K Number
K221512
Device Name
Vivix-S FW (Model: FXRD-2530FAW, FXRD-3643FAW, FXRD-4343FAW)
Manufacturer
Date Cleared
2022-07-20

(57 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
VIVIX-S FW series is used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film/ screen systems. The VIVIX-S FW series is not intended for mammography applications.
Device Description
VIVIX-S -FW, a series for of flat panel detectors models named; FXRD-2530FAW, FXRD-3643FAW, FXRD-4343FAW, with imaging areas of 25cm x 30cm, 36cm x 43cm, 43cm x 43cm, respectively. The detectors can acquire static images as well as fluoroscopic images up to 6fps. The device intercepts x-ray photons and the scintillator (Cesium lodide) emits visible spectrum photons that illuminate an array of photo (a-SI)-detectors that create electrical signals. After the electrical signals are generated, it is converted to digital value is transmitted either by wire via cable or wirelessly through a system control unit (SCU), and the software called Vxvue acquires and processes the data values from the detector. The SW is of moderate level of concern. On the Vxvue, the use can view as well as perform basic manipulations such as (rotation, enlargement, etc.) on the acquired images. These devices should be integrated with an operating PC and an X-Ray generator. It can be utilized to digitalize x-ray images and transfer for radiography diagnostic.
More Information

Not Found

No
The description mentions basic image processing and manipulation (rotation, enlargement) but does not describe any features or processes that indicate the use of AI or ML. There is no mention of AI, DNN, or ML in the text, nor is there any description of training or test sets typically associated with ML model development.

No.
The device is used for general-purpose diagnostic procedures by acquiring and processing x-ray images, which is not a therapeutic function.

Yes
The "Intended Use / Indications for Use" section explicitly states that the "VIVIX-S FW series is used for the general-purpose diagnostic procedures."

No

The device description clearly outlines hardware components (flat panel detectors, scintillator, photo-detectors, system control unit) that are integral to the device's function of acquiring X-ray images. While software is mentioned for data acquisition and processing, it is part of a larger hardware system.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • Device Function: The VIVIX-S FW series is an X-ray detector. It captures X-ray images of the internal structures of the body. It does not analyze biological samples.
  • Intended Use: The intended use is for "general-purpose diagnostic procedures" using X-rays, which is an imaging modality, not an in vitro test.

Therefore, based on the provided information, the VIVIX-S FW series is a medical imaging device, specifically an X-ray detector, and not an IVD.

N/A

Intended Use / Indications for Use

VIVIX-S FW series is used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film/ screen systems. The VIVIX-S FW series is not intended for mammography applications.

Product codes

MQB

Device Description

VIVIX-S -FW, a series for of flat panel detectors models named; FXRD-2530FAW, FXRD-3643FAW, FXRD-4343FAW, with imaging areas of 25cm x 30cm, 36cm x 43cm, 43cm x 43cm, respectively. The detectors can acquire static images as well as fluoroscopic images up to 6fps.

The device intercepts x-ray photons and the scintillator (Cesium Iodide) emits visible spectrum photons that illuminate an array of photo (a-SI)-detectors that create electrical signals. After the electrical signals are generated, it is converted to digital value is transmitted either by wire via cable or wirelessly through a system control unit (SCU), and the software called Vxvue acquires and processes the data values from the detector. The SW is of moderate level of concern. On the Vxvue, the use can view as well as perform basic manipulations such as (rotation, enlargement, etc.) on the acquired images. These devices should be integrated with an operating PC and an X-Ray generator. It can be utilized to digitalize x-ray images and transfer for radiography diagnostic.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Not Found

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

A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted.

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

A comparison test was conducted between the subject devices (VIVIX-S VW) and the predicate device on the items such as DQE, MTF and spatial resolution. These detectors comply with the following international and FDA-recognized consensus standards:

  • 21CFR1020.30, Diagnostic X-ray Systems and their major components
  • 21CFR1020.31, Radiographic equipment
  • IEC 60601-1 Medical Electrical Equipment -- Part 1: General Requirements for Basic Safety and Essential Performance.
  • CAN/CSA-C22.2 No. 60601-1 (2008) (Medical Equipment –Part 1 : General Requirements for Basic Safety and Essential Performance) (includes National Differences for Canada)
  • ANSI/AAMI ES60601-1 (2005+ C1:09+A2:10) (Medical Electrical Equipment Part 1
  • IEC 60601-1-2 Medical Electrical Equipment Part 1-2 : General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests

Test results are all a pass, and they indicate device safety and effectiveness.

A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted, and the study confirmed that the new x-ray detectors VIVIX-S FW provide images of equivalent diagnostic capability to the predicate devices, the VIVIX-S 4343VW, VIVIX-S 3643VW, VIVIX-S 2530VW and its results demonstrate substantial equivalence.

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

Not Found

Predicate Device(s)

K200418

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 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, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 20, 2022

Vieworks Co., Ltd. % Ms. Priscilla Chung Regulatory Affairs Consultant LK Consulting Group USA. Inc. 18881 Von Karman Avenue, Suite 160 IRVINE CA 92612

Re: K221512

Trade/Device Name: VIVIX-S FW (Model: FXRD-4343FAW, FXRD-3643FAW, FXRD-2530FAW) Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: Mav 24, 2022 Received: May 27, 2022

Dear Ms. Chung:

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

1

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-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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,

Laurel Burk, Ph.D. Assistant Director Diagnostic X-Ray Systems Team DHT8B: Division of Radiological Imaging Devices and Electronic Products OHT8: Office of 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) K221512

Device Name

VIVIX-S FW (Model: FXRD-4343FAW, FXRD-3643FAW, FXRD-2530FAW)

Indications for Use (Describe)

VIVIX-S FW series is used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film/ screen systems. The VIVIX-S FW series is not intended for mammography applications.

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

(K221512)

This 510(k) summary information is prepared in accordance with 21 CFR807.92

1. Date Prepared [21 CFR 807.92(a) (1)]

6/30/2022

2. Submitter's Information [21 CFR 807.92(a) (1)]

Name of Sponsor:Vieworks Co., Ltd.
Address:(Gwanyang-dong) 41-3, Burim-ro 170beon-gil,Dongan-gu
Anyang-si, Gyeonggi-do, 14055 Republic of Korea
Contact Name:Oh, Kevin / Regulatory Affairs Associate
Registration Number:3006013411
Name of Manufacturer:Same as Sponsor

3. Trade Name, Common Name, Classification [21 CFR 807.92(a) (2)]

Trade Name:VIVIX-S FW
Model Name:FXRD-4343FAW, FXRD-3643FAW, FXRD-2530FAW
Common Name:Digital Flat Panel X-ray Detector
Classification Name:Regulation Name: Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR 892.1680
Product Code:MQB
Device Class:2

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

510(k) Number:K200418
Applicant:Vieworks Co., Ltd.
Trade Name:VIVIX-S 4343VW PLUS
Model Name:FXRD-4343VAW PLUS
Common Name:Digital Flat Panel X-ray Detector
Classification Name:Regulation Name: Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR 892.1680
Product Code:MQB
Device Class:2
Decision Date:03/18/2020
Type:Traditional

4

510(k) Number: K200418 Vieworks Co., Ltd. Applicant: Trade Name: VIVIX-S 3643VW PLUS Model Name: FXRD-3643VAW PLUS Digital Flat Panel X-ray Detector Common Name: Classification Name: Regulation Name: Stationary X-Ray System Classification Panel: Radiology Classification Regulation: 21 CFR 892.1680 Product Code: MQB Device Class: 2 Decision Date: 03/18/2020 Type: Traditional 510(k) Number: K200418 Applicant: Vieworks Co., Ltd. Trade Name: VIVIX-S 2530VW PLUS Model Name: FXRD-2530VAW PLUS Common Name: Digital Flat Panel X-ray Detector Classification Name: Regulation Name: Stationary X-Ray System Classification Panel: Radiology Classification Regulation: 21 CFR 892.1680 Product Code: MQB Device Class: 2 03/18/2020 Decision Date: Type: Traditional

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

General Description O

VIVIX-S -FW, a series for of flat panel detectors models named; FXRD-2530FAW, FXRD-3643FAW, FXRD-4343FAW, with imaging areas of 25cm x 30cm, 36cm x 43cm, 43cm x 43cm, respectively. The detectors can acquire static images as well as fluoroscopic images up to 6fps.

The device intercepts x-ray photons and the scintillator (Cesium lodide) emits visible spectrum photons that illuminate an array of photo (a-SI)-detectors that create electrical signals. After the electrical signals are generated, it is converted to digital value is transmitted either by wire via cable or wirelessly through a system control unit (SCU), and the software called Vxvue acquires and processes the data values from the detector. The SW is of moderate level of concern. On the Vxvue, the use can view as well as perform basic manipulations such as (rotation, enlargement, etc.) on the acquired images. These devices should be integrated with an operating PC and an X-Ray generator. It can be utilized to digitalize x-ray images and transfer for radiography diagnostic.

5

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

VIVIX-S FW series is used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film/ screen systems. The VIVIX-S FW series is not intended for mammography applications.

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

Comparisons with the predicate, devices show the technological characteristics of the proposed VIVIX-S FW device to be substantially equivalent to the predicate devices. The proposed devices are functionally similar to the predicate devices.

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

When compared to the predicate devices (K200418), the VIVIX-S FW presented in this submission has the same:

  • Intended Use
  • Technological characteristics
  • Operating principle
  • Design features
  • Communication Method
  • Scintillator Materials
  • Resolution

There is similar performance as follow.

  • Performance (MTF)
  • Performance (DQE)

There are no significant difference between the VIVIX-S FW and the predicate device that would adversely affect the use of the product. It is substantially equivalent to these devices in design, function, materials, operational principles and intended use.

ParameterPredicate DeviceSubject DeviceEquivalence
510(k) NumberK200418--
ManufacturerVieworks Co., Ltd.--
Device NameVIVIX-S 4343VWVIVIX-S 4343FW-
DetectorVIVIX-S 4343VAW PLUSFXRD-4343FAW-
SCUFXRS-04A
FXRP-02AFXRS-04A
FXRP-03APower
Supply
SoftwareVXvueVXvueSoftware
Common NameDigital Flat Panel X-ray Detector-Equivalent
Classification NameSolid State X-Ray Imager (Flat Panel/Digital Imager)-Equivalent
Classification PanelRadiology-Equivalent

6

| Classification

Regulation21 CFR 892.1680Equivalent
Product CodeMQBEquivalent
Device Class2Equivalent
Indications for UseThe VIVIX-S VW detectors
are used for the general-
purpose diagnostic
procedures, and as well as
intended to replace
radiographic film / screen
systems.
The VIVIX-S VW detectors
are not intended for
mammography
applications.The VIVIX-S FW detectors
are used for the general-
purpose diagnostic
procedures, and as well as
intended to replace
radiographic film / screen
systems.
The VIVIX-S VW detectors
are not intended for
mammography
applications.Equivalent
MTFFXRD-4343VAW PLUS:FXRD-4343FAW:
(Measured Values,
at 1lp/mm)6076
DQEFXRD-4343VAW PLUS:FXRD-4343FAW:
(Measured Values,
at 1lp/mm)5345
Spatial Resolution3.5 lp/mm5 lp/mm
ParameterPredicate DeviceSubject DeviceEquivalence
510(k) NumberK200418--
ManufacturerVieworks Co., Ltd.--
Device NameVIVIX-S 3643VW PLUSVIVIX-S 3643FW-
DetectorFXRD-3643VAW PLUSFXRD-3643FAW-
SCUFXRS-04A
FXRP-02AFXRS-04A
FXRP-03APower
Supply
SoftwareVXvueVXvueSoftware
Common NameDigital Flat Panel X-ray DetectorEquivalent
Classification NameSolid State X-Ray Imager (Flat Panel/Digital Imager)Equivalent
Classification PanelRadiologyEquivalent
Classification
Regulation21 CFR 892.1680Equivalent
Product CodeMQBEquivalent
Device Class2Equivalent
Indications for UseThe VIVIX-S VW detectors are used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film / screen systems.
The VIVIX-S VW detectors are not intended forThe VIVIX-S FW detectors are used for the general-purpose diagnostic procedures, and as well as intended to replace radiographic film / screen systems.
The VIVIX-S VW detectors are not intended forEquivalent

7

| | mammography
applications. | mammography
applications. | |
|----------------------------------------|------------------------------|------------------------------|--|
| MTF
(Measured Values,
at 1lp/mm) | FXRD-3643VAW PLUS:
59 | FXRD-3643FAW:
74 | |
| DQE
(Measured Values,
at 1lp/mm) | FXRD-3643VAW PLUS:
51 | FXRD-3643FAW:
41.5 | |
| Spatial Resolution | 3.5lp/mm | 5lp/mm | |

ParameterPredicate DeviceSubject DeviceEquivalence
510(k) NumberK200418--
ManufacturerVieworks Co., Ltd.--
Device NameVIVIX-S 2530VW PLUSVIVIX-S 2530FW-
DetectorFXRD-2530VAW PLUSFXRD-2530FAW-
SCUFXRS-04A
FXRP-02AFXRS-04A
FXRP-03APower
Supply
SoftwareVXvueVXvueSoftware
Common NameDigital Flat Panel X-ray DetectorEquivalent
Classification NameSolid State X-Ray Imager (Flat Panel/Digital Imager)Equivalent
Classification PanelRadiologyEquivalent
Classification
Regulation21 CFR 892.1680Equivalent
Product CodeMQBEquivalent
Device Class2Equivalent
Indications for UseThe VIVIX-S VW detectors
are used for the general-
purpose diagnostic
procedures, and as well as
intended to replace
radiographic film / screen
systems. The VIVIX-S VW
detectors are not intended
for mammography
applications.The VIVIX-S FW detectors
are used for the general-
purpose diagnostic
procedures, and as well as
intended to replace
radiographic film / screen
systems. The VIVIX-S VW
detectors are not intended
for mammography
applications.Equivalent
MTF
(Measured Values,
at 1lp/mm)FXRD-2530VAW PLUS:
60FXRD-2530FAW:
76
DQE
(Measured Values,
at 1lp/mm)FXRD-2530VAW PLUS:
52FXRD-2530FAW:
46
Spatial Resolution4.0 lp/mm4.0 lp/mm

8

9. Summary of Non-Clinical Data

A comparison test was conducted between the subject devices (VIVIX-S VW) and the predicate device on the items such as DQE, MTF and spatial resolution.

These detectors comply with the following international and FDA-recognized consensus standards:

  • · 21CFR1020.30, Diagnostic X-ray Systems and their major components
  • · 21CFR1020.31, Radiographic equipment
    • IEC 60601-1 Medical Electrical Equipment -- Part 1: General Requirements for Basic Safety and Essential Performance.
  • CAN/CSA-C22.2 No. 60601-1 (2008) (Medical Equipment –Part 1 : General Requirements for Basic Safety and Essential Performance) (includes National Differences for Canada)
  • ANSI/AAMI ES60601-1 (2005+ C1:09+A2:10) (Medical Electrical Equipment Part 1
  • · IEC 60601-1-2 Medical Electrical Equipment Part 1-2 : General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests

Test results are all a pass, and they indicate device safety and effectiveness.

10. Summary of Clinical Data

A single-blinded concurrence study according to CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices was conducted, and the study confirmed that the new x-ray detectors VIVIX-S FW provide images of equivalent diagnostic capability to the predicate devices, the VIVIX-S 4343VW, VIVIX-S 3643VW, VIVIX-S 2530VW and its results demonstrate substantial equivalence.

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

The VIVIX-S FW Digital X-ray detectors are substantially equivalent to the currently marketed and predicate devices (K200418) in terms of design features, fundamental scientific technology, indications for use, and safety and effectiveness.

Additionally, Substantial equivalence was demonstrated through the non-clinical performance, which complied with the requirements specified in the international and FDA-recognized consensus standards, IEC60601-1, IEC 60601-1-2, 3 and the clinical test, which complied with the requirements specified in the CDRH's Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices.

The results of these tests demonstrate that VIVIX-S FW Digital X-ray detectors meets the acceptance criteria and is adequate for this intended use. The comparison of technological characteristics, non-clinical performance data, safety testing, and clinical image concurrence data demonstrates that the device is as safe, as effective, and performs as well the predicate devices.