K Number
K171528
Date Cleared
2018-01-24

(244 days)

Product Code
Regulation Number
892.1560
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Bladder Scanner (model: PadScan Z3, PadScan Z3, PadScan Z5) is B-mode pulsed-echo ultrasound device. It intended as a handheld battery-operated device. The Bladder Scanner projects ultrasound energy through the lower abdomen of the patient to obtain images of the bladder which is used to calculate bladder Volume noninvasively. The Bladder Scanner is intended to be used only by qualified medical professionals.

Device Description

The PadScan Series manufactured by AvantSonic Technology Co., Ltd. provides non-invasive volume bladder measurement utilizing real-time ultrasound imaging and measurement. The equipment consists of the main unit, 3D probe, battery and adapter. It features: Two Operation Modes: Expert Mode and Easy Mode, Non-invasive, comfortable, correct, reliable, fast and simple operation, Printouts with ultrasound images and various parameters through PC software, Touch screen keyboard operation, Urine volume setting and alarm setting, Multi-language selection, Combined power supply with AC adapter and a built-in battery. The difference between these models is the size of the LCD screen and enclosure structure. PadScan DS3 is provided 7-inch LCD screen. PadScan Z3 is provided 7-inch LCD screen and LCD screen stand. PadScan Z5 is provided 8-inch LCD screen and LCD screen which has a handle.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information for the AvantSonic Bladder Scanner, based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

ParameterAcceptance Criteria (Predicate Device K131227)Reported Device Performance (PadScan DS3, Z3, Z5)
Volume Measurement Accuracy±15%, ±15ml±10%, ±10ml

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

The document explicitly states: "Clinical testing is not required." This indicates that no clinical test set was used for the substantial equivalence determination. The performance criteria were based on comparisons to the predicate device's specifications.

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

Not applicable, as no clinical testing with a test set requiring expert ground truth was conducted. Performance was based on device specifications and non-clinical testing.

4. Adjudication Method for the Test Set

Not applicable, as no clinical testing with a test set requiring adjudication was conducted.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC comparative effectiveness study was mentioned or performed. The submission relies on demonstrating substantial equivalence to a predicate device through non-clinical testing and shared intended use/technological characteristics.

6. Standalone (Algorithm Only) Performance Study

While the device calculates bladder volume non-invasively, the provided information does not detail a standalone algorithm performance study. The performance is assessed based on the device's ability to measure bladder volume within specified accuracy against a reference.

7. Type of Ground Truth Used

For the reported device performance regarding volume measurement accuracy, the ground truth would have been established through a controlled measurement method (e.g., using known volumes of liquid in a phantom or other controlled environment) to calibrate and verify the device's calculations. This is implied by the accuracy specification but not explicitly described as "pathology" or "outcomes data."

8. Sample Size for the Training Set

Not applicable, as this is a medical device submission based on substantial equivalence, not a machine learning model requiring a training set in the typical sense. The device's "training" is inherent in its design and calibration processes to meet the specified accuracy.

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

Not applicable. See point 8. The device's volume calculation mechanism is based on ultrasound physics and established algorithms for bladder volume estimation, not trained on a distinct dataset with "ground truth" labels in the context of machine learning. The accuracy is verified through metrological testing.

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January 24, 2018

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

AvantSonic Technology Co., Ltd. % Mr. Kevin Wang Consultant Chonconn Medical Device Consulting Co., Ltd. 22A. Haijing Square. No. 18. Taizi Road Nanshan District, Shenzhen, 518067 CHINA

Re: K171528

Trade/Device Name: Bladder Scanner (model: PadScan ZS3. PadScan Z3. PadScan Z5) Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO, ITX Dated: December 18, 2017 Received: December 18, 2017

Dear Mr. Wang:

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 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);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Michael D. O'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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Indications for Use

510(k) Number (if known) K171528

Device Name

Bladder Scanner (model: PadScan DS3, PadScan Z3, PadScan Z5)

Indications for Use (Describe)

The Bladder Scanner (model: PadScan Z3, PadScan Z3, PadScan Z5) is B-mode pulsed-echo ultrasound device. It intended as a handheld battery-operated device. The Bladder Scanner projects ultrasound energy through the lower abdomen of the patient to obtain images of the bladder which is used to calculate bladder Volume noninvasively. The Bladder Scanner is intended to be used only by qualified medical professionals.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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Diagnostic Ultrasound Indications for Use Form

System: PadScan DS3

Transducer: MP2A

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

Clinical ApplicationMode of Operation
GeneralSpecificBMPWCWColorCombined (Specify)Other (Specify)
OphthalmicOphthalmic
FetalImaging& OtherFetal / Obstetrics
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro logical)
Laparoscopic
Pediatric
Small Organ (Specify) *
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Bladder)N
Adult Cardiac
CardiacPediatric Cardiac
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra- cardiac
PeripheralvascularPeripheral vascular
Other (Specify)

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

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System: PadScan Z3

Transducer: MP2

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

Clinical ApplicationMode of Operation
GeneralSpecificBMPWCWColorCombinedOther
(Specify)(Specify)
OphthalmicOphthalmic
Fetal / Obstetrics
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro logical)
Laparoscopic
Pediatric
Small Organ (Specify)
FetalNeonatal Cephalic
Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Bladder)N
Adult Cardiac
CardiacPediatric Cardiac
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra- cardiac
PeripheralPeripheral vascular
vascularOther (Specify)

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

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System: PadScan Z5

Transducer: MP2

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

Clinical ApplicationMode of Operation
GeneralSpecificBMPWCWColorCombined (Specify)Other (Specify)
OphthalmicOphthalmic
Fetal / Obstetrics
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro logical)
Laparoscopic
Pediatric
Small Organ (Specify)
FetalImaging& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Bladder)N
CardiacAdult Cardiac
Pediatric Cardiac
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra- cardiac
PeripheralvascularPeripheral vascular
Other (Specify)

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

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510(K) Summary

Prepared in accordance with the requirements of 21 CFR Part 807.92

Prepared Date: 2017/05/08

  1. Submission sponsor

Name: AvantSonic Technology Co., Ltd. Address: No.394, Jingdongfang Avenue, Beibei District, Chongqing, P.R. China 400714 Contact person: Cuiling Wu Title: R&D manager E-mail: wucuiling@sina.com Tel: +86-755 88271976

Submission correspondent 2.

Name: Chonconn Medical Device Consulting Co., Ltd. Address: 22A, Haijing Square, No. 18, Taizi Road, Nanshan District, Shenzhen, P.R. China 518067 Contact person: Kevin Wang E-mail: kevin@chonconn.com Tel: +86-755 33941160

Trade/Device NameBladder Scanner
ModelPadScan DS3, PadScan Z3, PadScan Z5
Common NameDiagnostic Ultrasound System with Accessories
Regulatory ClassClass II
Classification21CFR 892.1560/Ultrasonic Pulsed Echo Imaging System/IYO21CFR 892.1570/Diagnostic Ultrasound Transducer/ITX
Submission typeTraditional 510(K)

3. Subject Device Information

Predicate Device 4.

510(K) numberK131227
Device NamePadScan HD series Bladder Scanner
ManufacturerCaresono Technology Co., Ltd
Product CodeIYO, ITX

Device Description 5.

The PadScan Series manufactured by AvantSonic Technology Co., Ltd. provides non-invasive volume bladder measurement utilizing real-time ultrasound imaging and measurement. The equipment consists of the main unit, 3D probe, battery and adapter.

It features:

Bladder Scanner– 510(k) submission

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  • . Two Operation Modes: Expert Mode and Easy Mode
  • . Non-invasive, comfortable, correct, reliable, fast and simple operation
  • . Printouts with ultrasound images and various parameters through PC software
  • . Touch screen keyboard operation
  • . Urine volume setting and alarm setting
  • . Multi-language selection
  • . Combined power supply with AC adapter and a built-in battery

The difference between these models is the size of the LCD screen and enclosure structure. PadScan DS3 is provided 7-inch LCD screen. PadScan Z3 is provided 7-inch LCD screen and LCD screen stand. PadScan Z5 is provided 8-inch LCD screen and LCD screen which has a handle.

Intended use 6.

The Bladder Scanner (model: PadScan Z3, PadScan Z3, PadScan Z5) projects ultrasound energy through the lower abdomen of the patient to obtain images of the bladder which is used to calculate bladder volume noninvasively. The Bladder Scanner is intended to be used only by qualified medical professionals.

7. Indication for use

The Bladder Scanner (model: PadScan Z3, PadScan Z3, PadScan Z5) is B-mode pulsed-echo ultrasound device. It intended as a handheld batterv-operated device. The Bladder Scanner projects ultrasound energy through the lower abdomen of the patient to obtain images of the bladder which is used to calculate bladder Volume noninvasively. The Bladder Scanner is intended to be used only by qualified medical professionals.

8. Contraindications

Do not use the Bladder Scanner on following cases:

  • a) Fetal use or pregnant patients
  • b) Patients with ascites
  • c) Patients with open or damaged skin.
  • d) Wounds in the suprapubic region

9. Comparison to Predicate Device

Comparison to the predicate devices, the subject device has same intended use, similar product design, same performance effectiveness, performance safety as the predicate device as summarized in the following table

SE ComparisonsPadScan DS3, PadScan Z3,PadScan Z5PadScan HD series BladderScannerNote
Manufacturer/K#AvantSonic/PresentapplicationCaresono/K131227--

Tahle 1

Bladder Scanner- 510(k) submission

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AvantSonic

Intended UseThe PadScan series BladderScanner projects ultrasoundenergy through the lowerabdomen of the patient toobtain images of thebladder which is used tocalculate bladder volumenoninvasively. ThePadScan HD series BladderScanner is intended to beThe PadScan HD seriesBladder Scanner projectsultrasound energy throughthe lower abdomen of thepatient to obtain images ofthe bladder which is used tocalculate bladder volumenoninvasively. The PadScanHD series Bladder Scanneris intended to be used onlySame
used only by qualifiedmedical professionals.by qualified medicalprofessionals.
ContraindicationsDo not use the BladderScanner on following cases:a) Fetal use or pregnantpatientsb) Patients with ascitesc) Patients with open ordamagedskin.d) Wounds in thesuprapubic regionDo not use the PadScanHD2 BladderScanner on following cases:a) Fetal use or pregnantpatientsb) Patients with ascitesc) Patients with open ordamagedskin.d) Wounds in the suprapubicregionSame
Modes of operationB modeB modeSame
SystemCharacteristicsa) Portableb) LCD Displayc) Thermal Printerd) Power source: Battery orAD-DC adaptera) Portableb) LCD Displayc) Thermal Printerd) Power source: Battery orAD-DC adapterSame
DisplayPadScan DS3: 7" TFT-LCDPadScan Z3: 7" TFT-LCDPadScan Z5: 8" TFT-LCDPadScan HD3: 7" TFT-LCDPadScan HD5: 8" TFT-LCDSame
Controls for Changeof acoustic outputduring scanNoNoSame
Transducer TypeMechanical Sector ProbeMechanical Sector ProbeSame
Measurement placeAbdomenAbdomenSame
Transducer ResonantFrequency2.5Mhz2.5MhzSame
Number of elements11Same
Sector Angle120°120°Same
Number of ScanPlanes1212Same
Patient ContactingMaterialPE (skin contact)PE (skin contact)Same
Volume measurementrange0ml-999ml0ml-999mlSame
Volume measurementaccuracy±10%, ±10ml±15%, ±15mlDifferent
Classification ofprotection againstelectric shockClass II equipmentClass II equipmentSame
Applied part typeB typeB typeSame
Real-time scanningYes (Pre-scan)Yes (Pre-scan)Same
PC Data UploadUSB, BluetoothSD cardDifferent
PowerAC/DC Adapter:Input: AC 100V-240V,50/60Hz,Output: DC13.5V±0.5VBattery: Li-ionrechargeableAC/DC Adapter:Input: AC100-240V,50/60Hz,Output: DC14V±0.5VBattery: Li-ion rechargeableDifferent
Standards complianceIEC 60601-1:2005+A1:2012IEC 60601-1:2005+CORR.1(2006)+CORR.2(2007)Different
IEC 60601-1-2:2014IEC 60601-1-2:2007
IEC 60601-2-37:2015IEC 60601-2-37:2007Different
FDA limitTrack 1Track 1Same

Bladder Scanner– 510(k) submission

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AvantSonic

All the differences don't affect the safety and effectiveness which is concluded after all the required testing, so no safety and effectiveness issues relating to the system come into conclusion.

10. Performance Data

Clinical test:

Clinical testing is not required.

Non-clinical data

The PadScan DS3, PadScan Z3 and PadScan Z5 Bladder Scanner comply with:

(1) IEC 60601-1 Electrical Safety

(2) IEC 60601-1-2 Electromagnetic Compatibility

(3) IEC 60601-2-37 Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment

Bladder Scanner– 510(k) submission

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(4) NEMA UD 2 Standard for real-time display of thermal and mechanical acoustic output indies on diagnostic ultrasound equipment.

(5) Acoustic output testing as per the guideline "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" dated September 9, 2008.

The following biocompatibility standards are conducted on the subject device: (1) ISO 10993-1, ISO 10993-5 and ISO 10993-10

The tests were selected to show substantial equivalence between the subject device and the predicate.

11. Conclusion

Based on the safety and performance testing and compliance with acceptable voluntary standards, we believe that the PadScan DS3, PadScan Z3 and PadScan Z5 Bladder Scanner are substantially equivalent to their predicate device in K131227 and does not raise any new safety and/or effectiveness issues.

§ 892.1560 Ultrasonic pulsed echo imaging system.

(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.