K Number
K102390
Device Name
SONOSITE NANOMAXX SERIES ULTRASOUND SYSTEM
Manufacturer
Date Cleared
2010-11-19

(88 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SonoSite NanoMaxx Series Ultrasound System is a general purpose ultrasound system intended for use by a qualified physician for evaluation by ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications and exam types include: Fetal/OB; Abdominal; Pediatric; Small Organ (breast, thyroid, testicles, prostate); Trans-rectal; Trans-vaginal Peripheral Vessel; Intraoperative (abdominal organs, vascular); Musculoskeletal Conventional & Superficial, Cardiac Adult and Pediatric.
Device Description
The SonoSite NanoMaxx Series Ultrasound System is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display high-resolution, real-time ultrasound data in 2D, Doppler, M-Mode, Color Power Doppler or in a combination of these modes. The hand-carried system weighs less than 6 pounds and has a touch screen interface with minimal controls to facilitate disinfection and cleaning. The system provides measurement capabilities for anatomical structures and fetal biometry to provide information used for clinical diagnostic purposes. The system also includes the ability to measure the intima-media thickness (IMT) of the carotid artery using digital ultrasound images, which is used in conjunction with traditional risk assessment models to assess individual cardiovascular disease risk. The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities, including wireless networking, to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images. Security support is also provided to facilitate HIPAA compliance. The system supports the eFilm Lite™ application, which allows studies stored on a memory device in DICOMDIR format to be viewed. This viewing software can be launched on a PC when the license option is enabled. The system includes a variety of accessories including a stand, dock featuring a video in/out port, a printer port, printer, VESA mounting arm and needle guide kits. The system includes three USB host supports for peripherals and an Ethernet port for data transfer of patient data. The system also features SiteLink™ allowing an additional method for the export of patient data. Storage devices include memory sticks. The V-Universal™ stand provides a mobile work platform for the NanoMaxx, as well as a storage area for transducers and other supplies. It also provides connections for system accessories and peripherals. The PowerPark docking stand consists of two components, the dock (plugs into a power outlet and sits on the floor) and the stand module (attaches to underside of stand). An AC adapter on the stand module allows for manual connection to AC power. The PowerPack battery uses lithium-ion technology and mounts on the V Universal™ stand. LED lights on the PowerPack indicate the amount of available battery power, as well as charge status. SonoSite Workflow Solutions (SWS) is a software program for organizing exams from the NanoMaxx. SWS operates on a host server and users require a login to access the program. Patient exam information can be transferred from the ultrasound to SWS by exporting data from the ultrasound to a USB storage device, then importing it from the USB storage device. The use of a USB keyboard, barcode reader and medical grade printer is supported by the system, which allows manual entry of patient demographics, scanning entry of patient demographics and the capability to print images and/or reports. The system/transducer is capable of exceeding a TI or an MI of 1.0 in certain operating modes or mode combinations. The system monitor displays the current output level in terms of the bioeffects indices ("Mechanical Index [M]" and "Thermal Index [TI]") in accordance with the AIUM/NEMA Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment.
More Information

Not Found

No
The document describes a standard ultrasound system with digital processing and communication capabilities, but there is no mention of AI or ML in the intended use, device description, or any other section.

No.
The SonoSite NanoMaxx Series Ultrasound System is described as a diagnostic ultrasound system used to acquire and display high-resolution, real-time ultrasound data for clinical diagnostic purposes, not for treating any medical condition.

Yes

The device description explicitly states, "The SonoSite NanoMaxx Series Ultrasound System is a full featured, general purpose, software controlled, diagnostic ultrasound system." It also mentions its use for "clinical diagnostic purposes."

No

The device description clearly states it is a "hand-carried system" weighing less than 6 pounds with a touch screen interface and includes various hardware components and accessories like a stand, dock, printer, USB ports, Ethernet port, and battery. While it is software-controlled and includes software features, it is fundamentally a hardware device with integrated software.

Based on the provided information, the SonoSite NanoMaxx Series Ultrasound System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states it's for "evaluation by ultrasound imaging or fluid flow analysis of the human body." This involves using ultrasound waves to visualize internal structures and blood flow within the living body.
  • Device Description: The description details a system that acquires and displays real-time ultrasound data. This is a diagnostic imaging device, not a device that performs tests on samples taken from the body (which is the core characteristic of an IVD).
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or performing tests on these samples outside of the body.

In Vitro Diagnostic (IVD) devices are defined as those intended for use in the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device operates in vivo (within the living body) using ultrasound technology.

N/A

Intended Use / Indications for Use

The SonoSite NanoMaxx Series Ultrasound System is a general purpose ultrasound system intended for use by a qualified physician for evaluation by ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications and exam types include: Fetal/OB; Abdominal; Pediatric; Small Organ (breast, thyroid, testicles, prostate); Trans-rectal; Trans-vaginal Peripheral Vessel; Intraoperative (abdominal organs, vascular); Musculoskeletal Conventional & Superficial, Cardiac Adult and Pediatric.

Intended Use:

The intended uses of the SonoSite NanoMaxx Series Ultrasound System as defined by FDA guidance documents are:

  • Peripheral vessel
  • Fetal - OB/GYN
  • Abdominal
  • Musculo-skel. (Conventional)
  • Musculo-skel. (Superficial)
  • Cardiac
  • Pediatric
  • Small Organ (breast, thyroid, testicles, prostate)
  • Trans-rectal
  • Trans-vaginal

Typical examinations performed using the SonoSite NanoMaxx Series Ultrasound System are:

Abdominal Imaging Applications

This system transmits ultrasound energy into the abdomen of patients using 2D, color Doppler (Color), color power Doppler (CPD) to obtain ultrasound images. The liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally.

Cardiac Imaging Applications

This system allows the clinician to perform focused cardiac studies. This system transmits ultrasound energy into the thorax of adult and pediatric patients to obtain 2D, PowerMap DCPD, M-mode, Tissue Harmonic Imaging, or PW and CW Doppler images of the heart, great vessels, and anatomic or pathologic structures. This system can be used to assess overall cardiac performance and size. determine the presence and location of fluid around the heart and lungs, aid in pericardialcentesis and pleuralcentesis procedures, and visualize blood flow through cardiac valves. Also the system can be used to assess the presence and extent of some injuries and diseases.

Gynecology and Infertility Imaging Applications

This system transmits ultrasound energy in the pelvis and lower abdomen using 20, color Doppler, and color power Doppler (CPD) to obtain ultrasound images. The uterus, adnexa, and surrounding anatomical structures can be assessed for the presence of pathology transabdominally.

Obstetrical Imaging Applications

This system transmits ultrasound energy into the pelvis of pregnant women using 2D, M Mode, color Doppler (Color) and color power (CPD) to obtain ultrasound images. The fetal anatomy, viability, estimated fetal weight, gestational age, amniotic fluid, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally or transvaginally. CPD and color Doppler (Color) imaging is intended for high-risk pregnant women. High-risk pregnancy indications include, but are not limited to, multiple pregnancy, fetal hydrops, placental abnormalities, as well as maternal hypertension, diabetes, and lupus.

  • A To prevent injury or misdiagnosis do not use this system for Percutaneous Umbilical Blood Sampling (PUBS) or in vitro Fertilization (IVF) The system has not been validated to be proven effective for these two uses.
    CPD, or Color images can be used as an adjunctive method, not as a screening tool, for the detection of structural anomalies of the fetal heart and as an adjunctive method, not as a screening tool for the diagnosis of Intrauterine Growth Retardation (IUGR).

Pediatric and Neonatal Imaging Applications

This system transmits ultrasound energy into the pediatic patients using 2D, color Doppler, and color power Doppler (CPD) to obtain ultrasound images. The pediatic abdominal, pelvic, and surrounding anatomical structures can be assessed for the presence or absence of pathology.

Superficial Imaging Applications

This system transmits ultrasound energy into various parts of the body using 2D, color Doppler and color power Doppler (CPD) to obtain ultrasound images. The breast, thyroid, testicle, lymph nodes, hernias; musculoskeletal structures, soft tissue structures, and surrounding anatomical structures can be assessed for the presence or absence of pathology. This system can be used to provide ultrasound guidance for drainage procedures, vascular line placement, peripheral nerve blocks, and spinal nerve blocks and taps.

Vascular Imaging Applications

This system transmits ultrasound energy into the various parts of the body using 2D, color Doppler and color power Doppier (CPD) to obtain ultrasound images. The carotid arteries, deep veins, and arteries in the arms and legs, superficial veins and legs, great vessels in the abdomen, and various small vessels feeding organs can be assessed for the presence or absence of pathology.

Product codes

IYN, IYO, ITX, LMD

Device Description

The SonoSite NanoMaxx Series Ultrasound System is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display high-resolution, real-time ultrasound data in 2D, Doppler, M-Mode, Color Power Doppler or in a combination of these modes. The hand-carried system weighs less than 6 pounds and has a touch screen interface with minimal controls to facilitate disinfection and cleaning.

The system provides measurement capabilities for anatomical structures and fetal biometry to provide information used for clinical diagnostic purposes. The system also includes the ability to measure the intima-media thickness (IMT) of the carotid artery using digital ultrasound images, which is used in conjunction with traditional risk assessment models to assess individual cardiovascular disease risk.

The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities, including wireless networking, to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images. Security support is also provided to facilitate HIPAA compliance.

The system supports the eFilm Lite™ application, which allows studies stored on a memory device in DICOMDIR format to be viewed. This viewing software can be launched on a PC when the license option is enabled.

The system includes a variety of accessories including a stand, dock featuring a video in/out port, a printer port, printer, VESA mounting arm and needle guide kits. The system includes three USB host supports for peripherals and an Ethernet port for data transfer of patient data. The system also features SiteLink™ allowing an additional method for the export of patient data. Storage devices include memory sticks.

The V-Universal™ stand provides a mobile work platform for the NanoMaxx, as well as a storage area for transducers and other supplies. It also provides connections for system accessories and peripherals.

The PowerPark docking stand consists of two components, the dock (plugs into a power outlet and sits on the floor) and the stand module (attaches to underside of stand). An AC adapter on the stand module allows for manual connection to AC power.

The PowerPack battery uses lithium-ion technology and mounts on the V Universal™ stand. LED lights on the PowerPack indicate the amount of available battery power, as well as charge status.

SonoSite Workflow Solutions (SWS) is a software program for organizing exams from the NanoMaxx. SWS operates on a host server and users require a login to access the program. Patient exam information can be transferred from the ultrasound to SWS by exporting data from the ultrasound to a USB storage device, then importing it from the USB storage device.

The use of a USB keyboard, barcode reader and medical grade printer is supported by the system, which allows manual entry of patient demographics, scanning entry of patient demographics and the capability to print images and/or reports.

Mentions image processing

Yes, "digital processing of ultrasound images".

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, Abdominal, Pediatric, Small Organ (breast, thyroid, testicles, prostate), Trans-rectal, Trans-vaginal, Peripheral Vessel, Intraoperative (abdominal organs, vascular), Musculoskeletal Conventional & Superficial, Cardiac Adult and Pediatric.

Indicated Patient Age Range

Adult, Pediatric, Fetal, Neonatal

Intended User / Care Setting

Qualified physician

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)

K092058, K071134, K082098

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

510(K) Summary of Safety and Effectiveness

...

NOV 1 9 2010

This summary of safety and effectiveness is provided as part of this Premarket Notification in compliance with 21 CFR, Part 807, Subpart E, and Section 807.92. .

1. Submitter's name, address, telephone number, contact person:

SonoSite, Inc. 21919 30th Drive SE Bothell, WA 98021-3904

Corresponding Official: Jessica R. Stenberg Sr. Regulatory Affairs Specialist Jessica. Stenberg@sonosite.com E-mail: Telephone: (425) 951-1432 (425) 951-1201 Facsimile: Date prepared: July 30, 2010

  • Name of the device, including the trade or proprietary name if applicable, the common or 2. usual name, and the classification name, if known:

Common/ Usual Name

Diagnostic Ultrasound System with Accessories

Proprietary Name

SonoSite® NanoMaxx™ Series Ultrasound System (subject to change)

Classification Names

NameFR NumberProduct Code
Ultrasonic Pulsed Doppler Imaging System892.155090-IYN
Ultrasonic Pulsed Echo Imaging System892.156090-IYO
Diagnostic Ultrasound Transducer892.157090-ITX
Medical image communications device892.2020LMD
  1. Identification of the predicate or legally marketed device:

SonoSite, Inc. believes that the system described in this substantially equivalent to the SonoSite NanoMaxx Series Ultrasound System (K092058) and the Maxx Series Ultrasound System (K071134 and K082098).

4. Device Description:

The SonoSite NanoMaxx Series Ultrasound System is a full featured, general purpose, software controlled, diagnostic ultrasound system used to acquire and display high-resolution, real-time ultrasound data in 2D, Doppler, M-Mode, Color Power Doppler or in a combination of these modes. The hand-carried system weighs less than 6 pounds and has a touch screen interface with minimal controls to facilitate disinfection and cleaning.

The system provides measurement capabilities for anatomical structures and fetal biometry ປັກຄູ້ 143 of 2166

1

K102390
P. 2 of 5

provide information used for clinical diagnostic purposes. The system also includes the ability to measure the intima-media thickness (IMT) of the carotid artery using digital ultrasound images, which is used in conjunction with traditional risk assessment models to assess individual cardiovascular disease risk.

NOV 1 9 2010

The system includes Digital Imaging and Communications (DICOM) capabilities as well as general computer communication capabilities, including wireless networking, to provide the acceptance, transfer, display, storage, and digital processing of ultrasound images. Security support is also provided to facilitate HIPAA compliance.

The system supports the eFilm Lite™ application, which allows studies stored on a memory device in DICOMDIR format to be viewed. This viewing software can be launched on a PC when the license option is enabled.

The system includes a variety of accessories including a stand, dock featuring a video in/out port, a printer port, printer, VESA mounting arm and needle guide kits. The system includes three USB host supports for peripherals and an Ethernet port for data transfer of patient data. The system also features SiteLink™ allowing an additional method for the export of patient data. Storage devices include memory sticks.

The V-Universal™ stand provides a mobile work platform for the NanoMaxx, as well as a storage area for transducers and other supplies. It also provides connections for system accessories and peripherals.

The PowerPark docking stand consists of two components, the dock (plugs into a power outlet and sits on the floor) and the stand module (attaches to underside of stand). An AC adapter on the stand module allows for manual connection to AC power.

The PowerPack battery uses lithium-ion technology and mounts on the V Universal™ stand. LED lights on the PowerPack indicate the amount of available battery power, as well as charge status.

SonoSite Workflow Solutions (SWS) is a software program for organizing exams from the NanoMaxx. SWS operates on a host server and users require a login to access the program. Patient exam information can be transferred from the ultrasound to SWS by exporting data from the ultrasound to a USB storage device, then importing it from the USB storage device.

The use of a USB keyboard, barcode reader and medical grade printer is supported by the system, which allows manual entry of patient demographics, scanning entry of patient demographics and the capability to print images and/or reports.

The system/transducer is capable of exceeding a TI or an MI of 1.0 in certain operating modes or mode combinations. The system monitor displays the current output level in terms of the bioeffects indices ("Mechanical Index [M]" and "Thermal Index [TI]") in accordance with the AIUM/NEMA Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment.

Frequency Range:1.0 — 13.0 MHz
Transducer Types:Linear array
Curved arrayPhased array

The SonoSite Maxx Series Ultrasound System is designed to comply with the following standards.

Page 144 of 2166

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K102390 2. 3 de ਹੈ

1 9 2010

FDA Consensus Standards

:

Reference No.TitleNOV
AAMI/ANSI/ISO 10993-1ISO 10993-1:2003(E),, Biological evaluation of medical devices -- Part 1: Evaluation
and testing
AAMI/ANSI/ISO 10993-5ISO 10993-5:2009, Biological evaluation of medical devices - Part 5: Tests for in vitro
cytotoxicity
AAMI/ANSI/ISO 10993-12ISO 10993-12:2007, Biological evaluation of medical devices -- Part 12: Sample
preparation and reference materials
AAMI/ANSI/ISO 10993-10ISO 10993-10:2002, Biological evaluation of medical devices - Part 10: Tests for
irritation and delayed-type hypersensitivity
AAMI/ANSI/ISO 10993-11ISO 10993-11:2006, Biological evaluation of medical devices -- Part 11: Tests for
systemic toxicity.
IEC 60601-1Medical electrical equipment. Part 1: General requirements for safety - IEC 601-
1:1988
IEC 60601-2-37Medical Electrical Equipment - Part 2-37; Particular requirements for the safety of
ultrasonic medical diagnostic and monitoring equipment (2001)
NEMA UD 2-2004Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
NEMA UD 3-2004Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices
on Diagnostic Ultrasound Equipment, American Institute of Ultrasound in Medicine

Miscellaneous Standards

Reference No.Title ·
ISO 9001:2008Quality management systems -- Requirements International Organization for
Standardization (2008)
Title 21 CFR Part 820Quality System Regulation - Medical Devices: Current Good Manufacturing Practice
(CGMP); Final Rule
EN ISO 13485:2003Medical devices - Quality management systems - Requirements for regulatory
purposes (2003)
EN ISO 14971:2000Medical devices - Application of risk management to medical devices (2000)
(ISO 14971:2000)
RTCA D160ERadio Technical Commission for Aeronautics: Environmental Conditions and Test
Procedures for Airborne Equipment, Section 21.0 Emission of Radio Frequency Energy

3

Intended Use: 5.

The intended uses of the SonoSite NanoMaxx Series Ultrasound System as defined by FDA guidance documents are:

Peripheral vessel
Fetal - OB/GYN
Abdominal
Musculo-skel. (Conventional)
Musculo-skel. (Superficial)
Cardiac
Pediatric
Small Organ
(breast, thyroid, testicles, prostate)
Trans-rectal
Trans-vaginal

NOV 1 9 2010

Typical examinations performed using the SonoSite NanoMaxx Series Ultrasound System are:

Abdominal Imaging Applications

This system transmits ultrasound energy into the abdomen of patients using 2D, color Doppler (Color), color power Doppler (CPD) to obtain ultrasound images. The liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally.

Cardiac Imaging Applications

This system allows the clinician to perform focused cardiac studies. This system transmits ultrasound energy into the thorax of adult and pediatric patients to obtain 2D, PowerMap DCPD, M-mode, Tissue Harmonic Imaging, or PW and CW Doppler images of the heart, great vessels, and anatomic or pathologic structures. This system can be used to assess overall cardiac performance and size. determine the presence and location of fluid around the heart and lungs, aid in pericardialcentesis and pleuralcentesis procedures, and visualize blood flow through cardiac valves. Also the system can be used to assess the presence and extent of some injuries and diseases.

Gynecology and Infertility Imaging Applications

This system transmits ultrasound energy in the pelvis and lower abdomen using 20, color Doppler, and color power Doppler (CPD) to obtain ultrasound images. The uterus, adnexa, and surrounding anatomical structures can be assessed for the presence of pathology transabdominally.

Obstetrical Imaging Applications

This system transmits ultrasound energy into the pelvis of pregnant women using 2D, M Mode, color Doppler (Color) and color power (CPD) to obtain ultrasound images. The fetal anatomy, viability, estimated fetal weight, gestational age, amniotic fluid, and surrounding anatomical structures can be assessed for the presence or absence of pathology transabdominally or transvaginally. CPD and color Doppler (Color) imaging is intended for high-risk pregnant women. High-risk pregnancy indications include, but are not limited to, multiple pregnancy, fetal hydrops, placental abnormalities, as well as maternal hypertension, diabetes, and lupus.

  • A To prevent injury or misdiagnosis do not use this system for Percutaneous Umbilical Blood Sampling (PUBS) or in vitro Fertilization (IVF) The system has not been validated to be proven effective for these two uses.
    CPD, or Color images can be used as an adjunctive method, not as a screening tool, for the detection of structural anomalies of the fetal heart and as an adjunctive method, not as a screening tool for the diagnosis of Intrauterine Growth Retardation (IUGR).

Pediatric and Neonatal Imaging Applications

Page 146 of 2166

4

This system transmits ultrasound energy into the pediatic patients using 2D, color Doppler, and color power Doppler (CPD) to obtain ultrasound images. The pediatic abdominal, pelvic, and surrounding anatomical structures can be assessed for the presence or absence of pathology.

NOV 1 9 2010

Superficial Imaging Applications

This system transmits ultrasound energy into various parts of the body using 2D, color Doppler and color power Doppler (CPD) to obtain ultrasound images. The breast, thyroid, testicle, lymph nodes, hernias; musculoskeletal structures, soft tissue structures, and surrounding anatomical structures can be assessed for the presence or absence of pathology. This system can be used to provide ultrasound guidance for drainage procedures, vascular line placement, peripheral nerve blocks, and spinal nerve blocks and taps.

Vascular Imaging Applications

This system transmits ultrasound energy into the various parts of the body using 2D, color Doppler and color power Doppier (CPD) to obtain ultrasound images. The carotid arteries, deep veins, and arteries in the arms and legs, superficial veins and legs, great vessels in the abdomen, and various small vessels feeding organs can be assessed for the presence or absence of pathology.

6. Technological Characteristics:

This device operates identically to the predicate devices in that piezoelectric material in the transducer is used as an ultrasound source to transmit sound waves into the body. Sound waves are reflected back to the transducer and converted to electrical signals that are processed and displayed as 2D images. Doppler shift caused by blood flow is displayed as Color Flow, or as spectrum analysis. The modes of this device (2D, velocity color) are the same as a combination of the predicate devices identified in item 3. Transducer patient contact materials are biocompatible.

This device conforms to the Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment (AIUMINEMA UD 3-2004) for an on-screen display feature that provides information on potential thermal and cavitation bioeffect mechanisms. A user education program provides additional information so users may moderate the system's acoustic output in accordance with the ALARA (as low as reasonably achievable) principle.

ISPTA (d)720 mW/cm²Maximum
Tis/Tlb/Tlc0.0 - 4.0Range
Mechanical Index (MI)1.9Maximum
ISPPA (d)0 - 700 W/cm²Range

The device's acoustic output limits are:

The limits are the same as predicate Track 3 devices,

K102390

2,5 of 5

5

Image /page/5/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features a stylized eagle with its wings spread, symbolizing protection and service. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA", indicating the department's name and national affiliation.

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

SonoSite, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

NOV 1 9 2010

Re: K102390

Trade/Device Name: SonoSite NanoMaxx™ Series Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX, and LMD Dated: November 1, 2010 Received: November 2, 2010

Dear Me. Job:

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 SonoSite NanoMaxx™ Series Ultrasound System, as described in your premarket notification:

Transducer Model Number

C11/n8-5
C60n/5-2
ICTn/8-5
L25n/13-6
L38n/10-5

6

L52n/10-5 P21n/5-1Phased Arrav

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 Brendan O'Leary at (301) 796-6898.

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)

7

K102390 1 of 9

Indications for Use Form

NOV 1 > 2010

510(k) Number (if known): TBD K102390

Device Name: NanoMaxx: SonoSite NanoMaxx™ Series Ultrasound System

Indications for Use:

The SonoSite NanoMaxx Series Ultrasound System is a general purpose ultrasound system intended for use by a qualified physician for evaluation by ultrasound imaging or fluid flow analysis of the human body. Specific clinical applications and exam types include: Fetal/OB; Abdominal; Pediatric; Small Organ (breast, thyroid, testicles, prostate); Trans-rectal; Trans-vaginal Peripheral Vessel; Intraoperative (abdominal organs, vascular); Musculoskeletal Conventional & Superficial, Cardiac Adult and Pediatric.

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 OF NEEDED)

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

Division Sian-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) 102390

8

NOV 1 9 2010

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:N/A
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as
follows
Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWD CWDColor
DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetalPNPB+M, B+CD, B+CPDNote 1
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid, Testicles,
Prostate)PNPB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNB+M, B+CD, B+CPDNote 1
Trans-vaginalNNNB+M, B+CD, B+CPDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)PNPB+M, B+CD, B+CPDNote 1
Musculo-skeletal (Superficial)PNPB+M, B+CD, B+CPDNote 1
Intravascular
Other (Specify)
CardiacCardiac AdultPNPB+M, B+CD, B+CPDNote 1
Cardiac PediatricPNPB+M, B+CD, B+CPDNote 1
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
Other (Specify)

Table 1.3-1 Diagnostic Ultrasound Indications for Use Form – SonoSite NanoMaxx™ Series Ultrasound System

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

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Dopler, Tissue Hamonic Imaging, SonoHD, SonoHD, SonoMB Compound Imaging, Tissue Dopter maging. Color Dopler includes Color Dopler can be combined with any institutions in any institle (113). placement of neaders in results of other and institution will many hilaging guident in peripher increasing to the may of the may on spinal cord to provide guidance for central nerve block procedures.

All items marked "P" were previously cleared in 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

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

9

NOV 1 9 2010

| System:
Transducer:
Intended Use:

Clinical ApplicationSonoSite NanoMaxx™ Series Ultrasound System
C11n/8-5 8.0-5.0 MHz Curved Array
Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetal
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid, Testicles,
Prostate)PNP
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
Other (Specify)

Table 1.3-2 Diagnostic Ultrasound Indications for Use Form - C11n/8-5 Transduction

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

ി and Color Velocity Imaging

Additional Comments:

Note 1: Other Includes Color Power Dopler, combined B and Color Power Dopier, Sonol# Compund maging, Color Doppler includes receive in anales outh enter opper, control maging mode controller contronment maging. Ont Dople includes
Color Velocity Dopler can e combred with any inaging tricher in re

All items marked "P" were previously cleared in 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

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

10

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:
Intended Use:
Clinical ApplicationC60n/5-2 5.0-2.0 MHz Curved Array
Diagnostic ultrasound imaging or fluid flow analysis of the human body as
follows
OphthalmicOphthalmic
Fetal Imaging &
OtherFetalPNPB+M, B+CD, B+CPDNote 1
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid, Testicles,
Prostate)PNPB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletai (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
WesselOther (Specify)

Table 1.3-3 Diagnostic Ultrasound Indications for Use Form - C60n/5-2 Transducer

NOV 1 > 2010

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

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

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Dopter, Tissue Harmonic Imaging, SonoHD Imaging, SonoHD Imaging, Tissue Doppler Inaging. Color Dopper includes Color Doppler an be contined with any imaging, Golivia maging model. Includes inaging model hollows inaging bassist in the placement of needles and cather in vascular or other and on on spinal cord to provide guldare for central new block . procedures.

All items marked "P" were previously cleared In 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off) Office of In Vitro Diagnostic Device Onloo of in Vido Blagnost
Evaluation and Safety JA 1102 રવાળ 510(k) Number

11

NOV 1 9 2010

K102390
PS of 9

Table 1.3-4 Diagnostic Ultrasound Indications for Use Form - ICTn/8-5 Transduc

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:ICTn/8-5MHz Curved Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as
follows
Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWD CWDColor
DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &FetalNNNB+M, B+CD, B+CPDNote 1
OtherAbdominal
Intra-operative (Abdominal Organs,
Vascular)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Breast, Thyroid, Testicles,
Prostate)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNB+M, B+CD, B+CPDNote 1
Trans-vaginalNNNB+M, B+CD, B+CPDNote 1
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

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

  • Examples of other modes of operation may indude Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppier, and Color Velocity Imaging

Additional Comments:

Note 1: Other Includes Color Power Doppler, combined B and Color Power Doppler, SonoMB Compound Imaging, Color Dopler includes Color Velocity Doppler. Color Dopler can be combined with any imaging to assist in the placement of needles and catheles in vascular or other anatomical structures, and expanded intended use for imaging guidance for peripheral nerve block procedures.

Prescription Use (Per 21 CFR 801.109)

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

12

K102390
B li of g

NOV 1 y 2010

Table 1.3-5 Diagnostic Ultrasound Indications for Use Form -- L25n/13-6 Transducer

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:L25n/13-6 13.0-6.0 MHz Linear Array
Intended Use:Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows
Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined (Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetal
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid,
Testicles, Prostate)PNPB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)PNPB+M, B+CD, B+CPDNote 1
Musculo-skeletal (Superficial)PNPB+M, B+CD, B+CPDNote 1
Intravascular
Other (Specify)
CardiacCardiac AdultPNPB+M, B+CD, B+CPDNote 1
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
Other (Specify)

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

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

Additional Comments:

Note 1: Other hictides Color Power Dopler, Online Power Dopler, SonoHD Imaging, SonoMB Compund ingging. Color Doppler
Includes Color Velocity Dopler Color Dopler can be cont induss Dolly Valory Doppic. Ook Dopper and an any maging mode. Innging guidance for periodentility for periodent of the consent of the consent of

All items marked "P" were previously cleared in 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off)

Office of In Vitro Diagnostic Device Evaluation and Safety 510(k) Number

13

K102390
P. 7 of 9

NOV 1 9 2010

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:L38n/10-5 10.05.0 MHz Linear Array Transducer
Intended Use:
Clinical ApplicationDiagnostic ultrasound imaging or fluid flow analysis of the human body as
follows
Mode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetal
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid,
Testicles, Prostate)PNPB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)PNPB+M, B+CD, B+CPDNote 1
Musculo-skeletal (Superficial)PNPB+M, B+CD, B+CPDNote 1
Intravascular
Other (Specify)
CardiacCardiac AdultPNPB+M, B+CD, B+CPDNote
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
Other (Specify)

Table 1.3-6 Diagnostic Ultrasound Indications for Use Form - L38n/10-5 Transducer

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

  • Examples of other modes of operation may Include: A-mode, Amplitude Dopplier, 3-D Imaging, Tissue Motion Doppier, and Color Velocity Imaging

Additional Comments:

Note 1: Other includes Color Power Dopler, combined B and Color Power Dopler, SonoHD Imaging, SonoMB Compound Imaging. Color Doppler includes Color Velocity Dopler can be combined with any Imaging mode. Includes imaging to assist In the placement of needles and cathelers in vascular or other anatomical studing guidance for peripheal news block procedures. Includes includes includes in

All items marked "P" were proviously cleared in 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off)

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

4102390

14

K102390
P. 8 of 9

NOV 1 9 2010

510(k) Number _

System:SonoSite NanoMaxx™ Series Ultrasound System
Transducer:
Intended Use:
Clinical ApplicationL52n 10-5 MHz Linear Array
Diagnostic ultrasound imaging or fluid flow analysis of animal bodies as
follows
Mode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWD CWDColor
DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetalNNNB+M, B+CD, B+CPDNote 1
AbdominalNNNB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal Organs,
Vascular)
Intra-operative (Neuro)NNNB+M, B+CD, B+CPDNote 1
Laparoscopic
PediatricNNNB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid,
Testicles, Prostate)NNNB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal (Conventional)NNNB+M, B+CD, B+CPDNote 1
Musculo-skeletal (Superficial)NNNB+M, B+CD, B+CPDNote 1
Intravascular
Other (Specify)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselNNNB+M, B+CD, B+CPDNote 1
VesselOther (Specify)

Table 1.3-7 Diagnostic Ultrasound Indications for Use Form - L52n/10-5 Transducer - Veterinary only

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

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

Additional Comments:

inded 1: Other includes Color Power Dopler, combined B and Color Power Dopler, SonoHD Imaging, SonoMB Compound Imaging. Color Doppler includes Color Velocity Doppler can be combined with any imaging mode. Includes imaging to assist in the placement of needles and catheters in vascular or other anatomical structures, and expanded intended use for imaging guidance for peripheral nerve block procedures.

Prescription Use (Per 21 CFR 801.109)

L

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

15

K102390
7 9 of 9

NOV 1 9 2010

| System:
Transducer:
Intended Use:

Clinical ApplicationSonoSite NanoMaxx™ Series Ultrasound System
P21n/5-1 5.0-1.0 MHz Phased Array Transducer
Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows
Mode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor DopplerCombined (Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal Imaging &
OtherFetalPNPB+M, B+CD, B+CPDNote 1
AbdominalPNPB+M, B+CD, B+CPDNote 1
Intra-operative (Abdominal
Organs, Vascular)PNPB+M, B+CD, B+CPDNote 1
Intra-operative (Neuro)
Laparoscopic
PediatricPNPB+M, B+CD, B+CPDNote 1
Small Organ (Breast, Thyroid,
Testicles, Prostate)PNPB+M, B+CD, B+CPDNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal (Superficial)
Intravascular
Other (Specify)
CardiacCardiac AdultPNPB+M, B+CD, B+CPDNote 1
Cardiac PediatricPNPB+M, B+CD, B+CPDNote 1
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselPNPB+M, B+CD, B+CPDNote 1
VesselOther (Specify)

Table 1.3-8 Diagnostic Ultrasound Indications for Use Form – P21n/5-1 Phased Array Transducer

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

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

Additional Comments:

Note 1: Other Includes Color Power Doppler, combined B and Color Power Doppler, Tissue Harmonic Imaging, SonoHD Imaging, SonoMB Compound lmaging, Tissue Dopper. Color Dopler Color Price Color Price Color Part Pragniz Color Drimania (1970) in Ininini Maging Solower Computer of Microles inaugus includes inaugu

All items marked "P" were previously cleared in 510(k) K092058

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off)

Office of In Vitro Diagnostic Device Evaluation and Safety / 1022 510(k) Number