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, analysis, and diagnosis by trained medical practitioners. It is specially designed for breast tomosynthesis applications.
Device Story
The Barco Mammo Tomosynthesis (MDMG-5221) is a medical-grade display system for digital mammography and breast tomosynthesis. It consists of a 21.3-inch TFT AMLCD grayscale display with LED backlight technology, driven by a display controller board installed in a PACS workstation. The device incorporates QA software to maintain DICOM compliance. It is used by radiologists and trained medical practitioners in clinical settings to view high-resolution diagnostic images. The system features Uniform Luminance Technology (ULT), Per Pixel Uniformity (PPU), Ambient Light Compensation (ALC), and an I-Guard sensor to ensure image consistency and quality. By providing accurate, calibrated grayscale visualization, the device assists clinicians in the review and diagnosis of breast imaging, potentially improving diagnostic accuracy for breast tomosynthesis.
Clinical Evidence
Bench testing only. No clinical or animal data were performed. Bench tests included DICOM calibration, luminance uniformity, electrical safety (IEC 60601-1), and EMC (IEC 60601-1-2) testing to validate the transition to LED backlight technology and firmware updates.
Technological Characteristics
21.3" TFT AMLCD grayscale display; 2048 x 2560 resolution; 0.165 mm pixel pitch; LED backlight; 2100 cd/m² max luminance; 950:1 contrast ratio; 15 ms response time. Features: Uniform Luminance Technology (ULT), Per Pixel Uniformity (PPU), Ambient Light Compensation (ALC), I-Guard sensor. Connectivity: DP, DVI, USB 2.0. Power: 125W nominal. Software: QA software for DICOM compliance.
Indications for Use
Indicated for trained medical practitioners to display and view digital images, including standard and multi-frame digital mammography, for review, analysis, and diagnosis, specifically for breast tomosynthesis applications.
Regulatory Classification
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).
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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)
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## FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
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| 510(k) Summary (in accordance with 21 CFR 807.92) | | | |
|------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|----------------------------------------|
| 1. Company | Barco N.V.<br>Healthcare Division<br>35 President Kennedypark<br>B-8500 Kortrijk<br>BELGIUM | | |
| 2. Contact<br>person | Lieven De Wandel<br>Regulatory Affairs Officer | | |
| 3. Date of<br>submission | 25 April 2016 | | |
| 4. Device<br>information | Trade name/model: Mammo Tomosynthesis 5MP (MDMG-5221)<br>Common name: MDMG-5221<br>Classification name: System, image processing, Radiological<br>Classification code: LLZ<br>Regulation number: 892.2050 | | |
| 5. Predicate<br>device | Mammo Tomosynthesis 5MP (MDMG-5221) cleared under 510(K) K090603 | | |
| 6. Device<br>description | MDMG-5221, system name Barco Mammo Tomosynthesis, is an update of the 5MP<br>display, specifically addressing the requirements of the emerging modality of Digital<br>Breast Tomosynthesis (DBT) and QA software.<br>The display controller board is installed in a PACS workstation computer, connected to the<br>display. The QA software helps to make and keep the displays DICOM compliant.<br>The display uses LED backlight technology. | | |
| 7. Intended Use<br>of the Device | The Barco Mammo Tomosynthesis (MDMG-5221) device is intended to be used in<br>displaying and viewing digital images, including standard and multi-frame digital<br>mammography, for review, analysis, and diagnosis by trained medical practitioners. It is<br>specially designed for breast tomosynthesis applications. | | |
| 8. Comparison<br>of technological<br>characteristics | Specification | MDMG-5221 (new device) | MDMG-5221 (predicate device) |
| | Screen technology | TFT AMLCD Dual Domain IPS<br>grayscale | TFT AMLCD Dual Domain IPS<br>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) | 4:5 | 4:5 |
| | Resolution | 2048 x 2560 | 2048 x 2560 |
| | Pixel pitch | 0.165 mm (0.0065") | 0.165 mm (0.0065") |
| | Color imaging | No | No |
| | Gray imaging | Yes | Yes |
| | Viewing angle (H, V) | 176° (at 10:1 contrast) | 176° (at 10:1 contrast) |
BARCO
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| | Uniform Luminance<br>Technology (ULT) | | | | |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------|--|-----------------------------|--|
| | Per Pixel Uniformity (PPU) | Yes | | Yes | |
| | Ambient Light Compensation<br>(ALC) | Yes | | Yes | |
| | Backlight Output Stabilization<br>(BLOS) | No | | No | |
| | I-Guard | Yes | | Yes | |
| | Maximum luminance | 2100 cd/m² | | 2100 cd/m² | |
| | DICOM calibrated luminance<br>(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,<br>2 downstream | | 1 upstream,<br>2 downstream | |
| | USB standard | 2.0 | | 2.0 | |
| | Power consumption<br>(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<br>testing | The bench tests mentioned below were performed to validate the device characteristics<br>that differ from the predicate device: | | | | |
| | Modification to device | Test performed | | | |
| | LED backlight instead of CCFL | DICOM calibration and Luminance<br>Uniformity tests | | | |
| | Updated firmware | Firmware tests | | | |
| | Additional tests performed: Electrical Safety test (IEC 60601-1), EMC test (IEC 60601-1-2)<br>The tests showed that the device has similar or superior characteristics compared to the<br>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<br>the predicate device, due to the following reasons: | | | | |
| | a) Device and predicate device have the same intended use<br>b) The technological characteristics differences from the predicate device do not<br>affect safety or effectiveness<br>c) Bench testing showed that the device has similar or superior characteristics<br>compared to the predicate device and did not reveal new issues of safety and<br>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.
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.