K Number
K221567
Device Name
LCD monitor (HMD3C21S), LCD monitor (HMD5G21S)
Date Cleared
2022-07-26

(56 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
HMD3C21S : The 3MP Color LCD Monitor HMD3C21S is indicated for use in displaying radiological images for review, and diagnosis by trained medical practitioners. The display is not intended for mammography. HMD5G21S : The 5MP Monochrome LCD Monitor HMD5G21S is intended to be used in displaying and viewing medical images for diagnosis by trained medical practified personnel. It is intended to be used in digital mammography PACS, digital breast tomosynthesis and modalities including FFDM.
Device Description
The LCD monitor employs high-luminance LCD panel, and is designed for medical image display.
More Information

Not Found

No
The document describes a medical monitor for displaying images and mentions image processing, but there is no mention of AI, ML, or related concepts like deep learning or neural networks. The performance studies focus on display characteristics, not algorithmic performance.

No.
The device is a medical image display monitor used for diagnosis and review by medical practitioners, not for direct therapeutic intervention on a patient.

Yes

The device is indicated for displaying radiological images for review and diagnosis by trained medical practitioners, and for displaying and viewing medical images for diagnosis, including in digital mammography PACS and digital breast tomosynthesis.

No

The device is a physical LCD monitor designed for displaying medical images, not a software-only application. The description explicitly mentions "LCD monitor," "high-luminance LCD panel," and physical performance testing.

Based on the provided information, neither the HMD3C21S nor the HMD5G21S are IVD (In Vitro Diagnostic) devices.

Here's why:

  • IVD devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. The intended use and device description clearly state that these monitors are for displaying and viewing radiological images for diagnosis. These images are generated by modalities like X-rays, mammography, etc., which are external imaging techniques, not the analysis of biological specimens.
  • The intended use is focused on displaying images for visual interpretation by medical practitioners. This is a crucial distinction from IVD devices, which perform analytical tests on biological samples.
  • The performance studies described are related to the display characteristics (luminance, resolution, uniformity, etc.) which are relevant to image quality and viewing, not the analytical performance of a diagnostic test on a biological sample.

In summary, these devices are medical image display monitors, not devices that perform in vitro diagnostic tests.

N/A

Intended Use / Indications for Use

HMD3C21S : The 3MP Color LCD Monitor HMD3C21S is indicated for use in displaying radiological images for review, and diagnosis by trained medical practitioners. The display is not intended for mammography.
HMD5G21S : The 5MP Monochrome LCD Monitor HMD5G21S is intended to be used in displaying and viewing medical images for diagnosis by trained medical practified personnel. It is intended to be used in digital mammography PACS, digital breast tomosynthesis and modalities including FFDM.

Product codes (comma separated list FDA assigned to the subject device)

PGY

Device Description

The LCD monitor employs high-luminance LCD panel, and is designed for medical image display.

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 or certified personnel

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 recommended physical laboratory tests were performed on the proposed devices HMD3C21S and HMD5G21S.
Measurements for both devices include:
a. Spatial resolution: By reporting modulation transfer function.
b. Pixel defects (maximum counts, allowed defect types, and locations): Maximum number allowed for each type.
c. Artifacts: Crosstalk and Ghost.
e. Luminance (maximum, minimum, achievable, and recommended): Measure the maximum, minimum, achievable, and recommended luminance.
f. Conformance to a gray scale-to-luminance function (for example, DICOM GSDF): Luminance Response by AAPM-TG18.

Additional measurements for HMD3C21S:
d. Temporal response: Measure the rise and fall time constants for 5 – 95% and 40 - 60% luminance transitions.
m. Color tracking (primary colors and color gamut): Measure the primary colors and color gamut.

Additional measurements for HMD5G21S:
d. Temporal response: Measure the rise and fall time constants at several (e.g. every 15 levels) grayscale intervals between 0 and 255.
g. Luminance at 30° and 45° in diagonal horizontal, and vertical directions at center and four corners: By AAPM TG18.
h. Luminance uniformity or Mura test: Luminance uniformity and Chromaticity uniformity by AAPM TG18.
i. Stability of luminance and chromaticity response with temperature and time of operation or on-time: By AAPM TG18.
j. Spatial noise: By noise power spectrum.
k. Reflection coefficient: By specular reflection coefficient and diffuse reflection coefficient.
l. Veiling glare or small-spot contrast: By AAPM TG18.
n. Gray tracking (gray shades and white points): Measure the maximum chromaticity variation by IEC.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K201211, K191137

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

Image /page/0/Picture/0 description: The image contains 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.

Qingdao Hisense Medical Equipment Co., Ltd. % Hanson Chen Official Correspondent Shenzhen Joyantech Consulting Co., Ltd. 1713A,17th Floor, Block A, Zhongguan Times Square, Nanshan District, Shenzhen Shenzhen, Guangdong GD755 CHINA

July 26, 2022

Re: K221567

Trade/Device Name: LCD monitor (HMD3C21S), LCD monitor (HMD5G21S) Regulation Number: 21 CFR 892.2050 Regulation Name: Medical image management and processing system Regulatory Class: Class II Product Code: PGY Dated: May 5, 2022 Received: May 31, 2022

Dear Hanson Chen:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Jessica Lamb. Ph.D. Assistant Director Imaging Software Team DHT8B: Division of Radiological Imaging Devices and Electronic Products OHT8: Office of Radiological Health Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K221567

Device Name

LCD Monitor HMD3C21S, LCD Monitor HMD5G21S.

Indications for Use (Describe) HMD3C21S :

The 3MP Color LCD Monitor HMD3C21S is indicated for use in displaying radiological images for review, and diagnosis by trained medical practitioners. The display is not intended for mammography.

HMD5G218 :

The 5MP Monochrome LCD Monitor HMD5G21S is intended to be used in displaying and viewing medical images for diagnosis by trained medical practified personnel. It is intended to be used in digital mammography PACS, digital breast tomosynthesis and modalities including FFDM.

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)

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Version: A/0

510(k) Summary

1. Contact Details

K221567

1.1 Applicant information
Applicant NameQingdao Hisense Medical Equipment Co., Ltd.
AddressNo. 399 Songling Road, Laoshan District 266100, Qingdao,
Shandong, P. R. China
Phone No.+86-532-83091111
Contact personLi Mingcheng
Contact person's e-maillimingcheng@hisense.com
Date PreparedMay 5, 2022

1.2 Submission Correspondent

NameShenzhen Joyantech Consulting Co., Ltd
Address1713A, 17th Floor, Block A, Zhongguan Times Square, Liuxian
Avenue, Xili Town, Nanshan District, Shenzhen, Guangdong,
518000, China
Phone No.+86-755-86069197
Contact personHanson Chen
Contact person's e-mailhanson@cefda.com
Websitehttp://www.cefda.com

2. Device information

Trade nameLCD monitor
ModelHMD3C21S, HMD5G21S
ClassificationII
Classification nameMedical image management and processing system
Product codePGY
Regulation No.892.2050

3. Legally Marketed Predicate Device

Trade Name3MP Color LCD Monitors C32S+, C32SP+, 3MP Monochrome
510(k) NumberK201211
Product CodePGY
ManufacturerShenzhen Beacon Display Technology Co., Ltd.
Trade Name5MP Color LCD Monitor CL-S500, 5MP Monochrome LCD
Monitor MS-S500
510(k) NumberK191137
Product CodePGY
ManufacturerJVC KENWOOD Corporation

4. Device Description


4

The LCD monitor employs high-luminance LCD panel, and is designed for medical image display.

5. Intended Use/Indication for Use

The 3MP Color LCD Monitor HMD3C21S is indicated for use in displaying radiological images for review, analysis, and diagnosis by trained medical practitioners. The display is not intended for mammography.

The 5MP Monochrome LCD Monitor HMD5G21S is intended to be used in displaying and viewing medical images for diagnosis by trained medical practitioners or certified personnel. It is intended to be used in digital mammography PACS, digital breast tomosynthesis and modalities including FFDM.

6. Substantial Equivalence Comparison

  • 6.1 HMD3C21S and its predicate device:

| Elements of

ComparisonSubject DevicePredicate DeviceRemarks
510(k) NumberPendingK201211/
ManufacturerQingdao Hisense Medical
Equipment Co., LtdShenzhen Beacon Display
Technology Co., Ltd./
Device
type/modelHMD3C21S3MP Color LCD Monitors
C32S+, C32SP+/
Intended use/
Indication for useThe 3MP Color LCD Monitor
HMD3C21S is indicated for
use in displaying radiological
images for review, analysis,
and diagnosis by trained
medical practitioners. The
display is not intended for
mammography.The 3MP Color LCD Monitors
C32S+, C32SP+ are indicated
for use in displaying radiological
images for review, analysis, and
diagnosis by trained medical
practitioners. The displays are
not intended for mammography.Same
Prescription or
OTCRXRXSame
Electrical SafetyCompliance with IEC 60601-1Compliance with IEC 60601-1Same
EMCCompliance with IEC 60601-1-2Compliance with IEC 60601-1-2Same
Performance
testingFDA guidance "Display devices for Dignostic Radiology"FDA guidance "Display devices
for Dignostic Radiology"Same
Elements of
ComparisonCandidate DevicePredicate DeviceRemarks
510(k) NumberPendingK201211/
ManufacturerQingdao Hisense Medical
Equipment Co., LtdShenzhen Beacon
Display Technology Co.,
Ltd./
Device type/modelHMD3C21S3MP Color LCD Monitors
C32S+, C32SP+/
Display technologyColor LCD panel (IPS)Color (IPS)Same
Screen size
(Display area)540mm/21.3"
324.86 x 433.15 mm54.1cm/21.3"
324.86 x 433.15 mmSame
Backlight typeLEDLEDSame
Backlighting1000 cd/m²1000 cd/m²Same
Frame Rate and
Refresh Rate
(Scanning
Frequency)60Hz59-61HzSame
Pixel array
(Resolution or
Matrix Size)1536 x 20481536 x 2048Same
Pixel pitch0.2115 x 0.2115 mm0.2115 x 0.2115 mmSame
Subpixel driving
(spatial and
temporal dithering)NA, no such function.Not available/
Display interface
(Input Video
Signal)DVI-D x 1,
Displayport x 1DVI-D x 1,
Displayport x 1Same
Video bandwidthDVI: 215MHz
DisplayPort: 215MHzDVI: 216MHz
DisplayPort: 216MHzSimilar
User controlQuality-control software
The calibration functionNot available/
Ambient light
sensingBuilt-in ambient light sensorAmbient light sensorSame
Touch-screen
technologyNA, the screen is not
touch-screen.Not available/
Luminance
calibration toolsFront-facing sensor
Body sensor
Quality-control softwareIntegrated optical
sensor
External optical sensor
Calibration software:
Beacon Monitor
ManageSimilar
Elements of
ComparisonCandidate DevicePredicate DeviceRemarks
control proceduresManagedesign
scheme
Software/Firmware:
Viewing angleHorizontal: 178°
Vertical: 178°178° / 178°Same
Response time
(typical)25 ms25 msSame
Contrast ratio
(typical)1500:11500:1Same
Display colors10737418241.073 billionSame
Power
requirementsDC 24V /3.1ADC 12V /6.67ADifference
between
voltage and
electricity
Maximum power
consumption74.4W80WDifference
design
scheme
Power save modeLess than 0.5WLess than 5WDifference
design
scheme
SensorsFront-facing sensor
Body sensor
Ambient light sensorBacklight sensor
Integrated front sensor
Ambient light sensorDifference
design
scheme
USB portsUSB 2.0 x 3USB 2.0: Type-B x 1Difference
design
scheme
Net weight10.31 KG9.5 KGDifferent
weight due
to different
components
and parts
VESA standard100 x 100mm100 x 100mmSame
Dimensions366 x 557~677 x 273,
366 x 482 x 63369 x 220 x
511.5~596.15Different
housing
design due
to the
different
panel size
Elements of
ComparisonSubject DevicePredicate DeviceRemarks
510(k) NumberPendingK191137/
ManufacturerQingdao Hisense Medical
Equipment Co., LtdJVC KENWOOD Corporation/
Device
type/modelHMD5G21SMS-S500/
Intended use/
Indication for
useThe 5MP Monochrome LCD
Monitor HMD5G21S is intended
to be used in displaying and
viewing medical images for
diagnosis by trained medical
practitioners or certified
personnel. It is intended to be
used in digital mammography
PACS, digital breast
tomosynthesis and modalities
including FFDM.MS-S500 is intended to be used
in displaying and viewing
medical images for diagnosis by
trained medical practitioners or
certified personnel.
It is intended to be used in digital
mammography PACS, digital
breast tomosynthesis and
modalities including FFDM.Same
Prescription or
ОТСRXRXSame
Electrical
SafetyCompliance with IEC 60601-1Compliance with IEC 60601-1Same
EMCCompliance with IEC 60601-1-2Compliance with IEC 60601-1-2Same
Performance
testingFDA guidance "Display devices
for Dignostic Radiology"FDA guidance "Display devices
for Dignostic Radiology"Same

Table 01: General Comparison Table

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Version: A/0

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Version: A/0

6.2 HMD5G21S and its predicate device:

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Version: A/0

Table 03: General Comparison Table

Table 04: Detailed Comparison Table

| Elements of

ComparisonSubject DevicePredicate DeviceRemarks
510(k) NumberPendingK191137/
ManufacturerQingdao Hisense Medical
Equipment Co., LtdJVC KENWOOD
Corporation/
Device type/modelHMD5G21SMS-S500/
Display technologyGray scale LCD panel (IPS)TFT Monochrome LCD
Panel (IPS)Difference
between gray
and
monochrome
Screen Size
(Display Area)Horizontal: 422.4mm
Vertical: 337.92mmHorizontal: 337.92mm
Vertical: 422.4mmSame
Backlight typeLEDLEDSame
Elements of
ComparisonSubject DevicePredicate DeviceRemarks
Brightness3000 cd/m²3000 cd/m²Same
Frame Rate and
Refresh Rate
(Scanning
Frequency)50HzPortrait:
Horizontal:129.1KHz
Vertical:50Hz
Landscape:
Horizontal:103.5KHz
Vertical:50HzDifference
design
scheme
Pixel array
(Resolution or
Matrix Size)2048 x 25602048 x 2560Same
Pixel pitch0.165 x 0.165 mm0.165 x 0.165 mmSame
Subpixel driving
(spatial and
temporal dithering)NA, no such function.Not available/
Display interface
(Input Video
Signal)DVI-D x 1,
Displayport x 1DVI-D x 1,
Displayport x 1Same
Video bandwidthDVI : 215MHz
DisplayPort : 215MHzNot available/
User controlQuality-control software
The calibration functionQA Medivisor /
Medivisor NX F-CALDifference
design
scheme
Ambient light
sensingBuilt-in ambient light sensorBuilt-in ambient light
sensorSame
Touch-screen
technologyNA, the screen is not
touch-screen.Not available/
Luminance
calibration toolsBuilt-in calibration sensor
Quality control softwareIntegrated optical
sensor
External optical sensor
Calibration software:
Beacon Monitor ManageDifference
design
scheme
Software/Firmware:
Viewing angleHorizontal: 178°
Vertical: 178°Horizontal: 178°
Vertical: 178°Same
Aspect ratio5:44:5Same
Response time
(typical)25 ms25 msSame
Contrast ratio
(typical)2000:12000:1Same
Grayscale tones256 gray scales/single10-bit (DisplayPort):Difference
Elements of
ComparisonSubject DevicePredicate DeviceRemarks
subpixels (for DP 10-bit
input)1,024 from a palette of
16,369 tones
8-bit (DVI): 256 from a
palette of 16,369 tonesdesign
scheme
Power
requirementsDC 24V, 3.3AAC 100-240V, 50/60HzDifference
between
built-in power
supply and
built-out
power supply
Maximum power
consumption79.2W80WDifference
design
scheme
Power save modeLess than 0.5WLess than 1WDifference
design
scheme
SensorsFront-facing sensor
Ambient light sensorFront sensor
Ambient light sensorSame
USB ports1 uplink
2 downlink /Rev.2.01 upstream
2 downstream /Rev.2.0Same
Dimensions366 x 495~610 x 58,
366 x 496 x 58361 x 517/612 x 196.5Different
housing
design due
to the
different
panel size

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Version: A/0

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Version: A/0

7. Performance Testing-Bench

The recommended physical laboratory tests were performed on the proposed devices HMD3C21S and HMD5G21S.

MeasurementsHMD3C21SHMD5G21S
a. Spatial resolutionBy reporting modulation
transfer function.By reporting modulation transfer
function.
b. Pixel defects (maximum counts,
allowed defect types, and locations)Maximum number
allowed for each type.Maximum number allowed for
each type.
c. ArtifactsCrosstalk and Ghost.Crosstalk and Ghost.
d. Temporal responseMeasure the rise and fall
time constants for 5 –
95% and 40 - 60%
luminance transitions.Measure the rise and fall time
constants at several (e.g. every
15 levels) grayscale intervals
between 0 and 255.

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Qingdao Hisense Medical Equipment Co., Ltd.

Product: LCD monitor
------------------------

Version: A/0

e. Luminance (maximum, minimum, achievable, and recommended)Measure the maximum, minimum, achievable, and recommended luminance.Measure the maximum, minimum, achievable, and recommended luminance.
f. Conformance to a gray scale-to-luminance function (for example, DICOM GSDF)Luminance Response by AAPM-TG18.Luminance Response by AAPM-TG18.
g. Luminance at 30° and 45°in diagonal horizontal, and vertical directions at center and four cornersNABy AAPM TG18.
h. Luminance uniformity or Mura testNALuminance uniformity and Chromaticity uniformity by AAPM TG18.
i. Stability of luminance and chromaticity response with temperature and time of operation or on-timeNABy AAPM TG18.
j. Spatial noiseNABy noise power spectrum.
k. Reflection coefficientNABy specular reflection coefficient and diffuse reflection coefficient.
I. Veiling glare or small-spot contrastNABy AAPM TG18.
m. Color tracking (primary colors and color gamut)Measure the primary colors and color gamut.NA, HMD5G21S employs gray scale LCD panel.
n. Gray tracking (gray shades and white points)NAMeasure the maximum chromaticity variation by IEC

8. Clinical testing

Not applicable.

    1. Other information (such as required by FDA guidance/Test) Not applicable.

10. Conclusions Drawn from Non-Clinical and Clinical Tests

The LCD monitor is substantially equivalent to the legally marketed predicate device 3MP Color LCD Monitors C32S+, C32SP+ (K201211) and 5MP Monochrome LCD Monitor MS-S500 (K191137).