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510(k) Data Aggregation

    K Number
    K142511

    Validate with FDA (Live)

    Date Cleared
    2015-02-20

    (165 days)

    Product Code
    Regulation Number
    892.1550
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The diagnostic ultrasound system (U50) is applicable for adults, pregnant women, pediatric patients' ultrasound evaluation in hospitals and clinics. It is intended for use in abdominal, obstetrics, gynecology, pediatric, small parts, urology, peripheral vascular, musculoskeletal (conventional and superficial), endovaginal and cardiac clinical applications, by or on the order of a physician or similarly qualified health care professional.

    Device Description

    The modifications are listed as below:
    Addition of CW mode – the basic system architecture previously supported CW mode.
    3 new transducers C5-2b, P5-1b and L15-7b – The C5-2b and the L15-7b are new transducers. The P5-1b is the initial offering of a phased array device on this system.
    Addition of HPRF to PW mode
    Minor changes to the user interface

    AI/ML Overview

    Here's an analysis of the provided text regarding the U50 Diagnostic Ultrasound System, structured according to your requested information:

    1. A table of acceptance criteria and the reported device performance

    The document does not explicitly state acceptance criteria in quantitative terms for the device's diagnostic performance (e.g., sensitivity, specificity for specific conditions). Instead, it relies on demonstrating that the device meets safety and performance standards equivalent to predicate devices. The reported device performance is that it "passed all testing" and is "substantially equivalent" to predicate devices.

    The tables for each transducer (U50, C352UB, L1042UB, L742UB, E612UB, C612UB, C6152UB, C422UB, L552UB, C5-2b, P5-1b, L15-7b) outline the intended clinical applications and modes of operation supported by each transducer. These can be considered the functional performance criteria ("what it can do").

    Here's an example table for the main U50 system based on the "U50 Diagnostic Ultrasound System" table in the document, as it aggregates the general capabilities:

    Feature / Criterion (Implicit)Reported Device Performance (as stated or implied)
    Clinical Applications
    AbdominalP (Previously cleared by FDA)
    ObstetricsP (Previously cleared by FDA)
    GynecologyP (Previously cleared by FDA)
    PediatricP (Previously cleared by FDA)
    Small Parts (Thyroid, Testes, Breast)P (Previously cleared by FDA)
    UrologyP (Previously cleared by FDA)
    Peripheral VascularP (Previously cleared by FDA)
    Musculoskeletal (Conventional)P (Previously cleared by FDA)
    Musculoskeletal (Superficial)P (Previously cleared by FDA)
    EndovaginalP (Previously cleared by FDA)
    Cardiac (Adult & Pediatric)P (Previously cleared by FDA)
    Fetal / Obstetrics (E612UB)N (New indication)
    Abdominal (C5-2b)N (New indication)
    Other (Urology, Gynecology) (C5-2b)N (New indication)
    Adult Cardiac (P5-1b)N (New indication)
    Small Organs (L15-7b)N (New indication)
    Musculoskeletal (Conventional) (L15-7b)N (New indication)
    Musculoskeletal (Superficial) (L15-7b)N (New indication)
    Peripheral Vascular (L15-7b)N (New indication)
    Modes of Operation
    B-modeSupported (P or N for specific applications)
    M-modeSupported (P or N for specific applications)
    PW-modeSupported (P or N for specific applications); HPRF added
    CW-modeSupported (N for E612UB, C5-2b, P5-1b, L15-7b; added capability for U50 system)
    Color-modeSupported (P or N for specific applications)
    PDI/DPDI (Combined mode)Supported (Implicitly, as part of "Combined")
    Biopsy GuidanceSupported (as an "Other" feature)
    Harmonic ImagingSupported (as an "Other" feature, no contrast agent)
    General Performance
    Displayed depth20-320mm (Probe Dependent)
    Gray Scales256
    Dynamic range150dB
    TGC8 segments
    ZoomUp to 400%
    Electrical SafetyPassed IEC 60601-1 testing
    Electromagnetic CompatibilityPassed IEC 60601-1-2 testing
    Acoustic OutputPassed testing as per FDA guideline
    BiocompatibilityPassed ISO 10993-1, -5, -10 testing

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document explicitly states: "Clinical testing is not required." This implies that there was no specific "test set" of patient data used for clinical validation in the traditional sense (e.g., to measure diagnostic accuracy). The evaluation was primarily based on non-clinical performance (safety, EMC, acoustic output, biocompatibility) and a comparison to predicate devices, leveraging their established clinical utility.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable, as no clinical test set requiring ground truth established by experts was used.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable, as no clinical test set requiring adjudication was used.

    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 is a submission for a diagnostic ultrasound system (hardware and basic software functions), not an AI-powered diagnostic algorithm. No MRMC study was conducted.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a diagnostic ultrasound system, not an AI algorithm. Its performance is intrinsically linked to human operation.

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

    Not applicable, as no clinical test set requiring ground truth was used for evaluation of the system's diagnostic accuracy. The ground truth for safety and performance (e.g., acoustic output, EMC) would be the established international and national standards and their specific test methodologies.

    8. The sample size for the training set

    Not applicable. This is a medical device (ultrasound system), not an AI/Machine Learning algorithm that requires a "training set" in the computational sense. The design and engineering would have been informed by general ultrasound physics, medical imaging principles, and experience with prior devices.

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

    Not applicable, as no training set for an AI/ML algorithm was used.

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