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510(k) Data Aggregation

    K Number
    K202235
    Device Name
    ArtPIX DRF
    Date Cleared
    2020-09-03

    (27 days)

    Product Code
    Regulation Number
    892.1650
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT Medical Technologies Ltd

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ArtPIX DRF is a digital image acquisition system to be used with integrated solid state detector, during radiography or fluoroscopy x-ray examination, to capture digitalize, review images according to DICOM protocol to be sent through network connection.

    This device is not intended for mammography use.

    Device Description

    The modified ArtPIX DRF is a dynamic digital radiography system including fluoroscopy and radiography capabilities.

    The system application is based on Windows 10 operating system. The object-oriented software performs real-time image processing (based on parallel computing), and full procedures storage. The DICOM 3.0 IHE compliant connectivity provides the tools to transmit patient demographics, examinations and image data in digital format.

    Parameters for X-ray exposure, review, post-processing operations and filming can be set up from a single console, significantly increasing clinical efficiency.

    The modified ArtPix DRF operates in connection with the dynamic Pixium 2121, 3030, 4343 flat panel detectors and 2430, 3543 portable flat panel detectors (made by Thales of Moirans, France).

    The modified ArtPix DRF is intended for OEMs and Integrators that will integrate the product with their R&F table as a digital supplement.

    AI/ML Overview

    The provided text describes a Special 510(k) submission for the ArtPIX DRF, which is a modification of a previously cleared device, the Duet DRF (K103038). This type of submission focuses on demonstrating that the modified device remains substantially equivalent to the predicate device, implying that extensive, new clinical studies for acceptance criteria may not be performed if the changes do not introduce new safety or effectiveness concerns.

    Based on the provided information, I can extract the following:

    1. A table of acceptance criteria and the reported device performance

    The document doesn't explicitly present a table of acceptance criteria with corresponding performance metrics in a way you might expect for a new device submission. Instead, it details that the modified ArtPIX DRF's performance and technological characteristics are substantially equivalent to its predicate device, the Duet DRF K103038. The acceptance criteria for the modified device are implicitly inferred from the performance characteristics of the predicate device and the new, integrated components, as well as adherence to various industry standards.

    Here's an attempt to infer and present the acceptance criteria and device performance based on the comparison:

    Acceptance Criteria (Inferred from Predicate's Performance/Standards)Reported Device Performance (ArtPIX DRF)
    Intended Use
    Digital image acquisition system for radiography/fluoroscopy, not for mammography.Identical.
    Detector Characteristics (Dynamic)
    Pixel Pitch (e.g., 148 µm for Pixium RF 4343)Varies by integrated FPD model (e.g., 148 µm for Pixium 4343 FL, 154 µm for Pixium 3030S-A). All are within acceptable ranges for prior cleared devices.
    Active Image Area (e.g., 42.5 x 42 cm for Pixium RF 4343)Varies by integrated FPD model (e.g., 42.5 x 42 cm for Pixium 4343 FL, 30.1 x 30.1 cm for Pixium 3030S-A). All are within acceptable ranges for prior cleared devices.
    Dynamic Range: 16 bits16 bits (for all listed dynamic FPDs).
    X-ray generator voltage range: 40-150 kVp40-150 kVp (for all listed dynamic FPDs).
    Maximum Frame Rate (Cont. fluoroscopy): Up to 30 FR/secVaries by integrated FPD model (e.g., 16 FR/sec for Pixium 4343 FL; 30 FR/sec for Pixium 4343 FL Models 4; 25 FR/sec for Pixium 2121S-A).
    DQE (Detective Quantum Efficiency) @ 0 lp/mm (e.g., 65% for Pixium RF 4343)Varies by integrated FPD model (e.g., 65% for Pixium 4343 FL; 73% for Pixium 4343 FL Model 4; 77% for Pixium 3030S-A).
    DQE @ 2 lp/mm (e.g., 35% for Pixium RF 4343)Varies by integrated FPD model (e.g., 32% for Pixium 4343 FL; 35% for Pixium 4343 FL Model 4; 30% for Pixium 3030S-A).
    Detector Characteristics (Static - Portable)
    Pixel Pitch (e.g., 148 µm for Pixium Portable 3543EZ-C)Varies by integrated FPD model (e.g., 148 µm for Pixium Portable 3543EZ-C; 160 µm for Pixium Portable 3543DR-CS). All are within acceptable ranges for prior cleared devices.
    Active Image Area (e.g., 34.4 x 42.1 cm for 3543EZ-C)Varies by integrated FPD model. All are within acceptable ranges for prior cleared devices.
    Dynamic Range: 16 bit16 bit (for all listed static FPDs).
    DQE (typical values) (e.g., 70% at 0 lp/mm for 3543EZ-C)Varies by integrated FPD model. All are within acceptable ranges for prior cleared devices.
    System Functionality
    PC based workstation, User interactive GUI, 16 Bits digitization, Anatomically programmed protocols, User-selectable display manipulationsIdentical.
    Continuous fluoroscopy rate: Up to 30 fpsUp to 30 fps.
    Pulsed Fluoroscopy rate: Up to 15 fps3.75, 7.5, 15 fps.
    Fluoro store: 0.5 fps Up to 15 fpsUp to 30 fps.
    DICOM compatibility (Store, Print, MWL)DICOM compatibility (Store, MWL, RDSR, Storage Commitment, MPPS). (Note: DICOM Print removed, other functions added).
    Electrical, Thermal, EMC Safety (IEC 60601-1, 60601-1-2)Adheres to IEC 60601-1, IEC60601-1-2.
    New Features Acceptance (e.g., Image Stitching)User-controlled, requires user approval for saving.

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document primarily describes verification and validation (V&V) activities, which are typically technical assessments rather than extensive clinical studies. It mentions "software unit tests," "software test document," "system bench tests," and "measuring the image quality." It also states, "The (positive /negative) results were documented in the test document."

    However, there is no specific sample size mentioned for a test set (e.g., number of patients or images). The data provenance is also not specified, as these appear to be internal design validation activities rather than
    a clinical trial. The testing was performed by "CMT Medical Technologies Ltd." which is an Israeli company, so the testing data would likely originate from their facilities. The nature of the changes (integration of new, already cleared FPDs and hardware/software upgrades) suggests that rigorous clinical testing with human subjects was not deemed necessary for substantial equivalence given the predicate.

    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)

    The document does not mention using experts (e.g., radiologists) to establish ground truth for a test set. This is consistent with a "Special 510(k)" for device modifications where clinical performance is demonstrated via substantial equivalence to a predicate device and technical performance testing, rather than new clinical evaluations requiring expert reads.

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

    No adjudication method is mentioned, as no expert-based ground truthing or clinical study requiring adjudication is detailed.

    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 MRMC comparative effectiveness study was done. The device is an image acquisition and processing system, not an AI-assisted diagnostic tool.

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

    The device is a digital image acquisition system with software for image processing and handling. Its performance is inherently linked to its ability to capture, digitize, review, and format images. The "system performance of the modified ArtPix DRF was validated by measuring the image quality." This would include the performance of the integrated detectors and the processing algorithms. While not explicitly called "standalone algorithm performance," the technical tests on image quality and system functionality without human interpretation are part of the stated V&V.

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

    The "ground truth" for the verification and validation activities appears to be based on technical performance specifications, industry standards (e.g., DQE, pixel pitch), and expected functional behavior of the system components. For image quality, it would be measured parameters against documented specifications. There's no indication of ground truth established by expert consensus, pathology, or outcomes data, as this was not a clinical efficacy study.

    8. The sample size for the training set

    The document discusses device modifications and V&V testing, not the development of a machine learning or AI algorithm that would typically require a "training set." Therefore, no training set size is applicable or mentioned.

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

    As there is no mention of a training set or an AI/ML algorithm within the modifications described, this information is not applicable and not provided. The software modifications described primarily relate to supporting new hardware, updating the operating system and user interface, and incorporating previously cleared processing algorithms or standard DICOM functions.

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    K Number
    K162224
    Date Cleared
    2016-09-22

    (45 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ArtPix Mobile EZ2GO, is intended for use in general radiographic examinations by qualified/trained doctors or technicians, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography.

    ArtPix Mobile EZ2GO allows imaging of the skull, chest, shoulders, spine, abdomen, and extremities. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    The modified ArtPix Mobile EZ2GO is a flexible high-resolution Digital Radiography (DR) system that is designed to provide fast and smooth radiography examinations of sitting, standing or lying patient Imaging. The modified ArtPix Mobile EZ2GO consists of the following components: Tablet Computer, Flat Panel Detectors, Detector Removable batteries & Charger, and other optional components such as External Monitor for Docking Station, USB HUB, Bluetooth DAP device and Fix Room Access Point Support. Images may be transferred via a network using DICOM protocol for printing and storage in PACS.

    The modified ArtPix Mobile EZ2GO can be used in combination with any conventional analog radiography system currently using film screen or CR, fixed or mobile, or other system capable of producing general radiography exposures.

    The modified Artpix Mobile EZ2GO detector can be shared between multiple Artpix Mobile EZ2GO systems.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text.

    Based on the provided document, the device described is ArtPix Mobile EZ2GO, an X-ray system. The document is a 510(k) summary for a Special 510(k) submission, indicating modifications to a previously cleared predicate device, PrestoDR 4143 [K110849](https://510k.innolitics.com/search/K110849).

    It's important to note that this document is a 510(k) submission summary, which primarily aims to demonstrate substantial equivalence to a predicate device rather than providing a detailed report of a new clinical trial. Therefore, information regarding certain aspects like "sample size used for the test set," "number of experts used to establish ground truth," "adjudication method," and "MRMC comparative effectiveness study" are not typically part of a 510(k) summary for this type of device and are not present in the provided text. These elements are more common for AI/CADe devices or those requiring de novo classification with novel claims.

    The "study" proving the device meets the acceptance criteria is primarily a verification and validation (V&V) process focused on demonstrating that the modified device's performance is equivalent to or better than the predicate device and that it meets established engineering and functional requirements, without raising new safety or effectiveness concerns.


    1. A table of acceptance criteria and the reported device performance

    The document focuses on comparing the modified device (ArtPix Mobile EZ2GO) to its predicate (PrestoDR 4143 [K110849](https://510k.innolitics.com/search/K110849)) across various technical specifications and performance characteristics rather than explicitly stating acceptance criteria in table form for each parameter and then listing the observed performance. Instead, it provides a comparative table and a general conclusion of acceptance.

    However, we can infer some "acceptance criteria" from the comparison table (Section 1.9.2) and the V&V section (1.10). The primary acceptance criterion for this 510(k) is substantial equivalence to the predicate device in terms of fundamental scientific technology, indication for use, safety, and effectiveness.

    Here's an inferred table based on the provided comparison:

    CharacteristicInferred Acceptance Criteria (Based on Predicate Performance)ArtPix Mobile EZ2GO Reported Performance
    Detectors (CsI)
    Pixel Pitch~148 µm144 µm / 148 µm (depending on model)
    Active Image Area~41 x 42.5 cm (2775 x 2874 pixels)Varies by model: e.g., 34.1x 43.2 cm (2372 x 3000 pixels), 33.7 x 41.4 cm (2280 x 2800 pixels)
    Dynamic Range16 bits16 bit
    DQE (0 lp/mm)64%66% (for some models)
    DQE (1 lp/mm)52%51% (for some models)
    DQE (2 lp/mm)42%39% / 40% (for some models)
    DQE (3 lp/mm)25%23% / 24% (for some models)
    Weight11.5 KgLighter: 4.7 Kg, 2.8 Kg, 3.0 Kg, 3.2Kg, 1.6 Kg (depending on model)
    Detectors (Gadox)
    Pixel Pitch148 µm148 µm
    Active Image Area41 x 42.5 cm (2775 x 2874 pixels)Varies by model: e.g., 33.7 x 41.4 cm (2280 x 2800 pixels), 22.2 x 28.4 cm (1500 x 1920 pixels)
    Dynamic Range16 bits16 bit
    MTF (0 lp/mm)37%37%
    MTF (1 lp/mm)25%25%
    MTF (2 lp/mm)17%17%
    MTF (3 lp/mm)7%7%
    Weight11.5 KgLighter: 2.8 Kg, 1.6 Kg (depending on model)
    Workstation Computer
    Processor (min)i3-540i5-4310U (Improved)
    Memory (min)2GB, DDR3, 1333 MHz RAM8GB (Improved)
    Operating SystemWindows XPWindows 7 (Updated)
    Display17"/19" LCD Touch Screen, 1280x102410.1" LCD 10-Point Multi Touch (Optional 24" with docking station) 1920x1200 (Different form factor, higher res optional)
    Disk Storage500 GB (15,000 images)250 GB SSD (7,500 images) (Smaller capacity, but deemed sufficient for temporary storage)
    Dimensions36 x 18.3 x 42 cm (10.1 Kg)27 x 18.8 x 2 cm (1.09 Kg) (Smaller and lighter)
    Preview Image Time6-7 seconds4 seconds (Improved)
    Max Power700VA92VA (Lower power consumption)
    Functional EquivalenceAll basic functions, intended use, and principle of operation should be unchanged.The device maintains the same basic functions, intended use, and principle of operation.
    Safety & EffectivenessNo new safety or effectiveness concerns should be raised.V&V indicated no critical, safety, efficacy or blocking issues.
    Compliance with StandardsAdherence to relevant IEC, ISO, NEMA, CFR standards.List of 12 standards (e.g., IEC 60601-1, IEC 60601-1-2, IEC 62304, ISO 14971, CFR 1020.30/31) met.

    Conclusion from the document: "The modified ArtPix Mobile EZ2GO system passed its acceptance criteria and is recommended for release."

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not specify a "sample size" in terms of patient data or images for testing the device's diagnostic performance, as it is a technical modification to an existing X-ray system rather than a new AI/CAD device. The "test set" in this context refers to the device itself being subjected to engineering verification and validation.

    • Sample Size for Test Set: Not applicable in the context of patient data or clinical images. The testing refers to the system hardware and software.
    • Data Provenance: Not applicable. The V&V focused on the device's technical specifications and functionality.

    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)

    This information is not provided and is generally not required for a 510(k) summary concerning technical modifications to an X-ray imaging system. Establishing ground truth by experts is relevant for assessing diagnostic accuracy, which is not the primary focus of this type of submission (since the diagnostic capability relies on the predicate's established performance and the fundamental imaging physics).

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

    This information is not provided and is not typically relevant for this type of 510(k) submission. Adjudication methods are used in clinical trials, particularly for diagnostic algorithms, where there might be disagreement among reviewers regarding the ground truth.

    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 MRMC comparative effectiveness study was done or reported. This type of study is specific to devices, especially AI/CAD, that assist human readers in making diagnoses. The ArtPix Mobile EZ2GO is an X-ray imaging system itself, not an AI software. The submission focuses on demonstrating that the new hardware and software components maintain diagnostic image quality and system functionality equivalent to the predicate.

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

    No standalone algorithm performance study was done or reported. The device is an integral imaging system requiring human operation (qualified/trained doctors or technicians). The submission does not claim any autonomous algorithmic diagnostic capabilities.

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

    Since this is not a diagnostic AI/CAD device but an imaging system, the "ground truth" concept in the traditional sense (e.g., pathology for disease detection) is not directly applicable to the V&V described. The V&V focused on:

    • Expected performance of software functions ("pass/fail" based on test protocols).
    • Correctness of system integration.
    • Measured image quality metrics (DQE, MTF) against expected engineering specifications which are themselves proxies for producing diagnostic quality images.
    • Adherence to safety and electrical standards.

    So, the "ground truth" essentially refers to engineered specifications and functional requirements.

    8. The sample size for the training set

    Not applicable. The ArtPix Mobile EZ2GO is an X-ray imaging device, not an AI/machine learning algorithm that requires a training set of data.

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

    Not applicable. (See point 8).

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    K Number
    K110849
    Device Name
    PRESTODR 4143
    Date Cleared
    2011-04-26

    (29 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The PrestoDR 4143, is intended for use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. PrestoDR 4143 allows imaging of the skull, chest, shoulders, spine, abdomen, and extremities.

    Device Description

    The PrestoDR 4143 is a Digital Radiography system, featuring an integrated flat panel digital detector (FPD) and CMT's proprietary technology, which incorporates state of the art objectoriented software and connectivity. The legally marketed PrestoDR Portable K 100400 has been modified: To integrate the Pixium 4143 flat panel digital detector (FPD), improve its cost effectiveness, aging technologies and components (hardware and software) have been redesigned. The device major functions, intended use and principle of operation were not changed.

    AI/ML Overview

    The provided text is a 510(k) summary for the PrestoDR 4143 device. It states that the device has been redesigned and its safety and effectiveness were verified and validated according to 21CFR 820.30 regulations. However, it does not contain the detailed information requested regarding specific acceptance criteria, study methodologies, or performance data beyond a general statement that "Tests data demonstrate that the PrestoDR 4143 meets the required specifications."

    Therefore, I cannot fulfill your request for a table of acceptance criteria, device performance, sample sizes, ground truth establishment, expert qualifications, adjudication methods, or MRMC study details based solely on the provided text.

    The information you are asking for typically resides in the detailed study reports submitted as part of the 510(k) premarket notification, which is not fully included in this summary.

    Here's what can be extracted from the provided limited text:

    • Device Name: PrestoDR 4143
    • Submission Type: Special 510(k) Submission (meaning it's a modification to an already legally marketed device, K100400 PrestoDR 4143)
    • Reason for Submission: To integrate a new flat panel digital detector (Pixium 4143 FPD), improve cost-effectiveness, and redesign aging technologies and components (hardware and software). The major functions, intended use, and principle of operation were not changed.
    • Safety & Effectiveness Statement: "The device has been designed verified and validated complying with 21CFR 820.30 regulations. Tests data demonstrate that the PrestoDR 4143 meets the required specifications. No adverse affects have been detected."
    • Substantial Equivalency: The manufacturer believes the PrestoDR 4143 is substantially equivalent in terms of safety and effectiveness to the predicate device, K100400 PrestoDR 4143.

    In summary, the provided document does not contain the level of detail necessary to answer the specific questions about acceptance criteria, study design, or performance metrics.

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    K Number
    K103038
    Device Name
    DUET DRF
    Date Cleared
    2011-03-29

    (166 days)

    Product Code
    Regulation Number
    892.1650
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Duet DRF is a digital image acquisition system to be used in conjunction with a solid state detector during radiography or fluoroscopy x-ray examination to capture, digitalize, review images and format images according to DICOM protocol to be sent through network connection. This device is not intended for mammography use

    Device Description

    The Duet DRF is a Digital Radiography system, featuring an integrated flat panel digital detector (FPD) same as in K080859 DRF 4343, Villa sistemi medicali S.p.A. (this is the 510(k) for the system that incorporate the same flat panel detector and state of the art object-oriented software and connectivity.

    AI/ML Overview

    The provided text describes the 510(k) submission for the Duet DRF device, a Digital Radiography system. However, it does not contain the detailed information requested regarding the acceptance criteria, specific performance study results, sample sizes for test sets or training sets, expert qualifications, or ground truth establishment methods.

    The document states:
    "The device has been designed verified and validated complying with 21CFR 820.30 regulations. Tests data demonstrate that the Duet DRF meets the required specifications. No adverse affects have been detected."

    This is a general statement indicating that testing was performed to verify and validate the device, and that it met specifications. It does not provide the specifics needed for the requested information.

    Therefore, for your current input, much of the requested information cannot be extracted. I will outline what can be gleaned and state where information is missing.


    Here's a breakdown of the requested information based on the provided text, highlighting what is missing:

    1. A table of acceptance criteria and the reported device performance

    Acceptance CriteriaReported Device Performance
    Not specified in the document. The document generally states that "Tests data demonstrate that the Duet DRF meets the required specifications." However, what those specific specifications or acceptance criteria were (e.g., image resolution, signal-to-noise ratio, image acquisition speed, diagnostic accuracy) and the quantitative results are not provided.Not specified in the document. No specific metrics or performance values are reported.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    • Sample Size for Test Set: Not specified.
    • Data Provenance: Not specified.

    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)

    • Number of Experts: Not specified.
    • Qualifications of Experts: Not specified.
    • Ground Truth Establishment Method for Test Set: Not specified. The document does not describe how ground truth was established for "tests data."

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

    • Adjudication Method: Not specified.

    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

    • MRMC Comparative Effectiveness Study: Not mentioned. The device is described as a "digital image acquisition system," not an AI-assisted diagnostic tool. Therefore, a study on human reader improvement with AI assistance would not be applicable based on the device description.

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

    • Standalone Performance Study: Not explicitly mentioned in terms of diagnostic accuracy or a specific algorithm study. The "tests data" mentioned suggests performance tests were done for the system (hardware and software), but not specifically for a standalone algorithm's diagnostic capability. The device's primary function described is image acquisition, digitalization, review, and formatting, not automated diagnosis.

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

    • Type of Ground Truth: Not specified.

    8. The sample size for the training set

    • Sample Size for Training Set: Not applicable/Not specified. The document primarily describes a hardware system for image acquisition. There's no indication of a machine learning model that would require a "training set" in the context of diagnostic AI.

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

    • Ground Truth for Training Set Establishment: Not applicable/Not specified, as there is no mention of a training set.

    Summary of Device and Safety/Effectiveness Claims from the Document:

    • Device Name: Duet DRF
    • Device Type: Digital Radiography system with an integrated flat panel digital detector.
    • Purpose: To capture, digitalize, review, and format X-ray images during radiography or fluoroscopy examinations, sending them via DICOM protocol.
    • Predicate Device: K080859 DRF 4343
    • Intended Use: Not for mammography.
    • Safety & Effectiveness Claim: The device has been designed, verified, and validated complying with 21CFR 820.30 regulations. "Tests data demonstrate that the Duet DRF meets the required specifications. No adverse affects have been detected." The manufacturer believes it is substantially equivalent in safety and effectiveness to the predicate device.

    Conclusion:

    The provided text serves as a 510(k) summary, which often focuses on substantial equivalence to a predicate device and general declarations of meeting regulatory requirements. It does not delve into the detailed technical specifications, specific acceptance criteria, or performance study methodologies and results that would typically be found in a detailed validation report. Therefore, most of the specific questions about acceptance criteria, test set details, expert involvement, and ground truth establishment cannot be answered from this document.

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    K Number
    K100400
    Date Cleared
    2010-04-22

    (65 days)

    Product Code
    Regulation Number
    892.1720
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The PrestoDR Portable ™, is intended for use in general radiographic examinations, wherever conventional screen-film systems may be used, excluding fluoroscopy, angiography and mammography. PrestoDR Portable ™ allows imaging of the skull, chest, shoulders, spine, abdomen, and extremities.

    Device Description

    The PrestoDR Portable is a Digital Radiography system, featuring an integrated portable flat panel digital detector (FPD) K090625 WIRELESS PORTABLE DETECTOR FD-W17, Philips Medical Systems North America CO (this is the 510(k) for the wireless portable flat panel detector) and CMT's proprietary technology, which incorporates state of the art object-oriented software and connectivity. The legally marketed SMARTRAD K003438 has been modified: To integrate the portable flat panel digital detector (FPD) K090625, improve its cost effectiveness, aging technologies and components (hardware and software) have been redesigned. The device major functions and principle of operation were not changed.

    AI/ML Overview

    The provided text is a 510(k) Summary and related FDA correspondence for the PrestoDR Portable, a Digital Radiography system. It focuses on establishing substantial equivalence to predicate devices rather than presenting a detailed study proving performance against specific acceptance criteria for AI or diagnostic accuracy.

    The document indicates that the PrestoDR Portable is primarily a hardware and software system for general radiography, replacing conventional screen-film systems. The "Reason for 510(k) Submission" states it's a "Special 510(k) Submission" due to integration of a portable flat panel digital detector and redesign of "aging technologies and components (hardware and software)." It explicitly says, "The device major functions and principle of operation were not changed."

    Therefore, the submission does not contain the detailed study results, acceptance criteria for device performance (especially in a diagnostic context), or specific data regarding AI-driven diagnostic improvements as requested in the prompt. The text focuses on regulatory compliance and substantial equivalence to a predicate device, as opposed to a clinical performance study with specific diagnostic accuracy metrics.

    Here's a breakdown of why most of the requested information cannot be found in the provided text:

    1. Table of acceptance criteria and the reported device performance

    • Not found. The document states, "Tests data demonstrate that the PrestoDR Portable meets the required specifications." However, it does not specify what those specifications or acceptance criteria are, nor does it provide a table of reported device performance against them. The focus is on safety and effectiveness through substantial equivalence and compliance with 21CFR 820.30 regulations for design, verification, and validation, rather than specific clinical performance metrics.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    • Not found. No information is provided about any specific test set, its sample size, or data provenance. The submission describes a device modification and asserts substantial equivalence, which typically relies on demonstrating that the modified device performs similarly to the predicate, rather than new clinical trials measuring diagnostic accuracy.

    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 found. Since no specific test set or clinical performance study is described, there is no mention of experts establishing ground truth.

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

    • Not found. No adjudication method is described because no specific test set or study requiring such a method is presented.

    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

    • Not found. The document does not describe an MRMC study or any AI assistance. The device is a digital radiography system; while it uses "state of the art object-oriented software," this doesn't imply an AI-driven diagnostic aid that would require an MRMC study to show human reader improvement with AI.

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

    • Not found. There is no mention of a standalone algorithm performance study.

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

    • Not found. No ground truth type is specified, as no clinical performance study involving diagnostic accuracy is detailed.

    8. The sample size for the training set

    • Not found. There is no mention of a training set, as the document doesn't describe the development or validation of a diagnostic algorithm based on machine learning.

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

    • Not found. Consequently, no information is provided on how ground truth for a training set was established.
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    K Number
    K080890
    Device Name
    SMARTSPOT PRIMAX
    Date Cleared
    2008-04-29

    (29 days)

    Product Code
    Regulation Number
    892.2050
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SmartSPOT PrimaX enhances the quality of the fluoroscopy image, enables acquisition and display of high quality resolution (1024X1024 pixels) radiographic images and gives the user the possibility to perform advanced studies involving image digital subtraction, such as Road mapping and DSA, that were not possible with conventional technique. Fields of application of the system are: gastrointestinal examinations, interventional procedures, peripheral angiography studies, urology examinations and other routine fluoroscopy studies

    Device Description

    The SmartSPOT PrimaX is a high-resolution digital imaging system designed for Digital Spot Imaging. The system is based on a PC Workstation running Windows XT as the operating system. The legally marketed SMARTSPOT K961307 has been modified: To improve its cost effectiveness, aging technologies and components (hardware and software) have been redesigned. The device major functions and principle of operation were not changed.

    AI/ML Overview

    The provided S510(k) summary for the Koro890 SmartSPOT PrimaX describes the device as a high-resolution digital imaging system for Digital Spot Imaging, indicating it's an update to a previously marketed device (SMARTSPOT K961307). However, the submission does not include specific acceptance criteria or details of a study proving the device meets acceptance criteria in the format explicitly requested.

    Instead, the document focuses on demonstrating substantial equivalence to a predicate device by stating: "Tests data demonstrate that the SMARTSPOT PrimaX meets the required specifications. No adverse affects have been detected." and highlighting changes made to improve cost-effectiveness and update aging technologies/components, while asserting that "The device major functions and principle of operation were not changed."

    Therefore, it's not possible to populate the requested table and answer the study-related questions based on the provided text. The document is a regulatory submission for a 510(k) clearance, which primarily focuses on demonstrating substantial equivalence rather than presenting detailed performance study results with specific acceptance criteria.

    Information NOT available in the provided text:

    • A table of acceptance criteria and reported device performance.
    • Sample sizes used for the test set.
    • Data provenance (country of origin, retrospective/prospective).
    • Number of experts used to establish ground truth.
    • Qualifications of experts.
    • Adjudication method.
    • Results of a multi-reader multi-case (MRMC) comparative effectiveness study or human reader improvement effect size.
    • Results of a standalone (algorithm only) performance study.
    • Type of ground truth used (expert consensus, pathology, outcomes data, etc.).
    • Sample size for the training set.
    • How the ground truth for the training set was established.

    The document states that "The device has been designed verified and validated complying with 21 CFR 820.30 regulations," which refers to the Quality System Regulation, outlining general requirements for design controls, but does not provide the specific performance data or acceptance criteria.

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    K Number
    K003438
    Device Name
    SMART RAD
    Date Cleared
    2001-07-03

    (239 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K001111
    Date Cleared
    2000-07-07

    (92 days)

    Product Code
    Regulation Number
    886.1780
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K991578
    Device Name
    SMARTSPOT 2000
    Date Cleared
    1999-06-03

    (28 days)

    Product Code
    Regulation Number
    892.2050
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SmartSpot 2000 is indicated for the acquisition, storage, processing (enhancement), printing and display of fluoroscopic and digital x-ray spot images.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) clearance letter from the FDA for the SmartSpot 2000 Image Processing System. This document does not contain information about acceptance criteria, study details, or performance metrics for the device.

    Therefore, I cannot provide the requested information. The letter primarily states that the device is "substantially equivalent" to legally marketed predicate devices, allowing its marketing. It does not elaborate on the specific studies or data that led to this determination, nor does it define acceptance criteria for the device's performance.

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    K Number
    K961140
    Date Cleared
    1996-09-20

    (183 days)

    Product Code
    Regulation Number
    892.1650
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    CMT MEDICAL TECHNOLOGIES, LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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