K Number
K200726
Device Name
AcuityPDR
Manufacturer
Date Cleared
2020-04-13

(24 days)

Product Code
Regulation Number
892.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography.
Device Description
RadmediX AcuityPDR combines components into a complete mobile x-ray system, including software, a generator/collimator combination, and digital radiography panels. Radmedix combines components from various manufacturers into a complete mobile x-ray system. The customer selects one (or more) of the following digital x-ray receptor panels: DRTech 4343A, (K192400); DRTech 4343W, (K193017); AcuityDR (K171137); AcuityDR 1417 (K162552 EVS 3643, EVS 3643G) or AcuityDR 1717 (K162555 EVS 4343, EVS 4343G). In addition, the customer selects one of three software packages: Accuvue+ (K130883), AccuVueMED, (K152172) or AccuVue (K141440). The generator can be battery operated. A single battery charge produces 200 Exposures at max KV and MAS settings. The battery charger is UL Listed and the internal lithium ion battery is overcharge and overcurrent protected. A typical acquisition computer would be a Lenovo P53S or a Dell Precision 3541.
More Information

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

No
The device is intended for taking diagnostic x-rays, which is used for diagnosis, not therapy.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states "for taking diagnostic x-rays," indicating its primary function is for diagnosis.

No

The device description explicitly states that the system includes hardware components such as a generator/collimator combination and digital radiography panels, in addition to software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD devices are used to examine specimens taken from the human body. This device is an X-ray system, which uses radiation to create images of the inside of the body. It does not involve the analysis of biological samples like blood, urine, or tissue.
  • The intended use clearly states "taking diagnostic x-rays" and describes a mobile x-ray system with a generator, collimator, and digital radiography panels. This is consistent with in-vivo imaging, not in-vitro diagnostics.
  • The device description details components related to generating and capturing X-ray images, not analyzing biological specimens.
  • The performance studies mentioned are related to electrical safety and imaging standards, not the performance metrics typically associated with IVD devices (like sensitivity, specificity, etc., which are explicitly listed as "Not Found").

Therefore, based on the provided information, this device is a medical imaging device, specifically a mobile X-ray system, and does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography.

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

IZL, MQB, LLZ

Device Description

RadmediX AcuityPDR combines components into a complete mobile x-ray system, including software, a generator/collimator combination, and digital radiography panels. Radmedix combines components from various manufacturers into a complete mobile x-ray system. The customer selects one (or more) of the following digital x-ray receptor panels: DRTech 4343A, (K192400); DRTech 4343W, (K193017); AcuityDR (K171137); AcuityDR 1417 (K162552 EVS 3643, EVS 3643G) or AcuityDR 1717 (K162555 EVS 4343, EVS 4343G). In addition, the customer selects one of three software packages: Accuvue+ (K130883), AccuVueMED, (K152172) or AccuVue (K141440). The generator can be battery operated. A single battery charge produces 200 Exposures at max KV and MAS settings. The battery charger is UL Listed and the internal lithium ion battery is overcharge and overcurrent protected. A typical acquisition computer would be a Lenovo P53S or a Dell Precision 3541.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-Ray

Anatomical Site

Not Found

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

Not Found

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

Non clinical testing: Testing was performed successfully according to the following standards:

  • IEC 60601-1:2005/(R)2012 And A1:2012 Medical Electrical Equipment Part 1: General Requirements For Basic Safety And Essential Performance (IEC 60601 1:2005, MOD)
  • 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
  • IEC 60601-1-3 Edition 2.1 2013-04 Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment
  • IEC 60601-2-54 - 2009+AMD1 : 2015+AMD2:2018 Particular Requirements For The Basic Safety And Essential Performance Of X-Ray Equipment for Radiography and Radioscopy
  • NEMA PS 3.1 - 3.20 (2011) NEMA Digital Imaging and Communications in Medicine (DICOM) Set
  • 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. Applicable components carry a certification label (UL, ETL, etc.). The digital panel software employed was used unmodified from clearances obtained from FDA. Since 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 Druq Administration Stoff October 2014. As a result, we updated our own internal standard operating procedures and added cybersecurity precautions to the software users' manuals. The generator User Manual has been updated to add Pediatric Considerations. Each system is tested for proper integration prior to shipment to the customer.

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.

K191451

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.

K192400, K193017, K171137, K162552, K162555, K130883, K152172, K141440

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1720 Mobile x-ray system.

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

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there 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.

Radmedix LLC % Mr. Daniel Kamm Principal Engineer Kamm & Associates 8870 Ravello Ct NAPLES FL 34114

April 13, 2020

Re: K200726

Trade/Device Name: AcuityPDR Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: Class II Product Code: IZL, MQB, LLZ Dated: March 17, 2020 Received: March 20, 2020

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 aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

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 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

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Indications for Use

510(k) Number (if known) K200726

Device Name AcuityPDR

Indications for Use (Describe)

Intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary K200726

Image /page/3/Picture/1 description: The image shows a logo with the text "RadmediX". The letters "R" and "X" are in blue, while the letters "R", "m", "e", "d", and "i" are in gray. The logo is likely for a company or organization with the name RadmediX.

RadmediX, LLC 2510 Lance Rd. Dayton, OH 45409 Tel 844 723 6334 Registration Number: 3009134655

1. Administrative Information

Reason for Submission: 510(k) Notification for RadmediX AcuityPDR

Submitter:Submission contact person:Gabriel Issa, Director of Equipment
Contact telephone:844 723 6334
Contact e-mail:gabe@radmedix.com
Date prepared:April 9, 2020
Identification:Classification Name:AcuityPDR
Classification Name:Mobile X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1720
Device Class:Class II
Product Code:IZL, MQB, LLZ
Substantially equivalent device:Trade Name:CMDR 2CW
Manufacturer:MinXray
510(k) #:K191451
Classification Name:Mobile X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1720
Device Class:Class II
Product Code:IZL, MQB, LLZ
    1. Device description: RadmediX AcuityPDR combines components into a complete mobile x-ray system, including software, a generator/collimator combination, and digital radiography panels. Radmedix combines components from various manufacturers into a complete mobile x-ray system. The customer selects one (or more) of the following digital x-ray receptor panels: DRTech 4343A, (K192400); DRTech 4343W, (K193017); AcuityDR (K171137); AcuityDR 1417 (K162552 EVS 3643, EVS 3643G) or AcuityDR 1717 (K162555 EVS 4343, EVS 4343G). In addition, the customer selects one of three software packages: Accuvue+ (K130883), AccuVueMED, (K152172) or AccuVue (K141440). The generator can be battery operated. A single battery charge produces 200 Exposures at max KV and MAS settings. The battery charger is UL Listed and the internal lithium ion battery is overcharge and overcurrent protected. A typical acquisition computer would be a Lenovo P53S or a Dell Precision 3541.

4

    1. Indications for Use: Intended for use by a qualified/trained physician or technician on both adult and pediatric subjects for taking diagnostic x-rays. Not for mammography.

| Comparable
Properties | CMDR 2CW, made by MinXray
510(k) #: K191451 | AcuityPDR | Comparison
Results |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|
| Indications
for use | Intended for use by a
qualified/trained physician or
technician on both adult and
pediatric subjects for taking
diagnostic x-rays. Not for
mammography. | Intended for use by a
qualified/trained physician or
technician on both adult and
pediatric subjects for taking
diagnostic x-rays. Not for
mammography. | Identical |
| X-ray tube | Toshiba D-124S | TOSHIBA D-125SB 100kV, 40mA | Equivalent
Functionality |
| Peak
generator
output | 2 kW | 2 kW | SAME |
| Tube current
range | 30 mA±20% at 60kV mA
25 mA±20% at 80kV mA
20 mA±20% at 100kV | 40-60kV: 25mA.
61-100kV: 20mA. | Comparable
ranges. |
| Tube voltage
adjustable
range | 40-100 kV, 2kV steps | 40-100kV, step value 1kV. | More flexible
kV
adjustment |
| mAs range | 2.0-150 (steps not specified) | 0.4mAs ~ 50mAs, with the range of:
0.40, 0.50, 0.63, 0.80, 1.00, 1.25, 1.6,
2.0, 2.5, 3.2, 4.0, 5.0, 6.3, 8, 10, 12.5, 16,
20, 25, 32, 40, 50. | Comparable
adjustability |
| Collimator | Built in | Built in | Equivalent
Functionality |
| X-ray
Generator | Three models, from 100 to 120 kVp
maximum | One model, up to 100 kVp | Equivalent
Functionality |
| Digital X-Ray
Detectors | K150929 CareView 1500Cw X-ray Flat
Panel Detector manufactured by
CareRay | DRTech 4343A, (K192400);
DRTech 4343W, (K193017);
AcuityDR (K171137);
AcuityDR 1417 (K162552);
AcuityDR 1717 (K162555) | Equivalent
Functionality |
| Operator
console | Touch Control or Touch Screen | SAME | Similar
Functionality |
| Comparable
Properties | CMDR 2CW, made by MinXray
510(k) #: K191451 | AcuityPDR | Comparison
Results |
| Acquisition
Software | dicomPACS® DX-R K141440 | Customer Selects:
AccuVueMED (K152172)
AccuVue (K141440) or
AccuVue+ (K130883) | Equivalent
Functionality
Only cleared
software is
supplied. |
| Photos | Image: CMDR 2CW | Image: AcuityPDR | Similar form
factors |
| Power Source | AC LINE, single or three phase
depending on the generator | AC Line or rechargeable batteries
(Generator only) | SAME. |
| Standards | 60601-1:2005; 60601-1-2:2014
21CFR1020 | SAME
Generators are TUV Tested
AC Line Power Supply is UL Listed
See list below. | SAME |

4. Technological characteristics: Comparison Table

5

  1. 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 |
|------------------------------|----------------------------------------|-----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 19-4 | IEC | 60601-1:2005/(R)2012
And A1:2012 | 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 |

6

| FDA
Recognition
Number | Standard
Developing
Organization | Standard Designation
Number And Date | Title Of Standard |
|------------------------------|----------------------------------------|-----------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 12-269 | IEC | 60601-1-3 Edition 2.1
2013-04 | Medical electrical equipment - Part 1-3: General requirements for
basic safety and essential performance - Collateral Standard:
Radiation protection in diagnostic X-ray equipment |
| 12-296 | IEC | 60601-2-54 -
2009+AMD1 :
2015+AMD2:2018 | Particular Requirements For The Basic Safety And Essential
Performance Of X-Ray Equipment for Radiography and
Radioscopy |
| 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. Applicable components carry a certification label (UL, ETL, etc.). The digital panel software employed was used unmodified from clearances obtained from FDA. Since 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 Druq Administration Stoff October 2014. As a result, we updated our own internal standard operating procedures and added cybersecurity precautions to the software users' manuals. The generator User Manual has been updated to add Pediatric Considerations. Each system is tested for proper integration prior to shipment to the customer.

  1. Clinical testing. Not required for a determination of substantial equivalence.

7. Substantial Equivalence Discussion.

The RadmediX AcuityPDR 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.

8. Substantial Equivalence Conclusion:

After analyzing bench test results, risk analysis, and clinical evaluation, it is the conclusion of RadmediX LLC that the RadmediX AcuityPDR is as safe and effective as the predicate device, has few technological differences, and has the same indications for use, thus rendering it substantially equivalent to the predicate device.