K Number
K112339
Device Name
ACCUVIX A30 DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
2011-08-29

(14 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ACCUVIX A30 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, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult, Cardiac Pediatric, Peripheral vessel.
Device Description
The ACCUVIX A30 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/CW Spectral Doppler mode, Harmonic imaging, Tissue Doppler imaging. 3D imaging mode (real time 4D imaging mode), Elastoscan Mode or as a combination of these modes. The ACCUVIX A30 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 ACCUVIX A30 has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.
More Information

Not Found

No
The document does not mention AI, ML, or related terms, and the device description focuses on standard ultrasound imaging modes and analysis packages.

No
The device is explicitly described as a "Diagnostic Ultrasound System" and its intended uses are for "diagnostic ultrasound imaging and fluid analysis," indicating its purpose is to aid in diagnosis, not treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states "The ACCUVIX A30 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body." Also, the "Device Description" states its function is to acquire ultrasound data and offers analysis packages that provide information "that is used to make a diagnosis by competent health care professionals."

No

The device description explicitly states it is a "diagnostic ultrasound system" and describes its function as acquiring ultrasound data and displaying it. This indicates the device includes hardware components (transducers, system console) necessary for generating and receiving ultrasound waves, in addition to software for processing and display.

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.
  • Device Function: The ACCUVIX A30 is a diagnostic ultrasound system. It uses sound waves to create images of internal body structures. 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." While it mentions "fluid analysis," this is likely referring to the analysis of fluids within the body (e.g., amniotic fluid, blood flow) using ultrasound techniques, not the analysis of collected fluid samples.

Therefore, the ACCUVIX A30 falls under the category of medical imaging devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The ACCUVIX A30 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, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult, Cardiac Pediatric, Peripheral vessel.

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

IYN, IYO, ITX

Device Description

The ACCUVIX A30 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/CW Spectral Doppler mode, Harmonic imaging, Tissue Doppler imaging. 3D imaging mode (real time 4D imaging mode), Elastoscan Mode or as a combination of these modes. The ACCUVIX A30 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 ACCUVIX A30 has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.

Mentions image processing

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.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasonic

Anatomical Site

Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult, Cardiac Pediatric, Peripheral vessel.

Small Organ (See Note 5) For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients
Intra-operative (See Note 6) Abdominal organs and peripheral vessel

Indicated Patient Age Range

Adult, Pediatric, Neonatal.

Intended User / Care Setting

competent health care professionals

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.

ACCUVIX XG Diagnostic Ultrasound System (K103397), ACCUVIX V20 Diagnostic Ultrasound System (K092159)

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

Not Found

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

Not Found

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

AUG 2 9 2011 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.

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

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

Contact Person:

Kyeong-Mi, Park Regulatory Affairs Manager

Telephone:82.2.2194.1373
Facsimile:82.2.556.9209

Data Prepared: June 24, 2011

2. Name of the device:

Common/Usual Name:
Diagnostic Ultrasound System and Accessories
Proprietary Name:
ACCUVIX A30 Diagnostic Ultrasound System
Classification Names:FR NumberProduct Code
Ultrasonic Pulsed Doppler Imaging System892.1550IYN
Ultrasound Pulsed Echo Imaging System892.1560IYO
Diagnostic Ultrasound Transducer892.1570ITX

3. Identification of the predicate or legally marketed device:

  • ACCUVIX XG Diagnostic Ultrasound System (K103397) -
  • -ACCUVIX V20 Diagnostic Ultrasound System (K092159)

1

4. Device Description:

The ACCUVIX A30 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/CW Spectral Doppler mode, Harmonic imaging, Tissue Doppler imaging. 3D imaging mode (real time 4D imaging mode), Elastoscan Mode or as a combination of these modes. The ACCUVIX A30 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 ACCUVIX A30 has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.

The ACCUVIX A30 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
  • TEC 61157, Declaration of the acoustic output
  • ISO10993-1, Biocompatibility

5. Intended Uses:

The ACCUVIX A30 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, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult, Cardiac Pediatric, Peripheral vessel.

6. Technological Characteristics:

The ACCUVIX A30 is substantially equivalent with respect to safety, effectiveness, and functionality to the ACCUVIX XG Diagnostic Ultrasound System (K103397) and ACCUVIX V20 Diagnostic Ultrasound System (K092159).

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 logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with a wing-like shape above them.

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

SAMSUNG Medison Co., Ltd. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

AUG 2 9 2011

Re: K112339

Trade/Device Name: ACCUVIX A30 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: August 12, 2011 Received: August 15, 2011

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 ACCUVIX A30 Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number

C1-4L5-13ISCW-2.0
C2-61CL7-16ISCW4-0-
C5-8P2-4BACW6-0-
EC4-9ISV2-6
L4-7V5-9

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 Lauren Hefner at (301) 796-6881.

Sincerely Yours.

Michael D'Amico

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)

4

ACCUVIX A30 Diagnostic Ultrasound System

Image /page/4/Picture/1 description: The image shows a document with the text "510(k) Premarket Notification" at the top. Below this, the text "FDA CDRH DMC" is written in a circular fashion. Further down, the date "AUG 15 2011" is visible, also oriented in a circular manner.

SECTION 1.3 INDICATIONS FOR USE

510(k) Number (if known):

Device Name: ACCUVIX A30 Diagnostic Ultrasound System

Indications for Use:

The ACCUVIX A30 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 Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Cardiac Adult, Cardiac Pediatric, 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)

Mh D. O'h

Division of Radiological Devic Office of In

Indications for Use

filed 510(k) In Vitro Diagnostic Device Data

510K. K112339

5

510(k) No.:

Device Name: ACCUVIX A30 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, 4, 7, 8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricNNNNNNote 1Note 2, 5, 6, 7, 8, 9
Small Organ (See Note 5)NNNNNNote 1Note 2, 5, 6, 7, 8, 9, 10
Neonatal CephalicNNNNNNote 1Note 2, 7, 8
Adult CephalicNNNNNNote 1Note 4, 7
Trans-rectalNNNNNNote 1Note 2, 7, 8, 10
Trans-vaginalNNNNNNote 1Note 2, 7, 8, 10
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)NNNNNNote 1Note 2, 5, 6, 7, 9
Musculo-skel. (Superfic.)NNNNNNote 1Note 2, 5, 6, 7, 9
Intra-luminal
Other (spec.)
Cardiac AdultNNNNNNote 1Note 4, 7
CardiacCardiac PediatricNNNNNNote 1Note 4, 7
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselNNNNNNote 1Note 2, 5, 6, 7, 8, 9
Other (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+C+M, Dual B, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

Amal D. O'Hare
(Division Sign-Off)

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

K112339
510K

6

510(k) No.:

Device Name: C1-4 for use with ACCUVIX A30 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, 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; P= previously cleared by FDA ; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+C+M, Dual B, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

(Division Sign Off)

Indications for Use

Division Sion-Of Division of Radiological Devices Office of In Device Evaluation and Safety

510K K112339

7

510(k) No.:

Device Name: C2-6IC for use with ACCUVIX A30 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 Imaging
& OtherFetal (See Note 3)PPPPNote 1Notes 2, 7, 8
AbdominalPPPPNote 1Notes 2, 7, 8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPNote 1Notes 2, 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. (Supertic.)
Intra-luminal
Other (spec.)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

(Division Sign-Off)

Office of In Diagnostic Device Evaluation and Safety

510K KJ12339

Section 1.3, page 4

8

510(k) No.: Device Name: C5-8 for use with ACCUVIX A30 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, 7, 8
Small Organ (See Note 5)NNNNNNote 1Notes 2, 7, 8
Neonatal CephalicNNNNNNote 1Notes 2, 7, 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 vesselNNNNNNote 1Notes 2, 7, 8
Other (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatic and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

Michael D. O'Shea

Indications for Use

Division of Radiolo Office of In tion and Safety

Section 1.3, page 5

9

510(k) No.: Device Name: EC4-9IS for use with ACCUVIX A30 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 & 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 1Note 2, 7, 8, 10
Trans-vaginalPPPPNote INote 2, 7, 8, 10
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.)
PeripheralPeripheral vessel
VesselOther (spec.)

N= new indication; P= previously cleared by FDA K092159; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

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

510K K112239

10

510(k) No.: Device Name: L4-7 for use with ACCUVIX A30 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

| Clinical Application | | B | M | PWD | CWD | Color
Doppler* | Combined*
(Spec.) | Other
(Spec.) |
|---------------------------|------------------------------|---|---|-----|-----|-------------------|----------------------|--------------------|
| General
(Track I only) | Specific
(Tracks I & III) | | | | | | | |
| Ophthalmic | Ophthalmic | | | | | | | |
| | Fetal (See Note 3) | | | | | | | |
| | Abdominal | | | | | | | |
| | Intra-operative (See Note 6) | | | | | | | |
| | Intra-operative (Neuro.) | | | | | | | |
| Fetal Imaging
& Other | Laparoscopic | | | | | | | |
| | Pediatric | N | N | N | N | N | Note 1 | Note 2, 5, 6, 7, 9 |
| | Small Organ (See Note 5) | N | N | N | N | N | Note 1 | Note 2, 5, 6, 7, 9 |
| | Neonatal Cephalic | | | | | | | |
| | Adult Cephalic | | | | | | | |
| | Trans-rectal | | | | | | | |
| | Trans-vaginal | | | | | | | |
| | Trans-urethral | | | | | | | |
| | Trans-esoph. (non-Cardiac) | | | | | | | |
| | Musculo-skel. (Convent.) | N | N | N | N | N | Note 1 | Note 2, 5, 6, 7, 9 |
| | Musculo-skel. (Superfic.) | N | N | N | N | N | Note 1 | Note 2, 5, 6, 7, 9 |
| | Intra-luminal | | | | | | | |
| | Other (spec.) | | | | | | | |
| | Cardiac Adult | | | | | | | |
| Cardiac | Cardiac Pediatric | | | | | | | |
| | Trans-esophageal (Cardiac) | | | | | | | |
| | Other (spec.) | | | | | | | |
| Peripheral
Vessel | Peripheral vessel | N | N | N | N | N | Note 1 | Note 2, 5, 6, 7, 9 |
| | Other (spec.) | | | | | | | |

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Notel 0: ElastoScan

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

hnd D. O'K

Indications for Use

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

11

510(k) No.: Device Name: L5-13IS for use with ACCUVIX A30 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 1Note 2, 5, 6, 7, 9
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 9, 10
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 9
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 9
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 9
Other (spec.)

N= new indication; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9; Panoramic imaging

Note10: ElastoScan

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

(Division Director)

on of Radiologic

510K K112339

Section 1.3, page 8

12

510(k) No.: Device Name: L7-16IS for use with ACCUVIX A30 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 1Note 2, 5, 6, 7, 9
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 9
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 7, 9
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 7, 9
Intra-luminal
Other (spec.)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 9
Other (spec.)

N= new indication; P= previously cleared by FDA K092159; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Hannonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

(Division Sign-Off)

Division of Radiological Devices Evaluation and Safety

K112339
510K

13

510(k) No.:

Device Name: P2-4BA for use with ACCUVIX A30 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)
AbdominalPPPPPNote 1Note 4, 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicPPPPPNote 1Note 4, 7
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultPPPPPNote 1Note 4, 7
CardiacCardiac PediatricPPPPPNote 1Note 4, 7
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralPeripheral vessel
VesselOther (spec.)

N= new indication; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

A.A.D.O'h
(Division Sign-Off)

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

510K K112339

Section 1.3, page 10

14

510(k) No.: Device Name: V2-6 for use with ACCUVIX A30 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)PPPPPNote 1Note 2, 7, 8
AbdominalPPPPPNote 1Note 2, 7, 8
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPPNote 1Note 2, 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; P= previously cleared by FDA K092159; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B, Dual B+C, Dual B+PD

Note 2: Includes imaging for guidance of biopsy

Note 3: Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note S: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

Michael D. O'Brien

Indications for Use

(Division Sign-Off Division of Radiological Devices Evaluation and Safety

61123339

15

510(k) No.:

Device Name: V5-9 for use with ACCUVIX A30

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 & 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 1Note 2, 7, 8
Trans-vaginalPPPPNote 1Note 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; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

(Division Sign-Off)

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

510K K112339

16

510(k) No.: Device Name: CW2.0 for use with ACCUVIX A30 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

tion (Kingludge vinnellan

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I 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
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B+C, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Hannonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

livision of Badinlanir ion and Safety Office of In Vitro D

Indications for Use

510K K112339

17

510(k) No.: Device Name: CW4.0 for use with ACCUVIX A30 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 Imaging
& OtherFetal ( See Note 3 )
Abdominal
Intra-operative ( See Note 6 )
Intra-operative (Neuro.)
Laparoscopic
PediatricP
Small Organ ( See Note 5 )
Neonatal Cephalic
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselP
Other (spec.)

N= new indication; P= previously cleared by FDA K103397; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note I: B+M, B+PW, B+C, B+PD, B+CW, B+C+PW, B+PD+PW, B+C+M, Dual B, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

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

Indications for Use

510K K112339

18

510(k) No.: Device Name: CW6.0 for use with ACCUVIX A30 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
PediatricN
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicN
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (spec.)
Cardiac AdultN
CardiacCardiac PediatricN
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralPeripheral vesselN
VesselOther (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, B+C+M, Dual B, Dual B+C, Dual B+PD

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, pediatric and neonatal patients

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: 3D imaging

Note 9: Panoramic imaging

Note10: ElastoScan

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

(Division Sign-Off)

Division of Radiolonical Devices Office of Ir aluation and Safety

510K K1122339