K Number
K223550
Device Name
DMX
Manufacturer
Date Cleared
2023-04-10

(136 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DMX is a radiographic system used in hospitals, clinics, and medical practices. The DMX enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult, and bariatric patients. It can also be used for intravenous, small interventions (like biopsy, punctures, etc.) and emergency (trauma, critically ill) applications. Exposures may be taken with the patient sitting, standing, or in the prone position. The DMX is not meant for mammography. The DMX can use a mobile (wired) or portable (wireless) digital detector (not provided with system) for generating diagnostic images by converting x-rays into electronic signals. The DMX is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes
Device Description
The DMX System is a permanently-installed diagnostic x-ray system for general purpose radiographic imaging for use in hospitals, clinics, and medical practices. It is intended to produce diagnostic x-ray images of human anatomy. The DMX System enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities, and may be used on pediatric, adult, and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. The resultant images are evaluated by a radiologist within the diagnostic process prior to the development of a treatment plan. It is not intended for fluoroscopy, angiography, or mammography. The DMX System typically includes a tube support, x-ray tube, radiographic table, radiographic wall stand, and collimator. Systems that include the overhead tube crane provide autotracking of the tube crane based on the position of the radiographic table or wall stand.
More Information

Not Found

No
The summary describes a standard radiographic system with features like autotracking, but there is no mention of AI or ML for image processing, analysis, or other functions.

No
The device is a diagnostic x-ray system, used to produce images for evaluation by a radiologist prior to forming a treatment plan, not for therapy itself.

Yes

The device description explicitly states, "The DMX System is a permanently-installed diagnostic x-ray system for general purpose radiographic imaging for use in hospitals, clinics, and medical practices. It is intended to produce diagnostic x-ray images of human anatomy."

No

The device description explicitly lists hardware components such as a tube support, x-ray tube, radiographic table, radiographic wall stand, and collimator, indicating it is a physical radiographic system, not software only.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The DMX is a radiographic system that uses X-rays to create images of the internal structures of the body. It does not analyze biological samples.
  • Intended Use: The intended use clearly states it's for radiographic exposures of the whole body for diagnostic imaging. This is an in vivo (within the living body) diagnostic method, not in vitro.

Therefore, the DMX system falls under the category of medical imaging devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The DMX is a radiographic system used in hospitals, clinics, and medical practices. The DMX enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult, and bariatric patients. It can also be used for intravenous, small interventions (like biopsy, punctures, etc.) and emergency (trauma, critically ill) applications. Exposures may be taken with the patient sitting, standing, or in the prone position. The DMX is not meant for mammography. The DMX can use a mobile (wired) or portable (wireless) digital detector (not provided with system) for generating diagnostic images by converting x-rays into electronic signals. The DMX is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes

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

KPR

Device Description

The DMX System is a permanently-installed diagnostic x-ray system for general purpose radiographic imaging for use in hospitals, clinics, and medical practices. It is intended to produce diagnostic x-ray images of human anatomy.

The DMX System enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities, and may be used on pediatric, adult, and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. The resultant images are evaluated by a radiologist within the diagnostic process prior to the development of a treatment plan. It is not intended for fluoroscopy, angiography, or mammography.

The DMX System typically includes a tube support, x-ray tube, radiographic table, radiographic wall stand, and collimator. Systems that include the overhead tube crane provide autotracking of the tube crane based on the position of the radiographic table or wall stand.

Below are the specific components in various configurations to form a radiographic system used for general purpose radiographic imaging (see Table 1). Note that the customer supplies their own digital x-ray panel. We do not supply it.

DM-OTC18S - Automatic stitching and tracking overhead tube crane system
DM-OTC18T - Automatic tracking overhead tube crane system
DM-OTC18M - Overhead tube crane system
DM-FMT18T - Automatic tracking floor mounted tube stand system
DM-FMT18M - Floor mounted tube stand system
DM-FMT - Basic floor mounted tube stand system
DM-FWFC - Basic floor to wall / floor to ceiling tube stand system
DM-SARM - Straight arm system

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

Whole body including: skull, chest, abdomen, and extremities

Indicated Patient Age Range

Pediatric, adult, and bariatric patients

Intended User / Care Setting

Used in hospitals, clinics, and medical practices. The intended operators of the DMX System are health care professionals familiar with and responsible for the x-ray examinations being performed.

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)

Performance Testing: Del Medical claims conformance to a signed statement of performance standards. This submission contains performance data and test results to demonstrate conformance with special controls for medical devices containing software for a moderate level of concern per the FDA document Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, issued May 11, 2005. Testing for verification and validation of the device was found acceptable to support the claims of substantial equivalence.

The system was tested and certified to comply with the Radiation Safety Performance Standards of Title 21 of the CFR.

Cybersecurity controls have been implemented per the FDA Guidance: Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Guidance for Industry and Food and Drug Administration Staff.

EMC, mechanical safety, and electrical safety were evaluated according to various FDA-recognized consensus standards. In conclusion, the identified risk of EMC, mechanical, and electrical hazards was mitigated and is substantially equivalent to the predicate device in terms of safety and effectiveness. Clinical testing is not required for a determination of substantial equivalence.

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.

K152767

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.

Not Found

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

§ 892.1680 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/0 description: The image shows the date April 10, 2023. The text is written in a clear, sans-serif font. The date is formatted with the month first, followed by the day and year. The text is black against a white background.

Del Medical, Inc. % Daniel Kamm, P.E. Principal Engineer Kamm & Associates 8870 Ravello Ct Naples, Florida 34114

Re: K223550

Trade/Device Name: DMX Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary X-Ray System Regulatory Class: Class II Product Code: KPR Dated: November 24, 2022 Received: November 25, 2022

Dear Daniel Kamm:

We have reviewed vour 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

1

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 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,

Digitally signed by Gabriela M. Rodal -S

For

Lu Jiang, Ph.D. Assistant Director DHT8B: Division of Imaging Devices and Electronic Products OHT8: Office of Radiological Health Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K223550

Device Name DMX

Indications for Use (Describe)

The DMX is a radiographic system used in hospitals, clinics, and medical practices. The DMX enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult, and bariatric patients. It can also be used for intravenous, small interventions (like biopsy, punctures, etc.) and emergency (trauma, critically ill) applications. Exposures may be taken with the patient sitting, standing, or in the prone position. The DMX is not meant for mammography. The DMX can use a mobile (wireless) digital detector (not provided with system) for generating diagnostic images by converting x-rays into electronic signals. The DMX is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes

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: Del Medical, Inc. DMX X-Ray System, K223550

| Company: | Del Medical, Inc.
241 Covington Dr.
Bloomingdale, IL 60108 |

----------------------------------------------------------------------------

March 25, 2023 Date Prepared:

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR §807.92.

1. General Information:

Establishment/Manufacturer/Location of Manufacturing Site: Del Medical, Inc. 241 Covington Dr. Bloomingdale, IL 60108 Establishment Registration Number: 1418964

2. Contact Person:

Greg Geary Director of Quality and Regulatory c/o Del Medical, Inc. 241 Covington Dr. Bloomingdale, IL 60108 Phone: 847-288-7021

3. Device Name and Classification

Trade Name:DMX
Classification Name:Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1680
Device Class:Class II
Product Code:KPR

4. Legally Marketed Predicate Device

510(k) Number:K152767 (DEL Medical)
Trade Name:OTC12D Auto
Regulation Name:Stationary X-Ray System
Classification Panel:Radiology
Classification Regulation:21 CFR §892.1680
Device Class:Class II
Product Code:KPR

4

5. Indications for Use

The DMX is a radiographic system used in hospitals, clinics, and medical practices. The DMX enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities and may be used on pediatric, adult, and bariatric patients. It can also be used for intravenous, small interventions (like biopsy, punctures, etc.) and emergency (trauma, critically ill) applications. Exposures may be taken with the patient sitting, standing, or in the prone position. The DMX is not meant for mammography. The DMX can use a mobile (wired) or portable (wireless) digital detector (not provided with system) for generating diagnostic images by converting x-rays into electronic signals. The DMX is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes

6. Device Description

The DMX System is a permanently-installed diagnostic x-ray system for general purpose radiographic imaging for use in hospitals, clinics, and medical practices. It is intended to produce diagnostic x-ray images of human anatomy.

The DMX System enables radiographic exposures of the whole body including: skull, chest, abdomen, and extremities, and may be used on pediatric, adult, and bariatric patients. Exposures may be taken with the patient sitting, standing, or in the prone position. The resultant images are evaluated by a radiologist within the diagnostic process prior to the development of a treatment plan. It is not intended for fluoroscopy, angiography, or mammography.

The DMX System typically includes a tube support, x-ray tube, radiographic table, radiographic wall stand, and collimator. Systems that include the overhead tube crane provide autotracking of the tube crane based on the position of the radiographic table or wall stand.

Below are the specific components in various configurations to form a radiographic system used for general purpose radiographic imaging (see Table 1). Note that the customer supplies their own digital x-ray panel. We do not supply it.

DMX Part #Description
DM-OTC18SAutomatic stitching and tracking overhead tube crane system
DM-OTC18TAutomatic tracking overhead tube crane system
DM-OTC18MOverhead tube crane system
DM-FMT18TAutomatic tracking floor mounted tube stand system
DM-FMT18MFloor mounted tube stand system
DM-FMTBasic floor mounted tube stand system
DM-FWFCBasic floor to wall / floor to ceiling tube stand system
DM-SARMStraight arm system

Available System Variations

5

Structure ComponentDM-OTC18SDM-OTC18TDM-OTC18MDM-FMT18TDM-FMT18MDM-FMTDM-FWFCDM-SARM
OTC18S automatic stitching tube craneX
OTC18T automatic tracking tube craneX
OTC18M tube craneX
FMT18T automatic tracking tube standX
FMT18M tube standX
FMT basic tube standX
FWFC floor-wall/ceiling basic tube standX
Straight armX
EV800T elevating table with motorized receptorX
EV800 elevating tableXXXXXX
RT100 fixed height tableXX
MT500 mobile tableXXXXX
No tableXXXXXXX
VT300T tilting wall stand with motorX
VT300 tilting wall standXXXXXX
VS300 vertical wall standXXXXX
VS100 basic vertical wall standXX
No wall standXXXXXXX

Tube Supports, Radiographic Tables, and Wall Stands Compatibility

Generator Availability

Del ModelOEMOEM Model
CM SeriesCommunications and Power Industries Inc.CMP200, 32, 40, 50 kW
CMDR SeriesCommunications and Power Industries Inc.CMP200DR 40, 50, 65, 80 kW
AN SeriesDel MedicalAnthem: 30, 32, 40, 50 kW
RF SeriesSiemensPolydoros / Polydoros ESU 55, 65, 80 kW

6. Substantial Equivalence

The DMX radiographic x-ray system is substantially equivalent to the commercially available OTC12D Auto (K152767) radiographic x-ray system with identical. indications for use. The OTC12D Auto was described in premarket notification K152767 which received FDA Clearance on December 14, 2015 (See Table below).

Subject and Predicate Device Comparable Properties:

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| Comparable
Properties | Predicate OTC12D Auto K152767 | Subject Device DMX System | Comparison
Results |
|-----------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------|
| Indications for
use | The OTC12D Auto System is a
radiographic system used in hospitals,
clinics, and medical practices. The
OTC12D Auto System enables
radiographic exposures of the whole
body including: skull, chest, abdomen,
and extremities and may be used on
pediatric, adult, and bariatric patients.
It can also be used for intravenous,
small interventions (like biopsy,
punctures, etc.) and emergency
(trauma, critically ill) applications.
Exposures may be taken with the
patient sitting, standing, or in the prone
position. The OTC12D Auto System is
not meant for mammography. The
OTC12D Auto System can use a mobile
(wired) or portable (wireless) digital
detector (not provided with system) for
generating diagnostic images by
converting x-rays into electronic
signals. The OTC12D Auto System is
also designed to be used with
conventional film/screen or Computed
Radiography (CR) cassettes. | The DMX System is a radiographic
system used in hospitals, clinics, and
medical practices. The DMX System
enables radiographic exposures of the
whole body including: skull, chest,
abdomen, and extremities and may be
used on pediatric, adult, and bariatric
patients. It can also be used for
intravenous, small interventions (like
biopsy, punctures, etc.) and
emergency (trauma, critically ill)
applications. Exposures may be taken
with the patient sitting, standing, or in
the prone position. The DMX System is
not meant for mammography. The
DMX System can use a mobile (wired)
or portable (wireless) digital detector
(not provided with system) for
generating diagnostic images by
converting x-rays into electronic
signals. The DMX System is also
designed to be used with conventional
film/screen or Computed Radiography
(CR) cassettes. | SAME |
| Tube
crane/Tube
stand | Overhead tube crane with manual
or automated x-ray tube assembly
movement. | Overhead tube crane with manual
or automated x-ray tube assembly
movement. | SAME |
| Wall stand | Manual vertical movable wall stand,
non-tiltable tray. | Manual vertical movable wall
stand, tiltable tray. | Better
Functionality |
| Table | Free-floating and height-adjustable,
maximum patient weight 800 lbs., | Free-floating and height-adjustable,
maximum patient weight 800 lbs.,. | Same |
| Available X-
ray tubes | Canon, Varex, or Siemens | Canon, Varex, or Siemens | SAME |
| Collimator | R221 (Ralco) or ML03, AL02
(Siemens) | R221 (Ralco) or ML03, AL02
(Siemens) | SAME |
| Available
X-ray
Generators | 32, 40, 50, 65, 80, 100 kW | 30, 32, 40, 50, 55, 60, 80 kW | Similar
range of
sizes |
| Comparable
Properties | Predicate OTC12D Auto K152767 | Subject Device DMX System | Comparison
Results |
| Wireless
detector | Supports various sizes of wireless
detectors (not provided with
system):
7" x 9.5"; 9.5" x 9.5";
10" x 12"; 14" x 17";
12" x 12"; 10" x 8";
14" x 14"; 17" x 17";
7" x 17" | SAME | SAME |
| Fixed
detector | Supports various sizes of fixed
detectors (not provided with
system):
7" x 9.5"; 9.5" x 9.5";
10" x 12"; 14" x 17";
12" x 12"; 10" x 8";
14" x 14"; 17" x 17";
7" x 17" | SAME | SAME |
| Conventional
film/screen
systems or
CR cassettes | Film/Screen or CR Cassettes. | Film/Screen or CR Cassettes. | SAME |
| Operator
console | GUI-based | GUI-based | SAME |
| System
Appearance
(Photo) | Image: OTC12D Auto K152767 | Image: Subject Device DMX System | Very similar
appearance,
same
functionality |

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7. Summary of Technological Characteristics of the Subject Device as Compared with the Predicate Device

The DMX System uses similar or identical radiographic x-ray system components to the predicate device. The differences in the subject device, such as the x-ray generator, radiographic table, wall stand, tube crane, collimator, and x-ray tube, do not affect the safety or effectiveness of the device. The DMX System can use a wireless or fixed flat panel detector (not provided with system) same models as the predicate device, and the differences do not adversely affect the safety or effectiveness of the radiographic x-ray

8

system. The properties of the subject device presented in the comparison table above and described throughout this submission do not differ significantly from the legally marketed predicate device with regards to fundamental scientific technology, nor do they reflect a significant change in the indications for use. The differences between the subject device and the legally marketed predicate device have been assessed using Risk Management and through third-party evaluation using FDA-recognized consensus standards. The results of these efforts demonstrate that the device is as safe and effective as the predicate device and does not raise different questions of safety and effectiveness than the predicate.

8. Performance Testing

Del Medical claims conformance to a signed statement of performance standards. This submission contains performance data and test results to demonstrate conformance with special controls for medical devices containing software for a moderate level of concern per the FDA document Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, issued May 11, 2005. Testing for verification and validation of the device was found acceptable to support the claims of substantial equivalence.

The system was tested and certified to comply with the Radiation Safety Performance Standards of Title 21 of the CFR.

Cybersecurity controls have been implemented per the FDA Guidance: Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Guidance for Industry and Food and Drug Administration Staff.

EMC, mechanical safety, and electrical safety were evaluated according to various FDA-recognized consensus standards (see Table below). In conclusion, the identified risk of EMC, mechanical, and electrical hazards was mitigated and is substantially equivalent to the predicate device in terms of safety and effectiveness. Clinical testing is not required for a determination of substantial equivalence.

Conformance to Consensus Standards: The Del Medical DMX radiographic x-ray system complies with the applicable portions of the following standards:

| Recognition
Number | Standard
Reference
Number | Standard Title and Edition |
|-----------------------|---------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 19-4 | AAMI
ES60601-1 | ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and
A2:2010/(R)2012 (Consolidated Text) Medical electrical equipment - Part 1:
General requirements for basic safety and essential performance (IEC
60601-1:2005, MOD) |
| 19-8 | IEC
60601-1-2 | IEC60601-1-2 Edition 4.0 2014-02 Medical electrical equipment - Part 1-2:
General requirements for basic safety and essential performance -
Collateral Standard: Electromagnetic disturbances - Requirements and tests |
| 12-269 | IEC
60601-1-3 | 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 |

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| Recognition
Number | Standard
Reference
Number | Standard Title and Edition |
|-----------------------|---------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 5-89 | IEC
60601-1-6 | IEC 60601-1-6 Edition 3.1 2013-10 Medical electrical equipment - Part 1-6:
General requirements for basic safety and essential performance -
Collateral standard: Usability |
| 12-317 | IEC
60601-2-54 | IEC 60601-2-54 Edition 1.2 2018-06 CONSOLIDATED VERSION Medical
electrical equipment - Part 2-54: Particular requirements for the basic
safety and essential performance of X-ray equipment for radiography and
radioscopy |

9. General Safety and Effectiveness Concerns

Instructions for use are included within the device labeling, and the information provided will enable the user to operate the device in a safe and effective manner. Several safety features, including an emergency stop button, are incorporated into the system design. In addition, operation of the DMX System is continually monitored, and if an error occurs, the system functions will be blocked and an error message will be displayed. Furthermore, the intended operators of the DMX System are health care professionals familiar with and responsible for the x-ray examinations being performed. To minimize electrical, mechanical, and radiation hazards, Del Medical, Inc. adheres to recognized and established industry practice, and all equipment is subject to final performance testing.

10. Conclusion as to Substantial Equivalence

The DMX System is intended for the same uses as the OTC12D Auto. It uses components similar to those cleared for the OTC12D Auto (e.g. tube crane/tube stand, table, x-ray tube, collimator, x-ray generator, operator console). It is Del Medical, Inc.'s opinion that the DMX System is substantially equivalent to the cleared predicate device, the OTC12D Auto.