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DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

__________________________________________________________________________________________________________________________

Food and Drug Administration


10903 New Hampshire Avenue
Document Control Center – WO66-G609
Silver Spring, MD 20993-0002

CareRay Digital Medical System Co., Ltd.


September 1, 2016
Ə;X:HL
Manager
B3-501, Biobay, 218 Xinghu Street
SuZhou Industrial Park
SuZhou, Jiangsu 215123
P R CHINA

Re: K162178
Trade/Device Name: CareView 1500P X-ray Flat Panel Detectors
Regulation Number: 21 CFR 892.1680
Regulation Name: Stationary x-ray system
Regulatory Class: II
Product Code: MQB
Dated: July 1, 2016
Received: August 4, 2016

Dear Xu Wei:

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
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.
Page 2—Xu Wei

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please
contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041
or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301)
796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

For
Robert Ochs, Ph.D.
Director
Division of Radiological Health
Office of In Vitro Diagnostics
and Radiological Health
Center for Devices and Radiological Health

Enclosure
DEPARTMENT OF HEALTH AND HUMAN SERVICES Form Approved: OMB No. 0910-0120
Food and Drug Administration Expiration Date: January 31, 2017
Indications for Use See PRA Statement below.

510(k) Number (if known)


K162178

Device Name
CareView 1500P X-ray Flat Panel Detectors

Indications for Use (Describe)


The CareView 1500P detector is indicated for digital imaging solution designed for providing general radiographic
diagnosis of human anatomy. It is intended to replace radiographic film/screen systems in all general-purpose diagnostic
procedures. This product is not intended for mammography applications.

Type of Use (Select one or both, as applicable)


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

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.”

FORM FDA 3881 (8/14) Page 1 of 1 PSC Publishing Services (301) 443-6740 EF
510(k) Summary
510(k) Summary

[As required by 21 CFR 807.92]

1. Date Prepared [21 CFR807.92 (a) (1)]

July01, 2016

2. Submitter’s Information [21 CFR807.92 (a) (1)]

Company Name: CareRay Digital Medical System Co., Ltd.


A2-201/B3-501, Biobay, 218 Xinghu Street, SuZhou
Company Address:
Industrial Park, SuZhou 215123, P. R. China
Contact Person: Mr. Xu
Phone Number: (86) 512-86860288
Fax Number: (86) 512-86860388
E-mail: wei.xu@careray.com

3. Trade Name, Common Name, Classification [21 CFR807.92(a)(2)]

Trade Name: CareView1500P X-ray Flat Panel Detectors


Model Name: CareView 1500P
Classification Name: Stationary X-ray system
Regulation Number: 21 CFR 892.1680
Regulatory Class: Class II
Product Code: MQB

4. Identification of Predicate Device(s) [21 CFR 807.92(a)(3)]

The identified predicates within this submission are as follows:


Manufacturer: CareRay Digital Medical System Co., Ltd.
Trade Name: X-ray Flat Panel Detectors
Model Name: CareView 1500Cw
Classification Name: Stationary X-ray system
Regulation Number: 21 CFR 892.1680

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Regulatory Class: Class II
Product Code: MQB
FDA 510(k) #: K150929

5. Description of the Device [21 CFR 807.92(a)(4)]

CareView 1500P is a kind of portablewireless digital X-ray flat panel detectors which have
434mm×355mm imaging area. The device communicates by not only the wireless
communication but also wired communication feature (Giga-bit Ethernet communication mode
by backup network port) optionally.
The device intercepts X-ray photons and then the scintillator emits visible spectrum photons
that illuminate an array of photo detectors (a-Si) that create electrical signals. After the electrical
signals are generated, it is converted to a digital value and an image will be displayed on the
monitor.
The detector should be integrated with an operating PC and an X-ray generator to utilize as
digitalizing X-ray images and transfer for radiography diagnostic.
Generally, CareView 1500P is the same as the cleared product, CareView 1500Cw except the
mechanical structure:
1) The dimension of CareView 1500P is 470.4mm ×510.4mm × 18.2mm, while the CareView
1500Cw is 384mm× 460mm × 15mm.
2) The CareView 1500P is design with integral handle, while the CareView 1500Cw is design
with built-in foldable handle.
3) The front cover of CareView 1500P has a protective film on carbon fiber plate, while the
front cover ofCareView 1500Cw is carbon fiber plate, not the protective film.
4) The external interface of CareView 1500P are power input port and backup network port,
while the CareView 1500Cw has a multifunctional (power and network function) I/O port.

6. Intended Use [21 CFR 807.92(a)(5)]


The CareView 1500P is indicated for digital imaging solution designed for providing general
radiographic diagnosis of human anatomy. It is intended to replace radiographicfilm/screen
systems in all general-purpose diagnostic procedures.This product is not intended for
mammography applications.

7. Technological Characteristics [21 CFR 807.92(a)(6)]

Proposed Device: Predicate Device:


Item
X-ray Flat Panel Detectors X-ray Flat Panel Detectors
510(K) Number K162178 K150929

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Model CareView 1500P CareView 1500Cw
Classification
Stationary X-ray system Stationary X-ray system
Name
Product Code MQB MQB
Regulation Number 892.1680 892.1680
Panel Radiology Radiology
Class II II
X-ray Absorber CsI Scintillator CsI Scintillator
InstallationType Wireless, Portable Wireless, Portable
ReadoutMechanis
Thin Film Transistor Thin Film Transistor
m
Image Matrix Size 2304 × 2816 pixels 2304 × 2816 pixels
Pixel Pitch 154μm 154μm
Effective Imaging 355 mm × 434 mm 355 mm × 434 mm
Area
Grayscale 16 bit, 65536 grayscale 16 bit, 65536 grayscale
Spatial Resolution Min. 3.3 line pair/mm Min. 3.3 line pair/mm
Rated Power DC +24 V, Max. 4 A DC +24 V, Max.1.5 A
Supply Powered by the switching power Powered by the power box
 Wired
supply using interface cable using interface cable
 Wireless Powered by the battery pack Powered by the battery pack
Power
Max. 96 W Max. 36 W
Consumption
Communications
 Wired Gigabit Ethernet Gigabit Ethernet
 Wireless IEEE 802.11a/b/g/n (2.4 / 5 GHz) IEEE 802.11a/b/g/n (2.4 / 5 GHz)
Imaging Plate Carbon Fiber Plate Carbon Fiber Plate
Cooling Air cooling Air cooling
Dimensions 470.4 mm × 510.4 mm × 18.2 mm 384 mm × 460 mm × 15 mm
Temperature: +5 ~ +35℃
Temperature: +5 ~ +35℃
Humidity: 30 ~ 75%
Humidity: 30 ~ 75%
Operation (Non-Condensing)
(Non-Condensing)
Atmospheric pressure: 70 ~ 106
Atmospheric pressure: 70 ~ 106
kPa
kPa
Altitude: Max.3000 meters
Temperature: -20 ~ +55℃
Temperature: -20 ~ +55℃
Humidity: 10 ~ 90%
Humidity: 10 ~ 90%
Storage and (Non-Condensing)
(Non-Condensing)
transportation Atmospheric pressure: 70 ~ 106
Atmospheric pressure: 70 ~ 106
kPa
kPa
Altitude: Max.3000 meters
The CareView 1500P is indicated The CareView1500Cw is
for digital imaging solution indicated for digital imaging
designed for providing general solution designed for providing
Intended Use
radiographic diagnosis of human general radiographic diagnosis of
anatomy. It is intended to replace human anatomy. It is intended to
radiographicfilm/screen systems in replace radiographic film/screen

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all general-purpose diagnostic systems in all general-purpose
procedures.This product is not diagnostic procedures.This
intended for mammography product is not intended for
applications. mammography applications
~70%..........(@ 1lp/mm) ~70%..........(@ 1lp/mm)
MTF ~40%..........(@ 2lp/mm) ~40%..........(@ 2lp/mm)
~22%..........(@ 3lp/mm) ~22%..........(@ 3lp/mm)
(@RQA5, 30μGy) (@RQA5, 30μGy)
DQE ~65%..........(@ 0lp/mm) ~65%..........(@ 0lp/mm)
~20%..........(@ 3lp/mm) ~20%..........(@ 3lp/mm)
Dynamic range ~80 dB ~82 dB

8. System requirements to operate with other radiographic system


components

1) Recommended Generator Specification:


Energy range: 40~150kVp
mA range: 10~1000mA(depending on the generator power)
ms range: 10~6300ms to produce 0.1~1000mAs (depending on the generator power)
Note: To our best knowledge, the detector is compatible with the X-ray generators with
thespecifications described above. If you have questions regarding the compatibility issue for
othergenerators, please contact your distributor or CareRay.
2) ApplicationProgram Interface (API) for system integration manufacturer
Peripheral hardware: CareView detector connected via wired communication.
CPU: Intel (R) Core (TM) 2 Duo, 2.93GHz or above
RAM: 2 GB or higher
Hard disk: 160 GB or higher
Monitor: 1280 x 1024 or higher
OS: Windows XP or Windows 7
Development environment: MS Visual Studio 2005
3) X-ray exposure mode
The synchronous connection mode is the signal transfer modebetween the X-ray generator
which sends the X-ray and the detector which receives the X-ray.
CareView 1500P supported typical sync mode contains soft sync, manual sync and auto sync
containing FFAED mode.
The detector can’t provide feedback to the generator to terminate the x-ray exposure.
The way of connecting to the X-ray generator is shown as below:
a. Connection in the soft sync mode
The detector communicates with X-ray generator by the DROC workstation and sync box

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by a wired or wireless network connection.
b. Connection in the manual sync mode
There is no interaction of sync exposure signal between the detector and X-ray generator.
Users should control the exposure time manually according to exposure
recommendations provided by acquisition software.
c. Connection in theauto sync mode
There is no interaction of sync exposure signal between the detector and X-ray generator.
Users can take to exposure at any time after the hints of permitting to exposure.

9. Substantial Equivalence [21 CFR 807.92(b) (1) and 807.92(b)(2)]

 Electrical safety and EMC testing


Electrical, mechanical, environmental safety and performance testing according to IEC/ES
60601-1 was performed, and EMC testing was also conducted in accordance with IEC/EN
60601-1-2. All test results are satisfactory.
 Nonclinical and clinical considerations
The proposed device (CareView 1500P) and predicate device (CareView 1500Cw) share
most of primary product specifications including intended use, technology, material, and
imaging principle, etc. Difference lies in the mechanical structure. We followed nonclinical
consideration section of the Guidance for the Submission of 510(k)’s for Solid State X-ray
imaging Devices.
The differences of mechanical structure don’t affect the technological parameters and
clinical images.
 Rated Power Supply and Power Consumption
It is mainly due to the different power of readout circuit between the both products. The
two types of readout circuits were produced by different companies. Although there is a
slight difference in the technology but the principles are the same.

10. Conclusion [21 CFR 807.92(b)(3)]

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based
on the information provided in this premarket notification,the CareView1500P is
substantially equivalent to predicate device CareView1500Cw (K150929). Both propose
and predicate devices are same in the intended use, the design principle, the applicable
standards and specification. Some characteristics, for example,the mechanical
structureand power of readout circuitare different. However the test reports in this

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submission documents provide demonstration that these differences do not raise any new
questions of safety andeffectiveness. Therefore, CareRay Digital Medical System Co., Ltd.
concludes the CareView1500P is substantially equivalent with the predicate
deviceCareView1500Cw (K150929).

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