K Number
K231467
Device Name
1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF
Manufacturer
Date Cleared
2023-06-21

(30 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.
Device Description
1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF X-ray detectors, are wired/wireless digital solid state X-ray detectors that are based on flat panel technology. The wireless LAN (IEEE 802.11 n/ac) communication signals images captured to the system and improves the user operability through high speed processing. These radiographic image detectors are processing unit consist of a scintillator coupled to an a-Si TFT sensor. These devices need to be integrated with a static radiographic imaging system. It can be utilized to capture and digitalize X-ray images for radiographic diagnosis. The revised 510k Summary specified that 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF includes the software (firmware) of MODERATE level of concern. It's the same Image Acquisition and Operating Software used for the predictive device is used but modified to include additional detector models in comparison with the predicate device. The RAW files can be further processed as DICOM compatible image files by separate consol SW (K190866, XmaruView V1 / Rayence Co.,Ltd) for a radiographic diagnosis and analysis. The imaging software XMaru View V1 is not part of the subject device. 1417WCE is the basic model. 1417WCE-HR is identical with the basic model except for the pixel pitch size. 417WCE-HS is identical with the basic model except for the case color. 1417WCE-GF is identical with the basic model except for the case color and the pixel pitch size. The differences are not safety related.
More Information

No
The summary describes a digital X-ray detector and its associated image acquisition software. While it mentions image processing and communication, there is no mention of AI, ML, or any related technologies like deep learning or neural networks. The performance studies focus on standard imaging metrics (MTF, DQE, NPS) and image quality comparisons, not AI/ML performance metrics.

No
The device is an X-ray detector used for diagnostic imaging, not for treating diseases or conditions.

Yes

The device is an X-ray detector used to capture and digitalize X-ray images, which are then used for "general purpose diagnostic procedures" and "radiographic diagnosis."

No

The device is described as a "Digital Flat Panel X-Ray Detector" and explicitly mentions hardware components like a "scintillator coupled to an a-Si TFT sensor" and "wireless LAN (IEEE 802.11 n/ac) communication". While it includes software (firmware), it is an integral part of a physical hardware 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 "digital imaging solution designed for general radiographic system for human anatomy." This describes a device used to capture images of the internal structure of the body using X-rays.
  • Device Description: The description details an X-ray detector that captures and digitalizes X-ray images. It mentions image processing for operability and the ability to further process RAW files into DICOM images for diagnosis, but the core function is image acquisition.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not interact with biological samples.

The device is a component of a radiographic imaging system, which is a type of medical imaging equipment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.

Product codes

MQB

Device Description

1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF X-ray detectors, are wired/wireless digital solid state X-ray detectors that are based on flat panel technology. The wireless LAN (IEEE 802.11 n/ac) communication signals images captured to the system and improves the user operability through high speed processing. These radiographic image detectors are processing unit consist of a scintillator coupled to an a-Si TFT sensor. These devices need to be integrated with a static radiographic imaging system. It can be utilized to capture and digitalize X-ray images for radiographic diagnosis.

The revised 510k Summary specified that 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF includes the software (firmware) of MODERATE level of concern. It’s the same Image Acquisition and Operating Software used for the predictive device is used but modified to include additional detector models in comparison with the predicate device.

The RAW files can be further processed as DICOM compatible image files by separate consol SW (K190866, XmaruView V1 / Rayence Co.,Ltd) for a radiographic diagnosis and analysis. The imaging software XMaru View V1 is not part of the subject device.

1417WCE is the basic model. 1417WCE-HR is identical with the basic model except for the pixel pitch size. 417WCE-HS is identical with the basic model except for the case color. 1417WCE-GF is identical with the basic model except for the case color and the pixel pitch size. The differences are not safety related.

Mentions image processing

Yes

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

The non-clinical test report for the subject device were prepared and submitted to FDA to demonstrate the substantial equivalency of the subject device performance compared to the predicate device.

After comparing a broad review of plain radiographic images taken with 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF and 1417WCC images obtained equivalent quality for the same view obtained from a similar patient.

bony structure details of hands, fingers and feet had better clarity in the 1417WCE 100um as they showed sharper cortical lines which would be better in evaluating long bone fractures. 1417WCC 140um images showed sharper cortical lines and trabecular patterns with less image noise and overall better contrast.

In conclusion, both 1417 WCE 140 um and 1417 WCE 100 um have demonstrated sufficient image quality which will provide aid for diagnostic purposes.

The non-clinical test report contains the MTF, DQE and NPS performance test comparison between the subject device, and the predicate device, by using the identical test equipment and same analysis method described by IEC 62220-1.

Based on the non-clinical consideration evaluation, the sponsor can claim the substantial equivalency between the subject device and the predicate device in terms of diagnostic image quality.

Key Metrics

DQE (@1lp/mm):
100μm : Typ. 62 %
140μm : Typ. 63%

MTF (@1lp/mm):
100 : Typ 60%
140 : Typ 66%

Predicate Device(s)

K171418

Reference Device(s)

K190866

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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June 21, 2023

Image /page/0/Picture/1 description: The image shows 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, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Rayence Co., Ltd. % Mr. Dave Kim Medical Device Regulatory Affairs Mtech Group 7505 Fannin St., Ste 610 HOUSTON TX 77054

Re: K231467

Trade/Device Name: 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: May 17, 2023 Received: May 22, 2023

Dear Mr. Kim:

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,

Lu Jiang

Lu Jiang, 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) K231467

Device Name 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF

Indications for Use (Describe)

Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.

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 K231467

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

Submitter's Name, address, telephone number, a contact person:

Submitter's Name :Rayence Co., Ltd.
Submitter's Address:14, Samsung 1-ro 1-gil, Hwaseong-si, Gyeonggi-do, Korea
Submitter's Telephone:+82-31-8015-6459
Contact person:Mr. Kee Dock Kim / RA Team Manager / +82-31-8015-6459
Official Correspondent:Dave Kim (davekim@mtechgroupllc.com)
Address:7505 Fannin St. Ste 610, Houston, TX 77054
Telephone:+713-467-2607

Name of the device, including the trade or proprietary name if applicable, the common or usual name and the classification name, if known:

Trade/proprietary name: 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF
Common Name: Digital Flat Panel X-ray Detector
Regulation Number: 21 CFR 892.1680
Regulation Name: Stationary X-ray System
Regulatory Class: Class II
Product Code: MQB
Predicate Device :
Trade/Device Name: 1417WCC
Common Name: Digital Flat Panel X-ray Detector
510(k) Number: K171418
Regulation Number: 21 CFR 892.1680
Regulation Name: Stationary X-ray System
Regulatory Class: Class II
Product Code: MQB

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2. Device Description

1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF X-ray detectors, are wired/wireless digital solid state X-ray detectors that are based on flat panel technology. The wireless LAN (IEEE 802.11 n/ac) communication signals images captured to the system and improves the user operability through high speed processing. These radiographic image detectors are processing unit consist of a scintillator coupled to an a-Si TFT sensor. These devices need to be integrated with a static radiographic imaging system. It can be utilized to capture and digitalize X-ray images for radiographic diagnosis.

The revised 510k Summary specified that 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF includes the software (firmware) of MODERATE level of concern. It's the same Image Acquisition and Operating Software used for the predictive device is used but modified to include additional detector models in comparison with the predicate device.

The RAW files can be further processed as DICOM compatible image files by separate consol SW (K190866, XmaruView V1 / Rayence Co.,Ltd) for a radiographic diagnosis and analysis. The imaging software XMaru View V1 is not part of the subject device.

1417WCE is the basic model. 1417WCE-HR is identical with the basic model except for the pixel pitch size. 417WCE-HS is identical with the basic model except for the case color. 1417WCE-GF is identical with the basic model except for the case color and the pixel pitch size. The differences are not safety related.

ModelColorPixel pitch
1417WCEWhite140um
1417WCE-HRWhite100um
1417WCE-GFBlack100um
1417WCE-HSWhite & Green Mark140um

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3. Indication for use

Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.

4. Summary of Design Control Risk management

1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF digital X-ray detectors are modification of 1417WCC (K171418).

The risks and the hazardous impact of the device modification were analyzed with FMEA method. The specific risk control and protective measures to mitigate the risks from the modification were reviewed and implemented in the new product design phase. The overall assessment concluded that all risks and hazardous conditions identified arising from the design change were successfully mitigated and accepted.

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5. Summary of the technological characteristics of the device compared to the predicate device:

Detector described in this 510(k) has the same indications for use and similar technical characteristics as its predicate devices (K171418).

5.1 Scintillator layer

*scintillator layer. ( * scintillator : a phosphor that produces scintillations)

Scintillator TypeProposedPredicate
CsI (Cesium Iodide)1417WCE, 1417WCE-HR,1417WCC 127 um
1417WCE-HS、1417WCE-GFand1417WCC 140 um

5.2 Power source

| | | Proposed
1417WCE, 1417WCE-HR,
1417WCE-HS, 1417WCE-GF | Predicate
1417WCC_127 μm
and1417WCC_140 μm |
|-------|------------|------------------------------------------------------------|---------------------------------------------------------|
| Power | Type | Power supply | Power supply |
| | Model name | RP003A | RP003A |
| | Dimension | 188 X 92 X 41.5 | 188 X 92 X 41.5 |
| | Weight | 0.5 | 0.5 |
| | Rating | Input: 100-240VAC (50/60Hz)
Output: 24VDC (Max 1.7A) | Input: 100-240VAC (50/60Hz)
Output: 24VDC (Max 1.7A) |

5.3 Recommended Generator specifications

ModelManufactureSpecification
CMP 200Communications & Power Industries32kW40kW50kW
kVp40-12540-150
mA10-40010-50010-630
EDITOR HFe 501Rontgenwerk BochumkVp40-150
mA10-630
UD150L-40E/40FShimadzukVp40-150
mA@100 kVp- 500(320)
@80 kVp- 630(400)
PXR-321BPoskom Co.,Ltd.kVp125/150
mA500

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rayence

510(k)Submission –1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF

5.4 Comparison table

Subject devicePredicate device
Model1417WCE1417WCE-HR1417WCE-HS1417WCE-GF1417WCCSimilarity
Feature
Image: [image of 1417WCE]
Image: [image of 1417WCE-HR]
Image: [image of 1417WCE-HS]
Image: [image of 1417WCE-GF]
Image: [image of 1417WCC]
Intended
UseDigital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.Flat Panel Detector is indicated for digital imaging solution designed for general radiographic system for human anatomy. It is intended to replace film or screen based radiographic systems in all general purpose diagnostic procedures. Not to be used for mammography.Same
Detector
TypeAmorphous Silicon, TFTAmorphous Silicon, TFTAmorphous Silicon, TFTAmorphous Silicon, TFTAmorphous Silicon, TFTSame
ScintillatorCsI:TlCsI:TlCsI:TlCsI:TlCsI:TlSame
Imaging
Area14 x 17 inches14 x 17 inches14 x 17 inches14 x 17 inches14 x 17 inchesSame
Pixel
matrix140 type: 2500 X 3052100 type: 3534 X 4302140 type: 2500 X 3052100 type: 3534 X 4302127type: 3328 X 2816
140type: 2500 X 3052Similar
Pixel pitch140 μm100μm140 μm100μm127 μm, 140 μmSimilar
Resolution140 type: 3.57 lp/mm100 type: 5.00 lp/mm140 type: 3.57 lp/mm100 type: 5.00 lp/mm127 type: 3.93
140 type: 3.57Similar
DQE
(@1lp/mm)100μm : Typ. 62 %
140μm : Typ. 63%100μm : Typ. 62 %
140μm : Typ. 63%100μm : Typ. 62 %
140μm : Typ. 63%100μm : Typ. 62 %
140μm : Typ. 63%127μm : Typ. 59%
140μm : Typ. 61%Similar
MTF
(@1lp/mm)100 : Typ 60%
140 : Typ 66%100 : Typ 60%
140 : Typ 66%100 : Typ 60%
140 : Typ 66%100 : Typ 60%
140 : Typ 66%127μm : Typ. 55%
140μm : Typ. 53%Similar
A/D
Conv16 bits16 bits16 bits16 bits14 / 16 bitsSimilar
Dimensions384 X 460 X 15mm384 X 460 X 15mm384 X 460 X 15mm384 X 460 X 15mm460 X 384 X 15mmSimilar
Weight≤ 2.7 kg≤ 2.7 kg≤ 2.7 kg≤ 2.7 kg3 (incl. battery)Similar

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6. Summary of Performance Testing

1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF X-ray detectors have same indications for use, scintillator material (Csl:T1), general specifications and same risk analysis characteristics compared to the predicate device, 1417WCC (K171418). The pixel matrix and pixel pitch sizes are different due to different imaging areas but the differences do not raise new concerns for the safety and effectiveness of the subject device.

The non-clinical test report for the subject device were prepared and submitted to FDA to demonstrate the substantial equivalency of the subject device performance compared to the predicate device.

After comparing a broad review of plain radiographic images taken with 1417WCE, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF and 1417WCC images obtained equivalent quality for the same view obtained from a similar patient .

bony structure details of hands, fingers and feet had better clarity in the 1417WCE 100um as they showed sharper cortical lines which would be better in evaluating long bone fractures. 1417WCC 140um images showed sharper cortical lines and trabecular patterns with less image noise and overall better contrast.

In conclusion, both 1417 WCE 140 um and 1417 WCE 100 um have demonstrated sufficient image quality which will provide aid for diagnostic purposes.

The non-clinical test report contains the MTF, DQE and NPS performance test comparison between the subject device, and the predicate device, by using the identical test equipment and same analysis method described by IEC 62220-1.

Based on the non-clinical consideration evaluation, the sponsor can claim the substantial equivalency between the subject device and the predicate device in terms of diagnostic image quality.

The manufacturing facility is in conformance with the design control procedure requirements specified in 21 CFR 820.30 and the relevant 21CFR820 standards as the records are available for review.

7. Summary for any testing and reference guidance:

A Electrical, mechanical, environmental safety and performance testing according to

9

standard IEC 60601-1: 2005, COR1:2006, COR2:2007, AMD1:2012 (Medical electrical equipment Part 1:General requirements for basic safety and essential performance)

  • A EMC testing were conducted in accordance with standard IEC 60601-1-2: 2014
  • A IEC 6220-1:2015 Ed 1.0 Medical electrical equipment-Characteristics of digital X-ray imaging devices Part 1-1: Determination of the detective quantum efficiency Detectors used in radiographic imaging
  • A Non-clinical consideration according to FDA Guidance "Guidance for the Submissions of 510(k)'s for Solid State X-ray Imaging Devices"
  • A "Guidance for the Contents of Premarket Submission for Software Contained in Medical Device".
  • A Pediatric Information for X-ray Imaging Device Premarket Notifications
  • A Content of Premarket Submissions for Management of Cybersecurity in Medical Devices

8. Conclusions:

In accordance with the performance outcomes, 1417WCE-HR, 1417WCE-HS, 1417WCE-GF X-ray detectors demonstrated equivalent or better performance compared to 1417WCC. Therefore, Rayence claims the substantial equivalency between the subject device and the predicate device in terms of diagnostic image quality about safety and effectiveness.