K Number
K023996
Manufacturer
Date Cleared
2002-12-18

(15 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, Abdominal, Intraoperative (liver, pancreas and gall bladder), Intraoperative Neurological, Pediatric, Small Organ (breast, testes and thyroid), Neonatal Cephalic, Adult Cephalic, Cardiac, Transesophageal, Transrectal, Transvaginal, Peripheral Vascular, Laparoscopic, Musculo-skeletal Conventional, Musculo-skeletal Superficial. Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Device Description

The Aloka SSD-3500 functions in the same manner as other diagnostic ultrasound devices. High frequency sound waves are transmitted into the body by a piezo-electric transducer. In the body, differences in the acoustic impedance of different tissues reflect a certain amount of the ultrasound energy back to the transducer, where it is transmitted via the probe cable to the system console and processed into an image. The Aloka SSD-3500 transducer can also use the Doppler shift of sound reflected from moving tissues (blood) to detect and display flow.

AI/ML Overview

The Aloka Model SSD-3500 Diagnostic Ultrasound System is substantially equivalent to previously cleared predicate devices (Aloka SSD-4000 and SSD-5500). The submission focuses on demonstrating substantial equivalence rather than presenting a performance study with specific acceptance criteria that would typically be seen for novel devices or AI/CAD systems.

Therefore, the "acceptance criteria" for this submission are primarily met by demonstrating similarity in:

  • Intended Use: The device is indicated for the same diagnostic ultrasound applications as the predicate devices.
  • Technological Characteristics: The device utilizes essentially the same technologies for imaging, Doppler functions, and signal processing.
  • Method of Use: The device has the same method of use as the predicate devices.
  • Safety Standards: The device complies with acoustic power output levels below FDA maximums, uses patient contact materials evaluated by the same standards, and meets electrical and physical safety standards (NEMA-UD2: 1992, AUM 1994, IEC-60601-1, UL 2601-1, ISO10993-1:1997).

Since this is a substantial equivalence submission for an ultrasound system, not an AI/CADe device, the typical elements of an AI/CADe performance study (test set, ground truth, expert readers, MRMC study, standalone performance) are not applicable or explicitly provided in the document. The "study" proving acceptance criteria is the comparison to predicates and adherence to established safety standards for diagnostic ultrasound equipment.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategoryAcceptance CriteriaReported Device Performance
Substantial Equivalence (General)The device must function in the same manner as other diagnostic ultrasound devices and be substantially equivalent to legally marketed predicate devices.The Aloka SSD-3500 functions in the same manner as other diagnostic ultrasound devices (transmitting high-frequency sound waves, processing reflections and Doppler shifts into images). It is stated to be substantially equivalent to Aloka SSD-4000 (K003739) and SSD-5500 (K992663).
Intended Use EquivalenceIntended uses must be the same as or very similar to predicate devices.The SSD-3500 is indicated for the same diagnostic ultrasound applications as Aloka SSD-4000 (K003739) and SSD-5500 (K992663). Specific indications for the main system and each transducer are provided (e.g., Fetal, Abdominal, Intraoperative, Pediatric, Small Organ, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Transrectal, Transvaginal, Peripheral Vascular, Laparoscopic, Musculo-skeletal). Multiple clinical applications across various probes are listed with "N" (New Indication) or "P" (Previously cleared by FDA) status, and specific "Mixed mode operation" is defined.
Technological CharacteristicsDevice must possess similar technological characteristics (e.g., gray-scale, Doppler abilities, signal processing).The SSD-3500 has the same gray-scale and Doppler abilities as predicate devices. It uses essentially the same technologies for imaging, Doppler functions, and signal processing.
Method of UseThe device must have the same method of use.The SSD-3500 has the same method of use as the predicate devices.
Acoustic Output SafetyAcoustic power output levels must be below maximum levels allowed by the FDA.The SSD-3500 acoustic power output levels are below the maximum levels allowed by the FDA. A post-clearance special report containing acoustic output measurements based on production line devices is required to confirm this at market introduction.
Biocompatibility of Patient Contact MaterialsPatient contact materials must be evaluated for safety via established standards and methods.Patient contact materials used in the SSD-3500 have been evaluated for safety via the same standards and methods as other Aloka products and found to be safe.
Electrical and Physical SafetyThe device must comply with relevant electrical and physical safety standards.The SSD-3500 complies with electrical and physical safety standards as other Aloka products. It certifies compliance with NEMA-UD2: 1992, AUM 1994, IEC-60601-1, UL 2601-1, 2nd edition (1997), and ISO10993-1:1997. Testing results are expected to meet these requirements at market introduction.
Quality AssuranceThe device is subjected to the same Quality Assurance systems during development and production as other marketed devices.The SSD-3500 is subjected to the same Quality Assurance systems in development and production as other Aloka products (SSD-4000, SSD-5500).
Regulatory ClassificationThe device falls under existing regulatory classifications.The device is classified as Regulatory Class II under 21 CFR 892.1550 (Ultrasonic Pulsed Doppler Imaging System), 21 CFR 892.1570 (Diagnostic Ultrasound Transducer), and 21 CFR 892.1560 (Ultrasonic Pulsed Echo Imaging System).

2. Sample size used for the test set and the data provenance:

  • Sample Size: Not applicable. This submission is for a diagnostic ultrasound system, not an AI/CADe device that undergoes clinical performance testing with a specific test set of cases. The acceptance is based on substantial equivalence to existing devices and adherence to engineering and safety standards.
  • Data Provenance: Not applicable for a separate "test set" in the context of an AI/CADe submission. The data supporting the submission would be from internal testing and comparisons with the predicate devices, not an independent, annotated clinical dataset.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable. Ground truth establishment by experts for a test set is specific to AI/CADe evaluations. This submission primarily relies on comparisons to already cleared devices and adherence to established engineering and safety standards validated through internal testing.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

  • Not applicable. Adjudication methods are used in AI/CADe studies to establish ground truth from multiple expert opinions.

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. An MRMC comparative effectiveness study is designed to assess the impact of an AI/CADe device on human reader performance. This submission is for a diagnostic ultrasound system and does not involve AI assistance for image interpretation.

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 inherently involves a human operator to acquire and interpret images. There is no "algorithm only" performance reported in the context of AI/CADe.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

  • Not applicable in the context of a clinical performance study using a test set. The validation of the device relies on demonstrating performance within acceptable limits as defined by engineering standards and functional equivalence to predicate devices, rather than a clinical ground truth regarding disease presence. Performance is measured in terms of image quality, acoustic output, and other technical specifications.

8. The sample size for the training set:

  • Not applicable. This device is not an AI/CADe system where a "training set" would be used to develop an algorithm.

9. How the ground truth for the training set was established:

  • Not applicable for the same reason as above.

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510(K)

DEC 1 8 2002

510(k) Summary: Aloka Model SSD-3500 Diagnostic Ultrasound System

This summary statement complies with 21 CFR, section 807.92 as amended March 14, 1995.

This premarket notification has been submitted by Aloka Co., Ltd. and covers the Aloka SSD-3500 diagnostic ultrasound system and transducers. The address is:

10 Fairfield Boulevard Wallingford, CT 06492 (203) 269-5088

The contact person is: Richard J.Cehovsky, RA/QA Coordinator

The proprietary name is the Aloka SSD-3500 diagnostic ultrasound system and transducers. The common name for this type of device is a diagnostic ultrasound system and transducers.

The item in this submission is covered under the following classification:

90 IYNUltrasonic Pulsed Doppler Imaging System21 CFR 892.1550
90 ITXDiagnostic Ultrasound Transducer21 CFR 892.1570
90 IYOUltrasonic Pulsed Echo Imaging System.21 CFR 892.1560

The above as stated in 21 CFR, part 892.1570, 1560 and 1550, has been classified as regulatory Class II.

The Aloka SSD-3500 and its transducers are substantially equivalent to its predicate: the Aloka SSD-4000 and its transducers.

The Aloka SSD-3500 functions in the same manner as other diagnostic ultrasound devices. High frequency sound waves are transmitted into the body by a piezo-electric transducer. In the body, differences in the acoustic impedance of different tissues reflect a certain amount of the ultrasound energy back to the transducer, where it is transmitted via the probe cable to the system console and processed into an image. The Aloka SSD-3500 transducer can also use the Doppler shift of sound reflected from moving tissues (blood) to detect and display flow.

The Aloka SSD-3500, like other Aloka marketed diagnostic ultrasound systems and transducers is indicated for imaging body structures to aid in the diagnosis of disease or abnormality.

The Aloka SSD-3500 diagnostic ultrasound system and transducers are similar in technological characteristics to Aloka's predicate ultrasound system: SSD-4000 (K003739) as well as Aloka's SSD-5500- (K992663).

  • The SSD-3500 is indicated for the same diagnostic ultrasound applications to Aloka's . ultrasound systems: SSD-4000 (K003739) and SSD-5500- (K992663).
  • The SSD-3500 has the same gray-scale and Doppler abilities to Aloka's ultrasound systems: . SSD-4000 (K003739) and SSD-5500-(K992663).

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

510(k)

510(k) Summary: Aloka Model SSD-3500 Diagnostic Ultrasound System

  • . The SSD-3500 uses essentially the same technologies for imaging, Doppler functions and signal processing as the following products currently marketed by Aloka : SSD-4000 -(K003739) and SSD-5500 - (K992663).
  • . The SSD-3500 has the same method of use as the following products currently marketed by Aloka: SSD-4000 - (K003739) and SSD-5500 - (K992663).
  • . The SSD-3500 acoustic power output levels are below the maximum levels allowed by the FDA.
  • . The SSD-3500 is subjected to the same Quality Assurance systems in development and production as other products currently marketed by Aloka such as the: SSD-4000 - (K003739) and SSD-5500 - (K992663).
  • . The patient contact materials used in the SSD-3500 have been evaluated for safety via the same standards and methods as the above mentioned products marketed by Aloka. These materials have been found to be safe for the intended uses.
  • . The SSD-3500 complies with electrical and physical safety standards as other products currently marketed by Aloka such as the: SSD-4000 - (K003739) and SSD-5500 -(K992663).
  • . Aloka Co., Ltd. Certifies that the SSD-3500 will comply with NEMA-UD2: 1992. AUM 1994 "Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment". IEC-60601-1- (1990) part 1- A1&A2, UL 2601-1, 2nd edition (1997), Part 1, 2nd edition including Amendments 1&2 and ISO10993-1:1997. All testing will be complete and the results will meet the requirements of the standards above at the time of market introduction.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird-like symbol with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Aloka Co .; Ltd. % Mr. Donald James Sherratt Medical Stream Director Intertek Testing Services NA, Inc. 70 Codman Hill Road BOXBOROUGH MA 01719

Re: K023996

Trade Name: Aloka Model SSD-3500 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler 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 1YN, IYO, and ITX Dated: December 2, 2002 Received: December 3, 2002

Dear Mr. Sherratt:

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 Aloka Model SSD-3500 Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number

UST-995-7.5 UST-990-5

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

UST-987-7.5
UST-979-3.5
UST-9104-5
UST-9121
UST-9123
UST-9124
UST-579T-7.5
UST-670P-5
UST-672-5/7.5
UST-9101-7.5
UST-5299
UST-5524-7.5
UST-5526L-7.5
UST-5536-7.5
UST-5542
UST-5710-7.5
UST-5268P-5
UST-5293-5
UST-5298
UST-5546
ASU-1001
ASU-1003
UST-9112-5
UST-984-5
UST-5531
UST-676P

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 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

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

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".

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

Sincerely yours,

David C. Bergman

for

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

Enclosure(s)

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4.3.1

Diagnostic Ultrasound Indications for Use Form SSD-3500

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalNNNNNSee Below
AbdominalNNNNNSee Below
Intraoperative (specify)NNNNNSee Below
Intraoperative NeurologicalNNNNNSee Below
PediatricNNNNNSee Below
Small Organ (specify)NNNNNSee Below
Neonatal CephalicNNNNNSee Below
Adult CephalicNNNNNSee Below
CardiacNNNNNSee Below
TransesophagealNNNNNSee Below
TransrectalNNNNNSee Below
TransvaginalNNNNNSee Below
Transurethral
Intravascular
Peripheral VascularNNNNNSee Below
LaparoscopicNNNNNSee Below
Musculo-skeletalConventionalNNNNNSee Below
Musculo-skeletalSuperficialNNNNNSee Below
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD

Intraoperative applications: include liver, pancreas and gall bladder. Small parts applications include breast. testes and thyroid.

(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)

01.109)
David A. Segner
Sign-Offi

of Reproductive, Abdominal, Radiological Devi ് : (k) Number __

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

Diagnostic Ultrasound Indications for Use Form

UST-995-7.5

..

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPP
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularPPPPPSee Below
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder. Small parts applications include breast, testes and thyroid.

(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)

301.109)
David G. Larson

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K003996

20

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Diagnostic Ultrasound Indications for Use Form UST-990-5

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

Clinical ApplicationModes of operation
ABMPWDCWDColor DopplerAmplitude DopplerColor Velocity ImagingCombined (specify)Other (specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Jamil he. Sypon

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 4003999 510(k) Number _

{8}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form

UST-987-7.5 - -

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal CephalicPPPPPSee Below
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder.

(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)

(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number

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UST-979-3.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

David A. Lynn

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 229999 510(k) Number _

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Diagnostic Ultrasound Indications for Use Form UST-9104-5 .

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal CephalicPPPPPSee Below
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder.

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

(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices :: ('(k) Number _____________________________________________________________________________________________________________________________________________________________

{11}------------------------------------------------

.

UST-9121

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Claird A. Sgmon

(Division Sign-Off) Division of Reproductive, Abdominal, nd Radiological Devices 2023956 ා ! "K: Number ______________________________________________________________________________________________________________________________________________________________

{12}------------------------------------------------

. UST-9123

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Daniel A. Lannon

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

{13}------------------------------------------------

UST-9124 :

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

Clinical ApplicationModes of operation
ABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

David Lee Lyman

(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 576 510(k) Number _

{14}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form

UST-579T-7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularPPPPPSee Below
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder. Small parts applications include breast. testes and thyroid.

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

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

(Division Sign-Off) Division of Reproductive, Abdomin and Radiological Devices : ! (^(k) Number _

{15}------------------------------------------------

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

Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalPPPPPSee Below
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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


(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number .

{16}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form

UST-672-5/7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalPPPPPSee Below
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder.

(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)

David G. Lyman

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

{17}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form UST-9101-7.5

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

Clinical ApplicationModes of operation
ABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
PediatricPPPPPSee Below
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

David A. Thompson

(Division Sign-Off) Division of Reproductive, Abdominal ് Radiological Devices . Da Nimber

{18}------------------------------------------------

:

Model SSD-3500

Diagnostic Ultrasound Indications for Use Form

UST-5299 ...

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
AbdominalPPPPPSee Below
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacPPPPPSee Below
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

David A. Spann

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

{19}------------------------------------------------

UST-5524-7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularPPPPPSee Below
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Small parts applications include breast. testes and thyroid.

(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)

33

Edith Ingram

(Division Sign-Off) Division of Reproductive, Abdomin and Radiological Devices b : (i() Number ___

{20}------------------------------------------------

UST-5526L-7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
LaparoscopicPPPPPSee Below
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder.

(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)

Ymind E. Aym
(Division Sign-Off)

Division of Reproductive, Abdominal. and Radiological Devices 5 1 O(k) Number _

34

{21}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form UST-5536-7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
LaparoscopicPPPPPSee Below
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder.

(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),

રૂદ

Elnind A. Stymm

(Division Sign-Off) Division of Reproductive, Abdominal and Radiological Devices 5 | 3(k) Number ______________________________________________________________________________________________________________________________________________________________

{22}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form

UST-5542

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularPPPPPSee Below
LaparoscopicPPPPP
Musculo-skeletalConventionalPPPPPSee Below
Musculo-skeletalSuperficialPPPPPSee Below
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Small parts applications include breast, testes and thyroid.

(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)

(Division Sign-Off)

Tivision of Reproductive, Abdominal on Radiological Devices イン Number

Abdominal
K023996

{23}------------------------------------------------

Aloka Co., Ltd

Diagnostic Ultrasound Indications for Use Form

UST-5710-7.5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Small parts applications include breast, testes and thyroid.

(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)

Daniel A. Sypem

(Division Sign-Off) Division of Reproductive, Andominal mo Radiological Devices 023996 っているということです

{24}------------------------------------------------

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative NeurologicalPPPPPSee Below
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularPPPPPSee Below
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder. Small parts applications include breast. testes and thyroid.

(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)

(Division Sign-Off) Susion of Reproductive Andomi Controporal Dov

{25}------------------------------------------------

UST-5293-5

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
TransesophagealPPPPPSee Below
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Gavin L. Nguyen

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

{26}------------------------------------------------

Diagnostic Ultrasound Indications for Use Form UST-5298

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
PediatricPPPPPSee Below
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacPPPPPSee Below
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Ymird A. Bergman

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K0233996

40

{27}------------------------------------------------

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)EEEEESee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularEEEEESee Below
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

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

Elmer G. Hygum

(Division Sign-Off) Division of Reproductive. Abdomina and Radiological Devices e 94k) Nomber ...............................................................................................................................................................

{28}------------------------------------------------

gnostic Ultrasound Indications for l ASU-1001

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
PediatricPPPPPSee Below
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

(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)

David H. Heyman

(Division Sign-Off) Division of Reproductive, Andominal and Radiological Devices 11235 14:50 April 2019 Production Program Program Program 2017 Program 2017 Program 2017 Program 2017 Program 2017 Program 2017 Program 2017 Pro 2017 Pro 2017 Pro 2017 Pro 2017 Pro

{29}------------------------------------------------

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

(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)

Ewind A. Bergman

Division Sign-Off) ision of Reproductive 31 deat arman at The

μ02396

{30}------------------------------------------------

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

(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)

(01.109)

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

{31}------------------------------------------------

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
FetalPPPPPSee Below
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
TransvaginalPPPPPSee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

(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)

Jarvis 6. belgen

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

45

{32}------------------------------------------------

UST-5231

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

Modes of operation
Clinical ApplicationABMPWDCWDColorDopplerAmplitudeDopplerColorVelocityImagingCombined(specify)Other(specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)PPPPPSee Below
Intraoperative Neurological
Pediatric
Small Organ (specify)PPPPPSee Below
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

Intraoperative applications: include liver, pancreas and gall bladder. Small parts applications include breast, testes and thyroid

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

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

510(k)

(Division Sign-Off) Davion of Reproductive Abden and Partinary of Praire Box 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1,

{33}------------------------------------------------

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

Clinical ApplicationModes of operation
ABMPWDCWDColor DopplerAmplitude DopplerColor Velocity ImagingCombined (specify)Other (specify)
Opthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalEEEEESee Below
TransvaginalEEEEESee Below
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other

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

Additional Comments: Mixed mode operation includes B/M, B/PWD, M/CD, B/CD/PWD.

(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)

ion (ODE)
9)

(Division Sign-Off) Division of Reproductive Arand Radiological Device:

5100kj Number . ...

§ 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.