K Number
K020112
Manufacturer
Date Cleared
2002-04-19

(98 days)

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

Pie Medical's 50S Tringa ultrasound system is used by or under the direction of a physician to perform general non-invasive diagnostic ultrasound imaging studies, to include: abdominal, peripheral vascular, fetal, small organ & cardiac applications.

Device Description

Pie Medical's 50S Tringa ultrasound system

AI/ML Overview

The provided text is a 510(k) summary for the Pie Medical 50S Tringa Ultrasound Imaging System. It focuses on establishing substantial equivalence to predicate devices and detailing the intended uses and technical specifications.

Based on the provided text, there is no information present regarding specific acceptance criteria, a study proving the device meets acceptance criteria, sample sizes for test or training sets, data provenance, number or qualifications of experts, adjudication methods, MRMC comparative effectiveness studies, or standalone performance studies.

The document is a regulatory submission for premarket notification (510(k)), which typically demonstrates that a new device is "substantially equivalent" to a legally marketed predicate device, rather than providing detailed performance studies with acceptance criteria and ground truth for an AI/CAD-type device.

The information that can be extracted relates to the device's intended use and technical characteristics compared to predicate devices, but not to performance criteria in the way requested for an AI-enabled device's clinical performance.

Therefore, many of the requested fields cannot be filled from the given text.

Here's a summary of what can be identified from the provided documentation, noting the absence of the requested performance study details:

1. Table of Acceptance Criteria and Reported Device Performance
Not provided in the document. This type of information is typically found in performance studies for AI/CAD devices, not in a 510(k) summary for an ultrasound imaging system where substantial equivalence is the focus.

2. Sample size used for the test set and the data provenance
Not provided in the document.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not provided in the document.

4. Adjudication method for the test set
Not provided in the document.

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
Not provided in the document. This is not an AI/CAD device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not provided in the document. This is not an AI/CAD device.

7. The type of ground truth used
Not provided in the document.

8. The sample size for the training set
Not provided in the document.

9. How the ground truth for the training set was established
Not provided in the document.

Summary of Device and its Intended Use (from the document):

  • Device Name: 50S Tringa Ultrasound Imaging System
  • Intended Use: "used by or under the direction of a physician to perform general non-invasive diagnostic ultrasound imaging studies, to include: abdominal, peripheral vascular, fetal, small organ & cardiac applications."
    • Clinical Applications (for the main system and both mechanical probes): Fetal, Abdominal, Small Organ (Thyroid, Breast, Testicles), Cardiac, Peripheral Vascular. These are listed as "new indications" (N) in the provided tables, meaning they are either new for this specific model or new compared to one of the predicate devices in a specific mode.
    • Imaging Modes: 2D / M-Mode (and Combined B+B mode and B+M mode).
  • Transducers:
    • 3.5/5.0 MHz Mechanical Probe (410047)
    • 5.0/7.5 MHz Mechanical Probe (410048)
  • Predicate Devices:
  • Safety: The device complies with Electrical safety standard EN60601-1 and Ultrasound safety Track 1.

The 510(k) process for this device appears to be based on demonstrating substantial equivalence in terms of intended use, technology, safety, and performance compared to existing predicate devices, rather than a novel AI/CAD device requiring specific performance metrics against established ground truth.

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510(k) Summary 50S Tringa Pie Medical

K020112

APR 1 9 2002

510(k) Summary

The following safety and effectiveness summary has been prepared pursuant to requirement for 510(k) summaries specified in 21CFR¶807.92(a).

807.92(a)(1)

Esaote

Submitter Information

Colleen Densmore, Official Correspondent
8000 Castleway Drive
Indianapolis, IN 46250
Phone:(317) 849-1916
Facsimile:(317) 5779070
Contact Person:Colleen Densmore
Date:December 20, 2001
807.92(a)(2)
Trade Name:50S Tringa Ultrasound Imaging System
Common Name:Ultrasound Imaging System
Classification Name(s):Ultrasonic pulsed echo imaging system892.1560
Classification Number:90IYO
807.92(a)(3)
Predicate Device(s)
Pie Medical100SK002357

Additional Substantial Equivalence Information is provided in the following substantial Equivalence Comparison Table.

7200 (Caris)

RA
//

SKI4

K981293

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510(k) Summary 50S Tringa Pie Medical

807.92(a)(5)

.

Device Description

Intended Use(s)

Pie Medical's 50S Tringa ultrasound system is used by or under the direction of a physician to perform general non-invasive diagnostic ultrasound imaging studies, to include: abdominal, peripheral vascular, fetal, small organ & cardiac applications.

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510(k) Summary 50S Tringa Pie Medical

General characteristicsPie Medical50S TringaThis submissionPie MedicalScanner 100SK002357Esaote7200 (Caris)K981293
Intended use
FetalYesYesYes
AbdominalYesYesYes
PediatricYesYesYes
Small OrganYesYesYes
Neonatal CephalicNoYesYes
Adult CephalicNoNoYes
CardiacYesYesYes
TransesophagealNoNoYes
TransrectalNoYesNo
TransvaginalNoYesNo
TransurethralNoNoNo
IntravascularNoNoNo
Peripheral VascularYesYesYes
MusculoskeletalNoNoNo
Transducer type
Annular ArrayYesYesYes
LinearNoNoNo
ConvexNoNoNo
2D Freq MHz3.5/5.0/7.53.5/5.0/7.52.5/3.5/5.0/7.5/10
CFM/Doppler Freq MHzN/AN/A2.0/2.5/3.3/5.0/6.6
Biopsy GuidanceNoYesNo
Display typeLCDB/WSVGA and LCD
Imaging modes2D / M-Mode2D / M-Mode2D / M-Mode / PW/ CW / CFM
Monitor size (inches)5.4915 (SVGA) and 10(LCD)
Digital archival capabilitiesYesYesYes
VCRYesYesYes
M&A capabilitiesCardiac, Fetal,AbdominalCardiac,Fetal,Obstetrics,Abdominal UrologyCardiac, Vascular,Fetal, Abdominal
Safety
Electrical safetyEN60601-1EN60601-1EN60601-1
Ultrasound safetyTrack 1Track 1Track 3

Comparison Chart for Substantial Equivalence

:

... .

:

:

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 9 2002

Pie Medical % Ms. Colleen J. Densmore Official Correspondent The Anson Group, LLC 7992 Castleway Drive INDIANAPOLIS IN 46250

Re: K020112

Trade Name: 50S Tringa Ultrasound Imaging System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic ultrasonic transducer Regulatory Class: II Product Code: 90 IYO, and 90 ITX Dated: March 26, 2002 Received: March 27, 2002

Dear Ms. Densmore:

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 50S Tringa Ultrasound Imaging System, as described in your premarket notification:

Transducer Model Number

3.5/5.0 MHz Mechanical Probe 5.0/7.5 MHz Mechanical 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

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

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. nay publish farther announ's issuance of a substantial equivalence determination does not mean I loase oc advised that I Dr i resum that your device complies with other requirements of the Act that I Dr Has Intact a and regulations administered by other Federal agencies. You must or any I catal statutes and equirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set CI It Fat 607); adoning (21 CFR Part 820); and if applicable, the electronic form in the quant) Bystellions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 noutheation. The I Drice results in 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 If you desire of Compliance at (301) 594-4591. Additionally, for questions on the comaci the Office of other of your device, please contact the Office of Compliance at (301) 594promotion and and the regulation entitled, "Misbranding by reference to premarket 4057. Also, prouse note ale 807.97). Other general information on your responsibilities under the nothrough (2) Or Crained 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".

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

Sincerely yours,

Nancy C. Bugdon

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

Enclosure(s)

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.

Diagnostic Ultrasound Indications for Use Form 50S Tringa

:

50S Tringa (410697)

.

Clinical applicationABMPWD(D)ColorDoppler(CD)AmplitudeDoppler(AD)ColorVelocityImagingCombined(specify)Other(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularNNN
Laparoscopic
Musculoskeletal Conventional
Musculoskeletal Superficial
Other (specify)

N=new indication

Combined is: B+B mode and B+M mode

Additional comments:

  • Small organs include Thyroid, Breast and Testicles

STORE

Prescription Use
(Per 21 CFR 801.109)

Nancy C. Broadon
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices

Image /page/5/Picture/12 description: The image shows the logo for Pie Medical. The words "Pie Medical" are in large, bold, sans-serif font. Below the company name is the tagline "THE IMAGE OF INNOVATION" in a smaller, sans-serif font. The text is black and the background is white.

(Per 21 CFR 801.109)

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Diagnostic Ultrasound Indications for Use Form 50S Tringa

3.5/5.0 MHz Mechanical probe (410047)

Mode of Operation
Clinical applicationABMPWD (D)Color Doppler (CD)Amplitude Doppler (AD)Color Velocity ImagingCombined (specify)Other (specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularNNN
Laparoscopic
Musculoskeletal Conventional
Musculoskeletal Superficial
Other (specify)

N=new indication

Combined is: B+B mode and B+M mode

Additional comments:

    • Small organs include Thyroid, Breast and Testicles
      Prescription Use
      (Per 21 CFR 801.109)

Nancy Broydon

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

Image /page/6/Picture/13 description: The image shows the logo for Pie Medical. The text "Pie Medical" is in large, bold, sans-serif font. Below the company name, in a smaller font, is the tagline "THE IMAGE OF INNOVATION."

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Diagnostic Ultrasound Indications for Use Form 50S Tringa

5.0/7.5 MHz Mechanical probe (410048)

Mode of Operation
Clinical applicationABMPWD(D)ColorDoppler(CD)AmplitudeDoppler(AD)ColorVelocityImagingCombined(specify)Other(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularNNN
Laparoscopic
Musculoskeletal Conventional
Musculoskeletal Superficial
Other (specify)

N=new indication

Combined is: B+B mode and B+M mode

Additional comments:

    • Small organs include Thyroid, Breast and Testicles
      Prescription Use
      (Per 21 CFR 801.109)

Nancy Broodon

(Division Sign-Off)

Division of Reprodu and Radiological Devic 510k) Num

Image /page/7/Picture/13 description: The image shows the logo for Pie Medica. The text "Pie Medica" is in a bold, sans-serif font. Below the company name is the tagline "THE IMAGE OF INNOVATION" in a smaller, sans-serif font. The logo is simple and professional.

13

§ 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.