K Number
K030949
Manufacturer
Date Cleared
2003-04-07

(12 days)

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

Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Fetal - OB/GYN, Abdominal, Intra-operative (Abdominal organs and vascular), Laparoscopic, Pediatric, Small Organ (breast, thyroid, testicles.), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Musculo-skel. (Conventional), Musculo-skel. (Superficial), Cardiac Adult, Cardiac Pediatric, Peripheral vessel.

Device Description

The SonoSite TITAN™ high-resolution ultrasound systemis a highly portable. software controlled ultrasound system used to acquire and display highresolution, real-time ultrasound data in 2D, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Color Power Doppler, Velocity Color Doppler (VCD) and Directional Color Power Doppler, or in a combination of these modes. The System has an electrocardiography (ECG) display feature and supports a 3lead ECG cable assembly to collect data for M-mode measurements. The System provides measurement capabilities for anatomical structures and fetal biometry that provide information used for clinical diagnostic purposes. The System has a PW and CW Doppler audio output feature and cine review, image zoom, labeling, biopsy, measurements and calculations, image storage and review, printing, and recording capabilities. The system includes Digital Imaging and Communications (DICOM) to capabilities to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images. The SonoSite TITAN™ high-resolution ultrasound system is designed to accept curved or linear transducers of the types and frequency listed in the table below. All actions affecting the performance of the transducer are activated from the main system control panel.

AI/ML Overview

This is a general ultrasound system and hence no specific disease is mentioned. The document primarily focuses on establishing substantial equivalence to predicate devices and adherence to various standards for safety and performance. There is no information regarding clinical studies with acceptance criteria, sample sizes, expert ground truth, or MRMC studies for AI integration. This is typical for a 510(k) submission for a general-purpose diagnostic ultrasound system.

The "acceptance criteria" for this device are its conformity to recognized industry standards for medical electrical equipment, acoustic output, and biological safety, and its substantial equivalence to predicate devices. The "study" that proves it meets these criteria is the comprehensive testing and documentation demonstrating this conformity and equivalence, as laid out in the 510(k) submission.

Here's a breakdown of the requested information based on the provided text:

1. A table of acceptance criteria and the reported device performance:

Acceptance Criteria (Implied)Reported Device Performance
Compliance with ANSI/AAMI EC 53:1995 + Amendments (ECG Cables)Complies (except for sections 4.4 and 4.5.9)
Compliance with CAN/CSA-C22.2, No. 601.1:1998 (Medical Elec. Safety)Complies
Compliance with EN 60529 (Degrees of Protection)Complies
Compliance with EN 60601-1:1997 (Medical Elec. Safety)Complies
Compliance with EN 60601-1-1:1993 (Medical Elec. Systems)Complies
Compliance with EN 60601-1-2:2001 (EMC)Complies
Compliance with EN 60601-2-25:1996 (Electrocardiographs)Complies
Compliance with IEC 61157:1992 (Acoustic Output Declaration)Complies
Compliance with ISO 10993 (Biological Evaluation)Complies
Compliance with JIS-T-100x Series (Japanese Med. Elec. Eq.)Complies
Compliance with AIUM 1994 (Medical Ultrasound Safety)Complies
Compliance with NEMA PS3.15 2000 (DICOM)Complies
Compliance with NEMA UD2-1998 (Acoustic Output Measurement)Complies
Compliance with NEMA UD3-1998 (Real-Time Display Acoustic Output)Complies; provides on-screen display of thermal and mechanical acoustic output indices.
Compliance with RTCA/DO160D:1997, Section 21.0 (RF Emissions)Complies
Compliance with UL 2601-1:1999 (Medical Elec. Safety)Complies
Compliance with UL 94, Fifth Edition (Flammability Plastics)Complies
Acoustic Output Limits (ISPTA(d))720 mW/cm^2 (Maximum)
Acoustic Output Limits (TIs/TIb/TIc)0.1 - 4.0 (Range)
Acoustic Output Limits (Mechanical Index (MI))1.9 (Maximum)
Acoustic Output Limits (ISPPA(d))0 - 700 W/cm^2 (Range)
Substantial Equivalence to Predicate DevicesThe device is deemed substantially equivalent to Philips Ultrasound HDI® 5000 (K011224), GE LOGIQ 9 (K011188), and Siemens OMNIA X/XS (K020353) in terms of modes of operation (2D, PW Doppler, CW Doppler, velocity color Doppler, Color Power Doppler, directional color power Doppler, and duplex imaging) and transducer patient contact materials.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

No specific test set or patient data is mentioned in this 510(k) summary. The submission focuses on technical and safety standard compliance and comparison to predicate devices, rather than a clinical performance study with a test set of patient data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

Not applicable. The submission does not describe a clinical study requiring ground truth established by experts.

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

Not applicable. No test set or adjudication process is described.

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 applicable. This device is a diagnostic ultrasound system, not an AI-powered image analysis tool. Therefore, no MRMC comparative effectiveness study was conducted regarding AI assistance.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

Not applicable. This device is an imaging system, not an algorithm, and does not operate in a standalone algorithmic capacity as described.

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

Not applicable. The submission does not describe a clinical performance study that would require establishing ground truth in this manner. The "ground truth" implicitly relies on established industry standards and the performance of predicate devices.

8. The sample size for the training set:

Not applicable. This device is not an AI/ML algorithm that requires a training set.

9. How the ground truth for the training set was established:
Not applicable. This device is not an AI/ML algorithm that requires a training set.

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KO30949

D02576A-510(K) Submission-SonoSite TITAN high-resolution ultrasound system 06-Mar-2003

APR 0 7 2003 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)

SonoSite, Inc. 21919 30th Drive SE Bothell, WA 98021-3904

Corresponding Official:Michael A. HoffmanDirector – Quality Assurance and Regulatory Affairs
E-mail:michael.hoffman@sonosite.com
Telephone:(425) 951-1297
Facsimile:(425) 951-1201
Date prepared:March 6, 2003
  • Name of the device, including the trade or proprietary name if applicable, 2) the common or usual name, and the classification name, if known:
    Common/ Usual Name

Diagnostic Ultrasound System with Accessories

Proprietary Name

SonoSite TITAN™ high-resolution ultrasound system (subject to change)

Classification Names

NameFR NumberProduct Code
Ultrasonic Pulsed Doppler Imaging System892.155090-IYN
Ultrasonic Pulsed Echo Imaging System892.156090-IYO
Diagnostic Ultrasound Transducer892.157090-ITX
Picture Archiving And Communications System892.205090-LLZ

3) Identification of the predicate or legally marketed device:

SonoSite, Inc. believes that the System described in this Submission is substantially equivalent to a combination of the Philips Ultrasound HDI® 5000 Ultrasound System (K011224), the GE LOGIQ 9 Diagnostic Ultrasound System (K011188) and the Siemens OMNIA X/XS Diagnostic Ultrasound System (K020353).

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

4) Device Description:

The SonoSite TITAN™ high-resolution ultrasound systemis a highly portable. software controlled ultrasound system used to acquire and display highresolution, real-time ultrasound data in 2D, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Color Power Doppler, Velocity Color Doppler (VCD) and Directional Color Power Doppler, or in a combination of these modes.

The System has an electrocardiography (ECG) display feature and supports a 3lead ECG cable assembly to collect data for M-mode measurements. The System provides measurement capabilities for anatomical structures and fetal biometry that provide information used for clinical diagnostic purposes. The System has a PW and CW Doppler audio output feature and cine review, image zoom, labeling, biopsy, measurements and calculations, image storage and review, printing, and recording capabilities. The system includes Digital Imaging and Communications (DICOM) to capabilities to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images.

The SonoSite TITAN™ high-resolution ultrasound system is designed to accept curved or linear transducers of the types and frequency listed in the table below. All actions affecting the performance of the transducer are activated from the main system control panel.

Frequency Range:2.0 - 10.0 MHz
Transducer Types:Linear arrayCurved arrayIntracavitary arrayStatic probes

The SonoSite TITAN™ high-resolution ultrasound system is designed to comply with the standards listed below.

  • a. ANSI/AAMI EC 53: 1995 + Amendments, ECG Cables and Electrodes except for sections 4.4 and 4.5.9.
  • b. CAN/CSA-C22.2, No. 601.1:1998, Canadian Standards Association, Medical Electrical Equipment-Part 1. General Requirements for Safety
  • c. EN 60529, European Norm, Degrees of Protection Provided by Enclosures (I.P. Code)
  • d. EN 60601-1:1997, European Norm, Medical Electrical Equipment-Part 1. General Requirements for Safety
  • e. EN 60601-1-1:1993, European Norm, Medical Electrical Equipment Part 1. General Requirements for Safety-Section 1-1. Collateral Standard. Safety Requirements for Medical Electrical Systems

510(K) Summary Of Safety And Effectiveness

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

  • f. EN 60601-1-2:2001, European Norm, Medical Electrical Equipment. General Requirements for Safety-Collateral Standard. Electromagnetic Compatibility. Requirements and Tests, Second Edition
  • g. EN 60601-2-25:1996, European Norm, Medical Electrical Equipment-Part 2. Requirements for for Safety-Section 25. Specification Particular for Electrocardiographs
  • h. IEC 61157:1992. International Electrotechnical Commission, Requirements for the Declaration of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment
  • ISO 10993 Biological Evaluation of Medical Devices and Related Tests i.
  • JIS-T-100x Series, Japanese Standards for Medical Electrical Equipment i.
  • Medical Ultrasound Safety. American Institute of Ultrasound in Medicine k. (AIUM), 1994
  • NEMA PS3.15 2000, Digital Imaging and Communications in Medicine . (DICOM) Part 15: Security Profile.
  • m. NEMA UD2-1998, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
  • n. NEMA UD3-1998. Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • o. RTCA/DO160D:1997, Radio Technical Commission for Aeronautics, Environmental Conditions and Test Procedures for Airborne Equipment, Section 21.0 Emission of Radio Frequency Energy, Category B
  • p. UL 2601-1:1999, Underwriters Laboratories, Inc., Medical Electrical Equipment-Part 1: General Requirements for Safety
  • g. UL 94, Fifth Edition, Underwriters Laboratory, Inc., Tests for Flammability of Plastic Materials for Parts in Devices and Appliances

5) Intended Use:

The intended uses of the SonoSite TITAN™ high-resolution ultrasound system as defined by FDA guidance documents, are:

Fetal - OB/GYNTrans-rectal
AbdominalTrans-vaginal
Intra-operative
(Abdominal organs and vascular)Trans-urethral
LaparoscopicMusculo-skel. (Conventional)
PediatricMusculo-skel. (Superficial)
Small Organ
(breast, thyroid, testicles.)Cardiac Adult
Neonatal CephalicCardiac Pediatric
Adult CephalicPeripheral vessel

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

Typical examinations performed using the SonoSite TITAN™ high-resolution ultrasound system are:

Abdominal Imaging Applications:

This system transmits ultrasound energy into the abdomen of patients using 2D, M-mode, color power Doppler (CPD), directional color power Doppler (DCPD), velocity color Doppler (VCD), Tissue Harmonic Imaging (THI), pulsed wave (PW) Doppler, and continuous wave (CW) Doppler to obtain ultrasound images. The liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally.

Cardiac Imaging Applications:

This system transmits ultrasound energy into the thorax of patients using 2D. M-mode, directional color power Doppler (DCPD), velocity color Doppler (VCD), color Doppler, Tissue Harmonic Imaging (THI), pulsed wave (PW) Doppler, and continuous wave (CW) Doppler to obtain ultrasound images. The heart, cardiac valves, great vessels, surrounding anatomical structures, overall cardiac performance, and heart size can be assessed for the presence or absence of pathology. The heart can be imaged transthoracic. The patient's electrocardiogram (ECG) may be obtained and is used for accurate timing of diastolic and systolic function.

The ECG is not used to diagnose cardiac arrhythmias and is not designed for Warning: long term cardiac rhythm monitoring.

Cephalic Imaging Applications:

This system transmits ultrasound energy into the heads of adults and neonates using 2D, M-mode, color power Doppler (CPD), directional color power Doppler (DCPD), velocity color Doppler (VCD), and pulsed wave (PW) Doppler to obtain ultrasound images. The patient's blood flow can be evaluated transcranially.

Gynecology and Infertility Imaging Applications:

This system transmits ultrasound energy in the pelvis and lower abdomen using 2D, Mmode, color power Doppler (CPD), directional color power Doppler (DCPD), velocity color Doppler (VCD), Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to obtain ultrasound images. The uterus, ovaries, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally or transvaqinally.

Interventional and Intraoperative Imaging Applications:

This system transmit ultrasound energy into the various parts of the body using 2D. color power Doppler (CPD), directional color power Doppler (DCPD), Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to obtain ultrasound images that provide guidance during interventional and intraoperative procedures. This system can be used to provide ultrasound quidance for biopsy and drainage procedures. vascular line placement, ova harvesting, amniocentesis and other obstetrical procedures, and provide assistance during abdominal and vascular intraoperative procedures.

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

Obstetrical Imaging Applications:

This system transmits ultrasound energy into the pelvis of pregnant women using 2D, M-mode, color power Doppler (CPD), directional color power Doppler (DCPD), velocity color Doppler (VCD), color Doppler, Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to obtain ultrasound images. The fetal anatomy, viability, estimated fetal weight, gestational age, amniotic fluid, and surrounding anatomical structures can be assessed for the presence or absence of pathology trans-abdominally or transvaqinally. CPD and DCPD imaging is intended for high-risk pregnant women. High-risk pregnancy indications include, but are not limited to, multiple pregnancy, fetal hydrops, placental abnormalities, as well as maternal hypertension, diabetes, and lupus.

CPD or DCPD images can be used as an adjunctive method, not as a screening tool, Warning: for the detection of structural anomalies of the fetal heart and as an adjunctive method, not as a screening tool for the diagnosis of Intrauterine Growth Retardation (IUGR).

Pediatric and Neonatal Imaging Applications:

This system transmits ultrasound energy into the pediatric or neonatal patients using 2D, M-mode, color power Doppler (CPD), directional color power Doppler (DCPD), velocity color Doppler (VCD), pulsed wave (PW) and continuous wave (CW) Doppler to obtain ultrasound images. The pediatric abdominal, pelvic and cardiac anatomy, pediatric hips, neonatal heads, and surrounding anatomical structures can be assessed for the presence or absence of pathology.

Prostate Imaging Applications:

This system transmits ultrasound energy into the prostate of an adult male using 2D. Mmode, color power Doppler (CPD), velocity color Doppler (VCD), and pulsed wave (PW) Doppler to obtain ultrasound images. The prostate gland can be assessed for the presence or absence of pathology transrectally.

Superficial Imaging Applications:

This system transmits ultrasound energy into various parts of the body using 2D, M-mode, color power Doppler (CPD), velocity color Doppler (VCD), and pulsed wave (PW) Doppler to obtain ultrasound images. The breast, thyroid, testicle, lymph nodes, hernias, musculoskeletal structures, soft tissue structures, and surrounding anatomical structures can be assessed for the presence or absence of pathology.

Vascular Imaging Applications:

This system transmits ultrasound energy into the various parts of the body using 2D. Mmode, color power Doppler (CPD), velocity color Doppler (VCD), Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to obtain ultrasound images. The carotid arteries, deep veins in the arms and legs, superficial veins in the arms and legs, great vessels in the abdomen, and various small vessels feeding organs can be assessed for the presence or absence of pathology.

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

Technological Characteristics: 6)

This device operates identically 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 2D or Mmode images. Doppler shift caused by blood flow is displayed as Color Flow, or as spectrum analysis. The modes of this device (2D, PW Doppler, CW Doppler, velocity color Doppler, Color Power Doppler, and directional color power Doppler, and duplex imaging) are the same as a combination of the predicate devices identified in item 3. Transducer patient contact materials are biocompatible.

This device conforms to the Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment (AIUM/NEMA, 1998) for an on-screen display feature that provides information on potential thermal and cavitation bioeffect mechanisms. A user education program provides additional information so users may moderate the system's acoustic output in accordance with the ALARA (as low as reasonably achievable) principle.

The device's acoustic output limits are:

All applications:

ISPTA (d)720 mW/cm2 (Maximum)
TIs/TIb/TIc0.1 - 4.0 (Range)
Mechanical Index (MI)1.9 (Maximum)
ISPPA (d)0 - 700 W/cm2 (Range)

The limits are the same as predicate Track 3 devices.

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

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an emblem featuring a stylized depiction of three human profiles facing to the right, resembling an eagle or bird-like shape.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 0 7 2003

SonoSite, Inc. % Ms. Laura Danielson TUV Product Service 1775 Old Highway 8 NW Suite 104 NEW BRIGHTON MN 55112-1891

Re: K030949

Trade Name: TITANTM High-Resolution Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: 90 IYN and LLZ Dated: March 25, 2003 Received: March 26, 2003

Dear Ms. Danielson:

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 TITAN™ High-Resolution Ultrasound System, as described in your premarket notification:

Transducer Model Number

C11/7-4
C11/8-5
C15/4-2
C60/5-2
HST/10-5
ICT/7-4
C8/8-5

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

ICT/8-5 L25/10-5 L38/10-5 L52/10-5 L52-S/10-5 2MHz Doppler Pencil

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 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 Le. Hyman

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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System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:N/A
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNNB+M; B+PWD;B+CDNote 1
AbdominalIntra-operative(Abdominal organs andvascular)NNNNNB+M; B+PWD;B+CWD;B+CDNote 1
Fetal ImagingIntra-operative (Neuro.)LaparoscopicNNNB+M; B+PWDNote 1
& OtherPediatricNNNNNB+M; B+PWD;B+CWD;B+CDNote 1
Small Organ (breast,thyroid, testicles.)NNNNB+M; B+PWD;B+CDNote 1
Neonatal CephalicNNNNB+M; B+PWD;B+CDNote 1
Adult CephalicNNNNB+M; B+PWD;B+CDNote 1
Trans-rectalNNNNB+M; B+PWD;B+CDNote 1
Trans-vaginalTrans-urethralNNNNB+M; B+PWD;B+CDNote 1
Trans-esoph. (non-Card.)Musculo-skel. (Convent.)NNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)Intra-luminalOther (spec.)PPPPB+M; B+PWD;B+CDNote 1
Cardiac AdultNNNNNB+M; B+PWD;B+CWD;B+CDNote 1
CardiacCardiac PediatricTrans-esophageal (card.)Other (spec.)NNNNNB+M; B+PWD;B+CWD;B+CDNote 1
PeripheralPeripheral vesselNNNNB+M; B+PWD;B+CDNote 1

Table 4.3- 1 Diagnostic Ultrasound Indications for Use Form - TITAN System

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

Additional Comments:

Note 1: Other includes Color Power Doppler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D lmaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and cathelers in vascular or other anatomical structures. Musculo-skel. (Superfic.) imaging previously cleared in 510(k) K003399. Included with this 510(k) is picture programs and storage functionality previously cleared in 510(k) K023957.

Color Doppler includes Velocity Color Doppler. Division

Prescription Use (Per 21 CFR 801.109) Indications for Use

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K030949

Section 4.3

25 of 961 pages

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Table 4.3- 2 Diagnostic Ultrasound Indications for Use Form - C11/7-4 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:C11/7-4 7.0 - 4.0 MHz Curved Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalIntra-operative (Abdominalorgans and vascular)NNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Intra-operative (Neuro.)Laparoscopic
Fetal Imaging& OtherPediatricSmall Organ (breast, thyroid, testicles.)NNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Neonatal CephalicNNNNB+M; B+PWD;B+CDNote 1
Adult CephalicTrans-rectalTrans-vaginalTrans-urethralTrans-esoph. (non-Card.)Musculo-skel. (Convent.)Musculo-skel. (Superfic.)Intra-luminalOther (spec.)
Cardiac Adult
CardiacCardiac PediatricTrans-esophageal (card.)Other (spec.)NNNNNB+M; B+PWD;B+CWD; B+CDNote 1
PeripheralVesselPeripheral vesselOther (spec.)NNNNB+M; B+PWD;B+CDNote 1

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Inaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David A. Bergman

(Division Sign-C Division of Reproductive, and Radiological D 510(k) Numbe

{10}------------------------------------------------

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:C11/8-5 8.0 – 5.0 MHz Curved Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColor DopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalIntra-operative (Abdominalorgans and vascular)NNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
PediatricSmall Organ (breast,thyroid, testicles.)NNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Neonatal CephalicAdult CephalicNNNNB+M; B+PWD;B+CDNote 1
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac PediatricNNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Trans-esophageal (card.)Other (spec.)
PeripheralVesselPeripheral vesselOther (spec.)NNNNB+M; B+PWD;B+CDNote 1

Table 4.3- 3 Diagnostic Ultrasound Indications for Use Form - C11/8-5 Transducer

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures,

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

Daniel R. Lyman

(Division Sign-Off) Division of Reproductive, A and Radiological D 510(k) Number

Indications for Use

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

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:C15/4-2 4.0 - 2.0 MHz Curved Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body asfollows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNB+M; B+PWDNote 1
AbdominalNNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Intra-operative (Abdominalorgans and vascular)NNNB+M; B+PWDNote 1
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopicB+M; B+PWDNote 1
PediatricNNN
Small Organ (breast,thyroid, testicles.)NNNB+M; B+PWDNote 1
Neonatal CephalicNNNB+M; B+PWDNote 1
Adult CephalicNNNNB+M; B+PWD;B+CDNote 1
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)NNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultNNNNNB+M; B+PWD;B+CWD; B+CDNote 1
CardiacCardiac PediatricNNNNNB+M; B+PWD;B+CWD; B+CDNote 1
Trans-esophageal (card.)
Other (spec.)
PeripheralVesselPeripheral vesselNNNNB+M; B+PWD;B+CDNote 1
Other (spec.)

Table 4.3- 4 Diagnostic Ultrasound Indications for Use Form - C15/4-2 Transducer

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

Additional Comments:

Note 1: Other includes Color Power Doppler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

28

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David R. Legrown

(Division Division c productive. Abdo and Radiological Dev 510(k) Numbe

Section 4.3

of 961 pages

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

Table 4.3- 5 Diagnostic Ultrasound Indications for Use Form - C60/5-2 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:C60/5-2 5.0-2.0 MHz Curved Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNNB+M; B+PWD;B+CDNote 1
AbdominalNNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Abdominalorgans and vascular)NNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
PediatricNNNNB+M; B+PWD;B+CDNote 1
& OtherSmall Organ (breast,thyroid, testicles.)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultNNNNB+M; B+PWD;B+CDNote 1
CardiacCardiac PediatricTrans-esophageal (card.)Other (spec.)NNNNB+M; B+PWD;B+CDNote 1
PeripheralVesselPeripheral vesselOther (spec.)

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David A. Leymm

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

Indications for Use

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

Table 4.3- 6 Diagnostic Ultrasound Indications for Use Form - HST/10-5 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:HST/10-5 10.0-5.0 MHz Linear Array Transducer
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Abdominalorgans and vascular)NNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
& OtherPediatricNNNNB+M; B+PWD;B+CDNote 1
Small Organ (breast,thyroid, testicles.)NNNNB+M; B+PWD;B+CDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)NNNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)PPPPB+M; B+PWD;B+CDNote 1
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralPeripheral vesselNNNNB+M; B+PWD;B+CDNote 1

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures. Musculo-skel. (Superfic.) imaging previously cleared in 510(k) K003399.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David R. Segmann

(Division Sign-Off) Division of Reproductive, A and Radiologi 510(k) Number

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

Table 4.3- 7 Diagnostic Ultrasound Indications for Use Form - ICT/7-4 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:ICT/7-4 7.0-4.0 MHz Intracavitary Transducer
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as
follows:
Clinical ApplicationMode of Operation
GeneralSpecificColorCombinedOther
(Track I only)(Tracks I & III)BMPWDCWDDoppler(Spec.)(Spec.)
OphthalmicOphthalmic
FetalNNNNB+M; B+PWD;B+CDNote 1
Abdominal
Intra-operative (Abdominal
organs and vascular)
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
& OtherPediatricSmall Organ (breast,thyroid, testicles.)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNNB+M; B+PWD;B+CDNote 1
Trans-vaginalNNNNB+M; B+PWD;B+CDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralPeripheral vessel
VesselOther (spec.)

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Inaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David M. Segmon

(Division Sic Division of Reproductive, A and Radi 510(k) Numb

Indications for Use

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

Table 4.3- 8 Diagnostic Ultrasound Indications for Use Form -- C8/8-5 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:C8/8-5 8.0- 5.0 MHz Prostate Transducer
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Mode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNNB+M; B+PWD;B+CDNote 1
Abdominal
Intra-operative (Abdominalorgans and vascular)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (breast,thyroid, testicles.)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNNB+M; B+PWD;B+CDNote 1
Trans-vaginalNNNNB+M; B+PWD;B+CDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

Daniel A. Hyman

(Division Sign-Off) Division of Reproductive, A and Radiological Devic 510(k) Number

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

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:ICT/8-5 10.0-5.0 MHz Intracavitary Transducer
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal Imaging& OtherFetalNNNNB+M; B+PWD;B+CDNote 1
Abdominal
Intra-operative (Abdominal organs and vascular)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (breast, thyroid, testicles.)
Neonatal CephalicAdult Cephalic
Trans-rectalNNNNB+M; B+PWD;B+CDNote 1
Trans-vaginalNNNNB+M; B+PWD;B+CDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

Table 4.3- 9 Diagnostic Ultrasound Indications for Use Form – ICT/8-5 Transducer

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Insting , Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

Daniel R. Leyman

(Division Sign-Of Division of Reproductive, Abdomir and Radiological Devices 510(k) Number

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

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:L25/10-5 10.0-5.0 MHz Linear Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNB+M; B+PWDNote 1
AbdominalNNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Abdominalorgans and vascular)NNNB+M; B+PWDNote 1
Fetal ImagingIntra-operative (Neuro.)LaparoscopicNNNB+M; B+PWDNote 1
& OtherPediatricSmall Organ (breast, thyroid, testicles.)NNNNB+M; B+PWD;B+CDNote 1
Neonatal CephalicAdult CephalicNNNNB+M; B+PWD;B+CDNote 1
Trans-rectalTrans-vaginalTrans-urethralTrans-esoph. (non-Card.)
Musculo-skel. (Convent.)NNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)Intra-luminalOther (spec.)PPPPB+M; B+PWD;B+CDNote 1
Cardiac Adult
CardiacCardiac PediatricTrans-esophageal (card.)Other (spec.)NNNNB+M; B+PWD;B+CDNote 1
PeripheralVesselPeripheral vesselOther (spec.)NNNNB+M; B+PWD;B+CDNote 1

Table 4.3- 10 Diagnostic Ultrasound Indications for Use Form – L25/10-5 Transducer

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures. Musculo-skel. (Superfic.) imaging previously cleared in 510(k) K003399.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

David R. Segarra

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

Section 4.3

34 of 961 pages

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

Table 4.3- 11 Diagnostic Ultrasound Indications for Use Form - L38/10-5 Transducer

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:L38/10-5 10.0- 5.0 MHz Intracavitary Transducer
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNB+M; B+PWDNote 1
AbdominalNNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Abdominalorgans and vascular)NNNB+M; B+PWDNote 1
Fetal ImagingIntra-operative (Neuro.)LaparoscopicNNNB+M; B+PWDNote 1
& OtherPediatricSmall Organ (breast,thyroid, testicles.)NNNNB+M; B+PWD;B+CDNote 1
Neonatal CephalicAdult CephalicNNNNB+M; B+PWD;B+CDNote 1
Trans-rectalTrans-vaginalTrans-urethralTrans-esoph. (non-Card.)Musculo-skel. (Convent.)NNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)Intra-luminalOther (spec.)Cardiac AdultPPPPB+M; B+PWD;B+CDNote 1
CardiacCardiac PediatricTrans-esophageal (card.)Other (spec.)NNNNB+M; B+PWD;B+CDNote 1
PeripheralVesselPeripheral vesselOther (spec.)NNNNB+M; B+PWD;B+CDNote 1

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Dopler, 3-D Imaging, Tissue Harmonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical stuctures. Musculo-skel. (Superfic.) imaging previously cleared in 510(k) K003399.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

Daniel A. Legrain.

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 5 10(k) Number

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

Table 4.3- 12 Diagnostic Ultrasound Indications for Use Form – L52/10-5 & L52-S/10-5
Transducers
System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:L52/10-5 and L52S/10-5 10.0-5.0 MHz Linear Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body asfollows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
FetalNNNB+M; B+PWDNote 1
AbdominalNNNNB+M; B+PWD;B+CDNote 1
Intra-operative (Abdominalorgans and vascular)NNNB+M; B+PWDNote 1
Fetal ImagingIntra-operative (Neuro.)LaparoscopicNNNB+M; B+PWDNote 1
& OtherPediatricNNNNB+M; B+PWD;B+CDNote 1
Small Organ (breast,thyroid, testicles.)NNNNB+M; B+PWD;B+CDNote 1
Neonatal CephalicNNNNB+M; B+PWD;B+CDNote 1
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)NNNB+M; B+PWDNote 1
Musculo-skel. (Superfic.)PPPPB+M; B+PWD;B+CDNote 1
Intra-luminalOther (spec.)
Cardiac Adult
CardiacCardiac PediatricNNNNB+M; B+PWD;B+CDNote 1
Trans-esophageal (card.)
Other (spec.)
PeripheralVesselPeripheral vesselNNNNB+M; B+PWD;B+CDNote 1
Other (spec.)

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, combined B and Directional Color Power Doppler, 3-D Imaging, Tissue Harnonic Imaging for guidance of biopsy. Included with this 510k are imaging to assist in the placement of needles and catheters in vascular or other anatomical structures. Musculo-skel. (Superfic.) imaging previously cleared in 510(k) K003399.

Color Doppler includes Velocity Color Doppler.

Prescription Use (Per 21 CFR 801.109)

Daniel A. Leyman

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

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

Table 4.3- 13 Diagnostic Ultrasound Indications for Use Form - 2 MHz Doppler Pencil

System:SonoSite TITAN™ high-resolution ultrasound system
Transducer:Doppler Pencil Transducer 2.0 MHz Dual Element Circular Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body asfollows:
Clinical ApplicationMode of Operation
General(Track I only)Specific(Tracks I & III)BMPWDCWDColorDopplerCombined(Spec.)Other(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Abdominalorgans and vascular)
Intra-operative (Neuro.)
Fetal Imaging& OtherLaparoscopic
Pediatric
Small Organ (breast,thyroid, testicles.)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginalTrans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
CardiacCardiac AdultN
Cardiac PediatricN
Trans-esophageal (card.)
Other (spec.)
PeripheralVesselPeripheral vessel
Other (spec.)

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

Prescription Use (Per 21 CFR 801.109)

David A. Seligmann

(Division Sign-Off) Division of Reproductive, Abo and Radiological Devices 5 1 (Xk) Number

Indications for Use

§ 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.