K Number
K093393
Device Name
LIFEDOP MODEL 300ABI
Date Cleared
2009-12-24

(55 days)

Product Code
Regulation Number
892.1540
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This product will be used to detect blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.
Device Description
The LifeDop is a hand-held, battery powered, audio Doppler device used for blood flow detection in veins and arteries. The product includes two interchangeable ultrasound transducer probes and user replaceable batteries. The user interface includes an on/off button, volume control, 12 button keypad for entering pressure data and printing, single 2-1/4" speaker, and LCD display for displaying data, battery and waveform information. The product is housed in custom injection molded housings. Patient contact materials are ABS and Ploycarbonate injection molded plastic and hypoallergenic aqueous gel used for ultrasound transmission.
More Information

No
The device description details a standard audio Doppler device with basic user interface elements and no mention of AI/ML terms or capabilities.

No
The device is used for detection and diagnosis, not for treatment or therapy. It detects blood flow to assist in the detection of peripheral vascular disease.

Yes
Explanation: The device is described as assisting in the detection of peripheral vascular disease by detecting blood flow, which indicates a diagnostic purpose.

No

The device description clearly states it is a hand-held, battery-powered audio Doppler device with physical components like transducers, a keypad, speaker, LCD display, and custom injection molded housings. This indicates it is a hardware device, not software-only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is performed outside of the body.
  • Device Function: The LifeDop device uses Doppler ultrasound to detect blood flow within the veins and arteries of the patient. This is a non-invasive procedure performed directly on the patient's body.
  • Intended Use: The intended use is to detect blood flow in veins and arteries for assisting in the detection of peripheral vascular disease. This is a diagnostic process performed in vivo (within the living body).

The device's function and intended use clearly fall under the category of an in vivo diagnostic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

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

Product codes

JAF

Device Description

The LifeDop is a hand-held, battery powered, audio Doppler device used for blood flow detection in veins and arteries. The product includes two interchangeable ultrasound transducer probes and user replaceable batteries. The user interface includes an on/off button, volume control, 12 button keypad for entering pressure data and printing, single 2-1/4" speaker, and LCD display for displaying data, battery and waveform information. The product is housed in custom injection molded housings. Patient contact materials are ABS and Ploycarbonate injection molded plastic and hypoallergenic aqueous gel used for ultrasound transmission.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Veins and arteries (Peripheral Vascular)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Clinical Testing: None provided

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

Not Found

Predicate Device(s)

K024197

Reference Device(s)

K063600

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1540 Nonfetal ultrasonic monitor.

(a)
Identification. A nonfetal ultrasonic monitor is a device that projects a continuous high-frequency sound wave into body tissue other than a fetus to determine frequency changes (doppler shift) in the reflected wave and is intended for use in the investigation of nonfetal blood flow and other nonfetal body tissues in motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

K093393

SAFETY AND EFFECTIVENESS SUMMARY Summit Doppler Systems, Inc. LifeDop 300ABI

Name and Address: Summit Doppler Systems, Inc. 4680 Table Mountain Dr. #150 Golden, CO 80403 Phone: (303) 423-7572 Fax: (303) 431-5994 DEC 2 4 2009 Contact: Ken Jarrell - President Preparation Date: October 23, 2009 Device Name: LifeDop 300ABI Common Name: Peripheral Vascular Doppler Classification: Class II per: FR Number Product Code Non-Fetal, Ultrasound Monitor 892.1540 JAF Indications for Use: Vascular (5.0 and 8.0 MHz Probes) This product will be used to detect blood flow in veins and arteries for assisting in the detection of peripheral vascular disease. Description: The LifeDop is a hand-held, battery powered, audio Doppler device used for blood flow detection in veins and arteries. The product includes two interchangeable ultrasound transducer probes and user replaceable batteries. The user interface includes an on/off button, volume control, 12 button keypad for entering pressure data and printing, single 2-1/4" speaker, and LCD display for displaying data, battery and waveform information. The product is housed in custom injection molded housings. Patient contact materials are ABS and Ploycarbonate injection molded plastic and hypoallergenic aqueous gel used for ultrasound transmission. Substantial Equivalence: Summit Doppler Systems Golden, CO LifeDop Doppler Ultrasound System K024197, Cleared 1/3/03 Technologies Summary: Doppler ultrasound technology is the same as substantially equivalent device shown above. There is no change in the intended use of the device. Clinical Testing: None provided Based on comparisons of device features, materials, intended use and Conclusion: performance, the LifeDop 300ABI is shown to be substantially equivalent to the commercially available and legally marketed device indicated above.

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Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (USA). The seal is circular and contains the department's name around the perimeter. In the center is an abstract image of an eagle.

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

Mr. Ken Jarrell President Summit Doppler Systems, Inc. 4680 Table Mountain Dr. #150 GOLDEN CO 80403

DEC 2 4 2009

Re: K093393

Trade/Device Name: LifeDop 300ABI Regulation Number: 21 CFR 892.1540 Regulation Name: Nonfetal ultrasonic monitor Regulatory Class: II Product Code: JAF Dated: October 23, 2009 Received: October 30, 2009

Dear Mr. Jarrell:

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

This determination of substantial equivalence applies to the following transducers intended for use with the LifeDop 300ABI, as described in your premarket notification:

Transducer Model Number

5.0BD MHz CW 8.0BD MHz CW

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.

2

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/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 Shahram Vaezy at (301) 796-6242.

Sincerely vours.

Voppu M. Whing

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

Enclosure(s)

3

Indications for Use

510(k) Number (if known):

K093393

Device Name:

LifeDop 300ABI

Indications For Use:

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

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

_
(Division Sign-bff)

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

Page 1 of 1

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4

Diagnostic Ultrasound Indications for Use Form

LifeDop 300ABI peripheral vascular system with either 5.0BD MHz CW or 8.0BD MHz CW Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

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

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

Additional Comments: _________________________________________________________________________________________________________________________________________________________

8.0 MHz Bi-Directional Peripheral Vascular Probe - K063600, 12/19/06

(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 CRF 801.109)

Arzntrz

(Divisio Division of ductive. Abdomina and Radiolog

510(k) Number

5

Diagnostic Ultrasound Indications for Use Form

5.0BD MHz CW Peripheral Vascular Probe

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

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

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

Additional Comments: _ _The above is for 5.0 MHz Bi-Directional Periphera! Vascular Probe

Previously submitted and cleared on K063600, 12/19/06

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

Prescription Use (Per 21 CRF 801/09)


(Division Si Division of Reproductive, Abdominal. and Radiological Devices

510(k) Number --

30

6

Diagnostic Ultrasound Indications for Use Form

8.0BD MHz CW Peripheral Vascular Probe

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

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

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

Additional Comments:The above is for 8.0 MHz Bi-Directional Peripheral Vascular Probe
-----------------------------------------------------------------------------------------

Previously submitted and cleared on K063600, 12/19/06

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

Prescription Use (Per 21 CRF 801.109)

Lomimhz
(Division Sign-Off)

Division of Reproductive, Abdomina and Radiological Devi 510(k) Number

31