K Number
K242015
Manufacturer
Date Cleared
2024-12-16

(159 days)

Product Code
Regulation Number
892.1720
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The 'TOPAZ Mobile X-ray System' is intended for use in obtaining human anatomical images of patients who cannot be moved to the radiology department for medical diagnosis.

Device Description

"TOPAZ" system is a system providing state-of-the-art image quality, user interface. "TOPAZ" system may be moved quietly and smoothly with motor drive mechanism "TOPAZ" system has a basic type column, and a collapsible type column option with a trendy design that allows driving without disturbing the front view. The core part of x-ray source adopts high quality tube assembly, motorized x-ray collimator. HV cable assembly and High Voltage X-Ray Generator. Touch screen LCD based x-ray control console provides user-friendly interface and easy technique selection. Collimator supports high accuracy for selected x-ray field size over any SID. Direct radiography via flat panel detector improves-exam speed and comfort with efficiency. Digital flat panel detector with Csl screen provides spatial resolution, MTF, DQE and stability based on fine pixel pitch. Selection of an anatomical study on the Digital Imaging Software automatically sets up the x-ray generator's preprogrammed exposure technique. The types of "TOPAZ" system are divided into TOPAZ-32D, and TOPAZ-40D according to maximum power and mA. The higher the maximum output, the wider the mA range to choose from, giving the user more technical options to choose from. The "TOPAZ Mobile X-ray System" consists of a tube assembly. x-ray collimator. High Voltage X-Rav Generator, detector and mechanical parts for mobility.

AI/ML Overview

The provided text is a 510(k) Summary for the TOPAZ Mobile X-ray System, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting a performance study with acceptance criteria in the format typically used for AI/CADe devices. This document describes the device, its intended use, technological characteristics, and differences from the predicate, along with non-clinical testing for safety and EMC standards.

Therefore, the specific information about "acceptance criteria and the study that proves the device meets the acceptance criteria" as requested for AI/CADe devices (including details like sample size for test sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, type of ground truth, and training set details) is not present in this 510(k) Summary.

This document primarily asserts that the "TOPAZ Mobile X-ray System" is substantially equivalent to the predicate device "TOPAZ Mobile DR System (K201124)" based on:

  • Identical intended use.
  • Similar technological characteristics, with modifications thoroughly tested for safety and effectiveness against international standards.
  • Nonclinical testing results provided in the 510(k) demonstrating that predetermined acceptance criteria were met for safety (electrical safety, EMC, radiation protection) and software validation.

The "study that proves the device meets the acceptance criteria" in this context refers to the nonclinical testing against various recognized international and FDA standards, not a clinical performance study with human readers or pathology, as would be expected for AI/CADe systems.

Here's a summary of the available information regarding acceptance criteria and testing, tailored to what is provided in the document:

1. Table of Acceptance Criteria and Reported Device Performance:

The document does not explicitly present a table of acceptance criteria and reported device performance in the typical format for clinical accuracy for AI/CADe. Instead, it states that the device was assessed, tested, and passed predetermined testing criteria during validation testing, aligning with the risk analysis. It also confirms that the device meets "all the requirements listed in the Standards" (see the Standards table below). The "device performance" reported is its conformance to these standards and its substantial equivalence to the predicate.

Nonclinical Standards Met (acting as acceptance criteria for safety and effectiveness):

StandardDescriptionFDA Rec. StandardReported Device Performance
IEC 60601-1Medical electrical equipment, Part 1: General requirements for basic safety and essential performance19-46Met all requirements
IEC 60601-1-2 (EMC)Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances Requirements and tests.19-36Met all requirements
IEC 60601-1-3Medical electrical equipment Part 1-3: General Requirements for Radiation Protection in Diagnostic X-Ray Equipment12-336Met all requirements
IEC 60601-1-6Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability5-132Met all requirements
IEC 60601-2-28Medical electrical equipment Part 2: Particular requirements for the safety of X-ray source assemblies and X-ray tube assemblies for medical diagnosis12-309Met all requirements
IEC 60601-2-54Medical electrical equipment Part 2: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy12-348Met all requirements
IEC 62304:2006Medical device software - Software life cycle processes13-79Met all requirements
ISO 14971:2019Medical devices - Applications of risk management to medical devices.5-125Met all requirements
ISO 15223-1Medical devices - Symbols to be used with medical device labels, labelling, and information to be supplied - Part 1: General requirements.5-134Met all requirements
NEMA PS 3.1 - 3.20 (2016).Digital Imaging and Communications in Medicine (DICOM) Set DICOM Standard.12-349Met all requirements
IEC/ISO10918-1Information technology - Digital compression and coding of continuous-tone still images: Requirements and guidelines12-261Met all requirements
IEC 62494-1Medical electrical equipment - Exposure index of digital X-ray imaging systems - Part 1: Definitions and requirements for general radiography.12-215Met all requirements
TR 60601-4-2Medical electrical equipment - Part 4-2: Guidance and interpretation - Electromagnetic immunity: performance of medical electrical equipment and medical electrical systems19-19Met all requirements
FDA Guidance (various)Pediatric Information for X-ray Imaging Device, Format for Traditional and Abbreviated 510(k)s, Submission of 510(k)s for Solid State X-ray Imaging Devices, Content of Premarket Submissions for Device Software Functions, Content of Premarket Submissions for Software contained in Medical Devices, Cybersecurity in Medical Devices.N/AComplies/Addressed
21 CFR 1020.30-31Applicable requirements for X-ray equipmentN/AConforms

2. Sample size used for the test set and the data provenance:

  • Not Applicable/Not Provided. The document describes non-clinical engineering and software validation testing against standards, not a clinical study involving a "test set" of patient data for diagnostic performance. The focus is on the device's hardware, software (RADMAX), and new flat panel detectors meeting safety and electrical standards.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):

  • Not Applicable/Not Provided. Ground truth establishment by experts is relevant for clinical performance studies, which this document does not describe.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

  • Not Applicable/Not Provided. This is relevant for clinical performance studies.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • No. This document describes a 510(k) for an X-ray system, not an AI/CADe system. No MRMC study was performed or is mentioned.

6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

  • Not Applicable/No. The device itself is an X-ray system, not an algorithm, and its performance is assessed in terms of meeting engineering and regulatory standards, not standalone diagnostic performance. The imaging software (RADMAX) is mentioned as identical to the predicate and has a "Basic Documentation Level" of concern, implying human interpretation of images.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

  • Not Applicable/Not Provided. For the non-clinical testing described, "ground truth" would relate to the correct functioning of the hardware and software according to specifications and standards, not clinical diagnostic accuracy.

8. The sample size for the training set:

  • Not Applicable/Not Provided. This is relevant for AI/ML models. While the device contains software, it is not described as an AI/ML diagnostic algorithm needing a training set. The software changes are primarily GUI and image processing module updates, verified for impact on safety and effectiveness (not AI training).

9. How the ground truth for the training set was established:

  • Not Applicable/Not Provided. As above, this is not an AI/ML submission requiring a training set.

In summary, the provided 510(k) document is for a mobile X-ray system and demonstrates substantial equivalence through nonclinical testing against recognized performance, safety, and EMC standards, rather than a clinical performance study with acceptance criteria related to diagnostic accuracy, which would be typical for AI-powered diagnostic devices.

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December 16, 2024

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

DRGEM Corporation % Arim Kim Regulatory Affairs | Engineer 7F, E-B/D Gwangmyeong Techno-Park 60, Haan-ro GwangMyeong-si, Gyeonggi 14322 SOUTH KOREA

Re: K242015

Trade/Device Name: TOPAZ Mobile X-ray System (Models : TOPAZ-32D, TOPAZ-40D) Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile X-Ray System Regulatory Class: Class II Product Code: IZL Dated: July 10, 2024 Received: December 3, 2024

Dear Arim 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 (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.

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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).

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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-regulatory

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assistance/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) K242015

Device Name

TOPAZ Mobile X-ray System (Models: TOPAZ-32D, TOPAZ-40D)

Indications for Use (Describe)

The 'TOPAZ Mobile X-ray System' is intended for use in obtaining human anatomical images of patients who cannot be moved to the radiology department for medical diagnosis.

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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Image /page/4/Picture/0 description: The image contains the logo for DRGEM. The letters "DR" are in bold black font, while "GEM" is in a teal color. Below the logo is the text "Your Best Healthcare" in a smaller, lighter font.

510(k) Summary

K242015

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

I. SUBMITTER [21 CFR 807.92(a) (1)]

DRGEM Corporation 7F. E-B/D Gwangmyeong Techno-Park, 60 Haan-Ro Gwangmyeong-Si Gyeonggi, KR 14322 Email: arkim@drgem.co.kr TEL: +82-70-4901-2743, FAX: +82-2-869-8567 Contact Person: Ms. Arim KIM, Engineer | Regulatory Affairs Date Prepared: June 15, 2024

II. PROPOSED DEVICE INFORMATION [21 CFR 807.92(a) (2)]

Product Name:TOPAZ Mobile X-ray System (Models: TOPAZ-32D, TOPAZ-40D)
Common Name:Mobile x-ray system
Classification Name:Mobile x-ray system
Product Code:IZL
Regulation Number:892.1720
Associated Product Code:MQB
Regulatory Class:II

III. PREDICATE DEVICES INFORMATION [21 CFR 807.92(a) (3)]

Product Name: TOPAZ Mobile DR System (Models: TOPAZ-32D, TOPAZ-40D) Common Name: Mobile x-ray system Classification Name: Mobile x-ray system

510(k) Number: K201124 Product Code: IZL Requlation Number: 892.1720

Regulatory Class: ==============================================================================================================================================================================

IV. DEVICE DESCRIPTION [21 CFR 807.92(a) (4)]

● Device Features:

· TOPAZ Mobile X-ray System

"TOPAZ" system is a system providing state-of-the-art image quality, user interface.

"TOPAZ" system may be moved quietly and smoothly with motor drive mechanism

"TOPAZ" system has a basic type column, and a collapsible type column option with a trendy design that allows driving without disturbing the front view.

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Image /page/5/Picture/0 description: The image contains the logo for DRGEM. The logo has the text "DRGEM" in bold, with "DR" in black and "GEM" in teal. Below the logo is the text "Your Best Healthcare" in a smaller, lighter font.

The core part of x-ray source adopts high quality tube assembly, motorized x-ray collimator. HV cable assembly and High Voltage X-Ray Generator. Touch screen LCD based x-ray control console provides user-friendly interface and easy technique selection. Collimator supports high accuracy for selected x-ray field size over any SID.

Direct radiography via flat panel detector improves-exam speed and comfort with efficiency. Digital flat panel detector with Csl screen provides spatial resolution, MTF, DQE and stability based on fine pixel pitch.

Selection of an anatomical study on the Digital Imaging Software automatically sets up the x-ray generator's preprogrammed exposure technique.

The types of "TOPAZ" system are divided into TOPAZ-32D, and TOPAZ-40D according to maximum power and mA. The higher the maximum output, the wider the mA range to choose from, giving the user more technical options to choose from.

● Device Identification:

The "TOPAZ Mobile X-ray System" consists of a tube assembly. x-ray collimator. High Voltage X-Rav Generator, detector and mechanical parts for mobility.

● Device Characteristics:

·Software

The subject device 'TOPAZ Mobile X-ray System' use software (including firmware).

Its S/W (RADMAX) can perform processing the radiological image acquired from Solid State X-ray Imaging Device.

Software being used is identical to the predicate device 'TOPAZ Mobile X-ray System', and its LOC (Level of Concern) is ' Basic Documentation Level'.

Accordingly, this software (RADMAX) is based on predicate device 'TOPAZ Mobile X-ray System'.

·Software Level Determination

Basic Documentation Level

The device does not contact the patient, nor does it control any life sustaining devices. A physician, providing ample opportunity for competent human intervention, interprets all images and information being displayed and printed.

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Image /page/6/Picture/0 description: The image shows the logo for DRGEM, a healthcare company. The letters "DR" are in bold black font, while "GEM" is in a teal color. Below the company name is the tagline "Your Best Healthcare" in a smaller, lighter font.

·Cybersecurity

This device complies with cybersecurity requirements by ensuring the confidentiality, integrity, and availability of data and systems.

Potential vulnerabilities were identified through cybersecurity risk analysis, which included threat modeling, risk assessment, and the development of a software bill of materials. The design integrates security controls, such as authentication, encryption, integrity verification, event detection and logging, retention, recovery and secure software updates. Verification and tests were conducted to ensure the effectiveness of the implemented cybersecurity controls. The product labeling includes cybersecurity-related information, and users are provided with quidance and training on instruction for use.

● Environment of Use:

This 'TOPAZ Mobile X-ray System' is for use by medical professional Facility. To prevent excess radiation exposure to patient and operator from either primary or secondary radiation, this 'TOPAZ Mobile X-ray System' must be operated and serviced by trained personnel who are familiar with the safety precautions required.

● Brief Written Description of the Device:

The operating principles are as follows.

The irradiation conditions are 40 to 125 (150) kVp at the photographing site, and the tube current is 10 to 400 (500) mA. When X-rays generated under X-ray irradiation conditions enter the X-ray Film or Flat Panel detector, the film or flat panel detects X-rays incident through the incident surface during X-ray irradiation, and finally generates a radiographic image when X-ray irradiation is completed.

V. INDICATION FOR USE [21 CFR 807.92(a) (5)]

The 'TOPAZ Mobile X-ray System' is intended for use in obtaining human anatomical images of patients who cannot be moved to the radiology department for medical diagnosis.

VI. TECHNOLOGICAL CHARACTERISTICS [21 CFR 807.92(a) (6)]

The Subject device 'TOPAZ Mobile X-ray System' (Model: TOPAZ-32D, TOPAZ-40D) is based on the Predicate Device (TOPAZ Mobile DR System, K201124) including the system control, Indication for use and mechanical design.

The differences between the subject device and the predicate device have been thoroughly tested and verified for safety and effectiveness by an accredited Safety and EMC testing laboratory.

This 510(k) submission describes some modifications to the previously cleared predicate devices the 'TOPAZ Mobile DR System' (K201124). The changes to the predicate 'TOPAZ Mobile DR System' (K201124) include:

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Image /page/7/Picture/0 description: The image contains the logo for DRGEM. The letters "DRG" are in black, and the letters "EM" are in teal. Below the logo is the text "Your Best Healthcare" in a smaller font.

Software update from TPZ IWS 1.00.01 to RADMAX 1.02.09

    1. Imaging Software Model Name Change: We have changed the model name of our imaging software from 'TPZ IWS (XGRADMAX)' to 'RADMAX'.
  • Graphical user interface (GUI): GUI of system software updated in order to improve 2) the look and feel of user interface for better visibility & faster workflow.
  • Image Processing Module added (Module 3, 4): We conducted performance 3) verification of Flat Panel detectors compared to existing image processing modules. Verification and Validation testing concluded no impact on safety and effectiveness.

Component Change

    1. 21.5" capacitive touch monitor is applied : 21.5" monitor is applied for improved viewing angle and wide screen.
    1. New Collapsible Column Stand Option have been Added (Basic type, Collapsible type - Optional)

: We have added a new Collapsible column type stand option to our product. This collapsible type column stand features a trendy design that allows driving without disturbing the front view.

    1. Addition of detector : 4343W, Mars1417X, Mars1717X, Luna1012X, A1417MCW, A1717MCW, F1417MCW

·10x12 inch Wireless Flat Panel detectors have been added

·Luna1012X manufactured by IRAY Technology, FDA Cleared K221345

·14x17 inch Wireless Flat Panel detectors have been added

·Mars1417X manufactured by IRAY Technology, FDA Cleared K210316

·A1417MCW manufactured by H&abyz Co., Ltd., FDA Cleared K223930

·F1417MCW manufactured by H&abyz Co., Ltd., FDA Cleared K223930

·17x17 inch Wireless Flat Panel detectors have been added

·4343W manufactured by Varex Imaging Corp, FDA Cleared K202572

·Mars1717X manufactured by IRAY Technology, FDA Cleared K210314

·A1717MCW manufactured by H&abyz Co., Ltd., FDA Cleared K223930

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Image /page/8/Picture/0 description: The image shows the logo for DRGEM. The letters "DR" are in bold black font, while "GEM" is in a teal color. Below the company name is the text "Your Best Healthcare" in a smaller font size.

VII.SUBSTANTIAL EQUIVALENCE [21 CFR 807.92(b)]

Substantial Equivalence Comparison Table

ItemSubject DevicePredicate DeviceImpact of Differences
Device NameTOPAZ Mobile X-ray SystemTOPAZ Mobile DR SystemThe TOPAZ Mobile DR Systemhas been renamed to theTOPAZ Mobile X-ray System.This is a simple model namechange, and the differencesbetween the subject device andthe predicate device do notaffect the safety or efficacy ofthe modified device.
510(k) numberK242015K202572-
ManufacturerDRGEM CorporationDRGEM Corporation-
Model NameTOPAZ-32DTOPAZ-40DTOPAZ-32DTOPAZ-40DSame as predicate
AppearanceImage: Basic typeImageYes, there is a differenceCollapsible type Column StandOption have been AddedModels have been testedagainst International Safety andEMC Standards. Any differencesbetween the subject device andpredicate device do not changeor add new potential safety risksIt is our determination that thereis "No negative impact on safetyor effectiveness" and there areno new potentialor increased safety risksconcerning this differenceSame as predicate
Image: Collapsible type
Indicationsfor UseThe 'TOPAZ Mobile X-ray System' isintended for use in obtaining humananatomical images of patients whocannot be moved to the radiologydepartment for medical diagnosis.The TOPAZ Mobile DR System, is amobile X-ray imaging system, for thepurpose of acquiring X-ray images of thedesired parts of a patient's anatomy.This device is not intended formammography, bone density,fluoroscopy and angiographyapplications.Same as predicateThe indications for use of theprevious TOPAZ Mobile DRSystem and the current TOPAZMobile X-ray System isessentially the same.The previous device describedthe general intended use ofacquiring X-ray images of thedesired body part of the patient.The current device emphasizesthe more specific situation ofacquiring images of immobilepatients.Therefore, the intended use ofthe two devices is essentially thesame, with only differences inwording.This device is not intended formammography, bone density,fluoroscopy and angiographyapplications.These contraindications apply toboth the previous TOPAZ Mobile

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Image /page/9/Picture/0 description: The image contains a logo for "DRGEM Your Best Healthcare". The word "DR" is in black, and the word "GEM" is in teal. The words "Your Best Healthcare" are in a smaller font and are in black.

DR System and the currentTOPAZ Mobile X-ray System.This matters are specified in thewarning and contraindicationsections on pages 13 and 18 ofthe Operation Manual(RMD1311-009)
1. High Frequency X- ray Generator
Output PowerRating (kW)32kW40kW32kW40kW
mA RangeMax. 400mAMax. 500mAMax. 400mAMax. 500mASame as predicate
KV Range40 ~125 kV(option: 150kV)40 ~ 125 kV(option: 150kV)40 ~125 kV(option: 150kV)40 ~ 125 kV(option: 150kV)
mAs Range0.1 ~500mAs0.1 ~500mAs0.1 ~500mAs0.1 ~500mAs
2. X-ray tube housing Assembly
ConfigurationmodelE7239X / CANONE7239X / CANON
E7242X / CANONE7242X / CANON
E7299X / CANONE7299X / CANON
E7876X / CANONE7876X / CANON
E7884X / CANONE7884X / CANON
DXT-8M / DRGEMDXT-8M / DRGEM
DXT-11M / DRGEMDXT-11M / DRGEM
DXT-10M / DRGEMDXT-10M / DRGEMSame as predicate
DXT-12M / DRGEMDXT-12M / DRGEM
Focal spot1.0/2.0mm,1.0/2.0mm,
0.3/1.0mm,0.3/1.0mm,
0.6/1.2mm,0.6/1.2mm,
0.6/1.5mm0.6/1.5mm
Target angle12° to 1612° to 16Yes, there is a difference.The addition of the Collapsibletype Column Stand Optionadds a 330 degree columnrotation range. Models havebeen tested againstInternational Safety and EMCStandards. Any differencesbetween the subject deviceand predicate device do notchange or add new potentialsafety risks. It is ourdetermination that there is "Nonegative impact on safety oreffectiveness" and there areno new potential or increasedsafety risks concerning thisdifference
depending upon the Tubedepending upon the Tube
Columrotationrange± 325 degrees± 325 degrees,
± 330 degrees
Tube(Arm axis)± 180 degrees± 180 degrees
Tube axisrotationrange-30~+90 degrees-30~+90 degreesSame as predicate
Max TubeVoltage125kV, 150kV125kV, 150kV
3. Collimator (Beam Limiting Device)
ConfigurationmodelR108/R108FR108/R108FYes, there is a difference.Collimator ConfigurationModels have been partiallydeleted based on predicatedevice.
DXC-RMLDXC-RML/DXC-RMHIt is our determination thatthere is "No negative impact onsafety or effectiveness" andthere are no new potentialor increased safety risksconcerning this difference
Lamp TypeLED lampLED and Halogen lamp
4. Solid State X-ray Imaging Device
-PaxScan4336W / VAREXThere are differences betweenthe added detectors and theoriginal detector used in thepredicate device. All detectorshave been tested forcompatibility with TOPAZ viainternal testing and the addeddetectors have been cleared byFDA 510(k)s. It is ourdetermination that the addeddetectors do not have anegative impact on safety orefficacy and there are no newpotential or increased safetyrisks concerning thesedifferences.
Flat panelDetectorPaxScan4336W v4/ VAREXPaxScan4336W v4/ VAREX
XRpad2 3025 HWC-M / VAREXXRpad2 3025 HWC-M / VAREX
XRpad2 4336 HWC-M / VAREXXRpad2 4336 HWC-M / VAREX
XRpad2 4343 HWC-M / VAREXXRpad2 4343 HWC-M / VAREX
Mano4336W / IRAYMano4336W / IRAY
Mano4343W / IRAYMano4343W / IRAY
4343W / VAREX-
Mars1417X / IRAY-
Mars1717X / IRAY-
Luna1012X / IRAY-
F1417MCW / H&abyz-
A1417MCW / H&abyz-
A1717MCW / H&abyz-
5. Imaging Processing Software
ConfigurationmodelRADMAXTPZ_IWS (XGRADMAX)Yes, there is a difference. Themodel name has beenchanged.
SoftwareVersion1.02 V1.00 Vsee below difference
Horizontal FlipYesYesYes
Vertical FlipYesYesYes
RotateCW/CCWYesYesYes
Text AnnotationYesYesYes
Ruler: DistancetooYesYesYes
AnglemeasurementtoolYesYesYes
ZoomYesYesYes
MagnifyYesYesYes
Image panningYesYesYes
Auto fitting towindow sizeYesYesYes
Image crop/cutYesYesYes
Image CopyYesYesYes
Recover theoriginal imageYesYesYes
Window levelCD BurningYesYesYes
DICOM PrintYesYesYes
Image StitchingYesYesYes
ImageProcessingModule·Module 1·Module 2·Module 3·Module1 : IMFOU·Module 2 : COVYes, there is a difference.Models have been conductedVerification activity. Any

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Image /page/11/Picture/0 description: The image contains a logo for DRGEM. The text "DR" is in bold, black font, while "GEM" is in a teal color. Below the logo, the text "Your Best Healthcare" is written in a smaller, lighter font.

·Module 4differences between the
· MODULE 1· Module1: IMFOUsubject device and predicate
Edge Enhancement: 0 ~ 50Edge Enhancement: 0 ~ 50device do not change or add
Contrast Factor: 1 ~ 200Contrast Factor: 1 ~ 200new potential safety risks. It is
Image Frequency: 0 ~ 20Image Frequency: 0 ~ 20our determination that there is
Image Latitude: -10 ~ 10Image Latitude: -10 ~ 10"No negative impact on safetyor effectiveness" and there
Sharpness: 0 ~ 100Sharpness: 0 ~ 100are no new potential
or increased safety risks
· MODULE 2· Module 2 : COVconcerning this difference
Histogram Optimization: -100 ~ 100Histogram Optimization: -1 ~ 1(0.01Step)
Skin line Weight: -100 ~ 100Skinline Weight: -1 ~ 1(0.01 Step)
Latitude Compression: -100 ~ 100Latitude Compression: -1 ~ 1(0.01 Step)
Contrast Enhancement: -100 ~ 100Contrast Enhancement: -1 ~ 1(0.01Step)
Edge Enhancement: -100 ~ 100Edge Enhancement: -1 ~ 1(0.01 Step)
Noise Suppression: -100 ~ 100Noise Suppression: -1 ~ 1(0.01 Step)
Gamma: -20 ~ 20Gamma: -20 ~ 20
Specification
· MODULE 3
Global Brightness: -100 ~ 100
Global Contrast: -100 ~ 100
Latitude Compression: -100 ~ 100
S-Structure Enhancement: -100 ~ 100Noise Suppression: -100 ~ 100
Gamma: -20 ~ 20
· MODULE 4
Global Brightness: -20 ~ 20
Global Contrast: -30 ~ 30
Local Contrast: 0 ~ 20
Small Enhancement: 0 ~ 20
Latitude Reduction: -20 ~ 20
Noise Suppression: 0 ~ 20
Gamma: -20 ~ 20

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VIII. SUMMARY OF NON-CLINICAL Data [21 CFR 807.92(b) (1)]

Nonclinical Testing:

The 'TOPAZ Mobile X-ray System', has been assessed and tested and has passed predetermined testing criteria. The Validation Test Plan was designed to evaluate input functions, output functions, and actions performed by the subject device and followed the process documented in the System Validation Test Plan.

Nonclinical testing results are provided in the 510(k). Validation testing indicated that as required by the risk analysis, designated individuals performed all verification and validation activities and that the results demonstrated that the predetermined acceptance criteria were met.

StdSafety/EMC Standards DescriptionFDA Rec.Standard
IEC 60601-1Medical electrical equipment, Part 1: General requirements for basic safety and essentialperformance19-46
IEC 60601-1-2(EMC)IEC 60601-1-2 Edition 4.0 2014-02. Medical electrical equipment - Part 1-2: Generalrequirements for basic safety and essential performance - Collateral Standard:Electromagnetic disturbances Requirements and tests.19-36
IEC 60601-1-3Medical electrical equipmentPart 1-3: General Requirements for Radiation Protection in Diagnostic X-Ray Equipment12-336
IEC 60601-1-6IEC 60601-1-6 Edition 3.1 2013-10Medical electrical equipment - Part 1-6: General requirements for basic safety and essentialperformance - Collateral standard: Usability5-132
IEC 60601-2-28IEC 60601-2-28Medical electrical equipment Part 2: Particular requirements for the safety of X-ray sourceassemblies and X-ray tube assemblies for medical diagnosis12-309
IEC 60601-2-54IEC 60601-2-54Medical electrical equipmentPart 2: Particular requirements for the basic safety and essential performance of X-rayequipment for radiography and radioscopy12-348
IEC 62304:2006IEC 62304 Edition 1.1 2015-06 CONSOLIDATED VERSIONMedical device software - Software life cycle processes13-79
ISO 14971:2019ISO 14971:2019 Third Edition, Medical devices - Applications of risk management to medicaldevices.5-125
ISO 15223-1ISO 15223-1 Fourth Edition 2021-07, Medical devices - Symbols to be used with medicaldevice labels, labelling, and information to be supplied - Part 1: General requirements.5-134
NEMA PS 3.1 -3.20 (2016).NEMA PS 3.1 - 3.20 (2022). Digital Imaging and Communications in Medicine (DICOM) SetDICOM Standard.12-349
IEC/ISO10918-1JPEG Standard IEC/ISO10918-1 First edition 1994-02-15, Information technology - Digitalcompression and coding of continuous-tone still images: Requirements and guidelines[Including: Technical Corrigendum 1 (2005)12-261
IEC 62494-1IEC 62494-1 Edition 1.0 (2008-08), Medical electrical equipment - Exposure index of digitalX-ray imaging systems - Part 1: Definitions and requirements for general radiography.12-215

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TR 60601-4-2TR 60601-4-2 Edition 1.0 2016-05 Medical electrical equipment - Part 4-2: Guidance andinterpretation - Electromagnetic immunity: performance of medical electrical equipment andmedical electrical systems19-19
FDA GuidanceGuidance for Industry and FDA Staff: Pediatric Information for X-ray Imaging Device Premarket Notificationsdated November 28, 2017
FDA GuidanceFormat for Traditional and Abbreviated 510(k)s, Guidance for Industry and Food and Drug AdministrationStaff, Document issued on September 13, 2019.
FDA GuidanceGuidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices dated September 1, 2016
FDA GuidanceContent of Premarket Submissions for Device Software Functions Guidance for Industry and Food and DrugAdministration Staff Document issued on June 14, 2023.
FDA GuidanceGuidance for Industry and FDA Staff: Guidance for the Content of Premarket Submissions for Softwarecontained in Medical Devices, Document issued on: May 11, 2005
FDA GuidanceCybersecurity in Medical Devices: Quality System Considerations and Content of Premarket SubmissionsGuidance for Industry and Food and Drug Administration Staff Document issued on September 27, 2023.

Summary:

Based on the performance as documented in the V&V Testinq, the subject device was found to have a safe and effectiveness profile that is similar to the predicate device.

The following International Standards were used to develop and verify electrical safety, and EMC. 'TOPAZ Mobile X-ray System' has met all the requirements listed in the Standards except for inapplicable requirements (which are listed in the various test reports).

The subject device conforms to all applicable requirements of 21 CFR 1020.30-31

IX. CONCLUSIONS [21 CFR 807.92(b) (3)]

The 510(k) Pre-Market Notification for 'TOPAZ Mobile X-ray System', contains adequate information, data, and nonclinical test results to enable FDA - CDRH to determine substantial equivalence to the predicate device. The subject device and the predicate device are substantially equivalent in the areas of technical characteristics, general function, application, and intended use does not raise any new potential safety risks and is equivalent in performance to existing legally marketed devices.

Nonclinical tests demonstrate that the device is as safe, as effective, and performs comparably to the predicate devices.

§ 892.1720 Mobile x-ray system.

(a)
Identification. A mobile x-ray system is a transportable device system intended to be used to generate and control x-ray for diagnostic procedures. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.