K Number
K072365
Device Name
SEQUOIA PLUS DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
2007-10-17

(55 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Ultrasound imaging or fluid flow analysis of the human body as follows: Cardiac, Neonatal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Intraoperative Neurological, Musculo-skelctal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.
Device Description
The Siemens Sequoia™ Plus has been designed to meet the following product safety standards: UL 60601-1, Safety Requirements for Medical Equipment; IEC 60601-2-37 Diagnostic Ultrasound Safety Standards; CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment; AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment; AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound; 93/42/EEC Medical Devices Directive; Safety and EMC Requirements for Medical Equipment EN/IEC 60601-1, EN/IEC 60601-1-1, EN/IEC 60601-1-2; IEC 1157 Declaration of Acoustic Power; ISO 10993-1 Biocompatibility.
More Information

Not Found

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and provides no other indication of AI/ML technology.

No
The device is described as an "Ultrasound imaging or fluid flow analysis" system used for "clinical diagnosis purposes," and its product safety standards include "Diagnostic Ultrasound Safety Standards," indicating its role in diagnosis rather than treatment.

Yes

The device's "Intended Use / Indications for Use" explicitly states that the system provides "calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes." Additionally, the "Device Description" mentions "IEC 60601-2-37 Diagnostic Ultrasound Safety Standards" multiple times, directly linking the device to diagnostic purposes.

No

The device description explicitly mentions compliance with hardware safety standards (UL 60601-1, IEC 60601-2-37, CSA C22.2 No. 601-1, etc.) and describes a "system" (Siemens Sequoia™ Plus), indicating it is a physical ultrasound machine with associated software, not software operating on general-purpose hardware.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for "Ultrasound imaging or fluid flow analysis of the human body." This is a direct imaging modality applied to the patient's body.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The device description focuses on safety standards related to medical equipment and diagnostic ultrasound, not laboratory testing or analysis of biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or laboratory procedures, which are hallmarks of IVD devices.

The device is a diagnostic ultrasound system used for imaging the internal structures and fluid flow within the human body. While the information it provides can be used by a clinician for diagnosis, the device itself does not perform in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Sequoia Plus ultrasound imaging system is intended for the following applications: Cardiac, Neonatal Cardiac, Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Intraoperative Neurological, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications.

The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

The typical examinations performed using the Sequoia™ Plus Ultrasound System are:

Cardiac Imaging Applications and Analysis
The system transmits ultrasound energy into the thorax from the chest wall or trans-esophagueal into adult, pediatric, or neonatal patients creating 2D (B), 3D, M-Mode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heart, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Vascular Imaging Applications and Analysis
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and deep veins and arteries in the arms and legs; and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Superficial Imaging Applications
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Intraoperative Imaging Applications
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during neurological intraoperative procedures.

Transcranial Imaging Applications
The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence or absence of pathology.

The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Product codes

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

Device Description

The Siemens Sequoia™ Plus has been designed to meet the following product safety standards:

  • UL 60601-1, Safety Requirements for Medical Equipment
  • IEC 60601-2-37 Diagnostic Ultrasound Safety Standards
  • CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment
  • AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound
  • 93/42/EEC Medical Devices Directive
  • Safety and EMC Requirements for Medical Equipment
    • EN/IEC 60601-1
    • EN/IEC 60601-1-1
    • EN/IEC 60601-1-2
  • IEC 1157 Declaration of Acoustic Power
  • ISO 10993-1 Biocompatibility

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Cardiac, Neonatal Cardiac, Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Intraoperative Neurological, Musculo-skeletal Conventional, Musculo-skeletal Superficial, thorax, heart, cardiac valves, great vessels, carotid arteries, jugular veins, arms, legs, musculoskeletal structures, brain

Indicated Patient Age Range

Adult, Pediatric, Neonatal.

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)

The Sequoia™ Plus is designed, verified, and validated according to the company's design control process.

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

Not Found

Predicate Device(s)

Siemens Acuson Sequoia Ultrasound System cleared under K063085, K051139.

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

K072365

4.2.13b 510(k) Summary/Statement Certification

510(k) Summary Prepared September 17, 2007

007 17 2007

| Sponsor: | Siemens Medical Solutions, Inc.,
Ultrasound Division
1230 Shorebird Way
Mountain View, California 94043 |
|------------------|------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Robert F. Lawrence
Telephone: (650) 943 5984
Fax: (650) 943 7053 |
| Submission Date: | September 17, 2007 |
| Device Name: | Sequoia™ Plus Ultrasound System |
| Common Name: | Diagnostic Ultrasound System |

Classification:

Regulatory Class:II
Review Category:Tier II
Classification Panel:Radiology
Ultrasonic Pulsed Doppler Imaging SystemFR # 892.1550Product Code 90-IYN
Ultrasonic Pulsed Echo Imaging SystemFR # 892.1560Product Code 90-IYO
Diagnostic Ultrasound TransducerFR # 892.1570Product Code 90-ITX

A. Legally Marketed Predicate Devices

The Siemens Sequoia™ Plus Ultrasound System is substantially equivalent to the Siemens Acuson Sequoia Ultrasound System.

B. Device Description:

The Siemens Sequoia™ Plus has been designed to meet the following product safety standards:

  • 트 UL 60601-1, Safety Requirements for Medical Equipment
  • 트 IEC 60601-2-37 Diagnostic Ultrasound Safety Standards
  • . CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment
  • 지 AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • . AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound
  • 트 93/42/EEC Medical Devices Directive
  • 제 Safety and EMC Requirements for Medical Equipment
    • . EN/IEC 60601-1
    • a EN/IEC 60601-1-1
    • . EN/IEC 60601-1-2
  • . IEC 1157 Declaration of Acoustic Power
  • K ISO 10993-1 Biocompatibility

1

C. Intended Use

The Sequoia Plus ultrasound imaging system is intended for the following applications: Cardiac, Neonatal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Intraoperative Neurological, Musculo-skelctal Conventional, and Musculo-skeletal Superficial applications.

The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

The typical examinations performed using the Sequoia™ Plus Ultrasound System are:

Cardiac Imaging Applications and Analysis

The system transmits ultrasound energy into the thorax from the chest wall or trans-esophagueal into adult, pediatric, or neonatal patients creating 2D (B), 3D, M-Mode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heart, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Vascular Imaging Applications and Analysis

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and deep veins and arteries in the arms and legs; and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Superficial Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Intraoperative Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during neurological intraoperative procedures.

Transcranial Imaging Applications

The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence or absence of pathology.

The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

2

D. Substantial Equivalence

The submission device is substantially equivalent to the predicate Acuson Sequoia™ previously cleared under K063085 and K051139 with regard to both intended use and technological characteristics.

E. Performance Data

The Sequoia™ Plus is designed, verified, and validated according to the company's design control process.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 7 2007

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

Re: K072365

Trade/Device Name: SequoiaTM Plus Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, and ITX Dated: August 22, 2007 Received: August 23, 2007

Dear Mr. Job:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

This determination of substantial equivalence applies to the following transducers intended for use with the Sequoia™ Plus Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number

9L4 V5M TEE 4V1c AUX CW2 4Z1c

4

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.

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

5

If you have any questions regarding the content of this letter, please contact Andrew Kang, M.D. at (240) 276-3666.

Sincerely yours,

Vorut M. Whang

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

Enclosure(s)

6

510(k) Number (if known):K072365
--------------------------------------

Device Name:

Sequoia™ Plus Diagnostic Ultrasound System

Intended Use:

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

| Clinical
Application | A | B | M | PWD | CWD | Color
Doppler | Power
(Amplitude)
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Harmonic
Imaging | Other:
3D | Other:
Real
Time
3D |
|----------------------------------|---|---|---|-----|-----|------------------|---------------------------------|------------------------------|-----------------------|---------------------|--------------|------------------------------|
| Ophthalmic | | | | | | | | | | | | |
| Fetal | | | | | | | | | | | | |
| Abdominal | | | | | | | | | | | | |
| Intraoperative
Abdominal | | | | | | | | | | | | |
| Intraoperative
Neurological | | N | N | N | | N | N | | N* | N | | |
| Pediatric | | N | N | N | N | N | N | N | N* | N | N | N |
| Small Organ
(specify) | | | | | | | | | | | | |
| Neonatal
Cephalic | | | | | | | | | | | | |
| Adult Cephalic | | N | N | N | N | N | N | N | N* | N | | |
| Cardiac | | N | N | N | N | N | N | N | N* | N | N | N |
| Trans-esophageal | | N | N | N | N | N | | | N* | | N | |
| Transrectal | | | | | | | | | | | | |
| Transvaginal | | | | | | | | | | | | |
| Transurethral | | | | | | | | | | | | |
| Intravascular | | | | | | | | | | | | |
| Peripheral Vessel | | N | N | N | | N | N | N | N* | N | | |
| Laparoscopic | | | | | | | | | | | | |
| Musculo-skeletal
Conventional | | N | N | N | | N | N | N | N* | N | | |
| Musculo-skeletal
Superficial | | N | N | N | | N | N | N | N* | N | | |
| Other (specify) ** | | N | N | N | N | N | N | | N* | N | | |

N=new indication.

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE 1000 - 100

**neonatal cardiac

(PLESE 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)

Norris K. Wong

(Division S Division of Reproductive. Abdominal and Radiological Device 510(k) Number

Sequoia™ Plus 510(k) Submission

PagePage 12 of 1739

7

510(k) Number (if known):K072365
Device Name:9L4

Indications for Use:

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

| Clinical
Application | A | B | M | PWD | CWD | Color
Doppler | Power
(Amplitude)
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Harmonic
Imaging | Other:
3D | Other:
Real
Time
3D | |
|----------------------------------|---|---|---|-----|-----|------------------|---------------------------------|------------------------------|-----------------------|---------------------|--------------|------------------------------|--|
| Ophthalmic | | | | | | | | | | | | | |
| Fetal | | | | | | | | | | | | | |
| Abdominal | | | | | | | | | | | | | |
| Intraoperative
Abdominal | | | | | | | | | | | | | |
| Intraoperative
Neurological | | P | P | P | | P | P | P | P* | P | | | |
| Pediatric | | | | | | | | | | | | | |
| Small Organ
(specify) | | | | | | | | | | | | | |
| Neonatal
Cephalic | | | | | | | | | | | | | |
| Adult Cephalic | | | | | | | | | | | | | |
| Cardiac | | | | | | | | | | | | | |
| Trans-esophageal | | | | | | | | | | | | | |
| Transrectal | | | | | | | | | | | | | |
| Transvaginal | | | | | | | | | | | | | |
| Transurethral | | | | | | | | | | | | | |
| Intravascular | | | | | | | | | | | | | |
| Peripheral Vessel | | P | P | P | | P | P | P | P* | P | | | |
| Laparoscopic | | | | | | | | | | | | | |
| Musculo-skeletal
Conventional | | P | P | P | | P | P | P | P* | P | | | |
| Musculo-skeletal
Superficial | | P | P | P | | P | P | P | P* | P | | | |
| Other (specify) | | | | | | | | | | | | | |

N=new indication

P= previously cleared by FDA

E= added under Appendix E

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

Previously Cleared in 510(k) K063085

(PLESE 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)

(ODE)

(Division Sign-Off)

Division of Reproductive, Abdominal and

510(k) Numbe

Sequoia™ Plus 510(k) Submission

PagePage 13 of 1739

8

510(k) Number (if known):K072365
Device Name:V5M TEE

Intended Use:

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

| Clinical
Application | A | B | M | PWD | CWD | Color
Doppler | Power
(Amplitude)
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Harmonic
Imaging | Other: 3D | Other: Real Time 3D | |
|----------------------------------|---|---|---|-----|-----|------------------|---------------------------------|------------------------------|-----------------------|---------------------|-----------|---------------------|--|
| Ophthalmic | | | | | | | | | | | | | |
| Fetal | | | | | | | | | | | | | |
| Abdominal | | | | | | | | | | | | | |
| Intraoperative
Abdominal | | | | | | | | | | | | | |
| Intraoperative
Neurological | | | | | | | | | | | | | |
| Pediatric | | P | P | P | P | P | | | P* | | P | | |
| Small Organ
(specify) | | | | | | | | | | | | | |
| Neonatal
Cephalic | | | | | | | | | | | | | |
| Adult Cephalic | | | | | | | | | | | | | |
| Cardiac | | P | P | P | P | P | | | P* | | P | | |
| Trans-esophageal | | P | P | P | P | P | | | P* | | P | | |
| Transrectal | | | | | | | | | | | | | |
| Transvaginal | | | | | | | | | | | | | |
| Transurethral | | | | | | | | | | | | | |
| Intravascular | | | | | | | | | | | | | |
| Peripheral Vessel | | | | | | | | | | | | | |
| Laparoscopic | | | | | | | | | | | | | |
| Musculo-skeletal
Conventional | | | | | | | | | | | | | |
| Musculo-skeletal
Superficial | | | | | | | | | | | | | |
| Other (specify) | | | | | | | | | | | | | |

N=new indication

P= previously cleared by FDA

510 k) Nu

E= added under Appendix E

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

Previously Cleared in 510(k) K063085, K022567

(PLESE 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)

(Division Sign-Off)
Division of Reproductive, Abdominal and
Radiological Devices 1077365

Sequoia™ Plus 510(k) Submission

PagePage 14 of 1739

9

510(k) Number (if known):K072365
Device Name:4V1c

Intended Use:

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

| Clinical
Application | A | B | M | PWD | CWD | Color
Doppler | Power
(Amplitude)
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Harmonic
Imaging | Other:
3D | Other:
Real
Time
3D | |
|----------------------------------|---|---|---|-----|-----|------------------|---------------------------------|------------------------------|-----------------------|---------------------|--------------|------------------------------|--|
| Ophthalmic | | | | | | | | | | | | | |
| Fetal | | | | | | | | | | | | | |
| Abdominal | | | | | | | | | | | | | |
| Intraoperative
Abdominal | | | | | | | | | | | | | |
| Intraoperative
Neurological | | | | | | | | | | | | | |
| Pediatric | | P | P | P | P | P | P | | P* | P | | | |
| Small Organ
(specify) | | | | | | | | | | | | | |
| Neonatal
Cephalic | | | | | | | | | | | | | |
| Adult Cephalic | | P | P | P | P | P | P | | P* | P | | | |
| Cardiac | | P | P | P | P | P | P | | P* | P | | | |
| Trans-esophageal | | | | | | | | | | | | | |
| Transrectal | | | | | | | | | | | | | |
| Transvaginal | | | | | | | | | | | | | |
| Transurethral | | | | | | | | | | | | | |
| Intravascular | | | | | | | | | | | | | |
| Peripheral Vessel | | | | | | | | | | | | | |
| Laparoscopic | | | | | | | | | | | | | |
| Musculo-skeletal
Conventional | | | | | | | | | | | | | |
| Musculo-skeletal
Superficial | | | | | | | | | | | | | |
| Other (specify)** | | P | P | P | P | P | P | | P* | P | | | |

N=new indication

P= previously cleared by FDA

E= added under Appendix E

Additional Comments:

*Combinations include:B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color
Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler,
B+CWD+Power Doppler, B+Clarify VE
**neonatal cardiac

Previously Cleared in 510(k) K063085, K022567

(PLESE 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)

Amil Wh
(Division Sign-Off)

Division of Reproductive, Abdominal and Radiolo 510(k) Nun

Sequoia™ Plus 510(k) Submission

PagePage 15 of 1739

10

510(k) Number (if known):K072365
Device Name:AUX CW2

Intended Use:

Ultrasound fluid flow analysis of the human body as follows:

| Clinical
Application | A | B | M | PWD | CWD | Color
Doppler | Power
(Amplitude)
Doppler | Color
Velocity
Imaging | Combined
(Specify) | Harmonic
Imaging | Other:
3D | Other:
Real
Time
3D |
|----------------------------------|---|---|---|-----|-----|------------------|---------------------------------|------------------------------|-----------------------|---------------------|--------------|------------------------------|
| Ophthalmic | | | | | | | | | | | | |
| Fetal | | | | | | | | | | | | |
| Abdominal | | | | | | | | | | | | |
| Intraoperative
Abdominal | | | | | | | | | | | | |
| Intraoperative
Neurological | | | | | | | | | | | | |
| Pediatric | | | | | | P | | | | | | |
| Small Organ
(specify) | | | | | | | | | | | | |
| Neonatal
Cephalic | | | | | | | | | | | | |
| Adult Cephalic | | | | | | | | | | | | |
| Cardiac | | | | | | P | | | | | | |
| Trans-esophageal | | | | | | | | | | | | |
| Transrectal | | | | | | | | | | | | |
| Transvaginal | | | | | | | | | | | | |
| Transurethral | | | | | | | | | | | | |
| Intravascular | | | | | | | | | | | | |
| Peripheral Vessel | | | | | | | | | | | | |
| Laparoscopic | | | | | | | | | | | | |
| Musculo-skeletal
Conventional | | | | | | | | | | | | |
| Musculo-skeletal
Superficial | | | | | | | | | | | | |
| Other (specify) | | | | | | | | | | | | |

N=new indication

P= previously cleared by FDA

E= added under Appendix E

Additional Comments: Previously Cleared in 510(k) K063085, K001400

(PLESE 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)

_
(Division Sign-Off)

Sequoia™ Plus 510(k) Submission

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

PagePage 16 of 1739

11

510(k) Number (if known):K072365
Device Name:4Z1c
Intended Use:Ultrasound imaging or fluid flow analysis of the human body as follows:
Clinical
ApplicationABMPWDCWDColor
DopplerPower
(Amplitude)
DopplerColor
Velocity
ImagingCombined
(Specify)Harmonic
ImagingOther:
3DOther:
Real
Time
3D
Ophthalmic
Fetal
Abdominal
Intraoperative
Abdominal
Intraoperative
Neurological
PediatricPPPPPp*PPp
Small Organ
(specify)
Neonatal
Cephalic
Adult Cephalic
CardiacPPPPPP*PPP
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral Vessel
Laparoscopic
Musculo-skeletal
Conventional
Musculo-skeletai
Superficial
Other (specify)

N=new indication

P= previously cleared by FDA

Division

E= added under Appendix E

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler、B+Clarify VE

Previously Cleared in 510(k) K051139

(PLESE 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)

Aomi M. Wils

Sequoia™ Plus 510(k) Submission

oductive. Abdominal and Division of Radiol 510(k) N

PagePage 17 of 1739