DRGEM Corporation September 24, 2020

℅ Mr. Carl Alletto

Consultant
OTech Inc.
8317 Belew Drive
MCKINNEY TX 75071

Re: K202572
Trade/Device Name: GXR-Series Diagnostic X-Ray System
Regulation Number: 21 CFR 892.1680
Regulation Name: Stationary x-ray system
Regulatory Class: Class II
Product Code: KPR
Dated: August 27, 2020
Received: September 4, 2020

Dear Mr. Alletto:

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. Although this letter refers to your product as a device, please be aware that
some cleared products may instead be combination products. The 510(k) Premarket Notification Database
located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination
product submissions. 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) for

U.S. Food & Drug Administration

10903 New Hampshire Avenue Doc ID# 04017.04.18
Silver Spring, MD 20993
www.fda.gov
K202572 – Mr. Carl Alletto Page 2

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see
https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-
combination-products); good manufacturing practice requirements as set forth in the quality systems (QS)
regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for
combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-
542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-
mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including
information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-
devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn
(https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-
assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE
by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

For
Thalia T. Mills, Ph.D.
Director
Division of Radiological Health
OHT7: Office of In Vitro Diagnostics
and Radiological Health
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure
 510(k) Summary of Safety K202572

This 510(k) Summary of safety and effectiveness information is being submitted in accordance
with the requirements of SMDA 1990.

Date Prepared: September 18, 2020

I. SUBMITTER
DRGEM Corporation
7F E-B/D Gwangmyeong Techno-Park 60, Haan-ro
Gwangmyeong-si, Gyeonggi-do, 14322 Korea
Email: radcheck@drgem.co.kr

Contact Person: Mr. Ki-Nam YANG, Director | QM representative

II. DEVICE
Product Name: GXR-Series Diagnostic X-Ray System
Common Name: Digital Diagnostic X-ray System
Regulation Name: Stationary X-Ray System
Product Code: KPR
Regulation number: 892.1680
Regulatory Class: II

III. PREDICATE DEVICE

Product Name: GXR-Series Diagnostic X-Ray System
Submission Number: K192364
Decision Date: 09/26/2019
Common Name: Digital Diagnostic X-ray System
Regulation Name: Stationary X-Ray System
Product Code: KPR
Regulation Number: 892.1680
Regulatory Class: II

IV. DEVICE DESCRIPTION

GXR Series Diagnostic X-ray System is a digital radiographic system. There are 5 power
output configurations which are reflected in the model’s designation “GXR-XX” The models
have 5 different output power ratings:

DRGEM System GXR-32SD GXR-40SD GXR-52SD GXR-68SD GXR-82SD

Model
DRGEM GXR-32 GXR-40 GXR-52 GXR-68 GXR-82
Generator Model
Generator 32kW 40kW 52kW 68kW 82kW
Output Rating
The subject device, GXR Series Diagnostic X-ray System, is designed to diagnose the
human body by providing radiographic x-ray image with anatomical structure.
The subject device has the same x-ray hardware components and image management
software as the predicate device. The subject device consists of a high voltage (HV)
generator, a tube support unit, an X-ray beam limiting device, a patient table, wall Bucky
stand, and an x-ray tube, that operates on a high-frequency inverter method.
The operator control console is designed to be user-friendly, and the user can select or
change x-ray parameters easily using a large graphic LCD panel display and a soft
membrane switch. The GXR Series high frequency X-ray generator (manufactured by

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 510(k) Summary of Safety

DRGEM) features accuracy, reproducibility and long-term stability with capacitor assisted
general line power supply. The APR (Anatomical Programming) and the optional AEC
(Automatic Exposure Control) features gives the user control of exposure factors,
automatically optimized for the radiological study selected.
The digital flat panel detectors provide spatial resolution, MTF, DQE and stability based on
fine pixel pitch. Selection of an anatomical study on the imaging software automatically sets
up the x-ray generator’s pre-programmed exposure technique setting and post image
processing for selected study. The subject device is able to use a total of 10 different digital
detectors, (8 new plus 2 cleared in the predicate, which have been previously cleared by the
510(k) process:
• VAREX, 4343R v3 - K172951(predicate)
• VAREX, 4336W v4- K161459 (predicate)
• VAREX, XRpad2 3025 HWC-M- K161942
• VAREX, XRpad2 4336 HWC-M- K161966
• VAREX, XRpad2 4343 HWC-M- K181526
• i-Ray, Mano4336W- K201004
• i-Ray, Mano4343W- K201043
• Vieworks, VIVIX-S1417N(NAW,NBW)-K163703
• Vieworks, VIVIX-S1717N(NAW,NBW)- K152894
• VAREX, 4343W- K161459
The GXR Series Diagnostic X-ray System consists of a combination of an x-ray generator,
and associated equipment such as tube stand, patient table, and, digital imaging system. The
main power cabinet contains the HT tank and control circuits, the filament drivers, the low
speed starter, and interface connections to the room equipment.
• Tube stand and patient table allows the operator to position the patient.
• Full Featured Imaging Software & Digital Image Processing
• Control console:
o The control console allows the operator to select the technique factors,
image receptors, etc., and to initiate an X-ray exposure.
o Real-time monitoring self-diagnosis function and Error code display
o Overload & HU protection and error message display
o Support programmable max. 1,280 APR conditions with APR utility software
o Automatic calibration without measurement equipment.
o Adaptable calibration keeps up accuracy through long-term usage
o Smaller, lighter and convenient modular design and user-friendly system
configuration
o Constant dose output due to kV and mA regulation during exposures.
o Large graphic LCD panel user-friendly controls for APR and technique
display at a glance,
o Time and mA / mAs selections are based on R’10 rule of ISO 497.
o Remote diagnosis software for system diagnosis via internet.
o Easy parameter setting and Firmware upgrade
o System diagnosis, Error log and Statistical data display
The image management software, RADMAX Digital Imaging Software (K182537) by
DRGEM, is used in both the predicate and subject device to serve as a convenient
interface to the hardware and images. Anatomical view-based digital image processing
automatically optimizes and enhances the quality of the captured images. RADMAX

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 510(k) Summary of Safety

(K182537) Digital Imaging Software is designed for acquiring images and processing the
acquired images. The software can be used together with a digital X-ray detector and or
an X-Ray generator. The main features of the RADMAX software are controlling and
interfacing the detector, acquiring images after X-ray, storing acquired images, managing
data, and image processing. It can also perform system control such as the collimation
size, and filter selection. The following are general features.
• Windows based graphic user interface
• Multi-image display (1x1 ~ 4x4)
• Multi-image selection
• Auto display layout changing function
• X-ray generator control panel
• Unlimited procedure step
• Quick step-add feature and image maintenance feature by popup menu
• ROI changing and creation feature
• Marker feature (support the creation of unlimited number of markers by user)
• Multi-language support
• EXCEL sheet for language support (only possible on Microsoft Office automation
environment)
• DAP meter (optional)
• Unlimited PACS code (CPT code)
• Default anatomic program more than 700
• Support DICOM Worklist SCU, DICOM Storage SCU and transfer function
• Support DICOM Multi-transfer function
• High-performance post-processing feature
• Copy & Move Images
• Dose monitoring function
• Built-in memory function
• Grid line suppression function
• Reject analysis function

V. INDICATIONS FOR USE

GXR-Series Diagnostic X-Ray System, is a stationary X-ray imaging system, for the
purpose of acquiring X-ray images of the desired parts of a patient’s anatomy. This
device is not intended for mammography or bone density applications.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE

DEVICES
Summary of differences:
The subject device can interface to one of eight previously cleared digital flat panel
detectors in addition to the 2 detectors used in the predicate device as listed above.
• VAREX, 4343R v3 - K172951(predicate)
• VAREX, 4336W v4- K161459 (predicate)
• VAREX, XRpad2 3025 HWC-M- K161942
• VAREX, XRpad2 4336 HWC-M- K161966
• VAREX, XRpad2 4343 HWC-M- K181526
• i-Ray, Mano4336W- K201004

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 510(k) Summary of Safety

• i-Ray, Mano4343W- K201043

• Vieworks, VIVIX-S1417N(NAW,NBW)-K163703
• Vieworks, VIVIX-S1717N(NAW,NBW)- K152894
• VAREX, 4343W- K161459
The following information compares the subject device to the predicate.
Any differences between the subject device and the predicated device have no negative
impact on safety or efficacy of the subject device and does not raise any new potential
safety risks and is equivalent in performance to existing legally marketed devices.
Specification Predicate device K192364 Subject Device Impact of Differences
GXR-Series Diagnostic GXR-Series Diagnostic None
Device Name
Imaging System Imaging System
Manufacturer DRGEM Corporation DRGEM Corporation None
None
Model Number GXR-SD/CSD/USD GXR-SD/CSD/USD

High Frequency X-
ray Generator

32KW, 40KW, 52KW, 68KW, 32KW, 40KW, 52KW,

Output Power None
82KW 68KW, 82KW

GXR-32, GXR-40, GXR-52, GXR-32, GXR-40, GXR-

Generator models 52, GXR-68, GXR-82
GXR-68, GXR-82
(manufactured by None
DRGEM) GXR-C32, GXR-C40, GXR- GXR-C32, GXR-C40,
C52 GXR-C52

220~230VAC 220~230VAC
Line voltage None
380/400/480VAC 380/400/480VAC

40~125kV, 1kV step (Optional 40~125kV, 1kV step

kV Range None
40~150kV) (Optional 40~150kV)
GXR-32=10 to 400mA GXR-32=10 to 400mA
GXR-40=10 to 500mA GXR-40=10 to 500mA
mA Range GXR-52=10 to 640mA GXR-52=10 to 640mA None
GXR-68=10 to 800mA GXR-68=10 to 800mA
GXR-82=10 to 1,000mA GXR-82=10 to 1,000mA
Image Acquisition
VAREX, 4343R v3 -
K172951
VAREX, 4336W v4- Yes, there is a difference.
K161459
VAREX, XRpad2 3025 An additional eight digital
HWC-M- K161942 detectors plus the two from
the predicate can be used
VAREX, XRpad2 4336
with the system. All the flat
HWC-M- K161966
panel detectors have been
VAREX, 4343R v3 - K172951 VAREX, XRpad2 4343 previously cleared by
Detectors VAREX, 4336W v4- K161459 HWC-M- K181526 510(k). The system has
i-Ray, Mano4336W- been tested and a risk
K201004 analysis performed. There is
“No negative impact on
i-Ray, Mano4343W-
K201043 safety or efficacy” and no
new potential or increased
Vieworks, VIVIX-S1417N safety risks concerning were
(NAW, NBW)-K163703 raised because of this
Vieworks, VIVIX-S1717N difference.
(NAW, NBW)- K152894
VAREX, 4343W- K161459
Image Management
Software

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 510(k) Summary of Safety

Specification Predicate device K192364 Subject Device Impact of Differences

Horizontal Flip Available Available None
Vertical Flip Available Available None
Rotate CW/CCW Available Available None
Text Annotation Available Available None
Ruler: Distance tool Available Available None
Angle measurement Available Available None
tool
Zoom Available Available None
Magnify Available Available None
Image panning Available Available None
Auto fitting to window Available Available None
size
Image crop/cut Available Available None
function
Image Copy Available Available None
Recover the original Available Available None
image
Window level Available Available None
CD Burning
DICOM Print Available Available None
Image Stitching Available Available None

VII. PERFORMANCE DATA

Nonclinical Testing:
Summary:
Based on the performance as documented in the testing, the subject device was found to have
a safe and effectiveness profile that is similar to the predicate device.
The complete system has been assessed and tested at the factory and by Standards testing
facilities. GXR-Series Diagnostic X-Ray System, has passed all predetermined testing criteria.
Nonclinical testing results are provided in the 510(k). Validation testing indicated that as
required by the risk analysis, designated individuals performed all verification and validation
activities and that the results demonstrated that the predetermined acceptance criteria were
met.
The following International Standards were used to develop and verify the system. GXR-
Series Diagnostic X-Ray System, device has met all the requirements listed in the Standards
except for inapplicable requirements (which are listed in the various test reports):
FDA
Std # Safety/EMC Standards Description Consensus
Standard #
Medical electrical equipment, Part 1: General requirements for
IEC 60601-1 19-4
basic safety and essential performance
Medical electrical equipment
IEC 60601-1-3
Part 1-3: General Requirements for Radiation Protection in 12-269
Diagnostic X-Ray Equipment

This part of IEC 62366-1:2015 specifies a process for a

IEC 62366 manufacturer to analyze, specify, develop and evaluate the 5-129
usability of a medical device as it relates to safety

5
 510(k) Summary of Safety

FDA
Std # Safety/EMC Standards Description Consensus
Standard #
IEC 60601-2-28
IEC 60601-2-28 Medical electrical equipment Part 2: Particular requirements for the
12-204
safety of X-ray source assemblies and X-ray tube assemblies for
medical diagnosis.

IEC 60601-2-54 Medical electrical equipment Part 2: Particular

60601-2-54 requirements for the basic safety and essential performance of X- 12-296
ray equipment for radiography and radioscopy

IEC 60601-1-2 Edition 4.0 2014-02. Medical electrical equipment -

IEC 60601-1-2 Part 1-2: General requirements for basic safety and essential
19-8
(EMC) performance - Collateral Standard: Electromagnetic disturbances
Requirements and tests.

ANSI AAMI IEC 62304:2015

IEC 62304 13-79
Medical device software - Software life cycle processes

NEMA PS 3.1 - 3.20 (2016). Digital Imaging and Communications

NEMA PS 3.1 12-300
in Medicine (DICOM) Set DICOM Standard.

JPEG Standard IEC/ISO10918-1 First edition 1994-02-15,

Information technology - Digital compression and coding of
IEC/ISO10918-1 12-261
continuous-tone still images: Requirements and guidelines
[Including: Technical Corrigendum 1

IEC 62494-1 Edition 1.0 (2008-08), Medical electrical equipment -

IEC 62494-1 Exposure index of digital X-ray imaging systems - Part 1: 12-215
Definitions and requirements for general radiography.

ISO 14971:2007/(R)2010 (Corrected 4 October 2007), Medical

ISO 14971: 5-40
devices - Applications of risk management to medical devices.

ISO 15223-1 Third Edition 2016-11-01, Medical devices - Symbols

ISO 15223-1 to be used with medical device labels, labelling, and information to 5-117
be supplied - Part 1: General requirements.

Conclusion:
The 510(k) Pre-Market Notification for the GXR-Series Diagnostic X-Ray System, contains adequate
information, data, and nonclinical test results to enable FDA - CDRH to determine substantial
equivalence to the predicate device. The subject device will be manufactured in accordance with the
voluntary standards listed in the voluntary standard survey. The new device and predicate devices
are substantially equivalent in the areas of technical characteristics, general function, application,
and intended use does not raise any new potential safety risks and is equivalent in performance to
existing legally marketed devices.
Nonclinical tests demonstrate that the device is as safe, as effective, and performs comparably to
the predicate device.