X3C 1100 RADIOGRAPHIC TABLE WITH DIGITAL RADIOGRAPHIC DETECTOR

K071408 · Imaging Dynamics Company , Ltd. · KPR · Jun 13, 2007 · Radiology

Device Facts

• Record ID: K071408
• Device Name: X3C 1100 RADIOGRAPHIC TABLE WITH DIGITAL RADIOGRAPHIC DETECTOR
• Applicant: Imaging Dynamics Company , Ltd.
• Product Code: KPR · Radiology
• Decision Date: Jun 13, 2007
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.1680
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The X3C 1100 motorized patient table with digital radiographic detector (510k submission device) is integrated into the user's stationary radiography system. This typical configuration permits a qualified/trained doctor or technologist to take a range of head-to-toe diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts on both adult and pediatric patients. Applications can be performed with patient sitting, lying in the prone or supine positions. The X3C 1100 (510k submission device) is not intended for mammography.

Device Story

X3C 1100 is a motorized patient table integrated with a digital radiographic detector; modification of Xplorer 1100 system. Replaces Xplorer 1000 detector with X3C digital radiographic detector. Used in stationary radiography systems by physicians or technologists to capture diagnostic images of skull, spine, chest, abdomen, and extremities. Patient positioned sitting, prone, or supine. Output is digital radiographic image for clinical diagnostic review. Benefits include head-to-toe diagnostic capability for adult and pediatric populations.

Clinical Evidence

No clinical tests conducted. Bench testing only.

Technological Characteristics

Motorized patient table with integrated digital radiographic detector. Design conforms to 21 CFR 820, ISO 9001, and ISO 13485. System is stationary. No specific materials or software algorithm details provided beyond integration of X3C detector.

Indications for Use

Indicated for adult and pediatric patients requiring diagnostic radiographic imaging of the skull, spine, chest, abdomen, and extremities. Used by qualified doctors or technologists with patients in sitting, prone, or supine positions. Not indicated 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 1100 motorized patient table with digital radiographic detector (K062417)

Reference Devices

• Xplorer 1000 digital radiographic detector (K992955)
• X3C digital radiographic detector (K070079)

Submission Summary (Full Text)

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K071408

# Special 510k Submission X3C 1100 motorized patient table with digital radiographic detector

### 510k Summary

| 1. Submitter: | Imaging Dynamics Company Ltd<br>Suite 151, Pegasus Way NE<br>Calgary, AB,<br>Canada T2E 8M5 |
|-----------------|-----------------------------------------------------------------------------------------------|
| Contact person: | Shirantha Samarappuli<br>Manager - Regulatory Affairs<br>Tel: [phone]; Fax: [phone] |
| Date Prepared: | May 14, 2007 |

JUN 13 2007

| 2. Device Name: | X3C 1100 motorized patient table with digital radiographic detector |
|---------------------------|--------------------------------------------------------------------------------------|
| 3. Device Classification: | Class II, 892.1980 (IZZ), 892.1630 (MQB), |
| 4. Predicate Device: | Xplorer 1100 motorized patient table with digital radiographic detector<br>(K062417) |

- 5. Device Description: The X3C 1100 is a modification to Xplorer 1100 where the Xplorer 1000 digital radiographic detector (a previously marketed device covered by 510k K992955) in Xplorer 1100 system is replaced with X3C digital radiographic detector, previously marketed device under K070079. The X3C 1100 system is manufactured by Imaging Dynamics.
- 6. Indications for Use: The X3C 1100 motorized patient table with digital radiographic detector is integrated in to the user's stationary radiography system. The typical configuration permits a qualified/trained doctor or technologist to take a range of head-to-toe diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities and other body parts on both adult and pediatric patients. Applications can be performed with patient sitting, or lying in the prone or supine positions. The X3C 1100 (510k submission device) is not intended for mammography.
- 7. Comparison with predicate device: The X3C 1100 is substantially equivalent to the currently marketed Xplorer 1100. X3C 1100 device does not alter the fundamental scientific technology from Xplorer 1100 predicate device. The replacement of Xplorer 100 digital radiographic detector (K992955) with X3C digital radiographic detector (K070079) is the only significant change between the 2 devices. X3C 1100 has the same intended use as the predicate device.
- Non-clinical tests: The device has been evaluated for performance, biocompatibility and a. effectiveness as 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.
- ﻔ Clinical tests: No clinical tests conducted.
- Conclusion: The device was evaluated against the predicate device (Xplorer 1100 -C. K062417) for all performance, safety & effectiveness requirements and found as substantially equivalent to the predicate device.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

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

JUN 1 3 2007

Re: K071408

Trade/Device Name: X3C 1100 motorized patient table with digital radiographic detector Regulation Number: 21 CFR 8892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR Dated: May 18, 2007 Received: May 21, 2007

#### Dear Mr. Samarappuli:

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 indiver use stated in the enclosure) to legally marketed predicate devices marketed in interstate commence 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 Cornetic Act (Act) that do not require approval of a premarket approval application (PMA), Your costi. therefore, market the device, subject to the general controls provisions of the Act. The graneral 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 either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

| 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|----------------|----------------------------------|--------------|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 894.xxx | (Radiology) | 240-276-0120 |
| Other | | 240-276-0100 |

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/cdrl/industry/support/index.11tm1.

Sincerely yours,

Nancy Chogdon

Nancy C. Brogdon Director, Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Special 510k Submission X3C 1100 motorized patient table with digital radiographic defector

## Indications for Use

510(k) Number (if known): K071408

Device Name: X3C 1100 motorized patient table with digital radiographic detector

Indications for Use:

The X3C 1100 motorized patient table with digital radiographic detector (510k submission device) is integrated into the user's stationary radiography system. This typical configuration permits a qualified/trained doctor or technologist to take a range of head-to-toe diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts on both adult and pediatric patients. Applications can be performed with patient sitting, lying in the prone or supine positions.

The X3C 1100 (510k submission device) is not intended for mammography.

Helent Leeman

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

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)

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