K Number
K231761
Device Name
PodSKAN HF Diagnostic X-ray System
Date Cleared
2023-10-27

(133 days)

Product Code
Regulation Number
892.1680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
PodSKAN HF Diagnostic X-Ray System is intended for use by the qualified and trained clinicians or radiographers for generating X-rays of feet. It can be used for adults and paediatrics. PodSKAN is not intended for Mammography and Fluoroscopy Applications.
Device Description
PodSKAN is an advanced high frequency type X-Ray system designed for superior image quality with powerful 2.8KW generator and very low leakage radiation. The system houses two microprocessors, one for control/supervisory functions and another one man-machine/User interface. It can be easily plugged into 16A wall socket with 120 VAC or 240 VAC, 50/60 Hz. The technology incorporates feedback circuits to ensure highest accuracy & reproduceability of X-Ray output. It consists of - . Tube head assembly (including collimator and goniometer) - Base foot platform and side handle for patient support . - External console and Hand switch . PodSKAN HF diagnostic X-ray system can be used with Film, Computed Radiography (CR) and Digital Radiography system image receptors along with associated image capture software. Skanray recommends using 510(k) cleared flat panel detectors with AED functionality wired or wireless of size 10"x12" or 14"x17"and image acquisition systems to maintain compliance and quality
More Information

No
The description focuses on the hardware components, power, and basic control systems, with no mention of AI or ML for image processing, analysis, or other functions.

No
The device is described as a "Diagnostic X-Ray System" intended for generating X-rays of feet to produce images, which is a diagnostic purpose, not a therapeutic one.

Yes
The device is explicitly named "PodSKAN HF Diagnostic X-Ray System" and its intended use is for "generating X-rays of feet," which are used for diagnostic purposes.

No

The device description clearly outlines multiple hardware components including a tube head assembly, base foot platform, external console, and hand switch, in addition to the software components.

Based on the provided information, the PodSKAN HF Diagnostic X-Ray System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens obtained from the human body. This includes things like blood, urine, tissue, etc., to provide information about a person's health.
  • The PodSKAN system is an X-ray system. It generates X-rays to create images of the internal structures of the feet. This is an in vivo diagnostic method, meaning it is performed on a living organism.
  • The intended use clearly states it is for generating X-rays of feet. This is a direct imaging technique, not a test performed on a sample outside the body.

Therefore, the PodSKAN HF Diagnostic X-Ray System falls under the category of medical imaging devices, not IVD devices.

N/A

Intended Use / Indications for Use

PodSKAN HF Diagnostic X-Ray System is intended for use by the qualified and trained clinicians or radiographers for generating X-rays of feet. It can be used for adults and paediatrics.
PodSKAN is not intended for Mammography and Fluoroscopy Applications.

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

KPR

Device Description

PodSKAN is an advanced high frequency type X-Ray system designed for superior image quality with powerful 2.8KW generator and very low leakage radiation. The system houses two microprocessors, one for control/supervisory functions and another one man-machine/User interface. It can be easily plugged into 16A wall socket with 120 VAC or 240 VAC, 50/60 Hz. The technology incorporates feedback circuits to ensure highest accuracy & reproduceability of X-Ray output. It consists of
. Tube head assembly (including collimator and goniometer)
Base foot platform and side handle for patient support .
External console and Hand switch .
PodSKAN HF diagnostic X-ray system can be used with Film, Computed Radiography (CR) and Digital Radiography system image receptors along with associated image capture software. Skanray recommends using 510(k) cleared flat panel detectors with AED functionality wired or wireless of size 10"x12" or 14"x17"and image acquisition systems to maintain compliance and quality

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-Ray

Anatomical Site

feet

Indicated Patient Age Range

adults and paediatrics

Intended User / Care Setting

qualified and trained clinicians or radiographers

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 risks identified during risk analysis were reduced by applying suitable risk control measures and it was noted that there were no unacceptable risks after risk control measures.

Design verification and validation activities have been carried both in-house and by outsourcing to appropriate third-party vendors. The design verification, design validation and performance testing activities have been documented and indicate that the subject device is as safe and effective as the predicate device.

PodSKAN HF Diagnostic X-ray system complies with the following standards.

1.IEC 60601-1:2005. IEC 60601-1:2005/AMD1:2012. IEC 60601-1:2005/AMD2:2020 -General requirements for basic safety and essential performance

  1. IEC 60601-2-28:2010 Ed 2.0 Medical electrical equipment- Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis

  2. IEC 60601-2-54:2009+Amd1-2015+Amd 2-2018 Ed 1.2 Medical electrical equipment-Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy

  3. IEC 60601-1-3 :2008 +Amd 1-2013 Ed 2.1Medical electrical equipment -Part 1: General requirements for safety - Collateral standard: General requirements for radiation protection in diagnostic X-ray equipment

  4. IEC 60601-1-6:2010+AMD1:2013+AMD2:2020 Ed 3.2 Medical electrical equipment -Part 1-6: General requirements for basic safety and essential performance - Collateral 8standard: Usability.

  5. IEC 62366-1:2015+AMD1:2020 Ed 1.1 Medical devices- Application of usability engineering to medical devices

  6. IEC 62304:2006+AMD1:2015 Ed 1.1 Medical device software – Software life-cycle processes

  7. ISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process.

  8. 60601-1-2 Edition 4.1 2020-09 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests

  9. FDA Performance standards 21 CFR 1020.30-Diagnostics X-Ray system and their major components and 21 CFR 1020.31-Radiographic equipment.

  10. BS EN ISO 15223-1:2021: Symbols for use in the labeling of medical devices- for Manufacturer, Date of Manufacture, Serial Number, and Part/Model Number.

  11. EN ISO 14971:2019 Medical devices – Application of Risk Management to medical devices.

Summary of Non-Clinical Testing:
The subject device has been evaluated and found to be compliant to safety and essential performance as per IEC 60601-1, accuracy of loading factors, reproducibility of radiation output as per IEC 60601-2-54. half value layer, leakage radiation in loading and normal state and stray radiation as per IEC 60601-1-3, conducted emission, radiated emission, harmonics, voltage fluctuations, electrostatic discharge (ESD), electrical fast transients (EFT), radiated RF electromagnetic field, continuous conducted RF, surges, power frequency magnetic field, voltage dips and short interruption as per IEC 60601-1-2. The device also complies with FDA performance standards 21CFR 1020.30-1020.31. The validation testing, which includes sample clinical images, demonstrates compliance to the diagnostic quality imaging performance when used with 510k cleared detector and imaging software for the intended application.

Summary of Clinical Testing:
Subject device has substantial similarities when compared to the predicate devices.
Since the clinical application remain same as of predicate device/s, Non-clinical data is considered sufficient to demonstrate safety and performance of PodSKAN HF Diagnostic Xray System, Clinical studies are not deemed necessary.

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.

K160857

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.

K180765

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.

0

October 27, 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 consists of 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.

Skanray Technologies Limited Vasundhara R Regulatory Head Plot#15-17, Hebbal Industrial Area Mysore, Karnataka 570016 INDIA

Re: K231761

Trade/Device Name: PodSKAN HF Diagnostic X-ray System Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary X-Ray System Regulatory Class: Class II Product Code: KPR Dated: June 16, 2023 Received: June 16, 2023

Dear Vasundhara R:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Digitally signed by Gabriela M. Rodal -S

for

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

2

Indications for Use

510(k) Number (if known) K231761

Device Name

PodSKAN HF Diagnostic X-ray System

Indications for Use (Describe)

PodSKAN HF Diagnostic X-Ray System is intended for use by the qualified and trained clinicians or radiographers for generating X-rays of feet. It can be used for adults and paediatrics.

PodSKAN is not intended for Mammography and Fluoroscopy Applications.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

510(k) summary of safety and effectiveness for PodSKAN HF Diagnostic X-ray system is provided in accordance with 21 CFR 807.92

Date:10th June 2023
Submitter (Owner):Vasundhara R
Regulatory Head
Skanray Technologies Limited
Plot# 15-17, Hebbal Industrial Area, Hebbal
Mysore, Karnataka 570016, India
P: +91 821 2415559
Email: vasundhara.r@skanray.com
510(k) Contact Person:Vasundhara R
Regulatory Head
Skanray Technologies Limited
Plot# 15-17, Hebbal Industrial Area, Hebbal
Mysore, Karnataka 570016, India
P: +91 821 2415559
Email: vasundhara.r@skanray.com
Device Trade Name:PodSKAN HF Diagnostic X-ray system
Regulation Number:892.1680
Regulation Name:Stationary X-ray system
Regulation Description: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 support,
component parts, and accessories
Review Panel:Radiology
Device Class:Class II
Product Code:KPR
Predicate Device:• HF 718BD X-Ray System (K160857)
Regulation number: 21 CFR 892.1680
Regulation name: Stationary X-ray system
Device class: II
Product code: KPR
Review panel: Radiology
Reference Device:• Televere Podiatry X-Ray System HF (K180765)
Regulation number: 21 CFR 892.1680
Regulation name: Stationary X-ray system
Device class: II
Product code: KPR
Review panel: Radiology

4

Device Description

PodSKAN is an advanced high frequency type X-Ray system designed for superior image quality with powerful 2.8KW generator and very low leakage radiation. The system houses two microprocessors, one for control/supervisory functions and another one man-machine/User interface. It can be easily plugged into 16A wall socket with 120 VAC or 240 VAC, 50/60 Hz. The technology incorporates feedback circuits to ensure highest accuracy & reproduceability of X-Ray output. It consists of

  • . Tube head assembly (including collimator and goniometer)
  • Base foot platform and side handle for patient support .
  • External console and Hand switch .

PodSKAN HF diagnostic X-ray system can be used with Film, Computed Radiography (CR) and Digital Radiography system image receptors along with associated image capture software. Skanray recommends using 510(k) cleared flat panel detectors with AED functionality wired or wireless of size 10"x12" or 14"x17"and image acquisition systems to maintain compliance and quality

Intended Use / Indications for Use

PodSKAN HF Diagnostic X-Ray System is intended for use by the qualified and trained clinicians or radiographers for generating X-rays of feet. It can be used for adults and paediatrics.

PodSKAN is not intended for Mammography and Fluoroscopy Applications.

Comparison to predicate and reference devices

One predicate device and one reference device is selected in this submission for the PodSKAN HF Diagnostic X-ray system. Predicate device : HF 718BD X-ray Ray System (K160857)

Reference device: Televere Podiatry X-Ray System HF (K180765)

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The image quality of X-ray system depends on two main factors - the X-Ray generation and the image acquisition system. The X-Ray voltage generator, the technology, design of the subject device is substantially equivalent to the predicate device, with changes in the ranges of kV, mA, and exposure time which does not affect the safety and effectiveness of the device. Image receptors that can be used with PodSKAN HF Diagnostic X-ray System include film, computed radiography and digital radiography.

The details of the substantial equivalence between the subject device, predicate device and reference device are explained in the table below.

6

Comparison to Predicate and Reference devices

| Comparable

PropertiesSubject DevicePredicate DeviceReference DeviceComparison results
MAKESkanray Technologies
LimitedX-Cel X-Ray
CorporationTelevere Systems-
MODELPodSKAN HF Diagnostic
X-Ray SystemHF 718BD X-Ray
SystemTelevere Podiatry
X-Ray System HF-
Regulation
number21 CFR 892.168021 CFR 892.168021 CFR 892.1680Identical
Regulation
nameStationary x-ray systemStationary x-ray
systemStationary x-ray
systemIdentical
Product codeKPRKPRKPRIdentical
Regulatory
ClassClass IIClass IIClass IIIdentical
FDA 510k
number-K160857K180765-
Indications for
usePodSKAN HF Diagnostic
X-Ray System is intended
for use by the qualified
and trained clinicians or
radiographers for
generating X-rays of feet.
It can be used for adults
and paediatrics.
PodSKAN is not intended
for Mammography and
Fluoroscopy Applications.The HF 718BD X-
ray System is
intended for use by
qualified clinicians
for the x-ray of
hands and feet.The Televere
Podiatry X-Ray
System HF is
intended for use by
qualified clinicians
for the x-ray of
hands and feet. Not
for
mammography.
Not fluoroscopy.Substantially Equivalent.
PodSKAN HF covers the same indication for feet as
compared to the predicate device but excludes the
hand anatomy. Safety and effectiveness of the system
remains same as compared to the predicated device
for x-ray of feet.
Generator
TypeHigh FrequencyHigh FrequencyHigh FrequencyIdentical
kVp Range40-80 kV in Steps of 2kV50kV to 90kV +/-
10% adjustable in 2
kV stepsAdjustable kilo-
voltage from 50 to
90 kVSubstantially Equivalent.
kV is termed as quality of X-ray which determines
the penetrating power with optimum contrast. Minor
range difference shall not impact the clinical image
quality because user need to select appropriate
technique parameter (kV & mAs) for the subjective
anatomy. Settings are however, allowed to the user
to set as needed clinically.
mA Range10mA-60mAFixed at 10mA +/-
1%X-ray tube current
10 mA fixedSubstantially Equivalent.
As compared to the predicate device. Skanray
podiatry includes 10mA in its user controlled
parameter with extended mA range for any clinical
need by the user
mAs Range0.32 mAs-16mAs in 23
StepsExposure times
from 50 to 500 mS
Adjustable kilo-
voltage from 50 to
90 kV
No automatic
exposure control or
mAs
settingsExposure times
from 50 to 500 mS
Adjustable kilo-
voltage from 50 to
90 kV
No automatic
exposure control or
mAs
settingsSubstantially Equivalent.
Device support preset mAs range for the needed
clinical purpose. With extended mA range and time
creating similar combination as predicate device.
ConfigurationX-ray generatorX-ray generator
and Software only.
No digital flat panelX-ray generator
and Software only.
No digital flat panelSubstantially Equivalent.
X-Ray Generator and it can be used with any
approved software and digital flat panel having AED
functionality
Focal SpotStationary anode :1.2mm
as per IEC 60366Stationary anode
Focal spot 1.0 mm
NEMAStationary anode
Focal spot 1.0 mm
NEMASubstantially Equivalent.
1.0 to 1.2mm focal spots are usually used for
stationary x ray tubes other than mammography.
Clinically not much difference in quality and
sharpness.
Half Value
Layer3.619mm Al @80kV3.31mm Al @90kV3.31mm Al @90kVSubstantially Equivalent.
Meet the 21CFR1020.30(m) Half value layer
requirements
Mains Voltage
Range and
Frequency100-240V AC RMS @50-
60Hz105-130 volt AC @
58-62Hz. Single
phase.
Less than 20
Amperes.105-130 volt AC @
58-62Hz. Single
phase.
Less than 20
Amperes.Substantially Equivalent.
meets predicate device input voltage range.
Exposure
switchDeadman switchDeadman switchDeadman switchIdentical
Exposure
ControlManual TouchscreenManual
TouchscreenTigerview SoftwareIdentical
GoniometerYesYesYesIdentical
Performance
Accuracy21 CFR 1020.31
compliant21 CFR 1020.31
compliant21 CFR 1020.31
compliantIdentical
kV accuracy+/- 5%+/- 8%+/- 8%Better. Substantially Equivalent
Electrical
Safety &
EMCElectrical Safety per IEC
60601-1
and EMC per IEC 60601-
1-2.Electrical Safety
per IEC 60601-1
and EMC per IEC
60601-1-2.Electrical Safety
per IEC 60601-1
and EMC per IEC
60601-1-2.Identical
Product TypeFixed X-Ray MachineFixed X-Ray
MachineFixed X-Ray
MachineIdentical
Collimator
TypeFixedFixedFixedIdentical
Collimator
lamp timer30 seconds13 seconds13 secondsSubstantially Equivalent.
Function is available. Timing does not impact
indicated application, as this is used to visually
ensure the x-ray'ed region
Exposure
Presets11 positions in APR chart14 - For repeatedly
used techniques37 total (Ankle 10,
Foot 9, Calcaneus
9, Other 9)Substantially Equivalent.
APR chart available for various anatomical positions,
similar to the predicate.
Source to
Image
Receptor
Distance32.7" inch29" inches29" inchesSubstantially Equivalent.
Source to image receptor is a distance selected from
engineering perspective for the X-Ray area to be
covered, depends on the Anode angle of the tube.
This does not impact the performance and intended
application of the device

7

8

9

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Discussion of similarities and differences

PodSKAN HF Diagnostic X-Ray System is intended for use by the qualified and trained clinicians or radiographers for generating X-rays of feet. It can be used for adults and paediatrics.

PodSKAN is not intended for Mammography and Fluoroscopy Applications.

Predicate, Reference and subject device are stationary x-ray system covering the similar anatomy as indicated in the comparison table above. KV & mAs minor range difference shall not impact the clinical image quality because user need to select appropriate technique parameter for the subjective anatomy. Settings are however, allowed to the user to set as needed clinically. The controls of the subject device is either identical or similar to predicate devices. The other components like the Basefoot platform and handles provided for patient support have no impact on the safety and effectiveness of the system.

Performance data:

The risks identified during risk analysis were reduced by applying suitable risk control measures and it was noted that there were no unacceptable risks after risk control measures.

Design verification and validation activities have been carried both in-house and by outsourcing to appropriate third-party vendors. The design verification, design validation and performance testing activities have been documented and indicate that the subject device is as safe and effective as the predicate device.

PodSKAN HF Diagnostic X-ray system complies with the following standards.

1.IEC 60601-1:2005. IEC 60601-1:2005/AMD1:2012. IEC 60601-1:2005/AMD2:2020 -General requirements for basic safety and essential performance

  1. IEC 60601-2-28:2010 Ed 2.0 Medical electrical equipment- Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis

  2. IEC 60601-2-54:2009+Amd1-2015+Amd 2-2018 Ed 1.2 Medical electrical equipment-Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy

  3. IEC 60601-1-3 :2008 +Amd 1-2013 Ed 2.1Medical electrical equipment -Part 1: General requirements for safety - Collateral standard: General requirements for radiation protection in diagnostic X-ray equipment

  4. IEC 60601-1-6:2010+AMD1:2013+AMD2:2020 Ed 3.2 Medical electrical equipment -Part 1-6: General requirements for basic safety and essential performance - Collateral 8standard: Usability.

  5. IEC 62366-1:2015+AMD1:2020 Ed 1.1 Medical devices- Application of usability engineering to medical devices

11

  1. IEC 62304:2006+AMD1:2015 Ed 1.1 Medical device software – Software life-cycle processes

  2. ISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process.

  3. 60601-1-2 Edition 4.1 2020-09 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests

  4. FDA Performance standards 21 CFR 1020.30-Diagnostics X-Ray system and their major components and 21 CFR 1020.31-Radiographic equipment.

  5. BS EN ISO 15223-1:2021: Symbols for use in the labeling of medical devices- for Manufacturer, Date of Manufacture, Serial Number, and Part/Model Number.

  6. EN ISO 14971:2019 Medical devices – Application of Risk Management to medical devices.

FDA guidance documents used in the development of PodSKAN HF Diagnostic X-ray System

  1. Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Guidance for Industry and Food and Drug Administration Staff, October 2014

  2. Cybersecurity in Medical Devices: Quality System Considerations and Content of Premarket Submissions Draft Guidance for Industry and Food and Drug Administration Staff, April 2022

  3. Pediatric Information for X-ray Imaging Device Premarket Notifications Guidance for Industry and Food and Drug Administration Staff , November 28, 2017

  4. Postmarket Management of Cybersecurity in Medical Devices Guidance for Industry and Food and Drug Administration Staff

  5. Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices

  6. The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notifications [510(k)] Guidance for Industry and Food and Drug Administration Staff

Summary of Non-Clinical Testing.

The subject device has been evaluated and found to be compliant to safety and essential performance as per IEC 60601-1, accuracy of loading factors, reproducibility of radiation output as per IEC 60601-2-54. half value layer, leakage radiation in loading and normal state and stray radiation as per IEC 60601-1-3, conducted emission, radiated emission, harmonics, voltage fluctuations, electrostatic discharge (ESD), electrical fast transients (EFT), radiated RF electromagnetic field, continuous conducted RF, surges, power frequency magnetic field, voltage dips and short interruption as per IEC 60601-1-2. The device also complies with FDA

12

performance standards 21CFR 1020.30-1020.31. The validation testing, which includes sample clinical images, demonstrates compliance to the diagnostic quality imaging performance when used with 510k cleared detector and imaging software for the intended application.

Summary of Clinical Testing:

Subject device has substantial similarities when compared to the predicate devices.

Since the clinical application remain same as of predicate device/s, Non-clinical data is considered sufficient to demonstrate safety and performance of PodSKAN HF Diagnostic Xray System, Clinical studies are not deemed necessary.

Conclusion:

Above details collectively demonstrate that PodSKAN HF Diagnostic X-ray System is safe and effective when the device is used as labelled and is found substantially equivalent to the predicate device.