K Number
K200271
Device Name
rainbow CT
Date Cleared
2021-04-16

(437 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
rainbow CT is a computed tomography x-ray system intended to produce 3D, panoramic, and cephalometric diagnostic images of the maxillofacial areas for treatment planning for adult and pediatric patients. The device is operated and used by physicians, dentists, and x-ray technicians. Rainbow 3D Image Viewer software functions for acquiring, saving, searching, displaying, diagnosing and sending digital X-ray image data in dental practices and clinics.
Device Description
rainbow CT is a cone beam CT X-ray device for generating sectional images of dental images such as tooth, nasal cavity and temporomandibular joint. this is a medical diagnostic equipment designed to generate sectional images by placing X-ray source opposite to the imaging detector unit and rotating it around a patient. 2D images of the region of interest are reconstructed using a mathematical algorithm in 3 dimensional volumetric view and displayed on the computer monitor. The system is composed of X-ray generator, X-ray detector, X-ray collimator, main frame, rotation unit, PC and Monitor, etc. in compliance with US performance standard and regulatory requirement.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and describes image reconstruction using a "mathematical algorithm," which is standard for CT systems and does not necessarily imply AI/ML. There is no mention of training or test sets, which are typically associated with AI/ML development.

No
The device is described as an X-ray system intended to produce diagnostic images and aid in treatment planning, not to provide therapy itself.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is "intended to produce 3D, panoramic, and cephalometric diagnostic images." Additionally, the "Device Description" calls it "medical diagnostic equipment."

No

The device description explicitly lists hardware components such as "X-ray generator, X-ray detector, X-ray collimator, main frame, rotation unit, PC and Monitor, etc." and describes it as a "cone beam CT X-ray device."

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 rainbow CT system is an imaging device that uses X-rays to create images of the maxillofacial area. It does not perform tests on biological samples.
  • Intended Use: The intended use is for producing diagnostic images for treatment planning, which is a function of medical imaging, not in vitro testing.
  • Device Description: The description details the components of an X-ray imaging system, not an in vitro diagnostic instrument.

Therefore, the rainbow CT system falls under the category of medical imaging devices, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

rainbow CT is a computed tomography x-ray system intended to produce 3D, panoramic, and cephalometric diagnostic images of the maxillofacial areas for treatment planning for adult and pediatic patients. The device is operated and used by physicians, dentists, and x-ray technicians.

Rainbow 3D Image Viewer software functions for acquiring, saving, searching, displaying, diagnosing and sending digital X-ray image data in dental practices and clinics.

Product codes

OAS

Device Description

  • rainbow CT is a cone beam CT X-ray device for generating sectional images of dental images such as tooth, nasal cavity and temporomandibular joint. this is a medical diagnostic equipment designed to generate sectional images by placing X-ray source opposite to the imaging detector unit and rotating it around a patient. 2D images of the region of interest are reconstructed using a mathematical algorithm in 3 dimensional volumetric view and displayed on the computer monitor.

  • The system is composed of X-ray generator, X-ray detector, X-ray collimator, main frame, rotation unit, PC and Monitor, etc. in compliance with US performance standard and regulatory requirement.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Computed Tomography x-ray system

Anatomical Site

maxillofacial areas

Indicated Patient Age Range

adult and pediatric patients

Intended User / Care Setting

physicians, dentists, and x-ray technicians.
dental practices and clinics.

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)

Electrical, mechanical, environmental safety and performance testing according to standard IEC 60601-1(A1+A2, 1995), IEC 60601-1-1 (2001), IEC 60601-1-3 (2008 + A1: 2013), IEC 60601-2-63 (2012 )were performed, and EMC testing were conducted in accordance with standard IEC 60601-1-2.

rainbow CT meets the provisions of NEMA PS 3.1-3.18, Digital Imaging and Communications in Medicine (DICOM) Set.

Non-clinical & Clinical considerations according to FDA Guidance "Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices" were performed. Acceptance test according to IEC 61223-3-4 and IEC 61223-3-5 was performed. All test results were satisfactory.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

MTF@ 1 lp/mm: 53% (for CT and panoramic image performance)
DQE @ 0.5 lp/mm: 85% (for CT and panoramic image performance)
CBCT Pixel Resolution: 2 lp/mm - 2x2 binning
Panoramic Pixel Resolution: 4 lp/mm
Cephalometric Pixel Resolution LineScan: 4.5 lp/mm

Predicate Device(s)

K193139

Reference Device(s)

K172614

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

April 16, 2021

Image /page/0/Picture/1 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. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Dentium Co., Ltd (ICT Branch) % Mr. Dave Kim Medical Device Regulatory Affairs Mtech Group 7707 Fannin St. Ste 200, V111 HOUSTON TX 77054

Re: K200271

Trade/Device Name: rainbow CT Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system Regulatory Class: Class II Product Code: OAS Dated: March 10, 2021 Received: March 15, 2021

Dear Mr. 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.

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 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

1

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-leam). 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,

Michael D. O'Hara

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) K200271

Device Name

rainbow CT

Indications for Use (Describe)

rainbow CT is a computed tomography x-ray system intended to produce 3D, panoramic, and cephalometric diagnostic images of the maxillofacial areas for treatment planning for adult and pediatic patients. The device is operated and used by physicians, dentists, and x-ray technicians.

Rainbow 3D Image Viewer software functions for acquiring, saving, searching, displaying, diagnosing and sending digital X-ray image data in dental practices and clinics.

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

510(k) Summary

K200271

This 510(k) is being submitted in accordance with the requirements of 21 CFR §807.92.

1.Date Summary Prepared:March 10, 2021
2.Submitter's Identification:
Submitter's Name :
Submitter's Address:Dentium Co., Ltd (ICT Branch)
76, Changnyong-daero 256beon-gil, Yeongtong-gu
Suwon-si, Gyeonggi-do, 16229
Republic of Korea
Submitter's Telephone:++82-70-7098-6932
Contact person:Mr. Sang Woo Lee (swlee1@dentium.com)
Official Correspondent:
(U.S. Designated agent)Dave Kim (davekim@mtech-inc.net)
Address:
Telephone:7707 Fannin St. Ste 200, Houston, TX 77054
+1-713-467-2607

3. Device:

Trade/Proprietary Name:rainbow CT
Device:X-Ray, Tomography, Computed, Dental
Regulation Description:Computed tomography x-ray system.
Regulation Medical Specialty:Radiology
Review PanelRadiology
Product CodeOAS
Regulation Number892.1750
Device Class2

4. Predicate Device:

Legally Marketed Predicate Device Information:
510(k) Number:K193139
Trade/Proprietary Name:ProVecta 3D Prime Ceph
Device:X-Ray, Tomography, Computed, Dental
Regulation Description:Computed tomography x-ray system.
Review Panel:Radiology
Product Code:OAS
Regulation Number:892.1750
Device Class:2

4

5. Reference Device:

510(k) Number:K172614
Manufacturer:Ray Co., Ltd
Trade / Proprietary Name:RCT700
Device:X-Ray, Tomography, Computed, Dental
Regulation Description:Computed tomography x-ray system.
Review PanelRadiology
Product CodeOAS
Regulation Number892.1750
Device Class2

6. Device Description:

  • rainbow CT is a cone beam CT X-ray device for generating sectional images of dental images such as tooth, nasal cavity and temporomandibular joint. this is a medical diagnostic equipment designed to generate sectional images by placing X-ray source opposite to the imaging detector unit and rotating it around a patient. 2D images of the region of interest are reconstructed using a mathematical algorithm in 3 dimensional volumetric view and displayed on the computer monitor.

  • The system is composed of X-ray generator, X-ray detector, X-ray collimator, main frame, rotation unit, PC and Monitor, etc. in compliance with US performance standard and regulatory requirement.

7. Indications for use:

rainbow CT is a computed tomography x-ray system intended to produce 3D, panoramic, and cephalometric diagnostic images of the maxillofacial areas for treatment planning for adult and pediatric patients. The device is operated and used by physicians, dentists, and x-ray technicians.

Rainbow 3D Image Viewer software features functions for acquiring, saving, searching, displaying, diagnosing and sending digital X-ray image data in dental practices and clinics.

5

8. Summary of the technological characteristics of the device compared to the predicate devices:

| Descriptive Information | | Rainbow CT
Dentium Co., Ltd (ICT Branch) | K193139, ProVecta 3D Prime Ceph
DÜRR DENTAL SE |
|---------------------------------------------------|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | | - rainbow CT is a computed
tomography x-ray system intended
to produce 3D, panoramic, and
cephalometric diagnostic images of
the maxillofacial areas for
treatment planning for adult and
pediatric patients. The device is
operated and used by physicians,
dentists, and x-ray technicians.
Rainbow 3D Image Viewer
software features functions for
acquiring, saving, searching,
displaying, diagnosing and sending
digital X-ray image data in dental
practices and clinics. | ProVecta 3D Prime Ceph is a
computed tomography x-ray unit
intended to generate 3D, panoramic
and cephalometric X-ray images in
dental radiography for adult and
pediatric patients. It provides
diagnostic details of the maxillofacial
areas for a dental treatment. The
device is operated and used by
physicians, dentists, and x-ray
technicians. Not intended for
mammography use |
| Image Acquisition Modes | | Panoramic, cephalometric and
computed tomography | Panoramic and computed
tomography |
| Imaging Software | | Rainbow 3D ImageViewer | Vision X includes 2D and 3D |
| Input Voltage | | AC 100-240 V, 50/60 Hz | AC 200-240V |
| Tube Voltage | | 60100 kV | 60-99 KV |
| Tube Current | | 4
12 mA | 4~16mA |
| Focal Spot Size | | 0,5 mm | 0,5 mm |
| Exposure Time | | Max. 19 s | Max. 20 s |
| Slice Width | | 0.1 mm min. | 0.1 mm min. |
| Total Filtration | | 2.8 mm Al | 2.5 mm Al |
| Chin Rest | | Bite block, chin rest and headrest | Bite block, chin rest and headrest |
| Mechanical | | Compact design | Compact design |
| Electrical | | LDCP logic circuit (Low Dark
Current Processing) | LDCP logic circuit (Low Dark Current
Processing) |
| Software | | Rainbow 3D ImageViewer, DICOM
3.0 Format compatible | VistaSoft, DICOM 3.0 compatible |
| Anatomical Sites | | Maxillofacial | Maxillofacial |
| Image | СВСТ | C12820DK-40 | Xmaru1404CE |
| Receptor
Note: CT and | | | |
| panoramic
image
performance
is identical | Panoramic | C12820DK-40 | Xmaru1404CF |
| | MTF@ 1
lp/mm | 53% | 53% |
| | DQE @ 0.5
lp/mm | 85% | 64.% |
| because the
sensors are
identical. | Cephalometric | LineScan: C10502D-43 | Xmaru 2602CF |
| Size of Imaging Volume
(cm) | | C12820DK-40: 5x5, 16x10, 16x18 Xmaru1404CF: Max. 10x8.5 | |
| | CBCT | 2 lp/mm - 2x2 binning | 2.5 lp/mm - 4x4 binning |
| Pixel Resolution | Panoramic | 4 lp/mm | 2.5 lp/mm - 4x4 binning |
| | Cephalometric | LineScan: 4.5 lp/mm | Xmaru2602CF |
| Pixel Size | CBCT | C12820DK-40: 240 $\mu$ m - $\mu$ m2x2
binning | Xmaru1404CF :
99 $\mu$ m - 2x2 binning
198 $\mu$ m- 4x4 binning |
| | Panoramic | C12820DK-40: 120 $\mu$ m | Xmaru1404CF :
99 $\mu$ m - 2x2 binning
198 $\mu$ m- 4x4 binning |
| | Cephalometric | LineScan: 100 $\mu$ m | Xmaru2602CF: 200x200 $\mu$ m |

Summary of the Technological Characteristics

6

7

Descriptive InformationRainbow CTRCT700 (K182614)
Dentium Co., Ltd (ICT Branch)Ray Co., Ltd
Indications for Use- rainbow CT is a computed
tomography x-ray system
intended to produce 3D,
panoramic, and cephalometric
diagnostic images of the
maxillofacial areas for treatment
planning for adult and pediatric
patients. The device is operated
and used by physicians, dentists,
and x-ray technicians.

Rainbow 3D Image Viewer
software features functions for
acquiring, saving, searching,
displaying, diagnosing and
sending digital X-ray image data
in dental practices and clinics. | CBCT, panoramic x-ray imaging
system with cephalostat, is an extra
oral source x-ray system, which is
intended for dental radiographic
examination of the teeth, jaw, and
oral structures, specifically for
panoramic examinations and
implantology and for TMJ studies
and cephalometry, and it has the
capability, using the CBVT
technique, to generate dental
maxillofacial 3D images. The device
uses cone shaped x-ray beam
projected on to a flat panel
detector, and the examined volume
image is reconstructed to be
viewed in 3D viewing stations. 2D
Image is obtained using the
standard narrow beam technique. |
| Detector | CBCT | C12820DK-40 :240 μm
(2x2 binning) | SiX650HD-E: 150 μm |
| | CBCT FOV | 5x5, 16x10, 16x18 cm | 5x5, 10x8, 16x10 cm |
| | Panoramic | C12820DK-40 :120 μm | Six650HD-E: 150 μm
C10500D: 100 μm |
| | | Cephalometric Scan (model: C10502D-43):
100 μm | Scan (model: XID-C24DS): 100 μm
One Shot (model: PaxScan
4336Y) : 139μm |

9. Summary of technological characteristics of the device compared with the reference device

10. Discussion of Similarities and Differences:

Rainbow CT dental computed tomography X-ray system described in this 510(k) is similar to the predicate device in its indications for use, performance, materials, and safety characteristics.

The differences include the digital X-ray imagers and image viewing software. Performance testing was conducted for the subject device to access whether or not the parameter required for functionalities related to imaging properties of the dental X-ray device meets the designated acceptance criteria. The MTF, DQE and pixel resolution of the subject device performed similar to those of the predicate device. The pixel resolutions of the subject device in CBCT (2x2 binning) and pano mode are superior to that of the reference device.

All test results were satisfactory.

8

11. Non-Clinical Data and Performance Testing

Electrical, mechanical, environmental safety and performance testing according to standard IEC 60601-1(A1+A2, 1995), IEC 60601-1-1 (2001), IEC 60601-1-3 (2008 + A1: 2013), IEC 60601-2-63 (2012 )were performed, and EMC testing were conducted in accordance with standard IEC 60601-1-2.

rainbow CT meets the provisions of NEMA PS 3.1-3.18, Digital Imaging and Communications in Medicine (DICOM) Set.

Non-clinical & Clinical considerations according to FDA Guidance "Guidance for the submissions of 510(k)'s for Solid State X-ray Imaging Devices" were performed. Acceptance test according to IEC 61223-3-4 and IEC 61223-3-5 was performed. All test results were satisfactory.

    1. Clinical Data: Not required for a finding of substantial equivalence.

13. Conclusion:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the similarity to the predicate device in terms of technology, performance and indications for use, Dentium Co., Ltd concludes that the rainbow CT is substantially equivalent to ProVecta 3D Prime with VistaSoft, the predicate device as described herein.

The differences between the new device and the predicate device shown in the comparison table above do not raise any new questions about safety and effectiveness and so we consider it substantially equivalent to the predicate device.