K Number
K172124
Device Name
Televere Podiatry Digital Imaging System
Manufacturer
Date Cleared
2017-11-09

(118 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Televere Podiatry Digital Imaging System is intended for digital image capture use in podiatry radiographic examinations, wherever conventional screen-film systems may be used. Not for mammography. Not for fluoroscopy.
Device Description
The Televere Podiatry Digital Imaging System consists of a combination of digital imaging software, a flat panel display (FPD), a PC-based computer, and a power supply. The PC based computer, x-ray generator and the power-supply are necessary for a the subject device. The imaging software has previously been cleared by FDA (i.e., K061035, TigerView Professional) and is being used unchanged in the subject device. This previously cleared software provides basic image adjustment features - an image management system allowing the physician to acquire, display, edit (e.g., resize, adjust contrast, crop, etc.), review, store, print, and distribute medical images within a Picture Archiving and Communication System (PACS) environment. TigerView Professional runs on standard PC-compatible computers and is compatible with capture devices which attach to the computer using a Network Adaptor, USB port, PCI slot, parallel port, memory card, S-video port on a video capture card, or SCSI card. The FPD component seeking clearance (VarexPaxScan2530C) has not been previously cleared by FDA as an individual component. The FPD uses a large-area amorphous silicon sensor array with a gadolinium oxysulfide (GadOx) scintillator for displaying high quality images over a wide range of dose settings and is intended to be integrated into a complete X-ray system. This premarket notification seeks clearance for a combination finished device consisting of the combination of the previously cleared digital imaging software and the FPD component. The combination of the digital imaging software and the FPD does not affect the safety or efficacy of either component device alone, or in combination. A gigabit Ethernet port allows for tethered, non-wireless data transmission.
More Information

No
The description focuses on basic image processing, management, and hardware components without mentioning any AI/ML capabilities.

No.
The device is described as an imaging system for diagnostic purposes (digital image capture use in podiatry radiographic examinations), not for treating or preventing diseases.

Yes

The device is intended for digital image capture in podiatry radiographic examinations, which are used to generate images for diagnostic purposes.

No

The device description explicitly states it consists of a combination of digital imaging software, a flat panel display (FPD), a PC-based computer, and a power supply, indicating it includes hardware components.

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

Here's why:

  • Intended Use: The intended use clearly states "digital image capture use in podiatry radiographic examinations". This describes a device used for capturing images of the body using X-rays, which is an in vivo (within the living body) diagnostic imaging process, not an in vitro (outside the living body) diagnostic process.
  • Device Description: The components described (flat panel display, PC-based computer, software, power supply, X-ray generator) are all consistent with a medical imaging system used for capturing images of the body.
  • Input Imaging Modality: The input modality is X-ray, which is used for imaging the internal structures of the body.
  • Anatomical Site: The anatomical site is Podiatry, which refers to the feet and ankles, again indicating imaging of a part of the living body.

IVD devices are used to examine specimens (like blood, urine, tissue) taken from the body to provide information about a person's health. This device does not perform such tests.

N/A

Intended Use / Indications for Use

The Televere Podiatry Digital Imaging System is intended for digital image capture use in podiatry radiographic examinations, wherever conventional screen-film systems may be used. Not for mammography. Not for fluoroscopy.

Product codes

MQB

Device Description

The Televere Podiatry Digital Imaging System consists of a combination of digital imaging software, a flat panel display (FPD), a PC-based computer, and a power supply. The PC based computer, x-ray generator and the power-supply are necessary for a the subject device. The imaging software has previously been cleared by FDA (i.e., K061035, TigerView Professional) and is being used unchanged in the subject device. This previously cleared software provides basic image adjustment features - an image management system allowing the physician to acquire, display, edit (e.g., resize, adjust contrast, crop, etc.), review, store, print, and distribute medical images within a Picture Archiving and Communication System (PACS) environment. TigerView Professional runs on standard PC-compatible computers and is compatible with capture devices which attach to the computer using a Network Adaptor, USB port, PCI slot, parallel port, memory card, S-video port on a video capture card, or SCSI card.
The FPD component seeking clearance (VarexPaxScan2530C) has not been previously cleared by FDA as an individualcomponent. TheFPD usesalarge-areaamorphous silicon sensorarraywith a gadolinium oxysulfide(GadOx) scintillator for displayinghigh qualityimagesoverawiderangeofdosesettingsand is intended to be integrated into a complete X-ray system. This premarket notification seeks clearance for a combination finished device consisting of the combination of the previously cleared digital imaging software and the FPD component. The combination of the digital imaging software and the FPD does not affectthesafetyorefficacyofeithercomponent device alone,orin combination. A gigabit Ethernet port allows for tethered, non-wireless data transmission.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Podiatry radiographic examinations

Indicated Patient Age Range

Not Found

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

Not Found

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

Bench testing was conducted for Electrical Safety and Electromagnetic Compatibility based on IEC Standards. The panel power supply is UL Listed. MTF and DQE measurements were compared between the original and modified scintillator versions of the panel and found to be similar enough. The MTF and DQE performance of the new panel is substantially equivalent to the predicate panel. The digital panel manufacturer conducted performance testing according to the FDA guidance document for solid state digital x-ray panels. Risk Analysis and System operation verification tests were conducted. Confirmation testing was performed as no software modifications were required.

Sample clinical images from the new device were provided but not necessary to demonstrate substantial equivalence.

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

Not Found

Predicate Device(s)

K170975

Reference Device(s)

K061035

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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November 9, 2017

Image /page/0/Picture/1 description: The image contains two logos. The logo on the left is the Department of Health & Human Services logo. The logo on the right is the FDA logo, which includes the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue.

Televere Systems LLC % Robert Bakin Regulatory Consultant Technology and Business Law Advisors, LLC 1244 Capuchino BURLINGAME, CA 94010

Re: K172124

Trade/Device Name: Televere Podiatry Digital Imaging System Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MOB Dated: October 10, 2017 Received: October 12, 2017

Dear Robert Bakin:

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);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerelv.

Robert Oaks

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) n/a

K172124

Device Name Televere Podiatry Digital Imaging System

Indications for Use (Describe)

The Televere Podiatry Digital Imaging System is intended for digital image capture use in podiatry radiographic examinations, wherever conventional screen-film systems may be used. Not for 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)

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COURSE STORE LESSON SHARE

510(k) Summary:

Televere Svstems, LLC 1160 Cavalier Road Arnold, MD 21012 Email: rquaal@tigerview.com Establishment Registration Number: 2954358

CONTACT: Robert E. Bakin Email: rbakin@tblawadvisors.com Technology & Business Law Advisors, LLC 1244 Capuchino Avenue, Burlingame, CA 94010 Phone: 571-215-3507 Prepared July 12, 2017

  1. Identification of the Device: Proprietary-Trade Name: Televere Podiatry Digital Imaging System Classification Name: Stationary X-ray System Product Code: MQB Common/Usual Name: Digital X-Ray Receptor Panel Device Class/Regulation Number: Class II per regulation 21 C.F.R. §892.1680

  2. Equivalent legally marketed device: Televere Digital Imaging System (K170975). Classification Name: Stationary X-ray System Product Code: MQB Common/Usual Name: Digital X-Ray Receptor Panel Device Class/Regulation Number: Class II per regulation 21 C.F.R. §892.1680

  3. Associated legally marketed devices: TigerView Professional (PACS Software) K061035. This is the software used with this device.

Classification Name: System, Image Processing, Radiological, Code LLZ Common/Usual Name: Picture Archiving and Communications System Device Class/Regulation Number: Class II per regulation 21 C.F.R. §892.2050

  1. Indications for Use: The Televere Podiatry Digital Imaging System is intended for digital image capture use in podiatry radiographic examinations, wherever conventional screen-film systems may be used. Not for mammography. Not for fluoroscopy.

  2. Description of the Device: The Televere Podiatry Digital Imaging System consists of a combination of

digital imaging software, a flat panel display (FPD), a PC-based computer, and a power supply. The PC based
computer, x-ray generator and the power-supply are necessary for a the subject device. The imaging software has previously been cleared by FDA (i.e., K061035, TigerView

Professional) and is being used unchanged in the subject device. This previously cleared software provides basic image adjustment features - an image management system allowing the physician to acquire, display, edit (e.g., resize, adjust contrast, crop, etc.), review, store, print, and distribute medical images within a Picture Archiving and Communication System (PACS) environment. TigerView Professional runs on standard PC-compatible computers and is compatible with capture devices which attach to the computer using a Network Adaptor, USB port, PCI slot, parallel port, memory card, S-video port on a video capture card, or SCSI card.

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Image /page/4/Picture/0 description: The image contains the logo for TELEVERE SYSTEMS. The word "TELEVERE" is in large, bold, orange letters. Below it, in smaller, gray letters, is the word "SYSTEMS."

TOURARE STORE UNISEX SHARE

TheFPD component seeking clearance (VarexPaxScan2530C) has not been previously cleared by FDA as an individualcomponent. TheFPD usesalarge-areaamorphous silicon sensorarraywith a gadolinium oxysulfide(GadOx) scintillator for displayinghigh qualityimagesoverawiderangeofdosesettingsand is intended to be integrated into a complete X-ray system. This premarket notification seeks clearance for a combination finished device consisting of the combination of the previously cleared digital imaging software and the FPD component. The combination of the digital imaging software and the FPD does not affectthesafetyorefficacyofeithercomponent device alone,orin combination. A gigabit Ethernet port allows for tethered, non-wireless data transmission.

Integration-level requirements/restrictions: High-frequency X-ray generators that support AED enabled digital flat panel displays are compatible with the Televere Podiatry Digital Imaging System. Synchronization withthegeneratorisachievedthroughthe interface power unit,supplied. Alternately the panelhasautomatic exposure detection (AED). Ifthis mode isused, the precautions listed in the panel user manual must be observed. The user should confirm that the generator/tubestand combination proposed employsonly Electronic Product Radiation Control certified components. Theuser should useonlytrained serviceengineersduringtheintegration process and fully test the system prior to use on patients.

  1. Safety and Effectiveness, Comparison to predicate device. The results of clinical image inspection, bench, and laboratory test results demonstrate that the new device is as safe and effective as the predicate device. Clinical images highlight equal or better image quality as compared to the predicate.
7. Substantial Equivalence Chart
Predicate DeviceDevice Seeking Clearance
Device NameTelevere Digital Imaging System
K170975Televere Podiatry Digital Imaging System
Flat Panel DeviceXRpadTM 4343F-NPaxScanTM 2530C
Intended UseThe Televere Digital Imaging System is intended for digital image capture use in general radiographic examinations, wherever conventional screen-film systems may be used. Allows imaging of the skull, chest, shoulders, spine, abdomen, pelvis, and extremities. Not for mammography.The Televere Podiatry Digital Imaging System is intended for digital image capture use in podiatry radiographic examinations, wherever conventional screen-film systems may be used. Not for mammography. Not for fluoroscopy.
ConfigurationDigital Panel and Software only, no generator or stand providedSAME
Digital Panel Pixels4318 x 43201792 x 2176
Digital Panel Pitch100μm139μm
Internal Image Storage1 GB DDR3, 4 GB SDHC card, image number depends on image size (e.g., for 10 mb image there would be room for 500 images).none
Image Acquisition Time