AX200 AUTOMATIC X-RAY FILM PROCESSOR, MODEL 6586.036

K023613 · Alphatek Corp. · IXW · Jan 23, 2003 · Radiology

Device Facts

• Record ID: K023613
• Device Name: AX200 AUTOMATIC X-RAY FILM PROCESSOR, MODEL 6586.036
• Applicant: Alphatek Corp.
• Product Code: IXW · Radiology
• Decision Date: Jan 23, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.1900
• Device Class: Class 2

Intended Use

THE Ax200 is intended to develop medical x-ray film.

Device Story

AX200 Automatic X-Ray Film Processor (Model 6586.03) is an electromechanical device designed to automate the development of medical x-ray film. The device processes exposed radiographic film through a series of chemical baths to produce diagnostic images. It is intended for use in clinical or radiological settings by trained personnel. The device automates the chemical processing workflow, ensuring consistent film development, which supports healthcare providers in obtaining high-quality images for clinical decision-making and patient diagnosis.

Clinical Evidence

bench testing only

Technological Characteristics

Electromechanical automatic radiographic film processor. Operates via chemical development process for medical x-ray film. Class II device, product code IXW.

Indications for Use

Indicated for the development of medical x-ray film.

Regulatory Classification

Identification

An automatic radiographic film processor is a device intended to be used to develop, fix, wash, and dry automatically and continuously film exposed for medical purposes.

Special Controls

*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 3 2003

Mr. Paul M. Kupsco President Alphatek Corp. 2000 South 25th Ave. BROADVIEW IL 60155 Re: K023613 Trade/Device Name: AX200 Automatic X-Ray Film Processor Model # 6586.03 Regulation Number: 21 CFR 892.1900 Regulation Name: Automatic radiographic film processor Regulatory Class: II Product Code: 90 IXW Dated: October 22, 2002 Received: October 28, 2002

Dear Mr. Kupsco:

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 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 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.

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This letter will allow you to begin marketing your device as described in your 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:

| 8xx.1xxx | [phone] |
|----------------------------------|----------------|
| 876.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | [phone] |
| 892.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| Other | [phone] |

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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/dsma/dsmamain.html.

Sincerely vours.

Nancy C. Brogdon

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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510(k) Number (if known): KO23 61 1

Device Name: AX200 AUTOMATIC X-RAY
Film Processon MODEL #6586.03
Indications For Use:

THE Ax200 is intended to
develop medical x-ray film.

(PLEAŠË DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER P NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy Brogdon
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K023613

Prescription Use (Per 21 CFR 801.109) ાર

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