K Number
K053069
Device Name
SONOSITE MICROMAXX DIAGNOSTIC ULTRASOUND SYSTEM (C3 SERIES)
Manufacturer
Date Cleared
2005-11-16

(15 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Ophthalmic, Fetal - OB/GYN, Abdominal, Intra-operative (Abdominal organs and vascular), Intra-operative (Neuro.), 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, Trans-esophageal (card.), Peripheral vessel.
Device Description
The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display highresolution, real-time ultrasound data in 2D, M-Mode, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Color Power Doppler, and Velocity Color Doppler or in a combination of these modes. The System has an electrocardiography (ECG) display feature and supports a 3-lead ECG cable assembly to collect data for M-mode and Doppler 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 the ability to measure the intima-media thickness (IMT) of the carolid artery using digital ultrasound images. The IMT measurement of the carotid artery may be used adjunctively with other medical data obtained by a physician to help assess the cardiovascular health of a patient. The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images and loops. Security support is also provided to facilitate HIPAA compliance. The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) 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.
More Information

Not Found

No
The document describes a standard ultrasound system with various imaging modes and measurement capabilities. There is no mention of AI or ML in the intended use, device description, or any of the other sections.

No
The device is described as a "diagnostic ultrasound imaging" system used to "acquire and display high-resolution, real-time ultrasound data" for "clinical diagnostic purposes." Its intended use and description explicitly focus on imaging and measurement for diagnosis, not treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states "Diagnostic ultrasound imaging". The "Device Description" also mentions it is a "diagnostic ultrasound system" and that its measurements "provide information used for clinical diagnostic purposes."

No

The device description explicitly states it is a "diagnostic ultrasound system" and mentions hardware components like transducers, a control panel, and an ECG cable assembly. It is not solely software.

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

Here's why:

  • Intended Use/Indications for Use: The intended use clearly states "Diagnostic ultrasound imaging or fluid flow analysis of the human body." This describes a device that interacts directly with the patient's body to acquire images and data, not a device that analyzes samples taken from the body (which is the hallmark of an IVD).
  • Device Description: The description details an ultrasound system that uses transducers to acquire real-time ultrasound data. This is consistent with in-vivo imaging, not in-vitro analysis.
  • No mention of analyzing biological samples: The description focuses on imaging modes, measurements of anatomical structures, and data processing of ultrasound images. There is no mention of analyzing blood, urine, tissue, or any other biological sample.

In summary, the device is a diagnostic imaging system used for in-vivo examination of the human body, which falls under a different regulatory category than In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The intended uses of the MicroMaxx™ High-Resolution Ultrasound System (C3 Series) as defined by FDA guidance documents, are:

Ophthalmic
Fetal - OB/GYN
Abdominal
Intra-operative (Abdominal organs and vascular)
Intra-operative (Neuro.)
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
Trans-esophageal (card.)
Peripheral vessel

Product codes

IYN, IYO, ITX

Device Description

The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display highresolution, real-time ultrasound data in 2D, M-Mode, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Color Power Doppler, and Velocity Color Doppler or in a combination of these modes.

The System has an electrocardiography (ECG) display feature and supports a 3-lead ECG cable assembly to collect data for M-mode and Doppler 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 the ability to measure the intima-media thickness (IMT) of the carolid artery using digital ultrasound images. The IMT measurement of the carotid artery may be used adjunctively with other medical data obtained by a physician to help assess the cardiovascular health of a patient.

The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images and loops. Security support is also provided to facilitate HIPAA compliance.

The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) 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 - 12.0 MHz
Transducer Types: Linear array, Curved array, Intracavitary array, Phased array, Static probes

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Ophthalmic, Fetal, Abdominal, Intra-operative (Abdominal organs and vascular), Intra-operative (Neuro.), 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, Trans-esophageal (card.), Peripheral vessel, Prostate, Cranium, Arms, Legs.

Indicated Patient Age Range

Adult, Pediatric, Neonatal. Fetal imaging is also indicated.

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)

K043559, K034003, K011224

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

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health and Human Services. The seal features the department's name encircling a symbol. The symbol consists of a stylized caduceus-like design with three curved lines representing the department's mission of promoting health and well-being.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 4 2006

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

Re: K053069

Trade Name: MicroMaxx High-Resolution Ultrasound System (C3 Series) Regulation Number: 21 CFR 892.1550; 892.1560; 892.1570 Regulation Name: Ultrasonic Pulsed Doppler Imaging System; Ultrasonic Pulsed Echo Imaging System; Diagnostic Ultrasonic Transducer Regulatory Class: II Product Code: IYN; IYO; ITX Dated: October 29, 2005 Received: November 1, 2005

Dear Mr. Job:

This letter corrects our substantially equivalent letter of November 16, 2005.

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 SonoSite MicroMaxx High-Resolution Ultrasound System (C3 Series), as described in your premarket notification:

Image /page/0/Picture/12 description: The image shows a circular seal with the letters "FDA" in the center. Above the letters, the text "The" and "FDA" are visible. Below the letters, the word "Centennial" is written in cursive. The seal is surrounded by a dotted border.

ing and Promoting Public . Sealth

1

Transducer Model Number

D2/2 2.0 MHz Dual Element Circular Array; C60e/5-2 5.0-2.0 MHz Curved Array; HFL38/13-6 13.0-6.0 MHz Linear Array; SLA/13-6 13.0-6.0 MHz Linear Array; LAP/12-5 12.0-5.0 MHz Linear Array Laparoscopic; L38e/10-5 10.0-5.0 MHz Linear Array; TEE/8-3 8.0-3.0 MHz Trans-esophageal Echocardiography; SLT/10-5 10.0-5.0 MHz Linear Array; P10/8-4 8.0-4.0 MHz Phased Array; P17/5-1 5.0-1.0 MHz Phased 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 (OS) 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.

2

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/industry/support/index.html

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

Sincerely yours,

Nancy Brogdon

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

Enclosure(s)

3

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
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)BMPWDCWDColor DopplerCombined (Spec.)
OphthalmicOphthalmicNNNNB+M; B+PWD;
B+CDNote 1
FetalPPPPB+M; B+PWD;
B+CDNote 1
AbdominalPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1
Intra-operative (Abdominal
organs and vascular)PPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Neuro.)PPPPB+M; B+PWD;
B+CDNote 1
Fetal Imaging
& OtherLaparoscopicPPPPB+M; B+PWD;
B+CDNote 1
Pediatric
Small Organ (breast,
thyroid, testicles, prostate)PPPPPB+M; B+PWD;
B+CWD; B+CDNote 1
Neonatal CephalicPPPPB+M; B+PWD;
B+CDNote 1
Adult CephalicPPPPB+M; B+PWD;
B+CDNote 1
Trans-rectalPPPPB+M; B+PWD;
B+CDNote 1
Trans-vaginalPPPPB+M; B+PWD;
B+CDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPB+M; B+PWD;
B+CDNote 1
Musculo-skel. (Superfic.)PPPPB+M; B+PWD;
B+CDNote 1
Intra-luminal
Other (spec.)
CardiacCardiac AdultPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
Cardiac PediatricPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
Trans-esophageal (card.)
Other (spec.)PPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
Peripheral
VesselPeripheral vessel
Other (spec.)PPPPB+M; B+PWD;
B+CDNote 1

Table 4.3- 1 Diagnostic Ultrasound Indications for Use Form - C3 System

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, 3-D Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and inaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler. Color Doppler can be combined with any imaging mode. Imaging to assist in the placement of needles and catheters in vascular or other analomical structures, and picture arching, communications and storage functionality were all previously cleared in K030949. An expanded intended use for imaging guidance for periously procedures was previously cleared in K033367. Includes Imaging of spinal cord to provide guidance for central nerve block procedures.

28

Note 2: PW Doppler Includes PW Tissue Doppler Imaging (TDI).

Prescription Use (Per 21 CFR 801.109)

ΤΟΙ).

Nange Brogdon

(Division Sign-Off)
Division of Reproductive, Abdominal,
co Radiological Devices
10(k) Number 12053069

Indications for Use

.

of 734 pages

:3

4

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:D2/2 2.0 MHz Dual Element Circular 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 Imaging
& OtherFetal
Abdominal
Intra-operative (Abdominal organs and vascular)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small 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.)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

Table 4.3- 2 Diagnostic Ultrasound Indications for Use Form - D2/2 Transducer

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

Note 1: All items marked "P" were previously cleared in 510(k) K043559.

Prescription Use (Per 21 CFR 801.109)

Janey C. Brogdon

(UNISION oductive, Abdominal. and Division of Rep Radiologic 510(k) Numb

5

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:C60e/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)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
FetalPPPPB+M; B+PWD;
B+CDNote 1
AbdominalPPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Abdominal
organs and vascular)PPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
& OtherPediatricPPPPB+M; B+PWD;
B+CDNote 1
Small Organ (breast, thyroid,
testicles, prostate)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPB+M; B+PWD;
B+CDNote 1
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralPeripheral vesselPPPPB+M; B+PWD;
B+CDNote 1
VesselOther (spec.)

Table 4.3- 2 Diagnostic Ultrasound Indications for Use Form - C60e/5-2 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 Dopler, 3-D Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler. Color Doppler can be combined with any imaging mode. Imaging to assist in the placement of needles and catherers in vascular or other senatomical structures was previously deared in 510(k) K030949. Includes imaging of spinal cord to central nerve block procedures.

Prescription Use (Per 21 CFR 801.109)

Nancy Gregon

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K053069

Indications for Use

29

of 734 pages

i

6

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:HFL38/13-6 13.0-6.0 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)BMPWDCWDColor DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalPPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Abdominal
organs and vascular)PPPPB+M; B+PWD;
B+CDNote 1
Fetal ImagingIntra-operative (Neuro.)
Laparoscopic
& OtherPediatricPPPPB+M; B+PWD;
B+CDNote 1
Small Organ (breast,
thyroid, testicles)PPPPB+M; B+PWD;
B+CDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPB+M; B+PWD;
B+CDNote 1
Musculo-skel. (Superfic.)PPPPB+M; B+PWD;
B+CDNote 1
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)PPPPB+M; B+PWD;
B+CDNote 1

Table 4.3- 8 Diagnostic Ultrasound Indications for Use Form - HFL38/13-6 Transducer

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

Additional Comments:

Note 1: Other includes Color Power Dopter, combined B and Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler can be combined with any imaging mode. Includes imaging to assist in the placement of needles and catheters in vascular or other anatomical structures and an imaging guidance for peripheral neve block procedures. All items marked "P" were previously deared in 510(k) K04359. Includes Imaging of spinal cord to provide guidance for central nerve block procedures.

Prescription Use (Per 21 CFR 801.109)

Taneyl Boyden
(Division Sigh-Off)

Division Reproductive, Abcomman and Radionomical Dev

510(k) Number K053069

Indications for Use

of 734 pages 31

6

7

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:SLA/13-6 13.0-6.0 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)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Abdominal organs and
vascular)PPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Neuro.)NNNNB+M; B+PWD;
B+CDNote 1
Fetal ImagingLaparoscopic
& OtherPediatricPPPPB+M; B+PWD;
B+CDNote 1
Small Organ (breast,
thyroid, testicles.)PPPPB+M; B+PWD;
B+CDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skel.
(Convent.)PPPPB+M; B+PWD;
B+CDNote 1
Musculo-skel.
(Superfic.)PPPPB+M; B+PWD;
B+CDNote 1
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal
(card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)PPPPB+M; B+PWD;
B+CDNote 1

Table 4.3- 4 Diagnostic Ultrasound Indications for Use Form -- SLA/13-6 Transducer

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

Additional Comments:

Nole 1: Other includes Color Power Doppler, combined B and Color Power Doppler, 3D Imaging, Tissue Hamonic Imaging, Tissue Frod 17 Chick Holledo Soler Portor Bopper of the Over Porter Dopper, Jo Innight, Tisset Timents Integrity, Color Doppler Lan be combined with any imaging mode

Prescription Use (Per 21 CFR 801.109)

Nancy brogen

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

Radiological Devices
510(k) Number R0530

Indications for Use

31 of 734 pages

8

Table 4.3- 13 Diagnostic Ultrasound Indications for Use Form – LAP/12-5 Laparoscopic Transducer

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:LAP/12-5 12.0-5.0 MHz Linear Array Laparoscopic 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)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Abdominal organs and
vascular)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (breast,
thyroid, testicles.)
Neonatal Cephalic
Adult CephalicPPPPB+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 Pediatric
Trans-esophageal
(card.)
Other (spec.)
Peripheral
VesselPeripheral 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, 3-D Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler. Color Doppler can be combined with any imaging mode. All items marked "P" were previously cleared in 510(k) K043559.

Prescription Use (Per 21 CFR 801.109)

Haney C. Bragdon

. / \ uctive Abdomin adi 10(k)

9

| MicroMaxx™ High-Resolution Ultrasound System (C3 Series)

System:
Transducer:L38e/10-5 10.0-5.0 MHz Linear Array Transducer
Diagnostic ultrasound imaging or fluid flow analysis of the human
Intended Use:
body as follows:
Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalPPPPB+M; B+PWD;
B+CDNote 1
Intra-operative
(Abdominal organs and
vascular)PPPPB+M; B+PWD;
B+CDNote 1
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
& OtherPediatricPPPPB+M; B+PWD;
B+CDNote 1
Small Organ (breast,
thyroid, testicles)PPPPB+M; B+PWD;
B+CDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skel.
(Convent)PPPPB+M; B+PWD;
B+CDNote 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 vesselPPPPB+M; B+PWD;
B+CDNote 1
VesselOther (spec.)

Table 4.3- 5 Diagnostic Ultrasound Indications for Use Form - L38e/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, 3-0 Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler. Color Doppler can be combined with any imaging mode. Includes imaging to assist in the placement of needles and catherers in vascular or other analomical structures and imaging guidance for peripheral neve block procedures. Includes imaging of spinal cord to provide guidance for central nerve block procedures.

Prescription Use (Per 21 CFR 801 109)

Darcy C. Brogdon
(Division Sign-Off)

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

Indications for Use

of 734 pages 32

: : .

10

Table 4.3- 6 Diagnostic Ultrasound Indications for Use Form - TEE/8-3 Trans-Esophageal Echocardiography Transducer

System:MicroMaxx™ High-Resolution Ultrasound System (C3 series)
Transducer:TEE/8-3 8.0-3.0 MHz Trans-esophageal Echocardiography Transducer
Intended Use:
as follows:Diagnostic ultrasound imaging or fluid flow analysis of the human body
Clinical ApplicationMode of Operation
General
(Track I
only)
OphthalmicSpecific
(Tracks I & III)
OphthalmicBMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
Fetal
Abdominal
Intra-operative
(Abdominal organs and
vascular)
Intra-operative (Neuro.)
Fetal
ImagingLaparoscopic
& OtherPediatric
Small 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 Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)PPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
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, 3-D Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler. Color Doppler can be combined with any imaging mode.

Note 2: PW Doppler includes PW Tissue Doppler Imaging (TDI).

Prescription Use (Per 21 CFR 801.109)

Nancy C Brogdon

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices K053069
510(k) Number

Indications for Use

33 of 734 pages

11

System:MicroMaxx™ High-Resolution Ultrasound System (C3 Series)
Transducer:SLT/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
GeneralSpecificColorCombinedOther
(Track I only)(Tracks I & III)BMPWDCWDDoppler(Spec.)(Spec.)
OphthalmicOphthalmic
FetalPPPPB+M; B+PWD;
B+CDNote 1
AbdominalPPPPB+M; B+PWD;
B+CDNote 1
Intra-operative
(Abdominal organs andPPPPB+M; B+PWD;
B+CD
vascular)
Intra-operative (Neuro.)B+CDNote 1
Fetal ImagingLaparoscopic
& OtherPediatricPPPPB+M; B+PWD;
B+CDNote 1
Small Organ (breast,
thyroid, testicles.)B+M; B+PWD;
thyroid, testicles.)PPPPB+CDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Card.)
Musculo-skel.PPPPB+M; B+PWD;
B+CD
(Convent.)Note 1
Musculo-skel.PB+CDNote 1
(Superfic.)PPPPB+M; B+PWD;
B+CDNote 1
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal
(card.)
Other (spec.)
B+M: B+PWD;
PeripheralPeripheral vesselPPPPB+CDNote 1
VesselOther (spec.)

Table 4.3- 18 Diagnostic Ultrasound Indications for Use Form – SLT/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, 3-D Imaging, Tissue Doppler Imaging and imaging for guidance of biopsy. Color Doppler includes Velocity Color Doppler can be combined with any imaging mode. All items marked "P" were previously cleared in 510(k) K043559.

Prescription Use (Per 21 CFR 801.109)

Nancy C. Stockton
Division Sign-Off

Divis ductive, Abdominal, and 510/k

Indications for Use

12

Table 4.3-7 Diagnostic Ultrasound Indications for Use Form - P10/8-4 Phased
Array Transducer Intended Use Form
System:MicroMaxx™ High-Resolution Ultrasound System (C3 series)
Transducer:P10/8-4 8.0-4.0 MHz Phased 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)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmicNNNNNB+M; B+PWD; B+CDNote 1
FetalPPPPB+M; B+PWD
B+CDNote 1
AbdominalPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1
Intra-operative
(Abdominal organs and
vascular)PPPPB+M; B+PWD
B+CDNote 1
Intra-operative (Neuro.)NNNNB+M; B+PWD;
B+CDNote 1
Fetal
Imaging
& OtherLaparoscopic
PediatricPPPPB+M; B+PWDNote 1
Small Organ (breast,
thyroid, testicles.)PPPPB+M; B+PWD
B+CDNote 1
Neonatal CephalicPPPPB+M; B+PWD
B+CDNote 1
Adult CephalicPPPPB+M; B+PWD; B+CDNote 1
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPB+M; B+PWD
B+CDNote 1
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
CardiacCardiac PediatricPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPB+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 Doppler, combined Band Color Power Dopen Tissue Hamonic Inaging, Tissue
Doppler Imaging and imaging for guidance of biopsy. Color Doppler combined with any imaging mode. This submission includes Imaging to assist in the placement of needles in . vascular or other anatomical structures. lance K broad on

Note 2: PW Doppler includes PW Tissue Doppler Imaging (TDI).

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) NumberK05306

of 734 pages

Indications for Use

34

13

System:MicroMaxx™ High-Resolution Ultrasound System (C3 series)
Transducer:P17/5-1 5.0-1.0 MHz Phased 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)BMPWDCWDColor
DopplerCombined
(Spec.)Other
(Spec.)
OphthalmicOphthalmicNNNNB+M; B+PWD; B+CDNote 1
FetalPPPPB+M; B+PWD
B+CDNote 1
AbdominalPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1
Intra-operative
(Abdominal organs and
vascular)PPPPB+M; B+PWD
B+CDNote 1
Intra-operative (Neuro.)
Fetal
Imaging
& OtherLaparoscopicPPPPB+M; B+PWDNote 1
PediatricPPPPB+M; B+PWDNote 1
Small Organ (breast,
thyroid, testicles.)PPPPB+M; B+CDNote 1
Neonatal CephalicPPPPB+M; B+PWD
B+CDNote 1
Adult CephalicPPPPB+M; B+PWD; B+CDNote 1
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPB+M; B+PWD
B+CDNote 1
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
CardiacCardiac PediatricPPPPPB+M; B+PWD;
B+CWD; B+CDNote 1, 2
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPB+M; B+PWD; B+CDNote 1
Other (spec.)

Table 4.3- 8 Diagnostic Ultrasound Indications for Use Form -- P17/5-1 Phased Array Transducer

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Doppler, 3-D Imaging, Tissue Harmonic Imaging, Tissue Doppler Imaging and imaging for guidance of blopsy. Color Doppler Includes Velodiy Color Doppler. Color Doppler can be combined with any imaging mode. This submission includes imaging to assist in the placement of needles and cathelers in vascular or other analomical structures

Note 2: PW Doppler includes PW Tissue Doppler Imaging (TDI).

Prescription Use (Per 21 CFR 801.109)

Nancy C. Brogdon

(Division Sign-Off Division of Reproductive, Abd logical Devices

Indications for Use

35°C, 81734 pages

14

Image /page/14/Picture/1 description: The image shows the SonoSite logo on the left side. To the right of the logo, the text "NOV 1 6 2005" is printed. Further to the right, the text "K053069" is written in cursive.

SonoSite Inc.

1 496 841 1201

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 30" Drive SE Bothell. WA 98021-3904

Corresponding Official:Daina L. Graham
Vice President, Regulatory Affairs and Quality Assurance
E-mail:Daina.Graham@sonosite.com
Telephone:(425) 951-1275
Facsimile:(425) 951-1201
Date prepared:October 20, 2005

Name of the device, including the trade or proprietary name if applicable, the 2) common or usual name, and the classification name, if known:

Common/ Usual Name

Diagnostic Ultrasound System with Accessories

Proprietary Name

MicroMaxx ™ High-Resolution Ultrasound System (C3 Series) (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 SonoSite MicroMaxx™ High-Resolution Ultrasound System (C3 Series) (K043559), and the Philips Medical Systems (formerly Advanced Technology Laboratories) HDI® 5000 Ultrasound System (K034003 and K011224).

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Device Description: 4)

The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display highresolution, real-time ultrasound data in 2D, M-Mode, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Color Power Doppler, and Velocity Color Doppler or in a combination of these modes.

The System has an electrocardiography (ECG) display feature and supports a 3-lead ECG cable assembly to collect data for M-mode and Doppler 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 the ability to measure the intima-media thickness (IMT) of the carolid artery using digital ultrasound images. The IMT measurement of the carotid artery may be used adjunctively with other medical data obtained by a physician to help assess the cardiovascular health of a patient.

The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images and loops. Security support is also provided to facilitate HIPAA compliance.

The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) 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 - 12.0 MHz
Transducer Types:Linear array
Curved array
Intracavitary array
Phased array
Static probes

The MicroMaxx™ High-Resolution Ultrasound System (C3 Series) is designed to comply with the standards listed below.

Reference No.Title
AAMI/ANSI/ISO 10993-1Biological evaluation of medical devices - Part 1: Evaluation and testing (ISO 10993-1:1997)
AIUMAIUM Medical Ultrasound Safety, American Institute of Ultrasound in Medicine (1994)
ANSI/AAMI EC53ECG Cables and Electrodes except for sections 4.4 and 4.5.9 (1995)
EN 980 A1Graphical symbols for use in the labeling of medical devices (2003)
IEC 60601-1Medical electrical equipment. Part 1: General requirements for safety - IEC 601-1:1988
IEC 60601-1/A1Medical electrical equipment. Part 1: General requirements for safety - IEC 601-
1:1988/A1:1991

FDA Recognized Consensus Standards

510(K) Summary Of Safety And Effectiveness

16

Reference No.Title
IEC 60601-1/A2Medical electrical equipment. Part 1: General requirements for safety - IEC 601-
1:1988/A2:1995 + corrigendum June 1995
IEC 60601-1-1Medical electrical equipment. Part 1: General requirements for safety - 1. Collateral
standard: Safety requirements for medical electrical systems - IEC 601-1-1:2000
IEC 60601-1-2Medical electrical equipment - Part 1: General requirements for safety, 2. collateral
standard: electromagnetic compatibility; requirements and tests - IEC 60601-1-2:200
IEC 60601-1-4Medical electrical equipment - Part 1: General requirements for safety - 4. Collateral
standard: Programmable electrical medical systems - IEC 60601-1-4:1996 Amendment A1
IEC 60601-2-25Medical Electrical Equipment-Part 2. Particular Requirements for Safety-Section 25.
Specification for Electrocardiographs. (1999)
IEC 60601-2-37Medical Electrical Equipment - Part 2-37; Particular requirements for the safety of ultrasonic
medical diagnostic and monitoring equipment (2001)
NEMA UD 2-2004Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
NEMA UD 3-2004Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on
Diagnostic Ultrasound Equipment, American Institute of Ultrasound in Medicine

Miscellaneous Design Standards

Reference No.Title
ASTM D5276-98Standard Test Methods for Drop Test of Loaded Containers by Free Fall
(1998)
ASTM D999-96Standard Methods for Vibration Testing of Shipping Containers (1996)
CISPR 11Industrial, Scientific and Medical (ISM) Radio-Frequency Equipment -
Electromagnetic Disturbance Characteristics - Limits and Methods of
Measurement (2003)
EN 60529Degrees of protection provided by enclosures (IP Code) (1991
JIS T 0601-1Medical Electrical Equipment - Part 1: General Requirements for Safety
(Japan) (1999)
JIS T 1507Electronic Linear Scanning Ultrasonic Diagnostic Equipment (Japan) (1989)
JIS-T-601-1Japanese Standards for Medical Electrical Equipment
RTCA/DO160DRadio Technical Commission for Aeronautics, Environmental Conditions and
Test Procedures for Airborne Equipment, Section 21.0 Emission of Radio
Frequency Energy, Category B (1997)
UL 60601-1Underwriters Laboratories, Medical Electrical Equipment-Part 1: General
Requirements for Safety (2003)
UL 94Underwriters Laboratories, Inc., Tests for Flammability of Plastic Materials for
Parts in Devices and Appliances, 5th Edition
EN ISO 13485Medical devices - Quality management systems - Requirements for
regulatory purposes (2003)
EN ISO 14971Medical devices - Application of risk management to medical devices (2000)
(ISO 14971:2000) (Superseded standard: EN 1441)
ACR-NEMA DICOM version
3.0 - 2003Digital Imaging and Communications in Medicine

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Intended Use: 5)

The intended uses of the MicroMaxx™ High-Resolution Ultrasound System (C3 Series) as defined by FDA guidance documents, are:

OphthalmicTrans-rectal
Fetal - OB/GYNTrans-vaginal
AbdominalTrans-urethral
Intra-operative
(Abdominal organs and vascular)Musculo-skel. (Conventional)
Intra-operative (Neuro.)Musculo-skel. (Superficial)
LaparoscopicCardiac Adult
PediatricCardiac Pediatric
Small Organ
(breast, thyroid, testicles.)Trans-esophageal (card.)
Neonatal CephalicPeripheral vessel
Adult Cephalic

Typical examinations performed using the MicroMaxx™ High-Resolution Ultrasound System (C3 Series) are:

Abdominal Imaging Applications

This system transmits ultrasound energy into the abdomen of patients using 2D, M Mode, color Doppler (Color), color power Doppler (CPD), Tissue Harmonic Imaging (THI), and pulsed wave (PW) 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, color Doppler (Color), 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 patient's electrocardiogram (ECG) may be obtained and is used for accurate timing of diastolic and systolic function.

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

Gynecology and Infertility Imaging Applications

This system transmits ultrasound energy in the pelvis and lower abdomen using 2D, M Mode, color power Doppler (CPD), color Doppler (Color), Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to obtain ultrasound images. The uterus, adnexa, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally or transvaginally.

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Interventional and Intraoperative Imaging Applications

This system transmits ultrasound energy into the various parts of the body using 2D, color This bytion transmis and che (CPD), 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 guidance for biopsy and drainage procedures, vascular line placement, peripheral nerve blocks, spinal nerve blocks and taps, ova harvesting, amniocentesis and other obstetrical procedures, and provide assistance during abdominal, breast, neurological surgery, and vascular intraoperative procedures.

Obstetrical Imaging Applications

This system transmits ultrasound energy into the petvis of pregnant women using 2D, M Mode, color Doppler (Color), color power Doppler (CPD), 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 transabdominally or transvaginally. CPD and color Doppler (Color) 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.

Warning: To prevent injury or misdiagnosis do not use this system for Percutaneous Umbilical Blood Sampling (PUBS) or in vitro Fertilization (IVF) The system has not been validated to be proven effective for these two uses. CPD, or Color images can be used as an adjunctive method, not as a screening tool, 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 patients using 2D, M Mode, color Doppler (Color), color power Doppler (CPD), pulsed wave (PW) Doppler, and continuous wave (CW) Doppler to obtain ultrasound images. The pediatric abdominal, pelvic and cardiac anatomy, pediatric hips, neonatal head, 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, M Mode, color power Doppler (CPD), color Doppler (Color), and pulsed wave (PW) Doppier to obtain ultrasound images. The prostate gland can be assessed for the presence or absence of pathology.

510(K) Summary Of Safety And Effectiveness

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19

Superficial Imaging Applications

This system transmits ultrasound energy into various parts of the body using 2D, M Mode, color Doppler (Color), color power Doppler (CPD), 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. This system can be used to provide ultrasound guidance for biopsy and drainage procedures, vascular line placement, peripheral nerve blocks and spinal nerve blocks and taps.

Transcranial Imaging Applications

This system transmits ultrasound energy into the cranium using 2D, color Doppler (Color), color power Doppler (CPD), and pulsed wave (PW) Doppler to obtain ultrasound images. The anatomical structures and vascular anatomy of the brain can be assessed for presence or absence of pathology. Imaging can be used temporally, trans-occipitally, or trans-orbitally.

Vascular Imaging Applications

This system transmits ultrasound energy into the various parts of the body using 2D, M Mode, color Doppler (Color), color power Doppler (CPD), and pulsed wave (PW) Doppler to obtain ultrasound images. The carotid arteries, deep veins, and arteries 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.

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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 M-mode 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 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 (AIUMINEMA UD 3-2004) 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.

ISPTA (d)720 mW/cm²Maximum
Tis/Tlb/Tlc0.0 - 4.0Range
Mechanical Index (MI)1.9Maximum
ISPPA (d)0 - 700 W/cm²Range

The device's acoustic output limits are:

The device's acoustic output limits for when used for ophthalmic applications are:

ISPTA (d)50 mW/cm²Maximum
Tls/Tlb/Tic0.0 - 1.0Range
Mechanical Index (MI)0.23Maximum

The limits are the same as predicate Track 3 devices.

510(K) Summary Of Safety And Effectiveness

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