K Number
K013327
Device Name
CTS-415
Date Cleared
2001-12-14

(70 days)

Product Code
Regulation Number
892.1560
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Diagnostic Ultrasound System Indications for Use Form Device Name: CTS-415
Clinical Application: Fetal, Abdominal, Pediatric, Small Organ (specify), Cardiac, Peripheral Vascular
Mode of Operation: B, M, Combined (specify)
Small organs includes: thyroid, parathyroid, parotid, submaxillary gland testes and breast
Pediatric Comments: Pediatric Intended Uses include: Cardiology. Abdomen. Peripheral Vasa

Scanhead Indications for Use Form Device Name: Convex Array C3I40
Clinical Application: Fetal, Abdominal, Pediatric, Cardiac
Mode of Operation: B, M, Combined (specify)
Pediatric Comments: Pediatric Intended Uses include: Cardiology, Abdomen

Scanhead Indications for Use Form Device Name: Linear Array L7I50
Clinical Application: Pediatric, Small Organ (specify), Peripheral Vascular
Mode of Operation: B, M, Combined (specify)
Small organs includes: thyroid, parotid, submaxillary gland. testes and breast Pediatric Intended Uses include: Peripheral Vasa Pediatric Comments:

Device Description

Model CTS-415 is a linear/convex electronic scanning ultrasonotomograph with a built-in digital scan converter (DSC) and main CPU module. The unit allows heart, abdominal organic and fetal tomographic images to be observable on a video monitor. The main unit is portable and is separable from other equipment to be carried for its use at another place as well as being usable in combination with a 9inch video monitor and a special photographic unit.

AI/ML Overview

The provided 510(k) Premarket Notification for the CTS-415 with C3I40 and L7I50 Transducers focuses on demonstrating substantial equivalence to a predicate device (Hitachi Medical Corporation EUB-310, K862867). This type of submission relies on showing that the new device has similar technological characteristics and performs comparably to a device already cleared by the FDA, rather than proving novel effectiveness through clinical trials with specific acceptance criteria and outcome measurements.

Therefore, the document does not contain the detailed information requested about acceptance criteria, study design, sample sizes, expert ground truth establishment, or specific performance metrics in the way one would find for a de novo submission or a device claiming superiority.

Specifically, the document does not include:

  • A table of specific acceptance criteria or reported device performance against such criteria.
  • Information on a "test set" sample size, data provenance, number or qualifications of experts, or adjudication methods for ground truth because such a study design is not described.
  • A multi-reader multi-case (MRMC) comparative effectiveness study or any effect size for human readers with/without AI assistance, as AI functionality is not mentioned for this device.
  • A standalone (algorithm only) performance study.
  • The type of ground truth used (e.g., pathology, outcomes data) for a study, as no such study is detailed.
  • Sample size for a training set or how ground truth for a training set was established, as machine learning or AI models requiring such sets are not described.

Summary based on the provided document:

The device, "CTS-415 with C3I40 and L7I50 Transducers," is a Diagnostic Ultrasound System. Its acceptance for marketing by the FDA (K013327) is based on demonstrating substantial equivalence to the predicate device, Hitachi Medical Corporation EUB-310 (K862867).

The document lists the device's technological characteristics (e.g., scanning methods, display modes, frequency of probes, image adjustments, measuring functions) and its intended uses for various clinical applications (Fetal, Abdominal, Pediatric, Small Organ, Cardiac, Peripheral Vascular) in B and M modes, with the C3I40 and L7I50 transducers supporting specific subsets of these applications.

The "acceptance criteria" in this context are implicitly met by demonstrating that the device's technological characteristics and stated intended uses are substantially equivalent to a legally marketed predicate device. The FDA's letter explicitly states that the determination of substantial equivalence means the device can be marketed, subject to general controls and requirements for a post-clearance special report on acoustic output measurements. This process does not involve setting quantitative performance metrics like sensitivity, specificity, or accuracy against a pre-defined threshold in a clinical study as typically seen with de novo submissions for novel devices or AI/ML-enabled devices.

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

K013327

DEC 1 4 2001 Premarket Notification [510(k)] Summary

August 24,2001

Trade Name:CTS-415 with C3I40 and L7I50 Transducers
Common Name:Diagnostic Ultrasound System
Classification Name:Ultrasonic Pulsed Echo Imaging System, 90 IYO
(per 21 CFR section 892.1560)
Manufacturer's Name:Shantou Institute of Ultrasonic Instruments
Address:#77, Jinsha Road,Shantou Sez, 515041, China

Corresponding Official: Mr. Jinzhong Yao

Title: President

Telephone: (86) 754-8250150 Fax: (86) 754-8251499

Predicate: Hitachi Medical Corporation EUB-310, K862867

Device Description: Model CTS-415 is a linear/convex electronic scanning ultrasonotomograph with a built-in digital scan converter (DSC) and main CPU module. The unit allows heart, abdominal organic and fetal tomographic images to be observable on a video monitor. The main unit is portable and is separable from other equipment to be carried for its use at another place as well as being usable in combination with a 9inch video monitor and a special photographic unit.

Intended Use: Ultrasonic pulsed echo imaging and measurement for fetal imaging and other abdominal as well as pediatric, small organ cardiac.

Technological Characteristics:

(1) Scanning method: Electronic convex sector scanning, linear scanning

  • (2) Display mode: B, B/B, B/M, M
  • (3) Grey scale: 256

(4) Frequency of probe: 2.5MHz to 9.0MHz

(5) Image Display multiple: X1.0, X1.5, X2.0; Shift 2mm step

(6) Focusing method: Variable aperture 1-4 focal zone electronic focusing

(7) Display range (max):

Depth 220mm angle 82° (Convex)

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

Depth 120mm width 50mm (Linear 5.0MHz)

  • (8) Image adjustment
Gain:0 to 99 (digital)
Near Gain:0 to -60 (digital)
Far Gain:0 to 6.0 (digital)
Grey map curve:8 types
Frame Correlation:4 steps
Edge Enhance:4 steps

(9) Sweep Speed in M Mode: 1, 2, 4, 8sec/frame

  • Image Display: left/right, positive/negative (10)
  • (11) Cineloop: up to 64 frames, continual/single
  • (12) DSC memory capacity: 512 X 512 X 8 bit
  • Monitor: 9-inch BMV monitor (13)
  • (14) Character display
    • (a) Patient's ID
    • (b) Hospital Name
    • (c) Comment
    • (d) Automatically Display Items: Date & time, probe frequency, gain and other operating parameters, and various measured values.
  • (15) Body marks: 25 types
  • (16) Measuring functions:
    • (a) Basic measurement: distance, circumference, area, volume, angle, HR
    • (b) Obstetrics measurement: BPD, CRL, FL, AC, HC, GS, VOL, ANG
    • (c) Other measurements:
  • I/O port (17)
    • (a) RS-232C port for transmitting image to PC
    • (b) One active convex or linear array ports
  • Video system: 625lines/frame, 50fields/second (PAL) (18) or 525lines/frame, 60fields/second (NTSC)
  • (19) Dimension 395(W) x 728(L) x 1180(H) mm
  • (20) Net Weight: about 50kg
  • (21) Power Consumption: ~220V±10%, 100VA
    • Or ~110V±10%, 100VA
  • (22) Environmental Requirements:
    • (a) Operating Temperature & Humidity: 0°C to 40°C, 30% to 85%RH
    • (b) Atmospheric Pressure: 70 to 106 KPa (700 to 1060 mbars)

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

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 4 2001

Shantou Institute of Ultrasonic Instruments % Mr. Bob Leiker Quality and Regulatory Services 1106 Chiltern Drive WALNUT CREEK CA 94596

Re: K013327

Trade Name: CTS-415 Ultrasound Imaging System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Product Code: 90 IYO Reagulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic ultrasound transducer Product Code: 90 ITX Regulatory Class: II Dated: August 24, 2001 Received: October 5, 2001

Dear Mr. Leiker:

We have reviewed your Section 510(k) premarket 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 CTS-415 Ultrasound Imaging System, as described in your premarket notification:

Transducer Model Number

3.5 MHz C3I40 Curved Array Probe 7.5 MHz L7150 Linear Array Probe

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device

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

can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807): labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 Part 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".

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

Page 3 - Mr. Leiker

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

Sincerely yours,

Nancy C brogdon
Nancy C. Brogdon

Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

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

3.3 SIUI CTS-415 Ultrasound Imaging System

: 上

K013327

Indications for Use Form

Diagnostic Ultrasound System Indications for Use Form Device Name: CTS-415

Clinical ApplicationMode of Operation
ABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
IntraoperativeNeurological
PediatricNNN
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transurethrat
Intravascular
Perpheral VascularNNN
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalsuperficial
Other (specify)

N=new indication

Additional Comments: Small organs includes: thyroid, parathyroid, parotid, submaxillary gland__testes and breast____________________________________________________________ Pediatric Comments: Pediatric Intended Uses include: Cardiology. Abdomen. Peripheral Vasa_

..............................................................................................................................................................................

Concurrence of CDRH, office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Nancy C. Gordon

03

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

3.1 SIUI CTS-415 Ultrasound Imaging System

Scanhead Indications for Use Form

Device Name: Convex Array C3I40

Clinical ApplicationMode of Operation
ABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
IntraoperativeNeurological
PediatricNNN
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalsuperficial
Other (specify)

N=new indication

Additional Comments: Pediatric Comments: Pediatric Intended Uses include: Cardiology, Abdomen

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

Concurrence of CDRH, office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Nancy C. Brogdon

007

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

3.2 SIUI CTS-415 Ultrasound Imaging System

Scanhead Indications for Use Form

Device Name: Linear Array L7I50

Clinical ApplicationMode of Operation
ABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
IntraoperativeNeurological
PediatricNNN
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethrat
Intravascular
Perpheral VascularNNN
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalsuperficial
Other (specify)

N=new indication

Additional Comments: _Small organs includes: thyroid, parotid, submaxillary gland. __testes and breast Pediatric Intended Uses include: Peripheral Vasa Pediatric Comments:

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

Concurrence of CDRH, office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Nancy C. Brogdon

510k) N

0 3

§ 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.