K Number
K103722
Device Name
THE SONOACE R5 DIAGNOSTIC ULTRASOUND SYSTEM
Manufacturer
Date Cleared
2011-01-05

(15 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult and Peripheral vessel.
Device Description
The SONOACE R5 is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode, M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging, Freehand 3D imaging mode or as a combination of these modes. The SONOACE RS also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The SONOACE R5 has real time acoustic output display with two basic indices, a mechanical index, which are both automatically displaved.
More Information

K 101829, K 102065

Not Found

No
The document describes standard ultrasound imaging modes and analysis packages without mentioning AI or ML capabilities.

No
The "Intended Use / Indications for Use" section explicitly states that the device is "intended for diagnostic ultrasound imaging and fluid analysis of the human body," and the "Device Description" section describes it as a "diagnostic ultrasound system," with its function being to "acquire ultrasound data and to display the data" and to provide "analysis packages that provide information that is used to make a diagnosis." There is no mention of treating or curing any conditions.

Yes

The "Intended Use / Indications for Use" section explicitly states, "The SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body." The "Device Description" also refers to it as a "diagnostic ultrasound system" and mentions its ability to provide information "used to make a diagnosis."

No

The device is described as a "Diagnostic Ultrasound System" and explicitly mentions acquiring ultrasound data and transmitting ultrasonic energy, which are hardware functions. While it is software-controlled and performs post-processing, it is not solely software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside of the body ("in vitro").
  • Device Function: The SONOACE R5 is a diagnostic ultrasound system. It uses ultrasound waves to create images of structures inside the human body ("in vivo"). It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states "diagnostic ultrasound imaging and fluid analysis of the human body," referring to imaging within the body.
  • Device Description: The description details how it acquires and displays ultrasound data from within the body.

Therefore, the SONOACE R5 falls under the category of medical imaging devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult and Peripheral vessel.

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

IYN, IYO, ITX

Device Description

The SONOACE R5 is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode, M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging, Freehand 3D imaging mode or as a combination of these modes. The SONOACE RS also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The SONOACE R5 has real time acoustic output display with two basic indices, a mechanical index, which are both automatically displaved.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult and Peripheral vessel. (Specific transducers have further breakdowns of applicable anatomical sites)

Indicated Patient Age Range

Adult, Pediatric, Neonatal (implied by "Neonatal Cephalic" and specific transducer indications)

Intended User / Care Setting

Competent health care professionals / Not Found (implied by diagnostic ultrasound system)

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.

K 101829, K 102065

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.

0

K103722

510(k) Premarket Notification

SONOACE R5 Diagnostic Ultrasound System

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

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

JAN - 5 2011

1. Submitter's Information: 21 CFR 807.92(a)(1)

MEDISON CO., LTD. 1003, Daechi-dong, Gangnam-gu, Seoul 135-280, Korea

Contact Person : Kyeong-Mi, Park Regulatory Affairs Manager

Telephone:82.2.2194.1381
Facsimile:82.2.2194.1399

Data Prepared: July 2, 2010

2. Name of the device:

Common/Usual Name:Diagnostic Ultrasound System and Accessories
Proprietary Name:SONOACE R5 Diagnostic Ultrasound System
Classification Names:FR NumberProduct Code
Ultrasonic Pulsed Doppler Imaging System892.1550IYN
Ultrasound Pulsed Echo Imaging System892.1560IYO

3. Identification of the predicate or legally marketed device:

K 101829, SONOACE R3 Diagnostic Ultrasound System K 102065, SONOACE R7 Diagnostic Ultrasound System

1

.

4. Device Description:

The SONOACE R5 is a general purpose, mobile, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode, M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging, Freehand 3D imaging mode or as a combination of these modes. The SONOACE RS also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The SONOACE R5 has real time acoustic output display with two basic indices, a mechanical index, which are both automatically displaved.

The SONOACE R5 has been designed to meet the following product safety standards:

  • UL 60601-1, Safety requirements for Medical Equipment
  • CSA C22.2 No. 601.1, Safety requirements for Medical Equipment
  • IEC60601-2-37, Diagnostic Ultrasound Safety Standards
  • EN/IEC60601-1, Safety requirements for Medical Equipment
  • EN/IEC60601-1-2, EMC requirements for Medical Equipment
  • · NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
  • NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • IEC 61157, Declaration of the acoustic output
  • ISO10993-1, Biocompatibility

5. Intended Uses:

The SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult and Peripheral vessel.

6. Technological Characteristics:

The SONOACE R5 is substantially equivalent to the SONOACE R3 Diagnostic Ultrasound System, cleared via K101829, and the SONOACE R7 Diagnostic Ultrasound System, cleared via K102065. All systems transmit ultrasonic energy into patients, then perform post processing of received echoes to generate on-screen display of anatomic structures and fluid flow within the body. All system allow for specialized measurements of structures and flow, and calculations.

END of 510(K) Summary

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle. The seal is black and white.

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

Medison Co., Ltd. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1 394 25th Street NW BUFFALO MN 55313

JAN - 5 2011

Re: K103722

Trade/Device Name: SONOACE R5 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, and ITX Dated: December 20, 2010 Received: December 21, 2010

Dear Mr. 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 SONOACE R5 Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number

C2-4/20EVN4-9
C2-8LN5-12
CN2-8LN5-12/40
CN4-9L5-12/60
EC4-9

ﺎﻧﻪ ﺍﻟﻤﺴﺎﺣﺔ ﺍﻟ

3

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 Paul Hardy at (301) 796-6542.

Sincerely yours,

h D Oh han

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)

4

SONOACE R5 Diagnostic Ultrasound System

K103722

SECTION 1.3 INDICATIONS FOR USE

  • 5 2011 . I F N

510(k) Number (if known): K103722

SONOACE R5 Diagnostic Ultrasound System Device Name:

Indications for Use:

The SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult and Peripheral-vessel.

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)

૨૧૦K

Michael D. Klein

Division of Radiological Devices valuation and Safety Office of In Vitro Diagnos

Section 1.3, page 1

5

510(k) No.:

Device Name: SONOACE R5 Diagnostic Ultrasound System
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows
Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)NNNNNNote 1Notes 2,7,8
AbdominalNNNNNNote 1Notes 2,7,8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricNNNNNNote 1Notes 2,5,6,7,8
Small Organ (See Note 5)NNNNNNote 1Note 2,5,6
Neonatal CephalicNNNNNNote 1Notes 2,8
Adult Cephalic
Trans-rectalNNNNNNote 1Note 2,7,8
Trans-vaginalNNNNNNote 1Note 2,7,8
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)NNNNNNote 1Note 2,5,6
Musculo-skel. (Superfic.)NNNNNNote 1Note 2,5,6
Intra-luminal
Other (spec.)
Cardiac AdultNNNNNNote 1Notes 4
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselNNNNNNote 1Notes 2,5,6,8
Other (spec.)

N= new indication: I'= previously cleared by FDA; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Color Doppler includes Power (Amplitude) Doppler
Note 1: B-M, B-PW, B+Color, B+Color+PW, B-Color+PW, B-PD+PW, B-Color+Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, breast, scrotum and penis in adult, pediativ and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (Till)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Michael D. O'Kane

Section 1.3, page 2

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

510K K103722

6

510(k) No .:

Device Name: C2-4/20 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track 1 only)Specific
(Tracks 1 & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)PPPPNote 1Notes 2,7,8
AbdominalPPPPNote INotes 2,7,8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2,5,7,8
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultPPPPNote lNotes 4
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; It= previously cleared by FDA KI01829; E= added under Appendix E

Additional Comments:

.

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+Color, B+Color, B+PD, B+Color-PW, B=Color+Color+Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes inferility monitoring of follicle development

Note 4: Colur M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and nevolutions

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Division Sign

on of Radiological Devices Office of In

Section 1.3, page 3

Vitro Diagnostic Device Evaluation and Safety

510K K103722

7

510(k) No.:

Device Name: C2-8 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (* includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)PPPPNote 1Notes 2,7,8
AbdominalPPPPNote 1Notes 2,7,8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2,5,7,8
Small Organ (See Note 3)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; I'= previously cleared by FDA KI01829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitade) Doppler

Note 1: B-M, B-PW, B+Color, B+PD, B+Color+PW, B-PD+PW, B+Color-Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, servium and penis in adult, pediativ and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use


(Division Sign-Off)

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

510K K103222

8

510(k) No.:

'Device Name: CN2-8 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track 1 only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)PPPPNote 1Notes 2,7,8
AbdominalPPPPNote 1Notes 2,7,8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2,5,7,8
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; I = previously cleared by FDA K101829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B-M, B-PW, B+Color, B-PD, B-Color+PW, B-PD-PW, B-Color+Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, serotum and penis in adult, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Hannonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OlVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

Marlon D. Johnson
(Division Sign Off)

Division of Radiological Devices Office of I

510K K103722

9

510(k) No .:

Device Name: CN4-9 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks 1 & 11)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal ( See Note 3 )
Abdominal
Intra-operative ( See Note 6 )
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2,8
Small Organ ( See Note 5 )
Neonatal CephalicPPPPNote 1Notes 2,8
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Notes 2,8
Other (spec.)

N= new indication: I = previously cleared by FDA K101829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B-M, B-PW, B-Color, B+PD, B-Color+PW, B-PD-PW, B-Color-Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color Momode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in addl, pediatric and neonatul patients

Note 6: Abdominal organs and perspheral vessel

Note 7: Tissue Harmonic Imaging (1711)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)


(Division Sign Off)

Section 1.3, page 6

(Division Sian-Off Division of Radiological Devices Office of Evaluation and Safety

510K K163,722

10

510(k) No.:

Device Name: EC4-9 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)
Abdominal
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Notes 2,7,8
Trans-vaginalPPPPNote 1Notes 2,7,8
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication: 12= previously cleared by FDA K101829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note I: B-M, B-PW, B+Color, B+PD, B+Color+PW, B+Color+Color M

Note 2: Includes imaging for gridance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color Manode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediativ and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

Mubl D DK
(Division Sign On

Division Sign-Off Division of Radiological Devices Office of Ir ice Evaluation and Safety

510K K103722

11

510(k) No.:

Device Name: EVN4-9 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (* includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)
Abdominal
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNNNote 1Notes 2,7,8
Trans-vaginalNNNNNote 1Notes 2,7,8
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B-M, B-PW, B+Color, B+PD, B-Color=PW, B+PD+PW, B-Color=Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediativ and reonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Hammonic Imaging (TII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

Michael D. Ott
(Division Sign-Off)

on of Radiological Devices Evaluation and Safety Office of In

Section 1.3, page 8

K103722

12

510(k) No.:

Device Name: LN5-12 for use with SONOACE R5

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

| General
(Track I only) | Clinical Application
Specific
(Tracks 1 & II) | B | M | PWD | CWD | Color
Doppler | Combined*
(Spec.) | Other
(Spec.) |
|---------------------------|-----------------------------------------------------|---|---|-----|-----|------------------|----------------------|------------------|
| Ophthalmic | Ophthalmic | | | | | | | |
| Fetal Imaging
& Other | Fetal (See Note 3) | | | | | | | |
| | Abdominal | | | | | | | |
| | Intra-operative (See Note 6) | | | | | | | |
| | Intra-operative (Neuro.) | | | | | | | |
| | Laparoscopic | | | | | | | |
| | Pediatric | N | N | N | | N | Note I | Notes 2,5,6 |
| | Small Organ (See Note 5) | N | N | N | | N | Note I | Notes 2,5,6 |
| | Neonatal Cephalic | | | | | | | |
| | Adult Cephalic | | | | | | | |
| | Trans-rectal | | | | | | | |
| | Trans-vaginal | | | | | | | |
| | Trans-urethral | | | | | | | |
| | Trans-esoph. (non-Cardiac) | | | | | | | |
| | Musculo-skel. (Convent.) | N | N | N | | N | Note 1 | Notes 2,5,6 |
| | Musculo-skel. (Supertic.) | N | N | N | | N | Note I | Notes 2,5,6 |
| | Intra-luminal | | | | | | | |
| | Other (spec.) | | | | | | | |
| Cardiac | Cardiac Adult | | | | | | | |
| | Cardiac Pediatric | | | | | | | |
| | Trans-esophageal (Cardiac) | | | | | | | |
| | Other (spec.) | | | | | | | |
| Peripheral
Vessel | Peripheral vessel | N | N | N | | N | Note I | Notes 5,6 |
| | Other (spec.) | | | | | | | |

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

Additional Comments:

Color Doppler includes Power (Amplinde) Doppler

Note 1: B-M, B-PW, B+Color, B+PD, B-Color+PW, B-PD-PW, B+Color+Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertifity monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediativ and neonatul patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

(Division Sign-Off)

Division of Radiological Devices Office of In Vi lation and Safety

510K ท10322

13

510(k) No.:

Device Name: LN5-12/40 for use with SONOACE R5

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal (See Note 3)
Abdominal
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2,5,6
Small Organ (See Note 5)PPPPNote 1Notes 2,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esuph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Notes 2,5,6
Musculo-skel. (Superfic.)PPPPNote 1Notes 2,5,6
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Notes 5,6
Other (spec.)

N= new indication; P= previously cleared by FDA K101829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: 13-M, B-PW, B+Color, B-PD, B-Color+PW, B-PD+PW, B+Color .Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, breast, scrotum and penis in adult, pediatic and neonatal patients

Note 6: Abdominal organs and penpheral vessel

Note 7: Tissue Harmonic Imaging (TIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

Michal D Dik

Division Division of Radiolo Office of Ir aluation and Safety

510K K103722

14

Clinical ApplicationMode of Operation (* includes simultaneous B-mode)
General
(Track 1 only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal (See Note 3)
Abdominal
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPNote INotes 2,5,6
Small Organ (See Note 5)PPPPNote INotes 2,5,6
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote INotes 2,5,6
Musculo-skel. (Superfic.)PPPPNote INotes 2,5,6
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote INotes 5,6
Other (spec.)

510(k) No.: Device Name: L5-12/60 for use with SONOACE R5 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

N= new indication; P= previously cleared by FDA K101829; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B-M, B-PW, B-Color, B+PD, B-Color+PW, B-PD+PW, B-Color -Color M

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in addl, pediativ and neonatal patients

Note 6: Abdominal organs and peripheral vesset

Note 7: Tissue Hannonic Imaging (FIII)

Note 8: 3D imaging

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109)

Indications for Use

M.hel D. O'h
(Division Sign Off)

(Division Sigr Division of Radiolog iation and Safety Office of In

510K. K103722