K Number
K173187
Device Name
MobileDiagnost M50
Date Cleared
2017-11-16

(45 days)

Product Code
Regulation Number
892.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The MobileDiagnost M50 is a mobile radiographic system used for general X-ray imaging. This system can be used for taking x-ray images of patients who can't be moved to a fixed system. Applications include examinations of chest, upper and lower extremities, spinal column, skull radiography and abdominal cavities. MobileDiagnost M50 is not suitable for Mammography.
Device Description
The MobileDiagnost M50 is a digital mobile X-ray system, used to perform X-ray examinations in different locations of a hospital, particularly for the patient who cannot be transferred to a fixed X-ray room. The MobileDiagnost M50 allows the user to take X-rays on a digital wireless detector and the image can then be viewed on the Eleva Workspot. The MobileDiagnost M50 consists of a mobile base unit and a user interface combined with a flat solid state X-ray detector. It is used by the operator to generate, process and handle digital X-ray images.
More Information

No
The summary describes a standard digital mobile X-ray system and does not mention any AI or ML capabilities for image processing, analysis, or other functions.

No
The device is used for general X-ray imaging, which is a diagnostic procedure, not a therapeutic one.

No.

The device is described as a mobile radiographic system used for general X-ray imaging to "take x-ray images" and "generate, process and handle digital X-ray images." It is an imaging device, not a diagnostic device, as it produces images rather than interpreting them or providing a diagnosis.

No

The device description explicitly states that the MobileDiagnost M50 consists of a "mobile base unit and a user interface combined with a flat solid state X-ray detector," indicating it is a hardware system with integrated software for image generation, processing, and handling.

Based on the provided information, the MobileDiagnost M50 is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • MobileDiagnost M50 Function: The MobileDiagnost M50 is a mobile radiographic system that uses X-rays to create images of the internal structures of the body. It does not analyze biological specimens.

The description clearly states its purpose is for "general X-ray imaging" of patients who cannot be moved to a fixed system, focusing on anatomical sites like the chest, extremities, spine, skull, and abdomen. This is a form of medical imaging, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The MobileDiagnost M50 is a mobile radiographic system used for general X-ray imaging. This system can be used for taking x-ray images of patients who can't be moved to a fixed system. Applications include examinations of chest, upper and lower extremities, spinal column, skull radiography and abdominal cavities. MobileDiagnost M50 is not suitable for Mammography.

Product codes

IZL, MOB

Device Description

The MobileDiagnost M50 is a digital mobile X-ray system, used to perform X-ray examinations in different locations of a hospital, particularly for the patient who cannot be transferred to a fixed X-ray room. The MobileDiagnost M50 allows the user to take X-rays on a digital wireless detector and the image can then be viewed on the Eleva Workspot.

The MobileDiagnost M50 consists of a mobile base unit and a user interface combined with a flat solid state X-ray detector. It is used by the operator to generate, process and handle digital X-ray images.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray imaging

Anatomical Site

chest, upper and lower extremities, spinal column, skull, abdominal cavities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Used for patients who can't be moved to a fixed system, implying hospital or clinical settings where patients may have limited mobility.

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)

Non-clinical verification and validation tests have been performed with regards to the intended use, the technical claims, requirement specifications, and the risk management results.

Non-clinical verification and validation test results demonstrate that the MobileDiagnost M50:

  • Complies with the aforementioned international and FDArecognized consensus standards and FDA guidance documents.
  • Meets the acceptance criteria and is adequate for its intended use.

The MobileDiagnost M50 did not require a clinical study since substantial equivalence to the currently marketed and predicate MobileDiagnost wDR 2.0 was demonstrated with the following attributes:

  • Design features;
  • Indication for use;
  • Fundamental scientific technology;
  • Non-clinical performance testing including validation; and
  • Safety and effectiveness.

Furthermore, the MobileDiagnost M50 employs an already cleared wireless detector by Varian Medical Systems (Varian PaxScan 4336Wv4 of the reference device, Varian Nexus DRTM Digital X-ray Imaging System - K161459, cleared on 09/06/2016); therefore a clinical image study is not required.

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

Not Found

Predicate Device(s)

K141895

Reference Device(s)

K161459, K153318

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1720 Mobile x-ray system.

(a)
Identification. A mobile x-ray system is a transportable device system intended to be used to generate and control x-ray for diagnostic procedures. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

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November 16, 2017

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Philips India Limited % Nidhi Bathwal Regulatory Operations Specialist Plot No. B-79, MIDC, Phase II, Chakan, Taluka-Khed. Village - Savardari Pune, Maharashtra 410501 INDIA

Re: K173187

Trade/Device Name: MobileDiagnost M50 Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: II Product Code: IZL, MOB Dated: October 18, 2017 Received: October 19, 2017

Dear Nidhi Bathwal:

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 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);

1

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Robert Odlo

Robert Ochs, Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K173187

Device Name

MobileDiagnost M50

Indications for Use (Describe)

The MobileDiagnost M50 is a mobile radiographic system used for general X-ray imaging. This system can be used for taking x-ray images of patients who can't be moved to a fixed system. Applications include examinations of chest, upper and lower extremities, spinal column, skull radiography and abdominal cavities. MobileDiagnost M50 is not suitable for Mammography.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

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7. 510(k) Summary

510(k) Summary of Safety and Effectiveness

This 510(k) summary of safety and effectiveness information is prepared in accordance with 21 CFR §807.92.

Date Prepared:September 29, 2017
Manufacturer:Philips India Limited
Plot No. B-79, MIDC, Phase-II, Chakan
Taluka - khed, Village - Savardari
District: Pune
Maharashtra 410501
India
Establishment Registration Number: 3010685285
Primary Contact
Person:Nidhi Bathwal
Title: Regulatory Operations Specialist
Phone: 91-206635 7814
E-mail: nidhi.bathwal@philips.com
Secondary
Contact PersonKarthik Hoskere
Title: Regulatory Operations Specialist
Phone: 91-206635 7814
E-mail: karthik.hoskere@philips.com
Device Name:MobileDiagnost M50
Classification:Classification Name:Mobile X-ray system
Classification Regulation:21CFR 892.1720
Classification Panel:90 – Radiology
Device Class:Class II
Primary Product Code:IZL
Secondary Product Code:MOB

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| Primary

Predicate Device:Trade Name:MobileDiagnost wDR 2.0
Manufacturer:SEDECAL SA
510(k) Clearance:K141895 (September 18, 2014)
Classification Regulation:21 CFR, Part 892.1720
Classification Name:Mobile X-Ray System
Classification Panel:90 - Radiology
Device Class:Class II
Primary Product Code:IZL
Secondary Product Code:MQB
Reference Device:Trade Name:Nexus DR™ Digital X-ray Imaging
System (with PaxScan 4336Wv4)
Manufacturer:Varian Medical Systems
510(k) Clearance:K161459 (September 6, 2016)
Classification Regulation:21 CFR 892.1680
Classification Name:Stationary X-ray system
Classification Panel:Radiology
Device Class:Class II
Product Code:MQB
Reference Device:Trade Name:Eleva Workspot with SkyFlow
Manufacturer:Philips Medical Systems
510(k) Clearance:K153318 (December 22, 2015)
Classification Regulation:21 CFR 892.1680
Classification Name:Solid State X-ray Imager (Flat
Panel/Digital Imager)
Classification Panel:90 - Radiology
Device Class:Class II
Product Code:MQB
Secondary Product Code:LLZ

Device Description:

The MobileDiagnost M50 is a digital mobile X-ray system, used to perform X-ray examinations in different locations of a hospital,

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particularly for the patient who cannot be transferred to a fixed X-ray room. The MobileDiagnost M50 allows the user to take X-rays on a digital wireless detector and the image can then be viewed on the Eleva Workspot.

The MobileDiagnost M50 consists of a mobile base unit and a user interface combined with a flat solid state X-ray detector. It is used by the operator to generate, process and handle digital X-ray images.

The MobileDiagnost M50 is a mobile radiographic system used for Indications for general X-ray imaging. This system can be used for taking x-ray images Use: of patients who can't be moved to a fixed system. Applications include examinations of chest, upper and lower extremities, spinal column, skull radiography and abdominal cavities. MobileDiagnost M50 is not suitable for Mammography.

Fundamental The MobileDiagnost M50 employs the same basic construction and Scientific fundamental scientific technology as the currently marketed and predicate Technology: MobileDiagnost wDR 2.0 (K141895), with regards to the functionality of the following components: high-voltage generator, dual-focus rotation anode X-Ray tube, manual beam limiting device, digital wireless detector, and workstation for post-processing, storage and viewing images (see the comparison table comparing the MobileDiagnost M50 to the currently marketed and predicate MobileDiagnost wDR 2.0 provided below).

The outcome of this comparison demonstrates that the minor differences in the technological characteristics do not affect the safety or effectiveness of the MobileDiagnost M50 when compared to the currently marketed and predicate MobileDiagnost wDR 2.0.

The wireless portable detector of the MobileDiagnost M50 is identical to the wireless portable detector (PaxScan 4336Wv4) of the currently marketed and reference device, Varian Nexus DRTM Digital X-ray Imaging System manufactured by Varian Medical System (K161459, cleared Sept 6, 2016). Therefore, both the wireless portable detector of the MobileDiagnost M50 and the wireless portable detector of the reference device, Varian Nexus DR"M Digital X-ray Imaging System employ identical fundamental scientific technology.

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| Summary of Technological Characteristics of the MobileDiagnost M50 to the

Currently Marketed and Predicate Device
FeatureCurrently Marketed and
Predicate
MobileDiagnost wDR
2.0
(K141895)Proposed
MobileDiagnost
M50Discussion
Basic Information
Base Unit
TypeMobile X-ray unit with
wireless detectorSameNo difference; thus,
demonstrating SE.
Dimensions:
(l x w x h)
In operation
max.2550 mm x 670 mm x
2125 mm1836 mm x 618 mm
2293 mmThe minor differences in
the dimensions do not
impact the safety or
effectiveness of the
device. Thus,
demonstrating SE.
Dimensions:
(l x w x h)
In transport1375 mm x 670 mm x
1980 mm1371 mm x 618 mm
x 1500 mmThe minor differences in
the dimensions do not
impact the safety or
effectiveness of the
device. Thus,
demonstrating SE.
Dimensions:
Source -
floor distance550 mm to 2020 mm416 mm to 2056
mmThe minor differences in
the dimensions do not
impact the safety or
effectiveness of the
device. Thus,
demonstrating SE.
Mono bloc
rotation
around arm
axis+/-180°SameNo difference; thus,
demonstrating SE.
Mono bloc
rotation
around its
axis+90° to -30°+102° to -49°The minor differences in
the rotation around the
axis do not impact the
safety or effectiveness of
the device. Thus,
demonstrating SE.
Mains
Supply100 VAC/110 VAC/230
VAC±10%
50 Hz/60 Hz98-120VAC/ 195-
240VAC,
50 Hz /60 HzThe minor differences in
the mains supply do not
impact the safety or
effectiveness of the
device. Thus,
demonstrating SE.
Mode of
Releasing
ExposureReleasing Exposure via
Hand switch or via
Remote Control
(Optional)SameNo difference; thus,
demonstrating SE.
Available
exposure
methodsFree exposure technique
on film cassettes or CR
systemsSameNo difference; thus,
demonstrating SE.
Detector
TypeDigital wireless flat
detectorSameNo difference; thus,
demonstrating SE.
ScintillatorCesium IodideGadoxThe proposed
MobileDiagnost M50
uses the same wireless
detector as in the
Detector sizeLarge detector:
14" x 17"
Small detector:
12" x 10"Same: Large
detector: 14" x 17"reference device: Nexus
DR™ Digital X-ray
Imaging System (with
PaxScan 4336Wv4)
(K161459), therefore
there is no impact on
safety and effectiveness.
Thus, demonstrating SE.
No difference; thus,
demonstrating SE.
Active areaLarge detector:
13.6" x 16.6"
Small detector:
8.7" x 11.2"Large detector:
13.4" x 16.7"The proposed
MobileDiagnost M50
uses the same wireless
detector as in the
reference device: Nexus
DR™ Digital X-ray
Imaging System (with
PaxScan 4336Wv4)
(K161459), therefore
there is no impact on
safety and effectiveness.
Thus, demonstrating SE.
Image matrix
sizeLarge detector:
2330 x 2846 pixels
Small detector:
1500 x 1920 pixelsLarge detector:
2476 x 3072 pixelsThe proposed
MobileDiagnost M50
uses the same wireless
detector as in the
reference device: Nexus
DR™ Digital X-ray
Imaging System (with
PaxScan 4336Wv4)
(K161459), therefore
there is no impact on
safety and effectiveness.
Thus, demonstrating SE.
Pixel size148 µm139 µmThe proposed
MobileDiagnost M50
uses the same wireless
detector as in the
reference device: Nexus
DR™ Digital X-ray
Imaging System (with
PaxScan 4336Wv4)
(K161459), therefore
there is no impact on
safety and effectiveness.
Thus, demonstrating SE.
Analog /
Digital (A/D)
conversion16 bitsSameNo difference; thus,
demonstrating SE.
Image
resolution3.38 lp/mm3.6 lp/mmThe proposed
MobileDiagnost M50
uses the same wireless
detector as in the
reference device: Nexus
DR™ Digital X-ray
Imaging System (with
PaxScan 4336Wv4)
(K161459), therefore
there is no impact on
safety and effectiveness.
Thus, demonstrating SE.
Design Characteristics
X- Ray Tube
TypeTOSHIBA E7886XX22The proposed
MobileDiagnost M50 X-
ray tube operates in the
same manner, therefore
there is no impact to
safety and effectiveness.
Thus, demonstrating SE.
MaterialRhenium-Tungsten,
MolybdenumSameNo difference; thus,
demonstrating SE.
Maximum
tube voltage150 kVp130 kVpThe minor differences in
the maximum tube
voltage does not impact
safety or effectiveness of
the device. Thus,
demonstrating SE.
Nominal
focal spot0.7/1.30.8 /1.3The minor difference in
the focal spot size does
not impact safety or
effectiveness of the
device. Thus,
demonstrating SE.
Anode typeRotatingSameNo difference; thus,
demonstrating SE.
Nominal
anode input
power20kW, 40kW16kW, 32kWThe difference in the
nominal anode input
power does not impact
safety or effectiveness of
the device. Thus,
demonstrating SE.
Generator
Power20kW, 40kW16kW, 32kWThe minor difference in
the power does not
impact the safety or
effectiveness of the
device. Thus,
demonstrating SE.
TypeHigh frequencySameNo difference; thus,
demonstrating SE.
kV range40 - 150 kV (1kV steps)40 - 125 kV (1kV
steps)The minor difference in
the maximum tube
voltage does not impact
the safety or
effectiveness of the
device. Thus,
demonstrating SE.
Milli ampere
sec
(mAs) range0.1 mAs - 500 mAs0.1 mAs - 110 mAsThe difference in the
mAs range does not
impact the safety or
effectiveness of the
device because the
required detector dose
can be achieved for all
clinical examinations for
the MobileDiagnost
M50. Therefore, there is
no impact on the safety
and effectiveness of the
device; thus,
demonstrating SE.
Collimator
Operation
modeManual with light field
indicator, multilayer,
squared fieldSameNo difference; thus,
demonstrating SE.
Shape of the
beamRectangularSameNo difference; thus,
demonstrating SE.
External Connectivity
DICOMDICOM compatibleSameNo difference; thus,
demonstrating SE.
Software Platform
SoftwarePhilips Eleva WorkspotSameThe proposed
MobileDiagnost M50
and the currently
marketed and predicate
Philips MobileDiagnost
wDR 2.0 both use the
same software platform,
the Philips Eleva
Workspot with SkyFlow
(K153318). Therefore,
there is no impact on the
safety and effectiveness
of the device; thus,
demonstrating SE.

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Based on the information provided above, the MobileDiagnost M50 is considered substantially equivalent to the currently marketed and predicate MobileDiagnost wDR 2.0 (K141895, September 18, 2014) in terms of fundamental scientific technology.

| Summary of Non-Clinical
Performance
Data: | The MobileDiagnost M50 complies with the following International
and FDA-recognized consensus standards: ISO 14971, Application of risk management to medical devices IEC 60601-1, Medical Electrical Equipment – Part 1: General
requirements for basic safety and essential performance. IEC 60601-1-2, Medical electrical equipment – Part 1-2: General
requirements for basic safety and essential performance –
Collateral Standard: Electromagnetic Compatibility –
Requirements and tests IEC 60601-1-3, Medical Electrical Equipment Part 1-3: General
Requirements for Basic Safety and Essential Performance.-
Collateral Standard: Radiation Protection in Diagnostic X-Ray
Equipment. IEC 60601-1-6, Medical Electrical Equipment Part 1-6: General
Requirements for Basic Safety and Essential Performance-
Collateral Standard: Usability IEC 60601-2-54, Medical Electrical Equipment- Part 2-54:
Particular Requirements for the Basic Safety and Essential
Performance of X-Ray Equipment for Radiography and
Radioscopy |

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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  • IEC 62304, Medical Device Software Software Life Cycle ● Processes.
  • IEC 62366, Medical devices - Application of Usability Engineering to Medical Devices.
  • ISO 10993-1, Biological Evaluation of Medical Devices. ● Evaluation and Testing within a Risk Management Process
  • ISO 13485, Quality management for medical devices
  • CFR 1020.30 Diagnostic x-ray systems and their major components.
  • CFR 1020.31 Radiographic equipment. ●
  • Guidance Document, entitled "Guidance for the ● FDA Submission of 510(k)'s for Solid State X-ray Imaging Devices" issued September 1, 2016
  • FDA Guidance Document entitled, "Guidance for the Content of ● Premarket Submissions for Software Contained in Medical Devices" issued May 11, 2005
  • FDA Draft Guidance Document entitled, "Pediatric Information ● for X-ray Imaging Device Premarket Notifications" issued May 10, 2012

Non-clinical verification and validation tests have been performed with regards to the intended use, the technical claims, requirement specifications, and the risk management results.

Non-clinical verification and validation test results demonstrate that the MobileDiagnost M50:

  • . Complies with the aforementioned international and FDArecognized consensus standards and FDA guidance documents.
  • . Meets the acceptance criteria and is adequate for its intended use.

Therefore, the MobileDiagnost M50 is substantially equivalent to the currently marketed and predicate MobileDiagnost wDR 2.0 (K141895, September 18, 2014) in terms of safety and effectiveness.

Summary of Clinical Data:

The MobileDiagnost M50 did not require a clinical study since substantial equivalence to the currently marketed and predicate MobileDiagnost wDR 2.0 was demonstrated with the following attributes:

  • Design features;
  • Indication for use;
  • Fundamental scientific technology; ●
  • Non-clinical performance testing including validation; and ●
  • Safety and effectiveness. ●

Furthermore, the MobileDiagnost M50 employs an already cleared wireless detector by Varian Medical Systems (Varian PaxScan 4336Wv4 of the reference device, Varian Nexus DRTM Digital X-ray Imaging

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System - K161459, cleared on 09/06/2016); therefore a clinical image study is not required.

Substantial The MobileDiagnost M50 is substantially equivalent to the currently marketed and predicate MobileDiagnost wDR 2.0 (K141895, September Equivalence Conclusion: 18, 2014) in terms of design features, fundamental scientific technology, indications for use, and safety and effectiveness.

Additionally, substantial equivalence was demonstrated with non-clinical performance (verification and validation) tests, which complied with the requirements specified in the international and FDA-recognized consensus standards, ISO 14971, IEC 60601-1, IEC 60601-1-2, IEC 60601-1-3, IEC 60601-2-54, IEC 60601-1-6, IEC 62304, IEC 62366, and ISO 10993-1.

The results of these tests demonstrate that the MobileDiagnost M50 met the acceptance criteria and is adequate for its intended use.