K Number
K211108
Device Name
Prudent 1717, Prudent 1417, Prudent 1212
Date Cleared
2021-06-04

(51 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Indicated for use in general radiographic images of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding fluoroscopic, angiographic, and mammographic applications.
Device Description
The Prudent 1717, Prudent 1417, Prudent 1212 are digital radiography systems, featuring an integrated flat panel digital detector (FPD). It is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the updated panels are the same as our previous panel retaining the Wi-Fi wireless features and rechargeable battery operation. The Prudent 1717 is available in 3 pixel sizes: 100/140/168 um whereas the Prudent 1417, Prudent 1212 are available in two pixel sizes: 100/140 µm. The available resolutions vary according to the comparison table below. All of the models are Wi-Fi wired) and rechargeable battery (or AC line) operated. The device employs the same software as cleared in the predicate with only minor changes made.
More Information

No
The summary describes a digital radiography system that replaces film, focusing on hardware features and basic digital imaging capabilities. There is no mention of AI, ML, or advanced image processing beyond standard digital conversion.

No
The device is indicated for use in general radiographic images of human anatomy, replacing film/screen systems for diagnostic procedures. It is used for imaging, not for treating or preventing disease.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures".

No

The device description explicitly states it is a "digital radiography system, featuring an integrated flat panel digital detector (FPD)" and mentions hardware components like the detector, battery, and Wi-Fi capabilities. This indicates it is a hardware device with integrated software, not a software-only medical device.

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

Here's why:

  • Intended Use: The intended use clearly states it's for "general radiographic images of human anatomy" and is intended to "replace radiographic film/screen systems." This describes an imaging device used to visualize internal structures of the body, not a device used to examine specimens (like blood, urine, or tissue) outside of the body.
  • Device Description: The description details a "digital radiography system, featuring an integrated flat panel digital detector (FPD)." This is consistent with an X-ray imaging system.
  • Input Imaging Modality: The input modality is explicitly stated as "X-ray," which is a form of medical imaging, not an in vitro diagnostic technique.
  • Anatomical Site: The anatomical site is "human anatomy," indicating it's used to image the body directly.

IVD devices are used to examine specimens obtained from the human body to provide information for diagnosis, monitoring, or treatment. This device is used to create images of the human body itself.

N/A

Intended Use / Indications for Use

Indicated for use in general radiographic images of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding fluoroscopic, angiographic, and mammographic applications.

Product codes

MQB

Device Description

The Prudent 1717, Prudent 1417, Prudent 1212 are digital radiography systems, featuring an integrated flat panel digital detector (FPD). It is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the updated panels are the same as our previous panel retaining the Wi-Fi wireless features and rechargeable battery operation. The Prudent 1717 is available in 3 pixel sizes: 100/140/168 um whereas the Prudent 1417, Prudent 1212 are available in two pixel sizes: 100/140 µm. The available resolutions vary according to the comparison table below. All of the models are Wi-Fi wired) and rechargeable battery (or AC line) operated. The device employs the same software as cleared in the predicate with only minor changes made.

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

Bench Testing:

  • Study Type: IEC Standards for Electrical Safety and Electromagnetic Compatibility, and Battery Safety Tests.
  • Sample Size: Not specified.
  • Key Results: Standards met for Electrical safety (IEC/UL 60601-1), Electromagnetic Compatibility (IEC 60601-1-2), and Battery safety (IEC 62133 Edition 2.0).
  • Risk analysis conducted per ISO 14971:2012 and EN 62304.
  • Software Validation Report for Revision 5 produced.
  • MTF and DQE measurements made per Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices.
  • Battery life testing confirmed 6-8 hours/480-600 images.
  • Usability evaluated per IEC 62366-1:2015, concluding safe use.
  • Cybersecurity precautionary labeling added per FDA guidance.

Clinical Testing:

  • Study Type: Clinical images obtained in accordance with Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices.
  • Sample Size: Not specified.
  • Key Results: Images evaluated by a Board Certified Radiologist and found to be of excellent diagnostic quality.

Key Metrics

  • Limiting Resolution: 5.0 lp/mm, 3.6 lp/mm, 3.0 lp/mm (for Prudent 1717, 1417, 1212 respectively).
  • DQE(CSI): At 2 lp/mm: 60 % / 44% / 47% (@100/140/168 um respectively). Same or better than alternate predicate.
  • MTF(CSI): At 1 lp/mm: 70%, 53%, 55% (@100/140/168 um respectively). Better than alternate predicate.
  • DOE(GOS): At 1 lp/mm: 36%, 27%, 30% (@100/140/168 um respectively). Better than alternate predicate.
  • MTF(GOS): At 1 lp/mm: 56%, 55%, 54% (@100/140/168 um respectively). Better than alternate predicate.

Predicate Device(s)

K182533 PIXX 1717; PIXX 1212; Digital Diagnostic X-Ray Receptor Panels

Reference Device(s)

K202995, K201932

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.

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Image /page/0/Picture/10 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left side of the logo is the Department of Health and Human Services emblem. To the right of the emblem is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue font. The word "FDA" is in a larger font size than the rest of the text.

PIXXGEN Corporation % Mr. Daniel Kamm Principal Engineer Kamm & Associates 8870 Ravello Ct NAPLES FL 34114

Re: K211108

Trade/Device Name: Prudent 1717, Prudent 1417, Prudent 1212 Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: April 14, 2021 Received: April 15, 2021

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

June 4, 2021

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) K211108

Device Name Prudent 1717, Prudent 1417, Prudent 1212

Indications for Use (Describe)

Indicated for use in general radiographic images of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding fluoroscopic, angiographic applications.

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 510(k) Number K211108 PIXXGEN Corporation 5F, SMART BAY, 123, Beolmal-ro, Dongan-gu, Anyang-si, Gyeonggi-do, 431804, Korea Tel +82.70.4846.8888 Date Prepared: April 29, 2021 Contact: Young Kim, President

1. Identification of the Device:

Proprietary-Trade Names: Prudent 1717, Prudent 1417, Prudent 1212 Classification Name: Solid State X-Ray Imager (Flat Panel/Digital Imager), Common/Usual Name: Digital X-Ray Receptor Panel Device Class/Regulation Number: Class II per regulation 892.1680 Product Code: MQB

    1. Equivalent legally marketed device: K182533 PIXX 1717; PIXX 1212; Digital Diagnostic X-Ray Receptor Panels Classification Name: Solid State X-Ray Imager (Flat Panel/Digital Imager) MQB,
      Common/Usual Name: Digital X-Ray Receptor Panel

Device Class/Regulation Number: Class II per regulation 892.1680

Product Code: MQB

Alternate Predicate Device 1: (for MTF/DQE comparison) K202995, CareRay Digital Medical Technology Co., Ltd

Proprietary-Trade Name: CareView 3600RF, CareRay Digital Medical Technology Co., Ltd.

Classification Name: Solid State X-Ray Imager (Flat Panel/Digital Imager),

Common/Usual Name: Digital X-Ray Receptor Panel

Device Class/Regulation Number: Class II per regulation 892.1680

Product Code: MQB

Alternate Predicate Device 2: (for MTF/DQE comparison) K201932, CareRay Digital Medical Technology Co., Ltd

Proprietary-Trade Name: CareView 1800Cw, CareRay Digital Medical Technology Co., Ltd.

Classification Name: Solid State X-Ray Imager (Flat Panel/Digital Imager),

Common/Usual Name: Digital X-Ray Receptor Panel

Device Class/Regulation Number: Class II per regulation 892.1680 Product Code: MQB

    1. Indications for Use (intended use) Indicated for use in general radiographic images of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures, excluding fluoroscopic, angiographic, and mammographic applications.

4. Description of the Device:

The Prudent 1717, Prudent 1417, Prudent 1212 are digital radiography systems, featuring an integrated flat panel digital detector (FPD). It is designed to perform digital radiographic examinations as a replacement for conventional film. This integrated platform provides the benefits of PACS with the advantages of digital radiography for a filmless environment and improves cost effectiveness. The major functions and principle of operation of the updated panels are the same as our previous panel retaining the Wi-Fi wireless features and rechargeable battery operation. The Prudent 1717 is

4

available in 3 pixel sizes: 100/140/168 um whereas the Prudent 1417, Prudent 1212 are available in two pixel sizes: 100/140 µm. The available resolutions vary according to the comparison table below. All of the models are Wi-Fi wired) and rechargeable battery (or AC line) operated. The device employs the same software as cleared in the predicate with only minor changes made.

    1. Safety and Effectiveness, comparison to predicate device. The results of clinical image inspection, bench, and test laboratory results indicates that the new device is as safe and effective as the predicate device. Clinical images collected demonstrate equal or better image quality as compared to our predicate.
K182533, PIXX 1717, PIXX 1417, PIXX 1212Prudent 1717, Prudent 1417, Prudent 1212
Intended UseIndicated for use in general radiographic
images of human anatomy. It is intended to
replace radiographic film/screen systems in
all general-purpose diagnostic procedures,
excluding fluoroscopic, angiographic, and
mammographic applicationsUNCHANGED
ConfigurationThis submission is for the Digital Panel and
Software only, no generator or stand
provided.UNCHANGED
Pixel Pitch140 μmPrudent 1717: 100/140/168 μm (3 available
pixel sizes)
Prudent 1417: 100/140 μm (2 available pixel
sizes)
Prudent 1212:
100/140 μm (2 available
pixel sizes)
Limiting
Resolution3 lp/mm5.0 lp/mm, 3.6 lp/mm 3.0 lp/mm
(Equal or better)
A/D Conversion16 bitsSAME
Active Area17 x 17 inch
14 x 17 inch
12 x 12 inchSAME
Dimensions(mm)/
Weights(Kg)460(W)x461(L)x15(H)/3.0Kg
385(W) x 460(L) x 15(H)/ 2.8Kg
308.5(W) x 319.5(L) x 15(H)/ 1.9Kg460(W)X460(L)X15(H)/ 3.9Kg
382(W)X460(L)X15(H)/ 3.3Kg
372(W)X315(L)X15(H)/ 2.0Kg
Comparable sizes
Pixels3,072 x 3,072
2,560 x 3,072
2,048 x 2,0481717: 3072x3072/2560x2560/
4302x4302
1417: 2500x3052 / 3534x4302
1212: 2048x2048 / 2864x2864
Similar resolutions
SoftwareOutputs a DICOM imageSAME
DICOMYesYes
ScintillatorCsl or GOSSAME
K182533, PIXX 1717, PIXX 1417, PIXX 1212Prudent 1717, Prudent 1417, Prudent 1212
InterfaceWired: Gigabit Ethernet
(1000BASE-T)
Wireless:IEEE802.11ac, backward compatibleSAME
Power sourceAC Line and/or Rechargeable Lithium
Battery; 5 hours/300 imagesAC Line and/or Rechargeable Lithium
Battery;
68 hours/480600 images
StandardsElectrical Safety per IEC 60601-1:2012 and
EMC per IEC 60601-1-22007+AC:2010 as well
as IEEE802.11ac. Meets FCC requirements
plus IEC 62133 Battery safety.SAME

6. Substantial Equivalence Chart

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Alternate predicatesPrudent 1717, Prudent 1417, Prudent 1212
DQE(CSI)K201932 Alternate predicate At 2 lp/mm 45%At 2 lp/mm 60 % / 44% / 47%
(@100/140/168 um respectively)
Same or better than alternate predicate
MTF(CSI)K201932 Alternate predicate at 1 lp/mm:
35%At 1 lp/mm 70%, 53%, 55%
(@100/140/168 um respectively)
Better than alternate predicate
DOE(GOS)K202995 Alternate predicate at 1 lp/mm 20%At 1 lp/mm 36%, 27%, 30%
(@100/140/168 um respectively)
Better than alternate predicate
MTF(GOS)K202995 Alternate predicate at 1 lp/mm: 50%At 1 lp/mm 56%, 55%, 54%
(@100/140/168 um respectively)
Better than alternate predicate
    1. Summary of Bench Testing Conducted: IEC Standards were employed for: Electrical Safety and Electromagnetic Compatibility, and Battery Safety Tests. Standards met: Electrical safety per: IEC/UL 60601-1, Medical Electrical Equipment – Part 1: General Requirements for Safety. (General) Electromagnetic Compatibility per IEC 60601-1-2, Collateral Standard: Electromagnetic compatibility Requirements and tests. IEC 62133 Edition 2.0 2012-12 Secondary cells and batteries containing alkaline or other non-acid
      electrolytes – Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications

Risk Analysis was conducted in accordance with ISO 14971:2012 and EN 62304. The software remains essentially the same as in K182533 but moved from Revision 4 to Revision 5. A Software Validation Report for Revision 5 was produced.

MTF and DQE measurements were made in accordance with Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices Guidance for Industry and Food and Drug Administration Staff Document issued on: September 1, 2016

Battery life testing was conducted to confirm that the Prudent panels run for 6-8 hours/480-600 images.

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The panels were evaluated for Usability according to IEC 62366-1:2015 Medical devices — Part 1: Application of usability engineering to medical devices. The evaluation concluded that the intended user can safely use the device in the intended environment without use error.

Cybersecurity precautionary labeling was added per the FDA guidance: Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Guidance for Industry and Food and Drug Administration Staff, Document Issued on: October 2, 2014.

    1. Summary of Clinical Testing: Clinical images obtained in accordance with Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices 1 Guidance for Industry and Food and Drug Administration Staff Document issued on: September 1, 2016. The images were evaluated by a Board Certified Radiologist and found to be of excellent diagnostic quality.
    1. Conclusion: After analyzing bench, clinical image, and external laboratory testing to applicable standards, it is the conclusion of Pixxgen that the Prudent 1417, Prudent 1417, Prudent 1212 Digital Diagnostic X-Ray Receptor Panels are as safe and effective as the predicate device, have few technological differences, and has the identical indications for use, thus rendering them substantially equivalent to the predicate device.