K Number
K102253
Device Name
ECHO BLASTER
Manufacturer
Date Cleared
2011-03-14

(217 days)

Product Code
Regulation Number
892.1560
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Echo Blaster 128 / Echo Blaster 64 ultrasound imaging systems are intended to be used for applications in fetal, abdominal, pediatric, small organ (breast, thyroid and testicles), cephalic (neonatal and adult), musculoskeletal (conventional), musculoskeletal (superficial), cardiac adult and peripheral vessel (including imaging for needle guidance, see ch.1.3). It is possible to provide diagnostic information (B, B+M and M-mode imaging) outside of an imaging lab, including at the bedside systems, for navigated medical application, in operating rooms/critical care units.

Device Description

Echo Blaster 128 / Echo Blaster 64 systems are intended for the multipurpose ultrasound examinations, based on electronic linear and convex scanning. Echo Blaster 128 / Echo Blaster 64 system is a combination of proprietary hardware and software that has been designed for real-time imaging and is intended to be a basic diagnostic tool. The System is based on a modular and flexible architecture allowing for both mobile and stationary (installed) configurations. The system is designed for imaging with transducer ranges of 2 to 10 MHz. The devices referenced in this submission represent a transportable, software-controlled, diagnostic ultrasound system with accessories. This submission does not include technology or control feature changes nor deviations from indications for use different from those demonstrated in previously cleared devices operating in ultrasound B-Mode or M-Mode, inclusive of the predicate devices so claimed. The Echo Blaster 128 / Echo Blaster 64 only contains the hardware and firmware, everything else (e.g. ultrasound software, database) is located on a standard PC that is connected to the Echo Blaster 128 / Echo Blaster 64 via USB 2.0. Minimum requirements are given for the PC. The probes are connected to the Echo Blaster 128 / Echo Blaster 64. All Sonograms are saved on the PC and can there be evaluated, printed and archived. The Echo Wave software was especially designed for the Echo Blaster 128 / Echo Blaster 64. Software able to reside in a Windows-based PC. The Echo Blaster 128 / Echo Blaster 64 can be used together with the appropriate probes for the entire ultrasound diagnostic (2MHz to 10MHz probes can work simultaneously for Echo Blaster 128 2Z modifications.

AI/ML Overview

The Telemed Echo Blaster 64 and 128 are ultrasound imaging systems. This 510(k) submission primarily focuses on establishing substantial equivalence to previously cleared predicate devices by demonstrating compliance with safety and performance standards. The information provided does not detail a study involving clinical performance metrics typically associated with AI/algorithm-driven devices, as the product is a general-purpose ultrasound system.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

For this device, the "acceptance criteria" are compliance with established international and national safety and performance standards for medical electrical equipment and diagnostic ultrasound, rather than specific clinical performance metrics like sensitivity or specificity. The "reported device performance" is the assertion of full compliance with these standards.

Acceptance Criteria (Standards Met)Reported Device Performance (Compliance)
IEC 60601-1: 2000 (General safety)Full compliance with safety requirements as referenced in DECLARATION OF CONFORMITY (Appendix 06).
IEC 60601-1-2: 2001 (EMC requirements)Full compliance with EMC requirements as referenced in DECLARATION OF CONFORMITY (Appendix 06).
IEC 60601-1-4: 1996 (Programmable Medical Systems)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
IEC 60601-2-37: 2007-08 (Specific requirements for ultrasonic medical diagnostic and monitoring equipment)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
NEMA UD 2-2004 (Acoustic Output Measurement Standard)Maximum acoustic output level is under the FDA recommended limit and power level is displayed all the time. Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
NEMA UD 3-2004 (Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
AIUM MUS: 2002 (Medical Ultrasound Safety)Acoustic output is in accordance with the ALARA principle. Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
ISO-10993-1, -5, -10, -11 (Biological Evaluation of Medical Devices)Biocompatibility testing performed and determined to be in full compliance. Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
IEC 62304: 2006 (Medical device software -- Software life cycle processes)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
ISO 14971:2007 (Risk management to medical devices)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
Essential Requirements of Council directive 93/42/EEC (Medical Device Directive)Full compliance as referenced in DECLARATION OF CONFORMITY (Appendix 06).
Cleaning and disinfection effectivenessCleaning and disinfection effectiveness testing performed and determined to be in full compliance.
Equivalence to predicate devices (Ardent Sound, Inc.; Voyager K050551; Ardent Sound, Inc.; Seeker/Spark K060800; Medison America, Inc: MYSONO 201 K003121)Device functions and indications are substantially equivalent to predicate devices.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The submission does not describe a clinical performance study with a "test set" in the context of an AI/algorithm-driven device. The device is a general-purpose ultrasound system. The "testing" involved compliance with established engineering, safety, and performance standards. Therefore, information about clinical test set sample size, country of origin, or retrospective/prospective nature is not applicable here.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. As noted above, this submission doesn't describe a clinical performance study requiring expert-established ground truth for a test set. Evaluation was against technical standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. No adjudications for a clinical test set are mentioned.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No. This submission describes a general-purpose ultrasound imaging system, not an AI-assisted diagnostic algorithm. Therefore, no MRMC study comparing human reader performance with and without AI assistance was conducted or is relevant to this submission.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

No. This is a hardware and software system for real-time ultrasound imaging operated by a human, not a standalone algorithm performing diagnostic tasks.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

Not applicable. For this type of device (general-purpose ultrasound), "ground truth" relates to compliance with engineering specifications, safety limits and image quality parameters defined by industry standards, rather than clinical diagnostic accuracy against a specific pathology.

8. The sample size for the training set

Not applicable. This device is an ultrasound system; it does not involve AI model training on a "training set" of medical data in the way a diagnostic AI algorithm would.

9. How the ground truth for the training set was established

Not applicable, as there is no mention of a "training set" for an AI model in this submission.

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

K102253

510(k) Premarket Submission
Date: DEC 20 2010Rev IPg. 1.2-3
510k Summary
1.ldentifying information1 4 2011MAR
ManufacturerTELEMED
AddressDariaus ir Gireno str. 42 Vilnius LT-02189 Lithuania
Telephone+370-5 2106272 +370-5 2106273
Fax+370-5 2306733
E-mailinfo@telemed.lt
ContactYury Sokolov / Engineering Manager
Name of DeviceEcho Blaster 64 / Echo Blaster 128
2.Class and Predicate Information
ClassificationUltrasonic Pulsed Echo Imaging System21 CFR 892.1560, IYO
NameDiagnostic Ultrasonic Transducers21 CFR 892.1570, ITX
Common NameUltrasound imaging system
Propietary NameEcho Blaster
ClassRegulatory Class II
Predicate DevicesArdent Sound, Inc .;VoyagerK050551
Ardent Sound, Inc .;Seeker/SparkK060800
Medison America, Inc:MYSONO 201K003121

3. Performance Standards

Performance Standards None

The Echo Blaster family has been designed to meet the following:

Safety and EMC Requirements for Medical Equipment:

IEC 60601-1: 2000, Part 1: General requirements for safety.

IEC 60601-1-2: 2001, Part 1: General requirements for basic safety and essential performance, 2.Collateral standard: Electromagnetic compatibility - Requirements and tests

K003121

IEC 60601-1-2: 2001, Part 1: General requirements for basic safety and essential performance, 2.Collateral standard: Electromagnetic compatibility - Requirements and tests

IEC 60601-1-2: 2001, Part 1: General requirements for basic safety and essential performance, 2.Collateral standard: Electromagnetic compatibility - Requirements and tests

IEC 60601-1-2: 2001, Part 1: General requirements for basic safety and essential performance, 2.Collateral standard: Electromagnetic compatibility - Requirements and tests

IEC 60601-1-4: 1996, Part 1: General Requirements for Safety, 4.Collateral Standard: Programmable Electrical Medical Systems

IEC 60601-2-37: 2007-08 Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment

NEMA UD 2-2004: 2003, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment

NEMA UD 3-2004: 2004, Standard for Real Time Display of Thermal and Mechanical

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

Image: LogoEcho Blaster510(k) Premarket Submission
TELEMEDUltrasound medical systemsDate: DEC 20 2010Rev.: 1Pg. 1.2-4

Acoustic Output Indices on Diagnostic Ultrasound Equipment AIUM MUS: 2002, Medical Ultrasound Safety ISO-10993-1, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing, 2003 ISO-10993-5, Biological Evaluation of Medical Devices Part 5: Tests for in vitro cytotoxicity , 1999 ISO-10993-10, Biological Evaluation of Medical Devices Part 10: Tests for irritation and delayed-type hypersensitivity, 2002 ISO-10993-11, Biological Evaluation of Medical Devices Part 11: Tests for systemic toxicity, 2006 IEC 62304: 2006 Medical device software -- Software life cycle processes ISO 14971:2007 Medical devices -- Application of risk management to medical devices

Essential Requirements of Council directive 93/42/EEC (Medical Device Directive)

The system's acoustic output is in accordance with ALARA principle (as low as reasonably achievable)

4. Indication for Use

Echo Blaster 128 / Echo Blaster 64 ultrasound imaging systems are intended to be used for applications in fetal, abdominal, pediatric, small organ (breast, thyroid and testicles), cephalic (neonatal and adult), musculoskeletal (conventional), musculoskeletal (superficial), cardiac adult and peripheral vessel (including imaging for needle guidance, see ch.1.3). It is possible to provide diagnostic information (B, B+M and M-mode imaging) outside of an imaging lab, including at the bedside systems, for navigated medical application, in operating rooms/critical care units.

System
Echo Blaster 64Fetal*, Abdominal*, Pediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic, Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Cardiac Adult*, Peripheral vessel*
TransducersC3.5/60/64Fetal*, Abdominal*, Pediatric*
HL7.5/40/64Pediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic, Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Peripheral vessel*
PV6.5/10/64Small Organ* (Breast, Thyroid, Testicles), Cardiac Adult*, Peripheral vessel*
SystemEcho Blaster 128Fetal*, Abdominal*, Pediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic, Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Cardiac Adult*, Peripheral vessel*
TransducersC3.5/60/128ZFetal*, Abdominal*, Pediatric*
HL9.0/40/128ZPediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic, Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Peripheral vessel*
PV6.5/10/128ZL5.0/80/128ZSmall Organ* (Breast, Thyroid, Testicles), Cardiac Adult*, Peripheral vessel*Musculo-skeletal*(Conventional), Musculo-skeletal* (Superficial)

*Including Imaging for needle guidance

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

Image /page/2/Picture/1 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a heart rate monitor graphic inside. To the right of the diamond is the word "TELEMED" in a bold, sans-serif font. Below the word "TELEMED" is the phrase "Ultrasound medical systems" in a smaller, serif font.

Echo Blaster
510(k) Premarket Submission
Date: DEC 20 2010Rev.: 1Pg. 1.2-5

5. Device Description

Echo Blaster 128 / Echo Blaster 64 systems are intended for the multipurpose ultrasound examinations, based on electronic linear and convex scanning.

Echo Blaster 128 / Echo Blaster 64 system is a combination of proprietary hardware and software that has been designed for real-time imaging and is intended to be a basic diagnostic tool. The System is based on a modular and flexible architecture allowing for both mobile and stationary (installed) configurations. The system is designed for imaging with transducer ranges of 2 to 10 MHz.

The devices referenced in this submission represent a transportable, software-controlled, diagnostic ultrasound system with accessories. This submission does not include technology or control feature changes nor deviations from indications for use different from those demonstrated in previously cleared devices operating in ultrasound B-Mode or M-Mode, inclusive of the predicate devices so claimed.

The Echo Blaster 128 / Echo Blaster 64 only contains the hardware and firmware, everything else (e.g. ultrasound software, database) is located on a standard PC that is connected to the Echo Blaster 128 / Echo Blaster 64 via USB 2.0. Minimum requirements are given for the PC. The probes are connected to the Echo Blaster 128 / Echo Blaster 64. All Sonograms are saved on the PC and can there be evaluated, printed and archived. The Echo Wave software was especially designed for the Echo Blaster 128 / Echo Blaster 64. Software able to reside in a Windows-based PC.

The Echo Blaster 128 / Echo Blaster 64 can be used together with the appropriate probes for the entire ultrasound diagnostic (2MHz to 10MHz probes can work simultaneously for Echo Blaster 128 2Z modifications.

The devices included in this submission are as follows:

Echo Blaster 128 EXT-1Z ultrasound system utilizing as hardware and firmware an ultrasound engine contained in a small stand alone enclosure for connection to a host PC via a USB port:

Echo Blaster 128 INT-1Z / INT-2Z ultrasound systems utilizing as hardware and firmware an ultrasound engine contained in a small enclosure for insertion to a host PC (to a drive bays).

A probe, 128 element convex array, at a central ultrasonic frequency of approximately 3.5MHz, model C3.5/60/128Z.

A probe, 128 element linear array at a central ultrasonic frequency of approximately 9 MHz, model HL9.0/40/128Z

A probe, 128 element convex array at a central ultrasonic frequency of approximately 6,5 MHz. model PV6.5/10/128Z.

A probe, 128 element convex array at a central ultrasonic frequency of approximately 6.5 MHz, model L5/80/128Z.

Echo Blaster 64 EXT-1T ultrasound system utilizing as hardware and firmware an ultrasoundengine contained in a small stand alone enclosure for connection to a host PC via a USB port; A probe, 64 element convex array, at a central ultrasonic frequency of approximately 3.5 MHz,

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

Kloaa53

Image /page/3/Picture/1 description: The image shows the logo for Telemed Ultrasound Medical Systems. The logo consists of a diamond shape with a stylized waveform inside, followed by the word "TELEMED" in bold, uppercase letters. Below "TELEMED" is the phrase "Ultrasound medical systems" in a smaller font.

Echo Blaster
510(k) Premarket Submission
Date: DEC 20 2010Rev.: IPg. 1,2-6

model C3.5/60/64.

A probe, 64 element linear array at a central ultrasonic frequency of approximately 7.5 MHz, model HL7.5/40/64

A probe, 64 element convex array at a central ultrasonic frequency of approximately 6.5 MHz, model PV6.5/10/64.

6. General Safety and Effectiveness

The Echo Blaster 128 / Echo Blaster 64 Ultrasound Systems are similar to currently distributed ultrasonic pulsed echo imaging systems.

There are no technological characteristics or features or indications for use in this Submission that are not previously evaluated and approved in the predicate devices, nor are there such technologies, features and indications for use not commonly used in the practice of diagnostic ultrasound.

The Echo Blaster Ultrasound Systems and its accessories are designed for compliance to all applicable medical devices safety standards; as referenced in DECLARATION OF CONFORMITY (Appendix 06). Prior release for manufacturing, all such devices, so designed, are tested and determined to be in full compliance with acoustic output, biocompatibility, cleaning and disinfection effectiveness. No additional clinical testing is required, as the indications for use are not a novel indication as shown by the predicate devices in Section 1.5 Predicate Device Comparison. Maximum acoustic output level is under by the FDA recommended limit and power level is displayed all the time.

7. Patient Contact Materials

The materials of probes, coming in contact with patient are: Silicone Rubber Acrylonitrile Butadien Styrene (ABS) Polyphenylsulfone (PPSU) Standard for the biological evaluation: ISO-10993-1, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing, 2003 ISO-10993-5, Biological Evaluation of Medical Devices Part 5: Tests for in vitro cytotoxicity , 1999 ISO-10993-10, Biological Evaluation of Medical Devices Part 10: Tests for irritation and delayed-type hypersensitivity, 2002

ISO-10993-11, Biological Evaluation of Medical Devices Part 11: Tests for systemic toxicity, 2006

8. Software

The Echo Blaster 128 / Echo Blaster 64 systems contain the hardware and software which collect and pro-processes 'rough'' data and send it via USB 2.0 connection to a Windows® based PC. The main application software is Echo Wave software running on the PC, it is receiving data, processing and showing image/data on the screen. The main user interface shows an ultrasound image, controls and drop-out menus. The ultrasound images and calculated/measured data can be stored

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

K102253

TELEMEDUltrasound medical systemsEcho Blaster510(k) Premarket Submission
Date:DEC 20 2010Rev.: IPg.1.2-7

in memory.

9. Conclusion

In accordance with the FDA and based on the information provided in this Premarket notification, TELEMED concludes that the Echo Blaster 128 / Echo Blaster 64 are safe and effective and substantially equivalent to predicate devices described herein.

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

Image /page/5/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, with a bird-like figure formed by the negative space within the caduceus. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus.

Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993

TELEMED % Mr. Norbert Stuiber Responsible Third Party Official TÜV SÜD America, Inc. 1775 Old Highway 8 NW, Ste 104 NEW BRIGHTON MN 55112-1891

MAR 1 4 201

Re: K102253

Trade/Device Name: ¿Echo Blaster 64' and *Echo Blaster 128' Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO and ITX Dated: February 4, 2011 Received: March 2, 2011

Dear Mr. Stuiber:

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 'Echo Blaster 64' and 'Echo Blaster 128', as described in your premarket notification:

Transducer Model Number

'Echo Blaster 64'

C3.5/60/64 Convex Array HL7.5/40/64 Linear Array PV6.5/10/64 Convex Array 'Echo Blaster 128'

C3.5/60/128Z Convex Array HL9.0/40/128Z Linear Array PV6.5/10/128Z Convex Array L5/80/128Z Linear Array

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

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 vour 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 anv 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,

Mary S Patel

Mary S. Pastel, Sc. D. Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure(s)

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

Image /page/7/Picture/0 description: The image shows a logo with a diamond shape on the left and the word "TELEMED" on the right. Below the word "TELEMED" is the text "Ultrasound medical systems" in a smaller font. Inside the diamond shape is a graphic that resembles a heartbeat or sound wave.

1.3 Indications for Use

All indications for use of subject devices and probes are identified in the table forms:

System
Echo Blaster 64Fetal*, Abdominal*, Pediatric*, Small Organ*(Breast, Thyroid, Testicles), Neonatal Cephalic,Adult Cephalic, Musculo-skeletal* (Conventional),Musculo-skeletal* (Superficial), Cardiac Adult*,Peripheral vessel*Table 1.3-1
TransducersC3.5/60/64Fetal*, Abdominal*, Pediatric*
HL7.5/40/64Pediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic,Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Peripheral vessel*
PV6.5/10/64Small Organ* (Breast, Thyroid, Testicles), Cardiac Adult*, Peripheral vessel*
System
Echo Blaster 128Fetal*, Abdominal*, Pediatric*, Small Organ*(Breast, Thyroid, Testicles), Neonatal Cephalic,Adult Cephalic, Musculo-skeletal* (Conventional),Musculo-skeletal* (Superficial), Cardiac Adult*,Peripheral vessel*Table 1.3-5
TransducersC3.5/60/128ZFetal*, Abdominal*, Pediatric*
HL9.0/40/128ZPediatric*, Small Organ* (Breast, Thyroid, Testicles), Neonatal Cephalic, Adult Cephalic,Musculo-skeletal* (Conventional), Musculo-skeletal* (Superficial), Peripheral vessel*
PV6.5/10/128ZSmall Organ* (Breast, Thyroid, Testicles), Cardiac Adult*, Peripheral vessel*
L5.0/80/128ZMusculo-skeletal*(Conventional), Musculo-skeletal* (Superficial)

*Including Imaging for needle guidance

510K

Mary S. Patil

(Division Sign-Off)

Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety

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

Image /page/8/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a stylized "A" inside, followed by the word "TELEMED" in bold, sans-serif font. Below "TELEMED" is the text "Ultrasound medical systems" in a smaller font size.

Echo Blaster510(k) Premarket Submission
Date: JUL 16 2010Rev.: CPg. 1.3-2

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 64

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Table 1.3-1

Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal²NNN B+M
Abdominal²NNN B+M
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric²NNN B+M
Small Organ (specify) ²N1N1N B+M
Neonatal CephalicNNN B+M
Fetal ImagingAdult CephalicNNN B+M
& OtherTrans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) ²NNN B+M
Musculo-skeletal(Superficial) ²NNN B+M
Intravascular
Other (specify)
Cardiac Adult²NNN B+M
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralPeripheral vessel²NNN B+M
VesselOther (specify)
Table 1.3-2
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal2NNN B+M
Abdominal2NNN B+M
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric2NNN B+M
Small Organ (specify)
Neonatal Cephalic
Fetal Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric²NNN B+M
Small Organ (specify) ²N B+M
Neonatal CephalicNNN B+M
Fetal Imaging& OtherAdult CephalicNNN B+M
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) ²NNN B+M
Musculo-skeletal(Superficial) ²NNN B+M
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel²NNN B+M
Other (specify)
Table 1.3-4
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric
Small Organ (specify) 2N1N1N B+M
Neonatal Cephalic
Fetal Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) 2
Musculo-skeletal(Superficial) 2
Intravascular
Other (specify)
Cardiac Adult2NNN B+M
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel2NNN B+M
Other (specify)
Clinical ApplicationMode of OperationOther *(specify)
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)
OphthalmicOphthalmic
Fetal2NNN B+M
Abdominal2NNN B+M
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric2NNN B+M
Small Organ (specify) 2N1N1N B+M
Neonatal CephalicNNN B+M
Fetal Imaging& OtherAdult CephalicNNN B+M
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) 2NNN B+M
Musculo-skeletal(Superficial) 2NNN B+M
Intravascular
Other (specify)
Cardiac Adult2NNN B+M
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel2NNN B+M
Other (specify)
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal²NNN B+M
Abdominal²NNN B+M
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric²NNN B+M
Small Organ (specify)
Neonatal Cephalic
Fetal Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional)
Musculo-skeletal(Superficial)
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)
Table 1.3-7
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal Imaging& OtherFetal
Abdominal
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric²NNN B+M
Small Organ (specify) ²N B+M
Neonatal CephalicNNN B+M
Adult CephalicNNN B+M
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) ²NNN B+M
Musculo-skeletal(Superficial) ²NNN B+M
Intravascular
Other (specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel²NNN B+M
Other (specify)

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

Note 1 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Mary Spatola
(Division Sign-Off)

Division of Radiological Device Office of In Vitro Diagnostic Device Ev and Safety

510K Y102253

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

Image /page/9/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a graphic inside, followed by the word "TELEMED" in bold, sans-serif font. Below "TELEMED" is the text "Ultrasound medical systems" in a smaller font size.

Date: JUL 16 2010 Rev.: C

Pg. 1.3-3

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 64

Transducer: Convex array C3.5/60/64

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

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

Note 1 -Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Mary S Potter
(Division Sign-Off)

510K.

Division of Radiologic Office of In Vitro

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

Image /page/10/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a stylized waveform inside, followed by the word "TELEMED" in bold, sans-serif font. Below "TELEMED" is the text "Ultrasound medical systems" in a smaller font size.

Rev.: C

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 64

Transducer: Linear array HL7.5/40/64

Pg. 1.3-4

lntended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Table 1.3-3

Date: JUL 16 2010

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

Note 3 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Man Shatl
(Division Sign-Off)

Division of Radiological De Office of In Vitro iaonostic Device Fr n and Safety

510K

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

Image /page/11/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a stylized waveform inside, followed by the word "TELEMED" in bold, uppercase letters. Below "TELEMED" is the phrase "Ultrasound medical systems" in a smaller font.

Rev.: C

Pg. 1.3-5

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 64

Transducer: Convex array PV6.5/10/64

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

Date: JUL 16 2010

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

Note 1 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Mary Slattery
(Division Sign-Off)

Division of Re Office of In V

510K K102253

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

Image /page/12/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a waveform inside, followed by the word "TELEMED" in bold, uppercase letters. Below the word "TELEMED" is the phrase "Ultrasound medical systems" in a smaller font.

Date: JUL 16 2010 Rev.: C

Pg. 1.3-6

Diagnostic Ultrasound Indications for Use Form

System:

Echo Blaster 128 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Table 1.3-5

Table 1.3-5

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

Note 1 -Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Musshell
(Division Sign-Off)

Division of Radiological Dev Office of In Vitro Diagnos and Safety

510K K102253

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

Image /page/13/Picture/0 description: The image shows a logo for Telemed Ultrasound Medical Systems. The logo features a diamond shape with a stylized waveform inside, followed by the word "TELEMED" in bold, sans-serif font. Below "TELEMED" are the words "Ultrasound medical systems" in a smaller font size.

Date: JUL 16 2010 Rev.: C

Pg. 1.3-7

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 128

Transducer: Convex array C3.5/60/128Z

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

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

Note 1 -Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Mury Patil
(Division Sign-Off)

Division of Radiologics Office of In Vitro Diagnostic Device Eva

510K

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

Image /page/14/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a heart rate graphic inside. To the right of the diamond is the word TELEMED in bold, followed by the words Ultrasound medical systems in a smaller font.

Pg. 1.3-8

Rev.: C

.

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 128

Transducer: Linear array HL9.0/40/128Z

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

Date: JUL 16 2010

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

Note 1 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Muss S Patel
(Division Sign-Off)

510K

Office of In Vitro

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

Image /page/15/Picture/0 description: The image shows the logo for TELEMED Ultrasound medical systems. The logo consists of a diamond shape with a waveform inside, followed by the word "TELEMED" in bold, uppercase letters. Below the word "TELEMED" is the phrase "Ultrasound medical systems" in a smaller font size. The logo appears to be printed in black ink on a white background.

Rev.: C

Pg. 1.3-9

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 128

Transducer: Convex array PV6.5/10/128Z

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Table 1.3-8

Date: JUL 16 2010

Clinical ApplicationMode of OperationOther *(specify)
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric
Small Organ (specify) 2N1N1N B+M
Neonatal Cephalic
Fetal Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) 2
Musculo-skeletal(Superficial) 2
Intravascular
Other (specify)
Cardiac Adult2NNN B+M
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel2NNN B+M
Other (specify)

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

Note 1 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

Mayshsted
(Division Sign-Off)

Office of In Vitro Diagnostic D

510K K102253

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

Pg. 1.3-10

Diagnostic Ultrasound Indications for Use Form

System: Echo Blaster 128

Transducer: Linear array L5/80/128Z

Rev.. C

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

Date: JUL 17 2010

Table 4.3-1
Clinical ApplicationMode of Operation
General(Track 1 Only)Specific(Track 1 & 3)BMPWDCWDColorDopplerCombined(specify)Other *(specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative (Neuro)
Laparoscopic
Pediatric
Small Organ (specify)
Neonatal Cephalic
Fetal Imaging& OtherAdult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (Non-Card)
Musculo-skeletal(Conventional) 2N
Musculo-skeletal(Superficial) 2N
Intravascular
Other (specify)
Cardiac Adult
Cardiac Pediatric
CardiacIntravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (specify)
PeripheralVesselPeripheral vessel
Other (specify)

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

Note 1 - Small Organs (specifically Breast, Thyroid, Testicles)

Note 2 - Including imaging for needle guidance

May Srostel
(Division Sign-Off)

Division of Radiological Device Vitro Diagnostic Device Evaluation and Safety Office of In

510K K102253

§ 892.1560 Ultrasonic pulsed echo imaging system.

(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.