K Number
K201932
Device Name
X-ray Flat Panel Detectors (CareView 1800Cwe /CareView 1500Cwe)
Date Cleared
2020-08-07

(25 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CareView 1800Cwe/ CareView 1500Cwe detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. This product is not intended for mammography applications.
Device Description
The CareView 1800Cwe/ CareView 1500Cwe detector is a class of digital X-ray flat panel detector that has an imaging area of 430mm×430mm×356mm. The detector communicates with wireless and an optional wired communication feature (Giga-bit Ethernet communication mode via connecting the power box). The detector functions by intercepting X-ray photons. Then the scintillator emits visible spectrum photons that illuminate an array of photo detectors (a-Si) that create electrical signals. The electrical signals are then digitally converted to display an image on the monitor. The detector should be connected to a computer and X-ray generator to digitize X-ray images and transfer radiography diagnostics. The x-ray generator, an essential part of a full x-ray system, is not part of the subject medical device. The software that supports the functions of the digital detector CareView 1800Cwe/ CareView 1500Cwe is unchanged from the predicate. And the API for the digital detector CareView 1800Cwe/ CareView 1500Cwe is the same as that for the predicate device. Besides, there are only minor differences between the firmware for the CareView 1800Cwe/ CareView 1500Cwe and predicate device except to support battery supply and wireless communication. Generally, CareView 1800Cwe is the same as the cleared product, CareView 1800Le except the wireless function. And CareView 1500Cwe is the same as the cleared product, CareView 1800Le except the wireless function and dimension.
More Information

Not Found

No
The description focuses on the hardware (detector, scintillator, photo detectors) and basic digital conversion. There is no mention of AI, ML, or advanced image processing beyond simple signal conversion. The software is stated to be unchanged from the predicate, and the firmware changes are related to battery and wireless communication, not AI/ML functionality.

No
The device is described as a digital X-ray flat panel detector for general radiographic diagnosis, which is used for imaging and not for therapy.

Yes
The intended use explicitly states, "The CareView 1800Cwe/ CareView 1500Cwe detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy." This indicates its role in diagnosis.

No

The device description clearly states it is a "digital X-ray flat panel detector" with a physical imaging area and components like a scintillator and photo detectors, indicating it is a hardware device. While it includes software and firmware, it is not solely software.

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

Here's why:

  • Intended Use: The intended use clearly states "providing general radiographic diagnosis of human anatomy." This involves imaging the internal structures of the body using X-rays.
  • Device Description: The device is described as a "digital X-ray flat panel detector" that captures X-ray photons and converts them into digital images.
  • Function: The device's function is to create images for diagnostic purposes, not to perform tests on biological samples (like blood, urine, or tissue) outside of the body, which is the hallmark of an IVD.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is an imaging device used directly on the patient.

N/A

Intended Use / Indications for Use

The CareView 1800Cwe/ CareView 1500Cwe detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. This product is not intended for mammography applications.

Product codes

MQB

Device Description

The CareView 1800Cwe/ CareView 1500Cwe detector is a class of digital X-ray flat panel detector that has an imaging area of 430mm×430mm×356mm. The detector communicates with wireless and an optional wired communication feature (Giga-bit Ethernet communication mode via connecting the power box).

The detector functions by intercepting X-ray photons. Then the scintillator emits visible spectrum photons that illuminate an array of photo detectors (a-Si) that create electrical signals. The electrical signals are then digitally converted to display an image on the monitor.

The detector should be connected to a computer and X-ray generator to digitize X-ray images and transfer radiography diagnostics. The x-ray generator, an essential part of a full x-ray system, is not part of the subject medical device.

The software that supports the functions of the digital detector CareView 1800Cwe/ CareView 1500Cwe is unchanged from the predicate. And the API for the digital detector CareView 1800Cwe/ CareView 1500Cwe is the same as that for the predicate device. Besides, there are only minor differences between the firmware for the CareView 1800Cwe/ CareView 1500Cwe and predicate device except to support battery supply and wireless communication.

Generally, CareView 1800Cwe is the same as the cleared product, CareView 1800Le except the wireless function. And CareView 1500Cwe is the same as the cleared product, CareView 1800Le except the wireless function and dimension.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

human anatomy

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K193173

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and 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.

CareRay Digital Medical Technology Co., Ltd. % Leilei Li RA Manager, Regulation Department A2-201/B3-501, Biobay, 218 Xinghu Street, SuZhou Industrial Park, SuZhou, Jiangsu 215123 CHINA

August 7, 2020

Re: K201932

Trade/Device Name: X-ray Flat Panel Detectors (CareView 1800Cwe /CareView 1500Cwe) Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: July 1, 2020 Received: July 13, 2020

Dear Leilei Li:

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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

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

3

510(k) number: K201932

510(k) Summary

4

510(k) Summary

[As required by 21 CFR 807.92]

1. Date Prepared [21 CFR807.92 (a) (1)]

July 01, 2020

2. Submitter's Information [21 CFR807.92 (a) (1)]

Company Name:CareRay Digital Medical Technology Co., Ltd.
Company Address:A2-201/B3-501, Biobay, 218 Xinghu Street, Suzhou
Industrial Park, Suzhou 215123, P. R. China
Contact Person:Ms. Li
Phone Number:(86) 512-86860288
Fax Number:(86) 512-86860388
E-mail:ll.li@careray.com

3. Trade Name, Common Name, Classification [21 CFR807.92(a)(2)]

Trade Name:X-ray Flat Panel Detectors
Model Name:CareView 1800Cwe/ CareView 1500Cwe
Classification Name:Stationary X-ray system
Regulation Number:21 CFR 892.1680
Regulatory Class:Class II
Product Code:MQB

4. Identification of Predicate Device(s) [21 CFR 807.92(a)(3)]

The identified predicates within this submission are as follows:

Manufacturer:CareRay Digital Medical Technology Co., Ltd
Trade Name:X-ray Flat Panel Detectors
Model Name:CareView 1800Le
Classification Name:Stationary X-ray system
Regulation Number:21 CFR 892.1680

5

Regulatory Class:Class II
Product Code:MQB
FDA 510(k) #:K193173

5. Description of the Device [21 CFR 807.92(a)(4)]

The CareView 1800Cwe/ CareView 1500Cwe detector is a class of digital X-ray flat panel detector that has an imaging area of 430mm×430mm×356mm. The detector communicates with wireless and an optional wired communication feature (Giga-bit Ethernet communication mode via connecting the power box).

The detector functions by intercepting X-ray photons. Then the scintillator emits visible spectrum photons that illuminate an array of photo detectors (a-Si) that create electrical signals. The electrical signals are then digitally converted to display an image on the monitor.

The detector should be connected to a computer and X-ray generator to digitize X-ray images and transfer radiography diagnostics. The x-ray generator, an essential part of a full x-ray system, is not part of the subject medical device.

The software that supports the functions of the digital detector CareView 1800Cwe/ CareView 1500Cwe is unchanged from the predicate. And the API for the digital detector CareView 1800Cwe/ CareView 1500Cwe is the same as that for the predicate device. Besides, there are only minor differences between the firmware for the CareView 1800Cwe/ CareView 1500Cwe and predicate device except to support battery supply and wireless communication.

Generally, CareView 1800Cwe is the same as the cleared product, CareView 1800Le except the wireless function. And CareView 1500Cwe is the same as the cleared product, CareView 1800Le except the wireless function and dimension.

6. Intended Use [21 CFR 807.92(a)(5)]

The CareView 1800Cwe/ CareView 1500Cwe detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. This product is not intended for mammography applications.

7. Technological Characteristics [21 CFR 807.92(a)(6)]

| Item | Proposed Device:
X-ray Flat Panel Detectors | | Predicate Device:
X-ray Flat Panel
Detectors |
|---------------|------------------------------------------------|------------------|----------------------------------------------------|
| 510(K) Number | K201932 | | K193173 |
| Model | CareView 1800Cwe | CareView 1500Cwe | CareView 1800Le |

6

Classification NameStationary X-ray systemStationary X-ray system
Product CodeMQBMQB
Regulation Number892.1680892.1680
PanelRadiologyRadiology
ClassIIII
X-ray AbsorberCsl ScintillatorCsl Scintillator
Installation TypeWireless, CassetteWired, Cassette
Readout
MechanismThin Film TransistorThin Film Transistor
Image Matrix Size3072 x 3072 pixels3072 x 2560 pixels3072 x 3072 pixels
Pixel Pitch140µm140µm
Effective Imaging
Area430 mm x 430 mm430 mm x 356 mm430 mm x 430 mm
Grayscale16 bit, 65536 grayscale16 bit, 65536 grayscale
Spatial Resolution3.57 line pair/mm3.57 line pair/mm
~63%.........(@ 1lp/mm)≥63%.........(@ 1lp/mm)
MTF~35%.........(@ 2lp/mm)≥35%.........(@ 2lp/mm)
~17%.........(@ 3lp/mm)≥17%.........(@ 3lp/mm)
(@RQA5, 27µGy)(@RQA5, 30μGy)
DQE~62%.........(@ 0lp/mm)
~45%.........(@ 1lp/mm)≥62%.........(@ 0lp/mm)
≥45%.........(@ 1lp/mm)
~17%.........(@ 3lp/mm)≥17%.........(@ 3lp/mm)
Rated
Power
SupplyDC +24 V, Max.2 ADC +24 V, Max.1.5 ADC +24 V, Max.1 A
Wireless• Powered by the battery● Powered
by
the
Wired• Powered by the power box using interface
cablepower
box
using
interface cable
Wireless
communicationsIEEE 802.11a/b/g/n (2.4 GHz / 5 GHz)/
Network interfaceGigabit EthernetGigabit Ethernet
Imaging PlateCarbon Fiber PlateCarbon Fiber Plate
CoolingAir coolingAir cooling
Dimensions460 mm x 460 mm x
15 mm460 mm x 384 x 15
mm460 mm x 460 mm x 15
mm
Temperature: +5 ~
+35°C
OperationTemperature: +5 ~ +35°CHumidity: 30 ~ 75%
(Non-Condensing)
Humidity: 30 ~ 75% (Non-Condensing)
Atmospheric pressure: 700 ~ 1060 hPaAtmospheric pressure:
700 ~ 1060 hPa
Temperature: -20 ~
+55°C
Temperature: -20 ~ +55 ℃Humidity: 10 ~ 90%
(Non-Condensing)
Storage and
transportationHumidity: 10 ~ 90% (Non-Condensing)
Atmospheric pressure: 700 ~ 1060 hPaAtmospheric pressure:
700 ~ 1060 hPa
APIV4.8.0V4.8.0
FirmwareV0.96eV0.96j
Utilized
FDA1.Guidance for the Submission of 510(k)s forGuidance for the
  1.                         |
    

| guidance documents | | | |
| | Solid State X-ray Imaging Devices
2. The 510(k) Program: Evaluating Substantial
Equivalence in Premarket
Notifications[510(k)]
3. Pediatric Information for X-ray Imaging
Device Premarket Notifications
4. Radio Frequency Wireless Technology in
Medical devices
5. Guidance for the Content of Premarket
Submissions for Software Contained in
Medical Devices
6. Content of Premarket Submissions for
Management of Cybersecurity in Medical
Devices | Submission of
510(k)s for Solid
State X-ray Imaging
Devices
2. The 510(k) Program:
Evaluating
Substantial
Equivalence in
Premarket
Notifications[510(k)]
3. Pediatric Information
for X-ray Imaging
Device Premarket
Notifications
4. Guidance for the
Content of
Premarket
Submissions for
Software Contained
in Medical Devices
5. Content of
Premarket
Submissions for
Management of
Cybersecurity in
Medical Devices | |

7

8. System requirements to operate with other radiographic system components

The submitted medical device is the CareView 1800Cwe/ CareView 1500Cwe digital detector. The other x-ray system components referred below are for information purpose only.

    1. Recommended Generator Specification:
      Energy range: 40~150kVp

mA range: 10~1000mA (depending on the generator power)

ms range: 106300ms to produce 0.11000mAs (depending on the generator power)

Note: To our best knowledge, the detector is compatible with the X-ray generators with the specifications described above. If you have questions regarding the compatibility issue for other generators, please contact your distributor or CareRay.

    1. Application Program Interface (API) for system integration manufacturer Peripheral hardware: CareView detector connected via wired communication. CPU: Intel (R) Core (TM) 2 Duo, 2.93GHz or above

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RAM: 6 GB or higher

Hard disk: 80 GB or higher

Monitor: 1280 x 1024 or higher

OS: Windows XP or Windows 7 or Windows 10

Development environment: MS Visual Studio 2005

    1. X-ray exposure mode
      The synchronous connection mode is the signal transfer mode between the X-ray generator which sends the X-ray and the detector which receives the X-ray.

CareView 1800Cwe/ CareView 1500Cwe supported typical sync mode contains soft sync, manual sync and F²AED modes.

The detector can't provide feedback to the generator to terminate the x-ray exposure.

9. Substantial Equivalence [21 CFR 807.92(b) (1) and 807.92(b)(2)]

  • A Electrical safety and EMC testing
    Electrical, mechanical, environmental safety and performance testing according to IEC/ES 60601-1 was performed, and EMC testing was also conducted in accordance with IEC/EN 60601-1-2. All test results are satisfactory.

Nonclinical and clinical considerations

The proposed device (CareView 1800Cwe/ CareView 1500Cwe) and predicate device (CareView 1800Le) share most of primary product specifications including intended use, technology, material, and imaging principle, power supply method etc. The only difference is the wireless function and dimension.

The difference of wireless function and dimension don't affect the technological parameters and clinical images.

10. Conclusion [21 CFR 807.92(b) (3)]

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification, the CareView 1800Cwe/ CareView 1500Cwe X-ray flat panel detector is substantially equivalent to predicate device CareView 1800Le(K193173). Both propose and predicate devices are same in the intended use, the design principle, the applicable standards and specification. Some characteristics, for example, wireless function and dimension are different. However the test reports in this submission documents provide demonstration that this difference doesn't raise any new questions of safety and effectiveness. Therefore, CareRay Digital Medical Technology Co.,

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Ltd. concludes the CareView 1800Cwe/ CareView 1500Cwe X-ray flat panel detector is substantially equivalent with the predicate device CareView 1800Le(K193173).