AERODR X70

K121109 · Konica Minolta Medical & Graphic, Inc. · KPR · May 23, 2012 · Radiology

Device Facts

• Record ID: K121109
• Device Name: AERODR X70
• Applicant: Konica Minolta Medical & Graphic, Inc.
• Product Code: KPR · Radiology
• Decision Date: May 23, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.1680
• Device Class: Class 2
• Attributes: 3rd-Party Reviewed

Intended Use

AeroDR X70 is a stationary x-ray system intended for obtaining radiographic images of various portions of the human body in a clinical environment. The AeroDR X70 is not intended for mammography

Device Story

AeroDR X70 is a stationary X-ray system for clinical radiographic imaging. Components include ceiling-mounted tube support, floor-mounted table, and wall stand. System utilizes motorized movements for table and ceiling stand height; other movements are manual. Includes graphic display for tube rotation/source image distance, generator control console, and REGIUS CONSOLE CS-3000 with flat panel detector. Operated by clinical staff to capture X-ray images of human body parts. Output is digital radiographic image for diagnostic review by healthcare providers. Magnetic, electrically operated brake release for detector holder distinguishes it from predicate.

Clinical Evidence

No clinical data was needed to demonstrate substantial equivalence. Bench testing and performance data were provided to verify safety and imaging capability.

Technological Characteristics

Stationary X-ray system; ceiling-mounted tube support; motorized table/stand height; magnetic/electric brake release. Digital imaging via REGIUS CONSOLE CS-3000 and flat panel detector. Standards met: IEC 60601-1, IEC 60601-1-2, IEC 60601-1-3, IEC 60601-1-4, IEC 60601-2-7, IEC 60601-2-28, IEC 60601-2-32, NEMA XR7.

Indications for Use

Indicated for obtaining radiographic images of various portions of the human body in a clinical environment. Not intended 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

• Intuition manufactured by Arcoma AB (K073632)

Submission Summary (Full Text)

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K1211.09

Image /page/0/Picture/1 description: The image shows the Konica Minolta logo. The logo consists of a circular graphic above the company name. The graphic is made up of several horizontal lines. The text "KONICA MINOLTA" is in a bold, sans-serif font.

MAY 2 3 2012

Konica Minolta Medical & Graphic, Inc. No.1 Sakura-machi, Hino-shi, Tokyo, 191-8511, Japan

# 510 (k) Summary

Date of summary: October 19, 2011

#### 510(k) Owner:

KONICA MINOLTA MEDICAL & GRAPHIC, INC. no. 1 Sakura-machi, hino-shi Tokyo, 191-8511, JAPAN [phone] Phone: Fax: [phone]

#### Contact person:

| Name: | Shigeyuki Kojima |
|-----------|-----------------------------------|
| Position: | Manager Regulation Division |
| Phone: | [phone] |
| E-mail: | [e-mail] |

### Device Name and Classification

Trade name Classification name Device Product Code Regulation Number Device classification

AeroDR X70 Stationary X-ray System RADIOLOGY KPR 892.1680 Class II

#### Predicate device

The following legally marketed device to which Konica Minolta claims equivalence

1. Intuition manufactured by Arcoma AB, K073632

#### Device description

The AeroDR X70 is a stationary x-ray system with a ceiling mounted tube support, a floor mounted table and wall stand. The image receptor and the image receptor holder is placed in the table or the wall stand.

The ceiling stand and the table are motorized for up and down movements, all other movements are manually operated.

The standard equipment includes a graphic display showing X-ray tube rotation and film focus or source image distance, a generator control console and an Image system console.

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Image /page/1/Picture/0 description: The image shows the Konica Minolta logo. The logo consists of a black circle with horizontal white lines across the middle. Below the circle, the words "KONICA MINOLTA" are written in a bold, sans-serif font.

Konica Minolta Medical & Granbic, Inc. No.1 Sakura-machi, Hino-shi, Tokyo, 191-8511, Japan

#### Intended use

AeroDR X70 is a stationary x-ray system intended for obtaining radiographic images of various portions of the human body in a clinical environment.

The AeroDR X70 is not intended for mammography

#### Comparison of device technological Characteristics

The AeroDR X70 is basically the same product as the predicate device Intuition. Both devices have the ceiling stand and the table motorized for up and down movements, all other movements are manually operated. The Wallstand in both Systems are counter weighted balanced. The AeroDR X70 Wallstand has some modifications in the brake release; the Intuition Wallstand is equipped with manual brake release for the detector holder but the AeroDR X70 brake for the same function is magnetic and operated electrically.

AeroDR X70 digital image system consisting of REGIUS CONSOLE CS-3000 and flat panel AERODR, compared to Intuition image system consisting of CXDI-50G have the same imaging principle, physical characteristic and Intended use,

#### Non Clinical data

The provided performance data demonstrate that the imaging system in the AeroDR X70 system is substantially equivalent to the predicated device with reqards to the capability of producing radiographic images of various portions of the human body,

To verify that the subject device is as safe as the predicate device the same scope of testing has been preformed by certification body. The following standards are met to demonstrate the safety of the subject device

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Image /page/2/Picture/0 description: The image shows the Konica Minolta logo. The logo consists of a black circle with three horizontal white lines across the middle. Below the circle, the words "KONICA MINOLTA" are written in a bold, sans-serif font.

Konica Minolta Medical & Graphic, Inc. No.1 Saxura-machi. Hino-shi, Tokyo 191-8511, Japan

| Standard | Ver | Description |
|---------------------|-----------------|------------------------------------------------------------------------------------------------------------|
| IEC 60601-1 +A1 +A2 | 1988 | Medical Electrical Equipment - Part 1: General Requirements for<br>Safety |
| IEC 60601-1-2 | 2001 | Electromagnetic Compatibility - Requirements and Tests |
| IEC 60601-1-3 | 1994 | General Requirements for Radiation Protection in Diagnostic X-<br>Ray Equipment |
| IEC60601-1-4 +A1 | 1996 | General Requirements for Safety - Collateral Standard:<br>Programmable Electrical Medical Systems |
| IEC 60601-2-7 | 2007 | Particular Requirements for the Safety of High-Voltage<br>Generators of Diagnostic X-Ray Generators |
| IEC 60601-2-28 | 1993 | Particular Requirements for the Safety of X-Ray Source Assy. and<br>X-Ray Tube Assy. for Medical Diagnosis |
| IEC 60601-2-32 | 1994 | Part 2: Particular requirements for the Safety of Associated<br>Equipment of X-ray Equipment |
| NEMA XR7 | 1995<br>(R2000) | High-Voltage X-Ray Cable Assemblies and Receptacles |

### Clinical data

No clinical data was needed to demonstrate substantial equivalence.

#### Conclusion

Based on the information in this submission similarity to the predicate device (The Arcoma AB Intuition system) and the results of our design control activities, including sub supplier agreements, it is our opinion that the Konica Minolta AreoDR X70 system described in this submission is substantially equivalent to the predicate device.

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Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the seal is a stylized graphic of what appears to be an abstract representation of a human figure or a symbol related to health and well-being.

# DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Konica Minolta Medical & Graphic, Inc. % Mr. Williams Sammons Technical Reviewer Intertek Testing Services NA, Inc. 2307 E Aurora Road, Unit B7 TWINSBURG OH 44087

Re: K121109

Trade/Device Name: AeroDR X70 Regulation Number: 21 CFR 872.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR Dated: April 11, 2012 Received: April 12, 2012

### Dear Mr. Sammons:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

MAY 2 3 2012

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medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. 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 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/cdrh/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Image /page/5/Picture/0 description: The image shows the Konica Minolta logo. The logo consists of a circular emblem with horizontal lines inside, positioned above the text "KONICA MINOLTA". The emblem is black, and the text is in a bold, sans-serif font.

Konica Minolta Medical & Graphic, Inc. No.1 Sakura-machi, Hino-shi, Tokyo,191-8511, Japan

# Indication for Use

510(k) Number: K i2-1109

Device Name: AeroDR X70

AeroDR X70 is a stationary x-ray system intended for obtaining radiographic images of various portions of the human body in a clinical environment. The AeroDR X70 is not intended for mammography

Prescription Use _X__ ' And/OR (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K121109

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