VANTAGE MODEL V5000, V5100, V5000C, V5100C

K122643 · Midmark Corp. · MUH · Jan 7, 2013 · Dental

Device Facts

• Record ID: K122643
• Device Name: VANTAGE MODEL V5000, V5100, V5000C, V5100C
• Applicant: Midmark Corp.
• Product Code: MUH · Dental
• Decision Date: Jan 7, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.1800
• Device Class: Class 2

Indications for Use

The intended use of the Progeny Vantage Extra Oral X-Ray System is to provide dental radiographic examination and diagnosis of diseases of the teeth, jaw and oral structures. When the system is equipped with the cephalometric option, the system will also provide cephalometric radiographic examinations for use in orthodontic treatment planning and evaluation.

Device Story

The Progeny Vantage Panoramic X-Ray System is an extraoral radiographic imaging system used in dental clinics. It captures panoramic and cephalometric views of teeth, jaws, and oral structures. The system comprises an X-ray tubehead with integrated collimation, a digital image receptor (CCD), a rotating C-arm, an elevating column, a patient positioning table, and a computer display workstation. Operated by dental professionals, the device transforms X-ray inputs into digital radiographs displayed on a monitor. These images assist clinicians in diagnosing oral diseases and planning orthodontic treatments. The system utilizes standard radiographic techniques similar to predicate devices, with key components often sourced from identical suppliers. The output allows for image manipulation, archiving, and communication via the workstation, facilitating clinical decision-making and patient care.

Clinical Evidence

No clinical trials on human subjects. Bench testing performed per IEC 61223-3-4 for cephalometric equipment. Comparative study conducted using a skull phantom; two licensed dentists evaluated images from the Vantage system against those from the Instrumentarium OP200D and Planmeca ProMax. Dentists concluded Vantage images were of acceptable quality and at least as effective as the predicate devices for cephalometric diagnostic purposes.

Technological Characteristics

Extraoral digital X-ray system. Components: X-ray tubehead, CCD digital image receptor, rotating C-arm, elevating column, patient positioning table. Technical specs: 60-84 kVp, 4-14 mA, 0.5mm focal spot, 96 um pixel size. Connectivity: Computer display workstation for image manipulation/archiving. Testing: IEC 61223-3-4. No specific software algorithm class or advanced AI/ML features described.

Indications for Use

Indicated for dental radiographic examination and diagnosis of diseases of the teeth, jaw, and oral structures. With cephalometric option, indicated for cephalometric radiographic examinations for orthodontic treatment planning and evaluation.

Regulatory Classification

Identification

An extraoral source x-ray system is an AC-powered device that produces x-rays and is intended for dental radiographic examination and diagnosis of diseases of the teeth, jaw, and oral structures. The x-ray source (a tube) is located outside the mouth. This generic type of device may include patient and equipment supports and component parts.

Predicate Devices

• Instrumentarium Orthopantomograph OP200D (K043612)
• Planmeca ProMax (K011619)

Submission Summary (Full Text)

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K122643

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## 510(k) Summary

| Date: | November 8, 2012 |
|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter: | Midmark Corporation<br>675 Heathrow Drive<br>Lincolnshire, IL 60069 USA |
| Contact Person: | Mark Greenwood<br>Director, Engineering and Product Development<br>[phone] |
| Device Name: | Vantage Panoramic X-Ray System |
| Classification Name: | System, x-ray, extraoral source, digital<br>(21 CFR 872.1800, Product Code MUH) |
| Predicate Devices: | Instrumentarium Orthopantomograph OP200D (K043612)<br>Planmeca ProMax (K011619) |
| Description of Device: | The Progeny Vantage Panoramic X-Ray System is an extraoral<br>radiographic imaging system for producing digital radiographs in<br>panoramic and cephalometric views of the teeth, jaw and oral structure. |
| | The Progeny Vantage Panoramic Extraoral Radiographic Imaging System<br>consists of the following main components: |
| | X-ray tubehead with integrated collimation |
| | Digital Image Receptor |
| | Rotating C-Arm for tubehead and image receptor mounting |
| | Overhead Arm |
| | Elevating Column |
| | Patient Positioning Table |
| | Electronic Control Unit<br>Computer Display Workstation |
| | 8 ft. coil cord with exposure switch |
| | Optional cephalometric extension arm |
| Intended Use: | The intended use of the Progeny Vantage Extra Oral X-Ray System is to<br>provide dental radiographic examination and diagnosis of diseases of<br>the teeth, jaw and oral structures. When the system is equipped with<br>the cephalometric option, the system will also provide cephalometric |

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radiographic examinations for use in orthodontic treatment planning and evaluation.

Substantial Equivalence Comparison:

| Technical<br>Characteristic | Progeny<br>Vantage | Instrumentarium<br>OP200D | Planmeca<br>ProMax |
|-----------------------------|--------------------|---------------------------|--------------------|
| kVp | 60-84 kVp | 57-85 kVp | 50-84 kVp |
| mA | 4-14 mA | 2-16 mA | .5-16 mA |
| Sensor type | CCD | CCD | CCD |
| Image Pixel size | 96 um | 96 um | 66, 99, or 132 um |
| Panoramic Scan Time | 2.5-16s | 2.7-14s | 2.7-16s |
| X-Ray tube focal spot | 0.5mm | 0.5mm | 0.5mm |
| Ceph option | Yes | Yes | Yes |

Intended Use for Each Device:

Progeny Vantage:

The intended use of the Progeny Vantage Extra Oral X-Ray System is to provide dental radiographic examination and diagnosis of diseases of the teeth, jaw and oral structures. When the system is equipped with the cephalometric option, the system will also provide cephalometric radiographic examinations for use in orthodontic treatment planning and evaluation.

Instrumentarium OP200D:

Planmeca ProMax:

Orthopantomograph OP200 (film unit) and OP200D (digital unit) devices are intended to be used for producing x-ray radiographs of dentition, TM-joints, and other oral structures. The units are capable of taking panoramic, TM-joint, maxillary sinus radiographs from patients. When the units are equipped with cephalometric option Orthoceph OC200 (film unit) and OC200D (digital unit) units can be used for cephalometric radiography and examinations related thereto. OP200 or OC200 units can also be equipped with Ortho Trans (OT) option, which is capable of taking both cross and longitudinal slices of region of interest. Ortho Trans uses linear tomography imaging principle.

The ProMax, Panoramic X-Ray Imaging System with Cephalostat, is an extraoral source X-Ray System, which is intended for dental radiographic examination and diagnosis of diseases of the teeth, jaw and oral structures. The device can be equipped with accessories to fulfill different diagnostic needs. In digital configuration the images are

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displayed on a monitor, and image manipulation, archiving, and communication are performed via a computer.

Technical Analysis: A review of the technical characteristics indicates no significant differences between the Vantage unit and the predicate devices. The radiographic technique factors which would determine patient radiation dosage are almost identical. In fact, many of the key components (x-ray tubes, detectors, etc) are sourced from the same suppliers.

> The intended uses of the Vantage unit and the predicate devices also have no significant differences. All three devices' intended use focuses on providing radiograph examination of the teeth, jaw, and oral structures. The Progeny Vantage and Instrumentarium IFU statements specifically describe cephalometric while the Planmeca refers to more general "different diagnostic needs." The Instrumentarium unit IFU describes a linear tomography feature which is NOT present in Vantage unit or IFU and therefore should not be considered.

Non-Clinical Tests: The Progeny Vantage Panoramic unit was tested per IEC 61223-3-4 which is an FDA recognized standard for acceptance testing of dental xray equipment, specifically Section 7 which is for Cephalometric equipment. The Progeny Vantage with ceph option passed this testing which is a confirmation that the product is safe and effective.

Clinical Tests: Two licensed dentists reviewed images taken of a skull phantom with the Progeny Vantage with Ceph. Both dentists deemed that the image quality was acceptable and that they would be effective as effective as cephalometric images. In addition, the two dentists reviewed images taken of the skull by the Instrumentarium OP200D of the skull phantom and Planmeca sample cephalometric images and concluded that the Progeny Vantage images were at least as effective as the Instrumentarium and Planmeca images.

Conclusion: The Vantage Panoramic X-Ray system is substantially equivalent to other legally marketed devices in the United States. Specifically, the Vantage Panoramic X-Ray system is substantially equivalent in technical characteristics, intended use, and effectiveness to the OP200D marketed by Instrumentarium and the ProMax marketed by Planmeca.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus. The logo is black and white.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

January 7, 2013

Progeny Dental, A Midmark Company Mr. Mark Greenwood Director, Engineering and Product Development 675 Heathrow Drive LINCOLNSHIRE IL 60069

Re: K122643

Trade/Device Name: Progeny Vantage Panoramic X-Ray System Regulation Number: 21 CFR §872.1800 Regulation Name: System, x-ray, extraoral source, digital Regulatory Class: II Product Code: MUH Dated: December 19, 2012 Received: December 26, 2012

Dear Mr. Greenwood:

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. 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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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Page 2-Mr. Greenwood

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Michael D. O'Hara

Janine M. Morris Director, Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known):_____K122643

Device Name:___ Progeny Vantage Panoramic X-Ray System

Indications For Use:

The indications for use of the Progeny Vantage Panoramic X-Ray System is to provide dental radiographic examination and diagnosis of diseases of the teeth, jaw, and oral structures. When the system is equipped with the cephalometric option, the system will also provide cephalometic radiographic examinations for use in orthodontic treatment planning and evaluation.

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

Michael D. O'Hara

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety 510(k) K/22643

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