K Number
K183121
Device Name
Qraypen
Manufacturer
Date Cleared
2019-07-18

(251 days)

Product Code
Regulation Number
872.6640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Qraypen is to be used as an intraoral video source and is indicated for individuals who may benefit from the addition of video images in intraoral dental examinations.
Device Description
Qraypen, a Dental Intraoral Camera, provides digital color images of intraoral anatomy during oral health examinations by dentists or dental sub-specialists. The output of the images can be shown through a computer monitor. This product is designed only for the use in dentistry and may only be used by trained medical personnel. The Qraypen is not made as a caries detection device. Therefore, Qraypen is not claimed as a caries detection device. - (1) Main components of Oraypen Oraypen is a hand-held device that consists of Oraypen Handpiece, Cradle, Cradle screw, USB 2.0 Cable, Adapter, and User manual. The Qraypen is connected to a compatible Windows PC and power supply by USB 2.0 type cable. - (2) Design features - a) An intraoral camera that is capable of both blue and white LED color imaging - b) Integral LED that allows the color of light to be changed - c) Automatic focusing - d) Compatible with any viewer program that meets the standards of USB video device class (UVC) 1.0 or higher - (3) Three modes are available: - a) White light mode: Qraypen captures images with white LED color light - b) Blue light mode: Oraypen captures images with blue LED color light - c) Orange light mode: Qraypen captures images with white and Blue LED color light in succession
More Information

Not Found

No
The summary describes a standard intraoral camera with different lighting modes and automatic focusing. There is no mention of image processing, AI, ML, or any algorithms that would suggest the use of such technologies for analysis or interpretation of the images. The performance studies listed are standard safety and compatibility tests for a medical device, not performance studies related to AI/ML model evaluation.

No.
The device is used as an intraoral video source for dental examinations and provides digital images. It is not designed to treat, prevent, or diagnose any disease or condition.

No

The device is an intraoral video source used to provide images for dental examinations. It explicitly states, "The Qraypen is not made as a caries detection device. Therefore, Qraypen is not claimed as a caries detection device," indicating it is not intended for diagnostic purposes.

No

The device description explicitly states that Qraypen is a hand-held device consisting of hardware components like a handpiece, cradle, cables, and adapter, and it captures digital color images using an intraoral camera with LEDs.

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

Here's why:

  • Definition of IVD: IVD devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Qraypen's Function: The Qraypen is an intraoral camera that captures in vivo (within the living body) images of the oral cavity. It does not analyze specimens taken from the body.
  • Intended Use: The intended use is to provide video images during intraoral dental examinations, not to perform diagnostic tests on biological samples.
  • Device Description: The description focuses on its function as a camera with different light modes for visualization, not on analyzing biological or chemical properties of specimens.

Therefore, the Qraypen falls under the category of a medical device used for imaging and visualization within the body, not an IVD device.

N/A

Intended Use / Indications for Use

Qraypen is to be used as an intraoral video source and is individuals who may benefit from the addition of video images in intraoral dental examinations.

Product codes

EIA

Device Description

Qraypen, a Dental Intraoral Camera, provides digital color images of intraoral anatomy during oral health examinations by dentists or dental sub-specialists. The output of the images can be shown through a computer monitor. This product is designed only for the use in dentistry and may only be used by trained medical personnel. The Qraypen is not made as a caries detection device. Therefore, Qraypen is not claimed as a caries detection device.

  • (1) Main components of Oraypen
    Oraypen is a hand-held device that consists of Oraypen Handpiece, Cradle, Cradle screw, USB 2.0 Cable, Adapter, and User manual. The Qraypen is connected to a compatible Windows PC and power supply by USB 2.0 type cable.

  • (2) Design features

    • a) An intraoral camera that is capable of both blue and white LED color imaging
    • b) Integral LED that allows the color of light to be changed
    • c) Automatic focusing
    • d) Compatible with any viewer program that meets the standards of USB video device class (UVC) 1.0 or higher
  • (3) Three modes are available:

    • a) White light mode: Qraypen captures images with white LED color light
    • b) Blue light mode: Oraypen captures images with blue LED color light
    • c) Orange light mode: Qraypen captures images with white and Blue LED color light in succession

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Digital color images (from blue and white LED color imaging)

Anatomical Site

Oral cavity

Indicated Patient Age Range

For use in all patients

Intended User / Care Setting

Dentists and sub-specialists / Hospital, clinic, and medical office settings

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 Testing:

  • Electromagnetic Compatibility (EMC) Testing: IEC 60601-1-2:2014
  • Electrical Safety Testing: IEC 60601-1:2012, IEC 80601-2-60:2012
  • Software Verification and Validation: Software documentation for moderate level of concern was provided per the FDA Guidance for Software Contained in Medical Devices
  • Photobiological Safety Testing: IEC 62471:2006
  • Cleaning and Disinfection Validation: Conducted per the FDA Guidance Document for Reprocessing of Medical Devices.
  • Biocompatibility Testing: None conducted, as no part of the device contacts the patient directly or indirectly and a disposable sleeve is used.
  • Bench Testing: Conducted to demonstrate appropriate output with an FDA cleared barrier sleeve over the device.
  • Animal Study: No animal studies were conducted.

Key Metrics

Not Found

Predicate Device(s)

K963778

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.6640 Dental operative unit and accessories.

(a)
Identification. A dental operative unit and accessories is an AC-powered device that is intended to supply power to and serve as a base for other dental devices, such as a dental handpiece, a dental operating light, an air or water syringe unit, and oral cavity evacuator, a suction operative unit, and other dental devices and accessories. The device may be attached to a dental chair.(b)
Classification. Class I (general controls). Except for dental operative unit, accessories are exempt from premarket notification procedures in subpart E of part 807 of this chapter subject to § 872.9.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. Underneath the square are the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 18, 2019

AIOBIO Co., Ltd. % Kyoungju Kim Official Correspondent MDLab Room 804, Botanic Park Tower Bldg., 161-17, Magokjungang-ro, Gangseo-gu. Seoul 07788 KOREA

Re: K183121

Trade/Device Name: Oraypen Regulation Number: 21 CFR 872.6640 Regulation Name: Dental Operative Unit and Accessories Regulatory Class: Class I Product Code: EIA Dated: April 17, 2019 Received: April 19, 2019

Dear Kyoungju Kim:

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.

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Srinivas Nandkumar, Ph.D. Acting Assistant Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

Device Name Qraypen

Indications for Use (Describe)

Qraypen is to be used as an intraoral video source and is individuals who may benefit from the addition of video images in intraoral dental examinations.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subnart D)Over - The Counter I Ise (21 CER 801 Subnart C)

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

3

510(k) Summary - K183121 AIOBIO Co., Ltd. Qraypen, Dental Intraoral Camera

1. Submitter

| Submitter: | Hongcheol Yoon
Chief Executive Officer
AIOBIO Co., Ltd.

306, Sunil Technopia, 555, Dunchon-daero, Jungwon-gu,

Seongnam-si, Gyeonggi-do, 13215
Republic of Korea
Phone: +82-31-698-4991
Email: yhc3860@gmail.com |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Primary Contact Person: | Kyoungju Kim
Consultant
Room 804, Botanic Park Tower Bldg. Magokjungang-ro,
Gangseo-Gu, 07788, Republic of Korea
Tel : +82-2-3664-0830
Fax : +82-2-3664-0831
Email: kj.kim@mdlab.co.kr |
| Secondary Contact Person: | Kevin Bang
KB Dental Products Inc.
177 W. Orangethorpe Ave Placentia CA 92870
Phone: +714-591-5851
Email: kbdental@att.net |

Date prepared: July 15, 2019

2. Device

Device Common/Usual Name:Dental Intraoral Camera
Device Proprietary Name:Qraypen
Device Classification:Class I
21 C.F.R. SectionClassification NameProduct Code
872.6640Dental operative unit and accessoriesEIA

3. Substantially Equivalent Device

Device Name510(k) Number
CDR-CAM (SCHICK TECHNOLOGIES, INC)K963778

4

510(k) Summary - K183121 AIOBIO Co., Ltd. Oraypen, Dental Intraoral Camera

4. Device Description

Qraypen, a Dental Intraoral Camera, provides digital color images of intraoral anatomy during oral health examinations by dentists or dental sub-specialists. The output of the images can be shown through a computer monitor. This product is designed only for the use in dentistry and may only be used by trained medical personnel. The Qraypen is not made as a caries detection device. Therefore, Qraypen is not claimed as a caries detection device.

  • (1) Main components of Oraypen
    Oraypen is a hand-held device that consists of Oraypen Handpiece, Cradle, Cradle screw, USB 2.0 Cable, Adapter, and User manual. The Qraypen is connected to a compatible Windows PC and power supply by USB 2.0 type cable.

  • (2) Design features

    • a) An intraoral camera that is capable of both blue and white LED color imaging
    • b) Integral LED that allows the color of light to be changed
    • c) Automatic focusing
    • d) Compatible with any viewer program that meets the standards of USB video device class (UVC) 1.0 or higher
  • (3) Three modes are available:

    • a) White light mode: Qraypen captures images with white LED color light
    • b) Blue light mode: Oraypen captures images with blue LED color light
    • c) Orange light mode: Qraypen captures images with white and Blue LED color light in succession

(4) Technical Specifications

The summary of technical specifications was shown in the following table.

ItemDetail
Product
SpecificationsImage sensorHD720p C image sensor
MOS Video image sensor
Output resolutionMJPG 1280 x 720: 30fps (Default)
Image transfer rateYUY2 1280 x 720: 9fps
LEDWHITE7ea White chip LED
UV
Capture SystemHand-piece button capture
Camera ConnectorOne touch full-metal connector
InterfacePC USB 2.0
BatteryAC/DC Adapter: 400mA, 100-240Vac, 50-60Hz
Main Unit: 0.5A, 5Vdc
Essential PerformanceAuto focus
(Image acquisition by taking oral cavity)
Dimension27 mm (Ø) x 227 mm (H)

5

AIOBIO Co., Ltd. Oraypen, Dental Intraoral Camera

Weight67 g
--------------

5. Indications for Use

Oraypen is to be used as an intraoral video source and is indicated for individuals who may benefit from the addition of video images in intraoral dental examinations.

6. Comparison of Technological Characteristics with the Predicate Device

The Qraypen and CDR-CAM, its predicate device, are dental intraoral cameras that employ the same basic scientific technology for the acquisition and the display of video images. Both are operated in the same manner in that lens and LED lights mounted on the head of the camera can be used to illuminate the oral cavity and check the state of the patient's oral health.

The Indications for use statement for Qraypen are similar to the predicate device. Both devices are intended for the visualization of oral cavity. They are intended to be used in clinical environments, including hospitals, clinics, and medical office settings, for the examinations of patients.

They are also hand-held devices and have compact designed handpieces connected directly to a desktop PC or laptop via a cable. Also, they have focusing functions and capture buttons to assist dentists for taking intraoral images of the patients.

Predicate Device
CharacteristicAIOBIO Co.,
Ltd.
QraypenSCHICK TECHNOLOGIES, INC. CDR-CAM
K963778
Indications for
UseQraypen is to be used as an intraoral video
source and is indicated for individuals who
may benefit from the addition of video
images in intraoral dental examinations.Schick Technologies Inc., CDR-cam Camera System is intended
for use by practitioners in the dental field. The camera system is
used to capture, view, and store intra- as well as extra-oral
images. The images are used as an aid or adjunct in the diagnosis
of anatomy as well as the communication of diagnosis to other
dental professionals and / or patients.
The camera handpiece is intended to be used with sterile
sheaths so as to prevent the spread of infectious disease.
Target
PopulationFor use in all patientsIdentical
Anatomical sitesOral cavityIdentical
Environment of
UseHospital, clinic, and medical office settingsIdentical
Intended UsersDentists and sub-specialistsIdentical
Power supplyAC/DC adaptorPower supplied via USB
DesignHandheld deviceIdentical
Focus range5 - 45 mm (0.2 -1.77 in)5 - 45 mm (0.2 -1.77 in)

6

AIOBIO Co., Ltd. Qraypen, Dental Intraoral Camera

Predicate Device
CharacteristicAIOBIO Co., Ltd.
QraypenSCHICK TECHNOLOGIES, INC.
CDR-CAM
K963778
Focus typeTrigger AF (Autofocus)Fixed
ImagerCMOSCCD
Principle/Method
of OperationThe lens and LED lights mounted on the head
of the camera can be used to illuminate the
oral cavity and to check the state of the
patient's oral health. This Dental Intraoral
Camera contains its own lighting function
and is used in connection to a desktop PC or
laptop computer in dentistry. It captures
images of oral cavity and the images are
shown on the computer monitor. It aids the
assessment of oral health and can provide
information for patient education.CDR-CAM supports streaming video and
frame
capture to
help
still
dental
professionals
demonstrate
the
current
condition and post-treatment outcomes of
their patients' dental health. Video frames
can be archived with dental exams as
permanent records and retrieved
for
comparison or subsequent review.
CDR-CAM provides slim, smooth contours
and a small head profile for comfortable use
and operation. Taking images with the CDR-
CAM integrated capture button makes video
frame capture a simple one-pushbutton step.
Bright, built-in LEDs supply
superior
illumination and advanced optics provide
excellent depth of field for optimal
performance.
Image DisplayDesktop PC and laptopPC workstation
Light sourceMultiple LEDIdentical
Camera
Connection to
DisplayWired (USB)Identical
SoftwareQraypen softwareCDR DICOM software
System
ComponentsHandheld device with USB cable and
softwareIdentical
DisinfectionDisposable, single use plastic sleeve.
The handpiece and cradle also be disinfected
with 70% isopropyl alcohol solution.Disposable, single use plastic sleeve.
The handpiece and cradle also be disinfected
with Cavi-Wipes (Metrex Research, Kerr)
PortableYesYes
Standard metIEC 60601-1. IEC60601-1-2. IEC 80601-2-
60, IEC 62471C22.2
No.601.1-M90,
EC
CAN/CSA
93/42/EEC, IEC 60601-1, IEC60601-1-2,
UL60601-1
Thermal safetyWhen in use, the LEDs of the Oraypen may
generate surface temperature up to 133°F
(56℃). To avoid the potential risk of burn,
do not use the Qraypen continuously
(Operating cycle: 50 s activation (on) time/1
min deactivation (off) time). As an
additional safety measure, the Qraypen is
equipped with a sleep mode feature. This
feature turns off the LEDs in the Qraypen
automatically after 2 minutes of continuous
use. The LEDs can be turned back on by
simply pressing any buttons on the
handpiece.When in use, the LEDs in the CDR-CAM
may generate surface temperatures in excess
of 106°F (41°C). To avoid the potential risk
of burn, do not use the CDR-CAM in a
single hand-held position for a prolonged
period. As an additional safety measure, the
CDR-CAM is equipped with an Auto-Off
feature. This feature turns off the camera
automatically after 5 minutes of continuous
use. The camera can be turned back on by
simply pressing the ON/OFF button on the
handpiece.

7

AIOBIO Co., Ltd. Oraypen, Dental Intraoral Camera

7. Summary of Non-Clinical Performance Testing

The following performance data were provided to support the substantial equivalence determination.

Non-Clinical Testing

Non-clinical tests relied on this premarket notification submission for a determination of substantial equivalence include testing showing compliance with the following standards:

י Electromagnetic Compatibility (EMC) Testing

IEC 60601-1-2:2014, Medical electrical equipment –Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests

Electrical Safety Testing .

IEC 60601-1:2012, Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance

IEC 80601-2-60:2012, Medical electrical equipment - Part 2-60: Particular requirements for the basic safety and essential performance of dental equipment

. Software Verification and Validation

Software documentation for moderate level of concern was provided per the FDA Guidance for Software Contained in Medical Devices

Photobiological Safety Testing .

IEC 62471:2006, Photobiological safety of lamps and lamp systems

. Cleaning and Disinfection Validation

Cleaning and disinfection validation were conducted per the FDA Guidance Document for Reprocessing of Medical Devices.

Biocompatibility Testing .

No biocompatibility testing was conducted.

  • No part of this device comes into contact with the patient's body directly or indirectly.
  • A Disposable sleeve covers the camera and provides a sanitary shield for the patient.

Bench Testing .

8

AIOBIO Co., Ltd. Qraypen, Dental Intraoral Camera

Bench testing was conducted to demonstrate appropriate output with an FDA cleared barrier sleeve over the device.

Animal Study .

No animal studies were conducted.

8. Conclusion

In accordance with the above data and based on the information provided in this premarket notification AIOBIO Co., Ltd. concludes that the Qraypen is substantially equivalent to CDR-CAM of SCHICK TECHNOLOGIES, INC. in terms of design, performance, technological characteristics, and indications for use as described herein.

END