K Number
K192254
Manufacturer
Date Cleared
2019-09-18

(29 days)

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

InnoSight Diagnostic Ultrasound System is intended for diagnostic ultrasound imaging in B (2D), M-Mode, PW and CW Spectral Doppler, CPA, Tissue Harnonic imaging and Color Doppler modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications: Fetal, Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Adult Cephalic, Trans-rectal, Musculo-skel. (Conventional), Other (Ob/GYN, Urology, Nerve), Cardiac Adult, Cardiac Pediatic, Peripheral Vessel and Carotid. The clinical environments where the used include physician offices, clinics, hospitals, and clinical point-of-care for diagnosis of patients except environments where the intensity of electromagnetic disturbances is high.

The system is intended to be installed, used, and operated only in accordance with the safety procedures and operating instructions given in the system user information, and only for the purposes for which it was designed. The system should only be operated by someone who has received proper training in the use and operation of an ultrasound system. This system produces images derived from sound echoes; those images must be interpreted by a qualified medical professional. This system in no way interprets these images or provides a medical diagnosis of the patient being examined.

Device Description

InnoSight diagnostic ultrasound system is a compact and portable diagnostic ultrasound device, have integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications. The user interface is touch screen with 11.6" display. The all-digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features.

The major features of the InnoSight diagnostic ultrasound:

  • 64 Channel all digital beam former
  • Progressive dynamic receive focusing
  • Wide band all digital demodulation
  • Native frequency digital scan converter
  • . InnoSight diagnostic ultrasound can be hand carried for portable use
  • . Full patient database solutions: DICOM3.0, MP4 /PNG, USB, SSD, PDF report
  • Supports B (2-D), M, CFM, DPI, PW, Tissue Harmonic Image and combine . mode
AI/ML Overview

Here's a breakdown of the acceptance criteria and the study information for the InnoSight Diagnostic Ultrasound System based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The provided document, a 510(k) Premarket Notification, primarily focuses on demonstrating substantial equivalence to a predicate device rather than presenting specific numerical acceptance criteria and performance metrics for the InnoSight system itself from an independent study.

Instead, the "acceptance criteria" are implied by compliance with various international and FDA-recognized consensus standards for medical electrical equipment, including safety, electromagnetic compatibility, and acoustic output. The "reported device performance" is essentially the statement of compliance with these standards and the demonstration of equivalent functionality to the predicate device.

CategoryAcceptance Criteria (Implied by Standards & Equivalence)Reported Device Performance
SafetyCompliance with IEC 60601-1 (medical electrical equipment - general requirements for basic safety and essential performance) and IEC 60601-2-37 (particular requirements for ultrasonic medical diagnostic and monitoring equipment)."InnoSight diagnostic ultrasound has been designed to meet the following voluntary and measurement standards: AAMI / ANSI ES60601-1:2005/(R)2012 And A1:2012,, C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text)" and "IEC 60601-2-37 Edition 2.1 2015". Non-clinical performance testing demonstrates compliance. Asserts that the device is "designed and manufactured to the same electrical and physical safety standards" as the predicate.
Electromagnetic Compatibility (EMC)Compliance with IEC 60601-1-2 (general requirements for basic safety and essential performance – collateral standard: electromagnetic compatibility)."AAMI / ANSI / IEC IEC 60601-1-2, Ed. 4.0". Non-clinical performance testing demonstrates compliance.
Acoustic OutputCompliance with NEMA UD 2-2004 (R2009) (acoustic output measurement standard for diagnostic ultrasound equipment) and IEC 60601-2-37. Acoustic output levels within Track 3 FDA limits."NEMA UD 2-2004 (R2009)" and "IEC 60601-2-37 Edition 2.1 2015". "Acoustic Output: Conform to IEC60601-2-37 and AIUM UD2 requirements for all modes of all probes." "The predicate device and InnoSight Diagnostic Ultrasound Systems have acoustic output levels within the Track 3 FDA limits."
BiocompatibilityCompliance with ISO 10993-1 (biological evaluation of medical devices)."ISO 10993-1 Fourth Edition 2009-10-15". "The predicate device and the InnoSight Diagnostic Ultrasound Systems are manufactured by bio safety materials." Specifies that for transducer C83B, Cytotoxicity, Irritation and Sensitization tests reference the acceptable results for predicate transducer L154BH.
Software Life CycleCompliance with IEC 62304 (medical device software – software life cycle processes)."IEC 62304:2015".
Image Quality & Functionality"Ability to collect clinically acceptable images and ultrasound data for clinical applications" (stated as mechanism of action for predicate, implied for submission device). Equivalence to predicate in imaging functions (B, M, PWD, Color Doppler, THI, CPA, iScan, X-Res, SonoCT, Biopsy guide) and post-processing functions. Clinical verification expected, but not explicitly detailed numerically as performance metrics in this document.The comparison table (pages 14-16) generally states "Same" or "No new imaging function" / "No new post processing function" when comparing features with the predicate CX50 and Sparq. Minor differences in probe types/bandwidth, display size, and number of channels are acknowledged but deemed "tested to prove that they [are] effective" or "safe and effective". Non-clinical verification testing covered system level requirements and risk control measures. Non-clinical validation testing covered intended use, commercial claims, and usability with representative intended users.
Intended UseThe system should be suitable for diagnostic ultrasound imaging and fluid flow analysis in various specified applications (Fetal, Abdominal, Pediatric, Small Organ etc.) and clinical environments.The "Indications for Use" section (pages 2-8) details the specific applications and modes of operation for the InnoSight system and its various transducers. The comparison with the predicate device states, "No new indications" meaning the InnoSight performs for the same indications as the predicate.

Specific Numerical Performance Targets (Acceptance Criteria) are not provided in detail in this document. The submission hinges on substantial equivalence to a predicate device, supported by compliance with recognized standards.

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

  • Sample Size for Test Set: The document does not specify a distinct "test set" sample size in terms of patient cases or images for evaluating clinical performance. The non-clinical testing involved various engineering tests (e.g., electrical safety, EMC, acoustic output, biocompatibility) conducted on the device itself.
  • Data Provenance: The data described is primarily from non-clinical performance testing conducted on the device. There is no mention of clinical data (patient data) provenance (e.g., country of origin, retrospective or prospective) because the document explicitly states: "The InnoSight did not require clinical data since substantial equivalence to the primary currently marketed predicate CX50 Diagnostic Ultrasound System demonstrated with indication for use, technological characteristics, Non-clinical performance testing; and Safety and effectiveness."

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

  • This information is not applicable as there was no clinical test set requiring expert ground truth establishment for a diagnostic performance study. The evaluation focused on engineering performance and substantial equivalence.

4. Adjudication Method for the Test Set

  • This information is not applicable as there was no clinical test set requiring adjudication.

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

  • No, a multi-reader, multi-case (MRMC) comparative effectiveness study was not conducted or described in this document. The submission explicitly states that clinical data was not required.

6. Standalone (Algorithm Only) Performance Study

  • No, a standalone (algorithm only) performance study was not conducted or described in this document. The InnoSight system is a diagnostic ultrasound device designed to be operated by a trained medical professional, not an AI algorithm performing diagnostic tasks without human interaction.

7. Type of Ground Truth Used

  • Not directly applicable in the context of a clinical diagnostic performance study. For the non-clinical tests, the "ground truth" would be established by the specifications of the standards (e.g., a device must operate within specific acoustic output limits as defined by NEMA UD 2).

8. Sample Size for the Training Set

  • This information is not applicable. The InnoSight Diagnostic Ultrasound System is a hardware-based imaging system, not an AI/ML algorithm that requires a "training set" in the conventional sense. Its "training" involves engineering design, calibration, and adherence to established physical and electrical principles of ultrasound.

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

  • This information is not applicable for the reason stated in point 8.

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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. Food & Drug Administration" in blue text.

September 18, 2019

Qisda Corporation % Prithul Bom Responsible Third Party Official Regulatory Technology Services, LLC 1000 Westgate Drive, Suite #510k SAINT PAUL, MN 55114

Re: K192254

Trade/Device Name: InnoSight Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: Class II Product Code: IYN, IYO, ITX Dated: August 19, 2019 Received: August 20, 2019

Dear Prithul Bom:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K192254

Device Name InnoSight Diagnostic Ultrasound System

Indications for Use (Describe)

InnoSight Diagnostic Ultrasound System is intended for diagnostic ultrasound imaging in B (2D), M-Mode, PW and CW Spectral Doppler, CPA, Tissue Harnonic imaging and Color Doppler modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications: Fetal, Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Adult Cephalic, Trans-rectal, Musculo-skel. (Conventional), Other (Ob/GYN, Urology, Nerve), Cardiac Adult, Cardiac Pediatic, Peripheral Vessel and Carotid. The clinical environments where the used include physician offices, clinics, hospitals, and clinical point-of-care for diagnosis of patients except environments where the intensity of electromagnetic disturbances is high.

The system is intended to be installed, used, and operated only in accordance with the safety procedures and operating instructions given in the system user information, and only for the purposes for which it was designed. The system should only be operated by someone who has received proper training in the use and operation of an ultrasound system. This system produces images derived from sound echoes; those images must be interpreted by a qualified medical professional. This system in no way interprets these images or provides a medical diagnosis of the patient being examined.

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

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System: InnoSight Diagnostic Doppler Ultrasound System InnoSight Diagnostic Ultrasound Pulsed Echo System InnoSight Diagnostic Ultrasound Pulsed Doppler Imaging System

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

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)2DMPWDopplerCWDopplerColorCPAOther*CombinedTissueHarmonicImaging
OphthalmicOphthalmic
FetalImaging &OtherFetalPPPPPNote 1P
AbdominalPPPPPNote 1P
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
PediatricNNNNNNote 1N
Small Organ (breast,thyroid, testes)PPPPPNote 1P
Neonatal Cephalic
Adult CephalicNNNNNNNote 1N
Trans-rectalPPPPPNote 1P
Trans-vaginalPPPPPNote 1P
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)PPPPPNote 1P
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)PPPPPNote 1P
CardiacCardiac AdultPPPPPPNote 1P
Cardiac PediatricNNNNNNote 1N
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vesselPPPPPNote 1P
Other (specify)

N = new indication;

P = previously cleared by FDA

E = added under

this appendix

Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/Color; 2D/Color /PW Doppler and 2D/CPA/PW Doppler

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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C6-2 Curved Linear Array 2-6MHz Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)2DMPWDopplerColorDopplerCPAOther*CombinedTissueHarmonicImaging
OphthalmicOphthalmicPPPPPNote1P
FetalImaging &OtherFetalPPPPPNote1P
AbdominalPPPPPNote1P
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
PediatricNNNNNNote1N
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)PPPPPNote1P
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/Color, 2D/Color /PW Doppler and 2D/CPA/PW Doppler

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

Over-The-Counter Use

(21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Indications For Use

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L12-4 Linear Array 4-12MHz Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)2DMPWDopplerColorCPAOther*CombinedTissueHarmonicImaging
OphthalmicOphthalmic
FetalFetal
Imaging &OtherAbdominalPPPPPNote1P
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (breast, thyroid,testes)PPPPPNote1P
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)PPPPPNote1P
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vesselPPPPPNote1P
Other (specify)

N = new indication;

E=

E = added under this appendix

Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/Color /PW Doppler and 2D/CPA/PW Doppler

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

P = previously cleared by FDA;

Over-The-Counter Use

(21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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S4-2 Phase Array 2-4MHz Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)2DMPWDopplerCWDopplerColorCPAOther*CombinedTissueHarmonicImaging
OphthalmicOphthalmic
FetalFetal
Imaging &OtherAbdominalNNNNNNNote 1N
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (breast,thyroid, testes)
Neonatal Cephalic
Adult CephalicNNNNNNNote 1N
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac AdultPPPPPPNote 1P
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA;

E = added under this appendix Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/CW Doppler; 2D/Color; 2D/Color /PW Doppler; 2D/Color /CW Doppler; 2D/CPA/CW Doppler and 2D/CPA/PW Doppler

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Indications For Use

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C9-4v Micro Curved Linear Array 4-9MHz Transducer: Diagnostic Ultrasound Transducer

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

General(TRACK 1ONLY)Clinical ApplicationSpecific(TRACKS 1 & 3)2DMPWDopplerColorCPAOthers*CombinedTissueHarmonicImaging
OphthalmicOphthalmic
FetalImaging &OtherFetalPPPPPNote1P
Abdominal
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
Pediatric
Small Organ (breast,thyroid, testes)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPPNote 1P
Trans-vaginalPPPPPNote 1P
Trans-urethral
Trans-esoph.(non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
CardiacOther (Ob/GYN)PPPPPNote 1P
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

P = previously cleared by FDA; N = new indication;

E = added under this appendix

Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/Color /PW Doppler and 2D/CPA/PW Doppler

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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C83B Micro Curved Linear Array 3-8MHz Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
General(TRACK 1ONLY)Specific(TRACKS 1 & 3)2DMPWDopplerColorCPAOthers*CombinedTissueHarmonicImaging
OphthalmicOphthalmic
Fetal
FetalImaging &OtherAbdominalNNNNNNote 1N
Intra-operative Specify
Intra-operative Neuro
Laparoscopic
PediatricNNNNNNote 1N
Small Organ (breast,thyroid, testes)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac PediatricNNNNNNote 1N
Intravascular(Cardiac)
Trans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Note 1: Combined includes: 2D/M; 2D/PW Doppler; 2D/Color /PW Doppler and 2D/CPA/PW Doppler

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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K192254

PREMARKET NOTIFICATION [510(k)] Summary

Company Name:Qisda CorporationNo.157, Shanying Rd., Shan-Ting Li, Gueishan Dist.,Taoyuan City, Taiwan
-----------------------------------------------------------------------------------------------------------------
  • Johnson Sheu Johnson.Sheu@Qisda.com Contact:
  • Device Name: InnoSight Diagnostic Ultrasound System
  • Common Name: Diagnostic Ultrasound Imaging System
  • Classification Name: Requlatory Class: II Review Category: Tier II Classification Panel: Radiology

Ultrasonic Pulsed Doppler Imaging System, 21 CFR 892.1550, 90-IYN Ultrasonic Pulsed Echo Imaging System, 21 CFR 892.1560, 90-IYO Diagnostic Ultrasound Transducer 21 CFR 892.1570, Product Code 90-ITX

Registration Number: 3010220244

  • Qisda Corporation Factory Location: No.159,Shanying Rd.,Shan-Ting Li, Gueishan Dist., Taoyuan City, Taiwan

Predicate Device Comparison:

The Philips CX50 and Sparq (K162329) is a comparable and substantially equivalent type. It has the same technological characteristics, key safety and effectiveness features, physical

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design, and has the same intended uses and basic operating modes as the predicate device.

Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
Indications for UseThe modified CX50 andThe InnoSight DiagnosticNo new
Sparq Diagnostic UltrasoundUltrasound System is intendedindications
Systems are intended forfor diagnostic ultrasound
diagnostic ultrasoundimaging in 2D, M-Mode, PW and
imaging in B (or 2-D),CW Spectral Doppler, CPA,
M-mode (includingTissue Harmonic imaging and
Anatomical – mode), PulseColor Doppler modes. It is
Wave Doppler, continuousindicated for diagnostic
Wave Doppler, colorultrasound imaging and fluid flow
Doppler, tissue Doppleranalysis in the following
Imaging and Harmonicsapplications: Fetal, Abdominal,
(Tissue and contrast) modes.Pediatric, Small Organ (breast,
The devices are indicated forthyroid, testes), Adult Cephalic,
diagnostic ultrasoundTrans-rectal, Trans-vaginal,
imaging and fluid flowMusculo-skel. (Conventional),
analysis in the followingOther (OB/GYN, Urology,
applications: Ophthalmic,Nerve), Cardiac Adult, Cardiac
Intracardiac echo,Pediatric, Peripheral Vessel and
Intraoperative, Laparoscopic,Carotid.
Fetal, Abdominal, Pediatric,
Small Organ, Adult Cephalic,
Neonatal Cephalic,
Trans-vaginal, Trans-rectal,
Musculoskeletal,
Gynecological, Cardiac
Adult, Cardiac pediatric,
Trans-Esophogeal.
(Cardiac), Peripheral Vessel,
Other (Carotid).
Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
working principleThe user typically uses adetector (called a probe) toplace it directly on thepatient's body and move it,then reads the image on thescreen. Creating anultrasound image is generallydivided into three steps:generating ultrasound,receiving echoes andinterpreting. These echoesas they appear on thescreen.SameNone
Mechanism of actionThe intended use of thisproduct is to collectultrasound image data thatcan be used by clinicians fordisease screening,diagnosis, and surgery. Thisproduct should have theability to collect clinicallyacceptable images andultrasound data for clinicalapplications.SameNone
Product compositionColor ultrasound diagnosticsystems and probes includemainframes (includingdisplays, control panels andcarts), probes and optionalcomponents (barcodescanners, printers, footThe InnoSight color ultrasoundsystem consists of a cart, atouch system, and a probe.Optional accessories include aprinter.Comparison ofdeclaredproducts withpredicateproduct.Differentstructure of thecart and less
Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
pedals, ECG leads).optionalaccessories.But these havebeen tested toprove that theyeffective.
Core componentsDisplay: 43cm (17-in) LDCdisplay.11.6 - in touch panelCompared withthe predicateproduct, thescreens aredifferent, butthey are usedby doctors inclinicallyeffective use toprove that theyeffective.
Host signal input:Physiological ECG andbreathingThree probe socketHost signal input:Single probe socketThree probe socket by MTMThe signal inputof the declaredproduct host isa single probesocket, which issimpler than thecomparisonproduct. Hasbeen tested toprove that it issafe andeffective.
The signal output of the host:The signal output of the host:The video
Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
External printerUSB serial dataVideo: S-Video, VGAUSB serial dataVideo: HDMIoutput of thedeclaredproduct isHDMI. Unlikethe comparisonproduct, it hasbeen tested forHDMI andproved to besafe andeffective.
Number of physicalchannels:Transmitting channel -128Receiving channel -128Number of physical channels:Transmitting channel -64Receiving channel -64There are fewertransmitting andreceivingchannels for thedeclaredproducts, andrelevant testshave beencarried out toprove that theyare safe andeffective.

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Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
Probe:TypeProbe:Type
modelmodel
S4-2Phased arrayS4-2Phased array
probeprobe
C6-2BroadbandC6-2Broadband
Curved ArrayCurved ArrayProbe type and
probeprobebandwidth
C8-5BroadbandC9-4vBroadbandrange are
Curved ArrayCurved Arraysmaller than
probeprobePredicatedevice.
C9-4vBroadbandL12-4Broadband
Curved Arraylinear array
probeprobe
L12-4BroadbandC83BBroadband
linear arrayCurved Array
probeprobe
X7-2tTEE probe
Imaging functionBBNo New
MMimagingfunction
PWDPWD
Color DopplerB+PWDB+Color DopplerColor DopplerB+PWDB+ Color Doppler
B+MB+M
B+M+ Color DopplerB+M+ Color Doppler

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Predicate DeviceSubmission DeviceDifference
Comparison itemCX50 and Sparq DiagnosticUltrasound SystemsK162329InnoSight Diagnostic DopplerUltrasoundPending
B+ Color Doppler +PWDB+ Color Doppler +PWD
Tissue Harmonic Imaging(THI)Tissue Harmonic Imaging (THI)
Tissue Doppler ImagingColor Power Angio (CPA)
Color Power Angio (CPA)iScan
iScanX-Res
X-ResSonoCT Imaging
Contrast imagingBiopsy guide
SonoCT ImagingEnhanced Needle Visualization
Biopsy guide
Biopsy needle visualization
Post processingfunction2D depth ;Continuous tracing ;Distance ;Ellipse ;Heart Rate ;High Q Automatic Doppler2-Points Measurement ;Time/ Slope ;Volume ;Angle ;Area ;Circumference ;Simpson method2D depth ;Continuous tracing ;Distance ;Ellipse ;Heart Rate ;High Q Automatic Doppler2-Points MeasurementTime/ Slope ;Volume ;Angle ;Area ;Circumference ;No new postprocessingfunction
Other featuresDICOM networkingDICOM structured report( SR )SameNone
Applicable powerRated voltage in the range ofSameNone
Comparison ItemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
supply voltage range± 10%, the device can worknormally
Continuous run time>8hSameNone
ElectromagneticcompatibilityMeet the requirements of IEC60601-1-2SameNone
Sound outputparameterMeet the requirements ofIEC60601-2-37SameNone
BiocompatibilityMeet the appropriaterequirements of the followingstandards:ISO 10993-1ISO 10993-5ISO 10993-10SameNone
Electrical safetyMeet the appropriaterequirements of the followingstandards:IEC 60601-1IEC 60601-2-37IEC 60601-1-1IEC 60601-1-2SameNone
Radiation safetyComply with IEC 60601-2-37SameNone
Software corefunctionBy coordinating the buttons,soft keys and trackball of thecontrol panel: Acousticoutput power, focus, depth,THI, probe operatingfrequency (soft-frequency)Through the touch panel:Acoustic output power, focus,depth, THI, probe operatingfrequency, color ROI size, colorROI position, sample packetsize, line density, color samplingNo new function
Comparison itemPredicate DeviceCX50 and Sparq DiagnosticSubmission DeviceInnoSight Diagnostic DopplerDifference
Ultrasound SystemsUltrasound
K162329Pending
color ROI size, color ROIsetting, sample package size(soft-pack), line density(soft-density), color samplingScale, pulse repetitionfrequency, spectral ROI size(soft-gate), spectral ROIposition (trackball), spectralsampling size, the systemcan change the aboveimaging parameters. Byadjusting these parameters,the user can change thesound field devices.size, pulse repetition frequency,spectral ROI size, spectral ROIposition, spectral sampling sizeThe system can change theabove imaging parameters. Byadjusting these parameters, theuser can change the sound fielddevices.
Applicable peopleAdult, pediatricAdult, pediatricNo difference
Applicable partFetus, Abdomen, Smallorgans (Thyroid, Scrotum,Thyroid, Prostate andBreast), Other (Gynecology),Adult heart, Peripheral bloodvessels, Pediatrics,Musculoskeletal(Conventional),Musculoskeletal(Superficial), Other(Gynecology), Rectum ,Transvaginal, EsophagealheartFetus, Abdomen, Small Organs(Thyroid, Scrotum, Thyroid,Prostate and Breast), Other(Gynecology), Adult heart,Peripheral blood vessels,Musculoskeletal (Conventional),Other (Gynecological), Rectal,Transvaginal, Adult cephalicveinNo new preset
Contact with thehuman bodyContacting the body surface,transthoracicContacting the body surface,intraluminalLess contactparts
Comparison itemPredicate DeviceCX50 and Sparq DiagnosticUltrasound SystemsK162329Submission DeviceInnoSight Diagnostic DopplerUltrasoundPendingDifference
intraluminal
IndicationFetal imaging and other,heart, peripheral vascularSameNo difference
Applicable diseasestage and extenSuitable for any stage anddegree of diseaseSameNo difference
Use environmentAll departments of thehospital. Imaging Center,Professional Clinic, Primaryand Secondary CareCenters.SameNo difference
InstructionsPhilips color ultrasounddiagnostic system usingconventional methodsSameNo difference
Precautions andwarningsPlease refer to the usermanualSameNo difference
ContraindicationsNo known contraindicationsNot for ophthalmology
Sterilization/disinfectionon methodNon-sterile, routinedisinfectionSameNo difference

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BenQ T3300 Diagnostic Ultrasound System (K181313) is an additional predicate device for comparing form the biocompatibility point of view.

BenQ T3300 (K181313) is the Diagnostic Ultrasound System which equipped with three transducers L154BH, C62B and P42B6.

Since the materials used and the manufacturing process of C83B that has direct contact with the patients are equivalent to the transducer L154BH, therefore, Cytotoxicity, Irritation and Sensitization tests for C83B can reference the testing performed for transducer L154BH and the result is acceptable.

Premarket Notification 510(k) Summary

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General Device Description:

InnoSight diagnostic ultrasound system is a compact and portable diagnostic ultrasound device, have integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications. The user interface is touch screen with 11.6" display. The all-digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features.

The major features of the InnoSight diagnostic ultrasound:

  • 64 Channel all digital beam former
  • Progressive dynamic receive focusing
  • Wide band all digital demodulation
  • Native frequency digital scan converter
  • . InnoSight diagnostic ultrasound can be hand carried for portable use
  • . Full patient database solutions: DICOM3.0, MP4 /PNG, USB, SSD, PDF report
  • Supports B (2-D), M, CFM, DPI, PW, Tissue Harmonic Image and combine . mode

Intended Use:

The InnoSight Diagnostic Ultrasound System is intended for diagnostic ultrasound imaging in 2D, M-Mode, PW and CW Spectral Doppler, CPA, Tissue Harmonic imaging and Color Doppler modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications: Fetal, Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Adult Cephalic, Trans-rectal, Trans-vaginal, Musculo-skel. (Conventional), Other (OB/GYN, Urology, Nerve),

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Cardiac Adult, Cardiac Pediatric, Peripheral Vessel and Carotid. The clinical environments where the system can be used include physician offices, clinics, hospitals, and clinical point-of care for diagnosis of patients except environments where the intensity of electromagnetic disturbances is high.

The system is intended to be installed, used, and operated only in accordance with the safety procedures and operating instructions given in the system user information, and only for the purposes for which it was designed. The system should only be operated by someone who has received proper training in the use and operation of an ultrasound system. This system produces images derived from sound echoes; those images must be interpreted by a qualified medical professional. This system in no way interprets these images or provides a medical diagnosis of the patient being examined.

Technological Characteristics:

Display ModesSingle and dual 2-D; Display of Duplex 2-D/M-mode; 2-D/Pulsed Doppler andTriplex 2-D/CD/Pulsed Doppler image formats; Dual B and Color in real time
Description ofTransducersInnoSight Diagnostic Ultrasound System withC6-2 Curved Linear Array 2-6MHzL12-4 Linear Array 4-12MHzS4-2 Phase Array 2-4MHzC9-4v Micro Curved Linear Array 4-9MHzC83B Micro Curved Linear Array 3-8MHz
MeasurementsDistance; area; Volume; circumference; Heart Rate; calipers; velocity; PI, RICardiac, OB/GYN and Vascular package.
Principle ofOperationApplying high voltage burst to the Piezoelectric material in the transducerand detect the reflected echo to construct the 2-D B-mode, Doppler color,and Doppler spectrum image for diagnostic purpose.
OperatingControlsTGC 8 slider, +/- 22.5 dB Depth Range: 1 to 30 cm Image sector size: 32 lines to full B (256 lines) Image Sector position: Steering within full maximum B orientation flip: L/R key with marking on the screen B Dynamic range control: preset 100 levels over 20-100 dB Gray Scale Control: 4 Settings Focal Number: 10 focal zone setting B persistence: 30-90% recursive Image Processing: Smoothing, edge enhancement PW sweeping speed 2,4,8 sec over display. PW Wall filter setting: 20 settings, 1% to 20% of PRF PW sample volume: 0.5 to 10mm with 0.5mm step size. PW/B update: with UPDATE key PW cursor steering: Steer key PW angle correction: +/- 72 degree user control PW trace: Peak, Mean PW spectrum dynamic range: 8 preset curve over 15-96 dB Spectrum baseline shift and invert Color ROI setting: Touch and drag to control size and position Color steering on flat probe: +/- 20 Color Wall Filter: Color wall filter with 20 settings, 1% to 20% of PRF Color & B priority: C-B priority soft menu Color Packet size: preset per Exam range from 8 to 12 Color spatial filter: preset per Exam, horizontal, vertical, off Zoom factor: Up to 10x Freeze control: Touch freeze key Cine control: step, play backward, play continuously
AcousticOutputConform to IEC60601-2-37 and AIUM UD2 requirements for all modes of all probes

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SAFETY CONSIDERATIONS:

InnoSight diagnostic ultrasound has been designed to meet the following voluntary and measurement standards:

RecognitionNumberRegulations No./ VersionRecognition Standard
12-105NEMA UD 2-2004 (R2009)Acoustic Output Measurement Standard forDiagnostic Ultrasound Equipment Revision3 (Radiology)
12-293IEC 60601-2-37 Edition 2.1 2015Medical electrical equipment - Part 2-37:Particular requirements for the basic safetyand essential performance of ultrasonicmedical diagnostic and monitoringequipment
19-4AAMI / ANSIES60601-1:2005/(R)2012 AndA1:2012,, C1:2009/(R)2012 AndA2:2010/(R)2012 (ConsolidatedText)Medical Electrical Equipment - Part 1:General Requirements For Basic SafetyAnd Essential Performance (lec60601-1:2005, Mod). (General II (ES/EMC))
19-8AAMI / ANSI / IECIEC 60601-1-2, Ed. 4.0Medical Electrical Equipment - Part 1-2:General Requirements For Basic SafetyAnd Essential Performance – CollateralStandard: Electromagnetic Compatibility -Requirements And Tests (Edition 4).(General II (ES/EMC))
2-220ISO 10993-1 Fourth Edition2009-10-15Biological Evaluation Of Medical Devices -Part 1: Evaluation And Testing Within ARisk Management Process [Including:Technical Corrigendum 1 (2010)].(Biocompatibility)
13-79IEC 62304:2015Medical device software – Software lifecycle processes

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510(k) Submission InnoSight Diagnostic Ultrasound System

Summary of Non-Clinical Performance Data

Non-clinical performance testing has been performed on the InnoSight Diagnostic Ultrasound Systems and demonstrates compliance with the following FDA recognized consensus standards:

  • IEC 60601-1: Medical electrical equipment. General requirements for basic safety and essential performance, 2005, Amendment 1, 2012

  • IEC 60601-1-2 Medical Electrical Equipment – Part 1-2, General Requirements for Basic Safety and Essential Performance – Collateral Standard Electromagnetic Compatibility, 2007 * IEC 60601-2-37: Medical electrical equipment. Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment, 2007 * ISO 10993: Biological evaluation of medical devices

The device also comply with the FDA ultrasound specific guidance for Industry and FDA Staff - Information for manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (September 9, 2008).

Non-Clinical verification testing has been performed to cover system level requirements and the risk control measures. Non-Clinical validation testing covered the intended use and commercial claims as well as usability testing with representative intended users.All these tests were used to support substantial equivalence of the subject device and demonstrate that the InnoSight Diagnostic Ultrasound Systems complies with the aforementioned international and FDA-recognized consensus standards and FDA ultrasound guidance document, and meets the acceptance criteria and is adequate for its intended use.

Therefore, InnoSight is substantially equivalent to the predicate CX50 Diagnostic Ultrasound System in terms of safety and effectiveness

Summary of Clinical Performance Data

The InnoSight did not require clinical data since substantial equivalence to the primary currently

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marketed predicate CX50 Diagnostic Ultrasound System demonstrated with indication for use, technological characteristics, Non-clinical performance testing; and Safety and effectiveness.

Substantial Equivalence Conclusion

The InnoSight Diagnostic Ultrasound Systems are substantially equivalent to the currently marketed predicate device

  • The predicate device and the InnoSight Diagnostic Ultrasound Systems are indicated for the diaqnostic ultrasonic imaging and fluid flow analysis.

  • The predicate device and the InnoSight Diagnostic Ultrasound Systems have the same gray-scale and Doppler capabilities.

  • The predicate device and InnoSight Diagnostic Ultrasound Systems use essentially the same technologies for imaging, Doppler functions and signal processing.

  • The predicate device and InnoSight Diagnostic Ultrasound Systems have acoustic output levels within the Track 3 FDA limits.

  • The predicate device and the InnoSight Diagnostic Ultrasound Systems are manufactured by bio safety materials.

  • The predicate device and InnoSight Diagnostic Ultrasound Systems are designed and manufactured to the same electrical and physical safety standards.

§ 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.