K Number
K012867
Date Cleared
2001-09-12

(16 days)

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

Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Fetal (including infertility monitoring of follicle development), Abdominal, Intra-operative (Abdominal, Vascular), Intra-operative (Neurological), Pediatric, Small Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esophageal (Non cardiac, Cardiac), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Cardiac (Adult, Pediatric), Peripheral-vascular.
Typical examinations performed using the system are: General abdominal and pelvic studies including organ surveys, assessment, and retro-peritoneal cavity studies. Study of small parts including breasts, shoulders, thyroid, and the abdominal wall. Pediatric scans of organs and bony structures. Peripheral vascular applications including carotid arteries, legs, arms, feet, and penile artery. Monitoring procedures for infertility studies (other than in vitro fertilization). First, second and third trimester pregnancy studies. Prostate, prostate biopsy guidance, and rectal wall studies. Neonatal head studies. Transcranial studies of middle cerebral arteries, internal carotid artery, and vertebral arteries. Cardiac studies in adults and children. Biopsy guidance for tissue or fluid sampling. Conventional podiatry scans. Intra-operative application including soft tissue structures.

Device Description

The SA 9900 scanner is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B-mode, M-mode, Continuous (CW) Doppler, Pulsed (PW) Doppler, Power Doppler, and 3D imaging or as a combination of these modes. The SA 9900 has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed. All modes of operation have been previously cleared in 510(k) K002185. The system also provides for the measurement of anatomical structures and for analysis packages that provide information used for clinical diagnostic purposes by competent health care professionals. The control panel has not changed from the description in the SA9900 Ultrasound System Operator's Manual, submitted in the 510(k) Special Report, Add-to-File for K002185. Various different models of transducers are available and any four may be connected at the same time. In addition to the initial operational settings for each transducer preprogrammed in the system, user-customized parameter settings for each transducer may be inserted by the operator and stored for recall as needed via the system control panel. Customization includes transmit focusing, filtering, image enhancement processing, dynamic window curve selection. Controls are also provided to select display format (single and various combinations), to activate zoom features, and to utilize the cine loop function. The SA-9900 uses digital beamforming technology, and supports a variety of Linear, Convex, Phased Array and Static probes for a wide variety of applications. It is an ultrasound scanner, which provides high resolution, high penetration performance, and various measurement functions. Probes are supported in frequencies from 1.0 MHz to 20.0 MHz. These probes can be applied to a variety of clinical applications such as fetal, abdominal, pediatric, small organ, neonatal cephalic, adult cephalic, cardiac, trans-rectal, trans-vaginal, peripheral-vascular, muscular-skeletal. The same clinical uses were cleared for the predicate device, SA8800/HD11500 (K974269). The system can be used to measure distances and calculate areas, circumferences and volumes, as well as calculate the expected date of delivery by using BPD (biparietal diameter), OFD (occipitofrontal diameter), HC (head circumference), AC (abdominal circumference), AD (abdominal diameter), FL (femur length), CRL (crown rump length), APTD (anteroposterior trunk diameter), TTD (transverse trunk diameter), GS (gestational sac), LMP (last menstural period.), Cardiac Analysis (volume by area/length, Simpson biplane and single plane, M-mode analysis, Doppler: peak and mean gradients, pressure half time, E/A ratio and continuity equation) and Vascular Analysis (resistive index, pulsatility index, % stenosis, ICA/CCA ratio, Volume flow). Biopsy guidelines are provided on screen to assist in the collection of tissue samples, using biopsy guide adapters offered as an optional accessory. M-mode uses the scroll display method which has its images flow from the right to the left on the monitor. The SA9900 supports the Cine function (capable of storing up to 256 sequential images) and real-time zoom function to the region-ofinterest. The system provides the ability to perform remote viewing of images, without compression, via a DICOM 3.0 compatible output. Management of patient history is possible by image-filing function. High-resolution images are provided by utilizing a technology called digital dynamic receive focusing.

AI/ML Overview

The provided text is a 510(k) summary for the Medison SA9900 Ultrasound System and its associated transducers. It describes the device, its intended uses, and claims substantial equivalence to a predicate device. However, it does not contain information about specific acceptance criteria or a study proving the device meets those criteria, especially in terms of diagnostic performance or clinical effectiveness.

The document focuses on regulatory compliance, electromechanical safety standards, and acoustic output limits. It lists various clinical applications and modes of operation, indicating whether these were "new indications" (N) or "previously cleared" (P) under a prior 510(k) (K002185). The FDA's letter confirms substantial equivalence based on the provided information, but this refers to regulatory equivalence, not a direct demonstration of performance against specific clinical acceptance criteria in a study.

Therefore, most of the requested information regarding acceptance criteria, study details, sample sizes, expert involvement, and ground truth cannot be extracted from this document.

Here's an attempt to fill in what can be gleaned, and explicitly state what is missing:


Acceptance Criteria and Device Performance Study (Medison SA9900 Ultrasound System)

The provided 510(k) summary does not include specific quantitative acceptance criteria related to diagnostic performance or clinical effectiveness, nor does it detail a study that evaluates such performance against those criteria.

The document primarily focuses on demonstrating substantial equivalence to a predicate device (SA8800/HDI1500 System, K974269) by showing compliance with:

  • Intended Use: The SA9900 has similar intended uses and clinical applications as the predicate.
  • Technological Characteristics: The device operates in an identical manner (piezoelectric material, sound wave reflection, electrical signal processing) and has similar features (B-mode, M-mode, Doppler, 3D imaging, measurements, analysis packages).
  • Safety Standards: The device meets electromechanical safety standards (e.g., EN 60601-1, UL 2601-1, IEC 61157).
  • Acoustic Output Limits: The device's acoustic output limits (ISPTA: 720 mW/cm2, MI: 1.9) are the same as predicate Track 3 devices and are within regulatory limits.

Table of Acceptance Criteria and Reported Device Performance (as inferable from the document):

Acceptance Criterion (Implicit/Explicit)Reported Device Performance/Compliance
Intended Use Equivalence (Matching clinical applications and modes of operation to predicate devices)The SA9900 is intended for various applications (Fetal, Abdominal, Pediatric, Small Organ, etc.) and modes (B, M, PWD, CWD, Color Doppler, Combined, Other, 3D Imaging, Tissue Harmonic Imaging, Biopsy Guidance), largely "previously cleared" (P) under K002185, with some "new indications" (N) for specific transducers (e.g., Trans-esophageal).
Electromechanical Safety (IEC 60601-1, UL 2601-1, etc.)Designed to meet specified international and national safety standards.
Acoustic Output Limits (IEC 61157)ISPTA: 720 mW/cm2 (Maximum Range), MI: 1.9 (Maximum Range). These are stated as "the same as predicate Track 3 devices."
Image Quality / Performance Equivalence (implicitly to predicate)The device uses digital beamforming technology and offers a wide variety of probes (1.0 MHz to 20.0 MHz) providing "high resolution, high penetration performance, and various measurement functions." (No quantitative metrics provided in this document).
DICOM CompatibilityProvides remote viewing of images, without compression, via a DICOM 3.0 compatible output.
Measurement and Analysis Functionality (implicitly similar to predicate)Provides for measurement of anatomical structures and analysis packages (e.g., BPD, HC, AC, FL, cardiac analysis, vascular analysis).

Missing Information:

  1. Sample size used for the test set and the data provenance: Not mentioned. No specific "test set" in the context of diagnostic performance is described.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not mentioned. No ground truth for diagnostic performance is described.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not mentioned.
  4. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, and the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This document pertains to a diagnostic ultrasound system, not an AI/CAD device, and no MRMC study is mentioned.
  5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm-only device.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not mentioned.
  7. The sample size for the training set: Not applicable. This is a hardware/software system, not a machine learning model requiring a specific training set as typically understood in AI/ML contexts. The "training" here would refer to engineering and development.
  8. How the ground truth for the training set was established: Not applicable.

Summary:

The provided K012867 document is a 510(k) summary demonstrating regulatory substantial equivalence to a predicate device (SA8800/HDI1500 System, K974269) based on identical technological characteristics, intended uses, compliance with safety standards, and acoustic output limits. It focuses on the technical and regulatory aspects required for market clearance rather than providing data from a clinical performance study with specific diagnostic acceptance criteria. A post-clearance special report for acoustic output measurements on production line devices was requested by the FDA, indicating that further safety compliance confirmation was needed after the initial clearance.

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K012867
SA9900 Ultrasound System

SEP 1 2 2001

ATTACHMENT 1(b) 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of safety and effectiveness is provided as part of this Premarket Notification in compliance with 21 CFR, Part 807, Subpart E, Section 807.92.

Submitter's name, address, telephone number, contact person: 1) .

Gary J. Allsebrook (510) 276-2648 Regulatory Affairs Regulatory Management Services. 16303 Panoramic Way San Leandro CA 94578-1116 Telephone: (510) 276-2648 Facsimile: (510) 276-3559

Prepared: March 6, 2001

Name of the device, including the trade or proprietary name if applicable, the common or 2) usual name, and the classification name, if known:

Common/Usual Name:

Diagnostic Ultrasound System and Accessories Multiplane Transesophageal Ultrasound Transducer Intra-operative Ultrasound Transducer

Proprietary Name:

SonoAce 9900 Diagnostic Ultrasound System and Transducers. Multiplane Transesophageal Ultrasound Transducer (MPT4-7AL) Intra-operative Ultrasound Transducers (LI5-9EV, CL4-8EV)

Classification Names:FR NumberProduct Code
Ultrasound Pulsed Echo Imaging System892.156090-IYO
Ultrasonic Pulsed Doppler Imaging System892.155090-IYN
Diagnostic Ultrasound Transducer892.157090-ITX

Identification of the predicate or legally marketed device: 3)

Medison believes that the SA9900 Ultrasound system are substantially equivalent to the currently marketed SA8800/HDI1500 System (K974269).

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4) Device Description:

The SA 9900 scanner is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B-mode, M-mode, System. Its fancinous (CW) Doppler, Pulsed (PW) Doppler, Power Doppler, and 3D imaging or as a combination of these modes. The SA 9900 has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed. All modes of operation have been previously cleared in 510(k) K002185. The system also provides for the measurement of anatomical structures and for analysis packages that provide information used for clinical diagnostic purposes by competent health care professionals. The control panel has not changed from the description in the SA9900 Ultrasound System Operator's Manual, submitted in the 510(k) Special Report, Add-to-File for K002185.

Various different models of transducers are available and any four may be connected at the same time. In addition to the initial operational settings for each transducer preprogrammed in the system, user-customized parameter settings for each transducer may be inserted by the operator and stored for recall as needed via the system control panel. Customization includes transmit focusing, filtering, image enhancement processing, dynamic window curve selection. Controls are also provided to select display format (single and various combinations), to activate zoom features, and to utilize the cine loop function.

The SA-9900 uses digital beamforming technology, and supports a variety of Linear, Convex, Phased Array and Static probes for a wide variety of applications. It is an ultrasound scanner, which provides high resolution, high penetration performance, and various measurement functions. Probes are supported in frequencies from 1.0 MHz to 20.0 MHz. These probes can be applied to a variety of clinical applications such as fetal, abdominal, pediatric, small organ, neonatal cephalic, adult cephalic, cardiac, trans-rectal, trans-vaginal, peripheral-vascular, muscular-skeletal. The same clinical uses were cleared for the predicate device, SA8800/HD11500 (K974269)

The system can be used to measure distances and calculate areas, circumferences and volumes, as well as calculate the expected date of delivery by using BPD (biparietal diameter), OFD (occipitofrontal diameter), HC (head circumference), AC (abdominal circumference), AD (abdominal diameter), FL (femur length), CRL (crown rump length), APTD (anteroposterior trunk diameter), TTD (transverse trunk diameter), GS (gestational sac), LMP (last menstural period.), Cardiac Analysis (volume by area/length, Simpson biplane and single plane, M-mode analysis, Doppler: peak and mean gradients, pressure half time, E/A ratio and continuity equation) and Vascular Analysis (resistive index, pulsatility index, % stenosis, ICA/CCA ratio, Volume flow).

Biopsy guidelines are provided on screen to assist in the collection of tissue samples, using biopsy guide adapters offered as an optional accessory. M-mode uses the scroll display method which has its images flow from the right to the left on the monitor. The SA9900 supports the Cine function (capable of storing up to 256 sequential images) and real-time zoom function to the region-ofinterest. The system provides the ability to perform remote viewing of images, without compression, via a DICOM 3.0 compatible output. Management of patient history is possible by image-filing function. High-resolution images are provided by utilizing a technology called digital dynamic receive focusing.

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The SA9900 has been designed to meet the following electromechanical safety standards:

  • EN 60601-1 (IEC 60601-1.) European Norm, Medical Electrical Equipment r
  • UL 2601-1, Underwriters Laboratories Standards, Medical Electrical Equipment ،
  • C22.2 No. 601.1, Canadian Standards Association, Medical Electrical Equipment ၊
  • CEI/IEC 61157:1992. International Electrotechnical Commission, Requirements for the . declaration of the acoustic output of medical diagnostic ultrasonic equipment
  • EN 60601-1-2 (IEC 60601-1-2,) European Norm, Collateral Standard: Electromagnetic = Compatibility
  • Compliant with the European Medical Device Directive Certificate issued by TUV. เ

Intended Use: 5)

SA9900 intended uses as defined FDA guidance documents are:

  • Fetal (including infertility monitoring of follicle development) (
  • ( Abdominal
  • { Intra-operative (Abdominal, Vascular)
  • ( Intra-operative (Neurological)
  • { Pediatric
  • ( Small Organ
  • { Neonatal Cephalic
  • ( Adult Cephalic
  • ( Trans-rectal
  • く Trans-vaginal
  • ( Trans-esophageal (Non cardiac, Cardiac)
  • ( Muscular-skeletal (Conventional, Superficial)
  • { Cardiac (Adult, Pediatric)
  • ( Peripheral-vascular

Typical examinations performed using the system are:

  • ( General abdominal and pelvic studies including organ surveys, assessment, and retro-peritoneal cavity studies.
  • { Study of small parts including breasts, shoulders, thyroid, and the abdominal wall.
  • ( Pediatric scans of organs and bony structures.
  • ( Peripheral vascular applications including carotid arteries, legs, arms, feet, and penile artery.
  • ( Monitoring procedures for infertility studies (other than in vitro fertilization).
  • { First, second and third trimester pregnancy studies.
  • ( Prostate, prostate biopsy guidance, and rectal wall studies.
  • { Neonatal head studies.
  • ( Transcranial studies of middle cerebral arteries, internal carotid artery, and vertebral arteries.
  • { Cardiac studies in adults and children.
  • ( Biopsy guidance for tissue or fluid sampling.

510(k) Summary of Safety and Effectiveness

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  • く Conventional podiatry scans.
  • Intra-operative application including soft tissue structures. く

Technological Characteristics: 6)

This device operates identical to the predicate devices in that piezoelectric material in the transducer is used as an ultrasound source to transmit sound waves into the body. Sound waves are reflected back to the transducer and converted to electrical signals that are processed and displayed as a 2D and M-mode, Continuous wave Doppler, Spectral Doppler, Color Doppler, Power Doppler, 3D images. Transducer patient contact materials are biocompatible.

The device's acoustic output limits are:

All Applications:

(Maximum Range)
ISPTA720 mW/cm2
MI1.9

The limits are the same as predicate Track 3 devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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-like symbol with three curved lines representing its body and wings. The symbol is enclosed within a circular border, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the border of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 2 2001

Medison America, Inc. % Mr. Mark Job Program Manager TUV Product Service, Inc. 1775 Old Highway 8 NW, Suite 104 NEW BRIGHTON MN 55112-1891

Re: K012867

Trade Name: SonoAce SA-9900 Diagnostic Ultrasound System Regulatory Class: II/21CFR 892.1550 Product Code: 90 IYN Regulatory Class: II/21 CFR 892.1560 Product Code: 90 IYO Dated: August 24, 2001 Received: August 27, 2001

Dear Mr. Job:

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 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). 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.

This determination of substantial equivalence applies to the following transducers intended for use with the SonoAce SA-9900 Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number

MPT4-7AL/4.0-7.0 MHz/Phased Array CL4-8EV/4.0-8.0 MHz/Curved Linear Array L15-9EV/5.0-9.0 MHz/Linear Array

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

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

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 (GMP) regulation (21 CFR Part 820) and that, through periodic QS inspections, the FDA will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition. the Food and Drug Administration (FDA) may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification does not affect any obligation you may have under sections 531 and 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This determination of substantial equivalence is granted on the condition that prior to shipping the first device, you submit a postclearance special report. This report should contain complete information, including acoustic output measurements based on production line devices, requested in Appendix G. (enclosed) of the Center's September 30, 1997 "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers." If the special report is incomplete or contains unacceptable values (e.g., acoustic output greater than approved levels), then the 510(k) clearance may not apply to the production units which as a result may be considered adulterated or misbranded.

The special report should reference the manufacturer's 510(k) number. It should be clearly and prominently marked "ADD-TO-FILE" and should be submitted in duplicate to:

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850

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, 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 International and Consumer Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

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If you have any questions regarding the content of this letter, please contact Rodrigo C. Perez at (301) 594-1212.

Sincerely yours,

David h. hyam

for

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

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510(k) Premarket Notification MPT4-7AL, CL4-8EV, LI5-9EV Transducers

4.3 INDICATIONS FOR USE

DIAGNOSTIC ULTRASOUND INDICATIONS STATEMENT

510(k) No.:

SA9900 Ultrasound System System:

SA7700 Onlasound Byeten.
Diagnostic ultrasound imaging or fluid flow analysis of the human body as follow Intended Use:

Mode of Operation (*includes simultaneous B-mode)
General(Track I only)Clinical ApplicationSpecific(Tracks I & III)BMPWDCWDColorDoppler*Combined*(Spec.)Other(Spec.)
Ophthalmic
OphthalmicPPPPPNote 1Notes 2, 7, 8
Fetal Imaging& OtherFetal (See Note 3)PPPPPNote 1Notes 2, 7, 8
AbdominalPPPPPNote 1Notes 2, 7, 8
Intra-operative (See Note 6)NNNNNNote 1Notes 2, 7, 8
Intra-operative (Neuro.)NNNNNNote 1Notes 8
LaparoscopicPPPPPNote 1Notes 2, 7, 8
PediatricPPPPPNote 1Notes 2, 8
Small Organ (See Note 5)PPPPPNote 1Notes 7, 8
Neonatal CephalicPPPPPNote 1Notes 7, 8
Adult CephalicPPPPPNote 1Notes 7, 8
Trans-rectal.PPPPPNote 1Notes 2, 8
Trans-vaginalPPPPPNote 1Notes 2, 8
Trans-urethral
Trans-esoph. (non-Cardiac)NNNNNNote 1 (N)Notes 7, 8 (N)
Musculo-skel. (Convent.)PPPPPNote 1Notes 2, 8
Musculo-skel. (Superfic.)PPPPPNote 1Notes 2, 8
Intra-luminal
Other (spec.)
CardiacCardiac AdultPPPPPNote 1Notes 4,7, 8
Cardiac PediatricPPPPPNote 1Notes 4,7, 8
Trans-esophageal (Cardiac)NNNNNNote 1 (N)Notes 7, 8 (N)
Other (spec.)
PeripheralVesselPeripheral vesselPPPPNote 1Note 8
Other (spec.)

N= new indication; P= previously cleared by FDA in K002185; E= added under Appendix E

Additional Comments:

Color Doppler includes Color Amplitude Doppler (P)

Color Doppler meludes Color Ampinade Doppier, CWD/Color Doppler, CWD/Power Doppler (P)
Note 1: PWD/Color Doppler, PWD/Power Doppler, CWD/Color Doppler, CWD/Power Doppyler (P

Note 2: Includes imaging for guidance of biopsy (P)

Note 3: Includes infertility monitoring of follicle development (P)

Note 4: Color M-mode (P)

Note 4: Color Mi-inoue (r)
Note 5: For example: thyroid, breast, scrotum and penis in adult, pediatric and neonatal patient

Note 6: Abdominal organs and peripheral vessel (P)

Note 7: Tissue Harmonic Imaging (THI) (P)

Note 8: 3D Imaging (P)

Concurrence of CDRH, Office of Device Evaluation (ODE) fescription Use (Per 21 CFR 801.109)

David A. Ingram

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K012867

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510(k) Premarket Notification MPT4-7AL, CL4-8EV, LI5-9EV Transducers

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.: SA9900 Ultrasound System System: MPT4-7AL /4.0-7.0 MHz/Phased Array Transducer: MI X4 Title Free To Timaging or fluid flow analysis of the human body as follows: Intended Use:

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

N= new indication; P= previously cleared by FDA in K002185; E= added under Appendix E

Additional Comments:

Color Doppler includes Color Amplitude Doppler

Color Dopper Includes Color Ampiliaat Doppier
Note 1: PWD/Color Doppler, PWD/Power Doppler, CWD/Color Doppler, CWD/Power Doppyler (P)

Note 2: Includes imaging for guidance of biopsy (P)

Note 3: Includes infertility monitoring of follicle development (P)

Note 4: Color M-mode (P)

Note 4: "Color M-nioue (1)
Note 5: For example: thyroid, breast, scrotum and penis in adult, pediatric and neonatal patients (P)

Note 6: Abdominal organs and peripheral vessel (P)

Note 7: Tissue Harmonic Imaging (THI) (P)

Note 8: 3D Imaging

Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)

David G. Blynn

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K512867

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DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) No.: System: SA9900 Ultrasound System CL4-8EV/4.0-8.0 MHz/Curved Linear Array Transducer: Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

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

N= new indication; P= previously cleared by FDA in K002185; E= added under Appendix E Additional Comments:

Color Doppler includes Color Amplitude Doppler

Note 1: PWD/Color Doppler, PWD/Power Doppler, CWD/Color Doppler, CWD/Power Dopppler (P)

Note 2: Includes imaging for guidance of biopsy (P)

Note 3: Includes infertility monitoring of follicle development (P)

Note 4: Color M-mode (P)

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

Note 6: Abdominal organs and peripheral vessel (P)

Note 7: Tissue Harmonic Imaging (THI) (P)

Note 8: 3D Imaging

Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)

David G. Simpson

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K012867

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DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT

510(k) Number: System: SA9900 Ultrasound System LI5-9EV/5.0-9.0 MHz/Linear Array Transducer: Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

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

N= new indication; P= previously cleared by FDA in K002185; E= added under Appendix E

Additional Comments:

Color Doppler includes Color Amplitude Doppler

Note 1: PWD/Color Doppler, PWD/Power Doppler, CWD/Color Doppler, CWD/Power Dopppler (P)

Note 2: Includes imaging for guidance of biopsy (P)

Note 3: Includes infertility monitoring of follicle development (P)

Note 4: Color M-mode (P)

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

Note 6: Abdominal organs and peripheral vessel (P)

Note 7: Tissue Harmonic Imaging (THI) (P)

Note 8: 3D Imaging

Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)

David to. Legnon

§ 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.