, in the new 65/70 kV version, is substantially equivalent to the following device:

4. Device Description

The subject device RX DC, in the new 65/70 kV version, is an extraoral source dental X-ray system intended for intraoral imaging. The subject device is a device comprises a double mobile and articulate support arm. At the opposite ends of the arm are located, respectively:

  • . A control unit equipped with wall plate, extension arm and wired/wireless control device;
  • A tube head with x-ray tube; .

X-rays are produced using the high frequency and constant potential generators with a built in round collimator with the high frequency (HF) technology, X-ray emission at 70 kV and 8 mA (maximum power), and x-ray unit automatically calculates the best exposure time (from 0.02 s to 1.00 s) based on the selected tooth and patient size, as well as an adjustable arm allows for easy positioning. The system can be used either with conventional film or a digital imaging system. RX DC, 65/70 kV version, is manufactured by CEFLA S.C. and available in several versions, and it can be sold under different brands and commercial names for commercial needs, as well as with different type of installation, and also different types of maximum anode voltage (65 kV or 70 kV). To identify the different variants of the RX DC product, CEFLA S.C. designed a reference system to identify any variant via the REF code.

5. Indications for Use

RX DC x-ray unit is designed for use in the dental surgery to make endo-oral x-rays for diagnostic purposes. This equipment can be used to produce traditional x-rays developed using chemicals or, alternatively, it can be used with digital x-ray sensors.

6. Comparison of technological characteristics with the predicate device

The RX DC, in the new 65/70 kV version, represents a development of the cleared RX DC (K080076), which has a fixed x-ray tube potential 60kV. In addition, concerning the maximum voltage of 70KV, this parameter is identical to that of the other predicate device K120318.

5

CEFLA S.C. 510(K) PREMARKET NOTIFICATION

All relevant characteristics of the subject device are side-by-side compared with those of the predicate devices in the Comparison table.

Subject DevicePredicate Devices
CEFLA S.C.
RX DCCEFLA S.C.
RX DCVIVI
Vivi Ergon- X HF
K 080076K 120318
General Features
ClassificationIIIIII
Product CodeEHDEHDEHD
Intended useThis x-ray unit is designed for use
in the dental surgery to make endo-
oral x-rays for diagnostic
purposes. This equipment can be
used to produce traditional x-rays
developed using chemicals or,
alternatively, it can be used with
digital x-ray sensors.This x-ray unit is designed for use
in the dental surgery to make endo-
oral x-rays for diagnostic
purposes. This equipment can be
used to produce traditional x-rays
developed using chemicals or,
alternatively, it can be used with
digital x-ray sensors.Ergon-X-HF is an extraoral X-
ray source system intended to
be used for dental
radiographic examination and
diagnosis of diseases of the
teeth, jaws, and oral
structures.
Principle of useX-Ray TubeX-Ray TubeX-Ray Tube
Mechanical Features
Installation
configurationWall-mounted standard version
Stand mobile versionWall-mounted standard versionWall-mounted standard
version
Fixed floor Stand
Stand mobile version
X-ray emission
controlWired control
Wireless Remote controlRemote controlWired control
Wireless remote control
Extension arm90 cm (standard)
40 cm (optional)
60 cm (optional)90 cm (standard)
40 cm (optional)
60 cm (optional)30 cm (standard)
60 cm (optional)
80 cm (optional)
Radiological characteristics
HV generatorHigh frequency
Constant potentialHigh frequency
Constant potentialHigh Frequency
Constant potential
Anode materialTungstenTungstenTungsten
Tube Voltage (KV)60, 63, 65 kV
60,65, 70 kV60 kV60, 65 or 70 kV
Tube current (mA)6, 7 mA @65kV
4, 8 mA @ 70 kV7mA
3.5mA7 mA
Exposure time0.02s-1s (R 20 steps)0.01sec. - 1sec. (in R20 steps)0.01 - 2.0 sec
X-ray tube & anode
angle• From 12.5° to 16°12.5°19°
Focal spot size• 0.4mm / 0.7mm0.4mm0.5mm
Leakage radiation