K Number
K050034
Device Name
SONOLINE ANTARES DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
2005-01-13

(6 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Ultrasound imaging or fluid flow analysis of the human body as follows: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Transesophageal, Pelvic, Neonatal/Adult Cephalic, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.
Device Description
The Antares with 4D Basic Imaging is substantially equivalent to the predicates listed herein. The Antares is a general purpose, mobile, software-controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical indices related to potential bioeffect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PWD) Doppler Mode, Continuous (CWD) Doppler Mode, Color Doppler Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging, 3D imaging, and 4D Basic Imaging on a CRT display.
More Information

Not Found

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on traditional ultrasound imaging modes and processing.

No.
The device's intended use and function are for diagnostic ultrasound imaging, not for treating diseases or conditions.

Yes

The "Intended Use / Indications for Use" states that the system provides "analysis packages that provide information that is used for clinical diagnosis purposes." Additionally, the "Device Description" explicitly refers to the device as a "diagnostic ultrasound system."

No

The device description explicitly states it is a "diagnostic ultrasound system" and mentions acquiring ultrasound echo data, which requires hardware components (transducers, processing unit, etc.) beyond just software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to examine these samples outside of the body.
  • Device Function: The description clearly states that this device is a diagnostic ultrasound system. Ultrasound uses sound waves to create images of internal body structures. This is an in vivo (within the living body) imaging technique, not an in vitro test.
  • Intended Use: The intended use describes imaging and analysis of the human body directly, not analysis of samples taken from the body.
  • Device Description: The description details the modes of ultrasound imaging (B-Mode, M-Mode, Doppler, etc.) and the display of these images, which are all related to in vivo imaging.

Therefore, this device falls under the category of medical imaging devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Antares ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Transesophageal, Pelvic, Neonatal/Adult Cephalic, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

Ultrasound imaging or fluid flow analysis of the human body as follows:
Mode of Operation: B, M, PWD, CWD, Color Doppler, Amplitude Doppler, Combined (BMDC)
Other (Specify): Note 2,3,4,5,7,8 (Ensemble tissue harmonic imaging, SieClear multi-view spatial compounding, Tissue Equalization Technology, 3-Scape real-time 3D imaging, B&W SieScape panoramic imaging, Power SieScape panoramic imaging), Note 6 (Cadence contrast agent imaging on Cardiac and Trans-esophageal applications), Note 9 (For Intraoperative: for example: vascular, abdominal)

For specific transducers, refer to the individual Indication for Use forms:

  • SONOLINE Antares: Fetal, Abdominal, Intraoperative (Note 9), Intraoperative Neurological, Pediatric, Small Organ (Note 1), Neonatal Cephalic, Adult Cephalic, Cardiac, Trans-esophageal, Transrectal, Transvaginal, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • CW2 Probe for use with SONOLINE Antares: Fetal, Abdominal, Intraoperative (Note 9), Pediatric, Small Organ (Note 1), Neonatal Cephalic, Adult Cephalic, Cardiac, Peripheral vessel, Musculo-skeletal Conventional
  • CW5 Probe for use with SONOLINE Antares: Fetal, Abdominal, Intraoperative (Note 9), Pediatric, Small Organ (Note 1), Neonatal Cephalic, Adult Cephalic, Cardiac, Peripheral vessel, Musculo-skeletal Conventional
  • C5-2 Curved Array Transducer for use with SONOLINE: Antares: Fetal, Abdominal, Pediatric, Peripheral vessel, Musculo-skeletal Conventional
  • CX5-2 Curved Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Peripheral vessel, Musculo-skeletal Conventional
  • VF7-3 Linear Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Small Organ (Note 1), Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • EC9-4 Curved Array Transducer for use with SONOLINE Antares: Fetal, Small Organ (Note 1), Neonatal Cephalic, Transrectal, Transvaginal
  • VFX9-4 Linear Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Small Organ (Note 1), Neonatal Cephalic, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • VF10-5 Linear Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Small Organ (Note 1), Neonatal Cephalic, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • VF13-5 Linear Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Small Organ (Note 1), Neonatal Cephalic, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • VFX13-5 Multi-D Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Small Organ (Note 1), Neonatal Cephalic, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • PX4-1 Phased Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Neonatal Cephalic, Adult Cephalic, Cardiac, Peripheral vessel
  • MPT7-4 Multiplane TEE Transducer for use with SONOLINE Antares: Trans-esophageal
  • CH6-2 Curved Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Peripheral vessel
  • PH4-1 Phased Array Transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Peripheral vessel
  • P10-4 Phased Array Transducer for use with SONOLINE Antares: Abdominal, Pediatric, Neonatal Cephalic, Cardiac, Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • VF13-5SP Linear Array Transducer for use with SONOLINE: Antares: Intraoperative (Note 9), Intraoperative Neurological, Pediatric, Small Organ (Note 1), Peripheral vessel, Musculo-skeletal Conventional, Musculo-skeletal Superficial
  • C5F1 Curved array mechanical 3D transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Peripheral vessel, Laparoscopic, Musculo-skeletal Conventional
  • C7F2 Curved array mechanical 3D transducer for use with SONOLINE Antares: Fetal, Abdominal, Pediatric, Peripheral vessel, Musculo-skeletal Conventional
  • EV9F4 Curved Array Transducer for use with SONOLINE Antares: Fetal, Small Organ (Note 1), Neonatal Cephalic, Transvaginal

Product codes (comma separated list FDA assigned to the subject device)

90-IYN, 90-IYO, 90-ITX, 90 IYN, IYO, and ITX

Device Description

The Antares with 4D Basic Imaging is substantially equivalent to the predicates listed herein. The Antares is a general purpose, mobile, software-controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical indices related to potential bioeffect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PWD) Doppler Mode, Continuous (CWD) Doppler Mode, Color Doppler Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging, 3D imaging, and 4D Basic Imaging on a CRT display.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts (e.g., breast, testes, thyroid, penis, prostate), Transcranial, OB/GYN, Cardiac, Transesophageal, Pelvic, Neonatal/Adult Cephalic, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, Peripheral Vascular, Transrectal, Transvaginal.

Indicated Patient Age Range

Neonatal, Pediatric, Adult

Intended User / Care Setting

Not Found

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K001400, K040060

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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 1 3 2005 510(K) SUMMARY

Antares Diagnostic Ultrasound System with 4D Basic Imaging

This summary of safety and effectiveness is provided as part of this Premarket Notification in compliance with the Safe Medical Device Act of 1990 revisions to 21 CFR, Part 807.92, Content and Format of a 510(k) Summary.

Submitted By: 1.

Siemens Medical Solutions USA, Inc. 22010 S.E. 51st Street Issaquah, WA 98027-7298

Contact Person: Patrick Lynch Regulatory Affairs

Phone: (425) 557-1825 FAX: (425) 391-9198

Date Prepared:

December 22, 2004

Proprietary Name: SONOLINE Antares™ Ultrasound System

Common/ Usual Name:

Diagnostic Ultrasound System with Accessories

Classification Name:

21 CFR 892.1550
Ultrasonic Pulsed Doppler Imaging SystemFR # 892.1550Product Code 90-IYN
Ultrasonic Pulsed Echo Imaging SystemFR # 892.1560Product Code 90-IYO
Diagnostic Ultrasound TransducerFR # 892.1570Product Code 90-ITX

3. Predicate Device: ·

The Antares system is multi-purpose diagnostic ultrasound system with accessories and proprietary software, and is substantially equivalent to the following products which are already cleared for US distribution with the following 510(k) clearances:

  • K001400, 8/1/00, cleared as the Elegra Millennium Advanced, marketed as the ■ Antares
  • K040060, 01/28/04, cleared as SONOLINE G50/G60 S Diagnostic Ultrasound ■ System

4. Device Description:

The Antares with 4D Basic Imaging is substantially equivalent to the predicates listed herein. The Antares is a general purpose, mobile, software-controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical indices related to potential bioeffect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PWD) Doppler Mode, Continuous (CWD) Doppler Mode, Color Doppler Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging, 3D imaging, and 4D Basic Imaging on a CRT display.

1

The Antares has been designed to meet the following product safety standards:

  • 제 UL 60601-1, Safety Requirements for Medical Equipment
  • 트 CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment
  • l AIUM/NEMA UD-3, 1998, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • AIUM/NEMA UD-2. 1998 Acoustic Output Measurement Standard for Diagnostic Ultrasound
  • l 93/42/EEC Medical Devices Directive
  • Safety and EMC Requirements for Medical Equipment
    • 에 EN 60601-1
    • . EN 60601-1-1
    • 비 EN 60601-1-2
  • 트 IEC 1157 Declaration of Acoustic Power
  • ISO 10993 Biocompatibility ■

Intended Uses: 5.

:

The Antares ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Transesophageal, Pelvic, Neonatal/Adult Cephalic, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

6. Technological Comparison to Predicate Device:

Antares Avant is substantially equivalent to the SONOLINE Elegra Millennium Enhanced. cleared via K001400, and the SONOLINE G50/G60 S Diagnostic Ultrasound System, cleared via K040060. All systems transmit ultrasonic energy into patients, then perform postprocessing of received echoes to generate on-screen display of anatomic structures and fluid flow within the body. All systems allow for specialized measurements of structures and flow, and calculations.

End of 510(k) Summary

2

Image /page/2/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 a stylized image of an eagle with three curved lines representing its wings or feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 3 2005

Siemens Medical Solutions USA, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

Re: K050034

Trade Name: SONOLINE Antares™ 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 IYN, IYO, and ITX Dated: January 5, 2005 Received: January 7, 2005

Dear Mr. Job:

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 SONOLINE Antares™ Diagnostic Ultrasound System, as described in vour premarket notification:

Transducer Model Number

CW2 CW5

C5-2 Curved Array CX5-2 Curved Array

3

VF7-3 Linear Array EC9-4 Curved Array VFX9-4 Linear Array VF10-5 Linear Array VF13-5 Linear Array VFX13-5 Multi-D Array PX4-1 Phased Array MPT7-4 Multiplane TEE

CH6-2 Curved Array PH4-1 Phased Array P10-4 Phased Array VF13-5SP Linear Array C5F1 Curved Array C7F2 Curved Array EV9F4 Curved Array

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 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.

4

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact 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 Manufacturers, 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/cdrh/dsma/dsmamain.html

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

Sincerely yours,

Nancy C. Brogdon

Nancy C. Brogdon

Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

5

FDA Cleared Indications for Use Forms

510 (k) Number (if known):

Device Name: Intended Use:

SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
(Note 9)PPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
NeurologicalPPPPPPBMDCNote 2,3,4,5,7,8
PediatricPPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)PPPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicPPPPPPBMDCNote 2,3,4,5,7,8
Adult CephalicPPPPPPBMDCNote 2,3,4,5,7,8
CardiacPPPPPPBMDCNote 2,3,4,5,6,7,8
Trans-esophagealPPPPPPBMDCNote 2,3,4,5,6
TransrectalPPPPPBMDCNote 2,3,4,5,7,8
TransvaginalPPPPPBMDCNote 2,3,4,5,7,8
Transurethral
Intravascular
Peripheral vesselPPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialPPPPPBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Ensemble tissue harmonic imaging Note 2

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

Note 6 Cadence contrast agent imaging

B&W SieScape panoramic imaging Note 7

Power SieScape panoramic imaging Note 8

Note 9 For example: vascular, abdominal

(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)

Nancy C. Brogdon
(Division Sig. Off)

Division of Reproductive. Aticionins

and Radiological Dry

6

510 (k) Number (if known):

CW2 Probe for use with SONOLINE Antares

Device Name: Intended Use:

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalP
AbdominalP
Intraoperative
(Note 9)P
Intraoperative
Neurological
PediatricP
Small Organ
(Note 1)P
Neonatal CephalicP
Adult CephalicP
CardiacP
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselP
Laparoscopic
Musculo-skeletal
ConventionalP
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

For example: vascular, abdominal Note 9

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy C Brogdon

(Division Sign Division of Reproductive, Abdom and Radiological Devices

510(k) Number KD50034

7

510 (k) Number (if known):

CW5 Probe for use with SONOLINE Antares

Device Name: Intended Use:

Ultrasound imaging or fluid flow analysis of the human body as follows:

Ultrasound imaging of fluid flow analysis of the human body as follows

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalN
AbdominalN
Intraoperative
(Note 9)N
Intraoperative
Neurological
PediatricN
Small Organ
(Note 1)N
Neonatal CephalicN
Adult CephalicN
CardiacN
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselN
Laparoscopic
Musculo-skeletal
ConventionalN
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

. .

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

For example: vascular, abdominal Note 9

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) 사 : :

Prescription Use (Per 21 CFR 801.109)

Nancy Royston
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices

510(k) Number K050034

8

510 (k) Number (if known):

C5-2 Curved Array Transducer for use with SONOLINE: Antares

Device Name: Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Ensemble tissue harmonic imaging Note 2

SieClear multi-view spatial compounding Note 3

Tissue Equalization Technology Note 4

3-Scape real-time 3D imaging Note 5

B&W SieScape panoramic imaging Note 7

Power SieScape panoramic imaging Note 8

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy C. Langdon

(Division Sigh-O Division of Reproductive, Abdom and Radiological Devices 510(k) Number

9

.

Diagnostic Ultrasound Indications for Use Form

510 (k) Number (if known):

CX5-2 Curved Array Transducer for use with SONOLINE Antares ::

Device Name: Intended Use:

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Ensemble tissue harmonic imaging Note 2

Note 3 SieClear multi-view spatial compounding

Tissue Equalization Technology Note 4

3-Scape real-time 3D imaging Note 5

B&W SieScape panoramic imaging Note 7

Power SieScape panoramic imaging Note 8

(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)

Nancy Thompson

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

510(k) Number K050034

..

10

510 (k) Number (if known):

Device Name: Intended Use:

VF7-3 Linear Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)EEEEEBMDCNote 2,3,4,5,7,8
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialEEEEEBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Note 2 Ensemble tissue harmonic imaging

Note 3 SieClear multi-view spatial compounding

Note 4 Tissue Equalization Technology

3-Scape real-time 3D imaging Note 5

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(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)

Nancy Snowdon

(Division Sign-Off) Division of Reproductive, Abdominal,

Radiological Devices
510(k) Number K050034

11

510 (k) Number (if known):

EC9-4 Curved Array Transducer for use with SONOLINE Antares

Device Name: Intended Use: ECS:4 Curved Array Transador of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalEEEEEBMDCNote 2,3,4,5,7,8
Abdominal
Intraoperative
Abdominal
Intraoperative
Neurological
Pediatric
Small Organ
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicEEEEEBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
TransrectalPPPPPBMDCNote 2,3,4,5,7,8
TransvaginalPPPPPBMDCNote 2,3,4,5,7,8
Transurethral
Intravascular
Peripheral vessel
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

Street (open);
N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Ensemble tissue harmonic imaging Note 2

SieClear multi-view spatial compounding Note 3

Tissue Equalization Technology Note 4

3-Scape real-time 3D imaging Note 5

B&W SieScape panoramic imaging Note 7

Power SieScape panoramic imaging Note 8

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANDTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Nancy C Hodgson

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

12/22/2004

12

510 (k) Number (if known):

VFX9-4 Linear Array Transducer for use with SONOLINE Antares

Intended Use:

Device Name:

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicPPPPPBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialEEEEEBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Ensemble tissue harmonic imaging Note 2

SieClear multi-view spatial compounding Note 3

Tissue Equalization Technology Note 4

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(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)

Nancy C. Snowdon

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

510(k) Number .

12/22/2004

13

510 (k) Number (if known):

Device Name:

Intended Use:

VF10-5 Linear Array Transducer for use with SONOLINE Antares

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicPPPPPBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialPPPPPBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Note 2 Ensemble tissue harmonic imaging

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(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)

Nancy C Brogdon
(Division Sign-Off)

Division of Reproductive, Abdomina and Radiological Devices

510(k) Number K050034

. !

14

510 (k) Number (if known):

VF13-5 Linear Array Transducer for use with SONOLINE Antares

Device Name: Intended Use:

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalEEEEEBMDCNote 2,3,4,5,7,8
AbdominalEEEEEBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicEEEEEBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialPPPPPBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

Note 2 Ensemble tissue harmonic imaging

Note 3 SieClear multi-view spatial compounding

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(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)

Nancy Brogdon
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices

510(k) Number K050034

,

15

510 (k) Number (if known):

Device Name: Intended Use:

VFX13-5 Multi-D Array Transducer for use with SONOLINE Antares

Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalEEEEEBMDCNote 2,3,4,5,7,8
AbdominalEEEEEBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8
Neonatal CephalicEEEEEBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
SuperficialPPPPPBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Ensemble tissue harmonic imaging Note 2

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy C. Brogdon

(Division Sign-Off)
Division of Reproductive, Abdomin

Radiological Devices

510(k) Number K050034

16

510 (k) Number (if known):

Device Name: Intended Use:

PX4-1 Phased Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal CephalicPPPPPPBMDCNote 2,3,4,5,7,8
Adult CephalicPPPPPPBMDCNote 2,3,4,5,7,8
CardiacPPPPPPBMDCNote 2,3,4,5,6,7,8
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

Note 3 SieClear multi-view spatial compounding

Tissue Equalization Technology Note 4

3-Scape real-time 3D imaging Note 5

Note 6 Cadence contrast agent imaging

Note 7 B&W SieScape panoramic imaging

Note 8 Power SieScape panoramic imaging

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy C. Broadlon

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

510(k) Number K650034

17

510 (k) Number (if known):

Device Name: Intended Use:

MPT7-4 Multiplane TEE Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
Fetal
Abdominal
Intraoperative
Abdominal
Intraoperative
Neurological
Pediatric
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophagealPPPPPPBMDCNote 2,3,4,5,6
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vessel
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

3-Scape real-time 3D imaging Note 5

Note 6 Cadence contrast agent imaging

(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)

Nancy brogdon

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

510(k) Number K050034

18

510 (k) Number (if known):

:

Device Name: Intended Use:

CH6-2 Curved Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

Note 7 B&W SieScape panoramic imaging

Note 8 Power SieScape panoramic imaging

(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)

Nancy C. Brogdon

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

19

510 (k) Number (if known):

Device Name: Intended Use: PH4-1 Phased Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Ensemble tissue harmonic imaging Note 2

SieClear multi view spatial compounding Note 3

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

Note 7 B&W SieScape panoramic imaging

Note 8 Power SieScape panoramic imaging

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy Thompson


(Division Sign Off)

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

20

: .

.

Diagnostic Ultrasound Indications for Use Form

510 (k) Number (if known):

Device Name: Intended Use: P10-4 Phased Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
Fetal
AbdominalPPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal CephalicPPPPPPBMDCNote 2,3,4,5,7,8
Adult Cephalic
CardiacPPPPPPBMDCNote 2,3,4,5,6,7,8
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPP
Musculo-skeletal
SuperficialBMDCNote 2,3,4,5,7,8
Other (specify)

N = new indication; P = previously cleared by FDA K001400; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

SieClear multi view spatial compounding Note 3

Note 4 Tissue Equalization Technology

3-Scape real-time 3D imaging Note 5

Note 6 Cadence contrast agent imaging

Note 7 B&W SieScape panoramic imaging

Power SieScape panoramic imaging Note 8

(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)

Nancy C. Boydon

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

510(k) Number K050034

21

510 (k) Number (if known):

Device Name: Indications For Use:

VF13-5SP Linear Array Transducer for use with SONOLINE: Antares

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

| | Clinical Application | A | B | M | PWD | CWD | Color
Doppler | Amplitude
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Other
(Specify) |
|--|----------------------------------|---|---|---|-----|-----|------------------|----------------------|------------------------------|-----------------------|--------------------|
| | Ophthalmic | | | | | | | | | | |
| | Fetal | | | | | | | | | | |
| | Abdominal | | | | | | | | | | |
| | Intraoperative
(Note 9) | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Intraoperative
Neurological | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Pediatric | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Small Organ
(Note 1) | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Neonatal Cephalic | | | | | | | | | | |
| | Adult Cephalic | | | | | | | | | | |
| | Cardiac | | | | | | | | | | |
| | Transesophageal | | | | | | | | | | |
| | Transrectal | | | | | | | | | | |
| | Transvaginal | | | | | | | | | | |
| | Transurethral | | | | | | | | | | |
| | Intravascular | | | | | | | | | | |
| | Peripheral vessel | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Laparoscopic | | | | | | | | | | |
| | Musculo-skeletal
Conventional | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Musculo-skeletal
Superficial | | P | P | P | | P | P | | BMDC | Note 2,3,4,5,7,8 |
| | Other (specify) | | | | | | | | | | |

N = new indication; P = previously cleared by FDA K033196; E = added under Appendix E

Additional Comments:

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Ensemble tissue harmonic imaging Note 2

Note 3 SieClear multi-view spatial compounding

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

For example: vascular, abdominal Note 9

(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)

Danaye brondon

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

510(k) Number K050034

22

510 (k) Number (if known):

Device Name: Intended Use:

C5F1 Curved array mechanical 3D transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
LaparoscopicNote 2,3,4,5,7,8
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K033196; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

SieClear multi-view spatial compounding Note 3

Note 4 Tissue Equalization Technology

3-Scape real-time 3D imaging Note 5

Note 7 B&W SieScape panoramic imaging

Power SieScape panoramic imaging Note 8

(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)

Dougal Brogdon

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

510(k) Number K050034

23

510 (k) Number (if known):

Device Name: Intended Use:

C7F2 Curved array mechanical 3D transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8
AbdominalPPPPPBMDCNote 2,3,4,5,7,8
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPBMDCNote 2,3,4,5,7,8
Small Organ
Neonatal Cephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral vesselPPPPPBMDCNote 2,3,4,5,7,8
Laparoscopic
Musculo-skeletal
ConventionalPPPPPBMDCNote 2,3,4,5,7,8
Musculo-skeletal
Superficial
Other (specify)

N = new indication; P = previously cleared by FDA K033196; E = added under Appendix E

Additional Comments:

Note 2 Ensemble tissue harmonic imaging

Note 3 SieClear multi-view spatial compounding

Note 4 Tissue Equalization Technology

Note 5 3-Scape real-time 3D imaging

Note 7 B&W SieScape panoramic imaging

Note 8 Power SieScape panoramic imaging

(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)

Nancy Brogdon

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

24

510 (k) Number (if known):

Device Name: Intended Use:

EV9F4 Curved Array Transducer for use with SONOLINE Antares Ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
Ophthalmic
FetalNNNNNBMDCNote 2,3,4,5,7,8
Abdominal
Intraoperative
Abdominal
Intraoperative
Neurological
Pediatric
Small Organ
(Note 1)NNNNNBMDCNote 2,3,4,5,7,8
Neonatal CephalicNNNNNBMDCNote 2,3,4,5,7,8
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
TransvaginalNNNNNBMDCNote 2,3,4,5,7,8
Transurethral
Intravascular
Peripheral vessel
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletal
Superficial
Other (specify)

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

Additional Comments:

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

Note 2 Ensemble tissue harmonic imaging

SieClear multi-view spatial compounding Note 3

Tissue Equalization Technology Note 4

Note 5 3-Scape real-time 3D imaging

B&W SieScape panoramic imaging Note 7

Note 8 Power SieScape panoramic imaging

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancyc brogdon

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K050034