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510(k) Data Aggregation

    K Number
    K130883
    Manufacturer
    Date Cleared
    2013-04-18

    (20 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL DIGITAL RADIOGRAPHIC UPGRADE MODEL SDRU-T

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

    Sedecal Digital Radiographic Upgrade Model SDRU-T is intended for digital image capture use in general radiographic examinations, wherever conventional screenfilm systems may be used, excluding fluoroscopy, angiography and mammography. The kit allows imaging of the skull, chest, shoulders, spine. abdomen, pelvis. and extremities.

    Device Description

    This Digital Radiographic Upgrade is intended for those radiographic examination rooms where the X-rav image receptors used are Cassette with Film or CR. This upgrade allows to acquire digital medical diagnostic X-ray images and transfer the images to hardcopy, softcopy, and archive devices on the same network. Some functions allowed with the Digital Radiography Operator Console (DROC) software: Add new patients to the system, enter information about the patient and physician that will be associated with the digital radiographic images. Edit existing patient information. Emergency registration and edit Emergency settings. Pick from a selection of procedures, which defines the series of images to be taken. Adjust technique settings before capturing the X-ray image. Preview the image, accept or reject the image entering comments or rejection reasons to the image. Accepted images will be sent to the selected output destinations. Save an incomplete procedure, for which the rest of the exposures will be made at a later time. Close a procedure when all images have been captured. Review History images. resend and reprint images. Re-exam a completed patient. Protect patient records from being deleted by the system. Delete an examined Study with all images being captured. Edit user accounts. Check statistical information. Image QC. Image stitching.

    AI/ML Overview

    Here's an analysis of the provided text regarding the Sedecal Digital Radiographic Upgrade (SDRU-T) and its acceptance criteria and supporting studies:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific CriteriaReported Device Performance
    SafetyElectrical Safety (IEC 60601-1)Device passed testing.
    Electromagnetic Compatibility (IEC 60601-1-2)Device passed testing.
    Effectiveness/PerformanceSoftware ValidationDevice passed testing.
    Diagnostic Image Quality (General Radiography)Images were acquired, evaluated, and found to be of good diagnostic quality.
    Substantial EquivalenceSame technological characteristics (design, material, chemical composition, energy source) as predicate devices.Stated to have the same technological characteristics, specifications are identical.
    Safe, effective, and performs as well as or better than legally marketed devices.Concluded to be safe and effective, performing as well as predicate devices.
    Materials and construction methods nearly identical to predicate.Stated to be nearly identical.

    2. Sample Size Used for the Test Set and Data Provenance

    • Test Set Sample Size: The document does not specify a numerical sample size for the "test images" acquired. It only states that "Test images were acquired and evaluated."
    • Data Provenance: The document does not explicitly state the country of origin of the data. It also does not specify if the images were retrospective or prospective.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    The document does not provide details on the number of experts, their qualifications, or how they established ground truth for the test images. It only mentions that images were "evaluated."

    4. Adjudication Method for the Test Set

    The document does not describe any specific adjudication method (e.g., 2+1, 3+1) for the test set.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not explicitly mentioned or described. The submission focuses on demonstrating substantial equivalence to predicate devices rather than directly comparing human reader performance with and without AI assistance.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Yes, a form of standalone performance evaluation was conducted. The device (specifically the digital panel component) performance was evaluated based on "Test images... acquired and evaluated based on the FDA Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices." The images "were evaluated and found to be of good diagnostic quality." This implies an evaluation of the device's output quality without direct human-in-the-loop intervention for the evaluation phase of those test images. However, the overall device is an "upgrade" that works with a human operator.

    7. Type of Ground Truth Used

    The type of ground truth used was primarily expert evaluation of "diagnostic quality." It is not stated to be pathology, outcomes data, or a formal expert consensus process as typically understood for algorithm validation. It appears to be an assessment of the visual quality and interpretability of the generated images by qualified individuals, likely radiologists or imaging specialists, who implicitly form a consensus on "good diagnostic quality."

    8. Sample Size for the Training Set

    The document does not mention or provide any information regarding a training set sample size. This is likely because the device is an "upgrade kit" combining well-established components (digital X-ray panels and imaging software) that would have been trained/validated independently by their respective manufacturers, or are based on traditional signal processing rather than deep learning models requiring a specific training set. The submission focuses on the integration and functionality of these already cleared components.

    9. How the Ground Truth for the Training Set Was Established

    As no training set is mentioned for this specific device in the context of this 510(k) submission, there is no information on how its ground truth would have been established.

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    K Number
    K101517
    Manufacturer
    Date Cleared
    2011-08-05

    (429 days)

    Product Code
    Regulation Number
    892.1720
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL MOBILE DIGITAL DIAGNOSTIC X-RAY

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

    These Digital Radiographic Systems are intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skill, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    Sedecal Digital Mobiles (various models) are mobile x-ray units that covers, with a range of models, all the specific needs of any radiographic examination at the patient's bed, first aid, and emergency, orthopedics, pediatric, and operating theater. These cordless units combine stand alone feature for exposures with battery assisted motor drive for the greatest ease in imaging. Two different brands of digital image acquisition panels are offered: Trixell and Varian. Integrated software for Dicom compatibility is also included.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for "Sedecal Mobile Digital Diagnostic X-Ray Systems (various models)". This document focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a device meets specific acceptance criteria for performance metrics like sensitivity or specificity.

    Therefore, many of the requested elements for a study that proves a device meets acceptance criteria cannot be extracted from this document, as it is not the type of study described.

    Here's an analysis based on the information available:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document does not specify quantitative "acceptance criteria" in terms of performance metrics (e.g., sensitivity, specificity, accuracy). Instead, it relies on demonstrating substantial equivalence to a previously cleared predicate device.

    CharacteristicAcceptance Criteria (Predicate Performance)Reported Device Performance (Sedecal Mobile Digital Diagnostic X-Ray Systems)
    Intended UseSame as K090322SAME (Identical to predicate)
    ConfigurationSame as K090322SAME (Identical to predicate)
    Performance Standard21 CFR 1020.30 (for predicate device)SAME (Compliance with 21 CFR 1020.30)
    GeneratorHigh frequency made by SedecalSAME (Identical to predicate)
    Generator power levels20 to 50 kw (4 models)20 to 50 kw (8 models) - Technological difference noted, but considered equivalent
    CollimatorRalco R221 DHHSSAME (Identical to predicate)
    Image acquisitionDigital CANON 50GTrixell or Varian - Technological difference noted, but considered equivalent
    Electrical safetyElectrical Safety per IEC-60601. UL listedSAME (Compliance with IEC-60601. UL listed)

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

    • Sample size: Not explicitly stated. The document mentions "bench, test laboratory results, and clinical image comparisons," but does not provide details on the number of images or subjects included in these comparisons.
    • Data provenance: Not explicitly stated. It's implied that the clinical image comparisons would involve human subjects, but specifics regarding country of origin or whether the data was retrospective or prospective are not provided.

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

    • Not specified. The document mentions "clinical image comparisons" but does not detail how ground truth was established or if experts were involved in a formal review process for comparing the new device's images to the predicate's images.

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

    • 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:

    • No. This document describes an X-ray system, not an AI-assisted diagnostic tool. Therefore, an MRMC study comparing human readers with and without AI assistance is not applicable and was not conducted.

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

    • No. This is a medical imaging device, not a standalone algorithm. The performance evaluation focuses on the safety and effectiveness of the hardware and integrated software for image acquisition, not on an algorithm's diagnostic performance in isolation.

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

    • Not explicitly stated. Given the context of "clinical image comparisons" for an X-ray system, the "ground truth" would likely be derived from the diagnostic interpretations of the images by qualified medical professionals using the predicate device, against which the images from the new device would be compared for qualitative assessment.

    8. The sample size for the training set:

    • Not applicable. This is not a machine learning device that requires a "training set."

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

    • Not applicable. This is not a machine learning device that requires a "training set."

    Summary of Study:

    The "study" described in the 510(k) summary is a substantial equivalence comparison against a predicate device (Sedecal Easy Moving Digital K090322 and K091364, DICOMPACS, MODEL 5.2, DICOMPACS DX-R, MODEL I.4, GEHM UND REHBEIN GMBH). The primary method used to demonstrate equivalence was:

    • Bench testing: Laboratory tests to verify technical specifications and performance.
    • Test laboratory results: Further laboratory-based evaluations.
    • Clinical image comparisons: Qualitative assessment presumably comparing images acquired by the new device to those acquired by the predicate device to ensure comparable diagnostic quality.

    The conclusion is that "bench, test laboratory results, and clinical image comparisons indicate that the new devices are as safe and effective as the predicate devices," with "few technological differences" and "no new indications for use." The focus is on demonstrating that the new device performs equivalently to the predicate in terms of safety and imaging capabilities, rather than achieving specific quantitative performance metrics against a defined ground truth.

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    K Number
    K103522
    Device Name
    SEDECAL
    Manufacturer
    Date Cleared
    2011-01-26

    (56 days)

    Product Code
    Regulation Number
    892.1720
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL

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

    This Portable Diagnostic Radiographic System is intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position. (Not for mammography)

    Device Description

    The Sedecal SPL-HF-4.0 portable x-ray generator consists of: X-ray Unit with: Control Panel with controls and displays for radiographic operations; Power Module containing control and power components; HV Tank that comprises the High Voltage Transformer, the Filament Transformer and the X-ray Tube; and a Collimator with controls to limit the X-ray beam; a Handswitch and a Mobile Column with an Articulated Arm and a Cassette Basket.

    AI/ML Overview

    This 510(k) submission describes a new mobile X-ray system, the Sedecal SPL-HF-4.0 (and SPL-HF-2.0), which is intended for diagnostic radiographic exposures. The submission aims to demonstrate substantial equivalence to a legally marketed predicate device, the Sedecal Models SP-HF-2.8 and SP-HF-4.0 (K020436).

    Based on the provided information, the focus is on demonstrating safety and effectiveness through non-clinical testing rather than a clinical study involving human subjects and diagnostic performance metrics. Therefore, many of the requested elements pertaining to clinical study design, such as sample size, ground truth establishment for a test set, expert qualifications, and comparative effectiveness, are not applicable in this context.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Electrical SafetyTested to IEC 60601-1
    Electromagnetic Compatibility (EMC)Tested to IEC 60601-1-2
    Software ValidationSoftware validation testing performed
    Radiation Safety/PerformanceTested to IEC 60601-1-3 and IEC 60601-2-7 (These standards relate to general requirements for radiation protection in diagnostic X-ray equipment and particular requirements for the safety of medical electron accelerators, respectively. While IEC 60601-1-3 is directly relevant to diagnostic X-ray, the inclusion of IEC 60601-2-7 seems slightly out of place for a mobile diagnostic X-ray system and might be a typo or refer to a general safety assessment for components). Implicitly, the device's technological characteristics are "nearly identical" to the predicate, suggesting similar performance.
    Substantial EquivalenceBased on results of nonclinical tests, the device is "as safe, as effective, and performs as well as or better than the legally marketed devices." Materials and construction methods are "nearly identical" to the predicate.

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

    Not applicable. The submission describes non-clinical testing (electrical safety, EMC, software, and radiation safety standards) rather than a clinical study with a test set of patient data.

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

    Not applicable. No ground truth for image interpretation or diagnostic accuracy was established as this was not a clinical performance study.

    4. Adjudication method for the test set

    Not applicable. No clinical test set requiring adjudication was used.

    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. No MRMC study was performed as this is a new X-ray generator, not an AI-based interpretation device.

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

    Not applicable. This is a medical device (X-ray generator), not an algorithm or AI system.

    7. The type of ground truth used

    Not applicable for a clinical performance study. For the non-clinical testing, the "ground truth" would be the specifications and requirements defined by the referenced IEC standards and internal design specifications.

    8. The sample size for the training set

    Not applicable. No training set for an algorithm was used.

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

    Not applicable. No training set for an algorithm was used.


    Summary of the Study that Proves the Device Meets Acceptance Criteria:

    The study proving the device meets its acceptance criteria is primarily a series of non-clinical tests mandated by international standards for medical electrical equipment and X-ray devices. These include:

    • Electrical Safety Testing (IEC 60601-1): This standard ensures the device does not pose electrical hazards to patients or operators.
    • Electromagnetic Compatibility (EMC) Testing (IEC 60601-1-2): This verifies that the device functions correctly in its electromagnetic environment and does not interfere with other equipment.
    • Software Validation Testing: Ensures the software controlling the device functions as intended and is reliable.
    • Radiation Safety/Performance Testing (IEC 60601-1-3 and IEC 60601-2-7): IEC 60601-1-3 specifies general requirements for radiation protection in diagnostic X-ray equipment, ensuring appropriate X-ray emission and safety features. As mentioned, IEC 60601-2-7's relevance here is somewhat ambiguous; it typically applies to medical electron accelerators. However, its inclusion suggests a comprehensive approach to safety standards where applicable.

    The submission asserts that based on the results of these non-clinical tests, the device is "as safe, as effective, and performs as well as or better than the legally marketed devices" (specifically, the predicate device K020436). The core argument for acceptance and substantial equivalence relies on the fact that the new device shares "nearly identical" technological characteristics, design, materials, chemical composition, and energy source with the predicate device, with this submission representing an "updated design" of the previous model. The conclusion is that because the updated model passes the relevant safety and performance standards, and its technical characteristics are so similar to an already cleared device, it is substantially equivalent.

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    K Number
    K090279
    Manufacturer
    Date Cleared
    2009-03-11

    (35 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL, MILLENNIUM PLUS

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

    These Digital Radiographic Systems are intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skall, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    These digital diagnostic x-ray systems consist of a tubehead and collimator assembly mounted on a U-Arm, along with a generator, generator control, and an xray table. Power ratings for the available generators are in the rage of 50 kw to 80 kW. Exposure voltage range varies from 40 - 125 KV or 40 - 150 kV with current of 300 - 100 mA. Exposure time is 1 ms - 10 s. This device represents a new combination of already cleared Sedecal and Canon products.

    AI/ML Overview

    The provided document is a 510(k) summary for the Sedecal Millennium Plus Digital Diagnostic X-Ray System. It states that the new device is substantially equivalent to legally marketed predicate devices. However, this document does not contain information about specific acceptance criteria, a study that proves the device meets those criteria, or details regarding performance metrics, sample sizes, ground truth establishment, or expert involvement in a study as requested.

    The document primarily focuses on establishing substantial equivalence by comparing the new device's characteristics and intended use to those of its predicate devices (Sedecal Millennium Digital K042876 and Sedecal X Plus LP Plus K062335) and by stating that it passes bench and test laboratory evaluations to applicable standards (21 CFR 1020.30 and IEC 60601).

    Therefore, I cannot provide the requested table and detailed information based on the content of this document. The document explicitly states:

    "The results of bench and test laboratory indicates that the new device is as safe and effective as the predicate devices."
    and
    "After analyzing bench and external laboratory testing to applicable standards, it is the conclusion of Sedecal Inc that the Scdecal Millennium Plus Digital Diagnostic X-Ray Systems are as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering them substantially equivalent to the predicate devices."

    This indicates that general safety and effectiveness testing was conducted, but the specific details of the acceptance criteria, study design, performance metrics, sample sizes, ground truth, or expert involvement are not disclosed in this 510(k) summary.

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    K Number
    K090238
    Manufacturer
    Date Cleared
    2009-02-27

    (25 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL X-PLUS LP PLUS DIGITAL DIAGNOSTIC X-RAY SYSTEMS

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

    These Digital Radiographic Systems are intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    These digital diagnostic x-ray systems consist of a tubehead/collimator assembly mounted on a U-Arm, along with a generator, generator control, and an x-ray table. Power ratings for the available generators are in the rage of 50 kw to 80 kW. Exposure voltage range varies from 40 - 125 KV or 40 - 150 kV, with current of 300 - 100 mA. Exposure time is 1 ms - 10 s. This device represents a new combination of already cleared Sedecal and Canon products.

    AI/ML Overview

    The provided 510(k) summary for the Sedecal X-Plus LP Plus Digital Diagnostic X-Ray System (K090238) does not contain the information requested regarding acceptance criteria and a specific study proving the device meets those criteria, as you would typically expect for performance data of AI/CADe devices.

    This submission is for a traditional X-ray system, and the approval is based on substantial equivalence to predicate devices, rather than a performance study with defined acceptance criteria for diagnostic accuracy.

    However, I can extract and infer some information based on the document's content:

    1. Table of Acceptance Criteria and Reported Device Performance:

    • Acceptance Criteria: For this type of device, the acceptance criteria are generally related to demonstrating substantial equivalence to existing legally marketed devices, primarily focusing on safety and effectiveness through comparison of technical characteristics and adherence to relevant performance standards.
    • Reported Device Performance: The document states, "The results of bench and test laboratory indicates that the new device is as safe and effective as the predicate devices."
    Acceptance Criteria CategoryReported Device Performance
    Intended UseMet: Same intended use as predicate devices: diagnostic radiographic exposures of skull, spinal column, chest, abdomen, extremities, and other body parts for adult and pediatric subjects, in various patient positions.
    ConfigurationMet: Similar configuration (U-Arm mount only) to predicate K062335. Differs from K042876 (U-Arm or Ceiling Suspension) but is considered a minor technological difference not impacting safety/effectiveness.
    Positioning ControlsMet: "Enhanced, same as X Plus LP Plus" (predicate K062335), an improvement over K042876's "Standard" but still within the scope of safe and effective operation for an X-ray system.
    Performance StandardMet: Adheres to 21 CFR 1020.30 (Performance standards for ionizing radiation emitting products - radiographic equipment). This is a statutory requirement for all such devices.
    GeneratorMet: High frequency made by Sedecal, same as both predicate devices.
    CollimatorMet: Manual (Ralco) or Automatic (Huestis). Offers an automatic option, which is an enhancement over the manual-only collimators of the predicate devices but is a common and accepted component in X-ray systems.
    Image AcquisitionMet: Utilizes CANON panels (multiple models: 50C, 50G, 40C & 40G). This is a key technological difference from predicate K062335 (Film) and an update from K042876 (Digital CANON 50G). The use of cleared Canon digital panels (referenced by K numbers K060433, K031633, K031447, K023750) demonstrates their established safety and effectiveness.
    Electrical SafetyMet: Adheres to IEC-60601 UL listed. This is a standard safety requirement for medical electrical equipment.
    Overall Conclusion"as safe and effective as the predicate device, have few technological differences, and has no new indications for use, thus rendering them substantially equivalent to the predicate devices."

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

    • This information is not provided in the document. The approval is based on "bench and test laboratory" results and comparison of specifications, not a clinical test set with patient data for diagnostic accuracy assessment.

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

    • This information is not applicable/provided. No clinical reader study or ground truth establishment relevant to diagnostic accuracy is described.

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

    • This information is not applicable/provided.

    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, an MRMC comparative effectiveness study was not done. This device is a digital X-ray system, not an AI or CADe device designed to assist human readers or provide diagnostic interpretations.

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

    • No, a standalone performance study was not done. This is an imaging acquisition device, not an algorithm.

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

    • Not applicable. The "ground truth" for this submission revolves around engineering performance verified by "bench and external laboratory testing to applicable standards" (e.g., 21 CFR 1020.30, IEC-60601) to demonstrate the device functions as intended and is safe. It's not about diagnostic accuracy.

    8. The sample size for the training set:

    • Not applicable. This isn't an AI/machine learning device that requires a training set.

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

    • Not applicable.
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    K Number
    K062335
    Manufacturer
    Date Cleared
    2006-09-14

    (35 days)

    Product Code
    Regulation Number
    892.1680
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL X PLUS LP PLUS

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

    The SEDECAL X PLUS LP PLUS Universal Radiographic Systems are intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    SEDECAL X PLUS LP PLUS Universal Radiographic Systems are stationery units which operate from 120 or 220 V 50-60~ AC. The units utilize high frequency inverters. The usual safety precautions regarding the use of x-rays must be observed by the operator. This modified device employs new controls, including a touch screen and an infrared remote.

    AI/ML Overview

    This K062335 510(k) summary describes a submission for a modified medical device rather than a new device with novel performance claims directly tied to specific acceptance criteria and study results. Therefore, the standard format for presenting acceptance criteria, device performance, and detailed study information for AI/algorithm performance is not fully applicable or derivable from the provided text.

    Here's why and what information can be extracted:

    The submission is for the SEDECAL X PLUS LP PLUS Universal Radiographic Systems, which is a stationary X-ray system. The core of this 510(k) is to demonstrate substantial equivalence to a predicate device (Sedecal URS X-Ray Units K012546), focusing on changes to the user interface (touch screen and infrared remote) and ensuring the safety and effectiveness are maintained.

    When a 510(k) relies on substantial equivalence for modified devices, the "study" often involves bench testing, user testing, and adherence to performance standards to show that the modifications do not introduce new safety or effectiveness concerns, and that the device performs as well as the predicate device. It doesn't typically involve a comparative effectiveness study with AI or a standalone algorithm performance study with specific metrics like sensitivity/specificity against a ground truth.

    Therefore, many sections of your requested output will be marked as "Not Applicable" or "Not Provided in Document."


    Acceptance Criteria and Study Overview for K062335

    1. Table of Acceptance Criteria and Reported Device Performance

    CriterionAcceptance Metric (Target)Reported Device Performance (Result)
    Safety and EffectivenessDevice is as safe and effective as the predicate device (Sedecal URS K012546)"The results of bench, user, and standards testing indicates that the new device is as safe and effective as the predicate devices." (Source: Section 5)
    Intended UseSame as predicate device"SAME" (General purpose diagnostic X-ray unit) (Source: Substantial Equivalence Chart, page 2)
    Energy SourceSame as predicate device"SAME" (120V, 230/240V (50/60Hz) Line or Battery Power) (Source: Substantial Equivalence Chart, page 2)
    Maximum OutputSame as predicate device models (30kW to 64kW)"SAME as original units." (Source: Substantial Equivalence Chart, page 2)
    Tube MountSame as predicate device (Fixed with respect to receptor, arm can rotate)"Same" (Source: Substantial Equivalence Chart, page 2)
    Receptor MountSame as predicate device (Fixed on same column as tube head)"SAME" (Source: Substantial Equivalence Chart, page 2)
    Performance Standard Adherence21 CFR 1020.30"SAME" (Source: Substantial Equivalence Chart, page 2)
    Electrical Safety AdherenceUL 2601, IEC 60601-1"SAME" (Source: Substantial Equivalence Chart, page 2)
    Technological DifferencesFew technological differences, no new indications for use that would alter safety/effectiveness"have few technological differences, and have no new indications for use, thus rendering them substantially equivalent to the predicate devices." (Source: Conclusion, page 2)

    Notes on Acceptance Criteria:

    • The primary "acceptance criteria" here are demonstrating substantial equivalence, meaning the modified device performs comparably to the predicate in terms of safety and effectiveness, especially given the "new controls, including a touch screen and an infrared remote."
    • "Bench, user, and standards testing" are the methods used to meet these criteria, rather than a clinical study with calculated performance metrics.

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

    • Sample Size: Not provided in the document. For device modifications like this, "user testing" might involve a small number of typical users to evaluate the new interface, but specifics are not disclosed. "Bench testing" refers to engineering and quality assurance tests. "Standards testing" refers to compliance with regulatory standards.
    • Data Provenance: Not provided in the document.

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

    • Not Applicable / Not Provided. This type of information is relevant for AI algorithms interpreting medical images or data, where expert consensus often establishes ground truth. For a stationary X-ray system, experts (engineers, quality control personnel) would evaluate the device's functionality, safety, and image quality (which is assumed to be equivalent to the predicate). There is no "ground truth" in the diagnostic sense being established in this submission.

    4. Adjudication method for the test set

    • Not Applicable / Not Provided. Adjudication methods (e.g., 2+1, 3+1) are typically used in studies where multiple human readers or algorithms are evaluating cases and their interpretations need to be reconciled to form a definitive "ground truth." This submission focuses on engineering and regulatory compliance, not diagnostic interpretation 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, an MRMC comparative effectiveness study was not done. This type of study is specifically designed for AI-assisted diagnostic devices to evaluate the impact of AI on human reader performance. The device described here is a basic X-ray system, not an AI diagnostic tool.

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

    • No, a standalone algorithm performance study was not done. This device is an X-ray machine, not an algorithm.

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

    • Not Applicable in the context of diagnostic performance. For this device, "ground truth" relates to functional specifications and safety standards being met, as per engineering and regulatory requirements. For example, voltage outputs measured during bench testing would be compared against engineering specifications, which themselves are the "ground truth" for those tests. Image quality being "equivalent" to the predicate would be the "ground truth," likely established through physical phantom tests and possibly expert review, but not in the detailed diagnostic sense.

    8. The sample size for the training set

    • Not Applicable. This is an X-ray system, not a machine learning model that requires a training set.

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

    • Not Applicable. As there is no training set for an AI/ML algorithm.
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    K Number
    K043002
    Manufacturer
    Date Cleared
    2004-11-18

    (17 days)

    Product Code
    Regulation Number
    892.1720
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SEDECAL MOBILE X-RAY UNITS WITH DIGITAL DETECTOR

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

    The Sedecal Mobile Radiographic Systems with Digital Detector are intended for use by a qualified/trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts. Applications can be performed with the patient sitting, standing, or lying in the prone or supine position.

    Device Description

    Sedecal Mobile X-ray Units with Digital Detector arc mobile units which operate from 120 or 220 V 50-60~ AC or batteries. The units utilize high frequency inverters. The usual safety precautions regarding the use of xrays must be observed by the operator. This modified device combines two FDA cleared devices by way of a common user interface, a color LCD touch panel. The X-Ray generator is controlled by a serial port on the CANON CXDI-50G.

    AI/ML Overview

    The provided text describes a 510(k) summary for the Sedecal Mobile X-Ray Units with Digital Detector. This regulatory submission primarily focuses on demonstrating substantial equivalence to existing predicate devices, rather than an independent study to prove the device meets specific performance acceptance criteria in the same way a de novo or PMA submission might.

    Therefore, the information typically requested in your prompt regarding acceptance criteria, study design, expert involvement, and ground truth for a performance claims study is largely not applicable in this context.

    Here's an breakdown based on the provided text:

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

    The submission does not present explicit acceptance criteria for diagnostic performance (e.g., sensitivity, specificity, accuracy for detecting specific pathologies) because it's a substantial equivalence submission. Instead, the "acceptance criteria" are implied by demonstrating equivalence in technical specifications and intended use to existing, cleared devices.

    The table provided is a comparison to predicate devices for various technical characteristics, not performance metrics against acceptance criteria.

    CharacteristicPredicate Device (K012663)Predicate Device (K031447)New Device (Combination)Reported Performance (for new device)
    Intended Use:Mobile general purpose diagnostic X-ray unitSAMESAMESAME as predicate devices
    Size(Not specified for X-ray unit)Imaging Area 14 x 17SAME (Combined device) (A stand has been added)Imaging Area 14 x 17 (Digital Detector)
    Weight (battery version)1045 lb10.6 lb964 lb.964 lb. (Combined device)
    Energy Source:90 to 285 VAC (50-60 Hz) or Batteries100V, 120V, 230/240V(50/60Hz)SAME (Combined device)SAME as predicate devices
    User InterfaceUp-Down pushbuttons for kVp and mAs. KVp adjustable in 1 kVp stepsSoftware Driven Touch Panel LCDSoftware Driven Touch Panel LCD (Combined device)Software Driven Touch Panel LCD
    Power20 or 30 kWN/AModels up to 50 kWUp to 50 kW
    Exposure times0.001 - 8 SECONDS ± (1%+0.1 MS)N/ASAME (Combined device)SAME as predicate device (K012663)
    Ma.10, 12.5, ..., 320 (400, 500 on 30kw unit) ± (5%+0.1 MA)N/ASAME (Combined device)SAME as predicate device (K012663)
    kVp40 to 150 in 1 kVp steps (30 kw unit)N/ASAME (Combined device)SAME as predicate device (K012663)
    ResolutionN/A160 x 160 microns pixel pitch, with approximately 6 million pixels and 4,096 gray scale contrastSAME (Combined device)160 x 160 microns pixel pitch, 6 million pixels, 4,096 gray scale
    Method of ControlDedicated Touch PanelSoftware Driven Touch Panel LCDSAME as CANON. Or original Dedicated Touch PanelSoftware Driven Touch Panel LCD or original Dedicated Touch Panel
    Performance Standard21 CFR 1020.30SAMESAMECompliance with 21 CFR 1020.30
    Electrical safety:IEC 60601-1SAMESAMECompliance with IEC 60601-1

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

    The text states: "The results of bench, user, and standards testing indicates that the new device is as safe and effective as the predicate devices." and "After analyzing bench, user, and standards testing data...".

    • Sample Size for Test Set: Not specified. This typically refers to a clinical dataset for performance evaluation, which wasn't the primary focus of this 510(k). The "user testing" likely refers to functional testing, not a clinical study with a defined patient sample.
    • Data Provenance: Not specified.
    • Retrospective or Prospective: Not specified. Given the nature of a 510(k) for device combination, clinical studies are often not required if substantial equivalence can be demonstrated through technical comparison and bench testing.

    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. The submission does not detail any clinical study where ground truth for diagnostic features would need to be established by experts.

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

    Not Applicable. No clinical study with adjudicated ground truth 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 is an X-ray imaging system, not an AI-powered diagnostic tool. No MRMC study was conducted or is relevant for this type of 510(k) submission.

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

    Not Applicable. This is an X-ray imaging system, not an algorithm, so standalone performance is not relevant in this context.

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

    Not Applicable. As no clinical diagnostic performance study is described, the concept of "ground truth" for diagnostic findings is not addressed in this submission. The "ground truth" for the technical specifications (e.g., power output, exposure times) would be established by direct measurement during bench testing.

    8. The sample size for the training set

    Not Applicable. This is an X-ray imaging system, not a machine learning algorithm that requires a training set.

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

    Not Applicable. As there is no training set mentioned.

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