K Number
K180332
Device Name
17HK700G-W
Manufacturer
Date Cleared
2018-06-08

(122 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Flat Panel Digital X-ray Detector 17HK700G-W is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.
Device Description
The 17HK700G-W is the solid state x-ray imager, which can generate radiographic images of any part of the body. These devices intercept x-ray photons and the scintillator (CsI:TI) emits visible spectrum photons that illuminate an array of photo-detectors that create an electrical signals. After the electrical signals are generated, it is converted to digital value, and the images are displayed on monitors. The digital value can be communicated to the operator console via wiring connection. The 17HK700G-W consists of the following components: Flat Panel Detector, Control Box, Calibration Software and power cord and cables. The 17HK700G-W can be used for general X-ray system excluding fluoroscopic, angiographic, and mammographic applications.
More Information

No
The description focuses on the hardware components and basic digital conversion of X-ray signals, with no mention of AI or ML algorithms for image processing or analysis.

No
The device is described as a 'Digital X-ray Detector' that generates radiographic images for diagnostic purposes. It captures X-ray photons and converts them into digital images to be displayed, which is a diagnostic function, not a therapeutic one.

Yes
The device is described as being used for "general purpose diagnostic procedures" and for generating "radiographic images," which are used by medical professionals to diagnose conditions.

No

The device description explicitly lists hardware components such as a Flat Panel Detector, Control Box, power cord, and cables, indicating it is not solely software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that this device is a "Flat Panel Digital X-ray Detector" used for "digital imaging solution designed for general radiographic system for human anatomy." It captures X-ray images of the body.
  • Lack of Biological Sample Analysis: There is no mention of the device analyzing biological samples. Its function is to convert X-ray photons into digital images.

Therefore, this device falls under the category of a medical imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Flat Panel Digital X-ray Detector 17HK700G-W is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.

Product codes

MOB, MQB

Device Description

The 17HK700G-W is the solid state x-ray imager, which can generate radiographic images of any part of the body. These devices intercept x-ray photons and the scintillator (CsI:TI) emits visible spectrum photons that illuminate an array of photo-detectors that create an electrical signals. After the electrical signals are generated, it is converted to digital value, and the images are displayed on monitors. The digital value can be communicated to the operator console via wiring connection.

The 17HK700G-W consists of the following components: Flat Panel Detector, Control Box, Calibration Software and power cord and cables. The 17HK700G-W can be used for general X-ray system excluding fluoroscopic, angiographic, and mammographic applications.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

human anatomy / General

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

Non-Clinical Test Summary:

  1. Electrical Safety and Electromagnetic Compatibility: Standards ES60601-1:2005(R)2012 and A1:2012 and 60601-1-2 Edition 4.0 2014-02 were applied.
  2. Software Validation: The 17HK700G-W contains MODERATE level of concern software was designed and developed according to a software development process and was verified and validated.
  3. Performance Test: Imaging performance test has been conducted according to IEC 62220-1. Medical Electrical Equipment - Characteristics of Digital X-ray Imaging Devices - Part 1-1: Determination of the Detective Quantum Efficiency - Detectors Used in Radiographic Imaging.

Clinical Test Summary:
Clinical data has been provided according to FDA quidance document "Guidance for the Submission of 510(k)s for Solid Sate X-ray Imaging Devices". The data was not necessary to establish substantial equivalence based on the modifications to the device but provided further evidence in addition to the laboratory performance data to show that the device works as intended.

Key Metrics

High Contrast Limiting Resolution (LP/mm): 3.6
DQE: Typ.72% @0.1lp/mm
MTF: Typ.89% @0.5lp/mm
Resolution: 3.6lp

Predicate Device(s)

K150165

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.

0

Image /page/0/Picture/0 description: The image shows the logos of the Department of Health & Human Services and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. Food & Drug Administration" in blue.

LG Electronics % Jinhwan Jun Chief Research Engineer 222, Lg-ro, Cheongho-ri Jinwi-myeon Pyeongtaek-si, Gyeonggi-do 17709 SOUTH KOREA

June 8th, 2018

Re: K180332

Trade/Device Name: 17HK700G-W Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: MOB Dated: May 11, 2018 Received: May 16, 2018

Dear Jinhwan Jun:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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

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 comprehensive regulatory information about mediation-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).

Sincerely,

Jeff Bodge

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

Indications for Use

510(k) Number (if known)

K180332

Device Name 17HK700G-W

Indications for Use (Describe)

The Flat Panel Digital X-ray Detector 17HK700G-W is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used 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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"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."

3

Image /page/3/Picture/0 description: The image shows the logo for LG, a South Korean multinational electronics company. The logo consists of two parts: a stylized image of a face within a circle and the text "LG Life's Good" to the right. The face is formed by the letters "L" and "G", and the circle is a deep red color. The text "LG Life's Good" is in a dark gray color.

510(k) Summary

[As Required by 21 CFR 807.92]

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

January 31, 2018

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

| • | Name of Sponsor:

  • Address: | LG Electronics
    222, LG-ro, Cheongho-ri, Jinwi-myeon, Pyeongtaek-si,
    Gyeonggi-do, Republic of Korea |
    |---|-------------------------------------------------------|----------------------------------------------------------------------------------------------------------|
    | • | Contact Name:
  • Telephone No.:
  • Email Address: | Jinhwan Jun / Chief Research Engineer
    +82-31-8066-5641
    jinhwan.jun@lge.com |
    | • | Name of Manufacturer:
  • Address: | Same as sponsor
    Same as sponsor |

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

Trade Name17HK700G-W
Common NameFlat Panel Digital X-ray Detector
Device Classification NameSolid State X-Ray Imager
Regulation Number21 CFR 892.1680
Classification Product CodeMQB
Device ClassII
510k Review PanelRadiology

4

Image /page/4/Picture/0 description: The image shows the logo for LG, a South Korean multinational electronics company. The logo consists of two parts: a stylized image of a face inside a circle and the company's slogan, "Life's Good." The face is formed by the letters "L" and "G," with the "L" serving as the nose and the "G" forming the outline of the face. The color scheme is primarily red and gray.

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

The identified predicate devices within this submission are shown as follow:

Predicate Device

510(k) Number:K150165
• Applicant:Samsung Electronics Co., Ltd.
• Trade Name:S4343-W (of GC85A)
• Common Name:Digital Diagnostic X-ray System
• Classification Name:Stationary System, X-ray
• Regulation Number:21 CFR 892.1680
• Classification Product Code:KPR
• Device Class:II
• 510(k) Review Panel:Radiology

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

The 17HK700G-W is the solid state x-ray imager, which can generate radiographic images of any part of the body. These devices intercept x-ray photons and the scintillator (CsI:TI) emits visible spectrum photons that illuminate an array of photo-detectors that create an electrical signals. After the electrical signals are generated, it is converted to digital value, and the images are displayed on monitors. The digital value can be communicated to the operator console via wiring connection.

The 17HK700G-W consists of the following components: Flat Panel Detector, Control Box, Calibration Software and power cord and cables. The 17HK700G-W can be used for general X-ray system excluding fluoroscopic, angiographic, and mammographic applications.

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

The Flat Panel Digital X-ray Detector 17HK700G-W is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.

5

Image /page/5/Picture/0 description: The image shows the logo for LG, a South Korean multinational electronics company. The logo consists of two parts: a stylized face formed by the letters 'L' and 'G' inside a circle, and the text 'LG Life's Good' to the right. The face is in a shade of red, while the letters 'LG' and the slogan 'Life's Good' are in a dark gray color. The logo is simple, modern, and recognizable, reflecting the company's brand identity.

7. Technological Characteristics (Equivalence to Predicate Device) [21 CFR 807.92(a)(6)]

There are no significant differences in the technological characteristics of these devices compared to the predicate devices which adversely affect safety or effectiveness. Provided below is a table summarizing and comparing the technological characteristics of the 17HK700G-W and the predicate devices:

Proposed DevicePredicate Device
K NumberNot knownK150165
ManufacturerLG ElectronicsSamsung Electronics Co., Ltd.
Trade Name17HK700G-WS4343-W (of GC85A)
Common NameFlat Panel Digital X-ray DetectorDigital Diagnostic X-ray System
Product CodeMQBKPR
Regulation Number21 CFR 892.168021 CFR 892.1680
510(k) Review
PanelRadiologyRadiology
Indications for UseThe Flat Panel Digital X-ray
Detector 17HK700G-W is indicated
for digital imaging solution designed
for general radiographic system for
human anatomy. It is intended to
replace film or screen based
radiographic systems in all general
purpose diagnostic procedures. Not
to be used for mammography.The GC85A Digital X-ray Imaging
System is intended for use in
generating radiographic images of
human anatomy by a qualified/trained
doctor or technician. This device is not
intended for mammographic
applications.
Detector
ScintillatorCsICsI
Imaging Area17 x 17 inches17 x 17 inches
Pixel Matrix3,072 x 3,072 pixels3,036 x 3,040 pixels
Pixel Pitch140 um140 µm
High Contrast
Limiting Resolution
(LP/mm)3.63.57
CommunicationWiredWired/Wireless
DQETyp.72% @0.1lp/mmTyp.73% @0.1lp/mm
MTFTyp.89% @0.5lp/mmTyp.84% @0.5lp/mm
Resolution3.6lp3.57lp
Anatomical SitesGeneralGeneral
Exposure ModeManual, Auto(AED)Manual, Auto(AED)
Power Supply100-240V~, 50/60Hz100-240V~, 50/60Hz

There are no significant differences between the 17HK700G-W and the predicate device 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. The proposed device, 17HK700G-W has been tested about electrical safety, EMC and performance, and the software has been validated. In addition, the clinical data has been provided to support the substantial equivalence to the predicate device.

6

Image /page/6/Picture/0 description: The image shows the logo for LG. The logo consists of two parts: a stylized face inside a circle on the left and the letters "LG" in gray on the right. Below the letters "LG" are the words "Life's Good" in a smaller font.

The predicate device is the X-ray system but the proposed device provides only a detector. The proposed device is substantially equivalent to the previously cleared detector which is provided as part of the complete imaging system, K150165.

8. Integration Specifications/Requirements for 17HK700G-W

No.ItemSpecification
1Power frequency50Hz ~ 60Hz
2KV40kVp ~ 150kVp
3mA Range10 to 500mA
4Exposure Time0.001 to 10sec
5mAs Range0.1 to 500mAs
6AccuracykV