K Number
K192737
Device Name
RCT800
Manufacturer
Date Cleared
2019-10-22

(25 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
RCT800 is CBCT and panoramic x-ray imaging system with cephalometric. Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option. Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment. The device is to be operated and used by dentists or other legally qualified heath care professionals.
Device Description
RCT800 is 3D computed tomography for scanning hard tissues like bone and teeth. By rotating the c-arm which is embedded with high voltage generator all-in-one x-ray tube and a detector on each end, CBCT images of dental maxillofacial is attained by recombining data from the same level that are scanned from different angle. Panoramic image scanning function for attaining image of whole teeth, cephalometric scanning option for attaining cephalic image, and Model Scan option for attaining dental model CBCT image are included.
More Information

Not Found

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on the hardware and image acquisition process, not advanced processing techniques.

No
The device is an imaging system intended for diagnostic support, not for treating or preventing diseases.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is "intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support".

No

The device description clearly states it is a "3D computed tomography for scanning hard tissues like bone and teeth" and involves a "c-arm which is embedded with high voltage generator all-in-one x-ray tube and a detector". This indicates significant hardware components for image acquisition, not just software processing or analysis.

No, 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 RCT800 is an imaging system that uses X-rays to create images of internal structures (bones, teeth, etc.). It does not analyze biological samples.
  • Intended Use: The intended use is for radiographic examination and diagnostic support based on the images produced, not on the analysis of biological specimens.

Therefore, the RCT800 falls under the category of medical imaging devices, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

RCT800 is CBCT and panoramic x-ray imaging system with cephalometric.

Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option.

Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment.

The device is to be operated and used by dentists or other legally qualified heath care professionals.

Product codes

OAS

Device Description

RCT800 is 3D computed tomography for scanning hard tissues like bone and teeth. By rotating the c-arm which is embedded with high voltage generator all-in-one x-ray tube and a detector on each end, CBCT images of dental maxillofacial is attained by recombining data from the same level that are scanned from different angle.

Panoramic image scanning function for attaining image of whole teeth, cephalometric scanning option for attaining cephalic image, and Model Scan option for attaining dental model CBCT image are included.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

dento-maxillofacial, sinus, TMJ, Airway, wrist

Indicated Patient Age Range

adult and pediatric patients.

Intended User / Care Setting

dentists or other legally qualified heath care professionals.

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

The clinical imaging samples are collected from the all detector on propose device at the 2 offices where the predicate device is installed on clinical consideration report for the clinical test images. These images were gathered from the all detector installed with RCT800 on any protocols with random patient age, gender, and size. A licensed practitioner reviewed the sample clinical images and found them to be of acceptable quality for the intended use.

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

The sponsor tested the subject device in a laboratory and provided a non-clinical performance report. The same test protocol was used to test the performance of the subject and the predicate device for comparison. The sponsor certifies that adequate design and development controls (according to 21 CFR 820.30) were in place for manufacturing the subject device.

Electrical, mechanical and environmental safety testing according to standard of IEC 60601-1: 2005/AMD1:2012(3.1 Edition), IEC 60601-1-3: 2008/AMD1:2013(Second Edition), IEC 60601-1-6:2010(Third Edition) and IEC 60601-2-63: 2012(first Edition) were performed. EMC testing was conducted in accordance with the standard IEC 60601-1-2: 2014(Edition 4.0).

Bench testing was conducted according to FDA Guidance "Format for Traditional and Abbreviated 510(k)s, section 18, Performance Testing - Bench". Bench testing is used to assess whether or not the parameter measured required for describing functionalities related to imaging properties of the dental X-ray device and patient dosage satisfies the designated tolerance.

Performance (Imaging performance) testing was conducted according to standard of IEC 61223-3-4 and IEC 61223-3-5. All test results were satisfactory.

Non-clinical considerations were conducted in accordance with FDA Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices". Because the subject device used the same detector as the predicate device, there is no significant difference between the two devices as a result of non-clinical testing.

Clinical considerations were conducted according to FDA Guidance "Format for Traditional and Abbreviated 510(k)s, section 20". Clinical images were provided these images were not necessary to establish substantial equivalence based on the modifications to the device but they provide further evidence in addition to the laboratory performance data to show that the complete system works as intended. The features of RCT800 have been clinically tested and approved by two licensed practitioners/ clinicians.

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.

K182805

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

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. 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 the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG ADMINISTRATION' in blue text.

October 22, 2019

RAY CO., Ltd c/o Changhwan Lee RA Manager 332-7. Samsung 1-ro Hwaseong-si, Gyeonggi-do 18380 REPUBLIC OF KOREA

Re: K192737

Trade/Device Name: RCT800 Regulation Number: 21 CFR 892.1750 Regulation Name: Computed Tomography X-Ray System Regulatory Class: Class II Product Code: OAS Dated: September 25, 2019 Received: September 27, 2019

Dear Changhwan Lee:

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

1

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 (OS) 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 mediation-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,

For

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K192737

Device Name RCT800

Indications for Use (Describe)

RCT800 is CBCT and panoramic x-ray imaging system with cephalometric.

Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option.

Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment.

The device is to be operated and used by dentists or other legally qualified heath care professionals.

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

3

510(k) Summary

1. 510(k) Summary

The 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.92.

    1. Date: September 25, 2019

3. Administrative Information

APPLICANTRAY Co.,Ltd
ADDRESS#332-7, Samsung 1-ro, Hwaseong-si, Gyeonggi-do, 18380, Korea
ManufacturerRAY Co.,Ltd
332-7, Samsung 1-ro, Hwaseong-si, Gyeonggi-do, 18380, Korea
TEL : +82-31-605-1000
FAX : +82-2-6280-5534
Contact Persone-mail : ch0406.lee@raymedical.co.kr

4. Device Information

Device Name

Trade/Proprietary Name: RCT800 Common Name: Dental panoramic/tomography and cephalometric x-ray system

Classification

Classification Name: Computed tomography x-ray system Regulation Number : 21 CFR 892.1750 Class : Il Product code : OAS Panel : Radiology

5. Predicate device

ParameterPredicate Device-1
Device NameRCT800
ManufacturerRAY Co., Ltd

4

510(K) NumberK182805
Classification nameComputed tomography x-ray system
Regulation number892.1750
Primary product codeOAS

7. Device Description

System purpose RCT800 is 3D computed tomography for scanning hard tissues like bone and teeth. By rotating the c-arm which is embedded with high voltage generator all-in-one x-ray tube and a detector on each end, CBCT images of dental maxillofacial is attained by recombining data from the same level that are scanned from different angle.

Panoramic image scanning function for attaining image of whole teeth, cephalometric scanning option for attaining cephalic image, and Model Scan option for attaining dental model CBCT image are included.

8. Indication for use

RCT800 is CBCT and panoramic x-ray imaging system with cephalometric.

Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option. Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment.

The device is to be operated and used by dentists or other legally qualified heath care professionals.

9. Patient population

The patient population can be the possible person who can be taken X-ray diagnostic radiation exposure.

There is no restriction for ethnic group, Gender, weight, health, or condition.

We recommend patients for x-ray diagnostic radiation exposure to be over 5 years old.

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10. Comparison with predicate device

The following table provides the summary of the technological characteristics of RCT800 compared to the predicate device.

ParameterProposed DevicePredicate Device
ManufacturerRAY Co., Ltd.RAY Co., Ltd.
Device nameRCT800RCT800
510(K) Number(Traditional 510K)K182805
(Special 510K)
Common NameDental panoramic/tomography and cephalometric x-ray systemDental panoramic/tomography and cephalometric x-ray system
Indications for useRCT800 is CBCT and panoramic x-ray imaging system with cephalometric. Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option. Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment. The device is to be operated and used by dentists or other legally qualified heath care professionals.RCT800 is CBCT and panoramic x-ray imaging system with cephalometric. Which is intended to radiographic examination of the dento-maxillofacial, sinus, TMJ, Airway for diagnostic support for adult and pediatric patients. And a model scan is included as an option. Cephalometric image is also includes wrist to obtain carpus images for growth and maturity assessment for orthodontic treatment. The device is to be operated and used by dentists or other legally qualified heath care professionals.
Mode of OperationSame as predicate device #1Continuous operation with intermittent, stated permissible loading
3D technologySame as predicate device #1CBCT Cone beam
Computed Tomography
Performance SpecificationSame as predicate device #11) CBCT Computed tomography
  • Patient
  • Dental Model Scan(Optional)
  1. Panoramic
  2. Cephalometric(optional)
  • One shot type
  • Scan type | |
    | Functional Option | Same as predicate device #1 | Base
    CT+PANO
    Option(CEPH)
    CT + PANO + SCAN CEPH
    CT + PANO + One shot(One shot, Standard Type)
    CT + PANO + One shot(One shot, Large Type). | |
    | Detector Type | CT | Same as predicate device #1 | FXDD-0606CA |
    | | CT | Same as predicate device #1 | FXDD-1012CHA |
    | | PANO | Same as predicate device #1 | FXDD-0606CA |
    | | PANO | Same as predicate device #1 | FXDD-1012CHA |
    | | Ceph (Scan) | Same as predicate device #1 | XID-C24DC |
    | Exposure switch
    Type | Ceph (One shot) | Same as predicate device #1 | 1717SCC |
    | | | Same as predicate device #1 | PaxScan 2530C |
    | | | Same as predicate device #1 | "Deadman" Button type |
    | Main
    Components | | Same as predicate device #1 | Ceph Apparatus |
    | | | Same as predicate device #1 | Vertical Carriage |
    | | | Same as predicate device #1 | Rotator |
    | | | Same as predicate device #1 | X-RAY Generator |
    | | | Same as predicate device #1 | X-ray tube |
    | | | Same as predicate device #1 | High Frequency Generator |
    | | | Same as predicate device #1 | Column |
    | | | Same as predicate device #1 | Touch monitor (panel) |
    | | | Same as predicate device #1 | Detector
  • CT
    FXDD-0606CA
    FXDD-1012CHA
  • PANO
    FXDD-0606CA
    FXDD-1012CHA
  • Ceph
    XID-C24DC(Scan)
    1717SCC(One shot, Large Size)
    PaxScan 2530C(One shot, Standard
    Size) |
    | | | Same as predicate device #1 | Chinrest |
    | | | Same as predicate device #1 | Head rest |
    | | | Same as predicate device #1 | Automatic Collimator |
    | | Same as predicate device #1 | Exposure switch | |
    | | Same as predicate device #1 | Emergency stop switch | |
    | | Same as predicate device #1 | Console PC set | |
    | Automatic
    Collimator | | Same as predicate device #1 | CT exams
    Panoramic exams
    Cephalometric exams |
    | Display Type | | Same as predicate device #1 | TFT LCD type(Normally black)
    *1280x800 pixel |
    | Class | | Same as predicate device #1 | Class I with type B applied parts
    according to IEC 60601-1 |
    | Focal size | | Same as predicate device #1 | Patient 0.5
    Model scan 0.04 (Optional) |
    | Field of
    View(CT) | | Same as predicate device #1 | FXDD-0606CA : Max.160x100 mm
    FXDD-1012CHA : Max. 200x200 mm |
    | | | | |
    | X-ray Voltage(Patient) | | 60100kVp | 6090kVp |
    | X-ray Current(Patient) | | Same as predicate device #1 | 417mA |
    | X-ray Voltage(Model Scan, Optional) | | Same as predicate device #1 | 50
    80kVp |
    | X-ray Current(Model Scan, Optional) | | Same as predicate device #1 | 0.4~0.7mA |
    | Total Filtration | | Same as predicate device #1 | Min. 2.8 mm Al equivalent |
    | Detector
    Pixel size | CT | Same as predicate device #1 | FXDD-0606CA: 119µm |
    | | CT | Same as predicate device #1 | FXDD-1012CHA: 124µm |
    | | PANO | Same as predicate device #1 | FXDD-0606CA: 119µm |
    | | PANO | Same as predicate device #1 | FXDD-1012CHA: 124µm |
    | | Ceph (Scan) | Same as predicate device #1 | XID-C24DC: 100µm |
    | | Ceph(One shot) | Same as predicate device #1 | 1717SCC: 127µm |
    | | Ceph(One shot) | Same as predicate device #1 | PaxScan 2530C: 139µm |
    | Magnification | CT | Same as predicate device #1 | FXDD-0606CA: 1.44(Patient)
    1.91(Model Scan) |
    | | CT | Same as predicate device #1 | FXDD-1012CHA: 1.44(Patient)
    1.91(Model Scan) |
    | | PANO | Same as predicate device #1 | FXDD-0606CA: 1.3 |
    | | PANO | Same as predicate device #1 | FXDD-1012CHA: 1.3 |
    | | Ceph (Scan) | Same as predicate device #1 | XID-C24DC: 1.11 |
    | | Ceph(One shot) | Same as predicate device #1 | 1717SCC: 1.13 |
    | | Ceph(One shot) | Same as predicate device #1 | PaxScan 2530C: 1.12 |
    | Scan time | | CT : below 20sec(Patient)
    CT : below 180sec(Model Scan) | CT : below 14sec(Patient)
    CT : below 180sec(Model Scan) |
    | | | Same as predicate device #1 | Pano : below 14sec |
    | | | Ceph[Scan type] : below 20sec | Ceph[Scan type] : below 19sec |
    | | | Same as predicate device #1 | Ceph[One shot type]:
    below 2sec |
    | Format compatible | | Same as predicate device #1 | DICOM 3.0 Format compatible |
    | Image Viewing Software | | Same as predicate device #1 | RayScan
    (Cleared under K182805) |
    | Image acquisition | | Same as predicate device #1 | Giga-Ethernet Network |
    | Total Height | | Same as predicate device #1 | Max 2.296mm |
    | Weight | Same as predicate device #1 | 1) Computed Tomography(CT) +
    Panoramic(PANO)=189kg(416.6lb) ±
    10%
  1. Computed Tomography(CT) +
    Panoramic(PANO) + Ceph
    (Scan type)= 219kg (482.8lb) ± 10%
  2. Computed Tomography(CT) +
    Panoramic(PANO) + Ceph
    (One shot type, installed in Standard
    size)= 217kg (478.4lb) ± 10%
  3. Computed Tomography(CT) +
    Panoramic(PANO) + Ceph
    (One shot type, installed in Large size)
    212kg (467.3lb) ± 10% | |
    | Type of
    installation | Same as predicate device #1 | Wall or floor mount | |
    | Patient position | Same as predicate device #1 | Standing / Wheelchair | |
    | Applicable
    Standards | Same as predicate device #1 | IEC 60601-1
    IEC 60601-1-3
    IEC 60601-2-63
    IEC 60601-1-2 | |

6

RAY Co., Ltd.

7

8

The product is principally just the same as in the previous 510(k) #K182805.

The complete of differences of the subject device to the predicate device is as follows

  • The maximum X-ray voltage of the tube has been changed from 90kV to 100kV. -
  • -The irradiation time of CT and Scan Ceph has been changed.
  • -Face Scan mode has been added in option. Face Scan is 3D Face Photo to capture 3D facial picture to visualize soft tissue. This is the same feature as CS Face Scan on the CS 9600 (K118136) and ProFace on the Planmeca ProMax 3D Max (K160506).

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12. Safety and Effectiveness Information

RCT800 system described in this 510(k) is similar to the predicate device in terms of indications for use, materials, safety characteristics, and X-ray source.

The following information further substantial equivalence between the subject device and predicate device.

The fundamental technological characteristics of the subject and predicate device are similar.

The imaging modes are similar; PANO, CEPH (Optional), CBCT, Model Scan All viewing software programs have been cleared with previous 510k submissions; RAYSCAN(K182805).

The sponsor tested the subject device in a laboratory and provided a non-clinical performance report. The same test protocol was used to test the performance of the subject and the predicate device for comparison. The sponsor certifies that adequate design and development controls (according to 21 CFR 820.30) were in place for manufacturing the subject device.

The differences are as follows.

  • -The maximum X-ray voltage of the tube has been changed from 90kV to 100kV.
  • -The irradiation time of CT and Scan Ceph has been changed.

Electrical, mechanical and environmental safety testing according to standard of IEC 60601-1: 2005/AMD1:2012(3.1 Edition), IEC 60601-1-3: 2008/AMD1:2013(Second Edition), IEC 60601-1-6:2010(Third Edition) and IEC 60601-2-63: 2012(first Edition) were performed. EMC testing was conducted in accordance with the standard IEC 60601-1-2: 2014(Edition 4.0).

The software of RCT800 saves the patient and image data and offers an inquiry function, in addition, supports the image generate function intended to obtain images using the RCT800 equipment and various sensors for diagnosis. And that has been validated according to FDA "Guidance for the Content d Premarket Submissions for Software Contained in Medical Devices" and "Content of Premarket Submissions for Management of Cybersecurity in Medical Devices" to assure substantial equivalence. The software for this device was considered as a "moderate" level of concern, since a failure or latent flaw in the software would not directly result in serious injury or death to the patient or operator. As a result, we identified the level of concern associated with new device and provided documentation consistent with that level. Based on our risk analysis of software, the difference does not affect its safety and effectiveness.

Bench testing was conducted according to FDA Guidance "Format for Traditional and Abbreviated 510(k)s, section 18, Performance Testing - Bench"

Bench testing is used to assess whether or not the parameter measured required for describing functionalities related to imaging properties of the dental X-ray device and patient dosage satisfies the designated tolerance.

Performance (Imaging performance) testing was conducted according to standard of IEC 61223-3-4 and IEC 61223-3-5.

All test results were satisfactory.

Non-clinical considerations were conducted in accordance with FDA Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices". Because the subject device used the same detector as the predicate device, there is no significant difference between the two devices as a result of non-clinical testing.

Clinical considerations were conducted according to FDA Guidance "Format for Traditional and Abbreviated 510(k)s, section 20".

RAY Co., Ltd.

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Clinical images were provided these images were not necessary to establish substantial equivalence based on the modifications to the device but they provide further evidence in addition to the laboratory performance data to show that the complete system works as intended.

The features of RCT800 have been clinically tested and approved by two licensed practitioners/ clinicians.

The clinical imaging samples are collected from the all detector on propose device at the 2 offices where the predicate device is installed on clinical consideration report for the clinical test images. These images were gathered from the all detector installed with RCT800 on any protocols with random patient age, gender, and size. A licensed practitioner reviewed the sample clinical images and found them to be of acceptable quality for the intended use.

12. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification. RAY Co., Ltd. concludes that the newly RCT800 is safe and effective and substantially equivalent to predicate device as described herein.