K Number
K092637
Device Name
PACSCAN PLUS, MODELS 300P AND 300AP
Manufacturer
Date Cleared
2009-09-24

(28 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PacScan Plus is Sonomed's newest diagnostic ultrasound system which integrates a contact A-scan system, pachymeter, and analog thermal printer into a single unit for the convenient collection and retention of intraocular measurements. The system's principal application is to serve as an aid in the calculation of the associated IOL power for implanted lenses. As such, the PacScan Plus has been designed to capture key measurements such as axial length, anterior chamber depth and corneal thickness with both accuracy and precision.
Device Description
The PacScan™ Plus is the latest generation ophthalmic biometry instrument introduced by industry leading Sonomed. The series consists of two different models: PacScan™ 300A+. This A-scan system allows for measuring the axial length 0 (AXL), anterior chamber depth, and lens thickness of an eye and for calculating the associated IOL power for an implanted lens. PacScan™ 300AP+. This system seamlessly integrates the A-Scan and 0 Pachymeter capabilities into a single system. All systems utilize a high-resolution, color backlit touch screen liquid crystal display (LCD) by which the user can enter information and view data and calculations. Each system also includes a built-in thermal printer. The system is compact and lightweight thereby making the system extremely portable.
More Information

123, 123

Not Found

No
The summary describes a standard ultrasound biometry and pachymetry device for measuring ocular dimensions and calculating IOL power. There is no mention of AI, ML, or any advanced computational techniques beyond basic calculations.

No
The device is described as a diagnostic ultrasound system intended to aid in the calculation of IOL power by measuring intraocular structures, not for therapy or treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states that "The PacScan Plus is Sonomed's newest diagnostic ultrasound system." It also mentions its principal application is to "serve as an aid in the calculation of the associated IOL power for implanted lenses," which involves capturing key measurements for diagnosis and treatment planning.

No

The device description explicitly states it is a "diagnostic ultrasound system" that integrates hardware components like a "contact A-scan system, pachymeter, and analog thermal printer" into a "single unit." It also mentions a "high-resolution, color backlit touch screen liquid crystal display (LCD)" and a "built-in thermal printer." These are all physical hardware components, not solely software.

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

Here's why:

  • IVD Definition: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • PacScan Plus Function: The PacScan Plus uses ultrasound to directly measure anatomical structures within the eye (axial length, anterior chamber depth, corneal thickness). It does not analyze biological specimens.
  • Intended Use: The intended use is to aid in the calculation of IOL power based on these physical measurements, not to diagnose a disease or condition through the analysis of biological samples.

Therefore, the PacScan Plus falls under the category of a diagnostic imaging device, specifically an ophthalmic ultrasound system, rather than an IVD.

N/A

Intended Use / Indications for Use

The PacScan Plus is Sonomed's newest diagnostic ultrasound system which integrates a contact A-scan system, pachymeter, and analog thermal printer into a single unit for the convenient collection and retention of intraccular measurements. The system's principal application is to serve as an aid in the association of the associated IOL power for implanted lenses. As such, the PacScan Plus has been designed to capture key measurements such as axial length, anterior chamber depth and corneal thickness with both accuracy and precision.

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

IYO, ITX

Device Description

The PacScan™ Plus is the latest generation ophthalmic biometry instrument introduced by industry leading Sonomed. The series consists of two different models:

  • PacScan™ 300A+. This A-scan system allows for measuring the axial length 0 (AXL), anterior chamber depth, and lens thickness of an eye and for calculating the associated IOL power for an implanted lens.
  • PacScan™ 300AP+. This system seamlessly integrates the A-Scan and 0 Pachymeter capabilities into a single system.
    All systems utilize a high-resolution, color backlit touch screen liquid crystal display (LCD) by which the user can enter information and view data and calculations. Each system also includes a built-in thermal printer. The system is compact and lightweight thereby making the system extremely portable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Ophthalmic

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)

Electrical, mechanical, environments safety and performance testing according to standard IEC 60601-1 and IEC 60601-2-37are currently pending and EMC testing was conducted in accordance with standard EN/IEC 60601-1-2(2001). All tests results were satisfactory.

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.

123, 123

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

K0926637

SEP 2 4 2009

510(K) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.92

Date: July 31, 2009

  • Company and Correspondent making the submission: 1. Name: Sonomed Inc. Address: 1979 Marcus Ave Lake Success, NY, 11798 U.S.A. Telephone: 516-354-0900 Fax: 516-354 Website: www.sonomed.com Contact: Mr. Charles C. O'Neal, Quality Manager E-mail: coneal@escalonmed.com
    1. Device:
Trade/proprietary name:PacScan Plus
Common Name:Diagnostic ultrasound system
Classification Name:System, imaging, pulsed echo, ultrasonic
  1. Predicate Devices:
Manufacturer:Sonomed, Inc.
Device:4000P Pachymeter System
510(k) Number:123
Manufacturer:Sonomed, Inc.
Device:E-Z Scan 5500+ A-Scan / B-Scan System
510(k) Number:123
  • Classification Names & Citations: 4. Classification: Class 2
    Classification Code: 21CFR 892.1560, 1570, IYO, ITX, system, imaging, pulsed · echo, ultrasonic,

5. Description:

The PacScan™ Plus is the latest generation ophthalmic biometry instrument introduced by industry leading Sonomed. The series consists of two different models:

  • PacScan™ 300A+. This A-scan system allows for measuring the axial length 0 (AXL), anterior chamber depth, and lens thickness of an eye and for calculating the associated IOL power for an implanted lens.
  • PacScan™ 300AP+. This system seamlessly integrates the A-Scan and 0 Pachymeter capabilities into a single system.

All systems utilize a high-resolution, color backlit touch screen liquid crystal display (LCD) by which the user can enter information and view data and calculations. Each system

1

also includes a built-in thermal printer. The system is compact and lightweight thereby making the system extremely portable.

  • Indications for Use: 6.
    The PacScan Plus is Sonomed's newest diagnostic ultrasound system which integrates a contact A-scan system, pachymeter, and analog thermal printer into a single unit for the convenient collection and retention of intraocular measurements. The system's principal application is to serve as an aid in the calculation of the associated IOL power for implanted lenses. As such, the PacScan Plus has been designed to capture key measurements such as axial length, anterior chamber depth and corneal thickness with both accuracy and precision.

    1. Comparison with predicate device:
      Sonomed, Inc. believes that the technologies incorporated into the PacScan Plus are substantially equivalent to those of the 4000P pachymeter system and the E-Z Scan 5500+ A-scan / B-scan system.
    1. Safety, EMC and Performance Data:
      Electrical, mechanical, environments safety and performance testing according to standard IEC 60601-1 and IEC 60601-2-37are currently pending and EMC testing was conducted in accordance with standard EN/IEC 60601-1-2(2001). All tests results were satisfactory.
    1. Conclusions:
      In accordance with the Federal Food. Drug and Cosmetic Act 21 CFR Part 807 and based on the information provided in this premarket notification Sonomed. Inc. concluded that the PacScan Plus is safe and effective and substantially equivalent to predicate devices as described herein.
    1. Sonomed Inc. will update and include in this summary any other information deemed reasonably necessary by the FDA.

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three wing-like shapes above a wavy line. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the emblem.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

P 9 4 2009

Mr. Charles C. O'Neal Quality Manager Sonomed. Inc. 1979 Marcus Ave., Suite 105C LAKE SUCCESS NY 11042

Re: K092637

Trade/Device Name: PAC Scan Plus Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO and ITX Dated: August 5, 2009 Received: August 27, 2009

Mr. O'Neal:

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 PAC Scan Plus, as described in your premarket notification:

Transducer Model Number

A-Mode and Pachymeter

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

3

Page 2 - Mr. O'Neal

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH0ffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97): For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

If you have any questions regarding the content of this letter, please contact Paul Hardy at (301) 796-6542.

Sincerely yours,

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

Special 510(K) Application - PacScan Plus Ophthalmic Ultrasound System Section 6 - Indications for Use

510(k) Number (if known): K092637
Device Name: Pac Scan Plus
Indications for Use

Indication for Use:

The PacScan Plus is Sonomed's newest diagnostic ultrasound system which integrates a contact A-scan system, pachymeter, and analog thermal printer into a single unit for the convenient collection and retention of intraccular measurements. The system's principal application is to serve as an aid in the association of the associated IOL power for implanted lenses. As such, the PacScan Plus has been designed to capture key measurements such as axial length, anterior chamber depth and corneal thickness with both accuracy and precision.

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmicA-Mode and Pachymeter
Fetal Imaging & OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral VesselPeripheral vessel
Other (Specify)

Prescription Use
(21 CFR 801 Subpart D)

Over-The-Counter Use

(21 CFR 801 Subpart C)

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

AND/OR

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety 510(k) Page 1 of

evices (OIVD)

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