K Number
K161229
Device Name
Mammo Tomosynthesis (MDMG-5221)
Manufacturer
Date Cleared
2016-05-18

(16 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Barco Mammo Tomosynthesis (MDMG-5221) device is intended to be used in displaying and viewing digital images, including standard and multi-frame digital mammography, for review, and diagnosis by trained medical practitioners. It is specially designed for breast tomosynthesis applications.
Device Description
MDMG-5221, system name Barco Mammo Tomosynthesis, is an update of the 5MP display, specifically addressing the requirements of the emerging modality of Digital Breast Tomosynthesis (DBT) and QA software. The display controller board is installed in a PACS workstation computer, connected to the display. The QA software helps to make and keep the displays DICOM compliant. The display uses LED backlight technology.
More Information

Not Found

No
The summary describes a medical display device and associated QA software, focusing on hardware updates (LED backlight) and firmware. There is no mention of AI, ML, or any related capabilities in the intended use, device description, or performance studies.

No.
The device is solely for displaying and viewing digital images for diagnosis by medical practitioners; it does not directly treat or alleviate a medical condition.

Yes
The device is intended for "displaying and viewing digital images... for review, and diagnosis by trained medical practitioners," indicating it is used in the diagnostic process.

No

The device description explicitly mentions hardware components like a display controller board and the display itself, and the performance studies include tests on hardware characteristics like LED backlight and electrical safety.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Barco Mammo Tomosynthesis (MDMG-5221) is a display device used for viewing and displaying medical images (mammography and tomosynthesis). It does not perform any tests on biological samples.
  • Intended Use: The intended use is for displaying and viewing digital images for review and diagnosis by medical practitioners. This is a function related to image interpretation, not laboratory testing of samples.

Therefore, the device falls under the category of medical imaging display devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Barco Mammo Tomosynthesis (MDMG-5221) device is intended to be used in displaying and viewing digital images, including standard and multi-frame digital mammography, for review, and diagnosis by trained medical practitioners.

It is specially designed for breast tomosynthesis applications.

Product codes

PGY, LLZ

Device Description

MDMG-5221, system name Barco Mammo Tomosynthesis, is an update of the 5MP display, specifically addressing the requirements of the emerging modality of Digital Breast Tomosynthesis (DBT) and QA software.
The display controller board is installed in a PACS workstation computer, connected to the display. The QA software helps to make and keep the displays DICOM compliant.
The display uses LED backlight technology.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

digital mammography, breast tomosynthesis

Anatomical Site

breast

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

The bench tests mentioned below were performed to validate the device characteristics that differ from the predicate device:
Modification to device: LED backlight instead of CCFL, Test performed: DICOM calibration and Luminance Uniformity tests
Modification to device: Updated firmware, Test performed: Firmware tests
Additional tests performed: Electrical Safety test (IEC 60601-1), EMC test (IEC 60601-1-2)
The tests showed that the device has similar or superior characteristics compared to the predicate device and did not reveal new issues of safety and performance.
Animal or clinical testing have not been performed.

Key Metrics

Not Found

Predicate Device(s)

K090603

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).

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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 stylized caduceus symbol, which is a staff with two snakes coiled around it, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the symbol. The logo is black and white.

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

May 18, 2016

Barco N.V. % Mr. Lieven De Wandel Regulatory Officer President Kennedypark 35 Kortrijk, 8500 BELGIUM

Re: K161229

Trade/Device Name: Mammo Tomosynthesis (MDMG-5221) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: PGY Dated: April 25, 2016 Received: May 2, 2016

Dear Mr. De Wandel:

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 (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.

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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.

Michael D.'Hara

For

Robert Ochs, Ph.D. 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

510(k) Number (if known)

K161229

Device Name

Mammo Tomosynthesis (MDMG-5221)

Indications for Use (Describe)

The Barco Mammo Tomosynthesis (MDMG-5221) device is intended to be used in displaying and viewing digital images, including standard and multi-frame digital mammography, for review, and diagnosis by trained medical practitioners.

It is specially designed for breast tomosynthesis applications.

Note: There are no changes to the indications for use statement from that of the unmodified device

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)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

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

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510(k) Summary (in accordance with 21 CFR 807.92)
1. CompanyBarco N.V.
Healthcare Division
35 President Kennedypark
B-8500 Kortrijk
BELGIUM
2. Contact
personLieven De Wandel
Regulatory Affairs Officer
3. Date of
submission25 April 2016
4. Device
informationTrade name/model: Mammo Tomosynthesis 5MP (MDMG-5221)
Common name: MDMG-5221
Classification name: System, image processing, Radiological
Classification code: LLZ
Regulation number: 892.2050
5. Predicate
deviceMammo Tomosynthesis 5MP (MDMG-5221) cleared under 510(K) K090603
6. Device
descriptionMDMG-5221, system name Barco Mammo Tomosynthesis, is an update of the 5MP
display, specifically addressing the requirements of the emerging modality of Digital
Breast Tomosynthesis (DBT) and QA software.
The display controller board is installed in a PACS workstation computer, connected to the
display. The QA software helps to make and keep the displays DICOM compliant.
The display uses LED backlight technology.
7. Intended Use
of the DeviceThe Barco Mammo Tomosynthesis (MDMG-5221) device is intended to be used in
displaying and viewing digital images, including standard and multi-frame digital
mammography, for review, analysis, and diagnosis by trained medical practitioners. It is
specially designed for breast tomosynthesis applications.
8. Comparison
of technological
characteristicsSpecificationMDMG-5221 (new device)MDMG-5221 (predicate device)
Screen technologyTFT AMLCD Dual Domain IPS
grayscaleTFT AMLCD Dual Domain IPS
grayscale
Active screen size (diagonal)540.9 mm (21.3")540.9 mm (21.3")
Active screen size (H x V)422.4 x 377.9 mm (16.6 x 13.3")422.4 x 377.9 mm (16.6 x 13.3")
Aspect ratio (H:V)4:54:5
Resolution2048 x 25602048 x 2560
Pixel pitch0.165 mm (0.0065")0.165 mm (0.0065")
Color imagingNoNo
Gray imagingYesYes
Viewing angle (H, V)176° (at 10:1 contrast)176° (at 10:1 contrast)

BARCO

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| | Uniform Luminance
Technology (ULT) | | | | |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------|--|-----------------------------|--|
| | Per Pixel Uniformity (PPU) | Yes | | Yes | |
| | Ambient Light Compensation
(ALC) | Yes | | Yes | |
| | Backlight Output Stabilization
(BLOS) | No | | No | |
| | I-Guard | Yes | | Yes | |
| | Maximum luminance | 2100 cd/m² | | 2100 cd/m² | |
| | DICOM calibrated luminance
(ULT off) | 1000 cd/m² | | 1000 cd/m² | |
| | Contrast ratio (typical) | 950:1 | | 950:1 | |
| | Response time (Tr + Tf) | 15 ms (typical) | | 15 ms (typical) | |
| | Video input signals | DP, DVI | | DP, DVI | |
| | USB ports | 1 upstream,
2 downstream | | 1 upstream,
2 downstream | |
| | USB standard | 2.0 | | 2.0 | |
| | Power consumption
(nominal) | 125W | | 125W | |
| | Power save mode | Yes | | Yes | |
| | Net weight with stand | 15.4 kg | | 15.4 kg | |
| | Net weight w/o stand | 10.9 kg | | 10.9 kg | |
| 9. Performance
testing | The bench tests mentioned below were performed to validate the device characteristics
that differ from the predicate device: | | | | |
| | Modification to device | Test performed | | | |
| | LED backlight instead of CCFL | DICOM calibration and Luminance
Uniformity tests | | | |
| | Updated firmware | Firmware tests | | | |
| | Additional tests performed: Electrical Safety test (IEC 60601-1), EMC test (IEC 60601-1-2)
The tests showed that the device has similar or superior characteristics compared to the
predicate device and did not reveal new issues of safety and performance. | | | | |
| | Animal or clinical testing have not been performed. | | | | |
| 10. Conclusion | The Mammo Tomosynthesis (MDMG-5221) was found to be substantially equivalent to
the predicate device, due to the following reasons: | | | | |
| | a) Device and predicate device have the same intended use
b) The technological characteristics differences from the predicate device do not
affect safety or effectiveness
c) Bench testing showed that the device has similar or superior characteristics
compared to the predicate device and did not reveal new issues of safety and
performance. | | | | |

Image /page/4/Picture/2 description: The image shows the word "BARCO" in a stylized, sans-serif font. The letters are white against a black background. The "O" in "BARCO" is unique, with a small, horizontal line extending from the top right, resembling a stylized electrical component.