Who is the manufacturer of Wireless Digital Flat Panel Detector?

Iray Technology Taicang , Ltd. filed the 510(k) submission for Wireless Digital Flat Panel Detector (K183422).

What is the FDA product code for Wireless Digital Flat Panel Detector?

MQB. It is classified under 21 CFR 892.1680 as a Class 2 device in the Radiology panel.

What is the regulatory pathway for Wireless Digital Flat Panel Detector?

510(k) clearance (submission type: Special).

What are the predicate devices for Wireless Digital Flat Panel Detector?

Wireless Digital Flat Panel Detector (Mars1417XF-GSI) (K182550).

Who can help prepare an FDA 510(k) submission like Wireless Digital Flat Panel Detector?

Innolitics — a medical-device software consultancy — provides regulatory and engineering support for FDA 510(k) submissions. See https://innolitics.com/services/510ks/ or contact https://innolitics.com/contact.

Wireless Digital Flat Panel Detector

K183422 · Iray Technology Taicang , Ltd. · MQB · Jan 9, 2019 · Radiology

Device Facts

Record ID	K183422
Device Name	Wireless Digital Flat Panel Detector
Applicant	Iray Technology Taicang , Ltd.
Product Code	MQB · Radiology
Decision Date	Jan 9, 2019
Decision	SESE
Submission Type	Special
Regulation	21 CFR 892.1680
Device Class	Class 2

Intended Use

Mars1717XF-GSI Wireless Digital Flat Panel Detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. This device is not intended for mammography, dental applications, pediatric, pregnant women and fluoroscopy.

Device Story

Wireless digital flat panel detector (FPD) for general-purpose diagnostic X-ray imaging. Input: X-ray radiation. Transformation: Gd2O2S (GOS) scintillator converts X-rays to visible photons; TFT/PD sensor array converts photons to electron signals; processed via internal electronics. Output: Digital radiographic image transmitted to PC. Used in clinical settings as a component of a DR system; operated by trained healthcare professionals (radiographers/technicians). Integrates with X-ray generators via AED trigger module. Provides digital images for diagnosis of disease or injury. Benefits: Enables digitalization of medical X-ray imaging, replacing film/screen systems.

Clinical Evidence

Bench testing only. No clinical data was required or provided. Substantial equivalence was supported by non-clinical performance testing, including electrical, mechanical, and environmental safety, EMC, and biological evaluation. Image quality comparison between the subject and predicate device showed no significant differences.

Technological Characteristics

Amorphous Silicon (a-Si) TFT/PD flat panel detector; Gd2O2S (GOS) scintillator; 42.48cm x 42.54cm active area; 150μm pixel pitch; 16-bit ADC; wireless connectivity (IEEE 802.11a/b/g/n); carbon fiber plate; air cooling; 460mm x 460mm x 15mm dimensions; AED trigger module for X-ray detection.

Indications for Use

Indicated for general radiographic diagnosis of human anatomy in adults. Not for mammography, dental, pediatric, pregnant women, or fluoroscopy applications.

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

Wireless Digital Flat Panel Detector (Mars1417XF-GSI) (K182550)

Related Devices

K200622 — Focus 43C detector, TRIMAX 43C detector · Iray Technology Taicang , Ltd. · Apr 1, 2020
K183713 — Wireless Digital Flat Detector · Iray Technology Taicang , Ltd. · Jan 9, 2019
K210314 — Mars1717X Wireless Digital Flat Panel Detector · Iray Technology Taicang , Ltd. · Mar 2, 2021
K213529 — Focus HD 43 Detector · Iray Technology Taicang , Ltd. · Mar 29, 2022
K213646 — Focus HD 35 Detector · Iray Technology Taicang , Ltd. · Mar 29, 2022

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. iRay Technology Taicang Ltd. % Meng Li Registration & Regulation Affairs Engineer No. 33 Xinggang Rd., Taicang Port Economic & Technological Development Zone Taicang, Jiangsu 215434 CHINA Re: K183422 Trade/Device Name: Wireless Digital Flat Panel Detector Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: November 1, 2018 Received: December 10, 2018 Dear Meng Li: 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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be avare that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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. 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 January 9, 2019 {1}------------------------------------------------ requirements, including, but not limited to: registration and listing (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely. Michael D'Hara For Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration #### Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below. #### 510(k) Number (if known) #### K183422 Device Name Wireless Digital Flat Panel Detector Indications for Use (Describe) Mars 1717XF-GSI Wireless Digital Flat Panel Detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic procedures. This device is not intended for mammography or dental applications, We understand the Agency has become aware of situations where solid state detectors inserted into radiographic systems adversely impacted device performance due to improper integration (reference:http://www.fda.gov/downloads/ MedicalDevices/ResourcesforYou/Industry/UCM385149.pdf ). Below is a summary of the information from the Mars1717XF-GSI user manuals covering key electromechanical and computer requirements needed for X-ray system interface and integration. - 1. Mechanical interface requirements. - 2. Computer requirements - 3. Data communication interface requirements 4. Electrical power requirements 5. X-ray trigger interface requirements Neither the Mars1717XF-GSI detector nor its software act as an X-ray generator controller, and therefore, the device is not subject to Electronic Product Radiation Control (EPRC) performance standards and reporting requirements. | Type of Use (Select one or both, as applicable) | |-------------------------------------------------| |-------------------------------------------------| > Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C) #### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW! * The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ ### 510 (k) SUMMARY OF SAFETY AND EFFECTIVENESS (As Required by 21 CFR 807.92) #### 1. Date Prepared [21 CFR 807.92(a)(1)] November 1st, 2018 #### 2. Submitter's Information [21 CFR 807.92(a)(1)] | Company Name: | iRay Technology Taicang Ltd. | |------------------|---------------------------------------------------------------------------------------------------------| | Company Address: | No.33 Xinggang Road, Taicang Port Economic and Technological Development Zone, Jiangsu, China 215434 | | Contact Person: | Meng Li | | Phone: | 0512-53690872 | | Fax: | 0512-53690872 | | Email: | meng.li@iraygroup.com | #### 3. Trade Name, Common Name, Classification [21 CFR 807.92(a)(2)] | 510(k) Number: | K183422 | |----------------------|--------------------------------------| | Trade Name: | Wireless Digital Flat Panel Detector | | Common Name: | Solid State X-Ray Imager | | Model Name: | Mars1717XF-GSI | | Classification Name: | Stationary X-Ray System | | Product Code: | MQB | | Regulation Number: | 21 CFR 892.1680 | | Device Class: | Class II | ### SECTION 6 - 2 of 12 {4}------------------------------------------------ ### 4. Identification of Predicate Devices(s) [21 CFR 807.92(a)(3)[ The identification predicates within this submission are as follows: | Manufacturer: | iRay Technology Taicang Ltd. | |----------------------|--------------------------------------| | Trade Name: | Wireless Digital Flat Panel Detector | | Model Name: | Mars1417XF-GSI | | Product Code: | MQB | | Classification Name: | Stationary X-Ray System | | FDA 510 (k) #: | K182550 | #### 5. Description of the Device [21 CFR 807.92(a)(4)] Mars1717XF-GSI Wireless Digital Flat Panel Detector is a kind of wireless digital flat panel detector. It supports the single frame mode, with the key component of TFT (Thin Film Transistor)/PD (Photo Diode) image sensor flat panel of active area: 42.48cm×42.54cm. The sensor plate of Mars1717XF-GSI Wireless Digital Flat Panel Detector is coated with Gd2O2S (GOS) scintillator to achieve the conversion from X-ray to visible photon. The visible photons are transformed to electron signals by diode capacitor array within TFT panel, which are composed and processed by connecting to scanning and readout electronics, consequently to form a panel image by transmitting to PC through the user interface. The major function of the Mars1717XF-GSI Wireless Digital Flat Panel Detector is to convert the X-ray to digital image, with the application of high resolution X-ray imaging. This detector is the key component of DR system, enables to complete the digitalization of the medical X-ray imaging with the DR system software. #### 6. Intended Use [21 CFR 807.92(a)(5)] #### 6.1. Intended Use Mars1717XF-GSI Wireless Digital Flat Panel Detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human ### SECTION 6 - 3 of 12 {5}------------------------------------------------ anatomy. It is intended to replace radiographic film/screen systems in all generalpurpose diagnostic procedures. This device is not intended for mammography, dental applications, pediatric, pregnant women and fluoroscopy. #### 6.2. Suitable patient It is suitable for providing digital X-ray imaging for DR system conventional photography but not intended for mammography or dental applications. The remaining notes depend on the DR system. ### 6.3. Processing of input and output When flat panel detector works continuously, it can automatically distinguish Xray and output an imaging for diagnosis of disease, injury, or of any applicable health problem. | Item | Predicate Device: Wireless Digital Flat Panel Detector | Proposed Device: Wireless Digital Flat Panel Detector | |------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | 510(K) Number | K182550 | To be assigned | | Intended Use | The Mars1417XF-GSI Wireless Digital Flat Panel Detector is indicated for digital imaging solution designed for providing general radiographic system in all general purpose diagnostic procedures. | Same with Mars1417XF- GSI, additionally, it is not intended for mammography, dental | | | Predicate Device: | Proposed Device: | | Item | Wireless Digital Flat Panel Detector | Wireless Digital Flat Panel Detector | | Indications for Use | Mars1417XF-GSI Wireless Digital Flat Panel Detector is indicated for digital imaging solution designed for providing general radiographic diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general- purpose diagnostic procedures. This device is not intended for mammography or dental applications. We understand the Agency has become aware of situations where solid state detectors inserted into radiographic systems adversely impacted device performance due to improper integration (reference:http://www.fda.gov/dow nloads/MedicalDevices/Resourcesf orYou/Industry/UCM385149.pdf). | applications, pediatric, pregnant women and fluoroscopy. Same with Mars1417XF- GSI, additionally, In the consideration of patient size (i.e., height, weight, body part thickness) and usable dose range, the detector could be used for general X ray diagnosis of usual body part for adult. | | Item | Predicate Device: | Proposed Device: | | | Wireless Digital Flat Panel Detector | Wireless Digital Flat Panel Detector | | | Below is a summary of the information from the Mars1417XF- GSI user manuals covering key electromechanical and computer requirements needed for X-ray system interface and integration. 1. Mechanical interface requirements. 2. Computer requirements 3. Data communication interface requirements 4. Electrical power requirements 5. X-ray trigger interface requirements Neither the Mars1417XF-GSI detector nor its software act as an X-ray generator controller, and therefore, the device is not subject to Electronic Product Radiation Control (EPRC) performance standards and reporting requirements. | | | Classification Name | Stationary X-ray system | Same | | Item | Predicate Device: Wireless Digital Flat Panel Detector | Proposed Device: Wireless Digital Flat Panel Detector | | Product Code | MQB | Same | | Regulation Number | 21 CFR 892.1680 | Same | | Panel: | Radiology | Same | | Classification: | II | Same | | X-Ray Absorber (Scintillator): | Gd2O2S (GOS) | Same | | Installation Type: | Wireless, Portable | Same | | Readout Mechanism: | Thin Film Transistor | Same | | Image Matrix Size: | 2336 × 2836 pixels | 2832× 2836 pixels | | Pixel Pitch: | 150μm | Same | | ADC Digitization | 16 bit | Same | | Effective Imaging Area: | 350.4 mm × 425.4 mm | 424.8 mm × 425.4 mm | | Spatial Resolution: | Min. 3.3lp/mm | Same | | Modulation Transfer Function (MTF) | 0.45 at 1 lp/mm | 0.44 at 1 lp/mm | | Detective Quantum Efficiency | 0.22 at 1 lp/mm | 0.23 at 1 lp/mm | | Item (DQE) | Predicate Device: Wireless Digital Flat Panel Detector | Proposed Device: Wireless Digital Flat Panel Detector | | (RQA5, 3.2µGy) | | | | Power Consumption: | Max. 19W | Max. 20W | | Communications: (Wireless functionality) | Wireless: IEEE 802.11a/b/g/n (2.4 GHz / 5 GHz) | Same | | Communications: | Wireless: IEEE 802.11a/b/g/n (2.4 GHz / 5 GHz) | Same | | Imaging protect Plate: | Carbon Fiber Plate | Same | | Cooling: | Air cooling | Same | | Dimensions: | 384 mm × 460 mm × 15 mm | 460 mm × 460 mm×15 mm | | Operation: Storage and | Temperature: +5 ~ +30 ℃ Humidity: 10 ~ 80% (Non-Condensing) Atmospheric pressure: 70 ~ 106 kPa Altitude: Max. 3000 meters | Same | | Transportation: ( detector ) | Temperature: -20 ~ +50 ℃ Humidity: 10 ~ 90% (Non-Condensing) | Same | | Item | Predicate Device: | Proposed Device: | | | Wireless Digital Flat Panel Detector | Wireless Digital Flat Panel Detector | | | Atmospheric pressure: 70 ~ 106 kPa | | | | Altitude: Max. 3000 meters | | | Software | iRay SDK(include iDetector) is intend to supply API interface for DR system manufacturers. DR system manufacturer control the detector by SDK interface. SDK is not intend to use directly by other users beside DR system manufacturers. | Same | | Utilized FDA guidance documents | 1. Guidance for the Submission of 510(k)'s for Solid State X-ray Imaging Devices; 2. The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notifications[510(k)]; 3. Content of Premarket Submissions for Management of Cybersecurity in Medical Devices; 4. Radio Frequency Wireless Technology in Medical Devices | Same | ### 7. Technological Characteristic [21 CFR 807.92(a)(6)] ## SECTION 6 - 4 of 12 {6}------------------------------------------------ # SECTION 6 - 5 of 12 {7}------------------------------------------------ ## SECTION 6 - 6 of 12 {8}------------------------------------------------ ## SECTION 6 - 7 of 12 {9}------------------------------------------------ # SECTION 6 - 8 of 12 {10}------------------------------------------------ # SECTION 6 - 9 of 12 {11}------------------------------------------------ #### 8. System requirements to operate with other radiographic system components - 1) Recommended Generator Specification: Energy range: 40~150kVp mA range: 10~1000mA (depending on the generator power) ms range: 10~6300ms to produce 0.1~1000mAs (depending on the generator power) Note: To our best knowledge, the detector is compatible with the X-ray generators with the specifications described above. If still having any questions regarding the compatibility issue for other generators, please contact the distributor or iRay's service office. - 2) Application Program Interface (API) for system integration manufacturer Peripheral hardware: Mars1717XF-GSI detector connected via wireless communication. | Operating System: | Windows XP/7 32/64bit | |-------------------|---------------------------------------------| | CPU: | Intel Core i5 3.6G | | Memory: | 8G DDR3 | | Hard Disk: | 640 G | | LAN Card: | Intel Pro EXP9301CT PRO | | | Gigabit Network Adapter with PCIe interface | #### 3) X-ray exposure mode The AED trigger module is a unit can connect X-ray signal in the Mars1717XF-GSI. Once there is X-ray generator exposure exist, the inner trigger module will detect the X-ray radiation and output signal to the detector. Until the exposure finished, the detector will receive a signal which represent the end of exposure from the inner trigger module and begin to acquire the image. #### 9. Substantial Equivalence [21 CFR 807.92(b)(1) and 807.92(b)(2)] - Electrical Safety and EMC testing: 1) ## SECTION 6 - 10 of 12 {12}------------------------------------------------ ### iRay Technology Taicang Ltd. Electrical, mechanical, environmental safety and performance testing according to IEC/ES 60601-1 was performed, and EMC testing was also conducted in accordance with IEC/EN 60601-1-2. All test results are meet standard requirements. - 2) Biological Evaluation: The materials of the detector which contact operators' skin have been evaluated with the ISO 10993-1. And the evaluation results and test result assured the safety the same as the predicate device. - 3) Non-clinical Considerations: The only modification from the predicate device to Mars1717XF-GSI is the panel dimension, related to Amorphous Silicon (A-Si) panel size and structure size design. The non-clinical studies have been performed and the results have shown that sections of the non-clinical consideration mentioned in the 'Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices' are substantially equivalent to the non-consideration of predicate devices on the Market (Mars1417XF-GSI, K182550). - 4) Clinical Consideration: The only modification from the predicate device to Mars1717XF-GSI is the panel dimension, related to Amorphous Silicon (a-Si) panel size and structure size design. Intended use, fundamental scientific technology, regulatory requirement, non-clinical performance, labeling, quality-assurance program and software keep the same with those of predicate device. Additionally, as mentioned in clinical considerations in 'Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices', clinical consideration may not necessary for changes in the dimensions of the image receptor with otherwise identical materials if non-clinical information is sufficient to support the substantial equivalence, which is described details in '009 Substantial Equivalence Discussion' in this submission. There was no significant difference between the images of the Mars1717XF-GSI and those of the predicate device. - 10. Conclusion [21 CFR 807.92(b)(3)] ## SECTION 6 - 11 of 12 {13}------------------------------------------------ In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification, iRay Technology Taicang Ltd. concludes that iRay Mars1717XF-GSI Wireless Digital Flat Panel Detectors is substantially equivalent to predicate device with regards to safety and effectiveness.