← Product Code [LLZ](/productcode/LLZ) · K120709

# THE DOME GX4MP COLOR NONITOR (K120709)

_Nds Surgical Imaging · LLZ · Apr 6, 2012 · Radiology · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K120709

## Device Facts

- **Applicant:** Nds Surgical Imaging
- **Product Code:** [LLZ](/productcode/LLZ.md)
- **Decision Date:** Apr 6, 2012
- **Decision:** SESE
- **Submission Type:** Special
- **Regulation:** 21 CFR 892.2050
- **Device Class:** Class 2
- **Review Panel:** Radiology

## Indications for Use

The Dome® GX4MP Color Monitor is intended to be used in displaying and viewing medical images for review and analysis by trained medical practitioners.

## Device Story

The Dome® GX4MP Color Monitor is a 30-inch, 4-megapixel color flat-panel AMLCD-TFT display; designed for radiology reading rooms. It accepts video input from IBM PC or compatible computers via an included PCI Express graphics board. The device features an integrated Dome RightLight Controller to monitor and stabilize backlight luminance. It provides a 2560 x 1600 pixel landscape resolution and supports simultaneous viewing of color and grayscale images. The monitor is operated by trained medical practitioners to review medical images; the output assists in clinical decision-making by providing high-resolution, calibrated visual data. The device is not intended for near-patient use.

## Clinical Evidence

No clinical data provided. Substantial equivalence is based on bench testing and comparison of technical specifications.

## Technological Characteristics

30-inch AMLCD-TFT flat-panel display; 4MP (2560x1600) resolution; 1786 shades of near-gray; integrated Dome RightLight Controller for backlight stabilization; PCI Express graphics board; internal IEC/EN 60950 power supply; molded plastic enclosure with integrated USB hub; DICOM calibrated.

## Regulatory 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.

## Special Controls

*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).

## Predicate Devices

- PLANAR DOME DIGITAL FLATPANEL DISPLAY SYSTEM, Model E4c ([K060136](/device/K060136.md))

## Submission Summary (Full Text)

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## K120709

APR - 6 2012

#### 510(K) SUMMARY

NDS Surgical Imaging, LLC 5750 Hellyer Avenue San Jose: CA 95138 USA '

Jim Leng Regulatory Engineer/NDS Surgical Imaging, LLC

February 15, 2012

408-776-0085 Tel: 408-776-9878 Fax:

Picture Archiving Communication System

System, Image Processing, Radiological

The Dome® GX4MP Color Monitor

21 CFR 892.2050

#### LLZ

Predicate K060136 PLANAR DOME DIGITAL FLATPANEL DISPLAY SYSTEM, Model E4c

The Dome® GX4MP Color Monitor is a 30-inch 4 megapixel Color flat-panel AMLCD-TFT monitor for use with IBM PC or PC compatible computers for widescreen imaging. The combination of high resolution and high contrast ratio allow the viewing of color and grayscale images simultaneously.

The Dome® GX4MP Color Monitor is intended to be used in displaying and viewing medical images for review and analysis by trained medical practitioners.

Bezel-free framing of 4 megapixels of data is presented in a landscape resolution of 2560 x 1600 pixels. Gamma correction is achieved on this true color display from a palette of 1786 near-gray values.

B. Submitted By:

A. Manufacturer:

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D. Contact Information:

E. Classification:

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G. Proprietary Name:

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J. Substantial Equivalence:

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M. Technological Characteristics:

San Jose, CA 95138 www.ndssi.com

Image /page/0/Picture/29 description: The image contains the word "GRADIANCE" in bold, black letters. The letters are stacked vertically, with the "G" at the top and the "E" at the bottom. The word appears to be a logo or brand name. The image is simple and straightforward, with a focus on the text.

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Image /page/1/Picture/0 description: The image shows the logo for NDS Surgical Imaging. The logo features a stylized graphic to the left of the text "NDS". Below the text is the phrase "SURGICAL - IMAGING" in a smaller font. The graphic consists of a grid of squares that appear to be receding into the distance, creating a sense of depth.

The integrated Dome RightLight Controller monitors and stabilizes backlight luminance. The display unit includes a PCI Express graphics board to support the required duallink connectivity for the display.

### Substantial Equivalence Comparison Chart

|                         | Prior approved device.                                                                                                                                                                          | New device.                                           |
|-------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------|
| Product Model Name      | Dome E4c                                                                                                                                                                                        | Dome GX4MP                                            |
| Intended Use            | To be used in displaying and<br>viewing medical images for<br>review and analysis by trained<br>medical practitioners.                                                                          | Unchanged.                                            |
| Display characteristics | 4MP 2560x1600 pixel display<br>16 million colors<br>1786 shades of near-gray values<br>Factory DICOM calibrated<br>370 cd/m2 IPS technology<br>700:1 contrast ratio<br>170 degree viewing angle | Unchanged.                                            |
| Power Supply            | External IEC/EN 60601-1 power<br>supply.                                                                                                                                                        | Internal IEC/EN 60950 power<br>supply:                |
| Location for Use        | Radiology reading room. Not<br>intended or marketed for near-<br>patient use.                                                                                                                   | Unchanged.                                            |
| Enclosure               | Laser-cut sheet metal back.<br>Metal and glass bezel.                                                                                                                                           | Molded plastic back and bezel.<br>Integrated USB hub. |

Avenue = San J .ndssi.com

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Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the caduceus. The logo is black and white.

#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

Mr. Jim Leng Regulatory Engineer NDS Surgical Imaging, LLC 5750 Hellyer Avenue SAN JOSE CA 95138

Re: K120709

Trade/Device Name: The Dome® GX4MP Color Monitor Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: February 28, 2012 Received: March 8, 2012

Dear Mr. Leng:

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.

If your device is classified (see above) into class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

APR - 6 2012

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#### Page 2

medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. 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 Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Yours,

Janine M. Morris

Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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# Indications for Use Statement

#### 510(k) Number

(If known)

The Dome® GX4MP Color Monitor Device Name: The Dome® GX4MP Color Monitor is intended to be used in displaying
Color Monitor is a consisted and enalysis by trained medical Indications for Use The Dome® GX4MP Color Monkor is interior.
and viewing medical images for review and analysis by trained medical practitioners.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED

Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitre Diagnostic Device Evaluation and

In Vitro Diagriostic Device Evaluation and Safety Office office office office office office office office office office office office office office office office office office office office office office office office office

Prescription Use _ (Per 21 CFR 801.109) OR Over-The-Counter Use_

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**Source:** [https://fda.innolitics.com/device/K120709](https://fda.innolitics.com/device/K120709)

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