K Number
K091295
Date Cleared
2009-05-15

(11 days)

Product Code
Regulation Number
892.1570
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: fetal, abdominal, intraoperative, pediatric, small organs, neonatal cephalic, cardiac, cardiac, transrectal, transvaginal, transesophageal, peripheral vascular and musculo-skeletal (both conventional and superficial).

Device Description

The Aplio XG v4.0 is a mobile system. This system is a Track 3 device that employs a wide array of probes that include flat linear array, convex linear array, and sector array with a frequency range of approximately 2 MHz to 12 MHz.

AI/ML Overview

The provided 510(k) Premarket Notification for the Aplio™ XG (v4.0) SSA-790A Ultrasound System does not contain detailed acceptance criteria, a study proving the device meets those criteria, or specific performance metrics with sample sizes. This document primarily focuses on establishing substantial equivalence to a predicate device (Toshiba Ultrasound Diagnostic System Aplio XG MODEL SSA-790A V3.0 K082119) and outlining the intended uses and associated transducers.

Therefore, many of the requested sections cannot be filled from the provided text.

Here's an analysis based on the available information:

1. Table of Acceptance Criteria and Reported Device Performance

This information is not present in the provided document. The document lists "Modes of Operation" for various clinical applications and transducers, indicating whether they are "previously cleared by FDA" (P) or a "new indication" (N). However, it does not specify quantitative acceptance criteria (e.g., minimum accuracy, sensitivity, specificity) for these modes or report performance data against such criteria.

The "Modes of Operation" essentially indicate the capabilities of the device rather than its quantitative performance against specific criteria.

2. Sample Size Used for the Test Set and Data Provenance

This information is not present in the provided document. The 510(k) summary focuses on substantial equivalence based on technical specifications and intended use, rather than clinical trial data with test sets.

3. Number of Experts Used to Establish Ground Truth and Their Qualifications

This information is not present in the provided document.

4. Adjudication Method for the Test Set

This information is not present in the provided document.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size of Human Improvement with AI vs Without AI Assistance

This information is not present in the provided document, and it's highly unlikely for an ultrasound system from 2009. The document does not mention AI.

6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

This information is not present in the provided document, and it's highly unlikely for an ultrasound system from 2009. The device is a diagnostic ultrasound system, implying human operation and interpretation.

7. The Type of Ground Truth Used

This information is not present in the provided document. As no performance studies are detailed, no ground truth methodology is described.

8. The Sample Size for the Training Set

This information is not present in the provided document. The document doesn't describe any machine learning or AI components that would require a "training set."

9. How the Ground Truth for the Training Set Was Established

This information is not present in the provided document. (See point 8).


Summary of available information related to acceptance and study:

The provided document is a 510(k) Premarket Notification, which primarily seeks to demonstrate "substantial equivalence" of the Aplio™ XG (v4.0) SSA-790A Ultrasound System to a legally marketed predicate device (Toshiba Ultrasound Diagnostic System Aplio XG MODEL SSA-790A V3.0 K082119).

The "study that proves the device meets the acceptance criteria" in the context of a 510(k) for an ultrasound system typically refers to:

  • Conformance to standards: The document explicitly states that the device is "designed and manufactured in conjunction with the Quality System Regulation, IEC 60601-1 (applicable portions), IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, IEC60601-2-37, IEC 62304 and the AIUM-NEMA UD2 Output Measurement Standard as applied to Track 3 Ultrasound systems and the AIUM-NEMA UD3 Output Display Standard." Meeting these recognized standards serves as evidence of safety and effectiveness, implicitly defining an "acceptance criterion" for fundamental device performance and safety.
  • Comparison to predicate device: The core of a 510(k) is the comparison to a predicate. The tables detailing "Intended Use" and "Mode of Operation" for each transducer (e.g., PST-25BT, PVT-375MV) show whether a particular mode or application was "previously cleared by FDA" (P) with the predicate device (K082119) or is a "new indication" (N). This implies that the current device is accepted if its performance for existing indications is equivalent to the predicate, and new indications are justified through other means (though not detailed here).

Specifics on "new indications" (N): The document lists several "new indications" (e.g., for transducer PVT-375MV, Fetal and Abdominal applications now include B, M, PWD, Color Doppler, Combined, THI, Dynamic Flow, Power, CHI 2D, and 3D modes as "N"). For these new indications, the submission would typically include data (often bench testing, phantom studies, or limited clinical data) to demonstrate their safety and effectiveness. However, this specific data and its acceptance criteria are not included in this summary.

In essence, the "acceptance criteria" here are mainly regulatory conformance and substantial equivalence to a previously cleared device, rather than detailed, quantitative clinical performance metrics against specific benchmarks as might be seen for novel AI-powered diagnostic devices.

{0}------------------------------------------------

K091295

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

510(k) Summary

Submitter's Name:Toshiba America Medical Systems, Inc.
Address:PO Box 2068, 2441 Michelle Drive Tustin, CA 92781-2068
Contact:Paul Biggins, Director Regulatory Affairs
Telephone No.:(714) 730-5000

APLIO XG MODEL SSA-790A Version 4.0 Device Proprietary Name: Common Name: Diagnostic Ultrasound System

Classification:

  • Regulatory Class: II ಂ
  • o Review Category: Tier II
  • Ultrasonic Pulsed Doppler Imaging System Product Code: 90-I YN o [Fed. Reg.No .: 892.1550]
  • Ultrasonic Pulsed Echo Imaging System Product Code: 90-IYO o [Fed. Reg.No .: 892.1560]
  • Diagnostic Ultrasonic Transducer Product Code: 90-ITX ் [Fed. Reg. No.: 892.1570]

Identification of Predicate Devices:

Toshiba America Medical Systems believes that this device is substantially equivalent to:

  • Toshiba Ultrasound Diagnostic System Aplio XG MODEL SSA-790A V3.0 510(k) K082119 ם

Device Description:

The Aplio XG v4.0 is a mobile system. This system is a Track 3 device that employs a wide array of probes that include flat linear array, convex linear array, and sector array with a frequency range of approximately 2 MHz to 12 MHz.

lintendled Use:

The Aplio v4.0 is intended to be used for the following type of studies: fetal, abdominal, intraoperative, pediatric, small organs, neonatal cephalic, cardiac, cardiac, transrectal, transvaginal, transesophageal, peripheral vascular and musculo-skeletal (both conventional and superficial).

Safety Considerations:

This device is designed and manufactured in conjunction with the Quality System Regulation, IEC 60601-1 (applicable portions), IEC 60601-1-1 (applicable portion), IEC 60601-1-2 (applicable portion), IEC 60601-1-4 (applicable portion), IEC60601-2-37 (applicable portions), IEC 62304 (applicable portion) and the AIUM-NEMA UD2 Output Measurement Standard as applied to Track 3 Ultrasound systems and the AIUM-NEMA UD3 Output Display Standard.

MAY 11 5 2009

{1}------------------------------------------------

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with its wings spread, symbolizing protection and service. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

MAY 15 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

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

Re: K091295

Trade/Device Name: APLIO XG Diagnostic Ultrasound System, Model SSA-790A version 4.0 Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: TYN, IYO, and ITX Dated: May 1, 2009 Received: May 4, 2009

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 APLIO XG Diagnostic Ultrasound System, Model SSA-790A version 4.0, as described in your premarket notification :.

Transducer Model Number

PST-25BTPVT-375MVPVT 661VT
PST-30BTPET-382BTPVT-681MV
PST-50ATPVT-382MVPVT-745BTV
PST-65ATPVT-575MVPVT-770RT
PVT-375BTPVT-674BTPLT-604AT

{2}------------------------------------------------

Page 2 - Mr. Job

Enclosure(s)

PLT-704ATPLT-1202SPLT-1204MV
PLT-704SBTPLT-1204ATPET-510MB
PLT-705BTHPLT-1204BTPC-20M
PLT-705BTFPLT-1204AXPC-50M
PLT-805ATPLT-1204BX

If vour 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 Ictter 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,

hoquethihang

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

{3}------------------------------------------------

System: _Aplio XG v4.0 SSA-790A Transducer: __________________________________________________________________________________________________________________________________________________________________

ﻟﻤﺴﺎﺑ

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BM 'PWD:CWDColorCombined THI Dynamic PowerDoppler . (Specify)FlowCHI2D4 DOtherINotel
Ophthalmic
Fetal2:5.7.8.9.10
Abdominal235,7,8,9,10
Intra-operative (Abdominal)24,5
ilntra-operative (Neuro)
Laparoscopic
Pediatric235,7,8,9,10;
Small Organ (Note I)4.5,6,7,9
Neonatal CephalicPp
Adult Cephalic
Trans-rectal4.5.7
Trans-vaginalP4.5.7
Trans-urethral
Trans-esoph, (non-Card.)
Musculo-skeletal(Conventional)pPp7P4,5,6,7,9
Musculo-skeletal (Superficial)PpPPC4-5.6.7.9
Intravascular
Other (Specify)
Cardiac AdultD
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)p3
Intra-cardiac
Other (Specify)
!Peripheral vessel
P PPP2PpPP4,5.6,7.9
Other (Specify)

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyrnid, breast and testicle.

Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD

Note 3 Combined mode includes B/M: B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Sign=Off) Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New)

Note 10 STIC Color (New)

Radiolog 510(k) Nu

{4}------------------------------------------------

System: __ Aplio XG v4.0 SSA-790A Transducer:__ PST-25BT

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

Clinical ApplicationMode of OperationOther
Specific(Tracks 3)BMPWDCWDColorDoppler(Specify)CombinedTHIDynamicFlowPowerCHI2D4DOther[Note]
Ophthalmic
Fetal
AbdominalPPPPP3PPPP
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPPP3PPPP
Small Organ (Note 1)
Neonatal CephalicPPPPP3PPPP
Adult CephalicPPPPP3PPPP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultPPPPP3PPPP4
Cardiac PediatricPPPPP3PPPP4
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle.

Note 2 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD

Note 3 Combined mode includes B/M: B/PWD; BDF/PWD; BDF/MDF/PWD: 2D/CWD; BDF/CWD Note 4 TDI

Note 5 ApliPure

Note 6 MicroPure

Note 7 Precision Imaging (New) Note 8 STIC

Note 9 3D color (New) Note 10 STIC Color (New)

Hogue In Whang

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

{5}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: Transducer:___PST-30BT

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
AbdominalPPPPP3PPPP
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPPP3PPPP
Small Organ (Specify) (1)
Neonatal CephalicPPPPP3PPPP
Adult CephalicPPPPP3PPPP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultPPPPP3PPPP4
Cardiac PediatricPPPPP3PPPP4
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) (Division Note 10 STIC Color (New)

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

Prescription Use Only (Per 21 CRF801.109)

B-3

{6}------------------------------------------------

540(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

ું છ

Aplio XG v4.0 SSA-790A System: Transducer:__PST-50AT

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

Clinical ApplicationMode of OperationOtherNote
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlow
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Note 1)
Neonatal CephalicPPPPP3P
Adult Cephalic
Trans-rectal
Trans-vaginal!
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultPPPPP3P4
Cardiac PediatricPPPPP3P4
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD; BDF/PWD: BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

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

Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K091295

{7}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: _ Transducer:_ PST-65AT

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWD:CWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Note 1)
Neonatal CephalicPPP3PPP
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultPPP3PPP4
Cardiac PediatricPPP3PPP4
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) (Division St Note 10 STIC Color (New)

Tony M. Whay

Division o oductive. Abdominal Radiolo 510(k) Numbe

{8}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio_XG v4.0 SSA-790A System: __ PVT-375BT Transducer:_

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
FetalPPPP2PPPP5, 7
AbdominalPPPP2PPPP5, 7
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPPP5, 7
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

. 'N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

logu In Wh

(Division oductive. Abdominal ar Radi 510(K)

{9}------------------------------------------------

Aplio XG v4.0 SSA-790A System: _ Transducer:__ PVT-375MV

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
FetalNNNN2NNNNN5,7,8,9,
AbdominalNNNN2NNNNN5,7,8,9,
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricNNNN2NNNNN5,7,8,9,
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

Signature

(Divisio roductive. Abdomina Divisio

{10}------------------------------------------------

510(k) Bremarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: _ Transducer:_ PET-382BT

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)*THIDynamicFlowPowerCHI2D3DOtherNote:
Ophthalmic
FetalPPPP2PPPP5
AbdominalPPPP2PPPP5
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPPP5
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119


. ..

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD: BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF: BDF/MDF/PWD: 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC (Divisi Note 9 3D color (New) Note 10 STIC Calor (New)

Prescription Use Only (Per 21 CRF801.109)

Argen M. White

oductive, Abdominal and Divisio Radiol 510(k) Number

{11}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A Svstem: PVT-382MV Transducer:_

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

. 0

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWD CWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
FetalPPPP2PPPPP5,7
AbdominalPPPP2PPPPP5,7
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPPPP5,7
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD: BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC (Division Note 9 3D color (New) Note 10 STIC Color (New)

Hona In Whang

Division of Reproductive, Abdominal and Radiologic 510(k) Number

{12}------------------------------------------------

Aplio XG v4.0 SSA-790A System: _ PVT-575MV___ Transducer:

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDoppler(Specify)Combined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
FetalPPPP2PPPPP5,7,8
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC (Division Note 9 3D color (New) oductive, Abdominal and Divisio Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

B-10

Radiolo

510(k) N

{13}------------------------------------------------

Aplio XG v4.0 SSA-790A System: ______________________________________________________________________________________________________________________________________________________________________ PVT-674BT ____________________________________________________________________________________________________________________________________________________________________ Transducer:___

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)*THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
FetalPPPP2PPPP5
AbdominalPPPP2PPPP5
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPPP5
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF: BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC (Division Si Note 9 3D color (New) Division of F Note 10 STIC Color (New)

Vorgu M. Whang

oductive. Abdominal and Radiologic 510(k) Number

{14}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

.

Aplio XG v4.0 SSA-790A System: Transducer:_ PVT-661VT

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamic;PowerFlowCHI2D3DOtherNote
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPP2PPPP4,5
Trans-vaginalPPPP2PPPP4.5
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note ! Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/MDF: BDF/M1)F/PWD: 2D/CWD; BDF/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division S Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

lonnie m. whiting

Division of Reproductive, Abdominal and Radiological 510(k) Numbe

{15}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

System: Aplio XG v4.0 SSA-790A Transducer: PVT-68IMV

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDoppler : (Specify)Combined*(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPP2PPPPP4,5,7
Trans-vaginalPPPP2PPPPP4,5,7
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel

Other (Specify)

N = new indication: P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid. breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes BM: BPWD; BDF/MDF: BDF/MDF: BDF/MDF/Y WD
Note 3 Combined moludes BM: BPWD; BDF/MD; BDF/MDF: BDF/MDF: BDF/MDF/PWD; BDF/CWD; BDF/CWD; BDF/CWD; BDF Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Sign Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Note 10 STIC Color (New) Radiological De

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

..............................................................................................................................................................................

. .

Prescription Use Only (Per 21 CRF801.109)

510(k) Number

{16}------------------------------------------------

ָט

Aplio XG v4.0 SSA-790A System: __ Transducer:___ PVT-745BTV

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
AbdominalPPPP2PPP5
Intra-operative (Abdominal)PPPP2PPP5
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPP5
Small Organ (Specify) (1)PPPP2PPP5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid. breast and testicle.
Note 2 Combined mode includes B/M: B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD
Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD
Note 4 TDI
Note 5 ApliPure
Note 6 MicroPure
Note 7 Precision Imaging (New)
Note 8 STIC
Note 9 3D color (New)
Note 10 STIC Color (New)

(Division Sign-Off)

Division of Reproductive, Abdominal and

Radiological Devices

510(k) Number K091295

Prescription Use Only (Per 21 CRF801.109)

;

{17}------------------------------------------------

System: ______________________________________________________________________________________________________________________________________________________________________ Aplio XG v4.0 SSA-790A PVT-770RT Transducer:_

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPP2PPP5
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
'Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD: BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF/PWD: 2D/CWD; BDF/C Note 4 TDI Note 5 ApliPure Note 6 MicroPure (Division Sign Note 7 Precision Imaging (New) Note 8 STIC Division of Reproductive. Abdomina Note 9 3D color (New) Radiolo Note 10 STIC Color (New) 510(k) Numbe

{18}------------------------------------------------

.0

Aplio XG v4.0 SSA-790A System: _ Transducer:_ PLT-604AT

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

,

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPPP2PPPP5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPPP2PPPP5
Musculo-skelctal (Superficial)PPPPP2PPPP5
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPPP2PPPP5
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Division of Reproductive, Abdominal as Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

Radiolo

B-16

510(k) N

{19}------------------------------------------------

5 i 0(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: Transducer: PLT-704AT

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

Clinical ApplicationSpecific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPPP5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPPP5
Musculo-skeletal (Superficial)PPPP2PPPP5
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPPP5
Other (Specify)

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PW/20, 2D/CWD; BDF Note 4 TDI Note 5 ApliPure (Division Sign-Off Note 6 MicroPure Division of Reproductive, Abdominal and Note 7 Precision Imaging (New) Note 8 STIC Radiological Device Note 9 3D color (New) 510(k) Number Note 10 STIC Color (New)

{20}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

System: ______________________________________________________________________________________________________________________________________________________________________ Transducer:___ PLT-704SBT

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

Clinical ApplicationSpecific(Tracks 3)Mode of Operation
BMPWD CWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPPP5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPPP5
Musculo-skeletal (Superficial)PPPP2PPPP5
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPPP5
Other (Specify)

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous SID(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD: BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.(09)

Norri M. Whay

Radiological Devic 510(k) Number

{21}------------------------------------------------

Aplio XG v4.0 SSA-790A System: ______________________________________________________________________________________________________________________________________________________________________ PLT-705BTH ___ Transducer:_

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColor DopplerCombined (Specify)THI Dynamic FlowPower CHI 2D3D Other [Note]
Ophthalmic
Fetal
AbdominalPPPP2P PPP P5
Intra-operative (Abdominal)PPPP2P PPP P5
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2P PPP P5
Small Organ (Specify) (1)PPPP2P PPP P5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Note 10 STIC Color (New) Radiolo

Prescription Use Only (Per 21 CRF801.109)

510(k) Number

{22}------------------------------------------------

510(k) Premarket Notification . Aplio™ XG (v4.0) SSA-790A Ultrasound System

System: _ Aplio XG v4.0 SSA-790A Transducer:_ PLT-705BTF

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
AbdominalPPPP2PPPP5
Intra-operative (Abdominal)PPPP2PPPP5
Intra-operative (Neuro)
Laparoscopic
PediatricPPPP2PPPP5
Small Organ (Specify) (1)PPPP2PPPP5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note i Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/MDF: BDF/MDF/PWD: 2D/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Sign-Off) Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Note 10 STIC Color (New) Radiological Devices

... .. ......

Prescription Use Only (Per 21 CRF801.109)

510(k) Number

Aomi M. Whan

Division Sign-Off)


{23}------------------------------------------------

System: Aplio XG v4.0 SSA-790A PLT-805AT Transducer:


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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationOther(Note)
BMPWDCWDColorDoppler(Specify)CombinedTHIDynamicFlowPowerCHI2D3D
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPPP5,6,
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPPP5,6,
Musculo-skeletal (Superficial)PPPP2PPPP5,6,
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
PPPP2PPPP5,6,

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

.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid. breast and testicle. Note 2 Combined mode includes B/M: B/PWD; BDF/PWD: BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF: BDF/MDF/PWD: 20/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure (Division Sign-Off) Note 7 Precision Imaging (New) Note 8 STIC Division of Reproductive. Abdominal and Note 9 3D color (New) Radiological De Note 10 STIC Color (New) 510(k) Number

Prescription Use Only (Per 21 CRF801.109)

. . . . . . . . . . .

{24}------------------------------------------------

. 0

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: _ Transducer: PLT-1202S

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)PPPP2PPP4,5
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP4,5
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP4,5
Musculo-skeletal (Superficial)PPPP2PPP4,5
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPP4.5

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle.

Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD

Note 3 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD

Note 4 TDI

Note 5 ApliPure

Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

(Division Sign-Off)

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

{25}------------------------------------------------

Aplio XG v4.0 SSA-790A · System: Transducer:_ PLT-1204AT

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP4,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP4,5,6
Musculo-skeletal (Superficial)PPPP2PPP4,5,6
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
PPPP2PPP4.5.6
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure (Division Sign-Off) Note 7 Precision Imaging (New) Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Note 10 STIC Color (New) Radiological De

Prescription Use Only (Per 21 CRF801.109)

B-23

510(k) Number

{26}------------------------------------------------

Aplio XG v4.0 SSA-790A System: ___ PLT-1204BT Transducer:_

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
BMPWDCWD
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP4,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP4,5,6
Musculo-skeletal (Superficial)PPPP2PPP4,5,6
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPP4,5,6

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/YWD Note 3 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD: 2D/CWD; BDF/CWD Note 4 TD! Note S ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) roductive. Abdominal a Division of Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

Radiolo 510(k) Number

{27}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

. 0

System: __ _ Aplio XG v4.0 SSA-790A Transducer:____ PLT-1204AX

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

Clinical ApplicationMode of OperationOther[Note]
Specific(Tracks 3)BMPWDCWD,ColorDopplerCombined(Specify)THIDynamicFlowPowerCHI 2D3D
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP4,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP4,5,6
Musculo-skeletal (Superficial)PPPP2PPP4,5,6
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPP4,5,6
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Sign-Off) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

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

{28}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: _ Transducer: PLT-1204BX

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP4,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP4,5,6
Musculo-skeletal (Superficial)PPPP2PPP4,5,6
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel
PPPP2PPP4,5,6

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid. breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF/PWD: 2D/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) (Division Sigh-Off) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

(Division Sigh-Off)
Division of Reproductive, Abdominal and
Radiological Devices,
510(k) Number K091295

{29}------------------------------------------------

Aplio XG v4.0 SSA-790A System: ______________________________________________________________________________________________________________________________________________________________________ PLT-1204MV__ Transducer:___________________________________________________________________________________________________________________________________________________________________


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

Clinical ApplicationSpecific(Tracks 3)Mode of Operation
BMPWD CWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther(Note)
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)PPPP2PPP5,7,9
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)PPPP2PPP5,7,9
Musculo-skeletal (Superficial)PPPP2PPP5.7.9
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselPPPP2PPP5,7,9
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF: BDF/MDF/PWD: 2D/CWD: BD Note 4 TDI Note 5 ApliPure Note 6 MicroPure (Division Sign-Off) Note 7 Precision Imaging (New) Division of Reproductive, Abdominal and Note 8 STIC Note 9 3D color (New) Radiological Device Note 10 STIC Color (New) 510(k) Number

{30}------------------------------------------------

510(k) Premarket Notification Aplio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: _ Transducer:_ PET-SIOMB

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

Clinical ApplicationMode of Operation
Specific(Tracks 3)BMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOtherNote
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)PPPPP3P4
Intra-cardiac
Other (Specify)
Peripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF: BDF/MDF/PWD Note 3 Conbined mode includes B/M; B/PWD; BDF/PWD; BDF/MQF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure (Division Sign-O Note 7 Precision Imaging (New) Note 8 STIC Division of Reproductive, Abdominal and Note 9 3D color (New) Radiological I Note 10 STIC Color (New)

Prescription Use Only (Per 21 CRF801.109)

510(k) Number

{31}------------------------------------------------

Aplio XG v4.0 SSA-790A System: _ Transducer:_ PC-20M

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationB M PWD CWDColorDopplerCombined(Specify)THI DynamicFlowPower CHI2DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultP
Cardiac PediatricP
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vessel

N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K082119

Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M: B/PWD: BDF/PWD: BDF/MDF/PWD; 2D/CWD: BDF/CWD: BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC (Division Sign-Off) Note 9 3D color (New) Reproductive, Abdominal and Note 10 STIC Color (New)

Division of Radiolog 510(k) Nu

{32}------------------------------------------------

510(k) Premarket Notification A.plio™ XG (v4.0) SSA-790A Ultrasound System

Aplio XG v4.0 SSA-790A System: __ Transducer: PC-50M and the comments of the comments of the comments of the comments of the contribution of the contribution of the contribution of the contribution of the contribution of the fi

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

Clinical ApplicationSpecific(Tracks 3)Mode of OperationBMPWDCWDColorDopplerCombined(Specify)THIDynamicFlowPowerCHI2D3DOther[Note]
Ophthalmic
Fetal
Abdominal
Intra-operative (Abdominal)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify) (1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultP
Cardiac Pediatricp
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral vesselP
p
Other (Specify)

N = new indication: P = previously cleared by FDA: E = added under this appendix Previous 510(k) of the transducer: K082119

Note I Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M: B/PWD: BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD: BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure

Note 6 MicroPure Note 7 Precision Imaging (New) Note 8 STIC Note 9 3D color (New) Note 10 STIC Color (New)


Aorn In Nhang


(Division Sign-off)

Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K091295

§ 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.