The BladeView is a full featured Radiographic Flat-Panel Digital Imaging System. It Is intended to replace conventional film screen systems. The BiadeView allows a qualified operator to perform digital radiographic examinations of various anatomic regions on both adult and pediatric patients. Anatomic regions of interest for diagnostic radiographic exposure include: skull, spinal column, chest, shoulder girdle, abdomen, pelvic girdle and extremittee. The BladeView enables a qualified operator to acquire, process, and display images. The BladeView system enables the qualified operator to store, hardcopy images with a laser printer or send images over a network. This device is not intended for mammographic, fluoroscopic and or anglographic applications.
Device Story
BladeView is a radiographic digital flat-panel imaging system designed to replace conventional film-screen systems. It captures X-ray patterns using a portable flat-panel detector, converting them into digital images. The system includes a generator, workstation, and detector; it can be integrated into existing radiographic rooms. Operated by qualified personnel, the system acquires, processes, and displays images for diagnostic review. Images can be stored locally, printed via laser printer, or transmitted over a network. By providing digital output, the device facilitates efficient diagnostic imaging of skeletal and thoracic anatomy, aiding clinicians in patient assessment and diagnosis.
Clinical Evidence
Bench testing only. No clinical data provided.
Technological Characteristics
Radiographic digital flat-panel detector system. Components include X-ray generator, flat-panel detector, and workstation. Operates by converting X-ray patterns to digital images. Supports DICOM connectivity for image distribution, storage, and printing. Complies with 21 CFR Subchapter J. System is non-fluoroscopic.
Indications for Use
Indicated for adult and pediatric patients requiring digital radiographic examinations of the skull, spinal column, chest, shoulder girdle, abdomen, pelvic girdle, and extremities. Contraindicated for mammographic, fluoroscopic, and angiographic applications.
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.
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### K101042
#### 644 North Lake Way, Palm Beach, FL 33480
OCT 2 9 2010
810(k) Summary
Note: This is the "510(k) Summary" as required by section 807.92(c)
Accogent, LLC 510(k) Pre-market Notification; BladeView
Date: May 12", 2010 Submitter's Name: Accogent, LLC Submitter's Address: 644 North Lake Way Palm Beach, FL Submitter's Contact: Tristan Tice, Managing Member Submitter's Telephone Number: (917) 513-7632 Submitter's Fax Number: (732) 747-6073
Establishment Registration Number: 3007230269
Device Name and Classification
| Trade Name: | BladeView | CFR Section: | 21 CFR § 892.1650 |
|-----------------------|---------------------------------------------------------|---------------|-------------------|
| Classification Panel: | Radiology | Device Class: | Class II |
| Classification Name: | Solid State x-ray Imager<br>(Flat Panel/Digital Imager) | Device Code: | MQB |
| Common Name: | Radiographic Digital Flat Panel Detector System | | |
Performance Standard: 21 CFR Subchapter J, Federal Diagnostic X-ray Equipment Standard
| Predicate Device Claiming | CPI RAD VISION |
|-----------------------------|--------------------------------|
| Substantial Equivalence to: | 510(k) Control Number: K083224 |
| Predicate Device Claiming | HDR Vision |
| Substantial Equivalence to: | 510(k) Control Number: K081073 |
Reason For Submission New device
#### Description of this Device:
he BladeView is intended to be used as a universal diagnostic imaging system for radiographic studies.
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# ACCENT
The BladeView is a device intended to visualize anatomical structures by converting a pattern of X-ray into a visible image. The main configuration includes a portable X-ray detector, generator, workstation and various other allied parts and components necessary for radiographic studies. It is also configurable to be used in an existing conventional radiographic room (Film or CR) and only the Flat panel and workstation would be needed.
The system has medications ranging from but not limited to cranial, skeletal, thoracic and lung exposures as well as examination of the extremities.
#### Summary of Intended Uses:
The BladeView is a full featured Radiographic Flat-Panel Digital Imaging System. It Is Intended to replace conventional film screen systems.
The BladeView allows a qualified operator to perform digital radiographic examinations of various anatomic regions annos edult and pediatin adjudinations of interest for diagnostic radio and exposure include: skull, spinal column, chest, shoulder girdle, abdomen, pelvic girdle and extremittes.
The BladeView enables a qualified operator to acquire, process, and display images. The BladeView system enables the qualified operator to store, hardcopy images with a laser printer or send images over a network.
This device is not intended for mammographic, fluoroscopic and or anglographic applications.
Analyeis of the Indications For Use for the Subject Device and Predicate Device(s): Pursuant to §807.92(a)(5), this summary contains the following information as to why differences are not critical to the intented therapeutic, diagnostic, or surgical use of the device. In addition, this summary also contains an explanation why the differences do not affect the safety and effectiveness of the device.
A comparison of the subject device and the CPI RAD VISION (K093224) is as follows:
| CPI RAD<br>VISION<br>(K083224)<br>PREDICATE<br>DEVICE | BladeView<br>SUBJECT DEVICE | EXPLANATION WHY<br>DIFFERENCES ARE NOT<br>CRITICAL TO USE OF THE<br>DEVICE | WHY DIFFERENCES DO NOT<br>AFFECT THE SAFETY AND<br>EFFECTIVENESS OF THE<br>DEVICE | |
|-------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | CPI RAD<br>VISION<br>(K083224)<br>PREDICATE<br>DEVICE | BLADEVIEW<br>SUBJECT DEVICE | EXPLANATION WHY<br>DIFFERENCES ARE NOT<br>CRITICAL TO USE OF THE<br>DEVICE | WHY DIFFERENCES DO NOT<br>AFFECT THE SAFETY AND<br>EFFECTIVENESS OF THE<br>DEVICE |
| A1 | The CPI RAD<br>VISION is a full<br>featured<br>Radiographic<br>Flat Panel<br>Digital Imaging<br>System for X-<br>ray Generator<br>and Acquisition<br>of digital<br>radiography. | The BladeView<br>is a full featured<br>Radiographic<br>Flat-Panel<br>Digital Imaging<br>System. | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device. The difference is<br>done to clear up any<br>confusion or conflicts of<br>interpretation. | The difference will not<br>affect the safety and<br>effectiveness of the device<br>when used as labeled. The<br>additional text is seen as<br>being restatement of<br>something that is implicit<br>with the device as it is<br>described in the Device<br>Description Section. |
| A2 | The CPI RAD.<br>VISION is<br>configurable to<br>any high<br>resolution (3K x<br>3K) Solid State<br>X-Ray Imager<br>(SSXI)<br>presently in the<br>market. | | The difference is not<br>critical to the Intended<br>diagnostic use of the<br>device. The difference is<br>done because submitter<br>does not wish to claim<br>configurability as the<br>intended diagnostic use<br>will focused on its own<br>Digital Flat Panel, and not<br>the flat panel of our<br>competitors. | The difference will not<br>affect the safety and<br>effectiveness of the device<br>when used as labeled.<br>This is exact claim that is<br>difficult to support,<br>however the Safety and<br>effectiveness of the device<br>(as well as its intended<br>use) is not affected as the<br>applicant's system will still<br>ultimately have the same<br>intended use (The<br>generating of digital<br>radiographic images of the<br>human anatomy). |
| A3 | it is intended to<br>replace<br>conventional<br>film screen<br>systems. | It is intended to<br>replace<br>conventional<br>film screen<br>systems. | There is no difference in<br>the intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
| | CPI RAD<br>VISION<br>(K083224)<br>PREDICATE<br>DEVICE | BLADEVIEW<br>SUBJECT DEVICE | EXPLANATION WHY<br>DIFFERENCES ARE NOT<br>CRITICAL TO USE OF THE<br>DEVICE | WHY DIFFERENCES DO NOT<br>AFFECT THE SAFETY AND<br>EFFECTIVENESS OF THE<br>DEVICE |
| B1 | The CPI RAD<br>VISION allows<br>a qualified<br>operator to<br>perform digital<br>radiographic<br>examinations of<br>various<br>anatomic<br>regions on both<br>adult and<br>pediatric<br>patients. | The BladeView<br>allows a<br>qualified<br>operator to<br>perform digital<br>radiographic<br>examinations of<br>various<br>anatomic<br>regions on both<br>adult and<br>pediatric<br>patients. | There is no difference in<br>the Intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
| B2 | Anatomic<br>regions of<br>Interest for<br>diagnostic<br>radiographic<br>exposure<br>include: skull,<br>spinal column,<br>chest, shoulder<br>girdle,<br>abdomen,<br>pelvic girdle<br>and extremities. | Anatomic<br>regions of<br>Interest for<br>diagnostic<br>radiographic<br>exposure<br>include: skull,<br>spinal column,<br>chest, shoulder<br>girdle,<br>abdomen,<br>pelvic girdle<br>and extremities. | There is no difference in<br>the Intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
| | CPI RAD<br>VISION<br>(K083224)<br>PREDICATE<br>DEVICE | BLADEVIEW<br>SUBJECT DEVICE | EXPLANATION WHY<br>DIFFERENCES ARE NOT<br>CRITICAL TO USE OF THE<br>DEVICE | WHY DIFFERENCES DO NOT<br>AFFECT THE SAFETY AND<br>EFFECTIVENESS OF THE<br>DEVICE |
| C1 | The CPI RAD<br>VISION enables<br>a qualified<br>operator to<br>acquire,<br>process, and<br>display Images<br>with for the<br>benefit of<br>obtaining an<br>optimal<br>diagnostic<br>product. | The BladeView<br>enables a<br>qualified<br>operator to<br>acquire,<br>process, and<br>display images. | The first part is not<br>different, however the<br>second part is. The<br>difference is not critical to<br>the intended diagnostic<br>use of the device. The<br>difference is done because<br>the predicate device's<br>claim is difficult to support<br>with quantitative data. | The difference will not<br>affect the safety and<br>effectiveness of the device<br>when used as labeled.<br>Both systems use the<br>same detector from the<br>same manufacturer. This<br>detector provides an<br>output image that is<br>viewable already useable<br>in its native format. This<br>additional text that is not<br>brought forward (excluding<br>the "optimal" claim<br>component) is seen as<br>being restatement of<br>something that is implicit<br>with the device as it is a<br>system being promulgated<br>to obtain diagnostic<br>images.. |
| C2 | The CPI RAD<br>VISION system<br>enables the<br>qualified<br>operator to<br>store, hardcopy<br>images with a<br>laser printer or<br>send images<br>over a network. | The BladeView<br>system enables<br>the qualified<br>operator to<br>store, hardcopy<br>images with a<br>laser printer or<br>send Images<br>over a network. | There is no difference in<br>the intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
| C3 | This device is<br>not intended for<br>mammographic,<br>fluoroscopic<br>and or<br>angiographic<br>applications. | This device is<br>not intended for<br>mammographic,<br>fluoroscopic<br>and or<br>angiographic<br>applications. | There is no difference in<br>the intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
| | CPI RAD<br>VISION<br>(K083224)<br>PREDICATE<br>DEVICE | BLADEVIEW<br>SUBJECT DEVICE | EXPLANATION WHY<br>DIFFERENCES ARE NOT<br>CRITICAL TO USE OF THE<br>DEVICE | WHY DIFFERENCES DO NOT<br>AFFECT THE SAFETY AND<br>EFFECTIVENESS OF THE<br>DEVICE |
| C4 | The CPI RAD<br>VISION will not<br>include the X-<br>Ray system<br>itself. | | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device. Specifically, the<br>difference is done to clear<br>up any confusion or<br>conflicts of interpretation. | There is no difference that<br>will affect the safety and<br>effectiveness of the device<br>when used as labeled. |
| D1 | Device is for<br>Prescription<br>only | Device is for<br>Prescription<br>only | There is no difference in<br>the intended diagnostic<br>use of the device. | There is no difference<br>between both IFU's.<br>Therefore there will be no<br>affect in the safety and<br>effectiveness of the device<br>when used as labeled. |
SECTION H
510(K) Summary
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KI01042
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SECTION H
510(K) Summary
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K101042
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ﺎﺕ
F
A comparison of the subject device and the Pausch HDR Vision (K081073) is as follows:
| | HDR Vision<br>(K081073)<br>Predicate<br>Device | BladeView<br>Subject Device | Explanation Why<br>Differences are not Critical<br>to Use of the Device | Why Differences do not<br>Affect the Safety and<br>Effectiveness of the Device |
|----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| A1 | The HDR Vision is<br>Intended to be used<br>as a universal<br>diagnostic imaging<br>system for<br>radiographic and<br>fluoroscopic studies. | The BladeView<br>is a full featured<br>Radiographic<br>Flat-Panel<br>Digital Imaging<br>System. | Applicant's system is<br>intended for Radiographic<br>examinations | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device because<br>fluoroscopic examinations<br>are not to be done with it. |
| A2 | Using a digital flat<br>detector, it can<br>perform a range of<br>applications<br>Including general<br>RIF, angiography<br>and pediatric<br>examinations. | The BladeView<br>is a full featured<br>Radiographic<br>Flat-Panel<br>Digital Imaging<br>System. | Applicant's system is<br>intended for Radiographic<br>examinations | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device because<br>fluoroscopic examinations<br>are not to be done with it. |
| A3 | The HDR Vision is a<br>device intended to<br>visualize anatomical<br>structures by<br>converting a pattern<br>of X-ray into a<br>visible image. | It is intended to<br>replace<br>conventional<br>film screen<br>systems. | Both passages are<br>substantially similar, the<br>difference is that the<br>predicate device is explicit<br>and the submission is<br>Implicit | There is no difference in<br>the Intended diagnostic<br>use of the device. |
| B1 | The system has<br>medical applications<br>ranging from but not<br>limited to<br>gastrointestinal<br>examinations,<br>cranial, skeletal,<br>thoracic and lung<br>exposures as well<br>as examination of<br>the urogenital tract. | The BladeView<br>allows a<br>qualified<br>operator to<br>perform digital<br>radiographic<br>examinations of<br>various<br>anatomic<br>regions on both<br>adult and<br>pediatric<br>patients. | Only conventional<br>radiographic exposures<br>apply. It is for these uses<br>that device similarity<br>between the two devices<br>exist. However<br>gastrointestinal<br>examination and<br>examinations of the<br>urogenital tract are not<br>found in the submission<br>and therefore are not a<br>claimed indication of use. | There is a difference in the<br>intended diagnostic use of<br>the device however,<br>applicant is not including in<br>its indications for use any<br>incompatible procedures.<br>To reiterate the differences<br>are not critical to the<br>applicant's device as it's<br>Intended diagnostic use is<br>that of a Radiographic Flat-<br>Panel Digital Imaging<br>System. |
| | HDR Vision<br>(K081073)<br>Predicate<br>Device | BladeView<br>Subject Device | Explanation Why<br>Differences are not Critical<br>to Use of the Device | Why Differences do not<br>Affect the Safety and<br>Effectiveness of the Device |
| B2 | The units may also<br>be used in<br>lymphography,<br>endoscopy,<br>myelography,<br>venography,<br>pediatrics,<br>arthrography,<br>Interventional<br>radiology, digital<br>angiography and<br>digital subtraction<br>angiography (DSA). | Anatomic<br>regions of<br>Interest for<br>diagnostic<br>radiographic<br>exposure<br>Include: skull,<br>spinal column,<br>chest, shoulder<br>girdle,<br>abdomen,<br>pelvic girdle<br>and extremities. | Only the conventional<br>radiographic procedures<br>applicable to the<br>submission are brought<br>forward. The other<br>procedures are not<br>claimed by the submitter<br>therefore they are not<br>included in submission's<br>IFU. | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device because only<br>conventional radiography<br>are to be done with it. Any<br>other uses would claimed<br>need to be separately<br>broken out and explicitly<br>claimed. These additional<br>procedures are not being<br>done for the applicant's<br>submitted device. |
| C1 | HDR Vision<br>may be used for<br>outpatient and<br>emergency<br>treatment, as<br>well as for<br>mobile transport<br>(wheelchair and<br>bed)<br>examinations. | The BladeView<br>enables a<br>qualified<br>operator to<br>acquire,<br>process, and<br>display images. | Applicant's system is<br>Intended for Radiographic<br>examinations. While these<br>are seen as being mostly<br>conventional radiographic<br>exposures they are not<br>included in the applicant's<br>IFU as it wanted to stay<br>close to the IFU put for by<br>CPI in its submission<br>(K083224) | The difference is not<br>critical to the intended<br>diagnostic use of the<br>device. Submission has<br>not brought forward these<br>items (bed & wheelchair)<br>as they are commonplace<br>in the modern US hospital<br>environment all other<br>submissions for digital<br>radiographic devices do<br>not feel the need to<br>enumerate on these types<br>of examinations. |
| C2 | | The BladeView<br>system enables<br>the qualified<br>operator to<br>store, hardcopy<br>images with a<br>laser printer or<br>send images<br>over a network. | Applicant's system is<br>Intended for Radiographic<br>examinations. These<br>functions are almost<br>implicit with any modern<br>digital radiographic<br>system. This is included in<br>the applicant's IFU as it<br>wanted to stay close to the<br>IFU put for by CPI in its<br>submission (K083224) | There is no difference in<br>the Intended diagnostic<br>use of the device as these<br>features are inferred in the<br>HDR Vision 510(k)<br>summary in the Summary<br>of Intended Uses Section<br>where it states "The<br>system is used for image<br>acquisition, image display,<br>and the<br>transmission/output of<br>images to external<br>devices." |
| | HDR Vision<br>(K081073)<br>Predicate<br>Device | BladeView<br>Subject Device | Explanation Why.<br>Differences are not Critical<br>to Use of the Device | Why Differences do not<br>Affect the Safety and<br>Effectiveness of the Device |
| C3 | | This device is<br>not intended for<br>mammographic,<br>fluoroscopic<br>and or<br>angiographic<br>applications. | Applicant's system is<br>Intended for Radiographic<br>examinations. These<br>functions are excluded by<br>the applicant as. This is<br>Included in the applicant's<br>IFU as it wanted to stay<br>close to the IFU put for by<br>CPI in its submission<br>(K083224) | The difference is not critical to the<br>intended diagnostic use of the<br>device because only conventional<br>radiography are to be done with it.<br>Any other uses would claimed<br>need to be separately broken out<br>and explicitly claimed. These<br>additional procedures<br>(Fluoroscopy and anglographic<br>applications) are not being done<br>for the applicant's submitted<br>device (Therefore they are not<br>critical to the intended use of the<br>device). |
| D1 | Device is for<br>Prescription<br>only | Device is for<br>Prescription<br>only | Both passages are<br>substantially similar. | There is no difference in<br>the Intended diagnostic<br>use of the device with<br>respect to this issue |
Section H
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510(K) Summary .
K101042
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SECTION H
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510(K) Summary
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#### Summary of Technological Characteristics for the Subject Device and Predicate Device(s):
Pursuant to 5807.92(a)(6), this 510(k) summary contains the summary of the technological characteristics of the subject device compared to the predicate device(s). Where the device eparty several as the secall characteristics (l.e., design, material, chemical composition, energy source) as the predicate device, there is a summary of the technological characteristics of the new device is nomparison to those of the predicate device. Where the subject device has different technological characteristics from the predicate device, a summary is provided of how the technological characteristics of subject device compare to the predicate device.
#### Summary of Technological Characteristics for the Subject Device and the CPI RAD VISION (K083224) Predicate Device:
Applicant submission of the required technical characteristics analysis is done using solely the information provided to redicate device's (CPI's K083224) 510(K) Summary. This summary is as follows:
The technological characteristics are the same in the proposed and predicate devices. Both the predicate and new devices use x-rays received by Flat Panel Detector (acquisition) to create dagnostic images The detector converts the Imeges into a digital form that can be viewed in a native format or state. Supplementary to the process it can be adjusted in necessary (processing), then stored locally (storage), sent to an archive, printed or sent to supported DICOM devices (distribution of Images).
SECTION H
510(K) Summary
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Summary of Technological Characteristics for the Subject Device and the Pausch VISION HDR (K081073) Predicate Device:
The following technological characteristics are the same in the proposed and prodicate devices with respect to the following:
Both the predicate and new devices use x-rays received by Flat Panel Detector (acquisition)to create diagnostic images. The detector converts the images into a digital form that can be viewed in a native format or state. Supplementary to the process it can be adjusted if necessary (processing), then stored locally (storage), sent to an archive, printed or sent to supported DICOM devices (distribution of images).
The following technological characteristics are different in the proposed and predicate devices with respect to the following:
The submitted device does not perform fiuoroscopy, nor does it use a Flat Panel Detector that is capable of performing Fluoroscopy. The predicate device has the technology to perform fiuoroscopy, and it contains a Flat Panel Detector capable of doing Fluoroscopy. The submitted device is designed only to acquire and process radiographic images. The predicate device is designed to acquire and process radiographic images, fluoroscopic studies and numerous other procedures that submitted device is not qualified or otherwise intended to do.
End of 510(k) Summary
610(K) SUMMARY
K101042
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#### 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
Accogent LLC % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313
Re: K101042
Trade/Device Name: Blade View Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: II Product Code: KPR and MQB Dated: September 24, 2010 Received: September 28, 2010
AUG 23 2013
Dear Mr. Job:
This letter corrects our substantially equivalent letter of October 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 (301) 796-5450. 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 (800) 638-2041 or (301) 796-7100 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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## K10104
### INDICATIONS FOR USE STATEMENT
OCT 2 9 2010
#### Indications for Use
510(k) Number: K101042
Device Name: BladeView
Indications For Use:
The BladeView is a full featured Radiographic Flat-Panel Digital Imaging System. It Is intended to replace conventional film screen systems.
The BiadeView allows a qualified operator to perform digital radiographic examinations of various anatomic regions on both adult and pediatric patients. Anatomic regions of interest for diagnostic radiographic exposure include: skull, spinal column, chest, shoulder girdle, abdomen, pelvic girdle and extremittee.
The BladeView enables a qualified operator to acquire, process, and display images. The BladeView system enables the qualified operator to store, hardcopy images with a laser printer or send images over a network.
This device is not intended for mammographic, fluoroscopic and or anglographic applications.
AND/OR
Prescription Use (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)
Signature
10/29/10
Page 1 of 1
SECTION G
INDICATIONS FOR USE STATEMENT
Page 1 of 1
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Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.