K Number
K130119
Date Cleared
2013-04-12

(86 days)

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

The SonoScape S2 device is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdominal, Pediatric, Small Organ (breast, testes, thyroid), Cephalic(neonatal and adult), Trans-rectal, Trans-vaginal, Peripheral Vascular, Musculo-skeletal (Conventional and Superficial), Cardiac (neonatal and adult), OB/Gyn and Urology.

Device Description

The SonoScapeS2 Portable Digital Color Doppler Ultrasound System is an integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications. The all digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in-depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features. This SonoScape system is a general purpose, software controlled, diagnostic ultrasound system. Its basic function is to acquire ultrasound data and display the image in B-Mode (including Tissue Harmonic Image), M-Mode, TDI, Color-Flow Doppler, Pulsed Doppler and Power Doppler, or a combination of these modes, 4D.

AI/ML Overview

This document details the acceptance criteria for the SonoScape S2 Portable Digital Color Doppler Ultrasound System and the study supporting its compliance.

1. Table of Acceptance Criteria and Reported Device Performance

The device is evaluated against recognized medical device safety standards and acoustic output measurement standards to ensure substantial equivalence to its predicate device. The performance is documented through adherence to these standards rather than specific imaging metrics in this summary.

Standard No.Standard TitleVersionDevice Performance
IEC 60601-1Medical Electrical Equipment - Part 1. General Requirements for Safety1988+A1:1991+A2:1995Conforms to applicable medical device safety standards in regards to thermal, mechanical, and electrical safety.
IEC 60601-1-2Medical Electrical Equipment, Part 1-2: General Requirements for Safety – Collateral Standard: Electromagnetic Compatibility – Requirements and Tests2007Conforms to applicable medical device safety standards in regards to electromagnetic compatibility.
IEC 60601-2-37Medical Electrical Equipment, Part 2-37: Particular Requirements for the Safety of Ultrasonic Medical Diagnostic and Monitoring Equipment2007Conforms to applicable medical device safety standards for ultrasonic medical diagnostic equipment.
NEMA UD 2Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment Version 32004 (R 2009)Acoustic output is measured and calculated per NEMA UID 2: 2004.
NEMA UD 3Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment2004 (R 2009)Acoustic output is measured and calculated per NEMA UD3: 2004.
ISO 10993-5Biological evaluation of medical devices - Part 5: Tests for In Vitro cytotoxicity1999Conforms to applicable biocompatibility standards (in vitro cytotoxicity).
ISO 10993-10Biological evaluation of medical devices - Part 10: Tests for irritation and delayed-type hypersensitivity2002Conforms to applicable biocompatibility standards (irritation and delayed-type hypersensitivity).

2. Sample Size Used for the Test Set and Data Provenance

The provided document describes non-clinical laboratory testing to verify the device's conformance to safety and performance standards. It does not mention a clinical test set involving human patient data the way AI/CAD devices typically do. Therefore, information regarding sample size, country of origin, or retrospective/prospective nature of a clinical test set is not applicable or provided in this summary.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

As there is no mention of a human-read clinical test set being used to assess the device's diagnostic performance (as it is a imaging system and not an AI/CAD system evaluated on diagnostic accuracy against human experts), this information is not applicable and not provided in the document.

4. Adjudication Method for the Test Set

Given that performance was assessed against engineering and safety standards rather than humanexpert interpretations of clinical images, an adjudication method for a test set is not applicable and not described.

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

This device is an ultrasound imaging system, not an AI or CAD (Computer-Aided Detection/Diagnosis) system. Therefore, a multi-reader multi-case (MRMC) comparative effectiveness study evaluating human reader improvement with or without AI assistance is not applicable to this submission and was not performed.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

Again, this is an ultrasound imaging system, not an AI algorithm. A standalone performance evaluation in the context of an algorithm's diagnostic accuracy is not applicable here. The "standalone" performance for this device would be its ability to produce images and measurements according to its technical specifications, which was confirmed through laboratory testing against established standards.

7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

The "ground truth" for this device's acceptance criteria is defined by recognized international and national standards for medical electrical equipment safety, electromagnetic compatibility, ultrasonic medical diagnostic equipment, acoustic output measurement, and biocompatibility. The device's conformance to these engineering and safety standards serves as its "ground truth."

8. The Sample Size for the Training Set

Since this is not an AI/Machine Learning device, the concept of a "training set" is not applicable. The device's functionality is based on established physics principles and engineering design, not on learning from a dataset.

9. How the Ground Truth for the Training Set Was Established

As there is no training set for this type of medical device, this information is not applicable.

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APR 1 2 2013

510(k) Submission

510(k) Summary of Safety and Effectiveness

[As required by 21 CFR 807.92]

1. Date Prepared [21 CFR807.92 (a) (1)]

December 30, 2012

2. Submitter's Information [21 CFR807.92 (a) (1)]

Name of Sponsor:SonoScape Company Limited
Address:Yizhe Building, Yuquan Road, Nanshan, Shenzhen518051, P.R.China
Contact Name:Zhou Wenping
Telephone No.:+86 755 26722890
Fax No. :+86 755 26722850
Email Address:Zhou@sonoscape.net / Faith@sonoscape.net

3. Trade Name, Common Name, Classification [21 CFR807.92(a)(2)]

Trade Name:S2 Portable Digital Color Doppler Ultrasound System
Common Name:Diagnostic Ultrasound System and Transducers
Classification:
21 CFR892.1550 Ultrasonic Pulsed Doppler Imaging SystemProduct code: IYN
21 CFR892.1560 Ultrasonic Pulsed Echo Imaging SystemProduct code: IYO
21 CFR892.1570 Diagnostic Ultrasonic TransducerProduct code: ITX
Classification Panel:Radiology
Device Class:II

4. Identification of Predicate Device(s) [21 CFR 807.92(a)(3)]

The identified predicates within this submission are as follows:

510(k) Summary of Safety and Effectiveness

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K130119 Page 2 of 5

510(k) Submission

SonoScape Company Limited, Diagnostic Ultrasound System, Model S6 has been cleared by FDA through 510(k) No.K112602 (Decision Date – November 07, 2011).

5. Description of the Device [21 CFR 807.92(a)(4)]

The SonoScapeS2 Portable Digital Color Doppler Ultrasound System is an integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications.

The all digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in-depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features.

This SonoScape system is a general purpose, software controlled, diagnostic ultrasound system. Its basic function is to acquire ultrasound data and display the image in B-Mode (including Tissue Harmonic Image), M-Mode, TDI, Color-Flow Doppler, Pulsed Doppler and Power Doppler, or a combination of these modes, 4D.

6. Intended Use [21 CFR 807.92(a)(5)]

The SonoScape S2 device is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdominal, Pediatric, Small Organ (breast, testes, thyroid), Cephalic(neonatal and adult), Trans-rectal, Trans-vaginal, Peripheral Vascular, Musculo-skeletal (Conventional and Superficial), Cardiac (neonatal and adult), OB/Gyn and Urology.

7. Technological Characteristics [21 CFR 807.92(a)(6)]

No.ProbeTypeFrequencyRangeIntended Use
12P1Phased Array2.0-4.0 MHzAbdominal
Neonatal Cephalic
No.ProbeTypeFrequencyRangeIntended Use
Adult CephalicCardiac AdultCardiac Pediatric
25P1Phased Array4.0-7.0 MHzPediatricNeonatal CephalicCardiac Pediatric
36V1Micro-curvedArray4.0-8.0 MHzTrans-rectalTrans-vaginal
46V3Micro-curvedArray5.0-9.0 MHzTrans-rectalTrans-vaginal
5EC9-5Micro-curvedArray5.0-9.0 MHzTrans-rectalTrans-vaginal
6C611Micro-curvedArray4.0-8.0 MHzAbdominalPediatricNeonatal CephalicCardiac Pediatric
7C344curved Array2.0-5.0 MHzFetal / Abdominal/ Ob/GYN
8C362curved Array2.0-6.0 MHzFetal / Abdominal/ Ob/GYN
9VC6-2curved Array2.0-6.0 MHzFetal / Abdominal/ Ob/GYN
10L741Linear Array5.0-10.0 MHzSmall Organ (reast, thyroid,testes)Musculo-skeletal (Conventional)Peripheral vessel
11L742Linear Array5.0-12.0 MHzSmall Organ (reast, thyroid,testes)Musculo-skeletal (Conventional)Musculo-skeletal (Superficial)Peripheral vessel
12L743Linear Array5.0-10.0 MHzSmall Organ (reast, thyroid,testes)Musculo-skeletal (Conventional)Musculo-skeletal (Superficial)Peripheral vessel
13C354curved Array2.0-5.0 MHzFetal / Abdominal/ Ob/GYN

Table 1 Transducer Information

510(k) Summary of Safety and Effectiveness

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K130119 Page 3 of 5

Portable Digital Color Doppler Ultrasound System

510(k) Submission

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KB0119 Page 4 of 5
510(k) Submission

510(k) Submission

8. Substantial Equivalence [21 CFR 807.92(b) (1) and 807.92]

Safety Considerations:

The S2 Portable Digital Color Doppler Ultrasound System with added transducer incorporates the same fundamental technology as the predicate device. The device has been tested as Track 3 Device per the FDA Guidance document "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers "issued September 9, 2008. The acoustic output is measured and calculated per NEMA UID 2: 2004 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment and NEMA UD3: 2004 Standards for Real-time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment. The device conforms to applicable medical device safety standards, such as IEC 60601-1, IEC 60601-1-2, IEC 60601-2-37, ISO10993-5and ISO 10993-10. Testing:

Laboratory testing was conducted to verify that the S2 Portable Digital Color Doppler Ultrasound System with added transducer met all design specification and was substantially equivalent to the currently marketed Predicate Device as above. The device has been found to conform to applicable medical device safety standards in regards to thermal, mechanical and electrical safety as well as biocompatibility. Acoustic output is measured and calculated according to "Acoustic Output Measuring Standard for Diagnostic Ultrasound Equipment".

StandardsNo.Standards TitleVersionDate
IEC 60601-1Medical Electrical Equipment - Part1.General Requirements for Safety1988+A1:1991+A2:199510/31/2005
IEC60601-1-2Medical Electrical Equipment, Part 1-2:General Requirements for Safety –Collateral Standard: ElectromagneticCompatibility – Requirements and Tests200703/01/2007
IECMedical Electrical Equipment, Part 2-37:200708/01/2007

Tab 2 Applicable Safety Standards

510(k) Summary of Safety and Effectiveness

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K130119 Page 5f5

510(k) Submission

Portable Digital Color Doppler Ultrasound System

60601-2-37Particular Requirements for the Safety ofUltrasonic Medical Diagnostic andMonitoring Equipment
NEMA UD 2Acoustic Output Measurement Standard forDiagnostic Ultrasound Equipment Version 3200401/01/2004(R 2009)
NEMA UD3Standard for Real-Time Display of Thermaland Mechanical Acoustic Output Indices onDiagnostic Ultrasound Equipment200401/01/2004(R 2009)
ISO 10993-5Biological evaluation of medical devices -Part 5: Tests for In Vitro cytotoxicity199909/12/2007
ISO10993-10Biological evaluation of medical devices -Part 10: Tests for irritation and delayed-typehypersensitivity200209/01/2002

Results of performance and compliance testing conducted on the S2 Portable Digital Color Doppler Ultrasound System, indicates conformance to all applicable standards recognized by FDA for this device.

Based on non-clinical test results, $2 Portable Digital Color Doppler Ultrasound System is substantially equivalent to predicate devices in safety and effectiveness.

9. Conclusion [21 CFR 807.92(b) (3)]

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification, SonoScape Company Limited concludes that S2 Portable Digital Color Doppler Ultrasound System is substantially equivalent to predicate devices with regard to safety and effectiveness.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three tail feathers, representing the department's mission to protect the health of all Americans and provide essential human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" is arranged in a circular fashion around the eagle symbol. The logo is presented in black and white.

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

April 12, 2013

SonoScape Company Limited % Miss Toki Wu Official Correspondent Yizhe Building, Yuquan Road Nanshan, Shenzhen 518051 P.R. CHINA

Re: K130119

Trade/Device Name: S2 Portable Digital Color Doppler Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX Dated: December 28, 2012 Received: February 20, 2013

Dear Miss Wu:

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.

This determination of substantial equivalence applies to the following transducers intended for use with the S2 Portable Digital Color Doppler Ultrasound System, as described in your premarket notification:

Transducer Model Number

2P1 Phase Array 5P1 Phase Array 6V1 Micro-curved Array 6V3 Micro-curved Array EC9-5 Micro-curved Array C611 Micro-curved Array C362 Curved Array

C344 Curved Array C354 Curved Array VC6-2 Curved Array L743 Linear Array L741 Linear Array L742 Linear Array

{6}------------------------------------------------

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/MedicalDevices/ResourcesforYou/Industry/dcfault.htm.

Sincerely yours,

for

Janine M. Morris Director, Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number: K130119

Device Name: S2 Portable Digital Color Doppler Ultrasound System

Indications for Use:

The SonoScape S2 device is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdominal, Pediatric, Small Organ (breast, testes, thyroid), Cephalic(neonatal and adult), Trans-rectal, Trans-vaginal, Peripheral Vascular, Musculo-skeletal (Conventional and Superficial), Cardiac (neonatal and adult), OB/Gyn and Urology.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OlR)

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _______________________________________________________________________________________________________________________________________________________________________ K130119

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System: SonoScape S2

Diagnostic Ultrasound Pulsed Echo System

Diagnostic Ultrasound Pulsed Doppler Imaging System

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalPPPPPNote 1Notes 2,4
AbdominalPPPPPNote 1Notes 2,4
Intra-operative Specify.
Intra-operative Neuro
Laparoscopic
PediatricPPPPPNote 1Notes 2
Small Organ (specify)PPPPPNote 1Notes 2,5
Neonatal CephalicPPPPPPNote 1Notes 2,3
FetalImaging&OtherAdult CephalicPPPPPPNote 1Notes 2,3
Trans-rectalPPPPPNote 1Notes 2
Trans-vaginalPPPPPNote 1Notes 2
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)PPPPPNote 1Notes 2
Musculo-skeletal(Superficial)PPPPPNote 1Notes 2
Intravascular
Other (Ob/GYN)PPPPPNote 1Notes 2,4
Cardiac AdultPPPPPPNote 1Notes 2,3
Cardiac PediatricPPPPPPNote 1Notes 2,3
CardiacIntravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vesselPPPPPNote 1Notes 2
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color

Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _______________________________________________________________________________________________________________________________________________________________________ K130119

Indications for Use

Page 2 of 15

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Transducer: 2P1 Phase Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
GeneralSpecificColorPowerOther*Other*
(TRACK 1(TRACKS 1 & 3)BMPWDCWDDoppler(Amplitude)DopplerCombinedSpecify
ONLY)
OphthalmicOphthalmic
FetalFetal
Imaging&OtherAbdominalPPPPPNote 1Notes 2
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal CephalicPPPPPPNote 1Notes 2,3
Adult CephalicPPPPPPNote 1Notes 2,3
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac AdultPPPPPPNote 1Notes 2,3
Cardiac PediatricPPPPPPNote 1Notes 2,3
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color

Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _______________________________________________________________________________________________________________________________________________________________________ K130119

{10}------------------------------------------------

Transducer: 5P1 Phase Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of OperationOther*
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerCombinedSpecify
OphthalmicOphthalmic
FetalImaging&OtherFetal
Abdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
PediatricPPPPPNote 1Notes 2
Small Organ (specify)
Neonatal CephalicPPPPPPNote 1Notes 2,3
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac PediatricPPPPPPNote 1Notes 2,3
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

  • Note 5: Small Organ: breast, thyroid, testes
    (Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k)

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Transducer: 6V1 Micro-curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
GeneralSpecificColorPowerOther*Other*
(TRACK 1(TRACKS 1 & 3)BMPWDCWDDoppler(Amplitude)CombinedSpecify
ONLY)Doppler
OphthalmicOphthalmic
FetalFetal
Imaging&Abdominal
OtherIntra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPpPPNote 1Notes 2
Trans-vaginalPPPPPNote 1Notes 2
Trans-urethralt
Trans-esoph (non-Card)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralPeripheral vessel
VesselOther (specify)

P = previously cleared by FDA; E = added under this appendix N = new indication;

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) ======================================================================================================================================================================= K130119

Indications for Use

Page 5 of 15

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Transducer: 6V3 Micro-curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalImaging&OtherFetal
Abdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPPNote 1Notes 2
Trans-vaginalPPPPPNote 1Notes 2
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M ; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) · Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _________K130119

{13}------------------------------------------------

Transducer: EC9-5 Micro-curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of OperationOther*
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerCombinedSpecify
OphthalmicOphthalmic
FetalImaging&OtherFetal
Abdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPPNote 1Notes 2
Trans-vaginalPPPPPNote 1Notes 2
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) K130119

Indications for Use

Page 7 of 15

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Transducer: C611 Micro-curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalImaging&OtherFetal
AbdominalPPPPPNote 1Notes 2
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
PediatricPPPPPNote 1Notes 2
Small Organ (specify)
Neonatal CephalicPPPPPPNote 1Notes 2,3
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac PediatricPPPPPPNote 1Notes 2,3
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

i 510(k)

{15}------------------------------------------------

Transducer: C362 Curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalFetalPPPPPNote 1Notes 2
Imaging &OtherAbdominalPPPPPNote 1Notes 2
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)PPPPPNote 1Notes 2
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color

Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

  • Note 5: Small Organ: breast, thyroid, testes
    (Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) == K130119

Indications for Use

Page 9 of 15

{16}------------------------------------------------

Transducer: C344 Curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of OperationOther*
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerCombinedSpecify
OphthalmicOphthalmic
FetalImaging&OtherFetalPPPPPNote 1Notes 2
AbdominalPPPPPNote 1Notes 2
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)PPPPPNote 1Notes 2
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

P = previously cleared by FDA; E = added under this appendix N = new indication;

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) K130119

Indications for Use

Page 10 of 15

{17}------------------------------------------------

Transducer: C354 Curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalFetalNNNNNNote 1Notes 2
Imaging&AbdominalNNNNNNote 1Notes 2
OtherIntra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Ob/GYN)NNNZNNote 1Notes 2
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralPeripheral vessel
VesselOther (specify)

P = previously cleared by FDA; N = new indication; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _______________________________________________________________________________________________________________________________________________________________________ K130119

Indications for Use

Page 11 of 15

{18}------------------------------------------------

Transducer: VC6-2 Curved Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic utrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
Imaging &OtherFetalPPPPPNote 1Notes 2,4
AbdominalPPPPPNote 1Notes 2,4
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)PPPPPNote 1Notes 2,4
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

P = previously cieared by FDA; E = added under this appendix N = new indication; Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 4: 4D Note 3: TDI

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

K130119 K130119 510(k) =======================================================================================================================================================================

Indications for Use

Page 12 of 15

{19}------------------------------------------------

Transducer: L743 Linear Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalImaging&OtherFetal
Abdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)PPPPPNote 1Notes 2
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)PPPPPNote 1Notes 2
Musculo-skeletal(Superficial)PPPPPNote 1Notes 2
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vesselPPPPPNote 1Notes 2
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) _______________________________________________________________________________________________________________________________________________________________________ K130119

{20}------------------------------------------------

Transducer: L741 Linear Array

Diagnostic Ultrasound Transducer.

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalFetal
Imaging&OtherAbdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)PPPPPNote 1Notes 2,5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph (non-Card)
Musculo-skeletalPPPPPNote 1Notes 2
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralPeripheral vesselPPPPPNote 1Notes 2
VesselOther (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

510(k) K130119

Indications for Use

Page 14 of 15

{21}------------------------------------------------

Transducer: L742 Linear Array

Diagnostic Ultrasound Transducer

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)BMPWDCWDColorDopplerPower(Amplitude)DopplerOther*CombinedOther*Specify
OphthalmicOphthalmic
FetalFetal
Imaging&OtherAbdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (specify)PPPPPNote 1Notes 2,5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletalPPPPPNote 1Notes 2
(Conventional)
Musculo-skeletalPPPPPNote 1Notes 2
(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralPeripheral vesselPPPPPNote 1Notes 2
VesselOther (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix

Note 1: Other Combined includes: B/M; B/PWD; B/THI; M/Color M; B/Color Doppler; B/Color Doppler/PWD; B/Power Doppler/PWD

Note 2: Tissue Harmonic Imaging. The feature does not use contrast agents

Note 3: TDI Note 4: 4D

Note 5: Small Organ: breast, thyroid, testes

(Division Sign-Off) Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health

K130119 510(k)

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.