K Number
K090912
Device Name
DIGITAL ULTRASONIC DIAGNOSTIC IMAGING SYSTEM, MODEL DP-6900
Date Cleared
2009-04-15

(14 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended for use by a qualified physician for ultrasound evaluation of abdominal, cardiac, small parts (breast, testes, thyroid, etc.), urology, peripheral vascular, intraoperative, pediatric, cephalic, fetal, transrectal, transvaginal, neonatal musculoskeletal (general and superficial).
Device Description
The DP-6900 Digital Ultrasonic Diagnostic Imaging System is a general purpose, portable, software controlled, ultrasound diagnostic system. Its function is to acquire and display ultrasound images in B-Mode, M-Mode or the combined mode (i.e. B/M Mode). This system is a Track 1 device that employs an array of probes that include linear array and convex array with a frequency range of approximately 2.0 MHz to 10.0 MHz.
More Information

K#072164, K#070526, K#060949, K061129

Not Found

No
The document describes a standard ultrasound imaging system and does not mention any AI or ML capabilities in the device description, intended use, or performance studies.

No
The device is described as a "diagnostic imaging system" and its intended use is for "ultrasound evaluation," which are diagnostic rather than therapeutic functions.

Yes
The "Device Description" explicitly states "The DP-6900 Digital Ultrasonic Diagnostic Imaging System is a general purpose, portable, software controlled, ultrasound diagnostic system."

No

The device description explicitly states it is a "Digital Ultrasonic Diagnostic Imaging System" and employs "an array of probes," indicating it includes hardware components beyond just software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, tissue) taken from the human body to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The description clearly states the device is an "ultrasound diagnostic system" that "acquire[s] and display[s] ultrasound images." Ultrasound is a non-invasive imaging technique that uses sound waves to create images of internal body structures within the body.
  • Intended Use: The intended use describes the device being used for "ultrasound evaluation of abdominal, cardiac, small parts, etc." This is a direct imaging procedure performed on the patient, not a test performed on a specimen.

Therefore, based on the provided information, the DP-6900 Digital Ultrasonic Diagnostic Imaging System is an in vivo diagnostic imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The device is intended for use by a qualified physician for ultrasound evaluation of abdominal, cardiac, small parts (breast, testes, thyroid, etc.), urology, peripheral vascular, intraoperative, pediatric, cephalic, fetal, transrectal, transvaginal, neonatal musculoskeletal (general and superficial).

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

IYO, ITX

Device Description

The DP-6900 Digital Ultrasonic Diagnostic Imaging System is a general purpose, portable, software controlled, ultrasound diagnostic system. Its function is to acquire and display ultrasound images in B-Mode, M-Mode or the combined mode (i.e. B/M Mode). This system is a Track 1 device that employs an array of probes that include linear array and convex array with a frequency range of approximately 2.0 MHz to 10.0 MHz.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

abdominal, cardiac, small parts (breast, testes, thyroid, etc.), urology, peripheral vascular, intraoperative (abdominal, thoracic, vascular, neuro), pediatric, cephalic (neonatal and adult), fetal, transrectal, transvaginal, musculoskeletal (general and superficial)

Indicated Patient Age Range

pediatric, neonatal, adult, fetal

Intended User / Care Setting

qualified physician

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 DP-6900 Digital Ultrasonic Diagnostic Imaging System had been tested as Track 1 Device per the FDA Guidance document "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" issued in September 2008. The acoustic output is measured and calculated per NEMA UD 2: 2004 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. The device conforms to applicable medical device safety standards, such as IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-2-37, IEC 60601-1-4 and ISO 10993-1.

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.

K#072164, K#070526, K#060949, K061129

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

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.

0

510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92(c).

The assigned 510(k) number is: K090912

1. Submitter:

. .

Shenzhen Mindray Bio-medical Electronics Co., LTD Mindray Building, Keji 12th Road South, Hi-tech Industrial Park, Nanshan, Shenzhen, 518057, P. R. China

Tel: +86 755 2658 2888 Fax: +86 755 2658 2680

Contact Person:

Tan Chuanbin Shenzhen Mindray Bio-medical Electronics Co., LTD Mindray Building, Keji 12th Road South, Hi-tech Industrial Park, Nanshan, Shenzhen, 518057, P. R. China

Date Prepared: March 6, 2009

  1. Device Name: DP-6900 Digital Ultrasonic Diagnostic Imaging System

Classification

Regulatory Class: II Review Category: Tier II 21 CFR 892.1560 Ultrasonic Pulsed Echo Imaging System (90-1YO) 21 CFR 892.1570 Diagnostic Ultrasound Transducer (90-ITX)

3. Marketed Device:

DP-6900 Digital Ultrasonic Diagnostic Imaging System is substantially equivalent to the following devices: Mindray DC-6 (K#072164), Mindray DP-9900 (K#070526), Mindray DP-6600 (K#060949) and GE Logiq 9 (K061129).

4. Device Description:

The DP-6900 Digital Ultrasonic Diagnostic Imaging System is a general purpose,

1

portable, software controlled, ultrasound diagnostic system. Its function is to acquire and display ultrasound images in B-Mode, M-Mode or the combined mode (i.e. B/M Mode). This system is a Track 1 device that employs an array of probes that include linear array and convex array with a frequency range of approximately 2.0 MHz to 10.0 MHz.

5. Intended Use:

The device is intended for use by a qualified physician for ultrasound evaluation of abdominal, cardiac, small parts (breast, testes, thyroid, etc.), urology, peripheral vascular, intraoperative, pediatric, cephalic, fetal, transrectal, transvaginal, neonatal musculoskeletal (general and superficial).

6. Safety Considerations:

The DP-6900 Digital Ultrasonic Diagnostic Imaging System had been tested as Track 1 Device per the FDA Guidance document "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" issued in September 2008. The acoustic output is measured and calculated per NEMA UD 2: 2004 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. The device conforms to applicable medical device safety standards, such as IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-2-37, IEC 60601-1-4 and ISO 10993-1.

Conclusion:

The conclusions drawn from testing of the DP-6900 Digital Ultrasonic Diagnostic Imaging System demonstrate that the device is as safe and effective as the legally marketed predicate devices.

2

Image /page/2/Picture/0 description: The image shows the text "DEPARTMENT OF HEALTH & HUMAN SERVICES". The text is in all caps and is black. The text is centered on the image.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 5 2009

Shenzhen Mindray Bio-Medical Electronics Co., Ltd. % Mr. Robert Mosenkis President CITECH 5200 Butler Pike Plymouth Meeting, PA 19462-1298

Re: K090912

Trade/Device Name: DP-6900 Digital Ultrasonic Diagnostic Imaging System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO and ITX Dated: March 31, 2009 Received: April 1, 2009

Dear Mr. Mosenkis:

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 DP-6900 Digital Ultrasonic Diagnostic Imaging System, as described in your premarket notification:

Transducer Model Number

35C20EA 35C50EA 65EC10EA 65C15EA 65EL60EA

3

Image /page/3/Picture/1 description: The image shows a list of codes. The codes are 75L38EA, 75LT38EA, 75L53EA, and 75L60EA. Each code is underlined. The codes appear to be product or part numbers.

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/cdrh/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,

Herbet Leiner

Janine M. Morris Acting 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

Transducer

System Model:

510(k) Number(s)

×

DP-6900

1090912

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
FetalNNNNote 1
AbdominalNNNNote 1
Intra-operative (Specify)*NNN
Intra-operative (Neuro)
Laparoscopic
PediatricNNNNote 1
Small Organ(Specify) **NNN
Neonatal CephalicNNN
Fetal Imaging & OtherAdult CephalicNNN
Trans-rectalNNN
Trans-vaginalNNN
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)NNNNote 1
Musculo-skeletal (Superficial)NNN
Intravascular
Other (specify)
Cardiac AdultNNN
Cardiac PediatricNNN
CardiacIntravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselNNNNote 1
Peripheral vesselOther (Specify)
  • Intraoperative includes abdominal, thoracic, and vascular etc. ** Small organ-breast, thyroid, testes, etc.

Note I : Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Heidi Lema

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

KC)

0046

5

Diagnostic Ultrasound Indications for Use Form

Transducer

System Model:

::

35C20EA
k09912

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal
AbdominalNNN
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify) **
Neonatal Cephalic
Fetal Imaging & OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)
Intravascular
Other (specify)
Cardiac AdultNNN
Cardiac PediatricNNN
Intravascular(Cardiac)
CardiacTrans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselNNN
Peripheral vesselOther(Specify)
  • Intraoperative includes abdominal, thoracic, and vascular etc. ** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Helene

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

6

SystemTransducerx
Model:35C50EA
510(k) Number(s)K090912

Clinical Application

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
FetalNNNNote 1
AbdominalNNNNote 1
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNNNote 1
Small Organ (Specify)**
Neonatal Cephalic
Fetal Imaging & OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)NNNNote 1
Musculo-skeletal (Superficial)
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
CardiacIntravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselPeripheral vesselNNNNote 1
Other (Specify)

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

Additional comments: Combined modes: B+M.

  • Intraoperative includes abdominal, thoracic, and vascular etc.

** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription USE (Per 21 CFR 801.109)

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

7

Mindray Co. Ltd. - DP-6900 Digital Ultrasonic Diagnostic Imaging System

6SECIOEA

K090912

Diagnostic Ultrasound Indications for Use Form

System Model: Transducer

510(k) Number(s)

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal Imaging & OtherFetalNNN
Abdominal
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ(Specify) **
Neonatal CephalicNNN
Adult Cephalic
Trans-rectalNNN
Trans-vaginalNNN
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
CardiacTrans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vessel
Peripheral vesselOther(Specify)

Additional comments:Combined modes: B+M.

  • Intraoperative includes abdominal, thoracic, and vascular etc.

** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

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

8

65C15EA

Diagnostic Ultrasound Indications for Use Form

×

Transducer

System Model: .

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal
AbdominalNNN
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify) **
Neonatal CephalicNNN
Fetal Imaging & OtherAdult CephalicNNN
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)
Intravascular
Other (specify)
Cardiac Adult
Cardiac PediatricNNN
CardiacIntravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselPeripheral vesselNNN
Other(Specify)

** Small organ-breast, thyroid, testes, etc.

Note I: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Harlan Leinen

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

9

System
Model:65EL60EA
510(k) Number(s)K090912

Clinical Application

BMPWDCWDColor DopplerAmplitude DopplerCombined (specify)Other (specify)
General
Ophthalmic
Specific
Ophthalmic
Fetal
Abdominal
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ(Specify)**
Neonatal Cephalic
Adult Cephalic
Fetal Imaging & Other
Trans-rectalNNN
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (specify)
Cardiac
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselPeripheral vessel
Other(Specify)

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

Additional comments: Combined modes: B+M.

*Intraoperative includes abdominal, thoracic, and vascular etc.

**Small organ-breast thyroid testes etc

** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Lulu Lemon

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

0051

10

ANG

Diagnostic Ultrasound Indications for Use Form

Transducer

System

Model:

510(k) Number(s)

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal
AbdominalNNN
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify)**NNN
Neonatal CephalicNNN
Fetal Imaging & OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.(non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)NNN
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
CardiacTrans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselNNN
Peripheral vesselOther(Specify)
N=new indication; P=previously cleared by FDA; E=added under Appendix E
Additional comments:Combined modes: B+M.

** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Halut Rener

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

11

Mindray Co. Ltd.- DP-6900 Digital Ultrasonic Diagnostic Imaging System

SystemTransducerx
Model:75LT38EA
510(k) Number(s)K090912
Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal
AbdominalNNN
Intra-operative (Specify)*NNN
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify) **NNN
Neonatal CephalicNNN
Fetal Imaging & OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)NNN
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
CardiacTrans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselNNN
Other(Specify)
Peripheral vesselN=new indication; P=previously cleared by FDA; E=added under Appendix E

Additional comments: Combined modes: B+M.Diagnostic Ultrasound Indications for Use Form

· Intraoperative includes abdominal, thoracic, and vascular etc. ** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal and Radiologic 510(k) Nur

12

Diagnostic Ultrasound Indications for Use Form

Transducer

System Model:

510(k) Number(s)

75L53EA K0909

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal
AbdominalNNN
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify) **NNN
Neonatal CephalicNNN
Fetal Imaging & OtherAdult Cephalic
Trans-reclal
Trans-vaginal
Trans-urethral
Trans-esoph (non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)NNN
Intravescular
Other (specify)
Cardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
CardiacTrans-esoph.(Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselPeripheral vesselNNN
Other(Specify)

Additional comments:Combined modes: B+M.

  • Intraoperative includes abdominal, thoracic, and vascular etc. ** Small organ-breast, thyroid, testes, etc.

Note I: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

Helena

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

13

75L60EA

Diagnostic Ultrasound Indications for Use Form

System

Transducer

· Model:

Clinical Application
GeneralSpecificBMPWDCWDColor
DopplerAmplitude
DopplerCombined
(specify)Other (specify)
OphthalmicOphthalmic
Fetal Imaging & OtherFetal
AbdominalNNN
Intra-operative (Specify)*
Intra-operative (Neuro)
Laparoscopic
PediatricNNN
Small Organ(Specify)**NNN
Neonatal CephalicNNN
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)NNN
Musculo-skeletal (Superficial)NNN
Intravascular
Other (specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular(Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
Peripheral vesselPeripheral vesselNNN
Other(Specify)

the temperature increased as salinity increased.

** Small organ-breast, thyroid, testes, etc.

Note 1: Tissue Harmonic Imaging. The feature does not use contrast agents.

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

Prescription USE (Per 21 CFR 801.109)

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

0025