(190 days)
The GPS-XYZ device is a diagnostic ultrasound system which produces twodimensional diagnostic ultrasonic images. The following intended uses are identified for the transducer applications: General Radiology, Abdominal, Cardiac and Vascular, with the use of ultrasonic probes from 2.8-12.5 MHz. There is no transcranial application for this device.
The GPS-XYZ Diagnostic Ultrasound System device is a diagnostic ultrasound system which produces two-dimensional diagnostic ultrasonic images. The following intended uses are identified for the transducer applications: General Radiology, Abdominal, Cardiac and Vascular, with the use of ultrasonic probes from 2.8-12.5 MHz. There are no transcranial applications for this device.
User interface is via an alphanumeric keypad and integrated trackball. The Perception Inc. GPS-XYZ Diagnostic Ultrasound System may be operated in M and B modes of inspection. The Perception Inc. GPS -XYZ Diagnostic Ultrasound System supports M, B, M&B, Dual B and Quad B display modes.
All probes currently intended for use with the Perception Inc. GPS -XYZ Diagnostic Ultrasound System are either mechanical sector devices or electronic curved array, and make use of a fluid filled design.
Here's a breakdown of the acceptance criteria and study information for the Perception Inc. GPS-XYZ Diagnostic Ultrasound System, based on the provided 510(k) summary:
1. Table of Acceptance Criteria and Reported Device Performance:
The document is a 510(k) summary for a pre-market notification, which focuses on demonstrating substantial equivalence to predicate devices rather than specific performance metrics against pre-defined acceptance criteria for a new, novel device. Therefore, explicit quantifiable "acceptance criteria" and "reported device performance" in the typical sense of a clinical trial are not presented.
Instead, the "acceptance criteria" for this device are implicitly met by demonstrating:
- Substantial Equivalence: The device's intended use, technological characteristics, and safety/effectiveness are comparable to legally marketed predicate devices.
- Compliance with Recognized Standards: The device meets applicable industry and regulatory standards for safety and acoustic output.
The document states:
"This 510(k) submission is intended as a Track 1 type submission. Acoustic Output Reporting was prepared utilizing the following documents.
- NEMA 1992, Acoustic output measurement standard for diagnostic ultrasound . equipment, NEMA Standard UD-21992.
- FDA Center for Devices and Radiological Health 1985 510(k) Guide for ● Measuring and Reporting and Acoustic Output of Diagnostic Ultrasound Medical Devices, December, 1985, Revised, 1989, 1990, 1991, 1993, 1994 and 1995. --"
And:
"The following testing was conducted by Intertec Testing Services:
- UL-544, Third Edition .
- Radiated and Conducted Emissions per CISPR 11 ●
- Magnetic Field Emission per MIL-STD-482D, method RE101 ●
- Electrostatic Discharge Immunity per IEC 801-2 .
- Radiated Field Immunity (3 V/m, 26 MHZ to 1 Ghz, 100% Square Wave Modulation)
- Steady State Voltage Fluctuations
- Line Voltage Dropouts
- Slow Line Voltage Sags and Surges .
- . Fast Transients Bursts per IEC 801-4
- . Fast Line Voltage Surges
- Conducted Energy Immunity per MIL-STD-462D, Method CS114 .
- Magnetic Field Immunity per MIL-STD-482D, Method RS101 ●
- Quasi-Static Electric Field Immunity
None of the testing demonstrated any design characteristics that violated the requirements of the "FDA November 1993 Draft Reviewer Guidance for Pre-Market notification submissions, DCRND" or resulted in any safety hazards. It was Intertec Testing Services' conclusion that the device tested met all relevant requirements of the aforementioned quidance testing requirements."
| Acceptance Criteria (Implied) | Reported Device Performance |
|---|---|
| A. Substantial Equivalence in Intended Use: Device's clinical applications align with predicate devices. | The GPS-XYZ system has the same intended use as a combination of all cited predicate devices: General Radiology, Abdominal, Cardiac, and Vascular imaging using transducers from 2.8-12.5 MHz. (Explicitly stated: "The Perception Inc. GPS-XYZ Diagnostic Ultrasound System has the same intended use as a combination of all cited predicates.") |
| B. Substantial Equivalence in Technological Characteristics: Device operates similarly to predicate devices. | The device produces two-dimensional diagnostic ultrasonic images and supports M and B modes of inspection, M, B, M&B, Dual B, and Quad B display modes, similar to predicate ultrasound systems. (Implicit through description and comparison to existing ultrasound devices). |
| C. Acoustic Output Safety: Compliance with relevant acoustic output standards and limits. | "Acoustic output of each system/transducer/mode/application combination was measured and calculated per... NEMA 1992 and FDA 510(k) Guide... which revealed satisfactory testing results and compliance to applicable standards." This included: Maximum Acoustic Output Information, Estimated In-Situ Intensity, FDA In-Situ Intensity Limits, and Acoustic Output Information for each system/transducer/mode combination. |
| D. Electrical Safety and EMC: Compliance with electrical safety and electromagnetic compatibility standards. | Testing by Intertec Testing Services included UL-544, Radiated and Conducted Emissions (CISPR 11), Magnetic Field Emission (MIL-STD-482D), Electrostatic Discharge Immunity (IEC 801-2), Radiated Field Immunity, Steady State Voltage Fluctuations, Line Voltage Dropouts, Slow Line Voltage Sags and Surges, Fast Transients Bursts (IEC 801-4), Fast Line Voltage Surges, Conducted Energy Immunity (MIL-STD-462D), Magnetic Field Immunity (MIL-STD-482D), and Quasi-Static Electric Field Immunity. "None of the testing demonstrated any design characteristics that violated the requirements of the 'FDA November 1993 Draft Reviewer Guidance for Pre-Market notification submissions, DCRND' or resulted in any safety hazards. It was Intertec Testing Services' conclusion that the device tested met all relevant requirements..." |
| E. Biocompatibility: Materials in contact with patients are biocompatible. | "All non-clinical testing and biocompatibility testing revealed no new questions of safety or effectiveness." (No specific test results provided in this summary, just a statement of conclusion). |
2. Sample Size Used for the Test Set and Data Provenance:
- Sample Size: Not Applicable. The document explicitly states "Discussion of Clinical Tests Performed: Not Applicable." This indicates that clinical trials with patient data were not conducted as part of this 510(k) submission. The evaluation was based on engineering and safety testing, and comparison to predicate devices.
- Data Provenance: Not Applicable. Since no clinical tests were performed, there is no patient data, and therefore no country of origin or retrospective/prospective classification.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts:
- Not Applicable. No clinical studies were performed, thus no "test set" requiring ground truth established by experts.
4. Adjudication Method for the Test Set:
- Not Applicable. No clinical studies were performed.
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:
- No. This is a submission for a diagnostic ultrasound system, not an AI-powered diagnostic tool. Therefore, an MRMC study comparing human readers with and without AI assistance was not conducted and is not relevant to this type of device.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- No. This device is a diagnostic ultrasound system, which is inherently operated by a human. It is not an algorithm performing a standalone task.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- Not Applicable. No clinical studies were performed, and no ground truth from patient data was established. The "ground truth" for this 510(k) submission primarily relies on the established safety and performance records of the predicate devices and compliance with recognized engineering and safety standards.
8. The sample size for the training set:
- Not Applicable. This device is a traditional ultrasound imaging system, not an artificial intelligence or machine learning algorithm that requires a "training set."
9. How the ground truth for the training set was established:
- Not Applicable. As it is not an AI/ML device, there is no training set and no ground truth for a training set.
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DEC 17 1997
510(K) SUMMARY
EXHIBIT #2
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.
The assigned 5lO(k) number is: _______________________________________________________________________________________________________________________________________________
1. Submitter's Identification:
Perception Inc. 9344 N.W. 13th Street, Suite 200 Miami. Florida 33172 Contact Person: Mr. Jimmie Spraker --Date Summary Prepared: June 9, 1997
2. Name of the Device :.
Perception Inc. GPS-XYZ Diagnostic Ultrasound System
3. Predicate Device Information:
- Aloka Model SSD650CL Ultrasound Systems and Transducers, 1) K# 925486/920374.
- Bruel and Kiaer Diagnostic Ultrasound Type 3535 System and Transducers 2) 8549, 8434, 8536, 8537, 8551 and 8550, K#905198/914925.
- Sharplan, USight 9010, K#945796. 3)
- International Ultrasound Systems Inc., Model AU-530, Pre-amendment 4) Device.
4. Device Description:
General Description
The GPS-XYZ Diagnostic Ultrasound System device is a diagnostic ultrasound system which produces two-dimensional diagnostic ultrasonic images. The following intended uses are identified for the transducer applications: General Radiology, Abdominal, Cardiac and Vascular, with the use of ultrasonic probes from 2.8-12.5 MHz. There are no transcranial applications for this device.
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User interface is via an alphanumeric keypad and integrated trackball. The Perception Inc. GPS-XYZ Diagnostic Ultrasound System may be operated in M and B modes of inspection. The Perception Inc. GPS -XYZ Diagnostic Ultrasound System supports M, B, M&B, Dual B and Quad B display modes.
All probes currently intended for use with the Perception Inc. GPS -XYZ Diagnostic Ultrasound System are either mechanical sector devices or electronic curved array, and make use of a fluid filled design. Transducer parameters are summarized in the following table:
| PROBE | CENTER FREQ | TYPE | INSP. MODES | APPLIC. |
|---|---|---|---|---|
| GP-3.0 | 2.8 MHz | MECH. SEC | M/B | Gen. Purpose/Abdominal/Cardiac |
| CA-3.5 | 3.7 MHz | CONV. ARR | B | Abdominal |
| PV-12.5 | 12.5 MHz | MECH SEC | M/B | PeripheralVascular |
5. Intended Use:
The GPS-XYZ device is a diagnostic ultrasound system which produces twodimensional diagnostic ultrasonic images. The following intended uses are identified for the transducer applications: General Radiology, Abdominal, Cardiac and Vascular, with the use of ultrasonic probes from 2.8-12.5 MHz. There is no transcranial application for this device.
6. Comparison to Predicate Devices:
We believe the Perception Inc. GPS -XYZ Diagnostic Ultrasound System to be substantially equivalent to ultrasound devices currently in commercial distribution in the U.S. A table of comparison outlining similarities and differences between the Perception Inc. GPS -XYZ Diagnostic Ultrasound System and predicate devices is attached to this summary.
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Discussion of Non-Clinical Tests Performed for Determination of Substantial 7. Equivalence are as Follows:
This 510(k) submission is intended as a Track 1 type submission. Acoustic Output Reporting was prepared utilizing the following documents.
- NEMA 1992, Acoustic output measurement standard for diagnostic ultrasound . equipment, NEMA Standard UD-21992.
- FDA Center for Devices and Radiological Health 1985 510(k) Guide for ● Measuring and Reporting and Acoustic Output of Diagnostic Ultrasound Medical Devices, December, 1985, Revised, 1989, 1990, 1991, 1993, 1994 and 1995. --
Acoustic output of each system/transducer/mode/application combination was measured and calculated per the above documents. The following testing was conducted which revealed satisfactory testing results and compliance to applicable standards.
- Maximum Acoustic Output Information .
- Estimated In-Situ Intensity .
- FDA In-Situ Intensity Limits .
- Acoustic Output Information for each system/transducer/mode . combination
The following testing was conducted by Intertec Testing Services:
- UL-544, Third Edition .
- Radiated and Conducted Emissions per CISPR 11 ●
- Magnetic Field Emission per MIL-STD-482D, method RE101 ●
- Electrostatic Discharge Immunity per IEC 801-2 .
- Radiated Field Immunity (3 V/m, 26 MHZ to 1 Ghz, 100% Square Wave Modulation)
- Steady State Voltage Fluctuations
- Line Voltage Dropouts
- Slow Line Voltage Sags and Surges .
- . Fast Transients Bursts per IEC 801-4
- . Fast Line Voltage Surges
- Conducted Energy Immunity per MIL-STD-462D, Method CS114 .
- Magnetic Field Immunity per MIL-STD-482D, Method RS101 ●
- Quasi-Static Electric Field Immunity
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None of the testing demonstrated any design characteristics that violated the requirements of the "FDA November 1993 Draft Reviewer Guidance for Pre-Market notification submissions, DCRND" or resulted in any safety hazards. It was Intertec Testing Services' conclusion that the device tested met all relevant requirements of the aforementioned quidance testing requirements.
8. Discussion of Clinical Tests Performed:
Not Applicable
9. Conclusions:
The Perception Inc. GPS-XYZ Diagnostic Ultrasound System has the same intended use as a combination of all cited predicates. All non-clinical testing and biocompatibility testing revealed no new questions of safety or effectiveness. This, when compared to the predicate devices, the Perception Inc. GPS-XYZ Diagnostic Ultrasound System does not incorporate any significant changes in intended use, method of operations, material or design that could affect safety or effectiveness.
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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like figure with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the bird symbol. The text is in all caps and appears to be in a sans-serif font.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Perception Inc. Susan Goldstein-Falk C/O MDI Consultants Inc. 55 Northern Blvd. Suite 410 Great Neck. NY 11021
DEC 17 1997
Re: K972192 GPS-XYZ (Diagnostic Ultrasound System) Dated: August 25, 1997 Received: September 23, 1997 Regulatory Class II 21 CFR 892.1560/Procode 90 IYO
Dear Ms. Goldstein-Falk:
We have reviewed your section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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. You may, therefore, market the device, subject to the general controls provisions Act (Act). The general controls provisions of the Act include requirements for registration, listing of devices, good manufacturing practices, labeling, and prohibitions against misbranding and adulteration.
This determination of substantial equivalence applies to the following transducers intended for use with the GPS-XYZ, as described in your premarket notification:
Transducer Model Number
3.0 MHz GP-3.0 3.5. MHz CA-3.5 12.5 MHz PV-12.5
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (CFR Part 820) and that, through periodic QS inspections, the Food and Drug
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Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
This letter will allow you to begin marketing your device as described in your premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus permits your device to proceed to market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4591. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597 or at its internet address "dsmo@fdadr.cdrh.fda.gov".
If you have any questions regarding the content of this letter, please contact Maureen Butler at (301) 594-1212.
Sincerely vours.
Vinit C. Syam
Lillian Yin, Ph.D. Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
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Attachment #1 3 pages
CLINICAL APPLICATIONS/OPERATING MODES
TABLE A.1
GP-3.0 General Purpose 3.0 MHz Mechanical Sector
| Clinical | A | B | M | PWD | CWD | ColorDoppler | Power(Amplitude)Doppler | ColorVelocityImaging | Combined(Specify) | Other(Specify) |
|---|---|---|---|---|---|---|---|---|---|---|
| Application | ||||||||||
| Opthalmic | ||||||||||
| Fetal | ||||||||||
| Abdominal | x | x | ||||||||
| Intra-Operative(Specify) | ||||||||||
| Intra-OperativeNeurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ(Specify) | ||||||||||
| Neonatal | ||||||||||
| Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | x | x | ||||||||
| Trans-Esophageal | ||||||||||
| Trans-Rectal | ||||||||||
| Trans-Vaginal | ||||||||||
| Trans-Urethral | ||||||||||
| Intra-Luminal | ||||||||||
| PeripheralVascular | ||||||||||
| Laparoscopic | ||||||||||
| Musculo-SkeletalConventional | ||||||||||
| Musculo-SkeletalSuperficial | ||||||||||
| Other (Specify) |
Daniel L. Severson
(Division Sign-Off)
Division of Reproductive, Abdominal, ENT, and Radiological Devic
510(k) Number K972192
Prescription Use
(Per 21 CFR 801.109)
89
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TABLE A.2
| Clinical Application | A | B | M | PWD | CWD | Color Doppler | Power (Amplitude) Doppler | Color Velocity Imaging | Combined (Specify) | Other (Specify) |
|---|---|---|---|---|---|---|---|---|---|---|
| Opthalmic | ||||||||||
| Fetal | ||||||||||
| Abdominal | X | |||||||||
| Intra-Operative (Specify) | ||||||||||
| Intra-Operative Neurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ (Specify) | ||||||||||
| Neonatal | ||||||||||
| Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | ||||||||||
| Trans-Esophageal | ||||||||||
| Trans-Rectal | ||||||||||
| Trans-Vaginal | ||||||||||
| Trans-Urethral | ||||||||||
| Intra-Luminal | ||||||||||
| Peripheral Vascular | ||||||||||
| Laparoscopic | ||||||||||
| Musculo-Skeletal Conventional | ||||||||||
| Musculo-Skeletal Superficial | ||||||||||
| Other (Specify) |
(Division Sign-Off)
Division of Reproductive, Abdominal, ENT, and Radiological Devices
510(k) Number: R972192
CA-3.5 Curved Array 3.5 MHz Electronic
Prescription Use
(Per 21 CFR 801.109)
V
(Per 21 CFR 801.109)
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TABLE A.3
| ClinicalApplication | A | B | M | PWD | CWD | ColorDoppler | Power(Amplitude)Doppler | ColorVelocityImaging | Combined(Specify) | Other(Specify) |
|---|---|---|---|---|---|---|---|---|---|---|
| Opthalmic | ||||||||||
| Fetal | ||||||||||
| Abdominal | ||||||||||
| Intra-Operative(Specify) | ||||||||||
| Intra-OperativeNeurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ(Specify) | ||||||||||
| Neonatal | ||||||||||
| Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | ||||||||||
| Trans-Esophageal | ||||||||||
| Trans-Rectal | ||||||||||
| Trans-Vaginal | ||||||||||
| Trans-Urethral | ||||||||||
| Intra-Luminal | ||||||||||
| PeripheralVascular | X | X | ||||||||
| Laparoscopic | ||||||||||
| Musculo-SkeletalConventional | ||||||||||
| Musculo-SkeletalSuperficial | ||||||||||
| Other (Specify) |
PV-12.5 Peripheral Vascular 12.5 MHZ Mechanical Sector
Thind C. Senger
(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices K972192 510(k) Number _
Prescription Use
(Per 21 CFR 801.109)
§ 892.1560 Ultrasonic pulsed echo imaging system.
(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.