K Number
K133185
Device Name
21.3 INCH (54 CM) COLOR LCD MONITOR CCL358I2 (CL21358)
Date Cleared
2013-12-03

(47 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
21.3 inch (54 cm) Color 3M pixel LCD Monitor, CCL358i2 (CL21358) is intended to be used in displaying and viewing medical images for diagnosis by trained medical practitioners. It is not meant to be used for digital mammography.
Device Description
CCL358i2 (CL21358) is a 21.3-inch (54 cm) Color LCD monitor whose display resolution is 1536 x 2048 (landscape), 2048 x 1536 (portrait) supporting DVI (digital visual interface) and Display Port.
More Information

None

No
The 510(k) summary describes a medical display monitor and does not mention any AI or ML capabilities.

No
The device is a medical image display monitor used for diagnosis, not for treating any condition or disease.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is "intended to be used in displaying and viewing medical images for diagnosis by trained medical practitioners." This clearly indicates its role in the diagnostic process.

No

The device description explicitly states it is a 21.3-inch Color LCD monitor, which is a hardware component.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "displaying and viewing medical images for diagnosis by trained medical practitioners." This describes a device used to present visual information derived from other medical devices (like imaging equipment).
  • Device Description: The description is of a monitor, a display device.
  • Lack of IVD Characteristics: IVD devices are typically used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis. This device does not perform any such analysis or testing of biological samples.

The device is a medical image display monitor, which is a different category of medical device than an IVD.

N/A

Intended Use / Indications for Use

21.3 inch (54 cm) Color 3M pixel LCD Monitor, CCL358i2 (CL21358) is intended to be used in displaying and viewing medical images for diagnosis by trained medical practitioners. It is not meant to be used for digital mammography.

Product codes

I.I.7.

Device Description

CCL358i2 (CL21358) is a 21.3-inch (54 cm) Color LCD monitor whose display resolution is 1536 x 2048 (landscape), 2048 x 1536 (portrait) supporting DVI (digital visual interface) and Display Port.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained medical practitioners

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The overall design of the CCL358i2 (CL21358) was validated in accordance with internationally recognized Safety and EMC standards by third-party certifiers. Besides, JVC KENWOOD Corporation performed a range of system and performance tests to ensure that the CCL358i2 (CL21358) performs in accordance with its specifications. None of the tests revealed behaviors inconsistent with the expected performance.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K112604

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

TOTOKU

K133185
Page 1 of 4

510(k) SUMMARY

| Submitted Information: | JVC KENWOOD CORPORATION
3-12, MORIYA-CHO, KANAGAWA-KU,
YOKOHAMA-SHI, KANAGAWA, 221-0022 JAPAN
DEC 0 3 2013 |
|--------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Tsukasa Tashiro, General Manager
Email: tashiro.tsukasa@jvckenwood.com
Tel: +81.258.24.6611
Fax: +81.258.24.6617 |
| Date Prepared: | October 4, 2013 |
| Device Name: | 21.3 inch (54 cm) Color LCD Monitor CCL358i2 (CL21358) |
| Common Name: | CCL358i2, CL21358 |
| Classification Name: | Class II
(Part 892 Radiology Devices
Sec. 892.2050 Picture Archiving and Communication System) |
| Predicate Device: | 21.3 inch (54 cm) Col or LCD Monitor CCL35 6i2 (CL21356)
(K112604) |
| Device Description: | CCL358i2 (CL21358) is a 21.3-inch (54 cm) Color LCD monitor
whose display resolution is 1536 x 2048 (landscape), 2048 x 1536
(portrait) supporting DVI (digital visual interface) and Display Port. |
| Intended Use: | 21.3 inch (54 cm) Color 3M pixel LCD Monitor, CCL358i2 (CL21358)
is intended to be used in displaying and viewing medical images
for diagnosis by trained medical practitioners. It is not meant to be
used for digital mammography. |
| Substantial Equivalence: | CCL358i2 (CL21358) shares the same characteristics with our
predicate device CCL356i2 (K112604) except for the LCD panel
and power supply. |

1

Technical Specification
1. Luminance uniformity
[SPEC] Less than 30% based on AAPM-TG18 4.4. Refer to actual Luminance
uniformity data
2. Pixel Defects / Fault
[SPEC] Class II or more. ISO13406-2
3. Artifacts
• phase/clock issues flicker
• miscellaneous including ringing, ghosting, image sticking
[SPEC] By visible check, no flicker, ringing, ghosting and image sticking
4. Chromaticity Measurement of 5%, 50%, 95% Level
[SPEC] data
5. Chromaticity
[SPEC] Delta (u', v') ≤ 0.01 measured at 80% Lmax based on AAPM-TG18 4.8.4
Refer to Chromaticity actual data

.

.

:

2

CCL33662 (CL21356) K112601ali: 433.152mm, Vertical: 324.864ml K112601ali: 433.152mm, Vertical: 324.864ml Donali: 433.152mm, Video Signal, DisplayPort 25361x 2048.0048.dets ByCCL358i2 (CL21358
10(k) Mumber Taxilay Area Taxilay Area Taxilay Area Taxilmin Displi Ixel PitchK133185
Horizontal: 433.152mm, Vertical: 324.864mm OVI-D Digital Video Signal, DisplayPort
36 x 2048 dots 115 x 0.2115mr
DVI
anning Freque
aximum Luminan
tware: Medivisor Nx
uminance Calibratio Iptional)ivisor Nx nsor (Optional): Chroma5 (X-RiCalibration Sensor (Optional): Chroma5 (X-Ri
ontrast Ratio Prial Communicatic1400:1
fety Standar
USB: upstream port (x 1), downstream port (x 2) ANSI/AAMI ES60601-1, CAN/CSA C22.2 No.60601-1, FCC (Class B), MDD/CE, VCCI-B (Class B)
Net: 12kg
000 22737) x 468.4 - 529.9(H) x 220(D) mm (Landscape)
eight & Dimensi
wer Supp730: Lipstream port (x 1), downstream port (x 3), download. Modi 1774: No.68 (x) = 32, Mo.60 1, FC (dass B); Modi 1774: V = 33, 4(r) > 320, Min (kantaispa) Mar 177, M =00-240V AC, 50/60Hz

Substantial Equivalence Comparison

Similarities: CCL358i2 (CL21358) employs the same front bezel, back enclosure and tilt stand as predicate device CCL35612 (K112604)

Differences

Differences:
CCL358i2 (CL21358) employs a different LCD panel and power supply

3

K133185
Page 4 of 4

CCL358i2 (CL21358) can be considered to have equivalent display performances to those of the predicate device CCL356i2 (K112604) due to the following reasons:

  • a. The maximum display sizes (1536*2048) and the active area sizes (433.152mm (H) x 324.864mm (V)) used for the both devices are the same.
  • b. The DICOM calibrated luminance values of the both devices are the same (410 cd/m2 and the typical maximum luminance values are also same (800 cd/m2) between both devices. The high luminance to be maintained constantly was realized by the employment of LED backlight deteriorating more slowly than conventional CCFL backlights.
  • c. The LED backlight was newly employed instead of CCFL backlight because it is mercury-free, consumes less power and deteriorates more slowly. We have not recognized any adverse effects of the LED backlight on the quality of displayed images. Refer to "Technical Data" where several image quality characteristics of the proposed device are compared with those of the predicate device.
  • d. The both devices display images in accordance with DICOM GSDF by default utilizing the factory calibrated display mode stored in lookup tables inside of them.
  • e. Both devices support Digital Visual Interface (DVI) and DisplayPort.

As for the maintenance, the same OC software is used for both devices have Front Sensor to stabilize the luminance.

As for built-in sensors, both devices have 2 (two) kinds of common sensors, Front Sensor and Ambient Light Sensor. Front Sensor is related to the maintenance or calibration and Ambient Light Sensor is used to measure the ambient light by lx. Front sensor enables automatic grayscale calibration by measuring the luminance at the screen surface. Without Front sensor, the gravscale calibration process requires human intervention and the use of and external sensor. The accuracy data of the calibration with external sensors and that with Front Sensor is included in section 9 "Verification & Validation" in "Application".

The overall design of the CCL358i2 (CL21358) was validated in accordance with internationally recognized Safety and EMC standards by third-party certifiers. Besides, JVC KENWOOD Corporation performed a range of system and performance tests to ensure that the CCL358i2 (CL21358) performs in accordance with its specifications. None of the tests revealed behaviors inconsistent with the expected performance.

Conclusion

The 3M pixel Color LCD Monitor, CCL358i2 (CL21358) is substantially equivalent to the predicate device with respect to technical characteristics, application and intended use. The specifications of the primary component employed by the proposed device are the same to those of the predicate device and other differences have been independently validated. Any differences between the devices do not affect safety or effectiveness.

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services (HHS). The logo consists of two main elements: the HHS symbol and the department's name. The HHS symbol is a stylized representation of a human figure embracing three abstract shapes, which are meant to symbolize the department's mission of providing essential human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the symbol.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

December 3, 2013

JVC KENWOOD Corporation % Mr. Tsukasa Tashiro General Manager 3-12 Moriva-cho, Kanagawa-ku Yokohama-shi. Kanagawa, 221-0022 JAPAN

Re: K133185

Trade/Device Name: 21.3 inch (54 cm) Color LCD Monitor CC1.35812 (C1.21358) Regulation Number: 21 CFR 892,2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: 1.1.7. Dated: October 4. 2013 Received: October 17, 2013

Dear Mr. Tashiro:

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 docs 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 cither 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. FIDA 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 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.

5

Page 2-Mr. Tashiro

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.lda.gov/Medicall.cevices/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/Safetv/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.htm.

Sincerely yours,

for

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

Enclosure

6

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

Indications for Use

510(k) Number (if known) KIJ3185

Device Name CC1.358i2 (CL21358)

Indications for Use (Describe)

21.3 inch (54 cm) Color 3M pixel 1.C1.358) is intended to be used in displaying and viewing medical . images for diagnosis by trained Medical practitioners. It is not meant to be used in digital munimography.

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

[x] Prescription Use (Part 21 CFR 801 Subpart D)

] Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY
------------------
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
[Signature]

FORM FDA 3881 (9/13)

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