K Number
K141684
Date Cleared
2014-08-01

(39 days)

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

JUSHA-C33C LCD Monitor 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 does not support the display of mammography images for diagnosis.

Device Description

JUSHA-C33C LCD Monitor is the display system with the high resolution (2048*1536), high luminance (600 cd/m²), and10 bit display colors expanded to 12 bit color expansion technology, 8 DICOM look up table and 3 GAMMA look up table inside. In particular, JUSHA-C33C LCD Monitor contains CGA function, it is specially made by JUSHA, it can automatic identify gray and color signals, then gray area calls DICOM LUT and color area calls GAMMA2.2 LUT. JUSHA-C33C has ambient brightness adapting and presence induction system, with these this display can automatic adjustment according to different requirements in order to achieve the best results. The product is consisted of the following components: - 21.3" Color TFT LCD Panel - JUSHA-C33/45T motherboard/FR-4/REV:0.9 - JUSHA-C33C LCD Monitor software - Power Adapter - Data Cable. The LCD Monitor is designed, tested, and will be manufactured in accordance with both mandatory and voluntary standards: IEC 60601-1Medical equipment medical electrical equipment - Part 1: General requirements for basic safety and essential performance 1988+A1 : 1991 + A2:1995 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 section describes the acceptance criteria and the study conducted to demonstrate that the JUSHA-C33C LCD Monitor meets these criteria.

1. Table of Acceptance Criteria and Reported Device Performance

The FDA 510(k) summary for the JUSHA-C33C LCD Monitor primarily focuses on demonstrating substantial equivalence to a predicate device (EIZO RX340) through non-clinical performance characteristics and compliance with recognized standards. Therefore, the "acceptance criteria" are implicitly defined by the predicate device's specifications and the safety and electrical standards. The study presented a direct comparison of key technical specifications.

AttributePredicate Device (EIZO RX340 - K113562) Acceptance CriteriaProposed Device (JUSHA-C33C LCD Monitor) PerformanceDifferences/Compliance
General
ProductEIZO RX340JUSHA-C33C LCD MonitorN/A (Product Name)
510(k) NumberK113562K141684N/A (Approval Number)
Display Characteristics
Screen Technology21.2" Color TFT LCD Panel21.3" Color TFT LCD PanelMinor size difference
Viewing Angle (H, V)Horizontal 170°, Vertical 170°Horizontal 176°, Vertical 176°Proposed device is better
Resolution2048 x 1536 / 1536 x 20482048 x 1536 / 1536 x 2048Identical
Display Area323.7 (H) x 431.6 (V) mm324.864 (H) x 433.152 (V) mmVery similar
Contrast Ratio1400:11400:1Identical
Scanning Freq. (H; V)31127 kHz; 2961.5 Hz96.7kHz; 60HzWithin typical ranges, presumed compatible
Recommended Luminance400cd/m²400cd/m²Identical
Pixel Pitch0.21075 x 0.21075 mm0.2115 x 0.2115 mmVery similar
BacklightLEDLEDIdentical
Display Colors10-bit, 1.07 billion colors12-bit, 68.7 billion colorsProposed device is better
Luminance CalibrationBuilt-in calibration sensor providedBuilt-in calibration sensor providedIdentical
Connectivity & Power
Input SignalsDVI standard 1.0, DisplayPort 1.1aDVI standard 1.0, DisplayPort 1.1aIdentical
Input TerminationDVI-D (dual link) x 1, DisplayPort x 1DVI-D (dual link) x 1, DisplayPort x 1Identical
Display ControllerOff the shelfOff the shelfIdentical
Power RequirementAC 100240V 5060HzAC 100240V 5060HzIdentical
Power Consumption/Save Mode56W / less than 3W65W / less than 3WHigher consumption (65W vs 56W) but same save mode. Acceptable.
Power ManagementDVI DMPM, DisplayPort 1.1aDVI DMPM, DisplayPort 1.1aIdentical
USB Ports/Standard1 upstream (endpoint), 2 downstream / Rev. 2.01 upstream (endpoint), 2 downstream / Rev. 2.0Identical
Physical
Dimensions w/o stand (W x H x D)Without stand: 376mm x 505mm x 98 mmWithout stand: 382mm x 490mm x 75mmMinor differences
Standards Compliance
Applicable StandardsIEC 60601-1 (2005+CORR.1+CORR.2), IEC 60601-1-2 (Ed. 3:2007)IEC 60601-1 (2005+CORR.1+CORR.2), IEC 60601-1-2 (Ed. 3:2007)Identical

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

The submission refers to non-clinical tests and a comparison of technical specifications to a predicate device. There is no mention of a "test set" in the context of image data or patient studies. The performance is assessed by comparing the technical specifications of the proposed device against those of the predicate device. Therefore, no "sample size" in the conventional sense (e.g., number of images or patients) is applicable here.

The "data provenance" refers to the technical specifications of the JUSHA-C33C LCD Monitor and the EIZO RX340. This data would originate from the manufacturers' product specifications and potentially independent testing for compliance with standards. The nature of this comparative study means it is retrospective in the sense that the predicate device's specifications are already established.

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

No explicit ground truth established by experts is mentioned as this is a comparison of technical specifications for a display monitor, not a diagnostic algorithm. The "ground truth" for this type of submission is the documented performance characteristics of the predicate device and the new device as per engineering specifications and standard testing.

4. Adjudication Method for the Test Set

Not applicable. There was no test set requiring expert adjudication for a diagnostic task.

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

Not applicable. This submission is for an LCD display monitor, not an AI diagnostic algorithm. Therefore, no MRMC study or AI assistance evaluation was performed or is relevant.

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

Not applicable. This is not an AI algorithm but a hardware medical device (display monitor).

7. The Type of Ground Truth Used

The ground truth used for this submission is the technical specifications and performance characteristics of the predicate device (EIZO RX340) and the proposed device (JUSHA-C33C LCD Monitor), along with compliance with international safety and electrical standards (IEC 60601-1 and IEC 60601-1-2). This is based on objective, quantifiable engineering data and regulatory standards, rather than clinical outcomes or expert consensus on image interpretation.

8. The Sample Size for the Training Set

Not applicable. This is not an AI algorithm that requires a training set.

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

Not applicable. No training set was used.

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Image /page/0/Picture/1 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" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

August 1. 2014

Nanjing Jusha Display Technology Co., Ltd. % Ms. Li Le Certification Manager 8A. Block 1. Nanjing International Service Outsourcing Mansion, No. 301 Hanzhongmen Street, Nanjing 210036 CHINA

Re: K141684

Trade/Device Name: Jusha-C33C LCD Monitor Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: PGY Dated: June 24, 2014 Received: June 30, 2014

Dear Ms. Le:

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 (OS) regulation (21 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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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/Resourcesfor You/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,

FDA signature

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known)

K141684

Device Name

JUSHA-C33C LCD Monitor

Indications for Use (Describe)

JUSHA-C33C LCD Monitor 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 does not support the display of mammography images for diagnosis.

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

2 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)

FDA

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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:

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510(k) Summary

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

Date:May 6, 2014
Submitter:Nanjing Jusha Display Technology Co., Ltd
Add: 301, 8F Block A, No.1, Nanjing International ServiceOutsourcing Mansion, Hanzhongmen Street, Nanjing, 210036 China
Contact Person:Li le
Certification Manager
Nanjing Jusha Display Technology Co., Ltd
Tel: +86-25- 83305050
Fax: +86-25- 58783271
Device Trade Name:JUSHA-C33C LCD Monitor
Common/Usual Name:3MP Color LCD Monitor
Classification Name: ProductCode:Display, Diagnostic Radiology 21CFR 892.2050PGY
Predicate Device(s):EIZO RX340;K113562
Device Description:JUSHA-C33C LCD Monitor is the display system with the highresolution (2048*1536), high luminance (600 cd/m²), and10 bitdisplay colors expanded to 12 bit color expansion technology, 8DICOM look up table and 3 GAMMA look up table inside. Inparticular, JUSHA-C33C LCD Monitor contains CGA function, it isspecially made by JUSHA, it can automatic identify gray and colorsignals, then gray area calls DICOM LUT and color area callsGAMMA2.2 LUT. JUSHA-C33C has ambient brightness adaptingand presence induction system, with these this display can automaticadjustment according to different requirements in order to achieve thebest results.
The product is consisted of the following components:
- 21.3" Color TFT LCD Panel
- JUSHA-C33/45T motherboard/FR-4/REV:0.9
- JUSHA-C33C LCD Monitor software
- Power Adapter
- Data Cable.
The LCD Monitor is designed, tested, and will be manufactured inaccordance with both mandatory and voluntary standards:
IEC 60601-1Medical equipment medical electrical1.equipment - Part 1: General requirements for basic safetyand essential performance 1988+A1 : 1991 + A2:1995
IEC 60601-1-2 Edition 3:2007, Medical electrical2.equipment - Part 1-2: General requirements for basic

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safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests.
Intended Use:JUSHA-C33C LCD Monitor 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 does not support the display of mammography images for diagnosis.
Technology:JUSHA-C33C LCD Monitor is the display system with the high resolution monitor (3 megapixels) with electronic capabilities for evaluation of high resolution medical images, high luminance (600 cd/m²) and10 bit display colors expanded to 12 bit color expansion technology, 8 DICOM look up table and 3 GAMMA look up table inside. In particular, JUSHA-C33C LCD Monitor contains CGA function, it is specially made by JUSHA, it can automatic identify gray and color signals, then gray area calls DICOM LUT and color area calls GAMMA2.2 LUT. JUSHA-C33C has ambient brightness adapting and presence induction system, with these this display can automatic adjustment according to different requirements in order to achieve the best results.
Determination of Substantial Equivalence:Summary of Non-Clinical Tests:The LCD Monitor complies with voluntary standards as following:1 IEC 60601-1Medical equipment medical electrical equipment - Part 1: General requirements for basic safety and essential performance 2005+CORR.1(2006)+CORR.2(2007)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.JUSHA-C33C is substantially equivalent to EIZO RX340. JUSHA-C33C employs the maximum resolution values same as that of EIZO RX340. Comparison table of the principal characteristics of 2 devices is shown in the Attachment 1.The following quality assurance measures were applied to the development of the system:Risk AnalysisRequirements ReviewsDesign ReviewsRaw materials verificationTesting 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, LCD Monitor, did notrequire clinical studies to support substantial equivalence.
The proposed device is Substantially Equivalent (SE) to the predicatedevice which is US legally market device. Therefore, the subjectdevice is determined as safe and effectiveness.
Conclusion:Nanjing Jusha Display Technology Co., Ltd Considers the JUSHA-C33C LCD Monitor to be as safe, as effective, and performance issubstantially equivalent to the predicate device(s).

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510(k) Premarket Notification Submission

Attachment 1:

AttributesPredicate DeviceProposed Device
ProductEIZO RX340JUSHA-C33C LCD Monitor
510(k) NumberK113562K141684
Screen technology21.2" Color TFT LCD Panel21.3" Color TFT LCD Panel
Viewing angle (H, V)Horizontal 170°, Vertical 170°Horizontal 176°, Vertical 176°
Resolution2048 x 1536/1536x 20482048 x1536/1536x 2048
Display area323.7 (H) x431.6 (V) mm324.864 (H) x 433.152 (V) mm
Contrast Ratio1400:11400:1
Scanning frequency (H; V)31127 kHz;2961.5 Hz96.7kHz;60Hz
Recommended Luminance400cd/m²400cd/m²
Pixel Pitch0.21075 x 0.21075 mm0.2115x0.2115 mm
BacklightLEDLED
Display Colors10-bit, 1.07 billion colors12-bit, 68.7billion colors
Luminance calibrationBuilt in calibration sensorprovidedBuilt in calibration sensorprovided
Input signalsDVI standard 1.0,DisplayPort 1.1aDVI standard 1.0,DisplayPort 1.1a
Input terminationalDVI-D (dual link) x 1,DisplayPort x 1DVI-D (dual link) x 1,DisplayPort x 1
Display controllerOff the shelfOff the shelf
Power RequirementAC 100240V 5060HzAC 100240V 5060Hz

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Power Consumption/SaveMode56W/less than 3W65W/less than 3W
Power ManagementDVI DMPMDisplayPort 1.1aDVI DMPMDisplayPort 1.1a
USB Ports/standard1 upstream (endpoint),2 downstream/ Rev. 2.01 upstream (endpoint),2 downstream/ Rev. 2.0
Dimensions w/o stand(W x H x D)Without stand:376mmx505mmx98 mmWith stand:Without stand:382mm x490mm x75mm Withstand:382mm x533mm x238mm
Applicable standard1 IEC 60601-1Medicalequipment medical electricalequipment - Part 1: Generalrequirements for basic safetyand essential performance2005+CORR.1(2006)+CORR.2(2007)2 IEC 60601-1-2 Edition3:2007, Medical electricalequipment - Part 1-2: Generalrequirements for basic safetyand essential performance -Collateral standard:Electromagnetic compatibility- Requirements and tests1 IEC 60601-1Medicalequipment medical electricalequipment - Part 1: Generalrequirements for basic safetyand essential performance2005+CORR.1(2006)+CORR.2(2007)2 IEC 60601-1-2 Edition3:2007, Medical electricalequipment - Part 1-2: Generalrequirements for basic safetyand essential performance -Collateral standard:Electromagnetic compatibility -Requirements and tests

§ 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).