Digital Radiography CXDI-Pro, Digital Radiography D1

K222855 · Canon, Inc. · MQB · Oct 17, 2022 · Radiology

Device Facts

• Record ID: K222855
• Device Name: Digital Radiography CXDI-Pro, Digital Radiography D1
• Applicant: Canon, Inc.
• Product Code: MQB · Radiology
• Decision Date: Oct 17, 2022
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.1680
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The DIGITAL RADIOGRAPHY CXDI-Pro / DIGITAL RADIOGRAPHY D1 provides digital image capture for conventional film/screen radiographic examinations. This device is intended to capture, for display, radiographic images of human anatomy, and to replace radiographic film/screen systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.

Device Story

Solid-state X-ray imager (flat panel detector) captures X-ray photons; scintillator (CsI(Tl)) converts photons to visible light; photodetector array converts light to electrical signals; signals digitized and transmitted via wired/wireless connection to PC. Used in clinical settings by healthcare professionals for general radiography. CXDI Control Software processes signals into images for display on external monitors. Output assists clinicians in diagnostic decision-making. Benefits include digital image capture replacing traditional film/screen systems. Device series includes CXDI-703C, CXDI-803C, and CXDI-403C wireless detectors.

Clinical Evidence

Bench testing only. No clinical data provided. Verification and validation activities confirmed that modifications meet applicable safety and performance standards.

Technological Characteristics

Solid-state flat panel detector using TFT technology and CsI(Tl) scintillator. Magnesium alloy case. Pixel pitch 140μm. Wireless connectivity (IEEE 802.11n/ac/a/g/b, 2.4GHz/5GHz, Bluetooth LE). IP55 rating. Standards: IEC 60601-1, 60601-1-2, 60601-1-6, 60601-2-54, ISO 10993-1.

Indications for Use

Indicated for digital image capture of human anatomy for general purpose diagnostic radiographic procedures. Not for mammography. Suitable for all patient populations.

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

• DIGITAL RADIOGRAPHY CXDI-Pro / DIGITAL RADIOGRAPHY D1 (K221876)

Submission Summary (Full Text)

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October 17, 2022

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: on the left, there is a symbol representing the Department of Health & Human Services - USA, and on the right, there is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The FDA logo is a symbol of the agency's mission to protect and promote public health through the regulation and supervision of food safety, tobacco, pharmaceuticals, medical devices, and other related products.

Canon Inc. % Ms. Saori Sawaki Business Manager, Regulatory Consultant Ken Block Consulting LLC 800 E. Campbell Road, Suite 202 RICHARDSON TX 75081

## Re: K222855

Trade/Device Name: Digital Radiography CXDI-Pro Digital Radiography D1 Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: September 21, 2022 Received: September 21, 2022

Dear Ms. Sawaki:

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. Although this letter refers to your product as a device, please be aware 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Laurel Burk, Ph.D. Assistant Director Diagnostic X-Ray Systems Team DHT8B: Division of Radiological Imaging Devices and Electronic Products OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K222855

Device Name DIGITAL RADIOGRAPHY CXDI-Pro DIGITAL RADIOGRAPHY D1

#### Indications for Use (Describe)

The DIGITAL RADIOGRAPHY CXDI-Pro / D1 provides digital image capture for conventional film/screen radiographic examinations. This device is intended to capture, for display, radiographic images of human anatomy, and to replace radiographic film/screen systems in all general purpose diagnostic procedures. This device is not intended for mammography applications.

| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|-----------------------------------------|
| Prescription Use (Part 21 CFR 801 Subpart D) | <span style="font-size: 20px;">☑</span> |
| Over-The-Counter Use (21 CFR 801 Subpart C) | <span style="font-size: 20px;">☐</span> |

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Image /page/3/Picture/0 description: The image features the word "Canon" in a bold, red font. The letters are closely spaced together, creating a solid block of text. The font appears to be sans-serif, with rounded edges, giving the word a modern and clean look.

# 510(k) Summary

### K222855

| Applicant/ Sponsor: Canon Inc. | | |
|--------------------------------|--------------------------------------|--|
| | 9-1 Imaikami-cho | |
| | Nakahara-ku, Kanagawa 211-8501 JAPAN | |

- Contact Person: Mr. Akira Hirai General Manager TEL: [phone] FAX: [phone] [e-mail]
Date Prepared: October 3, 2022

Submission Type: Special 510(k) Submission

| Proposed Device | Manufacturer:<br>Trade Name:<br>Common Name:<br>Classification Name:<br>Product Code:<br>Regulation:<br>Class: | Canon Inc.<br>DIGITAL RADIOGRAPHY CXDI-Pro<br>DIGITAL RADIOGRAPHY D1<br>Solid State X-Ray Imager (Flat Panel/Digital Imager)<br>Stationary X-ray System<br>MQB<br>892.1680, Stationary X-ray System<br>II |
|------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Predicate Device: | Clearance:<br>Manufacturer:<br>Trade Name:<br>Common Name:<br>Classification Name:<br>Product Code:<br>Regulation:<br>Class: | K221876<br>Canon Inc.<br>DIGITAL RADIOGRAPHY CXDI-Pro<br>DIGITAL RADIOGRAPHY D1<br>Solid State X-ray Imager (Flat Panel/Digital Imager)<br>Stationary X-ray System<br>MQB<br>892.1680, Stationary X-ray System<br>II |
| Device<br>Description: | The DIGITAL RADIOGRAPHY CXDI-Pro, also called the DIGITAL<br>RADIOGRAPHY D1, (hereinafter referred to as CXDI-Pro) is a solid-state x-ray<br>imager. The CXDI-Pro is a series of detectors, and in the predicate submission<br>(K221876) consists of the CXDI-703C Wireless and CXDI-403C Wireless<br>detectors, also called the AR-D3543W and AR-D4343W detectors respectively.<br>The detectors intercept x-ray photons, and the scintillator emits visible spectrum<br>photons that illuminate an array of photodetectors that create electrical signals.<br>After the electrical signals are generated, the signals are converted to digital values.<br>The digital values are sent to the PC via a wired or wireless connection, converted<br>to images with the CXDI Control Software, and then displayed on the PC/monitors.<br>The PC/monitors used with the CXDI-Pro are not a part of this submission.<br>The proposed changes to the predicate device, CXDI-Pro, includes the addition of<br>the new detector, CXDI-803C Wireless (also called the AR-D2735W) to the CXDI-<br>Pro series; a firmware update from 01.01.03.00 to 01.02.00.01; and a CXDI Contro<br>Software version update from 3.10.2.2 to 3.10.2.6.<br>The new detector, CXDI-803C Wireless, which differs in pixel count, imaging area,<br>external dimensions, and weight, has the same image performance as the predicate<br>detectors. None of the CXDI-Pro detectors have any dynamic functions (such as<br>fluoroscopy). | |

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Image /page/4/Picture/0 description: The image shows the word "Canon" in a bold, red font. The letters are closely spaced together, creating a solid block of text. The font is sans-serif, and the overall impression is one of a strong, recognizable brand logo. The red color is vibrant and eye-catching.

510(k) Summary

# K222855

| Indications for Use: | The DIGITAL RADIOGRAPHY CXDI-Pro / DIGITAL RADIOGRAPHY D1 provides digital image capture for conventional film/screen radiographic examinations. This device is intended to capture, for display, radiographic images of human anatomy, and to replace radiographic film/screen systems in all general purpose diagnostic procedures. This device is not intended for mammography applications. |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Summary of Technological Characteristics: | Comparison with the predicate device shows the technological characteristics of the CXDI-Pro is substantially equivalent to the predicate device. The flat panel detector units are functionally same, using the same components. |

| | Proposed Device | Predicate Device | |
|--------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------|
| Trade Name | DIGITAL RADIOGRAPHY CXDI-Pro / D1 | DIGITAL RADIOGRAPHY CXDI-Pro / D1 | |
| 510(k) Submitter<br>[Number] | Canon Inc.<br>[K222855] | Canon Inc.<br>[K221876] | IDENTICAL |
| Indication for Use | The DIGITAL RADIOGRAPHY CXDI-Pro /<br>DIGITAL RADIOGRAPHY D1 provides<br>digital image capture for conventional<br>film/screen radiographic examinations. This<br>device is intended to capture, for display,<br>radiographic images of human anatomy, and to<br>replace radiographic film/screen systems in all<br>general purpose diagnostic procedures. This<br>device is not intended for mammography<br>applications. | The DIGITAL RADIOGRAPHY CXDI-Pro /<br>DIGITAL RADIOGRAPHY D1 provides<br>digital image capture for conventional<br>film/screen radiographic examinations. This<br>device is intended to capture, for display,<br>radiographic images of human anatomy, and to<br>replace radiographic film/screen systems in all<br>general purpose diagnostic procedures. This<br>device is not intended for mammography<br>applications. | IDENTICAL |
| Application | General Radiography | General Radiography | IDENTICAL |
| Components | Detector (Sensor)<br>Documentation (Manuals)<br>Battery Charger (BC-1A/BC-01)<br>Battery Pack (LB-4A)<br>X-ray Interface Box (XB-1A)<br>Power Box (PB-01)<br>Wiring Cable, 1.5/7.5/10/15/25m (WC-01)<br>PC Connection Cable (CP-01)<br>Ready Indicator (RI-3A)<br>Detector Stand (DS-01) | Detector (Sensor)<br>Documentation (Manuals)<br>Battery Charger (BC-1A/BC-01)<br>Battery Pack (LB-4A)<br>X-ray Interface Box (XB-1A)<br>Power Box (PB-01)<br>Wiring Cable, 1.5/7.5/15/25m (WC-01)<br>PC Connection Cable (CP-01)<br>Ready Indicator (RI-3A)<br>Detector Stand (DS-01) | MODIFIED |
| Other Compatible<br>Components | Multi Box (MB-02)<br>Status Indicator (SI-01/SI-4A) | Multi Box (MB-02)<br>Status Indicator (SI-01/SI-4A) | IDENTICAL |
| Detector Sensor | CXDI-703C Wireless (AR-D3543W)<br>CXDI-803C Wireless (AR-D2735W)<br>CXDI-403C Wireless (AR-D4343W) | CXDI-703C Wireless (AR-D3543W)<br>CXDI-803C Wireless (AR-D2735W)<br>CXDI-403C Wireless (AR-D4343W) | MODIFIED |
| External Dimensions | CXDI-703C Wireless: 384 x 460 x 15.7 mm<br>CXDI-803C Wireless: 384 x 307.5 x 15.7 mm<br>CXDI-403C Wireless: 460 x 460 x 15.7 mm | CXDI-703C Wireless: 384 x 460 x 15.7 mm<br>CXDI-403C Wireless: 460 x 460 x 15.7 mm | MODIFIED |
| Case Material | Magnesium alloy | Magnesium alloy | IDENTICAL |
| Detector Technology | TFT | TFT | IDENTICAL |
| Pixel Pitch | 140μm | 140μm | IDENTICAL |
| Scintillator | CsI(Tl)<br>[Cesium Iodide doped with Thallium] | CsI(Tl)<br>[Cesium Iodide doped with Thallium] | IDENTICAL |
| Spatial<br>Resolution | 35% [MTF@2lp/mm] | 35% [MTF@2lp/mm] | IDENTICAL |
| DQE | 58% [@0.5 lp/mm, 3.5 uGy] | 58% [@0.5 lp/mm, 3.5 uGy] | IDENTICAL |
| IP Level | IP55 | IP55 | IDENTICAL |
| Software | CXDI Control Software V3.10.2.6 | CXDI Control Software V3.10.2.2 | MODIFIED |
| Detector Firmware | V01.02.00.01 | V01.01.03.00 | MODIFIED |
| Wireless<br>Communication | IEEE 802.11n/ac/a/g/b<br>2.4GHz/5GHz<br>Bluetooth Low Energy | IEEE 802.11n/ac/a/g/b<br>2.4GHz/5GHz<br>Bluetooth Low Energy | IDENTICAL |
| Photographing Mode | Standard Synchronization Mode,<br>Non Generator Connection Mode | Standard Synchronization Mode,<br>Non Generator Connection Mode | IDENTICAL |

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Image /page/5/Picture/0 description: The image shows the word "Canon" in a bold, red font. The letters are closely spaced together, creating a solid block of text. The font appears to be sans-serif, with rounded edges on the letters. The overall impression is a strong and recognizable brand logo.

### 510(k) Summary

### Summary of The fundamental scientific technology of the CXDI-Pro has not been modified. Non-Clinical / The major differences between the proposed CXDI-Pro and the predicate are Test Data: differences in the new detector and a newer version of the firmware and the CXDI control software. The proposed indications for use statement is identical to the indications for use statement of the predicate device. Evaluation of the addition of the new detector and optional accessories confirmed that the changes did not impact CXDI-Pro conformance with the U.S. Performance Standard for radiographic equipment and relevant voluntary safety standards for Electrical safety and Electromagnetic Compatibility testing, specifically IEC standards 60601-1, 60601-1-2, 60601-1-6, and 60601-2-54. These verification/validation activities successfully demonstrated that the device continues to meet the standards for the areas impacted by the modifications to the predicate device and raises no new questions regarding either safety or effectiveness when compared to the predicate device. Clinical testing is not necessary for the current submission, based on the minor differences from the predicate device. Adequate detector bench testing should be sufficient to demonstrate that the subject detector. CXDI-Pro, works as intended. Therefore, the verification/validation activities conducted support a determination of substantial equivalence for the CXDI-Pro. The proposed device follows the applicable elements of the following FDA guidance documents: Guidance for the Submission of 510(k)s for Solid State X-ray Imaging Devices, Guidance for the Content of Premarket Submissions for Software contained in Medical Devices, Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process", Radio Frequency Wireless Technology in Medical Devices, and Pediatric Information for X-ray Imaging Device Premarket Notifications. Conclusion: Canon Inc. considers the DIGITAL RADIOGRAPHY CXDI-Pro / D1 to be substantially equivalent to the predicate device listed above. This conclusion is based on the similarities in primary intended use, principles of operation, functional design, and established medical use.

K22855