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510(k) Data Aggregation

    K Number
    K042260
    Date Cleared
    2004-09-07

    (15 days)

    Product Code
    Regulation Number
    872.1800
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    PHOT-X II, MODEL 303

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

    PHOT-X II MODEL 303 is a extraoral source dental radiographic x-ray unit. This unit works as a diagnostic purpose x-ray source for human teeth with the resultant image recorded on intraoral dental x-ray film or image receptor . The design, function and positioning of the x-ray unit is similar to most all other x-ray machines manufactured for this specific purpose over the past thirty years.

    Device Description

    PHOT-X II, MODEL 303 dental x-ray contains; control box, wall mounting, adjustable support arm and x-ray generating tubehead. Package includes Operators Manual, Installation Manual and Warrantee.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a dental X-ray device (PHOT-X II, MODEL 303). This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving clinical effectiveness or diagnostic accuracy through a traditional clinical study with acceptance criteria for device performance. It's a regulatory filing, not an efficacy study report.

    Therefore, many of the requested items related to clinical performance studies (such as acceptance criteria, sample size for test sets, ground truth establishment, expert qualifications, MRMC studies, or standalone performance) are not applicable in this context.

    The document does not describe an acceptance criteria or a study that proves the device meets specific performance criteria in terms of diagnostic accuracy or clinical outcomes. Instead, it demonstrates that the new device has similar technical specifications and characteristics to previously cleared devices.

    Here's the information that can be extracted from the document based on your request:

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

    As this is a 510(k) submission focused on substantial equivalence based on technical specifications rather than diagnostic performance, explicit "acceptance criteria" and "reported device performance" in the typical sense of a clinical study are not provided. The comparison provided is between the new device and predicate devices on various electrical and radiation parameters. The "acceptance criteria" here is implicitly that the new device's specifications should be comparable to or within acceptable ranges of the predicate devices.

    ParameterPredicate Device (MODEL 2001CP) (K874238)Predicate Device (HELIODENT DS) (K960819)Predicate Device (PROSTYLE INTRA) (K970975)Proposed Device (MODEL 303)
    X-RAY WAVE FORMDC Constant waveN/AN/ADC Constant wave
    FILAMENTPre-heating systemN/AN/APre-heating system
    CONTROL PANEL LOCATIONAt arm mounting bracketN/AN/ASeparable from power board
    PRE-HEATING TIMEManually adjustedN/AN/AAutomatically adjusted
    HIGH VOLTAGE GENERATOR75 kHz high frequency inverterN/AN/A80 kHz high frequency inverter
    FILAMENT CIRCUIT50 kHz high frequency inverterN/AN/A25 kHz high frequency inverter
    Focal Point Measurement0.8mm×0.8mm0.7mm×0.7mm0.7mm×0.7mm0.7mm×0.7mm
    Rated tube potential60kV, 70kV60kV50,53,55,57,60,63,66,70 kV60kV, 70kV
    Rated tube current10mA7mA8mA4mA, 7mA
    Maximum rated tube potential70kV60kV70kV70kV
    Rated line voltage120VAC100VAC-125VAC110VAC-115VAC120VAC
    Line voltage range105VAC-130VAC90VAC-137.5VAC99VAC-126VAC108VAC-132VAC
    Range of line voltage regulation2-5%2.5%10%2-5%
    Rated line current14A at 70KV,10mAN/AN/A10.8A at 70KV,7mA
    Maximum line current17A at 70KV,10mA11A9.0A12A at 70KV,7mA
    Exposure time0.01-2.0sec., 27steps0.01-3.2sec., 23steps0.01-3.2sec., 23steps0.01-3.2sec., 23steps
    Timer accuracy±10% or ±10msec, whichever is greater±10%±10%±5msec (below 0.1sec), ±10msec (0.1sec & up)
    Inherent filtration1.3mmAl Equivalent0.55mmAl Equivalent1.0mmAl Equivalent at 70KV1.7mmAl Equivalent
    Added filtration2.0mmAlN/AN/A0.3mmAl
    Minimum filtration permanently in useful beam3.3mmAl Equivalent at 70KV2.0mmAl Equivalent2.0mmAl Equivalent at 70KV2.0mmAl Equivalent at 70kV
    Nominal roentgen output (Regular cone)6.3mGy/s±40% (60kV,10mA)10mGy/s±30%N/A5.4mGy/s±40% (60kV,4mA), 9.4mGy/s±40% (60kV,7mA)
    Nominal roentgen output (Long cone)2.2mGy/s±40% (60kV,10mA), 2.9mGy/s±40% (70kV,10mA)N/AN/A2.4mGy/s±40% (60kV,4mA), 4.2mGy/s±40% (60kV,7mA), 3.1mGy/s±40% (70kV,4mA), 5.5mGy/s±40% (70kV,7mA)
    Source to skin distance (Regular cone)203mm203mm200mm203mm
    Source to skin distance (Long cone)350mm305mm300mm305mm
    Leaking technique factor70kV/0.48mA0.12mAN/A70kV/0.14mA
    Duty cycle1:201:601:151:50
    Maximum deviation of tube potential and tube current±10kV,±5mA (0.01-0.05sec); ±5kV,±2mA (0.06-2.0sec)±6.0kV (tube potential), ±0.7mA (tube current)±2.0kV (tube potential), ±10% (tube current)±10kV,±2mA (below 0.1sec); ±5kV,±1mA (0.1sec & up)
    Intended UseFor diagnostic purposes of teeth, jaw, oral structuresFor diagnostic purposes of teeth, jaw, oral structuresN/AFor diagnostic purposes of teeth, jaw, oral structures

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

    Not applicable. This document is a 510(k) submission, not a study report. It focuses on comparing technical specifications of a new device to existing predicate devices. No test set of patient data is mentioned or used.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. No test set requiring expert ground truth is described in this regulatory filing.

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

    Not applicable. No test set requiring adjudication is described.

    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 applicable. This device is a dental X-ray unit, which is a hardware device for image acquisition, not an AI-assisted diagnostic tool.

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

    Not applicable. This relates to an AI algorithm's performance, which is not relevant for a dental X-ray hardware device.

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

    Not applicable. As no clinical performance study for diagnostic accuracy is presented, no ground truth is established or used. The "ground truth" in this context is the technical specifications and safety standards met by the predicate devices, against which the new device is compared for substantial equivalence.

    8. The sample size for the training set

    Not applicable. No machine learning or AI component is described, so there is no training set mentioned.

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

    Not applicable. No machine learning or AI component is described, so there is no training set or ground truth for it.

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