DIGITAL FLAT PANEL X-RAY DETECTOR

K101590 · VATECH Co., Ltd. · MQB · Nov 29, 2010 · Radiology

Device Facts

• Record ID: K101590
• Device Name: DIGITAL FLAT PANEL X-RAY DETECTOR
• Applicant: VATECH Co., Ltd.
• Product Code: MQB · Radiology
• Decision Date: Nov 29, 2010
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.1680
• Device Class: Class 2

Intended Use

Xmaru1210P Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for human anatomy including head, neck, cervical spine, arm, leg and peripheral (foot, hand, wrist, fingers, etc.). It is intended to replace film based radiographic diagnostic systems and provide a case diagnosis and treatment planning for physicians and other health care professionals. Not to be used for mammography.

Device Story

Portable digital X-ray flat panel detector; integrates with operating PC and X-ray generator. Input: X-ray radiation. Principle: Scintillator coupled to amorphous silicon (a-Si) TFT sensor converts X-rays to digital signals. Output: DICOM-compatible digital images for diagnostic analysis. Used by physicians and healthcare professionals in clinical settings. Provides high-resolution images to replace film-based systems; facilitates diagnosis and treatment planning.

Clinical Evidence

Non-clinical and clinical performance data provided. Bench testing included electrical, mechanical, and environmental safety (IEC 60601-1) and EMC (IEC 60601-1-2). Clinical evaluation demonstrated improved MTF and DQE performance compared to predicate, resulting in higher resolution and exposure sensitivity.

Technological Characteristics

Portable flat panel detector; amorphous silicon (a-Si) TFT array; Cesium Iodide (CsI) scintillator. Dimensions: 422x403x22mm; Weight: 3.4 kg. Connectivity: DICOM-compatible output to PC. Standards: IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2.

Indications for Use

Indicated for digital radiographic imaging of human anatomy including head, neck, cervical spine, arm, leg, and extremities (foot, hand, wrist, fingers). Contraindicated 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

• CXDI-50G (K031447)

Submission Summary (Full Text)

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NOV 2 9 2010

# 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

# Date

June 1, 2010

Manufacturer

Vatech Co., Ltd.

473-4 Bora-Dong, Giheung-Gu, Yong In-Si, Gyeonggi-Do, 446-904, Korea Republic

Tel: [phone]

Fax: [phone]

Contact person: Ms. Yang-kyoung Kim / Compliance Officer

Email: [e-mail]

## United States Sales Representative (U.S. Designated agent)

VATECH America.

333 Meadowlands Parkway, #303, Secaucus, NJ, 07094, USA

Tel: [phone] Fax: [phone] Contact person: Mr. Dave Kim Email: [e-mail]

### Trade/Proprietary Name:

Xmaru1210P

## Common Name:

Digital Flat Panel X-ray Detector

#### Classification Name:

Solid State X-ray Imager, flat panel/digital imager (21CFR 892.1650, Product code MQB,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ייני . . יינוי . . יונו יורון . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ・・・

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Class2)

#### Description:

Xmaru1210P is a portable digital X-ray flat panel detector which consists of a scintillator directly coupled to an a-SI TFT sensor. It makes high-resolution, high-sensitive digital images. Xmaru1210P is designed specifically to be integrated with an operating PC and a Xray generator to digitalize x-ray images into DICOM compatible image files for the purpose of diagnostic analysis.

## Indication for use:

Xmaru1210P Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for human anatomy including head, neck, cervical spine, arm, leg and peripheral (foot, hand, wrist, fingers, etc.). It is intended to replace film based radiographic diagnostic systems and provide a case diagnosis and treatment planning for physicians and other health care professionals. Not to be used for mammography.

#### Predicate Device:

| Manufacturer | : Canon Inc. |
|---------------|------------------------------------------|
| Device | : CXDI-50G |
| 510(k) Number | : K031447 (Decision Date - May 21. 2003) |

#### Substantial Equivalence:

VATECH Co., Ltd. considers Xmaru1210P is as safe and effective as the predicated device , Canon digital radiography CXDI-50G, cleared under the document number K031447 and the performances for both devices are substantially equivalent as indicated in the SSXI non-clinical report of this submission.

The intended use, application and detector type of Xmaru1210P are the same as those of CXDI-50G. However, the differences in the material for fluorescent screen of Xmaru ! 210P are described below:

Both Xmaru1210P and CXD1-50G use the same amorphous silicon alley as the sensing means, however, Xmaru1210P uses a different material from CXDI-50G for fluorescent screen which is deposited on the amorphous silicon array. Xmaru1210P uses Csl (Cesium lodide> with a high X-ray absorption capacity as fluorescent screen. The SSXI test report

Vatech Oo, Ltd.

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shows that Xmaru1210P.has a better performance than Canon's CXDI-50G in terms of MTF (Modulaion Transfer Function) and DQE (Detective Quantum Efficiency) performance to result a better resolution, higher exposure sensivity and better image quality as demonstrated in the SSXI Non-clinical and clinical report included in this submission.

The differences in the external dimensions and the weight of Xmaru1210P are as follows: The external dimensions of Xmaru1210P (422x403x22mm) is smaller than CXD1-50G (491x477x23mm).

The weight of Xmaru1210P (3.4 kg) is lighter than CXDI-50G (4.8 kg). The physical appearance of Xmaru1210P are different than CXDI-50G.

The indications for use for Xmaru1210P are limited to head, neck, cervical spine, arm, leg and peripheral (foot, hand, wrist, fingers, etc.).

## Safety, EMC and Performance Data:

Electrical, mechanical, environmental safety and performance testing according to standard IEC 60601-1(1995), IEC 60601-1-1 (2001) was performed, and EMC testing were conducted in accordance with'standard IEC 60601-1-2 (2001).

Non-clinical & Clinical considerations according to FDA Guidance for the Submissions of 510(k)'s for Solid State X-ray Imaging Devices" was performed. All test results were satisfactory.

### Conclusion:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification. Vatech Co., Ltd. concludes that Xmaru1210P is safe and effective and substantially equivalent to the predicate device as described herein.

END

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Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services. The logo includes the department's seal on the left and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" on the right. The seal features an eagle with its wings spread, and the text is written in a clear, sans-serif font.

Public Health Service

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

VATECH Co., Ltd. % Mr. Dave Kim Medical Device Regulatory Consultant VATECH America 333 Meadowlands Parkway, #303 SECAUCUS NJ 07094

Re: K101590

Trade/Device Name: Digital Flat Panel X-ray Detector Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: MQB Dated: October 6, 2010 Received: October 8, 2010

AUG 2 3 2013

Dear Mr. Kim:

This letter corrects our substantially equivalent letter of November 29, 2010.

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

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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

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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510(K) Number (if known):

K101590 NOV 2 9 2010

Device Name: Digital Flat Panel X-Ray Detector /Xmaru1210P

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Indications for Use:

Xmaru1210P Digital Flat Panel X-Ray Detector is indicated for digital imaging solution designed for human anatomy including head, neck, cervical spine, arm, leg and peripheral (foot, hand, wrist, fingers, etc.). It is intended to replace film based radiographic diagnostic systems and provide a case diagnosis and treatment planning for physicians and other health care professionals. Not to be used for mammography.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use_ (Part 21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation(ODE)

*(Division Sign-Off)*
Division of Radiological Devices

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