K Number
K113613
Device Name
DIGITAL COLOR DOPPLER ULTRASOUND IMAGING SYSTEM
Date Cleared
2012-06-15

(192 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended for ultrasonic pulsed echo imaging and measurement for abdominal, pediatric, small organs, musculo-skeletal, cardiac, trans-vaginal, trans-rectal and peripheral vascular applications. Diagnostic ultrasonic imaging for abdominal, pediatric, small organ, musculo-skeletal, cardiac, peripheral vascular, trans-vaginal and trans-rectal applications in B, M, PWD, CWD, Color Doppler and 3D imaging modes.
Device Description
The SIUI Apogee 1200 is a Digital Ultrasound Imaging System capable of the following operating modes: 2D (B mode), M, Doppler (PWD/CWD mode), Color (CFM mode) and 3D. The system is designed for use in linear, convex, phased array and 3D scanning modes and supports linear, convex, phased array, 3D and endocavity (trans-vaginal and trans-rectal) transducers. The system has cine review, image zoom, measurements and calculations, image storage and review, printing and recording capabilities.
More Information

Not Found

No
The document describes a standard digital ultrasound imaging system with various modes and capabilities, but there is no mention of AI, ML, or related concepts in the intended use, device description, or other sections.

No
The device is described as an "ultrasonic pulsed echo imaging and measurement" system, and its intended use is for "diagnostic ultrasonic imaging." These descriptions indicate that its primary function is for imaging and diagnosis, not for treatment or therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states "Diagnostic ultrasonic imaging."

No

The device description explicitly states it is a "Digital Ultrasound Imaging System" and supports various "transducers" and "scanning modes," indicating it includes hardware components beyond just software.

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

Here's why:

  • Intended Use/Indications for Use: The intended use clearly states "ultrasonic pulsed echo imaging and measurement" for various anatomical sites. This describes an in vivo (within a living organism) imaging procedure, not a test performed on samples taken from the body.
  • Device Description: The description details an "Ultrasound Imaging System" with various imaging modes and capabilities. This aligns with an in vivo imaging device.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostic testing.

The device is a medical imaging system used to visualize structures within the body, which is distinct from an IVD.

N/A

Intended Use / Indications for Use

The device is intended for ultrasonic pulsed echo imaging and measurement for abdominal, pediatric, small organs, musculo-skeletal, cardiac, trans-vaginal, trans-rectal and peripheral vascular applications.
Diagnostic ultrasonic imaging for abdominal, pediatric, small organ, musculo-skeletal, cardiac, peripheral vascular, trans-vaginal and trans-rectal applications in B, M, PWD, CWD, Color Doppler and 3D imaging modes.

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

IYN, IYO, ITX

Device Description

The SIUI Apogee 1200 is a Digital Ultrasound Imaging System capable of the following operating modes: 2D (B mode), M, Doppler (PWD/CWD mode), Color (CFM mode) and 3D. The system is designed for use in linear, convex, phased array and 3D scanning modes and supports linear, convex, phased array, 3D and endocavity (trans-vaginal and trans-rectal) transducers. The system has cine review, image zoom, measurements and calculations, image storage and review, printing and recording capabilities.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

abdominal, pediatric, small organs (Thyroid, Testes, Breast), musculo-skeletal (Conventional, Superficial), cardiac (Adult, Pediatric), trans-vaginal, trans-rectal, peripheral vascular. Other uses include: Prostate, Kidney, Uterus, Ovary.

Indicated Patient Age Range

Adult, Pediatric, Fetal, Neonatal

Intended User / Care Setting

Not Found

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)

The Apogee 1200 Digital Color Doppler Ultrasound Imaging System has been tested per the FDA Guidance document "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" issued in September 2008. The acoustic output is measured and calculated per NEMA UD 2 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment: 2004. The device conforms to applicable medical device safety standards, such as IEC 60601-1, ISO10993-5 and ISO 10993-10.
The conclusions drawn from testing of the Apogee 1200 Digital Color Doppler Ultrasound Imaging System demonstrates that the device is as safe and effective as the legally marketed predicate device.

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.

K042326

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

K113613

SIUI Apogee 1200 Digital Color Doppler Ultrasound Imaging System

510(k) Summary

JUN 1 5 2012

This summary of 510(k) safety and effectiveness information is provided in accordance with the requirements of SMDA 1990 and 21 CFR 807.92(c).

The assigned 510(k) number is:

  1. 510(k) Owner:

Shantou Institute of Ultrasonic Instruments Co., Ltd. (SIUI) 77 Jinsha Road, Shantou, Guangdong 515041, China Tel: 86-754-88250150 Fax: 86-754-88251499

Contact Person:

Flower Cai

Shantou Institute of Ultrasonic Instruments Co., Ltd.

77 Jinsha Road, Shantou, Guangdong 515041, China

Date Prepared: November 30, 2011

2. Device/Trade Name:

Apogee 1200 Digital Color Doppler Ultrasound Imaging System

Classification Name:

Regulatory Class: II

Ultrasonic Pulsed Doppler Imaging System 90-IYN (per 21 CFR 892.1550) Ultrasonic Pulsed Echo Imaging System 90-IYO (per 21 CFR 892.1560) Diagnostic Ultrasound Transducer 90-ITX (per 21 CFR 892.1570)

1

3. Predicate Device:

The subject device is substantially equivalent to the device currently having FDA 510(k) clearance Ultrasonix Ergononix 500 Ultrasound Scanner (K042326) with respect to intended use, principles of operation and technological characteristics.

4. Device Description:

The SIUI Apogee 1200 is a Digital Ultrasound Imaging System capable of the following operating modes: 2D (B mode), M, Doppler (PWD/CWD mode), Color (CFM mode) and 3D. The system is designed for use in linear, convex, phased array and 3D scanning modes and supports linear, convex, phased array, 3D and endocavity (trans-vaginal and trans-rectal) transducers. The system has cine review, image zoom, measurements and calculations, image storage and review, printing and recording capabilities.

Intended Use: 5.

The device is intended for ultrasonic pulsed echo imaging and measurement for abdominal, pediatric, small organs, musculo-skeletal, cardiac, trans-vaginal, trans-rectal and peripheral vascular applications.

6. Safety Considerations:

The Apogee 1200 Digital Color Doppler Ultrasound Imaging System has been tested per the FDA Guidance document "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" issued in September 2008. The acoustic output is measured and calculated per NEMA UD 2 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment: 2004. The device conforms to applicable medical device safety standards, such as IEC 60601-1, ISO10993-5 and ISO 10993-10.

7. Conclusion:

The conclusions drawn from testing of the Apogee 1200 Digital Color Doppler Ultrasound Imaging System demonstrates that the device is as safe and effective as the legally marketed predicate device.

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 stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

JUN 1 5 2012

Ms. Flower Cai Assistant to Director Shantou Institute of Ultrasonic Instruments Co., Ltd (SIUI) International Department 77 Jinsha Road SHANTOU GUANGDONG 515041 CHINA

Re: K113613

Trade/Device Name: Apogee 1200 Digital Color Doppler Ultrasound Imaging System w/ Convex Array C3LC, Linear Array L8LC, Convex Array C5LF, Phased Array P3FC, Endocavity V6LC, Endocavity Biplane ECBP

Regulation Number: 21 CFR 892.1550

Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: · IYN, IYO, and ITX Dated: June 11, 2012 Received: June 11, 2012

Dear Ms. Cai:

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 Apogee 1200 Digital Color Doppler Ultrasound Imaging System w/Convex Array C3LC, Linear Array L8LC, Convex Array C5LF, Phased Array P3FC, Endocavity V6LC, Endocavity Biplane ECBP, as described in your premarket notification:

3

Transducer Model Number

Convex Array C3LC Linear Array L8LC Convex Array C5LF

Phased Array P3FC Endocavity V6LC Endcavity Biplane ECBP

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 have any questions regarding the content of this letter, please contact Jeffrey Ballyns at (301) 796-6105.

Sincerely Yours,

uchael D. O'Hern for

Janine M. Morris Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

4

Indications for Use Statement

510(k) Number (if known):

Device Name:

Apogee 1200 Digital Color Doppler Ultrasound Imaging System with

Convex Array C3LC Linear Array L8LC Convex Array C5LF Phased Array P3FC Endocavity V6LC Endocavity Biplane ECBP

Indications for Use:

Diagnostic ultrasonic imaging for abdominal, pediatric, small organ, musculo-skeletal, cardiac, peripheral vascular, trans-vaginal and trans-rectal applications in B, M, PWD, CWD, Color ' Doppler and 3D imaging modes.

Prescription Use (Part 21 CFR 801 Subpart D)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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

Arad D. O'her
(Division Sign-Off)

Division of Radiological Device Office of In Vitro Diagnostic Device

510K

5

3.1 System Indications for Use Form

System: Apogee 1200

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Imaging
& OtherFetalNNNNN
AbdominalNNNNN
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
PediatricNNNN
Small Organ (Specify)NNNN
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNN
Trans-vaginalNNNN
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)NNNN
Musculo-skeletal
(Superficial)NNNN
Intravascular
Other (Specify)NNNNN
CardiacCardiac AdultNNNNN
Cardiac PediatricNNNNN
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselNNNN
Other (Specify)

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

  • Other modes of operation include: 3-D Imaging;

Additional Comments: Other uses include: Prostate, Kidney, Uterus, Ovary Small organs include: Thyroid, Testes, Breast

Presefiption Use (Per 21 CFR 801.109))

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety
510K K113613

6

3.2 Transducer Indications for Use Form

Transducer: Convex Array C3LC

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Imaging
& OtherFetalNNNN
AbdominalNNNN
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Specify)NNNN
Cardiac Adult
CardiacCardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vessel
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Additional Comments: Other uses include: Prostate, Kidney, Uterus, Ovary

Prescription Use (Per 21 CFR 801.109)

Michael D. O'Hara

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety
510K 6113613

7

SIUI Apogee 1200 Digital Color Doppler Ultrasound Imaging System

Diagnostic Ultrasound Indications for Use Form

3.3 Transducer Indications for Use Form

Transducer: Linear Array L8LC

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricNNNN
Small Organ (Specify)NNNN
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)NNNN
Musculo-skeletal
(Superficial)NNNN
Intravascular
Other (Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselNNNN
Other (Specify)

N = new indication; P = previously cleared by FDA; E = added under this appendix Additional Comments: Small organs include: Thyroid, Testes, Breast

Prescription Use (Per 21 CFR 801.109)

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

· · 510K

8

3.4 Transducer Indications for Use Form

Transducer: Convex Array C5LF

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
FetalNN
AbdominalNN
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
FetalPediatric
ImagingSmall Organ (Specify)
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Specify)NN
Cardiac Adult
CardiacCardiac 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

  • Other modes include: 3-D Imaging;

Additional Comments: Other uses include: Prostate, Kidney, Uterus, Ovary

Prescription Use (Per 21 CFR 801.109)

(Division Sign-Off)
Division of Raciological Devices
Office of in Vitro Ori
1

Office of In Vitro Diaginostic Dev valuation and Safety 510k

9

3.5 Transducer Indications for Use Form

Transducer: Phased Array P3FC

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Specify)
CardiacCardiac AdultNNNNN
Cardiac PediatricNNNNN
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vessel
Other (Specify)

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

Prescription Use (Per 21 CFR 801.109)

Aush D. Ok
(Division Sign-Off)

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

510K K113613

10

3.6 Transducer Indications for Use Form

Transducer: Endocavity V6LC

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
FetalPediatric
ImagingSmall Organ (Specify)
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectalNNNN
Trans-vaginalNNNN
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Specify)NNNN
Cardiac Adult
CardiacCardiac 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

Additional Comments: Other uses include: Prostate, Kidney, Uterus, Ovary

Prescription Use (Per 21 CFR 801.109)

Mhhal D. O'th
(Division Sign-Off)

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety
K 1/36/3

510K

11

3.7 Transducer Indications for Use Form

Transducer: Endocavity Biplane ECBP

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other*
(Specify)
OphthalmicOphthalmic
Fetal
Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNN
Trans-vaginalNNNN
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Intravascular
Other (Specify)NNNN
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

Additional Comments: Other uses include: Prostate, Kidney, Uterus, Ovary

Prescription Use (Per 21 CFR 801(109)

(Division Sign-Off)
Division of Radiological Devices
Office of In Vitro Diagnostic Device Evaluation and Safety
510K K113613