K Number
K041396
Date Cleared
2004-06-09

(14 days)

Product Code
Regulation Number
892.1570
Panel
RA
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The FG-36UX, Fiber Ultrasound Gastroscope, is intended to provide optical visualization of , ultrasonic visualization of, and therapeutic access to, the Upper Gastrointestinal Tract. The Upper Gastrointestinal Tract includes but is not restricted to, the organs; tissues; and subsystems: Esophagus, Stomach, Duodenum, Small Bowel, and underlying areas. The instrument is introduced per orally when indications consistent with the requirement for the procedure are observed in Adult and Pediatric patient populations.

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

Device Description

The endoscope has a flexible insertion tube, a control body, and Umbilicus is bifurcated where one endoscope nas a nextion miscrion table a contains connections for air/water and suction. The other umbilicus Connector is connected to the ultrasound scanner. The control body includes controls for up/ down/ left/ right angulation, an accessory elevator control, air/water delivery, suction selection/ control, forward water jet port, balloon insulflation, an accessory interport, and the endoscopic image viewing occular. The device contains light banoon insurration, an accessory inter port, another to optically visualize the anatomy, and an ultrasound transducer to collect ultrasonic image data. The instrument contains a working channel through which biopsy transacer of concer annasonia mage cause the instrument is supplied with two biopsy forceps). A convex linear devices, of other us views, may of and adoced (the pulses are received and signals are passed to the array transadeer dor for display. The instrument is immersable (with the use of supplied cleaning accessories) except for the Ultrasound Scanner Connector (as described in the Endoscope operator Manual cleaning instructions).

AI/ML Overview

The provided 510(k) summary for the FG-36UX Fiber Ultrasound Gastroscope does not contain information about acceptance criteria or a study proving that the device meets those criteria.

The 510(k) states that "The submission for substantial equivalence was not based on an assessment of clinical performance data."

Therefore, I cannot provide the requested information. The document focuses on demonstrating substantial equivalence to predicate devices based on specifications, optional accessories, and standard set components, rather than clinical performance studies with acceptance criteria.

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.