K Number
K131389
Date Cleared
2013-09-06

(115 days)

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

JUSHA-C31 Medical Display is intended to be used in displaying and viewing digital images for diagnosis of X-ray or MRI, etc. by trained medical practitioners. The device must not be used for digital mammography system.

Device Description

JUSHA-C31 Medical Display is 53cm(20.8") color medical display with the high resolution(2048 x 1536), the product is consisted of the following components:

  • 20.8 inch, Color Active Matrix TFT Liquid Crystal Display
  • Motherboard HDVI-3M V1.0
  • JUSHA-C31 Medical Display software
  • Power Adapter
  • Data Cable.
    The Medical Display is designed, tested, and will be manufactured in accordance with both mandatory and voluntary standards:
  1. IEC 60601-1Medical equipment medical electrical equipment - Part 1: General requirements for basic safety and essential performance 1988+A1: 1991 + A2:1995
  2. IEC 60601-1-2 Edition 3:2007, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests.
AI/ML Overview

This submission describes a medical display device, not an AI or algorithm-driven device. Therefore, the information typically requested for AI-enabled devices (like acceptance criteria for algorithms, sample sizes for training/test sets, expert ground truth, MRMC studies, standalone performance, etc.) is not applicable here.

This 510(k) summary focuses on the substantial equivalence of the JUSHA-C31 Medical Display to a predicate device (RADIFORCE R31; K052344) based on non-clinical performance and safety testing.

Here's the relevant information that can be extracted from the provided text for a medical display device:

1. Acceptance Criteria and Reported Device Performance (Non-Clinical)

The submission does not explicitly list quantitative acceptance criteria in a table format for performance metrics that would be typical for an AI device (e.g., sensitivity, specificity, AUC). Instead, it states compliance with recognized industry standards and performance attributes of the display itself.

However, based on the "Technology" and "Device Description" sections, we can infer some key performance characteristics:

Acceptance Criteria (Inferred from Device Description/Technology)Reported Device Performance (JUSHA-C31 Medical Display)
High resolution2048 x 1536 (3 megapixels)
High luminance450 cd/m² max
Display Color16.7M (8-bits data per R,G,B each)
DICOM compliance3 DICOM look up tables inside
Compliance with IEC 60601-1 (Medical equipment safety)Complies with IEC 60601-1:1988+A1:1991+A2:1995
Compliance with IEC 60601-1-2 (Electromagnetic compatibility)Complies with IEC 60601-1-2 Edition 3:2007

2. Sample Size Used for the Test Set and Data Provenance

Not applicable. This is a hardware display device, not an algorithm being tested on a data set. The testing performed was for product safety and performance against technical specifications, not clinical data sets.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. Ground truth, in the context of clinical data, is not relevant for this type of device submission. The "testing" involved verifying the display's technical specifications and compliance with standards.

4. Adjudication Method for the Test Set

Not applicable. There was no clinical test set requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No. This type of study is for evaluating human performance (with or without AI assistance) on clinical cases, which is not relevant for a display device.

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

No. This submission is for a display device, not an algorithm.

7. The Type of Ground Truth Used

Not applicable. For a display device, the "truth" is its adherence to technical specifications and safety standards.

8. The Sample Size for the Training Set

Not applicable. This is a hardware device; there is no "training set" in the context of machine learning.

9. How the Ground Truth for the Training Set Was Established

Not applicable.


Summary of Determination of Substantial Equivalence (from the document):

The device manufacturer asserts that "JUSHA-C31 Medical Display is the display system with the high resolution monitor (3 megapixels) with electronic capabilities for evaluation of high resolution medical images, high luminance (450 cd/m² max) and 16.7M (8-bits data per R,G,B each)display color, 3 DICOM look up table inside."

The "Summary of Non-Clinical Tests" indicates that the display complies with voluntary standards (IEC 60601-1 and IEC 60601-1-2). Quality assurance measures included "Risk Analysis, Requirements Reviews, Design Reviews, Raw materials verification, Testing on unit level (Module verification), Integration testing (System verification), Final acceptance testing (Validation), Performance testing (Verification), [and] Safety testing (Verification)."

The submission explicitly states: "The subject of this premarket submission, Medical Display, did not require clinical studies to support substantial equivalence."

Conclusion: The manufacturer concludes that the JUSHA-C31 Medical Display is "as safe, as effective, and performance is substantially equivalent to the predicate device(s) [RADIFORCE R31; K052344]." The FDA's letter (K131389) confirms this determination of substantial equivalence.

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510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:April 21,2013
Submitter:Nanjing Jusha Display Technology Co., LtdAdd: 301, Hanzhongmen Street, 8F Block A, No.1, NanjingInternational Service Outsourcing Mansion, Nanjing, 210036China
Primary Contact Person:Mike GuRegulatory ManagerGuangzhou Osmunda Medical Device Consulting Co., LtdTel: +86-20-62321333Fax: +86-20-86330253
Secondary ContactPerson:Zhu chengshunQuality ManagerNanjing Jusha Display Technology Co., LtdTel: +86-25- 83305050Fax: +86-25- 58783271
Device Trade Name:JUSHA-C31 Medical Display
Common/Usual Name:Image display system, medical image workstation, imagemonitor/display, and others
Classification Name:Product Code:System, image processing90LLZ
Predicate Device(s):RADIFORCE R31;K052344
Device Description:JUSHA-C31 Medical Display is 53cm(20.8") color medicaldisplay with the high resolution(2048 x 1536), the product isconsisted of the following components:- 20.8 inch, Color Active Matrix TFT Liquid Crystal Display- Motherboard HDVI-3M V1.0- JUSHA-C31 Medical Display software- Power Adapter- Data Cable.The Medical Display is designed, tested, and will bemanufactured in accordance with both mandatory andvoluntary standards:1. IEC 60601-1Medical equipment medical electricalequipment - Part 1: General requirements for
basic safety and essential performance 1988+A1:1991 + A2:19952. IEC 60601-1-2 Edition 3:2007, Medical electricalequipment - Part 1-2: General requirements forbasic safety and essential performance -Collateral standard: Electromagneticcompatibility - Requirements and tests.
Intended Use:JUSHA-C31 Medical Display is intended to be used indisplaying and viewing digital images for diagnosis of X-rayor MRI, etc. by trained medical practitioners. The device isnot specified for digital mammography system.
Technology:JUSHA-C31 Medical Display is the display system with thehigh resolution monitor (3 megapixels) with electroniccapabilities for evaluation of high resolution medical images,high luminance (450 cd/m² max) and 16.7M(8-bits data perR,G,B each)display color, 3 DICOM look up table inside
Determination ofSubstantial Equivalence:Summary of Non-Clinical Tests:The Medical Display complies with voluntary standards asdetailed in Section 9, 11 and 17 of this premarketsubmission. The following quality assurance measures wereapplied to the development of the system:Risk Analysis Requirements Reviews Design Reviews Raw materials verification Testing on unit level (Module verification) Integration testing (System verification) Final acceptance testing (Validation) Performance testing (Verification) Safety testing (Verification) Summary of Clinical Tests:The subject of this premarket submission, Medical Display,did not require clinical studies to support substantialequivalence.The proposed device is Substantially Equivalent (SE) to thepredicate device which is US legally market device.
Therefore, the subject device is determined as safe andeffectiveness.
Conclusion:Nanjing Jusha Display Technology Co., Ltd Considers theJUSHA-C31 Medical Display to be as safe, as effective, andperformance is substantially equivalent to the predicatedevice(s).

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K131389
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510(k) Premarket Notification Submission

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510(k) Premarket Notification Submission

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized symbol resembling an eagle or bird with three curved lines representing its wings or feathers.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

September 6, 2013

Nanjing Jusha Display Technology Co., Ltd. % Mr. Mike Gu Regulatory Manager Guangzhou Osmunda Medical Device Consulting Co., Ltd. 710 Floor, 982 Congyun Road, Baiyun District Guangzhou, Guangdong 510420 CHINA

Re: K131389

Trade/Device Name: Jusha-C31 Medical Display Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: July 23, 2013 Received: August 27, 2013

Dear Mr. Gu:

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

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Page 2-Mr. Gu

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.

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/ResourcesforYou/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/ReportalProblem/dcfault.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.htm.

Sincerely yours,

Smh7)

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): K 131389

Device Name: JUSHA-C31 Medical Display

Indications for Use:

JUSHA-C31 Medical Display is intended to be used in displaying and viewing digital images for diagnosis of X-ray or MRI, etc. by trained medical practitioners. The device must not be used for digital mammography 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)

Sm.h.7)

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) K131389

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).