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510(k) Data Aggregation

    K Number
    K191137
    Date Cleared
    2019-07-02

    (64 days)

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

    CL-S500 and MS-S500 are intended to be used in displaying medical images for diagnosis by trained medical practitioners or certified personnel. They're intended to be used in digital mammography PACS, digital breast tomosynthesis and modalities including FFDM.

    Device Description

    CL-S500 : 21.3 inch Color LCD Monitor 2048 x 2560 (landscape), 2560 x 2048 (portrait)
    High-luminance color LCD panel, which has wide view angle, is used for this product. It is designed for medical image display.
    Luminance stabilization function composed with luminance sensor and luminance control circuit always observes the luminance and makes it stable.
    Images are faithfully displayed along grayscale characteristics (DICOM GSDF) based on the calibrated data stored to the lookup table of the monitor.
    It minimizes luminance unevenness and color unevenness by Uniformity Correction Function to achieve the uniformity of luminance and color on the whole screen.
    Quantitative evaluation and visual evaluation are done before the shipment. Quality control along the QC quideline is conducted

    MS-S500 : 21.3 inch Monochrome LCD Monitor 2048 x 2560 (landscape), 2560 x 2048 (portrait)
    High-luminance monochrome LCD panel, which has wide view angle, is used for this product. It is designed for medical image display.
    Luminance stabilization function composed with luminance sensor and luminance control circuit always observes the luminance and makes it stable.
    Images are faithfully displayed along grayscale characteristics (DICOM GSDF) based on the calibrated data stored to the lookup table of the monitor.
    It minimizes luminance unevenness by Uniformity Correction Function to achieve the uniformity of luminance on the whole screen.
    Quantitative evaluation and visual evaluation are done before the shipment. Quality control along the QC guideline is conducted.

    AI/ML Overview

    The acceptance criteria for the JVC Kenwood CL-S500 (color) and MS-S500 (monochrome) LCD monitors, intended for medical image display in digital mammography PACS, digital breast tomosynthesis, and FFDM, are based on a comparison to a predicate device (CCL550i2/ K160326) and adherence to established display quality standards (AAPM-TG18 and ISO13406-2).

    The study primarily focuses on demonstrating substantial equivalence by comparing the technical specifications and performance of the new devices to the predicate device and relevant industry standards.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't explicitly list "acceptance criteria" as a separate, quantitative target for each metric beyond direct comparison to the predicate device or a reference to a standard (e.g., AAPM-TG18 passing criteria). However, the "Explanation of Differences" column in the substantial equivalence comparison tables implicitly suggests the acceptance criteria where the new device must be equivalent to or better than the predicate, or meet the requirements of the specified standard.

    Metric (Acceptance Criteria Implicitly Derived)Predicate Device Performance (CCL550i2)CL-S500 Performance (Color)MS-S500 Performance (Monochrome)Explanation / Conformance
    Response Time (typical)25ms (On/Off)25ms (On/Off)25ms (On/Off)Equivalent
    Resolution or Matrix Size5MP (2048 x 2560)5MP (2048 x 2560)5MP (2048 x 2560)Equivalent
    Screen TechnologyTFT Color LCD Panel (IPS)TFT Color LCD Panel (IPS)TFT Monochrome LCD Panel (IPS)CL-S500 Equivalent; MS-S500 different (monochrome) but intended use is for monochrome imaging, so acceptable.
    BacklightingLEDLEDLEDEquivalent
    Maximum LuminanceMin. 700cd/m², Typ. 1000cd/m²Min. 920cd/m², Typ. 1150cd/m²Min. 2400cd/m², Typ. 3000cd/m²CL-S500: Better; MS-S500: Better
    DICOM Calibrated Luminance500cd/m²500cd/m²1000cd/m²CL-S500: Equivalent; MS-S500: Better
    Viewing Angle (CR > 50)H: Typ. 176°, V: Typ. 176°H: Typ. 178°, V: Typ. 178°H: Typ. 178°, V: Typ. 178°Both: Better
    Display Area337.92mm (H), 422.4mm (V)337.92mm (H), 422.4mm (V)337.92mm (H), 422.4mm (V)Equivalent
    Aspect Ratio4:54:54:5Equivalent
    Pixel Pitch0.165mm (H), 0.165mm (V)0.165mm (H), 0.165mm (V)0.165mm (H), 0.165mm (V)Equivalent
    Contrast RatioMin. 1000:1, Typ. 1300:1Min. 1600:1, Typ. 2000:1Min. 1600:1, Typ. 2000:1Both: Better
    Grayscale Tones (DisplayPort)10-bit (1024 from 65,473)10-bit (1.073B, 1024 from 16,369)10-bit (1024 from 16,369)CL-S500: Different palette size, but passes AAPM-TG18. MS-S500: Different palette size, but passes AAPM-TG18. Considered equivalent as they meet standard.
    Non-Uniformity CompensationDigital Uniformity correction SystemDigital Uniformity correction SystemDigital Uniformity correction SystemEquivalent
    Input Video SignalDVI-D x1, DisplayPort x1DVI-D x1, DisplayPort x1DVI-D x1, DisplayPort x1Equivalent
    Scanning FrequencyPortrait: H:129.1KHz, V:50Hz; Landscape: H:103.5KHz, V:50HzPortrait: H:129.1KHz, V:50Hz; Landscape: H:103.5KHz, V:50HzPortrait: H:129.1KHz, V:50Hz; Landscape: H:103.5KHz, V:50HzEquivalent
    Dot Clock285 MHz285 MHz285 MHzEquivalent
    Power RequirementsAC100-240V, 50/60HzAC100-240V, 50/60HzAC100-240V, 50/60HzEquivalent
    Power Consumption95W (operational), <2W (standby)95W (operational), <1W (standby)80W (operational), <1W (standby)Both: Equivalent or Better (standby)
    Power ManagementDVI DMPM, DisplayPort 1.1aDVI DMPM, DisplayPort 1.2aDVI DMPM, DisplayPort 1.2aEquivalent (newer DisplayPort standard)
    QA SoftwareQA Medivisor / Medivisor NX, F-CALQA Medivisor / Medivisor NX, F-CALQA Medivisor / Medivisor NX, F-CALEquivalent
    SensorBuilt-in Front Sensor, Built-in Ambient Light SensorBuilt-in Front Sensor, Built-in Ambient Light SensorBuilt-in Front Sensor, Built-in Ambient Light SensorEquivalent
    USB Ports / Standard1 upstream, 2 downstream / Rev. 2.01 upstream, 2 downstream / Rev. 2.01 upstream, 2 downstream / Rev. 2.0Equivalent
    Dimensions w/o Stand(AR,N) 474.5x390x98.1mm, (F) 474.5x390x103.7mm(G) 361.5x517/612x196.5mm(G) 361.5x517/612x196.5mmDifferent physical dimensions (acceptable as long as performance is equivalent)
    Spatial Resolution (MTF)(Implied to meet standard)MTF measurement method that uses a bar-pattern image. (Rectangle chart method)MTF measurement method that uses a bar-pattern image. (Rectangle chart method)Tested against industry-standard method.
    Pixel defects(Implied to meet standard)ISO13406-2 and Flat Panel Display Measurement Standard [VESA 2001] used.ISO13406-2 and Flat Panel Display Measurement Standard [VESA 2001] used.Tested against industry-standard method.
    Artifacts(Implied to meet standard)Artifacts (phase or clock, ringing, ghosting, image sticking, etc.)Artifacts (phase or clock, ringing, ghosting, image sticking, etc.)Visual and quantitative evaluation for acceptability.
    Temporal response(Implied to meet standard)Typical data provided by panel manufacturer (5-95%, 10-90%, 40-60%)Typical data provided by panel manufacturer (5-95%, 10-90%, 40-60%)Data from manufacturer used.
    Luminance (min, max, calibrated)(Implied to meet standard)Lmin, and Lmax on the calibrated luminance confirmed by AAPM-TG18 "Luminance Response" test.Lmin, and Lmax on the calibrated luminance confirmed by AAPM-TG18 "Luminance Response" test.Passed AAPM-TG18.
    Grayscale-to-luminance conformance(Implied to DICOM GSDF)Luminance Response at 256 digital values by AAPM-TG18Luminance Response at 256 digital values by AAPM-TG18Passed AAPM-TG18 for DICOM GSDF.
    Angular dependency of luminance(Implied to meet standard)Angular dependency of luminance by AAPM-TG18Angular dependency of luminance by AAPM-TG18Passed AAPM-TG18.
    Luminance uniformity / Mura(Implied to meet standard)Luminance Uniformity by AAPM-TG18, Chromaticity by AAPM-TG18Luminance Uniformity by AAPM-TG18Passed AAPM-TG18.
    Stability of luminance/chromaticity(Implied to meet standard)0°C, 25°C, and 40°C on Luminance response by AAPM-TG18 (Power On Drift.)0°C, 25°C, and 40°C on Luminance response by AAPM-TG18 (Power On Drift.)Passed AAPM-TG18.
    Spatial noise(Implied to meet standard)Noise Power SpectrumNoise Power SpectrumTested.
    Reflection coefficient(Implied to meet standard)Specular reflection and Diffuse reflection by AAPM-TG18Specular reflection and Diffuse reflection by AAPM-TG18Passed AAPM-TG18.
    Veiling glare / small-spot contrast(Implied to meet standard)Veiling Glare test by AAPM-TG18Veiling Glare test by AAPM-TG18Passed AAPM-TG18.

    Note: For metrics not explicitly listed in the comparison table, such as Spatial Resolution, Pixel Defects, Artifacts, etc., the document refers to studies conducted according to specific standards (AAPM-TG18, ISO13406-2, VESA 2001). The "reported device performance" for these would be that the devices "pass" or "meet" the requirements of those standards.

    2. Sample size used for the test set and the data provenance:

    The document describes the testing performed on the devices themselves rather than on a dataset of medical images. The "test set" here refers to the actual monitors.

    • Sample size: Not explicitly stated as a number of units, but implied to be representative production units. The statement "Quantitative evaluation and visual evaluation are done before the shipment" (for both CL-S500 and MS-S500) indicates that each unit undergoes testing.
    • Data provenance: The performance data for the CL-S500 and MS-S500 are results of physical tests and measurements performed by JVC KENWOOD Corporation in Japan, as indicated by the company's address and the "Date Prepared" for the 510(k) summary. These are prospective tests on the manufactured devices.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    This is not applicable in the context of this submission. The "ground truth" for evaluating these monitors is defined by established technical measurement standards (e.g., AAPM-TG18 guidance, DICOM GSDF, ISO13406-2, VESA 2001) and comparisons to known specifications of a predicate device, not by expert human interpretation of medical images displayed on the monitors.

    4. Adjudication method for the test set:

    Not applicable. The product is a hardware display, and its performance is evaluated by objective technical measurements against established standards, not by human adjudication of diagnostic interpretations.

    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 a medical display monitor, not an AI-powered diagnostic algorithm. Therefore, no MRMC study on human reader performance with or without AI assistance 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 for a display monitor, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    The "ground truth" for the device's performance is objective technical specifications and adherence to established industry standards for medical displays. These include:

    • DICOM Grayscale Standard Display Function (GSDF): For grayscale-to-luminance function conformance.
    • AAPM Task Group 18 (AAPM-TG18) Guidance: For various display characteristics like luminance response, angular dependency, uniformity, reflection, and veiling glare.
    • ISO13406-2 and Flat Panel Display Measurement Standard [VESA 2001]: For pixel defects.
    • Predicate Device Specifications: For demonstrating substantial equivalence to a previously cleared device.

    8. The sample size for the training set:

    Not applicable. This is a hardware device (display monitor), not a machine learning algorithm.

    9. How the ground truth for the training set was established:

    Not applicable. This is a hardware device (display monitor), not a machine learning algorithm.

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