K Number
K102138
Device Name
ULTRASONIC TABLETOP DOPPLER; ULTRASONIC TABLETOP DOPPLER
Date Cleared
2010-10-28

(90 days)

Product Code
Regulation Number
884.2660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ultrasonic TableTop Doppler is intended to be used by health care professionals including registered nurses, practical nurses, midwives, ultrasound technicians, and physician assistants, by prescription from licensed physicians in hospitals, clinics and private offices. The 2 MHz and/or 3 MHz probes are indicated for the detection of fetal heart rate from early gestation thru delivery and as a general indication of fetal well being. They can also be used to verify fetal heart viability following patient trauma. The 4 MHz, 5 MHz and/or 8 MHz vascular probes are indicated for the detection of blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.
Device Description
Ultrasonic TableTop Doppler provides the following primary features: - Basic parameters: FHR, blood flow - 240 seconds fetal heart sound record and playback - Infrared communication(for SD6 only) - Ni-MH battery for 20 hours continuous working of main unit - Li-ion battery for 2.5 hours continuous working of SD6 probe
More Information

Not Found

No
The summary describes a standard Doppler device for detecting heart rate and blood flow, with no mention of AI, ML, or related technologies in the intended use, device description, or performance studies sections.

No
This device is for detection and monitoring (fetal heart rate, blood flow) and does not describe any therapeutic function or intervention.

Yes

This device is used for "detection of fetal heart rate," "general indication of fetal well being," "verify fetal heart viability," and "detection of blood flow in veins and arteries for assisting in the detection of peripheral vascular disease." These functions explicitly refer to the identification or measurement of medical conditions or physiological states.

No

The device description explicitly mentions hardware components such as probes, batteries, and infrared communication, indicating it is not solely software.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • This device uses ultrasound to detect physiological signals (fetal heart rate and blood flow) directly from the patient's body. It does not analyze samples taken from the body.

The device's function is to use external ultrasound technology to listen to and measure internal physiological processes, which falls under the category of medical devices but not specifically in vitro diagnostic devices.

N/A

Intended Use / Indications for Use

The Ultrasonic TableTop Doppler is intended to be used by health care professionals including registered nurses, practical nurses, midwives, ultrasound technicians, and physician assistants, by prescription from licensed physicians in hospitals, clinics and private offices.
The 2 MHz and/or 3 MHz probes are indicated for the detection of fetal heart rate from early gestation thru delivery and as a general indication of fetal well being. They can also be used to verify fetal heart viability following patient trauma.
The 4 MHz, 5 MHz and/or 8 MHz vascular probes are indicated for the detection of blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.
Prescription Use (21 CFR Part 801 Subpart D)
Intended use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows

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

MAA, JAF

Device Description

Ultrasonic TableTop Doppler provides the following primary features:

  • Basic parameters: FHR, blood flow
  • 240 seconds fetal heart sound record and playback
  • Infrared communication (for SD6 only)
  • Ni-MH battery for 20 hours continuous working of main unit
  • Li-ion battery for 2.5 hours continuous working of SD6 probe

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal heart, veins, arteries.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Health care professionals including registered nurses, practical nurses, midwives, ultrasound technicians, and physician assistants, by prescription from licensed physicians in hospitals, clinics and private offices.

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.

K942441, K080087, K092997

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

§ 884.2660 Fetal ultrasonic monitor and accessories.

(a)
Identification. A fetal ultrasonic monitor is a device designed to transmit and receive ultrasonic energy into and from the pregnant woman, usually by means of continuous wave (doppler) echoscopy. The device is used to represent some physiological condition or characteristic in a measured value over a period of time (e.g., perinatal monitoring during labor) or in an immediately perceptible form (e.g., use of the ultrasonic stethoscope). This generic type of device may include the following accessories: signal analysis and display equipment, electronic interfaces for other equipment, patient and equipment supports, and component parts. This generic type of device does not include devices used to image some relatively unchanging physiological structure or interpret a physiological condition, but does include devices which may be set to alarm automatically at a predetermined threshold value.(b)
Classification. Class II (performance standards).

0

Section 1

510(k) Summary of Safety and Effectiveness

OCT 2 8 2010

This summary of 510k safety and effectiveness is being submitted in according with 21CFR part 807.92

| Submitter: | Edan Instruments, Inc
3/F - B, Nanshan Medical
Equipments Park, Nanhai Rd 1019#,
shekou, Nanshan Shenzhen,
518067 P.R. China
Tel: 86-755-26882220
Fax:86-755-26882223
Contact person: Yue Qiuhong |
|-------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official correspondent: | William Stern
Multigon Industries, Inc..
1 Odell Plaza
Yonkers, N.Y. 10701
Phone: 914 376 5200 X27
Fax: 914 376 6111 |
| Date of Preparation: | 2010-7-20 |
| Proprietary Name: | Ultrasonic TableTop Doppler (Models SD5, SD6) |
| Classification Name: | 21 CFR 884.2660 Fetal ultrasonic monitor and accessories
21 CFR 884.2660 Ultrasound Blood Flow Monitor |
| Product code: | MAA/JAF |

Predicate Devices:

| Predicate devices | IMEXDOP CT+ | Sonotrax series pocket
Doppler | Ultrasonic TableTop
Doppler |
|-------------------|------------------------------|-----------------------------------|--------------------------------|
| Manufacturer | Imex Medical
Systems, Inc | Edan Instruments, Inc | Edan Instruments,
Inc |
| K # | K942441 | K080087 | K092997 |

Ultrasonic TableTop Doppler provides the following primary features: Device Description:

  • · Basic parameters: FHR, blood flow
  • · 240 seconds fetal heart sound record and playback
  • · Infrared communication(for SD6 only)
  • Ni-MH battery for 20 hours continuous working of main unit
  • · Li-ion battery for 2.5 hours continuous working of SD6 probe

1

Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features the department's emblem, which is a stylized representation of a human figure embracing another person. The emblem is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA", which is arranged in a circular fashion around the emblem.

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

Ms. Yue Qiuhong Certification Engineer Edan Instruments. Inc. 3/F - B, Nanshan Medical Equipment Park Shenzhen, Guangdong 518067 CHINA

OCT 2 8 2010

Re: K102138

Trade/Device Name: Ultrasonic TableTop Doppler (models SD5 and SD6) Regulation Number: 21 CFR 884.2660 Regulation Name: Fetal ultrasonic monitor and accessories Regulatory Class: II Product Code: MAA and JAF Dated: September 29, 2010 Received: October 4, 2010

Dear Ms. Qiuhong:

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 Ultrasonic TableTop Doppler (models SD5 and SD6), as described in your premarket notification:

Transducer Model Number

5MHz CW Vascular Probe-model: SD5 4MHz CW vascular probe-model SD5 8MHz CW vascular probe-model SD5 5MHz CW wireless vascular probe-model: SD6 4MHz CW wireless vascular probe-model: SD6 8MHz CW wireless vascular probe-model SD6

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/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 Jana Delfino at (301) 796-6503.

Sincerely yours,

Signature

David G. Brown, Ph.D. Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure(s)

3

1741

Ultrasonic TableTop Doppler Traditional 510K Submission

Indication for Use

510(k) Number (if known):

OCT 2 8 2010

Section

Device Name: Ultrasonic TableTop Doppler (models SD5 and SD6)

The Ultrasonic TableTop Doppler is intended to be used by health care professionals including registered nurses, practical nurses, midwives, ultrasound technicians, and physician assistants, by prescription from licensed physicians in hospitals, clinics and private offices.

The 2 MHz and/or 3 MHz probes are indicated for the detection of fetal heart rate from early gestation thru delivery and as a general indication of fetal well being. They can also be used to verify fetal heart viability following patient trauma.

The 4 MHz, 5 MHz and/or 8 MHz vascular probes are indicated for the detection of blood flow in veins and arteries for assisting in the detection of peripheral vascular disease.

× Prescription Use (21 CFR Part 801 Subpart D) And/Or Over the Counter Use (21 CFR Part 801 Subpart C)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

510K. K102138

4

.
Ultrasonic Table Top Doppler 510K Submission
Diagnostic Ultrasound indications for Use For
ill out one form for each ultrasound system and each transducer
5MHz CW vascular probe- model: SD5
imaging or fluid flow analysis of the
Clinical ApplicationIntended use : Diagnostic ultrasoundHAMPWDFCWDColorMode Uperation
AmplitudeColornuman body as follow
Combineother
Ophthalmic OphthalmicDopplerDopplerVelocity
11008 833 6SpecifySpecify
Abdominal Abdominal
Intraoperative(specify) I- Retal1888 118 13
Intraoperative Neurological
Pediatric Pediatric Childer LinkSmall Organ(specify)
Cardiac Cardiac CardiacNeonatal Cephalic .ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘ
Transesophageal Transes
Transrectal
Transvaginal Land Call
Peripherain VascularTransurethral The St
Intravascularar Pri. In Bissis -
Conventional ConventionalLaparoscopic I
Musculo-skeletal11:3ﺍﻟﻤﻮﺿﻮﻉ ﺍﻟﻤﻮﺿﻮﻋﺎﺕ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤ
Musculo-skeletal SuperficialOther
، ﻭﻳﺘﻢ ﻣ100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Contraction Comments ofNenew indication; P-previously cleared by FDA e-ADDED UNDER appendix B
Additional Comments: The above is a 5MHz CW transducer for the blood flow detection,
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্রে প্রায়PERSE PERSONAL CONCURRENCE OF carb, Office of Device Evaluation (ODE I FNEEDED AND AND Aनामुळ്ചിക്19
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5

Ultrasonic Table Top Doppler 510K Submission,

. . Diagnostic Ultrasound indications for Use Form

Fill out one form for each ultrasound system and each transducer. a problem 1 1 4MHz CW vascular probe- model: SD5

| Clinical Application | A | B | M | PWD | CWD | Mode Operation | | Color
Velocity
Imaging | Combined
(specify) | Other
(specify) |
|------------------------------|---|---|---|-----|-----|------------------|----------------------|------------------------------|-----------------------|--------------------|
| Ophthalmic | | | | | | Color
Doppler | Amplitude
Doppler | | | |
| Fetal | | | | | | | | | | |
| Abdominal | | | | | | | | | | |
| Intraoperative (specify) | | | | | | | | | | |
| Intraoperative Neurological | | | | | | | | | | |
| Pediatric | | | | | | | | | | |
| Small Organ(specify) | | | | | | | | | | |
| Neonatal Cephalic | | | | | | | | | | |
| Cardiac | | | | | | | | | | |
| Transesophageal | | | | | | | | | | |
| Transrectal | | | | | | | | | | |
| Transvaginal | | | | | | | | | | |
| Transurethral | | | | | | | | | | |
| Intravascular | | | | | | | | | | |
| Peripheraln Vascular | | | | | N | | | | | |
| Laparoscopic | | | | | | | | | | |
| Musculo-skeletal | | | | | | | | | | |
| Conventional | | | | | | | | | | |
| Musculo-skeletal Superficial | | | | | | | | | | |
| Other | | | | | | | | | | |

ﺍﻟﻤﺴﺘﻘﻠﺔ ﺍﻟﻤ

ੋ ਸ਼ਹਿਰ

. :

ាន់​នៅ​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​ជា​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

ਾ ਸੀ। ਉਸਦੇ ਸ

Additional Comments: The above is a 4MHz CW transducer for the blood flow detection,

Pattern . . . . . . . . . . . . . . . . . . . . . . . . .

13

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510K

් පිහිටි විද්‍යා දින දිස්ත්‍රියා දින අධික්‍රියා විද්‍යා පිහිටු බව විසින් විසින් වි

:

PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE I FNEEDED CONCURRENCE OF cdrts, Office of Device Evaluation (ODE)

: 上海

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

6

Ultrasonic Table Top Doppler 510K Submission

新闻网

. Diagnostic Ultrasound indications for Use Form

Fill out one form for each ultrasound system and each transducer. a problema a problem 8MHz CW vascular probe-model: SD5 - - 1 percent

111 18

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Clinical ApplicationMode Operation
র কMBCHWDESEWOColorAmplitudeColor
1988 2021 35Combiner
Ophthalmic
Fetal
Abdominal
Intraoperative(specify)
Intraoperative Neurological. Salaman
Pediatrica
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