K Number
K123944
Manufacturer
Date Cleared
2013-09-05

(259 days)

Product Code
Regulation Number
892.2050
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Medical LCD Monitors are intended to be used in various kinds of medical image applications (excluding digital mammography) for which the device complies with the performance specifications of the system.

Device Description

The Medical LCD Monitors are designed for the purpose of medical applications such as X-ray, radiology, MRI or endoscopy imaging display. The high-resolution LCD panels with a resolution of 1280x1024, 1600x1200, 2048x1536 or 2560x2048, combined with a high-performance image processing controller, provides the users extremely high-definition and high-quality medical image displays. These medical monitors comply with international EMC/ safety standards.

AI/ML Overview

The provided text is a 510(k) summary for a Medical LCD Monitor (Kostec Co., Ltd., K123944). This type of document is for demonstrating substantial equivalence to a predicate device and does not typically contain detailed information about specific clinical studies or performance against acceptance criteria in the way that would be found for an AI/ML medical device submission.

Medical LCD Monitors are display devices, not diagnostic algorithms. Their performance is generally assessed against technical and international standards for image display quality, electrical safety, and electromagnetic compatibility. The "acceptance criteria" for such a device are these compliance standards and the ability to display medical images accurately.

Therefore, many of the questions asked, particularly those related to sample size, data provenance, expert ground truth, adjudication, MRMC studies, standalone performance, and ground truth establishment for training data, are not applicable to this type of device and submission.

Here's a breakdown of the available information based on your questions:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for this device are compliance with various international standards. The document states that the device has been tested against and passed these standards.

Acceptance Criteria (Standard)Reported Device Performance
IEC 60601-1:2006, General Requirements for Electrical SafetyPassed
IEC 60601-1-2:2007, Electromagnetic CompatibilityPassed
NEMA PS 3.1-3.18:2009 Digital Imaging and Communication (DICOM) in MedicineComplies (implied by "device complies with the performance specifications of the system" and general reference to DICOM standard)
BS/EN 61000-3-2:2006+a2:2009, Electromagnetic compatibility (EMC). Limits for harmonic current emissionsPassed
BS/EN61000-3-3:2008, Limitation of voltage changes, voltage fluctuations and flicker in public low-voltage supply systems, for equipment with rated current ≤ 16 A per phase and not subject to conditional connectionPassed

2. Sample size used for the test set and the data provenance

  • Sample size: Not applicable/Not specified in the document. Performance is based on technical testing of the monitor units, not analysis of medical image datasets.
  • Data provenance: Not applicable. The "data" here refers to the performance characteristics of the monitor itself, not clinical data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not applicable. Ground truth, in the context of diagnostic accuracy, is not relevant for a medical display monitor. The "ground truth" for display performance is established by technical specifications and standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not applicable. This is not a study involving human interpretation of images.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • No. This is a medical monitor, not an AI diagnostic algorithm. MRMC studies are not relevant.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not applicable. This is hardware (monitor), not a software algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

  • Not applicable in the typical sense. The "ground truth" for a medical monitor's performance is adherence to established technical specifications and international standards for image display, electrical safety, and electromagnetic compatibility.

8. The sample size for the training set

  • Not applicable. There is no "training set" for a medical LCD monitor in the context of an AI/ML device.

9. How the ground truth for the training set was established

  • Not applicable.

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K123944
Page 1 of 2

510(K) Summary

Submitter:Kostec Co., Ltd.
Address:2-108, Medical Industry Technocenter1720-26, Taejang-dongWonju-si, Gangwon-do 220-962South Korea
Phone Number:+82-33-747-9672
Fax Number:+82-33-747-9673
Contact Person:Jae Kyeong, Sim
Date Summary Prepared:20 September 2012

SEP 0 5 2013

Trade Name/Proprietary Name:Medical LCD Monitor
Models:KT-D213U5EKT-D213Q5EKT-D213V5E
Common Name/Usual Name:System, Image Processing, Radiological (video monitor)
Classification Name:System, Image Processing, Radiological
Product code:LLZ
Device Class:Class II
Regulation:21 CFR 892.2050
Legally Marketed Device:LUMIMED MONOCHROME LCD MONITOR, MODELS MM 20,MM 30 AND MM50Heeyoung Company, Ltd.K052120

Description of Device:

The Medical LCD Monitors are designed for the purpose of medical applications such as X-ray, radiology, MRI or endoscopy imaging display. The high-resolution LCD panels with a resolution of 1280x1024,

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K123944
Page 2 of 2

1600x1200, 2048x1536 or 2560x2048, combined with a high-performance image processing controller, provides the users extremely high-definition and high-quality medical image displays. These medical monitors comply with international EMC/ safety standards.

Indications for Use:

The Medical LCD Monitors are intended to be used in various kinds of medical image applications (excluding digital mammography) for which the device complies with the performance specifications of the system.

Comparison of Technical Characteristics:

In all material respects, the KOSTEC monitors are similar to the predicate device. Testing was performed according to internal company procedures and the monitors were safety certified to International Standards.

Though some differences between the new device and the predicate device exist, these differences do not raise new questions of safety and effectiveness.

Compliance & Voluntary Standard Compliance

The subject device has been tested against and has passed the following standards:

  • IEC 60601-1:2006, General Requirements for Electrical Safety
  • . IEC 60601-1-2:2007, Electromagnetic Compatibility
  • . NEMA PS 3.1-3.18:2009 Digital Imaging and Communication (DICOM) in Medicine
  • . BS/EN 61000-3-2:2006+a2:2009, Electromagnetic compatibility (EMC). Liimits for harmonic current emissions
  • . BS/EN61000-3-3:2008, Limitation of voltage changes, voltage fluctuations and flicker in public low-voltage supply systems, for equipment with rated current ≤ 16 A per phase and not subject to conditional connection

Conclusion

We have concluded that our devices are substantially equivalent to the predicate device. No new questions of safety and effectiveness have been raised.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles an eagle or bird in flight, with three wavy lines below it.

Public Health Service

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

September 5, 2013

Kostec Co., Ltd. % Rhonda Alexander, MS, MPA Senior Regulatory Specialist Registrar Corp 144 Research Drive HAMPTON VA 23666

Re: K123944

Trade/Device Name: Medical LCD Monitor (Models: KT-D213U5E, KT-D213Q5E and KT-D213V5E) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: July 26, 2013 Received: July 29, 2013

Dear Ms. Alexander:

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 than be Federal statutes and regulations administered by other Federal agencies. You must or any read 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 device-related duverse of only (2) CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2-Ms. Alexander

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcestorYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/ResourcesforYou/Industry/default.hum.

Sincerely yours,

Smh.7)

for

Janine M. Morris Director. Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K123944

Device Name: Medical LCD Monitor

Models: KT.D213U5E, KT.D213Q5E, KT.D213V5E

Indications for Use:

The Medical LCD Monitors are intended to be used in various kinds of medical image applications (excluding digital mammography) for which the device complies with the performance specifications of the system.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

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 Diagnostics and Radiological Health (OIR)

sin.7)

(Division Sign-Off) Division of Radiological Health Office of In I'iro Diagnostics and Radiological Health

510(k) | K123944 ===

Page 1 of 1

§ 892.2050 Medical image management and processing system.

(a)
Identification. A medical image management and processing system is a device that provides one or more capabilities relating to the review and digital processing of medical images for the purposes of interpretation by a trained practitioner of disease detection, diagnosis, or patient management. The software components may provide advanced or complex image processing functions for image manipulation, enhancement, or quantification that are intended for use in the interpretation and analysis of medical images. Advanced image manipulation functions may include image segmentation, multimodality image registration, or 3D visualization. Complex quantitative functions may include semi-automated measurements or time-series measurements.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern).