K Number
K043588
Device Name
MYLAB 15 / MYLAB 20, MODEL 2700
Manufacturer
Date Cleared
2005-01-25

(28 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Fsaote's MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies including Fetal, Abdominal, Pediatric, Small organ, Neonatal Cephalic, Cardiac, Transrectal, Transvaginal, Peripheral Vascular, Musculoskeletal (Conventional and Superficial).
Device Description
The MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies. Its primary modes of operation are: B-Mode, M-Mode, PW Doppler and Color Flow Mapping and Tissue Enhancement Imaging (TEI). The MyLab15/MyLab20 is equipped with either an LCD TFT color display or a CRT color monitor. The full alphanumeric keyboard allows complete on-screen data entry of patient information and on-screen annotations. The MyLab15/MyLab20 can drive convex (CA) and linear array (LA) probes. The MyLab15/MyLab20 permits storage of images on a USB memory stick. The MyLab15/MyLab20 also saves fetal biometry data, acquired during obstetric examinations, into a database in the internal memory of the system, in order to track the fetal growth through different examinations during the same gestation. Optional accessories available for the MyLab15/MyLab20 include an S-VHS video recorder and a monochrome or color printer.
More Information

Not Found

No
The document describes standard ultrasound imaging modes and features, with no mention of AI or ML capabilities.

No.

The device is intended for general diagnostic ultrasound studies, which means it aids in identifying conditions, not treating them.

Yes

The "Intended Use / Indications for Use" states that the device is "intended to be used by a physician to perform general diagnostic ultrasound studies." The "Device Description" also reiterates that it is "intended to be used by a physician to perform general diagnostic ultrasound studies."

No

The device description explicitly states it is a "compact console ultrasound system" and details hardware components like probes, display, keyboard, and memory. This indicates it is a hardware device with integrated software, not a software-only medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health.
  • Device Function: The MyLab15/MyLab20 is an ultrasound system. It uses sound waves to create images of internal body structures. It does not analyze biological specimens.
  • Intended Use: The intended use clearly states it's for "general diagnostic ultrasound studies" performed by a physician. This involves imaging the body directly, not analyzing samples.

Therefore, the MyLab15/MyLab20 falls under the category of medical imaging devices, not IVDs.

N/A

Intended Use / Indications for Use

Fsaote's MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies including Fetal, Abdominal, Pediatric, Small organ, Neonatal Cephalic, Cardiac, Transrectal, Transvaginal, Peripheral Vascular, Musculoskeletal (Conventional and Superficial).

Product codes

90IYN, 90IYO, 90ITX

Device Description

The MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies. Its primary modes of operation are: B-Mode, M-Mode, PW Doppler and Color Flow Mapping and Tissue Enhancement Imaging (TEI). The MyLab15/MyLab20 is equipped with either an LCD TFT color display or a CRT color monitor. The full alphanumeric keyboard allows complete on-screen data entry of patient information and on-screen annotations. The MyLab15/MyLab20 can drive convex (CA) and linear array (LA) probes. The MyLab15/MyLab20 permits storage of images on a USB memory stick. The MyLab15/MyLab20 also saves fetal biometry data, acquired during obstetric examinations, into a database in the internal memory of the system, in order to track the fetal growth through different examinations during the same gestation. Optional accessories available for the MyLab15/MyLab20 include an S-VHS video recorder and a monochrome or color printer.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, Abdominal, Pediatric, Small organ (Thyroid, Breast and Testicles), Neonatal Cephalic, Cardiac, Transrectal, Transvaginal, Peripheral Vascular, Musculo-skeletal (Conventional and Superficial), Intraoperative Neurological

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K023512, K012887

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

JAN 25 2005

510(k) Summary My Lab 15 - My Lab 20 Pic Medical

K043588
Sizylft4

510(k) Summary

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

807.92(a)(1)

Submitter Information

Carri Graham, Official Correspondent

8000 Castleway Drive

Indianapolis, IN 46250

Phone:(317) 849-1916
Facsimile:(317) 5779070

Contact Person: Carri Graham

Date: December 15, 2004

807.92(a)(2)

Trade Name:My Lab 15 / My Lab 20 Ultrasound Imaging Systems
Common Name:Ultrasound Imaging System
Classification Name(s):Ultrasonic pulsed echo imaging system 892.1560
Ultrasonic pulsed Doppler imaging system 832.1550
Classification Number:90IYO
90IYN

807.92(a)(3)

Predicate Device(s)

Pie MedicalPicusK023512
Medison128BWK012887

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

1

510(k) Summary My Lab 15 My Lab 20 Pic Medical

K043588
Page 24

807.92(a)(4)

Device Description

The MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies. Its primary modes of operation are: B-Mode, M-Mode, PW Doppler and Color Flow Mapping and Tissue Enhancement Imaging (TEI). The MyLab15/MyLab20 is equipped with either an LCD TFT color display or a CRT color monitor. The full alphanumeric keyboard allows complete on-screen data entry of patient information and on-screen annotations. The MyLab15/MyLab20 can drive convex (CA) and linear array (LA) probes. The MyLab15/MyLab20 permits storage of images on a USB memory stick. The MyLab15/MyLab20 also saves fetal biometry data, acquired during obstetric examinations, into a database in the internal memory of the system, in order to track the fetal growth through different examinations during the same gestation. Optional accessories available for the MyLab15/MyLab20 include an S-VHS video recorder and a monochrome or color printer.

Intended Use(s) 807.92(a)(5)

Fsaote's MyLab15/MyLab20 is a compact console ultrasound system intended to be used by a physician to perform general diagnostic ultrasound studies including Fetal, Abdominal, Pediatric, Small organ, Neonatal Cephalic, Cardiac, Transrectal, Transvaginal, Peripheral Vascular, Musculoskeletal (Conventional and Superficial).

2

5 10(k) Summary My Lab 15 . My Lab 20 Pic Medical

K043588
Page=14

Comparison Chart for Substantial Equivalence

| General
Characteristics | Esaote
MyLab15/MyLab20 | Esaote Picus
(K023512) | Medison 128BW
(K012887) |
|-------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|-----------------------------------------------|
| Applications | | | |
| Fetal | Yes | Yes | Yes |
| Abdominal | Yes | Yes | Yes |
| Pediatric | Yes | No | Yes |
| Small Organ | Yes | Yes | Yes |
| Neonatal Cephalic | Yes | Yes | Yes |
| Adult Cephalic | No | No | Yes |
| Cardiac | Yes | Yes | Yes |
| Transrectal | Yes | Yes | Yes |
| Transvaginal | Yes | Yes | Yes |
| Peripheral Vascular | Yes | Yes | Yes |
| Musculo-skeletal
(Conventional and
superficial) | Yes | No | Yes |
| General
Characteristics | Esaote
MyLab15/MyLab20 | Esaote Picus
(K023512) | Medison 128BW
(K012887) |
| | Transducer Type | | |
| Linear | Yes | Yes | Yes |
| Convex | Yes | Yes | Yes |
| 2D Freq MHz | 2.7 - 12.5 | 2.5 - 10 | 2.0 - 10 |
| PW Freq MHz | 2.7 - 6.3 | 2.5 - 8 | No |
| Multifrequency
probes | Yes | Yes | Yes |
| Special probes | Endocavity probe | Endocavity probe | Endocavity probe |
| | Biopsy attachments | | |
| Convex | Yes | Yes | Yes |
| Linear | Yes | Yes | Yes |
| | | | |
| | Imaging modes | | |
| Real Time 2D | Yes | Yes | Yes |
| M-mode | Yes | Yes | Yes |
| PW Doppler | Yes | Yes | No |
| CFM Doppler | Yes | Yes | No |
| Amplitude Doppler | Yes | Yes | No |
| Triplex | Yes | Yes | - |
| Monitor size (inches) | 15" CRT monitor
15" LCD | 15" CRT monitor
10" LCD | 12" CRT monitor |
| ECG | Optional | Optional | No |
| Digital archival
capabilities | Yes | Yes | Yes |
| VCR & Video
printers | Yes | Yes | Yes |
| M&A capabilities | Cardiac, vascular,
Obstetric,
Gynaecologic,
Urology, and
general purpose
measurements | Cardiac, vascular,
Obstetric,
Gynaecologic,
Urology, and
general purpose
measurements | OB/Gyn and
general purpose
measurements |
| | Safety | | |
| Electrical safety | EN60601-1 | EN60601-1 | EN60601-1 |

3

K04358
Page 44

510(k) Summary My Lab 1 5 - My Lab 20 Pic Medical

4

Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features a stylized eagle with three stripes representing the three levels of government: federal, state, and local. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 5 2005

Pie Medical % Ms. Carri Graham Consultant The Anson Group 7992 Castleway Drive INDIANAPOLIS IN 46250

Re: K043588

Trade Name: MyLab15 / MyLab20 Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Number: 21 CFR 892.1560 Regulatory Name: Ultrasonic pulsed echo imaging system Regulatory Number: 21 CFR 892.1570 Regulatory Name: Diagnostic ultrasonic transducer Regulatory Class: II Product Code: 90 IYN, IYO, and ITX Dated: December 21, 2004 Received: December 28, 2004

Dear Ms. Graham:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have reviewed your bowe 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 merodments, 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 the general controls pro 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 MyLab15 / MyLab20, as described in your premarket notification:

Transducer Model Number

| LA523
CA421P | EC123
E8-5 R10 |

------------------------------------

5

Page 2 - Ms. Graham

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (600 additional controls. Existing major regulations affecting your device of the It may be subject to sach additions, Title 21, Parts 800 to 898. In addition, FDA can be found in the Oode of Posteria concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised hat I DA 3 issuated or a casevice complies with other requirements of the Act that I DA has made a determinations administered by other Federal agencies. You must of any I cachar statutes and regulations and limited to: registration and listing (21 comply with an the 7ter s requirements, normands, and manufacturing practice requirements as set CITY at 607), adomig (21 OFR Part 820), and if applicable, the electronic form in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

This determination of substantial equivalence is granted on the condition that prior to shipping I ins device, you submit a postclearance special report. This report should contain complete information, including acoustic output measurements based on production line devices, requested information, merading accusation of September 30, 1997 "Information for Manufacturers In Appendix U, (cherosou) of the Senies tic Ultrasound Systems and Transducers." If the special report is incomplete or contains unacceptable values (e.g., acoustic output greater than approved levels), then the 510(k) clearance may not apply to the production units which as a result may be considered adulterated or misbranded.

The special report should reference the manufacturer's 510(k) number. It should be clearly and prominently marked "ADD-TO-FILE" and should be submitted in duplicate to:

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850

This letter will allow you to begin marketing your device as described in your premarket I nis lotter will and in you ding of substantial equivalence of your device to a legally marketed nonticate 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 If you the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other gollers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrl/dsma/dsmamain.html

6

Page 3 – Ms. Graham

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

Sincerely yours,

Nancy C. Brogdon

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

Enclosure(s)

7

4.3 Indications for Use

The following table provides the intended clinical use for the MyLab15/MyLab20:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
TEI (3)
OphthalmicN [2]N
FetalNNNNNN [2]N
AbdominalNNNNNN [2]N
Intraoperative (specify)
Intraoperative NeurologicalNNN [2]N
PediatricNNNNNN [2]N
Small Organ (specify) [1]NNNNNN [2]N
Neonatal CephalicNNNNNN [2]N
Adult CephalicN [2]N
CardiacNNNNNN [2]N
TransesophagealN [2]N
TransrectalNNNNNN [2]N
TransvaginalNNNNNN [2]N
Transurethral
IntravascularN [2]N
Peripheral VascularNNNNNN [2]N
LaparoscopicN [2]N
Musculo-skeletal
ConventionalNNNNNN [2]N
Musculo-skeletal SuperficialNNNNNN [2]N

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

[1] Small organs include Thyroid, Breast and Testicles.

[1] Small organs include Thylold, Dreast and Tostered
[2] Applicable combined modes: B+M+PW+ CFM+Amplitude Doppler
[2] Applicable combined modes: B+M+PW+ CFM+Amplitude Dopple

[2] Apphoable enhancement Imaging (TEI)

[3] Tissue enhancement imaging (TEI),

Prescription Use

Nancy C. Broadon

(Division Sign-Off) Division of Reproductive, Abdomina and Radiological Devices

510(k) Number K043588

8

The following tables provide the intended clinical use for the MyLab15/MyLab20 probes in combination with the system:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
TEI (3)
Ophthalmic
Fetal
AbdominalNNNNNN[2]N
Intraoperative (specify)
Intraoperative Neurological
PediatricNNNNNN[2]N
Small Organ (specify) [1]NNNNNN[2]N
Neonatal CephalicNNNNNN[2]N
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularNNNNNN[2]N
Laparoscopic
Musculo-skeletal
ConventionalNNNNNN[2]N
Musculo-skeletal SuperficialNNNNNN[2]N
Other (specify)

Transducer: LA523

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

[1] Small organs include Thyroid, Breast and Testicles.

[ [ ] Small organs melude Tiryon, Droad, Live PW+CFM+Amplitude Doppler
[2] Applicable combined modes: B+M+PW+CFM+Amplitude Doppler

[2] Tissue Enhancement Imaging (TEI)

Prescription Use

Nancy Brodon

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

9

Transducer: CA421P

Clinical ApplicationMode of Operation
ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
TEI [2]
Ophthalmic
FetalNNNNNN[1]N
AbdominalNNNNNN[1]N
Intraoperative (specify)
Intraoperative Neurological
PediatricNNNNNN[1]N
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal Superficial
Other (specify)

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

nal Comments.
[1] Applicable combined modes: B+M+PW+CFM+Amplitude Doppler.
[1] Applicable combined modern (1) www.

[2] Tissue Enhancement Imaging (TEI)

Organizing Ideas

Nancy C Brogdon

(Division Sign-Off) (Division Sign-On)
Division of Reproductive, Abdominal, ari Radiological Devices 1 [((k) Number _

10

Transducer: EC123

Clinical ApplicationMode of Operation
ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
TEI (2)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalNNNNNN[1]N
TransvaginalNNNNNN[1]N
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal
Conventional
Musculoskeletal Superficial
Other (specify)

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

Additional Comments:

Additional Comments.
[1] Applicable combined modes: B+M+PW+CFM+Amplitude Doppler.
[1] Applicable combined modes: (TED

[2] Tissue Enhancement Imaging (TEI)

្រីក្រោយក្រោះ

Narryl Brogdon
(Division Sign-Off)

(Division of Reproductive, Abdominal and Radiological Devices

510(k) Number K043588

11

Transducer: E8-5 R10

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
TEI [2]
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
TransesophagealN
TransrectalNNNNNN[1]N
TransvaginalNNNNNN[1]N
Transurethral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal
Conventional
Musculoskeletal Superficial
Other (specify)

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

Additional Comments:

Additional Comments.
[1] Applicable combined modes: B+M+PW+CFM+Amplitude Doppler.
[1] Applicable combined model ... (TEU

[2] Tissue Enhancement Imaging (TEI)

Organization Chart

Nancy Brogdon

(Division Sign-Off) Abdominal; Division of Reproductive, and Radiological Devices 643588 510(k) Number _