K Number
K181874
Device Name
MX40 Mobile Digital X-ray System
Date Cleared
2018-09-14

(63 days)

Product Code
Regulation Number
892.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Not for mammography.
Device Description
The MX40 is comprised of a High Voltage Generator with a maximum power output of 50 kW, the MX40 can meet different exposure needs for varying positions and body mass. With the MX40's state-of-the-art design and powerful 50 kW generator coupled with the Varex PaxScan digital flat panel image receptor and E-COM Digital Radiography Operator Console (used on previously cleared devices K130883 and K143232), users can obtain clearer images quickly and easily. Our latest mobile X-ray system is based on the revolutionary MX family.
More Information

No
The summary does not mention AI, ML, or related terms, and the device description focuses on hardware components and previously cleared software.

No
The device is used for taking diagnostic radiographic exposures, which is for diagnosis, not therapy.

Yes
The device is described as taking "diagnostic radiographic exposures," indicating its role in the diagnostic process.

No

The device description explicitly states it is comprised of a High Voltage Generator and a digital flat panel image receptor, which are hardware components.

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 mobile X-ray system used for taking diagnostic radiographic exposures of various body parts. This is an in vivo imaging technique, meaning it is performed on a living organism (the patient) directly, not on a sample taken from the patient.
  • Intended Use: The intended use describes taking images of the skull, spinal column, extremities, and other body parts, which are all in vivo applications.
  • Device Components: The components listed (High Voltage Generator, digital flat panel image receptor, Operator Console) are all typical of an X-ray imaging system, not an IVD device.

Therefore, the function and intended use of this device fall under the category of medical imaging, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

Intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Not for mammography.

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

IZL, MOB

Device Description

The MX40 is comprised of a High Voltage Generator with a maximum power output of 50 kW, the MX40 can meet different exposure needs for varying positions and body mass. With the MX40's state-of-the-art design and powerful 50 kW generator coupled with the Varex PaxScan digital flat panel image receptor and E-COM Digital Radiography Operator Console (used on previously cleared devices K130883 and K143232), users can obtain clearer images quickly and easily. Our latest mobile X-ray system is based on the revolutionary MX family.
Advanced technology with superior design

  • High frequency generator for power exposure
  • Compact body and better usability
    X-ray Technicians and healthcare service providers can acquire sharp images with the MX40's 50KW (630 mA) imaging power. The MX40's new power supply unit not only supports operation by battery, but also 220V/110V AC. The new lithium battery has a longer endurance time, shorter charge time, and longer useful life. MX40 should only be used by certified and/or trained professionals.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-Ray

Anatomical Site

skull, spinal column, extremities, and other body parts.

Indicated Patient Age Range

adult and pediatric subjects

Intended User / Care Setting

qualified/trained doctor or technician / Medical Facilities and/or Universities

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, Performance Testing (non-clinical tests), International Standards Testing, by the use of the DIGITAL IMAGE PANEL previously cleared (as part of K161459) and IMAGE ACQUISITION SOFTWARE previously cleared (as part of K130883 & K143232).

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.

K161345

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.

K130883, K143232, K161459

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

§ 892.1720 Mobile x-ray system.

(a)
Identification. A mobile x-ray system is a transportable device system intended to be used to generate and control x-ray for diagnostic procedures. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains two logos. The first logo is the Department of Health & Human Services - USA logo, which features a stylized human figure. The second logo is the FDA U.S. Food & Drug Administration logo, with the FDA acronym in a blue square and the full name of the administration in blue text to the right of the square.

September 14, 2018

Huestis Machine Corporation Frederick Correira General Manager 68 Buttonwood Street Bristol, Rhode Island 02809

Re: K181874

Trade/Device Name: MX40 Mobile Digital X-ray System Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: Class II Product Code: IZL, MOB Dated: August 9, 2018 Received: August 15, 2018

Dear Frederick Correira:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; 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 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).

Sincerely.

Hol 2. Nils

Robert A. 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

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known) K181874

Device Name MX40 Mobile Digital X-Ray System

Indications for Use (Describe)

Intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Not for mammography.

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)

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

HUESTIS MACHINE CORPORATION

68 Buttonwood Street, Bristol, Rhode Island 02809 USA |Phone: 401-253-5500 |Fax: 401-253-7350 www.huestis.com

510(K) SUMMARY

Date Prepared: April 26th 2018

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

1. General Information

HUESTIS MACHINE CORP.

68 Buttonwood Street, Bristol, Rhode Island 02809 USA Phone: 401-253-5500 Fax: 401-253-7350 Establishment registration number: 1219183

2. Contact Person:

Frederick M. Correira General Manager 68 Buttonwood Street Bristol, RI 02809 Phone (401) 253-5500 X-144 Fax (401) 253-5542 Email: fredc@huestis.com

3. Device Name and Classification

Trade Name:MX40 Mobile Digital X-Ray System
Classification Name:Mobile X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR 892.1720
Device Classification:Class II
Primary Product Code:IZL
Secondary Product Code:MQB

4. Legally Marketed Predicate Device

Trade Name:RadPro Mobile 40KW
510(k) Clearance Number:K161345
Clearance Date:07/06/2016
Classification Name:Mobile X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR 892.1720
Device Classification:Class II
Primary Product Code:IZL
Secondary Product CodeMQB

4

5. Device description

The MX40 is comprised of a High Voltage Generator with a maximum power output of 50 kW, the MX40 can meet different exposure needs for varying positions and body mass. With the MX40's state-of-the-art design and powerful 50 kW generator coupled with the Varex PaxScan digital flat panel image receptor and E-COM Digital Radiography Operator Console (used on previously cleared devices K130883 and K143232), users can obtain clearer images quickly and easily. Our latest mobile X-ray system is based on the revolutionary MX family.

Advanced technology with superior design

  • High frequency generator for power exposure
  • Compact body and better usability

X-ray Technicians and healthcare service providers can acquire sharp images with the MX40's 50KW (630 mA) imaging power. The MX40's new power supply unit not only supports operation by battery, but also 220V/110V AC. The new lithium battery has a longer endurance time, shorter charge time, and longer useful life. MX40 should only be used by certified and/or trained professionals.

6. Indications for Use

Intended for use by a qualified/trained doctor or technician on both and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. Not for mammography.

5

    1. Substantial Equivalence: The MX40 Mobile Digital X-Ray system is substantially equivalent to the commercially available RadPRO Mobile 40KW Digital X-Ray system with identical indications for use.
Summary of Technological & Functional Characteristics & Comparison to Predicate.
The following table provides a comparison the MX40 Mobile Digital X-Ray System to the Predicate Device identified
to demonstrate substantial equivalence.
Proposed DevicePredicate Device
Model NameMX40 -Mobile Digital X-ray
SystemRadPRO Mobile 40KW
(K161345)
Intended UseIntended for use by a
qualified/trained doctor or
technician on both adult and
pediatric subjects for taking
diagnostic radiographic exposures
of the skull, spinal column, chest,
abdomen, extremities, and other
body parts. Applications can be
performed with the patient
sitting, standing, or lying in the
prone or supine position. Not for
mammography.Intended for use by a
qualified/trained doctor or technician
on both adult and pediatric subjects
for taking diagnostic radiographic
exposures of the skull, spinal column,
chest, abdomen, extremities, and
other body parts. Applications can be
performed with the patient sitting,
standing, or lying in the prone or
supine position. Not for
mammography.
General Information
Modes of OperationManualManual
Classification NameMobile X-Ray SystemMobile X-Ray System
Classification PanelRadiologyRadiology
Classification Regulation21 CFR 892.§172021 CFR 892.§1720
Product CodeIZLIZL
Subsequent Product CodeMQBMQB
Medical Device ClassClass IIClass II
Performance Standard21CFR1020.3021CFR1020.30
ConfigurationMobile Battery or Line
OperatedMobile Battery or Line
Operated
Power SourceSingle Phase Line Regulation from
100 - 240 Vac (+/-10%)Single Phase Line Regulation from
100 - 240 Vac (+/-10%)
Electrical Safety and EMCIEC 60601-1 and IEC 60601-
1-2IEC 60601-1 and IEC 60601-1-2
Standards (Other than Electrical and EMC)Wi-Fi 802.11b/g and: FCC
Rules and RegulationsWi-Fi 802.11b/g and: FCC Rules and
Regulations
Generator
TypeShenzhen BrowinerSedecal
Generator Power Level50KW40 KW
kV Range40 - 150KV40 - 150KV
mA Range10 - 630 mA10 - 500 mA
Exposure Time Range0.001 – 6.3 sec0.001 - 10 sec
mAs Range0.1 – 320 mAs0.1 - 500 mAs
X-Ray Tube
TypeToshiba E7843X
MaterialRhenium-Tungsten Molybdenum
Max Voltage150 kVp150kVp
Nominal Focal Spot0.6/1.20.6/1.2
Anode typeRotatingRotating
Nominal Anode Input PowerLarge Focus 50kW @ 6Hz
Small focus 22kW @ 60Hz
Imaging Panel
Image acquisition panels (Both systems
use already cleared digital panels)Varian 4336R
PAXSCAN 4336W
Pixel Size 144 μm/3072 x
2560 pixels
(previously cleared as part of
K161459, 09/06/2016)Canon CXDI 401C Wireless (CSI)
K133693
Pixel size: 125 μm3320 x 3408 pixels
Canon CXDI 701C Wireless (CSI)
K131106
Pixel size: 125 μm 2800 x 3408 pixels
Canon CXDI 801C Wireless (CSI)
K131106
Pixel size: 125 μm 2800 x 2192 pixels
System Software
Image acquisition and control SoftwareECOM Digital Radiography
Operator Console (Acquisition
Software and
Graphical Interface-previously
cleared as part of K130883
(04/18/13) and K143232 (01/30/15)Canon control software CXDI- NE
Operating SystemWindows OSWindows OS
Environment of useMedical Facilities and/or
UniversitiesMedical Facilities and/or
Universities
Collimator
ModelShenzhen Browiner Tech Co.,
Ltd Or Huestis 150MCRalco R221 DHHS Manual
Collimator
OperationManual, square/rectangular
field, field indicator lamp
Anatomical Programs500+ Anatomical settings500+ Anatomical settings
External Connectivity
ConnectionWi-Fi and Ethernet CableWi-Fi and Ethernet Cable
DICOMYESYES
Wi-Fi Communication with detectorsWirelessWireless

6

7

8. Summary of non-clinical performance testing and data:

The MX40 Mobile Digital X-Ray device complies with and/or was tested in accordance with the following FDA and International Standards:

  • ISO14971 Application of risk management to medical devices
  • IEC60601-1 Medical electrical equipment Part 1: General requirements for basic safety and essential performance
  • . IEC60601-1-2 Medical electrical equipment -- Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests.
  • . EN 55032:2015 Electromagnetic compatibility of multimedia equipment – Emission requirements
  • EN 55024:2010 +A1:2015 Information technology equipment — Immunity characteristics — Limits and methods of measurement
  • . IEC60601-1-3 Medical electrical equipment Part 1-3: General requirements for basic safety and essential performance – Collateral standard: Radiation protection in diagnostic X-Ray equipment
  • . EN60601-1-6:2010 Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance – collateral standard: Usability
  • . IEC60601-2-54 Medical electrical equipment Part 2-54: Particular requirements for the basic safety and essential performance of X-Ray equipment for radiography and radioscopy
  • IEC62304 Medical device software – Software life-cycle processes
  • ISO13485 Quality management for medical devices
  • 21CFR 1020.30 Diagnostic X-Ray systems and their major components
  • 21CFR 1020.31 Radiographic equipment

9. Conclusion

Bench Testing, Performance Testing (non-clinical tests), International Standards Testing, by the use of the DIGITAL IMAGE PANEL previously cleared (as part of K161459) and IMAGE ACQUISITION SOFTWARE previously cleared (as part of K130883 & K143232). There are no new indications for use, therefore, Huestis Machine Corporation concludes the new medical device MX40-Mobile Digital X-ray System is as safe and effective as the predicate medical device sited and it substantially equivalent to the predicate medical device.

8

Image /page/8/Figure/0 description: This image shows the MX40 Mobile Digital X-Ray System. The system includes an X-Ray tube, collimator, handlebar, back panel, and accessory box. It also features a telescopic arm, column, capacitive screen, 50 kW x-ray generator (40-150 kVp), anti-collision system, ultrasonic anti-collision, column slots, front wheel, and emergency-ready switch.

9

Image /page/9/Figure/0 description: This image shows a RadPRO Mobile 40KW - Predicate Device (K161345). The device has an X-Ray Tube, Collimator, Handle Bar, Back Panel, and Accessory Box. It also has a Telescopic Arm, Capacitive Screen, 40 kW x-ray generator (40-150 kVp), Anti-collision system, Ultrasonic Anti-collision, Column slots, Emergency-ready switch, Front Wheel, and Driving Wheel.