K Number
K063518
Device Name
HI VISION 900 DIAGNOSTIC ULTRASOUND SCANNER
Date Cleared
2006-12-21

(30 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:
Device Description
The Hitachi HI VISION 900 Diagnostic Ultrasound Scanner is a Track 3 Diagnostic Ultrasound Pulsed Doppler and Pulsed Echo Imaging System capable of the following operating functions: - B Mode - M Mode - Pulsed Wave Doppler - Continuous Wave Doppler - Color Flow - Amplitude Doppler - Harmonic imaging - 3D imaging
More Information

Not Found

Not Found

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description lists standard ultrasound imaging modes without mentioning AI/ML features.

No
The intended use explicitly states "Diagnostic ultrasound imaging or fluid flow analysis," which indicates a diagnostic rather than a therapeutic function.

Yes

The "Intended Use / Indications for Use" section explicitly states "Diagnostic ultrasound imaging or fluid flow analysis...". Additionally, the "Device Description" identifies it as a "Diagnostic Ultrasound Pulsed Doppler and Pulsed Echo Imaging System."

No

The device description explicitly states it is a "Diagnostic Ultrasound Scanner" and lists various operating functions (B Mode, M Mode, Doppler, etc.) which are inherent to hardware-based ultrasound systems, not software-only devices.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states "Diagnostic ultrasound imaging or fluid flow analysis if the human body". This describes a device that interacts directly with the patient's body to produce images or analyze physiological processes in vivo.
  • Device Description: The description details the various ultrasound imaging modes (B Mode, M Mode, Doppler, etc.) which are all methods of generating images or analyzing blood flow within the body.
  • Input Imaging Modality: The input modality is Ultrasound, which is a non-invasive imaging technique applied to the body.
  • Anatomical Site: The extensive list of anatomical sites further confirms that this device is used to examine various parts of the human body directly.

IVD devices are used to examine specimens (like blood, urine, tissue) that are taken from the human body in vitro (outside the body) to provide diagnostic information. This ultrasound scanner does not fit that description.

N/A

Intended Use / Indications for Use

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM

Intended use. Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:

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

IYN, IYO, and ITX

Device Description

The Hitachi HI VISION 900 Diagnostic Ultrasound Scanner is a Track 3 Diagnostic Ultrasound Pulsed Doppler and Pulsed Echo Imaging System capable of the following operating functions:

  • B Mode
  • M Mode
  • Pulsed Wave Doppler
  • Continuous Wave Doppler
  • Color Flow
  • Amplitude Doppler
  • Harmonic imaging
  • Superficial musculoskeletal imaging
  • 3D imaging

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Ophthalmic, Fetal, Abdominal, Intra-operative (Spec.), Intra-operative (Neuro.), Laparoscopic, Pediatric, Small Organ (Spec.), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Trans-esoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Intra-luminal, Cardiac Adult, Cardiac Pediatric, Trans esophageal (card.), Peripheral vessel.

Indicated Patient Age Range

Adult, Pediatric, Neonatal Fetal.

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.

Not Found

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

Device Description

The Hitachi HI VISION 900 Diagnostic Ultrasound Scanner is a Track 3 Diagnostic Ultrasound Pulsed Doppler and Pulsed Echo Imaging System capable of the following operating functions:

  • . B Mode

  • M Mode .

  • . Pulsed Wave Doppler

  • . Continuous Wave Doppler

  • . Color Flow

  • . Amplitude Doppler

  • Harmonic imaging .

  • . Superficial musculoskeletal imaging

  • . 3D imaging

Safety

As a Track 3 ultrasound device, the Hitachi HI VISION 900 Diagnostic Ultrasound Scanner complies with the Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment (1992) - published by NEMA as UD-3.

With respect to limits on acoustic outputs, the Hitachi HI VISION 900 Diagnostic Ultrasound Scanner complies with the guideline limits set in the 510(k) Diagnostic Ultrasound Guidance - Revision: April 14, 1994.

With regard to general safety, the Hitachi HI VISION 900 Diagnostic Ultrasound Scanner is designed to comply with IEC 606601-1 (1998) Medical Electrical Equipment, Part 1 - General Requirements for Safety.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

1

DEC 2 1 2006

Mr. Douglas J. Thistlewaite Manager of Regulatory Affairs HITACHI Medical Systems America, Inc. 1959 Summit Commerce Park TWINSBURG OH 44087-2371

Re: K063518

Trade Name: HI VISION 900 Diagnostic Ultrasound Scanner 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: IYN, IYO, and ITX Dated: November 20, 2006 Received: November 21, 2006

Dear Mr. Thistlewaite:

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 HI VISION 900 Diagnostic Ultrasound Scanner, as described in your premarket notification:

Image /page/1/Picture/11 description: The image shows a circular logo with the letters "FDA" in bold, stylized font at the center. Above the letters, the years "1906-2006" are printed. Below the letters, the word "Centennial" is written in cursive. The logo is surrounded by text that reads "A CENTURY OF SERVICE TO CONSUMER PROTECTION & HEALTH IN THE SCIENCE OF FOODS". The logo appears to be a commemorative emblem, possibly celebrating the 100th anniversary of an organization.

Protecting and Promoting Public Health

2

Transducer Model Number EUP-B514 EUP-F531 EUP-850 EUP-C514 EUP-L53S EUP-TC3 EUP-C532 EUP-L65 EUP-U533 EUP-CC531 EUP-053T EUP-V53W EUP-CV524 EUP-OL334 EUP-ES52M EUP-R54AW-19, -33

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.

le

3

Page 2 - Mr. Thistlewaite

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 (240) 276-3150 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 Andrew Kang at (240) 276-3666.

Sincerely yours,

David A. Segura

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

Enclosure(s)

4

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 006 NOTSTA IH

| Clinical Application | | Mode of Operation | | | | | | Other**
(Spec.) |
|---------------------------|------------------------------|-------------------|----|-----|-----|------------------|----------------------|--------------------|
| General
(Track I only) | Specific
(Tracks I & III) | B | M | PWD | CWD | Color
Doppler | Combined*
(Spec.) | |
| Ophthalmic | Ophthalmic | N | N | N | N | N | N | N |
| | Fetal | N | N | N | N | N | N | N |
| | Abdominal | Na | Na | Na | Na | Na | Na | Na |
| | Intra-operative (Spec.) | Nb | Nb | Nb | | Nb | Nb | Nb |
| | Intra operative (Neuro.) | | | | | | | |
| | Laparoscopic | N | N | N | | N | N | N |
| | Pediatric | N | N | N | N | N | N | N |
| | Small Organ (Spec.) | Nd | Nd | Nd | | Nd | Nd | Nd |
| | Neonatal Cephalic | N | N | N | | N | N | N |
| Fotal Imaging
& Other | Adult Cephalic | N | N | N | N | N | N | N |
| | Trans rectal | Nh | Nh | Nh | | Nh | Nh | Nh |
| | Trans-vaginal | Nf | Nf | Nf | | Nf | Nf | Nf |
| | Trans-urethral | | | | | | | |
| | Trans esoph. (non-Card.) | | | | | | | |
| | Musculo-skel. (Convent.) | N | N | N | | N | N | N |
| | Musculo-skel. (Superfic.) | N | N | N | | N | N | N |
| | Intra-luminal | | | | | | | |
| | Other (spec.) | | | | | | | |
| Cardiac | Cardiac Adult | N | N | N | N | N | N | N |
| | Cardiac Pediatric | N | N | N | N | N | N | N |
| | Trans esophageal (card.) | Ng | Ng | Ng | N | Ng | Ng | Ng |
| | Other (spec.) | | | | | | | |
| Peripheral
Vessel | Peripheral vessel | N | N | N | N | N | N | N |
| | Other (spec.) | | | | | | | |

Intended use. Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:

N = new indication, P = previous indication

*Combination of each operating mode, B, M, PWD, CWD and Color Doppler.

** Amplitude Dopplor, Harmonic Imaging and 3D Imaging.

Additional Comments:

System:

Includes imaging for guidance of percutaneous biopay of abdominal organs and structures Subscript "a": (including amniocentesis)

| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

An a paran A DEBOY

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David R. Hyman

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

Prescription Use (Per 21 CFR 801.109)

647089808814

BRITEMA SMATEVS lesibeM idaesiH-mori

me 2p : 7 |

5

System: HI VISION 900

Transducer: EUP-B514

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
FetalPPPPPP
AbdominalPaPaPPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Fetal Imaging
& OtherAdult Cephalic
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.)

Intended use: Diagnostic ultrasound imaging or fluid flow analysis if the human hody as follows

N = new indication, P = previous indication

*Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David A. Lygum

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

Prescription Use (Per 21 CFR 801.109)

6720E960868889

ше Zy:Z |

6

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 06 NOTERS H

System: Transducer:

EUP-C514

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalPPPPPP
AbdominalPaPaPaPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
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 Adult
Cardiac Pediatric
Trans esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

Intended use. Diagnostic ultragound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler, Harmonic Imaging and 3D Imaging,

Additional Comments:

Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures Subscript "a": (including amniocentesis).

| Subscript "b": Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).
Subscript "c": Includes thyroid, parathyroid, breast, scrotum, penis.
Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy.
Subscript "e": Includes imaging for guidance of transrectal biopsy.
Subscript "f": Includes imaging for guidance of transvaginal biopsy.
Subscript "g": For pediatric patients.
Subscript "h": Includes imaging for guidance of transrectal biopsy.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number: K063518

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K06351

Prescription Use (Per 21 CFR 801,109)

44706880000114

180178mA 2metry2 leaibeM idastin-mori 90-61-200 me2☆:Z}

7

System -Transduce:

HI VISION 900
EUP-C532
Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalPaPaPaPaPaPa
Intra-operative (Spec.)PbPbPbPbPbPb
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
Neonatal CephalicPPPPPP
Fetal Imaging
& OtherAdult 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.)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPP
Other (spec.)

Intended use. Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

*Combination of each operating mode, B, M. PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging

Additional Comments:

Subscript "Includes imaging for guidance of percutaneous biopoy of abdominal organs and structures

(including amniocentesis).
Subscript "b":Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures).
Subscript "c":Includes thyroid, parathyroid, breast, scrotum, penis.
Subscript "d":Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy.
Subscript "e":Includes imaging for guidance of transrectal biopsy.
Subscript "f":Includes imaging for guidance of transvaginal biopsy.
Subscript "g":For pediatric patients.
Subscript "h":Includes imaging for guidance of transrectal biopsy.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K063518

Prescription Use (Per 21 CFR 801.109)

1997 1977 1991 1991 18 189 1991 1991 19 90-61-200 12:488mm

8

System Transducer:

006 NOTSION 900 EUP-CC531

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMFWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal CephalicPPPPPP
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)Pe
PfPe
PfPe
PfPe
PfPe
PfPe
Pf
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

Intended use: Diagnostic ultrasound inaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

*Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging

Additional Comments:

Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures Subscript "a": (including amniocentesis).

| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED (FLEASE DO MO) Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number 2063518

Prescription Use (Per 21 CFR 801.109)

ની

9

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 006 NOTSION 900

System: Transducer:

CUP-CV524

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
FetalPPPPPP
AbdominalPPPPPP
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PPPPPP
Neonatal Cephalic
Fetal Imaging
& OtherAdult 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.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

Intended use' Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler, Harmonic Imaging and 3D Imaging.

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED PLEASE DO NOT

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David h. Segram

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

Prescription Use (Per 21 CFR 801.109)

1688-1 020/800 . 9 EBO-T - 677069606800814

so irema smetzy s les ibel interit-mori שפיל : קישורים 90-61-200

10

Transducer: EUP ES52M

System:

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Fetal Imaging
& OtherAdult Cephalic
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.)PPPPPPP
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N = new indication, 1' = previous indication

*Combination of each operating mode. B. M. PWD, CWD and Color Doppler.

** Amplitude Doppler

Additional Comments'

Subscript "g" Includes imaging for guidance of percutancous biopsy of abdominal organs and structures

(including amniocentesis).
Subscript "b":Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures).
Subscript "c":Includes thyroid, parathyroid, breast, scrotum, penis.
Subscript "d":Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy.
Subscript "e":Includes imaging for guidance of transrectal biopsy.
Subscript "f":Includes imaging for guidance of transvaginal biopsy.
Subscript "g":For pediatric patients.
Subscript "h":Includes imaging for guidance of transrectal biopsy.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David A. Ingram


(Division Sign-Off)

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

Prescription Use (Per 21 CFR 801, 109)

11

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 006 NOTSION 900

Transducer: EUP-F531

System -

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalPPPPPP
Intra-operative (Spec.)PbPbPbPbPbPb
Intra operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PcPcPcPcPcPc
Neonatal CephalicPPPPPP
Fetal ImagingAdult Cephalic
& OtherTrans-rectalPPPPPP
Trans vaginalPPPPPP
Trans-urethral
Trans-esoph, (non Card.)
Musculo-skel. (Convent.)
Musculo skel. (Superfic.)
Intra luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans esophageal (card.)
Other (spec.)
PeripheralPeripheral vesselPPPPPP
VesselOther (spec.)

Intended use: Diagnostic ultrasound imaging or fluid flow enalysis if the human body as follows:

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging.

Additional Comments: Stibscript "4": ۲۰۰۵۱۰۰۵

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

S LINE-CONTINUE ON ANOTHER PAGE IF NEEDED ALLE, BALLOW

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number:

David A. Bergmann

KO6351

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

Prescription Use (Per 21 CFR 801.109)

:

12

System' Transduce

HI VISION 900
EUP-L53S
Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
Ophthalmic
Fetal
AbdominalPaPaPaPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Fetal Imaging
& OtherSmall Organ (Spec.)PdPdPdPdPdPd
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel (Convent.)PPPPPP
Musculo-skel. (Superfic.)PPPPPP
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
PeripheralPeripheral vesselPPPPPP
VesselOther (spec.)

Intended use: Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler, Harmonic Imaging and 3D Imaging,

Additional Comments:

Subscript "A" Includes imaging for guidance of perculaneous biopsy of abdominal organs and structures (including amniocentesis).

Subscript "b":Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures).
Subscript "c":Includes thyroid, parathyroid, breast, scrotum, penis.
Subscript "d":Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy.
Subscript "e":Includes imaging for guidance of transrectal biopsy.
Subscript "f":Includes imaging for guidance of transvaginal biopsy.
Subscript "g":For pediatric patients.
Subscript "h":Includes imaging for guidance of transrectal biopsy.

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

Division Sign-Off Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number: K063518

David R. Lehman

(Division Sign-Off) Onliston of Reproductive, Abdom ann Radiological Devices 5114k) Number _

Preseription Use (Per 21 CFR 801.109)

। ୧୫---020/210.9 £80-1 BATOEGROEE I +

soilema smatzy2 feaibeM idastiH-mor7 12:44am 80-61-200

13

System: Transducer:

EUP-LG5

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
AbdominalPPPPPP
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PcPcPcPcPcPc
Neonatal Cephalic
Fetal Imaging
& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethra)
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPPP
Musculo-skel. (Superfic.)PPPPPP
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPP
Other (spec.)

Intended use. Dirasound imaging or fluid flow analysis if the human body as follows:

N = new indication, P = previous indication

*Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging.

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |

Subscript "g": For pediatric patients. Subscript "h": ipt "h": Includes imaging for guidance of transectal biopay.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEBDED

(PLEASE DO NOT WRITE BELOW THIS LINE. CONTINUED ON ANOTHER PAGE)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number: K063518

David R. Segmen


(Division Sign-Off)

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

Prescription Use (Per 21 CFR 801.109)

Ania Sales Saletses Tesibel infortill-mori

ાજે

14

System: 006 NOISION 900

Transducer: EUP-0531

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Fetal Imaging
& OtherIntra-operative (Spec.)
Intra-operative (Neuro.)PbPbPbPbPbPb
Laparoscopic
Pediatric
Small Organ (Spec.)
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 Adult
Cardiac Pediatric
Trans-esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)
Intended use: Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:
----------------------------------------------------------------------------------------------------

N = new indication, P = previous indication

  • Combination of each operating mode, B, M. PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging.

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

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

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

510(k) Number: K063518

David Ch. Lyonn

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

Prescription Use (Per 21 CFR 801.109)

| 88-3 020/410.9 180-1 647069808814

so inema smetzy si system idae substil-mori

14

Dac-18-06

12:44am

15

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 006 NOTSION 900

System: Transducer: EUP-OL334

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other **
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Spec.)
Intra-operative (Neuro.)
LaparoscopicPPPPPP
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Fetal Imaging
& OtherAdult Cephalic
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.)

Intended use . Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:

N = new indication, P = previous indication

"Combination of each operating mode, B, M, PWD and Color Doppler.

**Amplitude Doppler

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off
Division of Reproductive, Abdominal, ENT,
and Radiological Devices

510(k) Number:

Eirid la Segmen
(Division Sign-Off)

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

Prescription Use (Per 21 CFR 801.109)

। ୧୫-୨ 020/810 d E80-T

sa

16

System: Transducer:

006 NOISION 900 EUP-R54AW-19, -33

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans rectal
Trans vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)PPPPPP
CardiacCardiac Adult
Cardiac Pediatric
Trans esophageal (card.)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

Intended use. Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

*Combination of each operating mode, B, M, PWD and Color Doppler.

**Amplitude Doppler and Harmonic Imaging.

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |
| | (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) |

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number:K063618
-------------------------

David de Lignon

(Division Sign-Off) Division of Reproductive. Abdominal and Padiplogical Devices 5 Hilk) Number ______

Prescription Use (Per 21 CFR 801.109)

16

การเลื้อสร้างอิง me gy : Z | 90-61-380

17

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 00€ NOTSION 900

System : Transducer:

EUF-850

Clinical Application Mode of Operation General Specific B PWD M CWD Color Combined Other ** (Tracks I & II) (Track I only) Doppler (Spec.) (Spec.) Ophthalmic Ophthalmic Fetal p ម ਨ p P P P Abdominal Pa Pa ਿੰਡ । ਇਥ । । ए Pa Pa Intra operative (Spec.) Intra-operative (Neuro.) Laparoscopic Pediatric P P b P F P P Small Organ (Spec.) Neonatal Cephalic Fotal Imaging Adult Cephalic b P P P P P P & Other Trans rects] Trans-vaginal Trans-urethral Trana esoph, (non-Card.) Musculo skel. (Convent.) Musculo-skel. (Superfic.) Intra-luminal Other (spec.) Cardiac Adult P p Cardiac Cardiac Pediatric P P ાં ર P P P P Trans-esophageal (card.) Other (spec.) Peripheral Peripheral vessel P P P Б Б P P Other (spec.) Vessel

Intended use. Diagnostic ultrasound imaging or thuid flow analysis if the human body as follows'

N = new indication. P = previous indication

*Combination of each operating mode, B, M, PWD, CWD and Color Doppler.

** Amplitude Doppler, Harmonic Imaging

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |

CONTRE BETOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David R. Ingram

of Renroniciu

Prescription Use (Per 21 CFR 801.109)

ില്ലേഷ 020/710.9 £80-1

6470896000114

siiromA smatzy2 lesibeM idisetiH-mo13

me gr : 7 |

18

System : Transdu

HI VISION 900
ucer:EUP-TC3
Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other **
(Spec.)
OphthalmicOphthalmic
Fetal
Abdominal
Intra operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Fetal ImagingAdult Cephalic
& OtherTrans-rectal
Trans vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel (Convent.)
Musculo skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultP
CardiacCardiac PediatricP
Trans esophageal (card.)
Other (spec.)
PeripheralPeripheral vesselP
VesselOther (spec.)

Intended use : Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:

N = new indication, P = previous indication

*No combination modes

""No other modes

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|----------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |
| | (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) |

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510(k) Number: K063518

David R. Segerson

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

Prescription Use (Per 21 CFR 801.109)

19

DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM 00€ NOISIN H

Transducer EUP-U533

System'

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPhPhPhPhPhPh
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.)

Intended use: Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows:

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler and Harmonic Imaging.

Additional Comments:

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocontesis). Subscript "b": Includes imaging of organs and structures exposed during surgery (excluding neurosurgery and laparoscopic procedures). Subscript "c": Includes thyroid, parathyroid, breast, scrotum, ponis. Subscript "d": Includes thyroid, parathyroid, breast, scrotum, panis and imaging for guidance of biopsy. Subscript "c": Includes imaging for guidance of transrectal biopay. Subscript "I": Includes imaging for guidance of transvaginal biopsy. Subacript "g": For pediatric patients. Includes imaging for guidance of transrectal biopsy. Subscript "h":

(PLEASE DO NOT WRITE BELOW THIS LINE CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off Division of Reproductive, Abdominal, ENT and Radiological Devices

510(k) Number: 15063518

David A. Segerson

(Division Sian-Off on of Reproductive, Abdomin frompral Devices

Prescription Usis (Per 21 CFR 801.109)

168-1 020/810.9 180-1 647069698988888

storema smatzva sveticel systems approvise

90-61-380

12.44.488

20

System : Transducer: EUP-V53W

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
Ophthalmi:OphthalmicPPPPPP
Fetal Imaging
& OtherFetal
Abdominal
Intra operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPePePePePePe
Trans-vaginalPfPfPfPfPfPf
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.)

Intended use: Diagnostic ultrasound imaging or fluid flow analysis if the human body as follows

N = new indication, P = previous indication

  • Combination of each operating mode, B, M, PWD and Color Doppler.

** Amplitude Doppler, Harmonic Imaging and 3D Imaging.

Additional Comments:

| Subscript "a": | Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures
(including amniocentesis). |
|--------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| Subscript "b": | Includes imaging of organs and structures exposed during surgery
(excluding neurosurgery and laparoscopic procedures). |
| Subscript "c": | Includes thyroid, parathyroid, breast, scrotum, penis. |
| Subscript "d": | Includes thyroid, parathyroid, breast, scrotum, penis and imaging for guidance of biopsy. |
| Subscript "e": | Includes imaging for guidance of transrectal biopsy. |
| Subscript "f": | Includes imaging for guidance of transvaginal biopsy. |
| Subscript "g": | For pediatric patients. |
| Subscript "h": | Includes imaging for guidance of transrectal biopsy. |
| (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) | |

Concurrence of CDRH. Office of Device Evaluation (ODE)

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

510(k) Number: K063518

Daniel A. Seegman

20

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number
K063518

Prescription Us: (Per 21 CFR 801.109)