K Number
K053325
Device Name
MEDIWATCH MULTISCAN ULTRASOUND SYSTEM/SCANNER, MODEL M0002 (SCANNER ONLY); MULTISCAN ULTRASOUND SYSTEM, MODEL M0001
Manufacturer
Date Cleared
2005-12-07

(6 days)

Product Code
Regulation Number
892.1560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Abdominal, Small Organ (Testes), Transrectal.
Device Description
Mediwatch Multiscan Ultrasound System / Scanner
More Information

Not Found

Not Found

No
The summary does not mention AI, ML, or related terms, nor does it describe any features or performance metrics typically associated with AI/ML-powered devices.

No
The device is described as a "Diagnostic ultrasound imaging or fluid flow analysis" system, indicating its use is for diagnosis rather than therapy.

Yes

Explanation: The "Intended Use / Indications for Use" explicitly states "Diagnostic ultrasound imaging or fluid flow analysis of the human body".

No

The device description explicitly states "Mediwatch Multiscan Ultrasound System / Scanner," which implies a hardware component (the scanner) is part of the system, not just software.

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

Here's why:

  • Intended Use: The intended use is "Diagnostic ultrasound imaging or fluid flow analysis of the human body". This describes a device that interacts directly with the patient's body to produce images or analyze flow in vivo.
  • Device Description: The device is described as an "Ultrasound System / Scanner". Ultrasound systems are used for imaging within the body.
  • Lack of IVD Characteristics: IVD devices are designed to examine specimens (like blood, urine, tissue) outside the body (in vitro) to diagnose conditions. The provided information does not mention any interaction with specimens or analysis performed outside the body.

Therefore, the Mediwatch Multiscan Ultrasound System / Scanner, as described, is a medical imaging device used in vivo, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Diagnostic ultrasound imaging or fluid flow analysis of the human body.

Product codes

IYO, ITX

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Abdominal, Small Organ (Testes), Transrectal (Male Rectum/Prostate), Note 1 for Transrectal (likely refers to guidance of a biopsy needle, although not explicitly anatomical site, it points to a procedure within an anatomical region).

Indicated Patient Age Range

Not Found

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1560 Ultrasonic pulsed echo imaging system.

(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of a caduceus, a symbol often associated with healthcare, featuring a staff with a serpent entwined around it.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 7 2005

Mediwatch Ltd. % Mr. Jeffrey D. Rongero UL International (UK) Ltd. Domestic Correspondent Underwriters Laboratories, Inc. Research Triangle Park Division 12 Laboratory Drive P.O. Box 13995 Research Triangle Park, NC 27709-3995

Re: K053325

Trade Name: Mediwatch Multiscan Ultrasound System / Scanner 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: IYO and ITX Dated: November 17, 2005 Received: December 1, 2005

Dear Mr. Rongero:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 910(x) premative 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 interstate commerce prior to May 20, 1770, the entired in accordance with the provisions of the devices aubiog to Amendments, of to devices market been rocks. Sections market the device, subject to Federal Food, Drug, and Cosment Act (Fre.). Fou and controls provisions of the Act include the general controls provisions of the Frein- 116 goines, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

This determination of substantial equivalence applies to the following transducers intended for I his determination of Substantal equivalence applies to an esser. as described in your premarket notification:

Transducer Model Number

Abdominal 3.5/5.0 MHz Endocavity EF 5.0/7.5 MHz

1

Page 2 - Mr. Rongero

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), II your device is classified (366 aso co) inro s. Existing major regulations affecting your device (1) in EDA it may be subject to such additional Concessions, Title 21, Parts 800 to 898. In addition, FDA can be found in the Court of Pour cannouncements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s issuates of a substained with other requirements of the Act
that FDA has made a determination that your device complies with other requirements o that FDA has made a decornmanon administered by other Federal agencies. You must of any Federal Statutes and regulations and missers or your not limited to: registration and listing (21 comply with an the 7te of requirements, and 801); good manufacturing practice requirements as set CFN in the quality systems (DS) regulation (21 CFR Part 820); and if applicable, the electronic form in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your premarket This letter will anow you to begin manitial equivalence of your device to a legally marketed nonification. THE I D71 midning of succion for your device and thus permits your device to proceed to market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please If you desire specific advice for your as not 2010-01-01 01:00 please note the regulation entitled, and Colliact the Office of Comphanes at (216) 216 cations (21CFR Part 807.97). You may obtain Misolahung by reference to premailsonsibilities under the Act from the Division of Small other general informational and Consumer Assistance at its toll-free number (800) 638-204) 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 Rodrigo C. Perez at (301) 594-1212.

Sincerely yours,

David A. Ingram

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

Enclosure(s)

2

Diagnostic Ultrasound Indications for Use Form

System: Multiscan

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

Mode of Operation
Clinical
applicationABMPWD
(D)Colour
Doppler
(AD)Amplitude
Doppler
(AD)Colour
Velocity
ImagingCombined
(specify)Other
(Specify)
Ophthalmic
Fetal
AbdominalN
Intraoperative
(specify)
Intraoperative
Neurological
Paediatric
Small Organ
(Testes)N
Neonatal Cephalic
Adult Cephalic
Cardiac
Transophageal
TransrectalNNote 1
Transvaginal
Transurethral
Intravascular
Peripheral
Vascular
Laparoscopic
Musculoskeletal
Conventional
Musculoskeletal
Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E N= riew nulcation, T = previously active by + BA = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

(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)

David A. Syverson

510k) N

3

Diagnostic Ultrasound Indications for Use Form

System: Multiscan Transducer: Abdominal 3.5/5.0MHz

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

| Clinical
application | A | B | M | PWD
(D) | Colour
Doppler
(AD) | Amplitude
Doppler
(AD) | Colour
Velocity
Imaging | Combined
(specify) | Other
(Specify) |
|---------------------------------|---|---|---|------------|---------------------------|------------------------------|-------------------------------|-----------------------|--------------------|
| Ophthalmic | | | | | | | | | |
| Fetal | | | | | | | | | |
| Abdominal | | N | | | | | | | |
| Intraoperative
(specify) | | | | | | | | | |
| Intraoperative
Neurological | | | | | | | | | |
| Paediatric | | | | | | | | | |
| Small Organ
(Testes) | | | | | | | | | |
| Neonatal Cephalic | | | | | | | | | |
| Adult Cephalic | | | | | | | | | |
| Cardiac | | | | | | | | | |
| Transophageal | | | | | | | | | |
| Transrectal | | | | | | | | | |
| Transvaginal | | | | | | | | | |
| Transurethral | | | | | | | | | |
| Intravascular | | | | | | | | | |
| Peripheral | | | | | | | | | |
| Vascular | | | | | | | | | |
| Laparoscopic | | | | | | | | | |
| Musculoskeletal
Conventional | | | | | | | | | |
| Musculoskeletal
Superficial | | | | | | | | | |
| Other (specify) | | | | | | | | | |

(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),

David A. Larson

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

4

Diagnostic Ultrasound Indications for Use Form

System: Multiscan Transducer: Endocavity EF 5.0/7.5MHz

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

Mode of Operation
Clinical
applicationABMPWD
(D)Colour
Doppler
(AD)Amplitude
Doppler
(AD)Colour
Velocity
ImagingCombined
(specify)Other
(Specify)
Ophthalmic
Fetal
Abdominal
Intraoperative
(specify)
Intraoperative
Neurological
Paediatric
Small Organ
(Testes)N
Neonatal Cephalic
Adult Cephalic
Cardiac
TransophagealNote 1
TransrectalN
Transvaginal
Transurethral
Intravascular
Peripheral
Vascular
Laparoscopic
Musculoskeletal
Conventional
Musculoskeletal
Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix ﮯ N= new mulcation, 1 - previously dicatod by TEA, 2 - atatos and assist in the guidance of a biopsy needle.

(PLEASE DO NOT WRITE BFLOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) (PLEASE DO NOT WRITE BELOW THIS CM. " OSINKSE Evauation (ODE)
Concurrence of CDRH, Office of Device Evauation (ODE)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)

David C. Simpson

(Division Sign-Division of Reproductive and Radiological Device 510(k) Numb