K Number
K100402
Device Name
SITE-RITE VISION ULTRASOUND SYSTEM
Date Cleared
2010-03-05

(17 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Site-Rite Vision™ Ultrasound System is intended for diagnostic ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications include: Fetal Abdominal Intraoperative (semi-critical†) Pediatric Peripheral Vessel Small Organ (breast, thyroid, parathyroid, testicles, prostate, uterus, ovary) Musculo-skeletal (conventional and superficial) Cardiac (adult and pediatric) Typical examinations performed using the Site-Rite Vision™ Ultrasound System include: Vascular Assessment of carotid arteries, aorta, deep veins, superficial veins in the arms and legs, select small vessels supporting organs Vascular Access Guidance for PICC, CVC, dialysis catheter, port, PIV, and arterial line placement, and peripheral vein and artery access Abdominal Assessment of liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, appendix, and surrounding anatomical structures Interventional and Intraoperative Guidance for biopsy, drainage, peripheral nerve blocks, and intraoperative procedures (semi-critical†) Superficial Assessment of breast, thyroid, testicle, lymph nodes, hernias, musculo-skeletal procedures, soft tissue structures, and surrounding anatomical structures
Device Description
Not Found
More Information

Not Found

No
The provided 510(k) summary does not mention AI, ML, deep learning, or any related terms in the device description, intended use, or other sections. The focus is on standard ultrasound imaging capabilities and applications.

No
The intended use explicitly states "diagnostic ultrasound imaging or fluid flow analysis", not therapeutic treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states that the system is "intended for diagnostic ultrasound imaging."

No

The device is described as an "Ultrasound System" and its intended use involves diagnostic ultrasound imaging and fluid flow analysis, which inherently requires hardware components (transducer, processing unit, display) to generate and interpret ultrasound waves. The predicate devices are also described as "Ultrasound Systems," further indicating a hardware component.

Based on the provided information, the Site-Rite Vision™ Ultrasound System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states "diagnostic ultrasound imaging or fluid flow analysis of the human body." This describes a device used to visualize internal structures and processes within the living body, not to perform tests on samples taken from the body (which is the definition of an IVD).
  • Anatomical Site: The listed anatomical sites are all parts of the human body.
  • Input Imaging Modality: Ultrasound is an imaging modality used on the living body.
  • Lack of IVD characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or performing tests outside of the body.

Therefore, the Site-Rite Vision™ Ultrasound System is a medical imaging device, specifically an ultrasound system, and not an IVD.

N/A

Intended Use / Indications for Use

The Site~Rite Vision™ Ultrasound System is intended for diagnostic ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications include: Fetal, Abdominal, Intraoperative (semi-critical†) Pediatric Peripheral Vessel Small Organ (breast, thyroid, parathyroid, testicles, prostate, uterus, ovary) Musculo-skeletal (conventional and superficial) Cardiac (adult and pediatric). Typical examinations performed using the Site-Rite Vision™ Ultrasound System include: Vascular Assessment of carotid arteries, aorta, deep veins, superficial veins in the arms and legs, select small vessels supporting organs; Vascular Access Guidance for PICC, CVC, dialysis catheter, port, PIV, and arterial line placement, and peripheral vein and artery access; Abdominal Assessment of liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, appendix, and surrounding anatomical structures; Interventional and Intraoperative Guidance for biopsy, drainage, peripheral nerve blocks, and intraoperative procedures (semi-critical†); Superficial Assessment of breast, thyroid, testicle, lymph nodes, hernias, musculo-skeletal procedures, soft tissue structures, and surrounding anatomical structures.

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

IYN, IYO, ITX, LLZ

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, Abdominal, Peripheral Vessel, Small Organ (breast, thyroid, parathyroid, testicles, prostate, uterus, ovary), Musculo-skeletal (conventional and superficial), Cardiac, Carotid arteries, aorta, deep veins, superficial veins in the arms and legs, liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, appendix, lymph nodes.

Indicated Patient Age Range

adult & pediatric

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Not Found

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

Not Found

Predicate Device(s): 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.

K071204 - Site-Rite® 6 Ultrasound System, K071134 - SonoSite, Inc. Maxx™ Series Ultrasound System, K053069, K043559 - SonoSite, Inc. High-Resolution Ultrasound System (C3 Series), K043452, K033367, K030949 - SonoSite, Inc. High-Resolution Ultrasound System (C2 Series)

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

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue 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

Image /page/0/Picture/0 description: The image contains a sequence of handwritten characters. The sequence starts with a capital letter 'K', followed by the number '1', and then two 'O's. After that, the numbers '4', '0', and '2' are written. The characters are written in black ink on a white background.

Image /page/0/Picture/1 description: The image shows the logo for "BARD Bard Access Systems". The word "BARD" is in large, bold, sans-serif font. Below the word "BARD" is the phrase "Bard Access Systems" in a smaller, sans-serif font. The logo is black and white.

Site~Rite Vision™ Ultrasound System 510(k) Summary of Safety and Effectiveness

Device trade name:Site-Rite Vision™ Ultrasound System
Device class and panel:Class II, Radiology Devices Panel
Classification Names:Name Product Code CFR Number Ultrasonic Pulsed Doppler Imaging System IYN 892.1550 Ultrasonic Pulsed Echo Imaging System IYO 892.1560 Diagnostic Ultrasonic Transducers ITX 892.1570 Picture Archiving and Communications System LLZ 892.2050
Applicant name:Kimberly Geisler, Henry Boland
Bard Access Systems, Inc. (wholly owned subsidiary of C.R. Bard, Inc.)
605 North 5600 West, Salt Lake City, UT 84116
(801) 522-5000, x5421 or x5428
Predicate devices:K071204 - Site-Rite® 6 Ultrasound System
K071134 - SonoSite, Inc. Maxx™ Series Ultrasound System
K053069, K043559 - SonoSite, Inc. High-Resolution Ultrasound System (C3 Series)
K043452, K033367, K030949 - SonoSite, Inc. High-Resolution Ultrasound System (C2 Series)
Performance Standards:Performance standards have not been established by the FDA under §514 of the
Federal Food, Drug and Cosmetic Act.
Indications for Use:The Site-Rite Vision™ Ultrasound System is intended for diagnostic ultrasound imaging
or fluid flow analysis of the human body. Specific clinical applications include:
Fetal Abdominal Intraoperative (semi-critical†) Pediatric Peripheral Vessel Small Organ (breast, thyroid, parathyroid, testicles, prostate, uterus, ovary) Musculo-skeletal (conventional and superficial) Cardiac (adult and pediatric) Typical examinations performed using the Site-Rite Vision™ Ultrasound System include:
Imaging Applications Exam Type (adult & pediatric) Vascular Assessment of carotid arteries, aorta, deep veins, superficial veins
in the arms and legs, select small vessels supporting organs Vascular Access Guidance for PICC, CVC, dialysis catheter, port, PIV, and arterial
line placement, and peripheral vein and artery access Abdominal Assessment of liver, kidneys, pancreas, spleen, gallbladder, bile
ducts, transplanted organs, abdominal vessels, appendix, and
surrounding anatomical structures Interventional and
Intraoperative Guidance for biopsy, drainage, peripheral nerve blocks, and
intraoperative procedures (semi-critical†) Superficial Assessment of breast, thyroid, testicle, lymph nodes, hernias,
musculo-skeletal procedures, soft tissue structures, and

1 Semi-critical is defined as clinical applications in which the probe contacts mucous membranes or non-intact skin.

surrounding anatomical structures

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three stripes forming its body and wing. The eagle is positioned within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the circumference of the circle.

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

APR 2 9 2010

Bard Access Systems, Inc. % Mr. Robert Mosenkis President CITECH 5200 Butler Pike Plymouth Meeting, PA 19462-1298

Re: K100402

Trade/Device Name: Site-Rite Vision™ Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX, and LLZ Dated: February 12, 2010 Received: February 16, 2010

Dear Mr. Mosenkis:

This letter corrects our substantially equivalent letter of March 5, 2010.

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 Site-Rite Vision™ Ultrasound System, as described in your premarket notification:

Transducer Model Number

128 Element Linear Probe with Buttons 128 Element Linear Probe without Buttons 128 Element Convex Probe

2

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 895. 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 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 yours.

Robert Frecker (for)

Donald St. Pierre Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure(s)

3

Bard Accesss Systems, Inc.
Site~Rite Vision" Ultrasound System
Traditional 510(k) Premarket Notification

510(k) Number (if known):

Device Name:

Site~Rite Vision™ Ultrasound System

Indications for Use:

The Site Vision™ Ultrasound System is intended for diagnostic ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications include:

  • Fetal .
  • Abdominal .
  • Intraoperative (semi-critical1) .
  • . Pediatric
  • Peripheral Vessel .
  • Small Organ (breast, thyroid, parathyroid, testicles, prostate, uterus, ovary) .
  • Musculo-skeletal (conventional and superficial) .
  • Cardiac (adult and pediatric) .

Typical examinations performed using the Site~Rite Vision™ Ultrasound System include:

Imaging ApplicationsExam Type (adult & pediatric)
VascularAssessment of carotid arteries, aorta, deep veins, superficial veins in the arms
and legs, select small vessels supporting organs
Vascular AccessGuidance for PICC, CVC, dialysis catheter, port, PIV, and arterial line
placement, and peripheral vein and artery access
AbdominalAssessment of liver, kidneys, pancreas, spleen, gallbladder, bile ducts,
transplanted organs, abdominal vessels, appendix, and surrounding anatomical
structures
Interventional and
IntraoperativeGuidance for biopsy, drainage, peripheral nerve blocks, and intraoperative
procedures (semi-critical1)
SuperficialAssessment of breast, thyroid, testicle, lymph nodes, hemias, musculoskeletal
procedures, soft tissue structures, and surrounding anatomical structures

T Semi-citical is defined as clinical applications in which the probe contacts mucous membranes or non-intact skin.

Prescription Use V (Part 21 CFR §801 Subpart D)

510K

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)-

Toby H Becker

Division Sign not Parlingia Office of In ion and Safety

K180402

4

| Clinical Application | | Mode of Operation | | | | | | Other*
(Specify) |
|---------------------------|--------------------------------------------------------------------------------------|-------------------|---|-----|-----|--------------------------|-----------------------|---------------------|
| General
(Track 1 Only) | Specific
(Tracks 1 & 3) | B | M | PWD | CWD | Color
Doppler
(CD) | Combined
(Specify) | |
| Ophthalmic | Ophthalmic | | | | | | | |
| | Fetal | N | | | | | B+CD | |
| | Abdominal | N | | | | | B+CD | |
| | Intra-operative (semi-critical¹) | N | | | | | B+CD | |
| | Intra-operative (Neuro) | | | | | | | |
| | Laparoscopic | | | | | | | |
| | Pediatric | N | | | | | B+CD | |
| | Small Organ (breast, thyroid,
parathyroid, testicles, prostate,
uterus, ovary) | N | | | | | B+CD | |
| Fetal Imaging &
Other | Neonatal Cephalic | | | | | | | |
| Other | Adult Cephalic | | | | | | | |
| | Trans-rectal | | | | | | | |
| | Trans-vaginal | | | | | | | |
| | Trans-urethral | | | | | | | |
| | Trans-Esoph. (non-Card.) | | | | | | | |
| | Musculo-skeletal (Conventional) | N | | | | | B+CD | |
| | Musculo-skeletal (Superficial) | N | | | | | B+CD | |
| | Intravascular | | | | | | | |
| | Other (Specify) | | | | | | | |
| | Cardiac Adult | N | | | | | B+CD | |
| | Cardiac Pediatric | N | | | | | B+CD | |
| Cardiac | Intravascular (Cardiac) | | | | | | | |
| | Trans-esoph. (Cardiac) | | | | | | | |
| | Intra-cardiac | | | | | | | |
| | Other (Specify) | | | | | | | |
| Peripheral
Vessel | Peripheral Vessel | N | | | | | B+CD | |
| | Other (Specify) | | | | | | | |

Table 1.3-1 Diagnostic Ultrasound Indications for Use Form - Site~Rite Vision™ Ultrasound System

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

1 Semi-critical is defined as clinical applications in which the probe contacts mucous membranes or non-intact skin.

  • Examples of other modes of operation may include: A-mode, Amplitude Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler, and Color Velocity Imaging

Prescription Use (Per 21 CFR 801.109)

Robert Zeckel
(Division Signer - Printed)

(Division Sign-Off) Division of Radiological De Office of In Vitro Dit on and Safety

510K. 5100402

5

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
Doppler
(CD)Combined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalNB+CD
AbdominalNB+CD
Intra-operative (semi-critical1)NB+CD
Intra-operative (Neuro)
Laparoscopic
PediatricNB+CD
Small Organ (breast, thyroid,
parathyroid, testicles, prostate,
uterus, ovary)NB+CD
Fetal Imaging &
OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-Esoph. (non-Card.)
Musculo-skeletal (Conventional)NB+CD
Musculo-skeletal (Superficial)NB+CD
Intravascular
Other (Specify)
Cardiac AdultNB+CD
Cardiac PediatricNB+CD
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral VesselNB+CD
Other (Specify)

Table 1.3-2 Diagnostic Ultrasound Indications for Use Form - Site~Rite Vision™ Ultrasound System 128 Element Linear Probe with buttons

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

1 Semi-crilical is defined as clinical applications in which the probe contacts mucous membranes or non-intact skin.

    • Examples of other modes of operation may include: A-mode, Amplitude Doppler, 3-D Imaging, Hamonic Imaging, Tissue Motion Doppler, and Color Velocity Imaging
      Prescription Use (Per 21 CFR 801.109)

Robert H. Beckerd
(Division Sign-Off)

Division of Radiological Dey Office of In Vitro Diagnostic Device Evaluation and Safety 510H

: ଉତ୍ତରସିଟ

6

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
Doppler
(CD)Combined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
FetalNB+CD
AbdominalNB+CD
Intra-operative (semi-critical¹)NB+CD
Intra-operative (Neuro)
Laparoscopic
PediatricNB+CD
Small Organ (breast, thyroid,
parathyroid, testicles, prostate,
uterus, ovary)NB+CD
Fetal Imaging &Neonatal Cephalic
OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-Esoph. (non-Card.)
Musculo-skeletal (Conventional)NB+CD
Musculo-skeletal (Superficial)NB+CD
Intravascular
Other (Specify)
Cardiac AdultNB+CD
Cardiac PediatricNB+CD
Intravascular (Cardiac)
CardiacTrans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral VesselNB+CD
VesselOther (Specify)

Table 1.3-3 Diagnostic Ultrasound Indications for Use Form – Site~Rite Vision™ Ultrasound

1.3-3. Diagnostic 1997 Diagnostic Officasour.Linear Probe without buttons

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

  • Semi-critical is defined as clinical applications in which the probe contacts mucous membranes or non-intact skin.
    • Examples of other modes of operation may include: A-mode, Amplitude Doppler, 3-D Imaging, Hamonic Imaging, N.
      The satinity off and and Cales Velecib Imaging Examples of other modes of operation of Color Velocity Imaging
      Prescription Use (Per 21 CFR 801.109)

Robert Becker
(Division Sign-Off)

Division of Radiological Device Division of Radiological Device Evaluation and Safety

510K K100402

: ØØØST

7

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
Doppler
(CD)Combined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
FetalNB+CD
AbdominalNB+CD
Intra-operative (semi-critical¹)NB+CD
Intra-operative (Neuro)
Laparoscopic
PediatricNB+CD
Small Organ (breast, thyroid,
parathyroid, testicles, prostate,
uterus, ovary)
Fetal Imaging &Neonatal Cephalic
OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-Esoph. (non-Card.)
Musculo-skeletal (Conventional)NB+CD
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
Cardiac AdultNB+CD
Cardiac PediatricNB+CD
Intravascular (Cardiac)
CardiacTrans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral VesselNB+CD
VesselOther (Specify)

Table 1.3-4 Diagnostic Ultrasound Indications for Use Form - Site~Rite Vision™ Ultrasound System 128 Element Convex Probe

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

  • Semi-crilical is defined as clinical applications in which the probe conlacts mucous membranes or non-intact skin.
    • Examples of other modes of operation may include: A-mode, Amplitude Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler, and Color Velocity Imaging
      Prescription Use (Per 21 CFR 801.109)

Robert B. Bley/
(Division Sign Off)

(Division Sign-Off) Division of Radiological De Office of In Vitro Diagnostic Device Evaluation and Safety

510K K100402