K Number
K173801
Date Cleared
2018-07-11

(209 days)

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

Transcranial Doppler Ultrasound System is intended for use as a diagnostic ultrasound fluid flow analysis system: 1) For the measurement of cerebral artery blood velocities to determine the presence of hemo dynamically significant deviations from normal values; 2) To assess arterial cerebral blood flow for the occurrence of micro embolic signals. Vessels intended for observation include, but are not limited to the middle, anterior cerebral arteries, via the temporal windows, the vertebral mid basilar arteries via the foramen magnum and the ophthalmic artery and intracranial internal carotid artery via the eye. The Roboprobe Headband facilitates monitoring use by its ability to track the Doppler signal. Transcranial Doppler is intended for use during: 1) Diagnostic exams; 2) Surgical interventions. The device is not intended to replace other means of evaluating vital patient physiological processes, is not intended to be used in fetal applications, and is not intended to be used inside the sterile field.

Device Description

The EMS-9D/EMS-9F Transcranial Doppler Ultrasound System is a Transcranial Doppler (TCD) system using non-invasive technique to obtain the information of blood flow velocities throughout the body. This method of measurement is particularly useful for examining the major arteries supplying blood to the brain. TCD is useful for evaluation of numerous neurological vascular diseases such as vasospasm and intracranial stenosis. TCD is also extremely valuable for intraoperative monitoring to help detect sudden changes in blood flow. EMS-9D/EMS-9F should be used in hospitals or healthcare facilities by doctors or trained healthcare professionals.

AI/ML Overview

This document is a 510(k) Summary for the Shenzhen Delica Medical Equipment Co., Ltd.'s Transcranial Doppler Ultrasound System (models EMS-9D and EMS-9F). The document aims to demonstrate substantial equivalence to a predicate device (K122710).

Here's an analysis of the acceptance criteria and study information provided:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are implicitly defined by the performance of the predicate device (K122710). The reported device performance for the proposed device (EMS-9D and EMS-9F) is compared against these values. It's noted that the "performance of proposed device is fully better than that of predicate device - the proposed device has longer measurement depth, larger speed range and less error."

ParameterPredicate Device (K122710) Acceptance CriteriaProposed Device (EMS-9D/EMS-9F) Reported Performance
1.6MHz PW
Depthnot less 134 mmnot less 150 mm
Speed range20cm/s~200cm/s10cm/s~300cm/s
Maximum Error±20%±15%
2MHz PW
Depthnot less 134 mmnot less 150 mm
Speed range20cm/s~200cm/s10cm/s~300cm/s
Maximum Error±20%±15%
4MHz CW
Depthnot less 50 mm (EMS-9UA) / not less 85 mm (EMS-9PB)not less 85 mm
Speed range10cm/s100cm/s (EMS-9UA) / 10cm/s300cm/s (EMS-9PB)10cm/s~300cm/s
Maximum Error±20%±15%
8MHz CW
Depthnot less 20 mm (EMS-9UA) / not less 35 mm (EMS-9PB)not less 35 mm
Speed range10cm/s50cm/s (EMS-9UA) / 10cm/s200cm/s (EMS-9PB)10cm/s~200cm/s
Maximum Error±20%±15%
16MHz PWN/A (not present in predicate)Depth: not less 8 mm, Speed range: 10cm/s~120cm/s, Max Error: ±15%
All ProbesCompliance with Track 3 Acoustic Output LimitAcoustic output test demonstrated compliance

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

The document does not explicitly state the "sample size used for the test set" in terms of patient data or clinical cases. The non-clinical tests mentioned are related to engineering standards (IEC, NEMA) and device performance specifications. It also does not explicitly state the "country of origin of the data" or if the data was "retrospective or prospective". The testing appears to be primarily laboratory-based non-clinical verification.

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

This information is not provided in the document. The testing described is non-clinical performance verification against engineering standards rather than diagnostic accuracy studies requiring expert-established ground truth.

4. Adjudication Method

This information is not provided as it is not relevant to the non-clinical performance verification described.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The submission focuses on non-clinical performance testing and substantial equivalence based on technical specifications and adherence to standards.

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

The device is a Transcranial Doppler Ultrasound System, which is a diagnostic tool that provides data for human interpretation. The concept of "standalone performance" for an algorithm without human-in-the-loop is not directly applicable in the AI/algorithm sense to this type of medical device as described in the document. The document describes the technical performance specifications of the ultrasound system itself.

7. The Type of Ground Truth Used

For the non-clinical performance tests mentioned (depth, speed range, maximum error, acoustic output), the ground truth would be based on physical phantom measurements and engineering standards/calibrations. For example, a calibrated flow phantom would be used to measure speed range and error, and specialized equipment would measure acoustic output.

8. The Sample Size for the Training Set

This information is not provided and is not applicable. The Transcranial Doppler Ultrasound System is a hardware diagnostic device, not an AI/machine learning algorithm that requires a training set in the conventional sense.

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

This information is not provided and is not applicable, as there is no "training set" for an AI/machine learning algorithm mentioned for this device.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo is composed of two parts: the Department of Health & Human Services logo on the left and the FDA acronym followed by the full name of the agency, "U.S. Food & Drug Administration," on the right. The FDA acronym and the agency's name are in blue.

Shenzhen Delica Medical Equipment Co., Ltd. % Ms. Diana Hong General Manager Mid-Link Consulting Co., Ltd. P.O. Box 120-119 Shanghai. 200120 CHINA

Re: K173801

Trade/Device Name: Transcranial Doppler Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, ITX, OQQ Dated: June 12, 2018 Received: June 22, 2018

Dear Ms. Hong:

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.

July 11th, 2018

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);

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

Page 2 - Ms. Diana Hong

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 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,

Jeff Rodger

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) K173801

Device Name

Transcranial Doppler Ultrasound System

Transcranial Doppler Ultrasound System is intended for use as a diagnostic ultrasound fluid flow analysis system: 1) For the measurement of cerebral artery blood velocities to determine the presence of hemo dynamically significant deviations from normal values;

  1. To assess arterial cerebral blood flow for the occurrence of micro embolic signals. Vessels intended for observation include, but are not limited to the middle, anterior cerebral arteries, via the temporal windows, the vertebral mid basilar arteries via the foramen magnum and the ophthalmic artery and intracranial internal carotid artery via the eye. The Roboprobe Headband facilitates monitoring use by its ability to track the Doppler signal.
  • Transcranial Doppler is intended for use during:
    1. Diagnostic exams;
  1. Surgical interventions.

The device is not intended to replace other means of evaluating vital patient physiological processes, is not intended to be used in fetal applications, and is not intended to be used inside the sterile field.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 1.6MHz PW Probe (02.0001.0170.01)

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

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmicP
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 1.6MHz PW Probe (AP99-0815-PW1.60)

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

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmicP
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 1.6MHz PW Probe (02.0001.1613.02)

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

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmic
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vessel
Other (Specify)
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmicP
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmic
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 2MHz PW Probe (02.0001.0214.01)

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

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 4MHz CW Probe (02.0001.0408.01)

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

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 8MHz CW Probe (02.0001.0805.01)

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

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmic
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9D

Transducer: 16MHz PW Probe (02.0128.1601.01)

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

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
OphthalmicOphthalmic
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9F

Transducer: 2MHz PW Probe (02.0001.0214.01)

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

Clinical ApplicationMode of OperationOther*(Specify)
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)
OphthalmicOphthalmicP
FetalFetal
Imaging &OtherAbdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9F

Transducer: 2MHz PW Probe (AP99-0607-PW2.0)

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

Clinical ApplicationMode of OperationOther*(Specify)
BMPWDCWDColor DopplerCombined(Specify)
General(Track 1 Only)Specific(Track 1&3)
OphthalmicOphthalmicP
FetalImaging &OtherFetal
Abdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9F

Transducer: 2MHz PW Probe (02.0001.0213.01)

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

Clinical ApplicationMode of OperationOther*(Specify)
General(Track 1 Only)Specific(Track 1&3)BMPWDCWDColorDopplerCombined(Specify)
OphthalmicOphthalmic
FetalFetal
Imaging &OtherAbdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vessel
Other (Specify)
Clinical ApplicationMode of Operation
GeneralSpecificBMPWDCWDColorDopplerCombined(Specify)Other*(Specify)
(Track 1 Only)(Track 1&3)
OphthalmicOphthalmic
FetalFetal
Imaging &OtherAbdominal
Intra-operative(Specify)
Intra-operative(Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralVesselPeripheral vesselP
Other (Specify)

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

System: Transcranial Doppler Ultrasound System EMS-9F

Transducer: 4MHz CW Probe (02.0001.0408.01)

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

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

510(k) Summary

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: K173801

    1. Date of Preparation: 6/12/2018
    1. Sponsor Identification

Shenzhen Delica Medical Equipment Co., Ltd. 6C, Block 10, The Second Industrial Zone, Guanlong, Nanshan District, Shenzhen 518055, China

Establishment Registration Number: 3006441164

Contact Person: Zhenhua Xiao Position: Management Representative Tel: +86-0755-26413482 Fax: +86-0755-86210002 Email: quality@delicasz.com

    1. Designated Submission Correspondent
      Ms. Diana Hong (Primary Contact Person) Ms. Jing Cheng (Alternative Contact Person)

Mid-Link Consulting Co., Ltd

P.O. Box 120-119, Shanghai, 200120, China Tel: +86(0)21 2281-5850 Fax: +1(0)360 925-3199 Email: info@mid-link.net

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

4. Identification of Proposed Device

Trade Name: Transcranial Doppler Ultrasound System; Common Name: Transcranial Doppler; Models: EMS-9D and EMS-9F

Regulatory Information Classification: II Product Code: IYN, ITX and OQQ; Regulation Number: 21 CFR 892.1550 and 21 CFR 892.1570; Review Panel: Radiology:

Indications for Use:

Transcranial Doppler Ultrasound System is intended for use as a diagnostic ultrasound fluid flow analysis system:

    1. For the measurement of cerebral artery blood velocities to determine the presence of hemo dynamically significant deviations from normal values;
    1. To assess arterial cerebral blood flow for the occurrence of micro embolic signals. Vessels intended for observation include, but are not limited to the middle, anterior and posterior cerebral arteries, via the temporal windows, the vertebral mid basilar arteries via the foramen magnum and the ophthalmic artery and intracranial internal carotid artery via the eye.

The Roboprobe Headband facilitates monitoring use by its ability to track the Doppler signal. Transcranial Doppler is intended for use during:

    1. Diagnostic exams;
    1. Surgical interventions.

The device is not intended to replace other means of evaluating vital patient physiological processes, is not intended to be used in fetal applications, and is not intended to be used inside the sterile field.

Device Description:

The EMS-9D/EMS-9F Transcranial Doppler Ultrasound System is a Transcranial Doppler (TCD) system using non-invasive technique to obtain the information of blood flow velocities throughout the body. This method of measurement is particularly useful for examining the major arteries supplying blood to the brain.

TCD is useful for evaluation of numerous neurological vascular diseases such as vasospasm and intracranial stenosis. TCD is also extremely valuable for intraoperative monitoring to help detect sudden changes in blood flow.

EMS-9D/EMS-9F should be used in hospitals or healthcare facilities by doctors or trained healthcare professionals.

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

    1. Identification of Predicate Device
      510k Number: K122710

Product Name: Transcranial Doppler with Robotic Probe Headband; Manufacturer: Shenzhen Delicate Electronics Co., Ltd.

    1. Non-Clinical Test Conclusion
      Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

IEC 60601-1:2005+CORR.1:2006+CORR.2:2007+AM1:2012, Medical electrical equipment – Part 1: General requirements for basic safety, and essential performance.

IEC 60601-2-37:2007, Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment

IEC 60601-1-2: 2007, Medical electrical equipment, Part 1-2: General requirements for basic safety and essential performance- Collateral standard: Electromagnetic compatibility- Requirements and teats.

NEMA UD 2-2004 (R2009), Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment Revision 3.

    1. Substantially Equivalent
ITEMProposed DevicePredicate Device, K122710
Product CodeIYN, ITX and OQQIYN, ITX and OQQ
Regulation No.21 CFR 892.1550 and 21 CFR 892.157021 CFR 892.1550 and 21 CFR 892.1570
ClassIIII

Table 1 Substantially Equivalent Comparison

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Transcranial Doppler Ultrasound System isintended for use as a diagnostic ultrasound fluidflow analysis system:1) For the measurement of cerebral artery bloodvelocities to determine the presence of hemodynamically significant deviations from normalvalues;2) To assess arterial cerebral blood flow for theoccurrence of micro embolic signals. Vesselsintended for observation include, but are notlimited to the middle, anterior and posteriorcerebral arteries, via the temporal windows, thevertebral mid basilar arteries via the foramenmagnum and the ophthalmic artery and intracranialinternal carotid artery via the eye.The Roboprobe Headband facilitates monitoringuse by its ability to track the Doppler signal.Transcranial Doppler is intended for use during:1) Diagnostic exams;2) Surgical interventions.The device is not intended to replace other meansof evaluating vital patient physiological processes,is not intended to be used in fetal applications, andis not intended to be used inside the sterile field.Transcranial Doppler Ultrasound System isintended for use as a diagnostic ultrasound fluidflow analysis system:1) For the measurement of cerebral artery bloodvelocities to determine the presence of hemodynamically significant deviations from normalvalues;2) To assess arterial cerebral blood flow for theoccurrence of micro embolic signals. Vesselsintended for observation include, but are notlimited to the middle, anterior and posteriorcerebral arteries, via the temporal windows, thevertebral mid basilar arteries via the foramenmagnum and the ophthalmic artery and intracranialinternal carotid artery via the eye.The Roboprobe Headband facilitates monitoringuse by its ability to track the Doppler signal.Transcranial Doppler is intended for use during:1) Diagnostic exams;2) Surgical interventions.The device is not intended to replace other meansof evaluating vital patient physiological processes,is not intended to be used in fetal applications, andis not intended to be used inside the sterile field.
Intended Use
ConfigurationEMS-9F: Main Unit+PC/Laptop+TransducerEMS-9D: Main Unit+TransducerEMS-9UA: Main Unit+PC/Laptop+TransducerEMS-9PB: Main Unit+Transducer
ModelEMS-9DEMS-9FEMS-9PBEMS-9UA
Screen15" LCD DisplayNo15" LCD DisplayNo
Nominal VoltageAC 100V-240VDC +12V, -12V, +5VAC 100V-240VDC +12V, -12V, +6V
Nominal Frequency50Hz/60Hz/50Hz/60Hz/
Input Power80VA60VA275VA30VA
Probe1.6/2/1.6MHz PW probeand 4/8MHz CW probe2MHz PW probe and4/8MHz CW probe1.6MHz PW probe and4/8MHz CW probe2MHz PW probe and4/8MHz CW probe
Performance
1.6MHzPWDepthnot less 150 mm/not less 134 mm/
Speedrange10cm/s~300cm/s/20cm/s~200cm/s/
Maximum$\pm$ 15%/$\pm$ 20%/
2MHzPWDepthnot less 150 mmnot less 150 mmnot less 134 mmnot less 134 mm
Speedrange10cm/s~300cm/s10cm/s~300cm/s20cm/s~200cm/s20cm/s~200cm/s
MaximumError±15%±15%±20%±20%
4MHzCWDepthnot less 85 mmnot less 85 mmnot less 50 mm
Speedrange10cm/s~300cm/s10cm/s~300cm/s10cm/s~100cm/s
MaximumError±15%±15%±20%±20%
8MHzCWDepthnot less 35 mm/not less 20 mm
Speedrange10cm/s~200cm/s/10cm/s~50cm/s
MaximumError±15%/±20%±20%
16MHzPWDepthnot less 8 mm//
Speedrange10cm/s~120cm/s//
MaximumError±15%///

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

The main differences between proposed device and predicate device include nominal voltage, input power, probe and performance. Both proposed device and predicate device comply with IEC 60601-1, IEC 60601-2 and IEC 60601-2-37, they are identical in electrical safety and EMC. Compared with the predicate device, 16MHz PW probe are added in EMS-9D and 8MHz CW is removed in EMS-9F. Referring to the comparison table, the performance of proposed device is fully better than that of predicate device - the proposed device has longer measurement depth, larger speed range and less error. The acoustic output test has demonstrated that all the probes comply with Track 3 Acoustic Output Limit. Therefore, these items do not impact the safety and effectiveness.

The proposed device, Transcranial Doppler Ultrasound System, is determined to be Substantially Equivalent (SE) to the predicate device, Transcranial Doppler with Robotic Probe Headband, K122710, in respect of safety and effectiveness.

§ 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.