XPLORER 2200 DIGITAL RADIOGRAPHIC SYSTEM

K063039 · Imaging Dynamics Company , Ltd. · MQB · Nov 2, 2006 · Radiology

Device Facts

• Record ID: K063039
• Device Name: XPLORER 2200 DIGITAL RADIOGRAPHIC SYSTEM
• Applicant: Imaging Dynamics Company , Ltd.
• Product Code: MQB · Radiology
• Decision Date: Nov 2, 2006
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.1680
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The Xplorer 2200 is intended for use by a qualified/trained doctor or technologist on both adult and pediatric patients for taking diagnostic radiographic exposures of the skull, spinel column, chest, abdomen, extremities, and other body parts on both adult and pediation patients and other, performed with patient sitting, standing or lying in the prone or supine positions. The Xplorer 2200 (510k submission device) is not intended for mammography.

Device Story

Xplorer 2200 is a digital radiographic system integrating two CCD imagers (previously cleared under K992955) into a radiographic table (K062417) and a vertical stand (K062405). System includes a ceiling-mounted X-ray tube/collimator assembly. Operated by qualified doctors or technologists in clinical settings. Device captures X-ray signals via CCD detectors to produce digital radiographic images. Healthcare providers use these images for diagnostic assessment of various body parts. System benefits patients by providing digital diagnostic imaging capabilities for a wide range of anatomical regions.

Clinical Evidence

No clinical tests conducted. Bench testing only.

Technological Characteristics

Stationary X-ray system utilizing CCD digital radiographic detectors. Components include a radiographic table, vertical stand, and ceiling-mounted X-ray tube/collimator. Design conforms to 21 CFR 820, ISO 9001, and ISO 13485 standards.

Indications for Use

Indicated for diagnostic radiographic imaging of skull, spine, chest, abdomen, extremities, and other body parts in adult and pediatric patients. Patient may be sitting, standing, or lying (prone/supine). Not for mammography.

Regulatory Classification

Identification

A stationary x-ray system is a permanently installed diagnostic system intended to generate and control x-rays for examination of various anatomical regions. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.

Special Controls

*Classification.* Class II (special controls). A radiographic contrast tray or radiology diagnostic kit intended for use with a stationary x-ray system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

Predicate Devices

• Xplorer 1600 Digital Radiographic System (K042041)

Reference Devices

• Xplorer 1000 CCD imagers (K992955)
• Xplorer 1100 radiographic table (K062417)
• Xplorer 1590 Digital radiographic stand (K062405)

Submission Summary (Full Text)

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K06 3039

K063039 - Special 510 {K} Premarket Notification Imaging Dynamics Xplorer 2200 Digital Radiographic System

## 510k Summary

| 1. Submitter: | Imaging Dynamics Company Ltd<br>Suite 151, Pegasus Way NE<br>Calgary, AB,<br>Canada T2E 8M5 | NOV - 2 2006 |
|---------------------------|-----------------------------------------------------------------------------------------------|--------------|
| Contact person: | Shirantha Samarappuli<br>Manager - Regulatory Affairs<br>Tel: [phone]; Fax: [phone] | |
| Date Prepared: | Oct 30, 2006 | |
| 2. Device Name: | Xplorer 2200 Digital Radiographic System, | |
| 3. Device Classification: | Class II, 892.1630 (MQB), 892.1680 (KPR), 892.1980 (IZZ) | |
| 4. Predicate Device: | Xplorer 1600 Digital Radiographic System (K042041) | |

- The Xplorer 2200 is a combination of two Xplorer 1000 CCD imagers, a previously 5. Device Description: marketed device covered by 510k K992955. One imager is in the Xplorer 1100 radiographic table, a previously marketed device covered by 510k K062417 and the other imager is on a vertical stand, a previously marketed device covered by 510k K062405. The system is operated in conjunction with a celling mounted X-ray tube/collimator assembly. The Xplorer 2200 system is manufactured by Imaging Dynamics. The CCD Imagers are unchanged from that which is marketed under K992955.
- 6. Indications for Use: The Xplorer 2200 is intended for use by a qualified/trained doctor or technologist on both adult and pediatric patients for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts on both adult and pediations can be performed with patient sitting, standing or lying in the prone or supine positions. The Xplorer 2200 (510k submission device) is not intended for mammography.
- 7 . Comparison with predicate device: The Xplorer 2200 is substantially equivalent to the currently marketed Xplorer 1600. Xplorer 2200 device does not alter the fundamental scientific technology from Xplorer 1600 predicate rlevice. The only modification attributed is the integration of Xplorer 2200 (510K Submission device) system which includes Xplorer 1590 Digital radiographic stand (K062405), Xplorer 1100 patient table (K062417) with Xplorer digital radiographic detector (K992955) and ceiling mounted x-ray tube/collimator assembly. Xplorer 2200 has the same intended use as the predicate device.
- Non-clinical tests: The device has been evaluated for performance, biocompatibility and effectiveness as a. well as thermal, electrical and mechanical safety and has been found to substantially equivalent to predicate device. The design and development process of the manufacturer conforms to 21 CFR part 820. ISO 9001 and ISO 13485 quality systems.
- Clinical tests; No clinical tests conducted. ف
- Conclusion: The device was evaluated against the predicate device (Xplorer 1600 K042041) for all C. performance, safety & effectiveness requirements and found as substantially equivalent to the predicate device.

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Image /page/1/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle-like symbol with three horizontal lines forming the body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the symbol. The text is in all caps and in a sans-serif font.

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Ms. Shirantha Samarappuli Manager-Regulatory Affairs Imaging Dynamics Co., Ltd. Suite 151, 2340 Pegasus Way NE Calgary, Alberta, T2E 8M5 CANADA

AUG 23 2013

Re: K063039

Trade/Device Name: Xplorer 2200 digital radiographic system Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: MOB and KPR Dated: September 29, 2006 Received: October 3, 2006

Dear Ms. Samarrappuli:

This letter corrects our substantially equivalent letter of November 2, 2006.

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); medical device reporting (reporting of

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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Janine M. Morri Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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## Special 510k Submission Xplorer 2200 Digital Radiographic System

## Indications for Use

510(k) Number (if known): _ _ 06303

Device Name: Xplorer 2200 digital radiographic system

Indications for Use:

The Xplorer 2200 is intended for use by a qualified/trained doctor or technologist on both adult and pediatric patients for taking diagnostic radiographic exposures of the skull, spinel column, chest, abdomen, extremities, and other body parts on both adult and pediation patients and other, performed with patient sitting, standing or lying in the prone or supine positions.

The Xplorer 2200 (510k submission device) is not intended for mammography.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K063039

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