BIOK7600 Flat Panel Detector

{0}------------------------------------------------ March 13, 2019 Image /page/0/Picture/1 description: The image shows the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. Biokinemetrics, Inc. % Steven Kraus President 211 East 4th Street CARROLL, IOWA 51401 Re: K190311 Trade/Device Name: BIOK7600 Flat Panel Detector Regulation Number: 21 CFR 892.1680 Regulation Name: Stationary x-ray system Regulatory Class: Class II Product Code: MQB Dated: February 9, 2019 Received: February 12, 2019 Dear Steven Kraus: 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. 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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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerelv. Michael D. O'Hara For Thalia Mills, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K190311 Device Name BIOK7600 Flat Panel Detector ### Indications for Use (Describe) The BIOK 7600 is intended for use by a qualified doctor or technologist on both and pediatric patients for taking diagnostic radiographic exposures of all body parts of the patients. The BIOK7600 provides digital image capture and is intended to replace radiographic film/screen. The x-ray generator, x-ray tube and associated equipment are not provided with the proposed sensor. Prescription use only. The BIOK7600 is not intended for mammography. | Type of Use (Select one or both, as applicable) | | |-------------------------------------------------------------------------------|------------------------------------------------------------------------------| | <div> <span> ☑ Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span> ☐ Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> | # CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ## *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Image /page/3/Picture/0 description: The image shows the logo for Biokinemetrics. The logo is in blue and green, with the word "BIOKINE" in blue and the "ME" in green. Below the logo is the tagline "ALIGNING CHIROPRACTIC AND TECHNOLOGY" in a smaller font and also in blue. The logo is simple and modern, and the colors are eye-catching. #### TRADITIONAL 510K - SUMMARY (K190311) - 1. Device type and name: BIOK7600 Flat Panel Detector - 2. Submitter Biokinemetrics Inc. 211 East 4th Street Carroll lowa 51401 - Contact person: Dr. Steven Kraus President Tel: (712) 210-4750 Fax: (888) 800-2149 e-mail: skraus@biokinemetrics.com Date prepared: March 7, 2019 - 3. Device name: BIOK7600 Flat Panel Detector Common name: BIOK7600 - Class II, 21 CFR 892.1680, Solid-State X-ray Imager (Flat panel/ 4. Device classification: Digital Imager) - 5. Product Code: 90MQB - 6. Requlation Name: Stationary x-ray system - 7. Basis for the submission: Addition of a sensor to the list of medical devices compatible with the Biokinemetrics devices - 8. Predicate device: Wireless Digital Flat Panel Detector (K182551) with iRay software BIOK4600 Digital Radiography Sensor (K092307) Reference: Reference: Aquarius 8600 Flat Panel Detector (K181565) for the ChiroSight software portion *same classification & code: Class II, 21 CFR 892.1680, 90MQB - 9. Device description: The BIOK7600 sensor is a digital radiography sensor which automatically collects x-ray images from an x-ray source. The BIOK7600 sensor (flat panel type) collects x-rays and digitizes the images for their transfer and display to a computer. The sensor does not have an x-ray source, which is provided by independent manufacturers. The sensor includes a flat panel for x-ray acquisition and digitization and a computer (including proprietary processing software) for processing, annotating and storing x-ray images. An X-ray generator with a minimum voltage output range between 55 to 120 kVp and a minimum power of 30 KW can be used with the BIOK7600. The BIOK7600 does not connect {4}------------------------------------------------ Image /page/4/Picture/0 description: The image shows the logo for Biokinemetrics. The logo is blue and green, with the word "BIOKINE" in blue and "METRICS" in blue, with the "E" in "KINE" being green. Below the logo is the tagline "ALIGNING CHIROPRACTIC AND TECHNOLOGY" in a smaller font. to the generator. It automatically detects x-rays and enables the image acquisition (AEC). No changes to the generator hardware or software are required to operate the BIOK7600. The ChiroSight software runs on a PC workstation and provides the user interface to control the BIOK7600 flat panel. ChiroSight initiates the taking of X-ray images from the BIOK7600, through the Sensor Driver application. Once an X-ray is taken. Sensor Driver reads it from the flat panel and transfers it to ChiroSight. After it receives an image from the BIOK7600, ChiroSight: Automatically optimizes the image quality Permanently stores the image to its database Displays the image to the user Allows the user to perform image manipulations and to add annotations Allows the user store and transfer the images in DICOM format. The software level of concern for the BIOK7600 has been determined to be moderate based on the "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices. The cybersecurity risks of the BIOK7600 have been addressed to assure that no new or increased cybersecurity risks were introduced as a part of device risk analysis. These risks are defined as sequence of events leading to a hazardous situation, and the controls for these risks were treated and implemented as proposed in the risk analysis (e.g., requirements, verification). - 10. Indications for use: The BIOK7600 is intended for use by a qualified doctor or technologist on both adult and pediatric patients for taking diagnostic radiographic exposures of all body parts of the patients. The BIOK7600 is not intended for mammography. - 11. Comparison with predicate devices: The BIOK7600 sensor is composed of a flat panel detector very similar to the technology used in the Wireless Digital Flat Panel Detector (K182551, predicate device hardware) and the BIOK4600 (K092307) software on the PC. The hardware and firmware of the BIOK7600 sensor are considered to be substantially equivalent to the predicate device hardware, as demonstrated in the non-clinical considerations document, based on the SSXI Guidance from FDA. The BIOK7600 software functionality is equivalent to the original BIOK4600 reference device, except for the Imaray interface application which reads the images from the new BIOK7600 sensor instead of the BIOK 4600 sensor. The BIOK7600 produces images of similar quality and characteristics that are equivalent to those of the predicate device, as demonstrated in the clinical considerations - concurrence study provided in this submission. - a. Non-clinical considerations: the non-clinical considerations document demonstrates that the BIOK7600 sensor offers equivalent performance, biocompatibility, effectiveness, thermal, electrical and mechanical safety and is equivalent to the predicate device. The design, development and production of the sensor conforms to 892.1680 and ISO 13485 quality systems. - b. Clinical considerations concurrence study: A set of test images have been submitted along with the equivalent images from the predicate device. {5}------------------------------------------------ Image /page/5/Picture/0 description: The image shows the logo for Biokinemetrics. The logo is in blue and green, with the word "BIOKINE" in blue and "METRICS" in green. Below the logo is the tagline "ALIGNING CHIROPRACTIC AND TECHNOLOGY" in a smaller, lighter blue font. The logo is simple and modern, and the tagline clearly communicates the company's focus. - c. Conclusion: the device was evaluated against the predicate device (Wireless Digital Flat Panel Detector, K182551) and was found to be equivalent to the predicate device.