K Number
K090499
Device Name
LIFEDOP MODEL, L350R
Date Cleared
2009-03-31

(34 days)

Product Code
Regulation Number
884.2660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Obstetrical: This product will be used to detect fetal heart beats as an aid for determining fetal viability. Vascular: This product will also be used to detect blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.
Device Description
The LifeDop 350 Doppler is a portable, battery-powered ultrasound device used for detecting fetal heart beats and also for blood flow detection in veins and arteries. Primarily intended to be table-top, stand or wall mounted.
More Information

Not Found

No
The summary describes a standard Doppler ultrasound device and makes no mention of AI or ML.

No.
The device is used for detection and diagnostic purposes (detecting fetal heartbeats and blood flow, aiding in determining fetal viability and detecting peripheral vascular disease), not for treating or managing a disease or condition.

Yes
The "Intended Use / Indications for Use" section states the device is used "for aiding in determining fetal viability" and "for assisting in the detection of peripheral vascular disease," which are both diagnostic purposes.

No

The device description explicitly states it is a "portable, battery-powered ultrasound device," indicating it includes hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The LifeDop 350 Doppler uses ultrasound to detect fetal heartbeats and blood flow directly within the body. It does not analyze specimens taken from the body.

Therefore, the device's function and intended use fall outside the scope of In Vitro Diagnostics. It is an in vivo diagnostic device.

N/A

Intended Use / Indications for Use

Obstetric (2.1 and 3.2 MHz Probes) This product will be used to detect fetal heart beats as an aid for determining fetal viability.

Vascular (4.0 and 8.0 MHz Probes) This product will be used to detect blood flow in veins and arterics for assisting in the detection of peripheral vascular disease.

Product codes

KNG, HEP, MAA

Device Description

The LifeDop 350 Doppler is a portable, battery-powered ultrasound device used for detecting fetal heart beats and also for blood flow detection in veins and arteries. Primarily intended to be table-top, stand or wall mounted.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, veins and arterics (Peripheral Vascular)

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)

K024197

Reference Device(s)

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

§ 884.2660 Fetal ultrasonic monitor and accessories.

(a)
Identification. A fetal ultrasonic monitor is a device designed to transmit and receive ultrasonic energy into and from the pregnant woman, usually by means of continuous wave (doppler) echoscopy. The device is used to represent some physiological condition or characteristic in a measured value over a period of time (e.g., perinatal monitoring during labor) or in an immediately perceptible form (e.g., use of the ultrasonic stethoscope). This generic type of device may include the following accessories: signal analysis and display equipment, electronic interfaces for other equipment, patient and equipment supports, and component parts. This generic type of device does not include devices used to image some relatively unchanging physiological structure or interpret a physiological condition, but does include devices which may be set to alarm automatically at a predetermined threshold value.(b)
Classification. Class II (performance standards).

0

K090499

MAR 3 1 2009

SAFETY AND EFFECTIVENESS SUMMARY Summit Doppler Systems, Inc. LifeDop 350 Doppler

Name and Address:

Summit Doppler Systems, Inc. 4680 Table Mountain Dr. #150 Golden, CO 80403

Phone: (303) 423-7572 Fax: (303) 431-5994

Ken Jarrell - President

January 16, 2009

LifeDop 350 Doppler

Portable Doppler, Fetal and Vascular

FR Number Class II per: . 884.2660 Monitor, Ultrasonic, Fetal 884.2660 Monitor, Bloodflow, Ultrasonic

Product Code KNG HEP

Obstetric (2.1 and 3.2 MHz Probes) This product will be used to detect fetal heart beats as an aid for determining fetal viability.

Vascular (4.0 and 8.0 MHz Probes) This product will be used to detect blood flow in veins and arterics for assisting in the detection of peripheral vascular disease.

The LifeDop 350 Doppler is a portable, battery-powered ultrasound device used for detecting fetal heart beats and also for blood flow detection in veins and arteries. Primarily intended to be table-top, stand or wall mounted.

Summit Doppler Systems Golden, CO LifeDop Doppler Ultrasound System K024197, Cleared 1/3/03

Doppler ultrasound technology is the same as substantially equivalent device shown above.

None provided

Based on comparisons of device features, materials, intended use and performance, the LifeDop 350 Doppler is shown to be substantially equivalent to the commercially available and legally marketed device indicated above.

Contact:

Preparation Date:

Device Name:

Common Name:

Classification:

Indications for Use:

Description:

Substantial Equivalence:

Technologies Summary:

Clinical Testing:

Conclusion:

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or a stylized human figure.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Summit Doppler Systems, Inc. % Ms. Dawn Tibodeau Program Manager, Responsible Third Party Official TÜV SÜD America, Inc. 1775 Old Hwy 8 NW, Ste 104 NEW BRIGHTON MN 55112-1891

MAR 3 1 2009

Re: K090499

Trade/Device Name: LifeDop 350 Doppler Regulation Number: 21 CFR 884.2660 Regulation Name: Fetal ultrasonic monitor and accessories Regulatory Class: II Product Code: MAA Dated: March 16, 2009 Received: March 18, 2009

Dear Ms. Tibodeau:

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 LifeDop 350 Doppler, as described in your premarket notification:

Transducer Model Number

SD2 -- 2.1 MHz CW Fetal Probe SD3 - 3.2 MHz CW Fetal Probe SD4 - 4.0 MHz CW Peripheral Vascular Probe SD8 - 8.0 MHz CW Peripheral Vascular Probe

2

Page 2 - Ms. Tibodeau

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 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/cdrb/industry/support/index.html

If you have any questions regarding the content of this letter, please contact Paul Hardy at (240) 276-3666.

Sincerely yours.

ne M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

3

Indications for Use

510(k) Number:

Device Name:

Indications for Use:

K090499

LifeDop 350 Doppler

Obstetrical:

This product will be used to detect fetal heart beats as an aid for determining fetal viability.

Vascular:

This product will also be used to detect blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.

Prescription Use ਮ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter-Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hula Reum

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

Page 1 of 1

Addendum sheet 2 of 6

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Attachment C - Indication for Use

Diagnostic Ultrasound Indications for Use Form

Main unit fetal system with either 2.1 MHz CW or 3.2 MHz CW Main unit peripheral vascular system with either 4.0 MHz CW 8.0 MHz CW

Man unit perfoneral vasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor DopplerAmplitude DopplerColor Velocity ImagingCombined (specify)Other (specify)
Ophthalmic
FetalP
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethal
Intravascular
Peripheral VascularP
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

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

Additional Comments: 2.1 MHz CW Fetal Probe - Previously cleared K024197

3.2 MHz CW Fetal Probe - Previously cleared K024197

3.2 MHz CW Fetal Probe - Previously cleared K024197

4.0 MHz CW PV Probe - Previously cleared K024197

8.0 MHz CW PV Probe - Previously cleared K024197

Neil A. Clemm

THE EVSE DO NOT MATE BETOM THIS TIME - CONTIMIE ON WAOTHER EVEE TE REEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

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

Prescription Use (Per 21 CRF 801.109)

5

SD2 - 2.1 MHz CW Fetal Probe

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

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalP
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethal
Intravascular
Peripheral Vascular
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 on K024197, cleared 1/3/03

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

Prescription Use (Per 21 CRF 801.109) Diagnostic Ultrasound Indications for Use Form

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

6

SD3 — 3.2 MHz CW Fetal Probe

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

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalP
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethal
Intravascular
Peripheral Vascular
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 on K024197, cleared 1/3/03

510(k) Number

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

Prescription Use (Per 21 CRF 801.109) Diagnostic Ultrasound Indications for Use Form

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

28

7

SD4 – 4.0 MHz CW Peripheral Vascular Probe

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

Mode of Operation
Clinical ApplicationABMPWDCWDColor DopplerAmplitude DopplerColor Velocity ImagingCombined (specify)Other (specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethral
Intravascular
Peripheral VascularP
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

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

Previously cleared on K024197, cleared 1/3/03 Additional Comments: _

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

Prescription Use (Per 21 CRF 801.109) Diagnostic Ukrasound Indications for Use Form

(Division Sign-Off)
Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K090499

8

SD8 – 8.0 MHz CW Peripheral Vascular Probe

SD8 – 8.0 MHz CW Penpheral Vascular Probe
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Smali Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transurethal
Intravascular
Peripheral VascularP
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 on K024197, cleared 1/3/03THE EASE DO NOT WRITE BELOW THIS LINE - CONTIMUE ON ANDILIERS PAGE IS NEEDED. DONCLURITE DECOM Office of Device Evaluation (ODE)

Prescription Use (Per 21 CRF 801.109) Diagnostic Ultrasound Indications for Use Form

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

  • Radiological Devices 510(k) Number

ﺍﻟﻘﺪ ﺗﺼﻔﻴﺎﺕ

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