K Number
K173713
Date Cleared
2018-03-08

(94 days)

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

The HS70A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Intra-operative, Small Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-esoph. (non-Cardiac), Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric, Trans-esophageal (Cardiac) and Peripheral vessel.

Device Description

The HS70A is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as 2D mode, M mode, Color Doppler imaging, Power Doppler imaging (including Directional Power Doppler mode; S-Flow), PW Spectral Doppler mode, CW Spectral Doppler mode, Harmonic imaging(S-Harmonic), Tissue Doppler imaging, Tissue Doppler Wave, 3D imaging mode (real-time 4D imaging mode), Elastoscan Mode or as a combination of these modes. The HS70A also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The HS70A has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.

AI/ML Overview

This document is a 510(k) Premarket Notification for the SAMSUNG MEDISON Co., Ltd. HS70A Diagnostic Ultrasound System. It details the device's intended use, technology, and comparison to predicate devices, but does not include acceptance criteria or the results of a study proving the device meets acceptance criteria related to diagnostic performance.

The document refers to non-clinical tests for safety and compliance with various standards but explicitly states: "The subject of this premarket submission, HS70A, is not required clinical studies to support substantial equivalence." This means that no clinical performance study was conducted or reported in this submission to evaluate the diagnostic accuracy of the device.

Therefore, the requested information regarding acceptance criteria and the study proving device performance related to diagnostic accuracy cannot be extracted from the provided text.

Based on the provided text, here is what can be inferred about the criteria and tests performed for regulatory submission:

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

Since no clinical studies proving diagnostic performance were conducted or reported, no such table can be provided. The document focuses on regulatory compliance and safety standards.

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

Not applicable as no clinical test set for diagnostic performance was used or reported in this submission. The tests performed were non-clinical for safety and electrical compatibility.

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 ground truth was established or reported in this submission.

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

Not applicable as no clinical test set was used or reported in this submission.

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 as implied by the statement "The subject of this premarket submission, HS70A, is not required clinical studies to support substantial equivalence." The device is a diagnostic ultrasound system and not explicitly stated to include AI for diagnostic assistance. There is a mention of "E-Strain, S-Detect for Breast, and S-Detect for Thyroid" which are described as "same functionalities in the predicate RS80A," suggesting image processing features rather than a separate AI-driven diagnostic interpretation system that would typically warrant an MRMC study.

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

Not applicable as no diagnostic standalone algorithm performance study was reported.

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

Not applicable. For the non-clinical tests conducted, the "ground truth" would be the specifications and requirements of the various safety and performance standards (e.g., IEC 60601-1, NEMA UD 2-2004).

8. The sample size for the training set:

Not applicable as no machine learning algorithm development training set is mentioned or implied for diagnostic performance.

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

Not applicable.

{0}------------------------------------------------

March 8, 2018

Image /page/0/Picture/1 description: The image contains two logos. The logo on the left is the Department of Health & Human Services - USA logo. The logo on the right is the FDA U.S. Food & Drug Administration logo. The FDA logo is blue and white.

SAMSUNG MEDISON Co., Ltd. % Ji Yea Lee Regulatory Affairs Specialist 42, Teheran-ro 108-gil, Gangnam-gu Seoul. 06176 KOREA

Re: K173713

Trade/Device Name: HS70A Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX Dated: February 26, 2018 Received: March 1, 2018

Dear Ji Yea Lee:

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 (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

{1}------------------------------------------------

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 medical devices and radiation-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.

Robert Sauer

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

{2}------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known) K173713

Device Name HS70A Diagnostic Ultrasound System

Indications for Use (Describe)

The HS70A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Intra-operative, Small Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-esoph. (non-Cardiac), Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric, Trans-esophageal (Cardiac) and Peripheral vessel.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (7/17)

Page 1 of 1

{3}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/3/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, bold letters. The word is set against a blue, oval-shaped background.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: HS70A Diagnostic Ultrasound System

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 3, 4, 5, 6, 7, 8, 9, 11
Abdominal (See Note 10)PPPPPNote 1Notes 2, 4, 6, 7, 8, 9, 11, 12, 13
Intra-operative (See Note 6)PPPPNote 1Notes 7, 9, 11
Intra-operative (Neuro.)PPPPNote 1Notes 7, 9, 11
Laparoscopic
PediatricPPPPPNote 1Notes 2, 4, 6, 7, 8, 9, 11
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11, 12
Neonatal CephalicPPPPPNote 1Notes 2, 7, 8, 9, 11
Adult CephalicPPPPPNote 1Notes 7
Trans-rectalPPPPNote 1Notes 2, 7, 8, 9, 12
Trans-vaginalPPPPNote 1Notes 2, 7, 8, 9, 12
Trans-urethral
Trans-esoph. (non-Cardiac)PPPPPNote 1Notes 4, 7
Musculo-skel. (Convent.)PPPPNote 1Notes 2, 5, 6, 7, 8, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Notes 2, 5, 6, 7, 8, 9, 11
Intra-luminal
Other (See Note 13)PPPPNote 1Notes 2, 7, 8, 9, 12
CardiacCardiac AdultPPPPPNote 1Notes 2, 4, 7
Cardiac PediatricPPPPPNote 1Notes 2, 4, 7
Trans-esophageal (Cardiac)PPPPPNote 1Notes 4, 7
Other (spec.)
PeripheralVesselPeripheral vesselPPPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Other (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode
    Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis
    Note 11: Panoramic imaging

  • Note 12: ElastoScan
    Note 13: Includes Urology/Prostate

{4}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/4/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The oval is tilted slightly, giving the logo a dynamic appearance.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CA1-7A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 4, 7, 8, 9, 11
Abdominal (See Note 10)PPPPNote 1Notes 2, 6, 7, 8, 9, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPNote 1Notes 2, 7, 8, 9, 11
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Notes 2, 7, 8, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Notes 2, 7, 8, 9, 11
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode
    Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Renal, Gynecology/Pelvis

Note 11: Panoramic imaging

Note 12: ElastoScan

Note 13: Includes Urology/Prostate

{5}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/5/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The oval is tilted slightly, giving the logo a dynamic appearance.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CA2-8A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 4, 7, 8, 9, 11
Abdominal (See Note 10)PPPPNote 1Notes 2, 4, 7, 8, 9, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode
    Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Renal, Gynecology/Pelvis

Note 11: Panoramic imaging

Note 12: ElastoScan

Note 13: Includes Urology/Prostate

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

510(k) Premarket Notification - Traditional

Image /page/6/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, bold letters. The word is set against a blue, oval-shaped background.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CF4-9 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 10)PPPPNote 1Notes 8, 9, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricPPPPNote 1Notes 8, 9, 11
Small Organ (See Note 5)
Neonatal CephalicPPPPNote 1Notes 8, 9, 11
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Notes 8, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan

  • Note 13: Includes Urology/Prostate

{7}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/7/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and appears to be bolded.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: E3-12A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 7, 8, 9
Abdominal (See Note 10)PPPPNote 1Notes 2, 7, 8, 9, 12
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Notes 2, 7, 8, 9, 12
Trans-vaginalPPPPNote 1Notes 2, 7, 8, 9, 12
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)PPPPNote 1Notes 2, 7, 8, 9, 12
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{8}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/8/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white, bold letters. The background is a blue oval shape.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: VR5-9 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPPNote 1Note 2, 7, 8, 9
Abdominal (See Note 10)PPPPPNote 1Note 2, 7, 8, 9, 12
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Note 2, 7, 8, 9, 12
Trans-vaginalPPPPNote 1Note 2, 7, 8, 9, 12
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)PPPPNote 1Notes 2, 7, 8, 9, 12
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan

Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{9}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/9/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The oval is tilted slightly, giving the logo a dynamic appearance.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: L3-12A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPPNote 1Note 2, 5, 6, 7, 9, 11
Abdominal (See Note 10)PPPPPNote 1Notes 2, 4, 6, 7, 9, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricPPPPPNote 1Notes 2, 4, 6, 7, 9, 11
Small Organ (See Note 5)PPPPPNote 1Note 2, 5, 6, 7, 9, 11,
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPPNote 1Note 2, 5, 6, 7, 9, 11
Musculo-skel. (Superfic.)PPPPPNote 1Note 2, 5, 6, 7, 9, 11
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPPNote 1Note 2, 5, 6, 7, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for guidance of biopsy
  • Note 3: Includes infertility monitoring of follicle development
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan
  • Note 13: Includes Urology/Prostate

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

510(k) Premarket Notification - Traditional

Image /page/10/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LA3-16A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal (See Note 3)
Abdominal (See Note 10)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 9, 11
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 9, 11
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{11}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/11/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LA3-16AI for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)
Abdominal
Intra-operative (See Note 6)PPPPNote 1Note 7, 9, 11
Intra-operative (Neuro.)PPPPNote 1Note 7, 9, 11
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 7, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Note 7, 9, 11
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 7, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{12}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/12/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, bold letters. The word is set against a blue, oval-shaped background.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LA2-9A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 10)PPPPNote 1Note 2, 5, 6, 7, 8, 9,
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 8, 9,
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 8, 9,
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 8, 9,
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 8, 9,
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Prescription Use (Per 21 CFR 801.109)

Concurrence of Center for Devices and Radiological Health (CDRH)

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

510(k) Premarket Notification - Traditional

Image /page/13/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: PE2-4 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
GeneralSpecificBMPWDCWDColorCombined*Other
(Track I only)(Tracks I & III)Doppler*(Spec.)(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 10)PPPPPNote 1Note 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
& OtherPediatric
Small Organ (See Note 5)
Neonatal CephalicPPPPPNote 1Note 7
Adult CephalicPPPPPNote 1Note 7
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac AdultPPPPPNote 1Note 4, 7
CardiacCardiac PediatricPPPPPNote 1Note 4, 7
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralPeripheral vessel
VesselOther (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{14}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/14/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: PA3-8B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
GeneralSpecificBMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
(Track I only)(Tracks I & III)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 10)PPPPPNote 1Note 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricPPPPPNote 1Note 7
Small Organ (See Note 5)
Neonatal CephalicPPPPPNote 1Note 7
Adult CephalicPPPPPNote 1Note 7
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac AdultPPPPPNote 1Note 4, 7
CardiacCardiac PediatricPPPPPNote 1Note 4, 7
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Prescription Use (Per 21 CFR 801.109)

Concurrence of Center for Devices and Radiological Health (CDRH)

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

510(k) Premarket Notification - Traditional

Image /page/15/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and appears to be bolded.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CV1-8A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Note 2, 4, 7, 8, 9,
Abdominal (See Note 10)PPPPNote 1Note 2, 7, 8, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

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

510(k) Premarket Notification - Traditional

Image /page/16/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white letters on a blue oval background. The logo is simple and recognizable, and it is often used on Samsung products and in advertising.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LV3-14A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 10)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan

  • Note 13: Includes Urology/Prostate

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

510(k) Premarket Notification - Traditional

Image /page/17/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: V5-9 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Note 2, 7, 8, 9
Abdominal (See Note 10)PPPPNote 1Note 2, 7, 8, 9, 12
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Note 2, 7, 8, 9
Trans-vaginalPPPPNote 1Note 2, 7, 8, 9
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)PPPPNote 1Note 2, 7, 8, 9
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

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

510(k) Premarket Notification - Traditional

Image /page/18/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: DP2B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

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

510(k) Premarket Notification - Traditional

Image /page/19/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white letters on a blue background. The background is an oval shape.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CW4.0 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
PediatricP
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

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

510(k) Premarket Notification - Traditional

Image /page/20/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, bold, sans-serif font. The word is set against a blue, oval-shaped background. The oval is tilted slightly upwards from left to right.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CW6.0 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
PediatricP
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac AdultP
CardiacCardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K152962; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Prescription Use (Per 21 CFR 801.109)

Concurrence of Center for Devices and Radiological Health (CDRH)

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

510(k) Premarket Notification - Traditional

Image /page/21/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and appears to be bolded.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CA3-10A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 3, 4, 7, 8,
Abdominal (See Note 12)PPPPNote 1Notes 2, 6, 7, 8, 9,
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricPPPPNote 1Notes 2, 7, 8, 9, 11
Small Organ (See Note 5)
Neonatal CephalicPPPPNote 1Notes 2, 7, 8, 9, 11
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Notes 2, 7, 8, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K153529, K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 3: Includes infertility monitoring of follicle development
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan

Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{22}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/22/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The oval is tilted slightly, giving the logo a dynamic appearance.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: CA2-9A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 4, 7, 8, 9, 11
Abdominal (See Note 12)PPPPNote 1Notes 2, 4, 7, 8, 9, 11
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K153529, K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{23}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/23/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white, bold letters. The background is a blue oval shape.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: EA2-11B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)PPPPNote 1Note 2, 7, 8, 9
Abdominal (See Note 12)PPPPNote 1Note 2, 6, 7, 8, 9, 12
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Note 2, 7, 8, 9, 12
Trans-vaginalPPPPNote 1Note 2, 7, 8, 9, 12
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)PPPPNote 1Note 2, 7, 8, 9, 12
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K153529, K163691 ; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{24}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/24/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white letters on a blue oval background. The logo is simple and recognizable, and it is often used on Samsung products and in advertising.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LA4-18B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 8, 9, 11
Other (spec.)

N= new indication; P= previously cleared by FDA K162094, K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{25}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/25/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, bold letters. The word is set against a blue, oval-shaped background.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: PA4-12B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 12)PPPPPNote 1Note 2
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricPPPPPNote 1Note 2
Small Organ (See Note 5)
Neonatal CephalicPPPPPNote 1Note 2
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac AdultPPPPPNote 1Note 4, 7
CardiacCardiac PediatricPPPPPNote 1Note 4, 7
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K162094, K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan

  • Note 13: Includes Urology/Prostate

{26}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/26/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and appears to be bolded.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: PA1-5A for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal/Obstetrics (See Note 3)
Abdominal (See Note 12)PPPPPNote 1Note 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal CephalicPPPPPNote 1Note 7
Adult CephalicPPPPPNote 1Note 7
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac AdultPPPPPNote 1Note 4, 7
Cardiac PediatricPPPPPNote 1Note 4,7
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{27}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/27/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and appears to be bolded.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: DP8B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
GeneralSpecificBMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
(Track I only)(Tracks I & III)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
  • Note 4: Color M-mode
  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaging
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

Concurrence of Center for Devices and Radiological Health (CDRH) Prescription Use (Per 21 CFR 801.109)

{28}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/28/Picture/2 description: The image shows the Samsung logo. The logo consists of the word "SAMSUNG" in white, set against a blue oval background. The font is sans-serif and bold, and the oval is tilted slightly.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: MMPT3-7 for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 12)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)PPPPPNote 1Note 4, 7
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)PPPPPNote 1Note 4, 7
Other (spec.)
PeripheralVesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K162094, K163691; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+TD, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E

  • Note 2: Includes imaging for quidance of biopsy
    Note 3: Includes infertility monitoring of follicle development

  • Note 4: Color M-mode

  • Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel

  • Note 7: Tissue Harmonic Imaging (THI)

  • Note 8: 3D imaging

  • Note 9: MultiVision (Spatial Compound Imaging)

  • Note 10: Includes Renal, Gynecology/Pelvis

  • Note 11: Panoramic imaging

  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{29}------------------------------------------------

510(k) Premarket Notification – Traditional

Image /page/29/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white, bold letters. The word is placed inside a blue, oval-shaped background.

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.:

Device Name: LM4-15B for use with HS70A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 10)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 8, 9, 11, 12
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 13)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K171048; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+DPD, B+PPI, B+CW, B+C+PW, B+PD+PW, B+DPD+PW, B+PPI+PW, B+TD+PW, B+C+M, Dual/Quad, B+C+CW, B+PD+CW, B+E, B+B/C

  • Note 2: Includes imaging for guidance of biopsy
  • Note 3: Includes infertility monitoring of follicle development
  • Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

  • Note 6: Abdominal organs and peripheral vessel
  • Note 7: Tissue Harmonic Imaging (THI)
  • Note 8: 3D imaqinq
  • Note 9: MultiVision (Spatial Compound Imaging)
  • Note 10: Includes Renal, Gynecology/Pelvis
  • Note 11: Panoramic imaging
  • Note 12: ElastoScan Note 13: Includes Urology/Prostate

{30}------------------------------------------------

Image /page/30/Picture/1 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white, sans-serif font. The wordmark is set against a blue, rounded, oval-shaped background. The logo is simple and modern.

510(k) Premarket Notification - Traditional

5. 510(K) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

  • Date Prepared February 26, 2018 1.
    1. Manufacturer SAMSUNG MEDISON CO., LTD. 42, Teheran-ro 108-gil, Gangnam-gu, Seoul, Korea
    1. Primary Contact Person Ji Yea Lee Requlatory Affairs Specialist Phone: +82.2.2194.1594 Fax: +82.2.556.3974 Email: jiyea722.lee@samsungmedison.com
  • Secondary Contact Person 4. Ninad Gujar Director of Regulatory & Quality Phone: +1.978.564.8503 Email: ngujar@neurologica.com
    1. Proposed Device
    • Common/Usual Name: Diagnostic Ultrasound System and Accessories
    • Proprietary Name: HS70A Diagnostic Ultrasound System
    • Common Name: Diagnostic Ultrasound System -
    • Classification Names: system, imaging, pulsed doppler, ultrasonic ।
    • Product Code: IYN, IYO, ITX -
    • Regulation: 892.1550 -
    1. Predicate Device
    • RS80A Diagnostic Ultrasound System (K171048) -
    1. Device Description

The HS70A is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as 2D mode, M mode, Color Doppler imaging, Power Doppler imaging (including Directional Power Doppler mode; S-Flow), PW Spectral Doppler mode, CW Spectral Doppler mode, Harmonic imaging(S-Harmonic), Tissue Doppler imaging, Tissue Doppler Wave, 3D imaging mode (real-time 4D imaging mode), Elastoscan Mode or as a combination of these modes. The HS70A also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The HS70A has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.

    1. Intended Use
      The HS70A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Intra-operative, Pediatric, Small Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esoph. (non-Cardiac), Muscular-Skeletal (Conventional, Superficial), Urology,

{31}------------------------------------------------

510(k) Premarket Notification - Traditional

Image /page/31/Picture/2 description: The image shows the Samsung logo. The word "SAMSUNG" is written in white, bold letters. The wordmark is set against a blue, rounded rectangular background.

Cardiac Adult, Cardiac Pediatric, Trans-esophageal (Cardiac) and Peripheral vessel.

    1. Technology
      The HS70A employs the same fundamental scientific technology as its predicate device.
    1. Determination of Substantial Equivalence Comparison to Predicate: The HS70A is substantially equivalent to the predicate devices with regard to intended use, imaging capabilities, technological characteristics and safety and effectiveness.
    • The systems are all intended for diagnostic ultrasound imaging and fluid flow analysis.
    • The HS70A and predicate RS80A systems have the same clinical intended use.
    • . The HS70A and predicate RS80A systems have the same imaging modes and modes of operation.
    • The HS70A and RS80A have same transducer LM4-15B.
    • The HS70A has E-Strain, S-Detect for Breast, and S-Detect for Thyroid which are ● same functionalities in the predicate RS80A.
    • . The system is manufactured with materials which have been evaluated and found to be safe for the intended use of the device.
    • The system has acoustic power levels which are below the applicable FDA limits. ●
    • . The HS70A and predicate RS80A systems have similar capability in terms of performing measurements, capturing digital images, reviewing and reporting studies.
    • . The HS70A and predicate have been designed in compliance with approved electrical and physical safety standards.
    1. Summary of Non-Clinical Test

The device has been evaluated for acoustic output, biocompatibility, cleaning and disinfection effectiveness as well as thermal, electromagnetic and mechanical safety, and has been found to conform with applicable medical device safety standards. The HS70A and its applications comply with voluntary standards.

Reference No.Title
IEC 60601-1AAMI ANSI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 andA2:2010/(R)2012 (Consolidated Text) Medical electrical equipment - Part 1:General requirements for basic safety and essential performance (IEC60601-1:2005, MOD)
IEC 60601-1-2AAMI / ANSI / IEC 60601-1-2:2007(R)2012, Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance -Collateral standard: Electromagnetic compatibility - Requirements and tests(Edition 3)
IEC 60601-2-37IEC 60601-2-37:2007 Edition 2.0 2007-08, Medical electrical equipment -Part 2-37: Particular requirements for the basic safety and essentialperformance of ultrasonic medical diagnostic and monitoring equipment
ISO10993-1AAMI / ANSI / ISO 10993-1:2009/(R)2013, Biological evaluation of medicaldevices - Part 1: Evaluation and testing within a risk management process
ISO14971ISO 14971:2007, Medical devices - Application of risk management tomedical devices
NEMA UD 2-2004NEMA UD 2-2004 (R2009)Acoustic Output Measurement Standard for Diagnostic UltrasoundEquipment Revision 3
NEMA UD 3-2004NEMA UD 3-2004 (R2009)Standard for Real-Time Display of Thermal and Mechanical Acoustic OutputIndices on Diagnostic Ultrasound Equipment, Revision 2

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510(k) Premarket Notification - Traditional

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    1. Summary of Clinical Tests The subject of this premarket submission, HS70A, is not required clinical studies to support substantial equivalence.
    1. Conclusion

Intended uses and other key features are consistent with traditional clinical practices and FDA guidelines. The design, development and quality process of the manufacturer confirms with 21 CFR 820 and ISO 13485. The device is designed to conform to applicable medical device safety standards and compliance. Therefore, SAMSUNG MEDISON CO., LTD. considers the HS70A to be as safe, as effective, and performance is substantially equivalent to the predicate devices.

-END of 510(K) Summary

§ 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.