(29 days)
No
The document mentions image processing but does not explicitly mention AI, ML, or related terms like deep learning or neural networks. There is no description of training or test sets for an AI/ML model.
No.
The device is used to acquire, store, communicate, display, and process medical X-ray images for diagnostic purposes, not for direct therapeutic intervention.
No
This device is an X-ray system intended for acquiring, storing, communicating, displaying, and processing medical X-ray images, which are then used by a physician or technician for taking diagnostic X-rays. It facilitates the diagnostic process but does not, in itself, perform the diagnosis.
No
The device description explicitly states that Acuity "combines components into a complete stationary x-ray system, including software, tube stands, tube heads, collimators, generators, tables, and digital radiography panels," indicating it includes significant hardware components beyond just software.
No, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostics are medical devices used to perform tests 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 the purpose of Acuity is to "acquire, store, communicate, display and process medical X-ray images." This involves generating and capturing images of the body, not analyzing samples from the body.
- Input Modality: The input modality is X-ray, which is an imaging technique, not a method for analyzing biological samples.
- Intended Use: The intended use is for taking diagnostic x-rays of various anatomical regions. This is a form of medical imaging, not in vitro testing.
The device is a medical imaging system, specifically a digital radiography system, used for diagnostic purposes through the acquisition and processing of X-ray images.
N/A
Intended Use / Indications for Use
The purpose of Acuity is to acquire, store, communicate, display and process medical X-ray images. These radiographic systems are intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography, angiography, interventional, or fluoroscopy use.
Product codes (comma separated list FDA assigned to the subject device)
KPR, MQB
Device Description
RadmediX Acuity combines components into a complete stationary x-ray system, including software, tube stands, tube heads, collimators, generators, tables, and digital radiography panels.
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 supports, comports, component parts, and accessories.
Radmedix combines components from various manufacturers into a complete stationary x-ray system. The major component combining these into a complete solution is the tube stands are made to carry the weight of the tube head, collimator, and digital X-ray panels. These tube stands may also have supporting devices such as wall stands, tables, stitching stands, and chairs. These supporting devices allow for imaging in standing, sitting, and laying positions. The Radmedix Acuity tube stands with supporting devices make a stationary x-ray system allowing for ease of use for the technologist and provides rapid patient care. Similar to the predicate our stationary x-ray system employs a tube stand that is a generic type of device and can use various brands of tube heads, collimators, generators, and digital radiography panels all meeting the cited performance standard.
The previously cleared software supplied with the system is AccuVueMED (Relabeled version of K152172). This medical software communicates with the digital x-ray detector and allows acquisition and processing of x-ray images. This software complies with DICOM standards and can transmit and receive data with a PACS system. The software is configurable to acquire images from various digital radiography panels. The other previously cleared software optionally available package is AccuVue, (Relabeled version of K141440.) The flat-panel detectors used with the x-ray system Acuity present comparable or better performance than the predicate detectors.
Mentions image processing
Yes
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
X-ray
Anatomical Site
Various anatomical regions, including abdomen, ankle, calcaneus, c-spine ap and c-spine lateral, elbow, foot, knee, hand, lspine ap and I-spine lateral, shoulder, chest, and skull.
Indicated Patient Age Range
Adult and pediatric subjects
Intended User / Care Setting
Qualified/trained physician or technician
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
Non-clinical testing of a complete system was constructed and field tested, and acquired DICOM images from all major body structures, including abdomen, ankle, calcaneus, c-spine ap and c-spine lateral, elbow, foot, knee, hand, lspine ap and I-spine lateral, shoulder, chest, and skull. All images were of high quality and contrast and clinically acceptable. This testing was performed on an AcuitySDR system equipped with the following components: Stand, SYFM SU2100, a Toshiba E7242FXX tube head, a Collimaire CML-125, a Summit L550-31 generator, and a DRTech EVS 4343G digital receptor panel. Each new configuration undergoes a digital image integration protocol and a total system validation protocol prior to make sure that the configuration works as intended.
Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
Non-clinical testing demonstrated that the product performs as intended and acquired images were of high quality, contrast, and clinically acceptable. Clinical testing was not required for a determination of substantial equivalence.
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.
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.
K151942, K142475, K162552, K162555, K171137, K193017, K152172, K141440, K180332, K182348, K183286, K183713, K183422, K182550, K182551, K161730
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
§ 892.1680 Stationary x-ray system.
(a)
Identification. A stationary x-ray system is a permanently installed diagnostic system intended to generate and control x-rays for examination of various anatomical regions. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A radiographic contrast tray or radiology diagnostic kit intended for use with a stationary x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.
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January 2, 2020
Image /page/0/Picture/1 description: The image shows 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 consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size below.
Radmedix LLC % Mr. Daniel Kamm Principal Engineer Kamm & Associates 8870 Ravello Ct. NAPLES FL 34114
Re: K193360
Trade/Device Name: Acuity SDR Standard, Acuity SDR Plus, Acuity FDR Standard Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: KPR, MQB Dated: December 2, 2019 Received: December 4, 2019
Dear Mr. Kamm:
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 avare 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 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-reporting
1
combination-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,
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
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Indications for Use
510(k) Number (if known) K193360
Device Name
Acuity: AcuitySDR Standard; AcuitySDR Plus; AcuityFDR Standard
Indications for Use (Describe)
The purpose of Acuity is to acquire, store, communicate, display and process medical X-ray images. These radiographic systems are intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography, angiography, interventional, or fluoroscopy use.
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) |
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510(k) Summary K193360
Image /page/3/Picture/1 description: The image shows a logo with the text "RadmediX". The "R" and "X" are in blue, while the "admedi" is in a lighter gray color. The letters are overlapping each other, creating a layered effect. The logo appears to be for a company or organization named RadmediX.
RadmediX, LLC 2510 Lance Rd. Dayton, OH 45409 Tel 844 723 6334 Registration Number: 3009134655 Radmedix Acuity (AcuitySDR Standard; AcuitySDR Plus; AcuityFDR Standard)
1. Administrative Information
Reason for Submission: 510(k) Notification for RadmediX AcuitySDR Standard; AcuitySDR Plus; AcuityFDR Standard), new combination of Exempt and Cleared devices
Submitter: | |
---|---|
Submission contact person: | Gabriel Issa, Director of Equipment |
Contact telephone: | 844 723 6334 |
Contact e-mail: | gabe@radmedix.com |
Date prepared: | December 17, 2019 |
Identification: | |
Classification Name: | AcuitySDR Standard; AcuitySDR Plus; AcuityFDR Standard |
Classification Panel: | Radiology |
Classification Regulation: | 21 CFR §892.1680 |
Device Class: | Class II |
Product Code: | KPR, Secondary: MQB |
Substantially equivalent device: | |
Trade Name: | Visaris Vision® (Vision C, Vision U. Vision V, Vision X) |
Manufacturer: | Visaris DOO. |
510(k) #: | K160620 |
Classification Name: | Stationary X-Ray System |
Classification Panel: | Radiology |
Classification Regulation: | 21 CFR §892.1680 |
Device Class: | Class II |
Product Code: | KPR, Secondary: MQB |
2. Device description: 21 CFR 807 92 (a) (4)
RadmediX Acuity combines components into a complete stationary x-ray system, including software, tube stands, tube heads, collimators, generators, tables, and digital radiography panels.
21CFR §892.1680 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
4
of device may include signal analysis and display equipment supports, comports, component parts, and accessories.
Radmedix combines components from various manufacturers into a complete stationary x-ray system. The major component combining these into a complete solution is the tube stands are made to carry the weight of the tube head, collimator, and digital X-ray panels. These tube stands may also have supporting devices such as wall stands, tables, stitching stands, and chairs. These supporting devices allow for imaging in standing, sitting, and laying positions. The Radmedix Acuity tube stands with supporting devices make a stationary x-ray system allowing for ease of use for the technologist and provides rapid patient care. Similar to the predicate our stationary x-ray system employs a tube stand that is a generic type of device and can use various brands of tube heads, collimators, generators, and digital radiography panels all meeting the cited performance standard.
| AcuitySDR
Standard; | Straight Arm System Stand:
"SYFM SU-2000" | Image: Straight Arm System Stand |
|------------------------|---------------------------------------------------------------|---------------------------------------------------|
| AcuitySDR
Plus; | Straight Arm System Stand with
Touchscreen "SYFM SU-2100", | Image: Straight Arm System Stand with Touchscreen |
Radmedix Acuity models:
5
Image /page/5/Picture/0 description: The image shows the AcuityFDR Standard Floor Mounted System "SST-4000". The system includes a floor-mounted stand with a detector and a table. The table is designed to support patients during X-ray imaging.
Radmedix provides previously cleared digital x-ray detectors. The panel enclosures in our systems are designed around the EVS 3643, EVS 3643G panel cleared under (K151942), and the EVS 4343G panel cleared under (K142475). Those digital x-ray panels are 14″ x 17″ standard cassette sized digital x-ray detectors. The panel enclosure can support other similarly sized detectors.
The previously cleared software supplied with the system is AccuVueMED (Relabeled version of K152172). This medical software communicates with the digital x-ray detector and allows acquisition and processing of x-ray images. This software complies with DICOM standards and can transmit and receive data with a PACS system. The software is configurable to acquire images from various digital radiography panels. The other previously cleared software optionally available package is AccuVue, (Relabeled version of K141440.) The flat-panel detectors used with the x-ray system Acuity present comparable or better performance than the predicate detectors.
| DRTECH
CORPORATION | EVS 3643, EVS 3643G | K162552 |
---|---|---|
DRTECH | ||
CORPORATION | EVS 3643 | K151942 |
DRTECH | ||
CORPORATION | EVS 4343 | K142475 |
DRTECH | ||
CORPORATION | EVS 4343, EVS 4343G | K162555 |
DRTECH | ||
CORPORATION | EVS 2430W, EVS 2430GW | K171137 |
DRTECH | ||
CORPORATION | EVS 4343W, EVS4343WG, EVS 3643W, EVS 3643WG, EVS | |
4343WP, EVS 3643WP | K193017 |
The default software AccuVueMED (K152172) is the software normally paired with the default digital panels from DRTECH CORPORATION. Here is a compatibility table:
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For other optionally available panels the customer would receive the AccuVue software, a relabeled version of K141440. See the table below.
Optionally available panels | ||
---|---|---|
LG Electronics | 17HK700G-W | K180332 |
LG Electronics | 14HK701G-W | K182348 |
LG Electronics | 17HK701G-W | K183286 |
IRay | Mars1717XF-CSI Wireless | K183713 |
IRay | Mars1717XF-GSI Wireless | K183422 |
IRay | Mars1417XF-GSI Wireless | K182550 |
IRay | Mars1417XF-CSI Wireless | K182551 |
IRay | Mars1417V-PSI Wireless | K161730 |
Available Generators
Summit Models L300, L500, L550, 00210, 02968, 03900, 03901 (40 or 50 kW) or CPI Model CMP 200 DR (40, 50, 65, or 80 kW)
Collimators
Collimare, LLC CML-150-0001-C, 150kVp Certified Manual Collimator or CML-125-0001-C, 125kVp Certified Manual Collimator
X-Ray Tube Housing: Toshiba
The purchaser selects one of these: Toshiba E7239FX tube Toshiba E7242FX tube Toshiba E7252FX tube
3. Indications for Use: 21 CFR 807 92 (a) (5)
The purpose of Acuity is to acquire, store, communicate, display and process medical X-ray images. These radiographic systems are intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography, interventional, or fluoroscopy use.
7
4. Technological characteristics: 21 CFR 807 92 (a) (6) Comparison Table
| Comparable
Properties | Predicate Device: K160620 Visaris
Vision® (Vision C, Vision U, Vision V,
Vision X) | Acuity (Three models) AcuitySDR
Standard; AcuitySDR Plus;
AcuityFDR Standard | Comparison
Results |
|-----------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|
| Indications
for use | The purpose of Visaris Vision® is to
acquire, store, communicate, display
and process medical X-ray images.
These radiographic systems are
intended for use by a
qualified/trained physician or
technician on both adult and
pediatric subjects for taking
diagnostic x-rays. Not for
mammography, angiography,
interventional, or fluoroscopy use. | The purpose of Acuity is to acquire,
store, communicate, display and
process medical X-ray images.
These radiographic systems are
intended for use by a
qualified/trained physician or
technician on both adult and
pediatric subjects for taking
diagnostic x-rays. Not for
mammography, angiography,
interventional, or fluoroscopy use. | Identical |
| Wall stand | Motorized vertical movable wall
stand, tiltable tray. | SAME | Equivalent
Functionality |
| Table | Free-floating and height-adjustable,
maximum patient weight 660 lbs.,
working table height 20-5/16 inch to
37-5/8 inch. | SAME. | Equivalent
Functionality |
| X-ray tube | 150 kVp 0.6/1.2mm focal spots.
Toshiba | SAME | Equivalent
Functionality |
| Collimator | Ralco Claymount, X-Alliance, or (All
CFR Certified) (510(k) exempt) | Collimaire collimators, all CFR
Certified (510(k) exempt) | Equivalent
Functionality |
| X-ray
Generator | Various Models available: (All HF)
Claymount, (up to 63 kW)
CPI, (32kW to 100kW)
EMD, (45 kW, to 80 kW)
POSKOM (32 kW to 50 kW)
Sedecal (40, 50, 65, or 80 kW)
(All CFR Certified) | Various Models available: (All HF)
(All CFR Certified):
Summit models from 40 to 50 kW
CPI generators up to 80 kW are
available optionally. (510(k)
exempt) | Equivalent
Functionality |
| Wireless
detector | 14" x 17" Uses FDA cleared detector
and software. Pixium 3543 EZ C
(Other previously cleared models
available, see table above) | Optional enclosure allows for 14" x
17" fixed and removable FDA
cleared detectors and software. | Equivalent
Functionality |
| Fixed
detector | 17"x17". Uses FDA cleared detector
and software. Pixium 4343RC (Other
previously cleared models available) | 17"x17". Uses FDA cleared
detector and software. | Equivalent
Functionality |
| Conventional
film/screen
systems or CR
cassettes | Comes with FDA cleared digital x-ray
panels.
Conventional film and CR
cassettes can still be used. . | SAME | Similar
Functionality |
| Comparable
Properties | Predicate Device: K160620 Visaris
Vision ® (Vision C, Vision U, Vision V,
Vision X) | Acuity (Three models) AcuitySDR
Standard; AcuitySDR Plus;
AcuityFDR Standard | Comparison
Results |
| Operator
console | GUI-based | SAME | Similar
Functionality |
| Acquisition
Software | Visaris Avanse, K150725, | Customer Selects:
AccuVueMED (K152172)
AccuVue (K141440) | Equivalent
Functionality
Only cleared
software is
supplied. |
| Photos | Visaris Vision X | Radmedix AcuitySDR | Similarity is
obvious. |
| Power Source | AC LINE, single or three phase
depending on the generator | SAME | SAME. |
| Standards | 60601-1:2005; 60601-1-2:2014
60601-2-54 Edition 1.0; PS 3.1 - 3.20
(2011) 21CFR1020 | SAME
Generators are UL Listed | SAME |
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5. Non clinical testing
Testing was performed successfully according to the following standards:
| FDA
Recognition
Number | Standard
Developing
Organization | Standard Designation
Number And Date | Title Of Standard |
|------------------------------|----------------------------------------|-----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 19-5 | IEC | 60601-1:2005 | Medical Electrical Equipment Part 1: General Requirements For
Basic Safety And Essential Performance (IEC 60601 1:2005, MOD) |
| 19-1 | IEC | 60601-1-2:2014 | Medical Electrical Equipment Part 12: General Requirements For
Basic Safety And Essential Performance Collateral Standard:
Electromagnetic Disturbances Requirements And Tests |
| 12-274 | IEC | 60601-2-54 Edition 1.0 | Medical Electrical Equipment Part 2-54: Particular Requirements
For The Basic Safety And Essential Performance Of X- Ray
Equipment For Radiography And Radioscopy [Including: Technical
Corrigendum 1 (2010), Technical Corrigendum 2 (2011)] |
| 12-238 | NEMA | PS 3.1 - 3.20 (2011) | NEMA Digital Imaging and Communications in Medicine (DICOM)
Set |
| N/A | FDA | 21CFR1020 | Electronic Products; Performance Standard for Diagnostic X-Ray
Systems and Their Major Components |
All of the components subject to the CDRH performance standard are certified to comply with the standard by their respective manufacturers. We do not supply any non-certified components. All X-ray components (generators, tubes, collimators, and applicable accessories) carry an NRTL certification label (UL, ETL, etc.). The software employed was used unmodified from clearances obtained from FDA. Since
9
multiple configurations are available, our service engineers fully test each new system upon installation at the customer site. In recognition of possible cybersecurity threats to the software, we consulted this guidance: Content of Premarket Submissions for Management of Cybersecurity in Medical Devices Guidance for Industry and Food and Drug Administration Staff October 2014. As a result, we updated our own internal standard operating procedures and added cybersecurity precautions to the software users' manuals. Generator User Manuals have been updated to add Pediatric Considerations.
We also constructed and field tested a complete system and acquired DICOM images from all major body structures, including abdomen, ankle, calcaneus, c-spine ap and c-spine lateral, elbow, foot, knee, hand, lspine ap and I-spine lateral, shoulder, chest, and skull. All images were of high quality and contrast and clinically acceptable. This testing was performed on an AcuitySDR system equipped with the following components: Stand, SYFM SU2100, a Toshiba E7242FXX tube head, a Collimaire CML-125, a Summit L550-31 generator, and a DRTech EVS 4343G digital receptor panel. Each new configuration undergoes a digital image integration protocol and a total system validation protocol prior to make sure that the configuration works as intended.
6. Clinical testing
Not required for a determination of substantial equivalence.
7. Substantial Equivalence Discussion.
The RadmediX Acuity performs the same functions using the same technological methods to produce diagnostic x-ray images. In all material aspects, the Visaris and the RadmediX systems are substantially equivalent to each other. The flat-panel detectors used with the x-ray system Acuity present comparable or better performance than the predicate detectors.
8. Substantial Equivalence Conclusion:
After analyzing bench test results, risk analysis, and clinical evaluation, it is the conclusion of RadmediX LLC that the RadmediX Systems are as safe and effective as the predicate device, have few technological differences, and has the same indications for use, thus rendering it substantially equivalent to the predicate device.