(11 days)
No
The document describes a digital radiography system with updated detectors and software, focusing on hardware changes and bug fixes. There is no mention of AI or ML in the intended use, device description, or performance studies.
No
This device captures digital images for diagnostic purposes and is not described as providing any therapeutic treatment or intervention.
Yes
The intended use states that the device is for "all general purpose diagnostic procedures."
No
The device description explicitly details hardware components such as solid-state x-ray imagers, detectors, and a detector stand. While software is mentioned as being updated, the core device is a hardware system for capturing radiographic images.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly states the device is for "digital image capture for conventional film/screen radiographic examinations" and to "capture, for display, radiographic images of human anatomy." This describes an imaging device used for diagnostic purposes on the human body, not for testing samples in vitro (outside the body).
- Device Description: The description details an "x-ray imager" that intercepts x-ray photons and converts them into digital images for display. This aligns with medical imaging equipment, not IVD devices which typically analyze biological samples.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any processes associated with in vitro diagnostics.
Therefore, the information provided strongly indicates this is a medical imaging device, not an IVD.
N/A
Intended Use / Indications for Use
The DIGITAL RADIOGRAPHY CXDI-Elite / E1 provides digital image capture for conventional film/screen radiographic examinations. This device is intended to capture, for display, radiographic images of human anatomy, and to replace radiographic film/screen systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.
Product codes (comma separated list FDA assigned to the subject device)
MQB
Device Description
The DIGITAL RADIOGRAPHY CXDI-Elite, also called the DIGITAL RADIOGRAPHY E1, (hereinafter referred to as CXDI-Elite) is a solid-state x-ray imager. The CXDI-Elite is a series of detectors, and in the predicate device consists of the CXDI-720C Wireless detector unit, also called the AR-E3543W detector. The detector intercepts x-ray photons, and the scintillator emits visible spectrum photons that illuminate an array of photodetectors that create electrical signals. After the electrical signals are generated, the signals are converted to digital values, and the images will be displayed on monitors. The digital value can be communicated to the operator console via a wired or wireless connection.
The subject of this Special 510(k) submission is a change to the CXDI-Elite to add new detectors, the CXDI-420C Wireless (also called AR-E4343W) and the CXDI-420C Fixed (also called AR-E4343S), to the CXDI-Elite series of detectors. In addition, a Detector Stand (DS-01) has also been added as a component to be used with both the CXDI-720C Wireless and CXDI-420C Wireless. Compatibility with the Power Box (PB-01), a CXDI-Pro component that was cleared under K220098 has also been added. The CXDI Control Software has been updated from V3.10.0.4 to V3.10.2.2 to fix some bugs, update the GPU driver, and add several minor functional changes. Together, these changes make up the CXDI-Elite.
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 (study type, sample size, AUC, MRMC, standalone performance, key results)
The fundamental scientific technology of the CXDI-Elite has not been modified. The changes are the addition of new detectors CXDI-420C Wireless (AR-E4343W) and CXDI-420C Fixed (AR-E4343S); the addition of an optional accessory, the Detector Stand (DS-01); the update to the CXDI Control Software from 3.10.0.4 to 3.10.2.2; and the update to the detector firmware from 02.00.00.03 to F2.00.03.00.
Evaluation of the addition of the new detector and optional accessories confirmed that the changes did not impact CXDI-Elite conformance with the U.S. Performance Standard for radiographic equipment and with relevant voluntary safety standards for Electrical safety and Electromagnetic Compatibility testing, specifically IEC standards 60601-1, 60601-1-2, 60601-2-54, and 60601-1-6.
These verification/validation activities successfully demonstrated that the device continues to meet the standards for the areas impacted by the modifications to the predicate device and raises no new questions regarding either safety or effectiveness when compared to the predicate device. Clinical testing is not necessary for the current submission, based on the minor differences from the predicate device. Adequate detector bench testing should be sufficient to demonstrate that the subject detector CXDI-Elite / E1 works as intended. Therefore, the verification/validation activities conducted support a determination of substantial equivalence for the CXDI-Elite.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
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
June 14, 2022
Image /page/0/Picture/1 description: The image contains two logos. The logo on the left is the Department of Health & Human Services logo. The logo on the right is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.
Canon Inc. % Mr. Gregory Woodard Biomedical Engineer Ken Block Consulting, LLC 800 East Campbell Road, Suite 202 RICHARDSON TX 75081
Re: K221620
Trade/Device Name: Digital Radiography CXDI-Elite, Digital Radiography E1 Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: June 2, 2022 Received: June 3, 2022
Dear Mr. Woodard:
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 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 DHT 8B: Division of Radiological Imaging and Electronic Products OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
2
Indications for Use
510(k) Number (if known) K221620
Device Name DIGITAL RADIOGRAPHY CXDI-Elite DIGITAL RADIOGRAPHY El
Indications for Use (Describe)
The DIGITAL RADIOGRAPHY CXDI-Elite / El provides digital image capture for conventional film/screen radiographic examinations. This device is intended to capture, for display, radiographic images of human anatomy, and to replace radiographic film/screen systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.
| Type of Use (Select one or both, as applicable) |
|---|
| ☑ Research Use Only (21 CFR 201.3 Subject to 501(e)) |
| ☐ Over-The-Counter Use Only (21 CFR 201.3 Subject to 501(e)) |
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
K221620
Image /page/3/Picture/1 description: The image shows the Canon logo in red, with the text "510(k) SUMMARY" written in black below it. The Canon logo is a stylized version of the company's name. The text "510(k) SUMMARY" is written in a simple, sans-serif font. The image is likely from a document related to the regulatory approval process for a medical device manufactured by Canon.
| Applicant/
Sponsor: | Canon Inc.
9-1 Imaikami-cho
Nakahara-ku, Kanagawa 211-8501 JAPAN | |
|-------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Mr. Akira Hirai
General Manager
TEL: 81-3-3758-2111
FAX: 044-739-6695
hirai.akira@mail.canon | |
| Date Prepared: | June 10, 2022 | |
| Proposed Device | Manufacturer:
Trade Name: | Canon Inc.
DIGITAL RADIOGRAPHY CXDI-Elite
DIGITAL RADIOGRAPHY E1 |
| | Common Name:
Classification Name:
Product Code:
Regulation: | Solid State X-Ray Imager (Flat Panel/Digital Imager)
Stationary X-ray System
MQB
892.1680, Stationary X-ray System |
| Predicate Device: | Clearance:
Manufacturer:
Trade Name: | K213780
Canon Inc.
DIGITAL RADIOGRAPHY CXDI-Elite
DIGITAL RADIOGRAPHY E1 |
| | Common Name:
Classification Name:
Product Code:
Regulation: | Solid State X-ray Imager (Flat Panel/Digital Imager)
Stationary X-ray System
MQB
892.1680, Stationary X-ray System |
| Device
Description: | The DIGITAL RADIOGRAPHY CXDI-Elite, also called the DIGITAL
RADIOGRAPHY E1, (hereinafter referred to as CXDI-Elite) is a solid-state x-ray
imager. The CXDI-Elite is a series of detectors, and in the predicate device consists of
the CXDI-720C Wireless detector unit, also called the AR-E3543W detector. The
detector intercepts x-ray photons, and the scintillator emits visible spectrum photons
that illuminate an array of photodetectors that create electrical signals. After the
electrical signals are generated, the signals are converted to digital values, and the
images will be displayed on monitors. The digital value can be communicated to the
operator console via a wired or wireless connection. | |
| | The subject of this Special 510(k) submission is a change to the CXDI-Elite to add new
detectors, the CXDI-420C Wireless (also called AR-E4343W) and the CXDI-420C
Fixed (also called AR-E4343S), to the CXDI-Elite series of detectors. In addition, a
Detector Stand (DS-01) has also been added as a component to be used with both the
CXDI-720C Wireless and CXDI-420C Wireless. Compatibility with the Power Box
(PB-01), a CXDI-Pro component that was cleared under K220098 has also been added.
The CXDI Control Software has been updated from V3.10.0.4 to V3.10.2.2 to fix some
bugs, update the GPU driver, and add several minor functional changes. Together, these
changes make up the CXDI-Elite. | |
| Indications for
Use: | The DIGITAL RADIOGRAPHY CXDI-Elite / E1 provides digital image capture for
conventional film/screen radiographic examinations. This device is intended to capture,
for display, radiographic images of human anatomy, and to replace radiographic
film/screen systems in all general purpose diagnostic procedures. This device is not
intended for mammography applications. | |
| Summary of
Technological
Characteristics: | Comparison with the predicate device shows the technological characteristics of the
CXDI-Elite is substantially equivalent to the predicate device. The flat panel detector
units are functionally similar, but one of the proposed detectors, CXDI-420C Fixed,
removes Standalone Mode as a photographing mode. | |
4
Image /page/4/Picture/0 description: The image shows the word "Canon" in a stylized, red font. Below the word "Canon" is the text "510(k) SUMMARY" in a bold, black font. The text is centered below the Canon logo. The image appears to be a document header or title page.
The major differences between the CXDI-Elite and the predicate are differences in standard and optional components, newer version of CXDI control software, difference in case material, and a photographing mode not available in the predicate device. The proposed indications for use statement is identical to the predicate device.
| Proposed Device | Predicate Device | ||
|---|---|---|---|
| Trade Name | DIGITAL RADIOGRAPHY CXDI-Elite / E1 | DIGITAL RADIOGRAPHY CXDI-Elite / E1 | |
| 510(k) Submitter | |||
| [Number] | Canon Inc. | ||
| [TBD] | Canon Inc. | ||
| [K213780] | IDENTICAL | ||
| Indication for Use | The DIGITAL RADIOGRAPHY CXDI-Elite / E1 | ||
| provides digital image capture for conventional | |||
| film/screen radiographic examinations. This device is | |||
| intended to capture, for display, radiographic images of | |||
| human anatomy, and to replace radiographic | |||
| film/screen systems in all general purpose diagnostic | |||
| procedures. This device is not intended for | |||
| mammography applications. | The DIGITAL RADIOGRAPHY CXDI- | ||
| Elite / E1 provides digital image capture | |||
| for conventional film/screen radiographic | |||
| examinations. This device is intended to | |||
| capture, for display, radiographic images | |||
| of human anatomy, and to replace | |||
| radiographic film/screen systems in all | |||
| general purpose diagnostic procedures. | |||
| This device is not intended for | |||
| mammography applications. | IDENTICAL | ||
| Application | General Radiography | General Radiography | IDENTICAL |
| Components | CXDI-720C Wireless and CXDI-420C Wireless: | ||
| Detector (Sensor) | |||
| Battery Pack (LB-4A) | |||
| Battery Charger (BC-01/BC-1A) | |||
| Multi Box (MB-02) | |||
| Status Indicator (SI-01/SI-4A) | |||
| Wiring Cable (WC-01) | |||
| PC Connection Cable (CP-01) | |||
| Ready Indicator (RI-3A) | |||
| X-ray Interface Box (XB-1A) | |||
| Detector Stand (DS-01) | |||
| CXDI-420C Fixed: | |||
| Detector (Sensor) | |||
| Multi Box (MB-02) | |||
| Status Indicator (SI-01/SI-4A) | |||
| Ready Indicator (RI-3A) | |||
| X-ray Interface Box (XB-1A) | Detector (Sensor) | ||
| Battery Pack (LB-4A) | |||
| Battery Charger (BC-01/BC-1A) | |||
| Multi Box (MB-02) | |||
| Status Indicator (SI-01/SI-4A) | |||
| Wiring Cable (WC-01) | |||
| PC Connection Cable (CP-01) | |||
| Ready Indicator (RI-3A) | |||
| X-ray Interface Box (XB-1A) | MODIFIED | ||
| Other Compatible | |||
| Components | Power Box (PB-01) | N/A | MODIFIED |
| Software | CXDI Control Software V3.10 | CXDI Control Software V3.10 | MODIFIED |
| Detector | CXDI-720C Wireless (AR-E3543W) | ||
| CXDI-420C Wireless (AR-E4343W) | |||
| CXDI-420C Fixed (AR-E4343S) | CXDI-720C Wireless | ||
| (AR-E3543W) | MODIFIED |
5
Image /page/5/Picture/0 description: The image contains the word "Canon" in a large, bold, red font. Below the word "Canon" is the text "510(k) SUMMARY" in a smaller, bold, black font. The text is centered below the word "Canon".
| Pixel Pitch | 125μm | 125µm | IDENTICAL |
|---|---|---|---|
| Scintillator | CsI(Tl) | ||
| [Cesium Iodide doped with Thallium] | CsI(Tl) | ||
| [Cesium Iodide doped with Thallium] | IDENTICAL | ||
| Spatial | |||
| Resolution | 45% [MTF@2lp/mm] | 45% [MTF@2lp/mm] | IDENTICAL |
| DQE | 67% [@0.5 lp/mm, 3.5 uGy] | 67% [@0.5 lp/mm, 3.5 uGy] | IDENTICAL |
| IP Level | CXDI-720C Wireless: IP57 | ||
| CXDI-420C Wireless: IP57 | |||
| CXDI-420C Fixed: N/A | IP57 | MODIFIED | |
| Wireless | |||
| Communication | IEEE 802.11a/b/g/n/ac | ||
| 2.4GHz/5GHz | |||
| Bluetooth Low Energy | |||
| (only for CXDI-720C Wireless and CXDI-420C | |||
| Wireless) | IEEE 802.11a/b/g/n/ac | ||
| 2.4GHz/5GHz | |||
| Bluetooth Low Energy | IDENTICAL | ||
| External | |||
| Dimensions | CXDI-720C Wireless: 384 x 460 x 15.5 mm | ||
| CXDI-420C Wireless: 460 x 460 x 15.5 mm | |||
| CXDI-420C Fixed: 460 x 460 x 15.3 mm | 384 x 460 x 15.5 mm | MODIFIED | |
| Photographing | |||
| Mode | Standard Synchronization Mode, | ||
| Standard Synchronization Mode with Built in AEC | |||
| Assistance, | |||
| Non Generator Connection Mode, | |||
| Standalone Mode (only for CXDI-720C Wireless and | |||
| CXDI-420C Wireless) | Standard Synchronization Mode, | ||
| Standard Synchronization Mode with | |||
| Built in AEC Assistance, | |||
| Non Generator Connection Mode, | |||
| Standalone Mode | MODIFIED |
Summary of Non-Clinical / Test Data:
The fundamental scientific technology of the CXDI-Elite has not been modified. The changes are the addition of new detectors CXDI-420C Wireless (AR-E4343W) and CXDI-420C Fixed (AR-E4343S); the addition of an optional accessory, the Detector Stand (DS-01); the update to the CXDI Control Software from 3.10.0.4 to 3.10.2.2; and the update to the detector firmware from 02.00.00.03 to F2.00.03.00.
Evaluation of the addition of the new detector and optional accessories confirmed that the changes did not impact CXDI-Elite conformance with the U.S. Performance Standard for radiographic equipment and with relevant voluntary safety standards for Electrical safety and Electromagnetic Compatibility testing, specifically IEC standards 60601-1, 60601-1-2, 60601-2-54, and 60601-1-6.
These verification/validation activities successfully demonstrated that the device continues to meet the standards for the areas impacted by the modifications to the predicate device and raises no new questions regarding either safety or effectiveness when compared to the predicate device. Clinical testing is not necessary for the current submission, based on the minor differences from the predicate device. Adequate detector bench testing should be sufficient to demonstrate that the subject detector CXDI-Elite / E1 works as intended. Therefore, the verification/validation activities conducted support a determination of substantial equivalence for the CXDI-Elite.
The proposed device follows the applicable elements of the following FDA guidance documents: Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices, Guidance for the Content of Premarket Submissions for Software contained in Medical Devices, Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process", Radio Frequency Wireless Technology in Medical Devices, and Pediatric Information for X-ray Imaging Device Premarket Notifications.
Canon Inc. considers the DIGITAL RADIOGRAPHY CXDI-Elite / E1 device to be Conclusion: substantially equivalent to the predicate device listed above. This conclusion is based on
6
Image /page/6/Picture/0 description: The image shows the word "Canon" in red font at the top. Below the word "Canon" is the text "510(k) SUMMARY" in black font. The text is centered below the word "Canon". The image appears to be a document header.
the similarities in primary intended use, principles of operation, functional design, and established medical use.