K Number
K121699
Device Name
ACUSON X300 DIAGNOSTIC ULTRASOUND SYSTEM SONOVISTA X300 DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
2012-06-22

(14 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Siemens Acuson X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging".
Device Description
The Siemens ACUSON X300 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppier Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.
More Information

Not Found

No
The summary does not mention AI, ML, or related terms, and the device description focuses on standard ultrasound imaging modes and analysis packages without indicating advanced algorithmic processing.

No
The device is described as a "diagnostic ultrasound system" and its function is to acquire and display ultrasound echo data for "clinical diagnosis purposes." It does not mention any therapeutic capabilities.

Yes

The "Intended Use / Indications for Use" section explicitly states that the system provides "analysis packages that provide information that is used for clinical diagnosis purposes." Additionally, the "Device Description" directly names it as the "Siemens ACUSON X300 Diagnostic Ultrasound System."

No

The device description explicitly states it is a "multi-purpose mobile, software controlled, diagnostic ultrasound system" and describes its function in acquiring and displaying ultrasound echo data, which inherently involves hardware components (transducers, display, processing unit). While software is a key part of its control and functionality, it is not a standalone software-only device.

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 Siemens Acuson X300 is an ultrasound imaging system. It uses sound waves to create images of internal body structures. This is an in vivo (within the living body) diagnostic method, not an in vitro method.
  • Intended Use: The intended uses listed are all related to imaging internal anatomy and providing measurements and analysis based on those images. This is consistent with an in vivo imaging device.
  • Device Description: The description clearly states it's a "Diagnostic Ultrasound System" that acquires and displays ultrasound echo data.

Therefore, the Siemens Acuson X300 is a diagnostic imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Siemens Acuson X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging".

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

IYN, IYO, ITX, and DQO

Device Description

The Siemens ACUSON X300 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppier Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, Peripheral Vascular, Ophthalmic, Breast, Testes, Thyroid, Penis, Prostate, Rectal, Vaginal, Urethral, Intravascular.

Indicated Patient Age Range

Adult, Pediatric, Fetal, Neonatal

Intended User / Care Setting

Physician

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The modifications to the Siemens ACUSON X300 Diagnostic Ultrasound System are verified and validated according to the company's design control process.

The device has been evaluated for acoustic output, biocompatibility, cleaning and disinfection effectiveness as well as thermal, electrical, electromagnetic and mechanical safety and has been found to conform with applicable medical device safety standards. The system complies with the following voluntary standards:
UL 60601-1, Safety Requirements for Medical Equipment
IEC 60601-2-37 Diagnostic Ultrasound Safety Standards
CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment
AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound
93/42/EEC Medical Devices Directive
Safety and EMC Requirements for Medical Equipment
EN/IEC 60601-1
EN/IEC 60601-1-1
EN/IEC 60601-1-2
IEC 1157 Declaration of Acoustic Power
ISO 10993-1 Biocompatibility
Cleared patient contact materials, electrical and mechanical safety are unchanged.

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.

K090276, K093531, K113179, K101091, K113690, K014206, K101757

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

ACUSON X300™ Diagnostic Ultrasound System Special 510(k) Submission

SECTION 12 510(k) Summary

JUN 2 2 2012

  • 11.1. Sponsor: Siemens Medical Solutions USA, Inc., Ultrasound Division 685 East Middlefield Road Mountain View, California 94043
    11.2. Contact Person: Shelly Pearce Title: Regulatory Affairs Specialist (650) 694 5988 Telephone: (650) 694 5580 Fax:

11.3. Submission Date: May 15, 2012

  • 11.4. Device Name: ACUSON X300™ Diagnostic Ultrasound System SONOVISTA X300 Diagnostic Ultrasound System ACUSON X300 ™ Diagnostic Ultrasound System, premium edition (K090276, K093531)

11:5. Common Name: Diagnostic Ultrasound System with Accessories

11.6. Classification: Regulatory Class: ll Review Category: Tier II Radiology Classification Panel:

Ultrasonic Pulsed Doppler Imaging SystemFR # 892.1550Product Code 90-IYN
Ultrasonic Pulsed Echo Imaging SystemFR # 892.1560Product Code 90-IYO
Diagnostic Ultrasound TransducerFR # 892.1570Product Code 90-ITX
Diagnostic Intravascular CatheterFR # 870.1200Product Code 74-DQC

A. Legally Marketed Predicate Devices

The Siemens ACUSON X300 Diagnostic Ultrasound System is a multi-purpose diagnostic ultrasound system with accessories and proprietary software, and is substantially equivalent to the current product that is already cleared for USA distribution under the following 510(k) PreMarket Notification number:

  • K090276. K093531. ACUSON X300™ Diagnostic Ultrasound System, SONOVISTA . X300 Diagnostic Ultrasound System, ACUSON X300™ Diagnostic Ultrasound System, premium edition
  • K113179, ACUSON SC2000™ Diagnostic Ultrasound System .
  • K101091, ZONARE z.one Ultra Ultrasoud System .
  • K113690, GE LOGIQ i, LOGIQ e, Vivid e .
  • K014206, GE LogiqBooK XP .
  • . K101757, Sonosite M-turbo

B. Device Description:

The Siemens ACUSON X300 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound system with an on-screen display for thermal and mechanical

1

indices related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppier Mode, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.

C. Intended Use

The Siemens Acuson X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging".

D. Substantial Equivalence

The submission device is substantially equivalent to the predicate with regard to both intended use and technological characteristics.

E. Performance Data

The modifications to the Siemens ACUSON X300 Diagnostic Ultrasound System are verified and validated according to the company's design control process.

F. A brief discussion of nonclinical tests submitted, referenced, or relied on in

the 510(k) for a determination of substantial equivalence.

The device has been evaluated for acoustic output, biocompatibility, cleaning and disinfection effectiveness as well as thermal, electrical, electromagnetic and mechanical safety and has been found to conform with applicable medical device safety standards. The system complies with the following voluntary standards:

UL 60601-1, Safety Requirements for Medical Equipment

IEC 60601-2-37 Diagnostic Ultrasound Safety Standards

CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment

AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment

AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound

93/42/EEC Medical Devices Directive

Safety and EMC Requirements for Medical Equipment

EN/IEC 60601-1

2

EN/IEC 60601-1-1

EN/IEC 60601-1-2

IEC 1157 Declaration of Acoustic Power

ISO 10993-1 Biocompatibility

Cleared patient contact materials, electrical and mechanical safety are unchanged.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized emblem. The emblem consists of three abstract human profiles facing to the right, stacked on top of each other. The profiles are connected by a flowing line, creating a sense of unity and movement.

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

JUN 2 2 2012

Siemens Medical Solutions USA, Inc. Ultrasound Group % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

Re: K121699

K121077
Trade/Device Name: ACUSON X300™ Diagnostic Ultrasound System; SONOVISTA X 300 Diagnostic Ultrasound Systems; ACUSON X300™ Diagnostic Ultrasound System, premium edition

Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX, and DQO Dated: June 7, 2012 Received: June 8, 2012

Dear Mr. Job:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced we nave leviewed your beenou broke is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to the enclosure) to regally mankelou production Device Amendments, or to devices that have been May 26, 1970, the Chacement and of the Federal Food, Drug, and Cosmetic Act (Act). You reclassified in accordance with the provisions to the general controls provisions of the Act. The general may, therefore, thanket the device, basyon is month registration, listing of devices, good Controls provisions of the beling, and prohibitions against misbranding and adulteration.

This determination of substantial equivalence applies to the following transducers intended for use with This determination of Salostantial System, SONOVISTA X 300 Diagnostic Ultrasound the ACUSON X 300 - Diagnostic Ultrasound System, premium edition, as described in your premarket notification:

Transducer Model Number

P4-2 Phased Sector Array CH5-2 Convex Array VF10-5 Linear Array L9-5 Linear Array EC9-4 Convex Array EV9-4 Convex Array VF13-5 Linear Array P8-4 Phased Sector Array

BE 9-4 Convex Array CW2 Continuous Wave Doppler CW5 Continuous Wave Doppler AcuNav 8F Intracardiac AcuNav 10F Intracardiac V5Ms TEE 4V1c Phased Sector Array VF13-5SP Linear Array

4

C8-5 Tightly Curved Array 8L3 Linear "Regel" 10V4 Phased Array C7F2 Curved Array Mechanical 3D/4D EV9F4 Curved Array Mechanical 3D/4D L13F5 3D/4D Mechanical Wobbler Linear VF8-3 Linear Array P5-1 Phased Array C6-2 Convex Array SoundStar 10F P9-4 Phased Array

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 Subled 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 I DA has made a deceminations administered by other Federal agencies. You must comply with all the I cocrar statutes and regulations as annot limited to: registration and listing (21 CFR Part 807); labeling (21 Act 3 requirements, morable wing 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. This 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 11 you desire specific advice for your er offices/CDRH/CDRHOffices/ucm11.5809.htm for the Center for Intip://www.ida.gov/Abouti Drivellers/Office of Compliance. Also, please note the regulation Devices and Radiological reallir o (SEPT Part 807.97). For questions regarding the reporting of referents in promote the MDR regulation (21 CFR Part 803), please go to regarding the reporting of daverse overse w/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 Joshua Nipper at (301) 796-6524.

Sincerely Yours,

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

Enclosure(s)

5

SECTION 6 Indications for Use Forms

Indications for Use Statement

510(k) Number (if known):

Device Name:

ACUSON X300TM Diagnostic Ultrasound System SONOVISTA X300 Diagnostic Ultrasound System ACUSON X300™ Diagnostic Ultrasound System, premium edition

Indications For Use:

The Siemens Acuson X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging".

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 IF NEEDED)

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

Division Sign-Off Office of In Vitro Diagnostic Devices

510(k)K121699

Page 1 of

6

510(k) Number (if known):

Device Name: Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
(Track1
Only)Specific
(Tracks 1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Neuro)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
LaparoscopicPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Fetal
Imaging
& OtherPediatricPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult CephalicPPPPPPPBMDCNote
2.3.4.5.7.8.9,11
Trans-rectalPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-vaginalPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-urethral
Trans-esoph.
(non-Card.)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skel.
(Convent.)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skel.
(Superfic)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra -vascularPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Other
(Specify)PPPPPPPBMDCNote
2.3.4.5.7.8.9.11
Cardiac AdultPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
CardiacCardiac PediatricPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-esophageal
(Cardiac)PPPPPPPBMDCNote
2.3,4.5,7.8,9,11
Intra-CardiacPPPPPPPBMDCNote
2,3,4,5,7.8,9,11
Other (Specify)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11
PeripheralPeripheral vesselPPPPPPPBMDCNote
2,3,4,5,7,8,9,11
VesselOther (Specify)PPPPPPPBMDCNote
2,3,4,5,7,8,9,11

N = new indication; P = previously cleared by K080760; K090276

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

Note 3 3D imaging

3D imaging
Power SieScape panoramic imaging Note 5

Tissue Equalization Technology Note 9

Dynamic TCE Note 11

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

Note 2

Note 4

Note 6

Note 8

Note 10

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

Intracardiac imaging

SieClear multi-view spatial compounding

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

Division Sign-Off - Office of In Vitro Diagnostic Devices
K121699

Page 2 of

Contrast agent imaging Note 7

7

ACUSON X300™ Diagnostic Ultrasound System Special 510(k) Submission

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name: Intended Use:

P4-2 Phased Sector Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPPBMDCNote
2,3,5,6,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)
Neonatal CephalicPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult CephalicPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote
2.3.4.5.7.8,9.11
CardiacCardiac PediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselPPPPPPBMDCNote
2,3,4,5,7,8,9,11
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

Note 1For example: breast, testes, thyroid, penis, prostate, etc.
---------------------------------------------------------------------
  • Note 3 3D imaging
    Power SieScape panoramic imaging Note 5 Contrast agent imaging Note 7

  • Tissue Equalization Technology Note 9

  • Note 11 Dynamic TCE

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

Note 2 Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office/of In Vitro Diagnostic Devices
KlAl699

Page 3 of

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

Intracardiac imaging

8

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

CH5-2 Convex Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Intended Use:

Clinical Application Mode of Operation Color Other Color Amplitude Cambined Other Specific PWD CWD B M Velocity ( Track1 A Doppler Doppler (Specify) (Specify) (Tracks11& 3) Imaging Only) Ophthalmic Ophthalmic Note P P BMDC P P P Fetal 2.3.4.5.7,8.9.11 Note BMDC P P P P P Abdominal 2,3,4,5,7,8,9,11 Intra-operative (Note G) Intra-operative (Neuro) Laparoscopic Note P BMDC P P P P Pediatric Fetal 2,3,4,5,7,8,9,11 SmallOrgan Imaging & Other (Note 1) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph. (non-Card.) Note Musculo-skel. P P P P P BMDC 2.3.4.5.7.8.9.11 . (Convent.) Musculo-skel. (Superfic) Intra-vascular Qther (Specify) Note P P BMDC P P P Cardiac Adult 2,3.4,5,7,8,9,11 Note P p P P BMDC P Cardiac Cardiac Pediatric 2,3,4,5,7,8,9,11 Intra-vascular (Carliac) Trans-esophageal (Cardiac) Intra-cardiac Other (Specify) Note P BMDC P P P Peripheral vessel P . 2,3,4,5,7,8,9,11 Peripheral Vessel Other (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • Note 3 3D imaging
  • Note 5 Power SieScape panoramic imaging
  • Note 7 Contrast agent imaging
  • Tissue Equalization Technology Note 9

Note 11 Dynamic TCE

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

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

Division Sign-Off - Office of In Vitro Diagnostic Devices

510(k) K121699

Page 4 of

  • Note 4 Note 6
    Note 2

  • For example: abdominal, vascular

  • SieClear multi-view spatial compounding Note 8

  • Note 10 Intracardiac imaging

Ensemble tissue harmonic imaging B&W SieScape panoramic imaging

9

510(k) Number (if known):

Device Name:

VF10-5 Linear Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
(Track1
Only)Specific
(Tracks1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPBMDCNote
2,3,4,5,7,8,9.11
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult Cephalic
Trans-rectai
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skei.
(Superfic)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselPPPPPBMDCNote
2,3,4,5,7,8,9.11
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

  • For example: breast, testes, thyroid, penis, prostate, etc. Note 2 Note 1
  • 3D imaaina Note 3
  • Power SieScape panoramic imaging Note 5
  • Contrast agent imaging Note 7
  • Tissue Equalization Technology Note 9
  • Note 11 Dynamic TCE

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

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

Note 4

Note 6

Note 8

Note 10

Division Sign-Off - Office of In-Vitro Diagnostic Devices

Kla1699
510(k)

Page 5 of

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For example: abdominal, vascular

Intracardiac imaging

10

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

L9-5 Linear Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Intended Use:

Clinical Application Mode of Operation Other Color Specific Color Amplitude Combined Other A B M PWD CWD Velocity ( Track 1 (Tracks11& 3) Doppler Doppler (Specify) (Specify) Only) Imaging Ophthalmic Ophthalmic Note P P P P P BMDC Fetal 2,3,4,5,7,8,9,11 Note P P P P P BMDC Abdominal 2,3,4,5,7,8,9,11 Intra-operative (Note 6) Intra-operative (Neuro) Laparoscopic Note P P P BMDC Fetal Pediatric P P 2.3.4.5.7.8.9,11 · SmallOrgan Imaging Note P P P P P BMOC 2,3,4,5,7,8,9,11 & Other (Note 1) Note P Neonatal Cephalic P P P p BMDC 2,3,4,5,7,8,9,11 Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph. (non-Card.) Musculo-skel. Note P P P P P BMDC 2,3,4,5,7,8,9,11 (Convent.) Musculo-skel. Note P P P P BMDC P 2,3,4,5,7,8,9,11 (Superfic) Intra-vascular Other (Specify) Cardiac Adult Cardiac Cardiac Pediatric Intra-vascular (Cardiac) Trans-esophageal (Cardiac) Intra-Cardaic · Other (Specify) Note P P P BMDC Peripheral vessel P P Peripheral 2.3.4.5.7.8.9.11

Other (Specify) N = new indication; P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

  • 3D imaging Note 3
  • Power SieScape panoramic imaging Note 5 Contrast agent imaging

Note 7

Vessel

Tissue Equalization Technology Note 9 Dynamic TCE Note 11

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices
510(k) K121699

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Intracardiac imaging

11

ACUSON X300™ Diagnostic Ultrasound System Special 510(k) Submission

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name: Intended Use: EC9-4 Convex Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Diagnostic imaging or fluid flow analysis o

Clinical ApplicationMode of Operation
Other
(Track1
Only)Specific
(Tracks 11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2.3.4.5,7,8,9,11
Adult Cephalic
Trans-rectalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-vaginalPPPPPBMDCNote
2,3,4,5,7,8.9,11
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-Cardiac
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • 3D imaging Note 3
  • Power SieScape panoramic imaging Note 5
  • Note 7 Contrast agent imaging
  • Tissue Equalization Technology Note 9
  • Note 11 Dynamic TCE

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

Note 2

Note 4

Note G

Note 8

Nota 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices

510(k) K121699

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Intracardiac imaging

12

510(k) Number (if known):

Device Name:

EV9-4 Convex Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult Cephalic
Trans-rectalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-vaginalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
intra-Cardiac
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • 3D imaging Note 3
  • Power SieScape panoramic imaging Note 5
  • Contrast agent imaging
    Tissue Equalization Technology Note 7
  • Note 9
  • Dynamic TCE Note 11
    • (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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

Note 2

Note 4

Note 6

Note 8

Note 10

Division Sign-Off - Office of In Vitro Diagnostic Devices
510(k) K121699

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13

510(k) Number (if known):

Device Name:

VF13-5 Linear Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks1 & 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph,
(non-Card.)
Musculo-skel.
(Convent)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skel.
(Superfic)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Other (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • Note 3 3D imaging
  • Power SieScape panoramic imaging Note 5
  • Contrast agent imaging Note 7

Tissue Equalization Technology Note 9

  • Dynamic TCE Note 11
    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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

Note 2

Note 4

Note 6

Note 8

Note 10

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

Intracardiac imaging

Division Sign-Off - Office of in Vitro Diagnostic Devices

510(k) K121699

14

510(k) Number (if known):

Device Name:

P8-4 Phased Sector Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

Other

( Track 1

Only) Ophthalmic

Diagnostic imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation Calor Specific Color Amplitude Combined Other CWD Velocity B M PWD A (Specify) (Tracks11& 3) Doppler Doppler (Specify) Imaging Ophthalmic

| | Fetal | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
|--------------------|-------------------------------|---|---|---|---|---|---|------|--------------------------|
| | Abdominal | P | P | P | P | P | P | BMDC | Note
2,3,5,6,7,8,9,11 |
| | Intra-operative
(Note 6) | | | | | | | | |
| | Intra-operative
(Neuro) | | | | | | | | |
| | Laparoscopic | | | | | | | | |
| Fetal | Pediatric | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| Imaging
& Other | SmallOrgan
(Note 1) | | | | | | | | |
| | Neonatal Cephalic | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| | Adult Cephalic | | | | | | | | |
| | Trans-rectal | | | | | | | | |
| | Trans-vaginal | | | | | | | | |
| | Trans-urethral | | | | | | | | |
| | Trans-esoph.
(non-Card.) | | | | | | | | |
| | Musculo-skel.
(Convent) | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| | Musculo-skel.
(Superfic) | | | | | | | | |
| | Intra-vascular | | | | | | | | |
| | Other
(Specify) | | | | | | | | |
| | Cardiac Adult | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| Cardiac | Cardiac Pediatric | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| | Intra-vascular
(Cardiac) | | | | | | | | |
| | Trans-esophageal
(Cardiac) | | | | | | | | |
| | Intra-cardiac | | | | | | | | |
| | Other (Specify) | | | | | | | | |
| Peripheral | Peripheral vessel | P | P | P | P | P | P | BMDC | Note
2,3,4,5,7,8,9,11 |
| Vessel | Other (Specify) | | | | | | | | |

N = new indication; P = previously cleared by K080760

Note 1For example: breast, testes, thyroid, penis, prostate, etc
--------------------------------------------------------------------
  • Note 3 3D imaging
  • Power SieScape panoramic imaging Note 5

Contrast agent imaging Note 7 Tissue Equalization Technology Note 9

  • Dynamic TCE Note 11
    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices
510(k) K121699

Page 10 of _

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SieClear multi-view spatial compounding

For example: abdominal, vascular

15

510(k) Number (if known):

BE 9-4 Convex Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Device Name: Intended Use:

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

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote 2,3,4,5,7,8,9
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8,9
Neonatal CephalicPPPPPBMDCNote 2,3,4,5,7,8,9
Adult Cephalic
Trans-rectalPPPPPBMDCNote 2,3,4,5,7,8,9
Trans-vaginalPPPPPBMDCNote 2,3,4,5,7,8,9
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)
N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • 3D imaging Note 3
  • Power SieScape panoramic imaging Note 5

Note 7 Contrast agent imaging

Tissue Equalization Technology Note 9

  • Note 11 Dynamic TCE
    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off Office of In Vitro Olagnostic Devices

510(k) K121699

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Intracardiac imaging

16

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

CW2 Continuous Wave Doppler Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalP
AbdominalP
Intra-operative
(Note 6)P
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricP
Imaging
& OtherSmallOrgan
(Note 1)P
Neonatal CephalicP
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)P
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultP
CardiacCardiac PediatricP
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PerpheralPeripheral vesselP
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

  • Note 3 3D imaging
    Power ŠieScape panoramic imaging Note 5

  • Contrast agent imaging Note 7 Tissue Equalization Technology

  • Note 9 Dynamic TCE Note 11

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off / Office of In Vitro Diagnostic Devices
510(k) K121699

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SieClear multi-view spatial compounding

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17

510(k) Number (if known):

Device Name:

CW5 Continuous Wave Doppler Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalP
AbdominalP
Intra-operative
(Note 6)P
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricP
Imaging
& OtherSmallOrgan
(Note 1)P
Neonatal CephalicP
Adult CephalicP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)P
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultP
CardiacCardiac PediatricP
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-Cardiac
Other (Specify)
PeripheralPeripheral vesselP
VesselOther (Specify)

N = new indication: P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

  • 3D imaging Note 3
  • Note 5 Power SieScape panoramic imaging
  • Note 7 Contrast agent imaging

Tissue Equalization Technology Note 9

Note 11 Dynamic TCE

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices
510(k) K121699

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Intracardiac imaging

18

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

AcuNav 8F Intracardiac Transducer for use with:

Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks 11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPPBMDCNote
2,3,7,8,9,10,11
Imaging
& OtherSmallOrgan
(Note 1)1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascularPPPPPPBMDCNote
2,3,7,8,9,10,11
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote
2,3,7,8,9,10,11
CardiacCardiac PediatricPPPPPPBMDCNote
2,3,7,8,9,10,11
Intra-vascular
(Cardiac)PPPPPPBMDCNote
2.3,7,8,9,10,11
Trans-esophageal
(Cardiac)
Intra-cardiacPPPPPPBMDCNote
2,3,7,8,9,10,11
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

N = new indication: P = previously cleared by K080760

  • Note 1 For example: breast, testes, thyroid, penis, prostate, etc.
  • Note 3
  • 3D imaging
    Power SieScape panoramic imaging Note 5
  • Contrast agent imaging Note 7 Tissue Equalization Technology
  • Note 9 Note 11 Dynamic TCE

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Concurrence of CDRH

Division Sign-Off - Office of In Vitro Diagnostic Devices

510(k): K121699

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Intracardiac imaging

19

510(k) Number (if known):

Device Name:

AcuNav 10F Intracardiac Transducer for use with:

Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPPBMDCNote
2,3,7,8,9,10,11
SmallOrgan
(Note 1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascularPPPPPPBMDCNote
2,3,7,8,9,10,11
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote
2,3.7,8,9,10,11
CardiacCardiac PediatricPPPPPPBMDCNote
2,3,7,8,9,10,11
Intra-vascular
(Cardiac)PPPPPPBMDCNote
2,3,7,8,9,10,11
Trans-esophageal
(Cardiac)
Intra-cardiacPPPPPPBMDCNote
2,3,7,8,9,10,11
Other (Specify)
Peripheral
VesselPeripheral vessel
Other (Specify)

N = new indication; P = previously cleared by K080760

  • For example: breast, testes, thyroid, penis, prostate, etc. Note 1
  • Note 3 3D imaging
  • Note 5 Power SieScape panoramic imaging
  • Note 7 Contrast agent imaging Tissue Equalization Technology
  • Note.9 Note 11 Dynamic TCE

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices

510(k) K121699

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20

510(k) Number (if known):

Device Name:

V5Ms TEE Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPPPBMDCNote 2,3,7,8,9,11
CardiacCardiac PediatricPPPPPPPBMDCNote 2,3,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)PPPPPPPBMDCNote 2,3,7,8,9,11
Intra-cardiac
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

N = new indication; P = previously cleared by K090276

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • 3D imaging Note 3
    Note 5 Power SieScape panoramic imaging

  • Note 7 Contrast agent imaging
    Tissue Equalization Technology Note 9

Dynamic TCE Note 11

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

Note 2

Note 4

Note 6

Note 8

Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices

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Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

Intracardiac imaging

21

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

4V1c Phased Sector Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Intended Use:

Mode of Operation Clinical Application Color Other Specific Color Amplitude Combined Other B PWD CWD Velocity { Track 1 A M (Tracks118 3) Doppler Doppler (Specify) (Specify) lmaging Only) Ophthalmic Ophthalmic Fetal P P P P P P BMDC Note 2,3,4,5,7,8,9 Abdominal P P P P P P BMDC Note 2,3,5,6,7,8,9 Intra-operative (Note 6) Intra-operative (Neuro) Laparoscopic Fetal P P Note 2,3,4,5,7,8,9 P P P P BMDC Pediatric Imaging SmallOroan & Other (Note 1) P P P P P P BMDC Note 2,3,4,5,7,8,9 Neonatal Cephalic Note 2,3,4,5,7,8,9 P P P P a BMDC Adult Cephalic P Trans-rectal Trans-vaginal Trans-urethral Trans-esoph. (non-Card.) Musculo-skel. (Convent) Musculo-skel. (Superfic) Intra-vascular Other (Specify) P P BMDC Note 2,3,4,5,7,8,9 P P P Cardiac Adult P Cardiac Cardiac Pediatric P P P P P P BMDC Note 2,3,4,5,7,8,9 Intra-vascular (Cardiac) Trans-esophageal (Cardiac) Intra-cardiac Other (Specify) Note 2,3,4,5,7,8,9

N = new indication: P = previously cleared by K080760

Peripheral vessel

Other (Specify)

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

P P

  • Note 3 3D imaging
    Peripheral

Vessel

Power SieScape panoramic imaging Note 5

Note 7 Contrast agent imaging

  • Note 8 SieClear multi-view spatial compounding
    Tissue Equalization Technology Note 9

Note 10 Intracardiac imaging

Dynamic TCE Note 11

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

P

P

P

Note 2

Note 4

Note 6

P

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BMDC

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

22

510(k) Number (if known):

Device Name:

VF13-5SP Linear Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks 1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Note 6)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Neuro)PPPPPBMDCNote
2.3,4,5,7,8,9.11
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPBMDCNote
2,3,4,5,7,8,9.11
SmallOrgan
(Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9.11
Neonatal CephalicPPPPPBMDCNote
2,3,4,5,7,8,9.11
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)PPPPPBMDCNote
2.3.4.5.7.8.9.11
Musculo-skel.
(Superfic)PPPPPBMDCNote
2,3.4,5.7,8.9.11
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPPPPPBMDCNote
2,3,4,5,7,8,9.11
Other (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • 3D imaging
    Power SieScape panoramic imaging Note 3
  • Note 5 Contrast agent imaging
  • Note 7

Note 9 Tissue Equalization Technology

  • Note 11
    • Dynamic TCE

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Intracardiac imaging Note 10

Note 2

Note 8

Note 4 B&W SieScape panoramic imaging Note 6 For example: abdominal, vascular

Ensemble tissue harmonic imaging

23

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

C8-5 Tightly Curved Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote 2,3,4,5,7,8,9
AbdominalPPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPPBMDCNote 2,3,4,5,7,8,9
SmallOrgan
(Note 1)PPPPPPBMDCNote 2,3,4,5,7,8,9
Neonatal CephalicPPPPPPBMDCNote 2,3,4,5,7,8,9
Adult CephalicPPPPPPBMDCNote 2,3,4,5,7,8,9
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)PPPPPPBMDCNote 2,3,4,5,7,8,9
Musculo-skel.
(Superfic)PPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote 2,3,4,5,7,8,9
CardiacCardiac PediatricPPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPPPPPPBMDCNote 2,3,4,5,7,8,9
Other (Specify)

N = new indication; P = previously cleared by K080760 ·

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • Note 3
  • 3D imaging
    Power SieScape panoramic imaging Note 5

Note 7 Contrast agent imaging

  • Note 9 Tissue Equalization Technology
  • Note 11

Dynamic TCE

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

Note 2

Note 4

Note 6

Note 8

Note 10

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Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

SieClear multi-view spatial compounding

For example: abdominal, vascular

Intracardiac imaging

2100

24

510(k) Number (if known):

Device Name:

8L3 Linear "Regel" Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote 2,3,4,5,7,8,9
AbdominalPPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPPBMDCNote 2,3,4,5,7,8,9
Imaging
& OtherSmallOrgan
(Note 1)PPPPPPBMDCNote 2,3,4,5.7,8,9
Neonatal CephalicPPPPPPBMDCNote 2,3,4,5,7,8,9
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skei.
(Convent)PPPPPPBMDCNote 2,3,4,5,7,8,9
Musculo-skel.
(Superfic)PPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-vascuiar
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PerpheralPeripheral vesselPPPPPPBMDCNote 2,3,4,5,7,8,9
VesselOther (Specify)

N = new indication; P = previously cleared by K080760
Note 1

Note 3 3D imaging

  • Note 5
    : :

Power SieScape panoramic imaging Note 7 Contrast agent imaging

Note 9 Tissue Equalization Technology

  • Note 11 Dynamic TCE
    Note 2 Ensemble tissue harmonic imaging

Note 4 B&W SieScape panoramic imaging

  • Note 6 For example: abdominal, vascular SieClear multi-view spatial compounding
    Note 8 Note 10 Intracardiac imaging

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Page 20 of ___________________________________________________________________________________________________________________________________________________________________

25

510(k) Number (if known);

Device Name:

10V4 Phased Array Transducer for use with; ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

| Clinical Application | | Mode of Operation | | | | | | | | Combined
(Specify) | Other
(Specify) |
|-----------------------------|-------------------------------|-------------------|---|---|-----|-----|------------------|----------------------|------------------------------|-----------------------|--------------------|
| Other
( Track1
Only) | Specific
(Tracks 1 & 3) | A | B | M | PWD | CWD | Color
Doppler | Amplitude
Doppler | Color
Velocity
Imaging | | |
| Ophthalmic | Ophthalmic | | | | | | | | | | |
| | Fetal | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Abdominal | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Intra-operative
(Note 6) | | | | | | | | | | |
| | Intra-operative
(Neuro) | | | | | | | | | | |
| | Laparoscopic | | | | | | | | | | |
| Fetal
Imaging
& Other | Pediatric | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | SmallOrgan
(Note 1) | | | | | | | | | | |
| | Neonatal Cephalic | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Adult Cephalic | | | | | | | | | | |
| | Trans-rectal | | | | | | | | | | |
| | Trans-vaginal | | | | | | | | | | |
| | Trans-urethral | | | | | | | | | | |
| | Trans-esoph.
(non-Card.) | | | | | | | | | | |
| | Musculo-skel.
(Convent.) | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Musculo-skel.
(Superfic) | | | | | | | | | | |
| | Intra-vascular | | | | | | | | | | |
| | Other
(Specify) | | | | | | | | | | |
| | Cardiac Adult | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| Cardiac | Cardiac Pediatric | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Intra-vascular
(Cardiac) | | | | | | | | | | |
| | Trans-esophageal
(Cardiac) | | | | | | | | | | |
| | Intra-cardiac | | | | | | | | | | |
| | Other (Specify) | | | | | | | | | | |
| Peripheral
Vessel | Peripheral vessel | P | P | P | P | P | P | P | | BMDC | Note 2,3,4,5,7,8,9 |
| | Other (Specify) | | | | | | | | | | |

N = new indication; P = previously cleared by K080760

  • Note 1 For example: breast, testes, thyroid, penis, prostate, etc.
  • Note 3 3D imaging
  • Power SieScape panoramic imaging Note 5
  • Note 7 Contrast agent imaging
  • Tissue Equalization Technology Note 9
  • Dynamic TCE Note 11

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

Note 2

Note 4

Note 6

Note B

Note 10

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B&W SieScape panoramic imaging

SieClear multi-view spatial compounding

For example: abdominal, vascular

26

510(k) Number (if known):

C7F2 Curved Array Mechanical 3D/4D Transducer for use with:

Device Name: Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)PPPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote
2,3,4,5,7,8,9,11
CardiacCardiac PediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Other (Specify)

N = new indication; P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

Note 3 3D imaging

Note 5 Power SieScape panoramic imaging Note 7

Contrast agent imaging Tissue Equalization Technology Note 9

Dynamic TCE Note 11

Role #1: Dynamic

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Intracardiac imaging

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular

SieClear multi-view spatial compounding .

Note 2 Note 4 Note 6 Note 8 Note 10

27

510(k) Number (if known):

Device Name:

EV9F4 Curved Array Mechanical 3D/4D Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote
2.3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2.3.4.5.7.8.9.11
Adult Cephalic
Trans-rectalPPPPPBMDCNote
2.3,4,5,7,8,9,11
Trans-vaginalpPPರ್ಥಿPBMDCNote
2,3,4,5,7.8,9,11
Trans-urethral
Trans-esoph. ·
(non-Card.)
Musculo-skel.
(Convent)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripherai vessel
VesselOther (Specify)1- - 1/ מחחרות - - - - -

indication; P = previously cleared by K080760

Note 1For example: breast, testes, thyroid, penis, prostate, etc.
Note 2Ensemble tissue harmonic imaging
Note 33D imaging
Note 4B&W SieScape panoramic imaging
Note 5Power SieScape panoramic imaging
Note 6For example: abdominal, vascular
Note 7Contrast agent imaging
Note 8SieClear multi-view spatial compounding
Note 9Tissue Equalization Technology
Note 10Intracardiac imaging
Note 11Dynamic TCE

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Page 23 of

28

510(k) Number (if known):

Device Name:

L13F5 3D/4D Mechanica! Wobbler Linear Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other.
(Track1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote 2,3,4,5,7,8,9
AbdominalPPPPPBMDCNote 2,3,4,5,7,8,9
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPBMDCNote 2,3,4,5,7,8,9
Imaging
& OtherSmallOrgan
(Note 1)PPPPPBMDCNote 2,3,4,5,7,8,9
Neonatal CephalicPPPPPBMDCNote 2,3,4,5,7,8,9
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)PPPPPPBMDCNote 2,3,4,5,7,8,9
Musculo-skel,
(Superfic)PPPPPBMDCNote 2,3,4,5,7,8,9
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PeripheralPeripheral vesselPPPPPBMDCNote 2,3.4,5,7,8,9
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • Note 3 3D imaging
    Power SieScape panoramic imaging Note 5

Note 7 Contrast agent imaging

Note 9 Tissue Equalization Technology

Note 11 Dynamic TCE

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

Note 2

Note 4

Note 6

Note 8 Note 10

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Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

SieClear multi-view spatial compounding

For example: abdominal, vascular

29

510(k) Number (if known):

Device Name:

VF8-3 Linear Array Transducer for use with:

Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPBMDCNote
2,3,4.5,7,8,9,11
Intra-operative
(Nota 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPBMDCNote
2,3.4,5,7,8,9,11
Imaging
& OtherSmallOrgan
{Note 1)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)PPPPPBMDCNote
2.3.4,5.7.8,9,11
Musculo-skel.
(Superfic)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
Other
(Specify)
Cardiac Adult
CardiacCardiac Pediatric
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify).
PeripheralPeripheral vesselPPPPPBMDCNote
2,3.4,5,7,8,9,11
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

| Note ?
Note 3
Note 5
Note 7
Note 9
Note 11 | For example: breast, testes, thyroid, penis, prostate, etc.
3D imaging
Power SieScape panoramic imaging
Contrast agent imaging
Tissue Equalization Technology
Dynamic TCE | Note 2
Note 4
Note 6
Note 8
Note 10 | Ensemble tissue harmonic imaging
B&W SieScape panoramic imaging
For example: abdominal, vascular
SieClear multi-view spatial compounding
Intracardiac imaging |

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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Page 26 of _

Page. 6.25 of 6.29

30

510(k) Number (if known):

Device Name:

P5-1 Phased Array Transducer for use with:

Intended Use:

ACUSON X300 Diagnostic Ultrasound Systems Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks1& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
Fetal
Imaging
& OtherPediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)
Neonatal CephalicPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Adult CephalicPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPPBMDCNote
2,3,4,5,7,8,9,11
CardiacCardiac PediatricPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral vesselPPPPPPBMDCNote
2,3,4,5,7,8,9,11
Other (Specify)

N = new indication; P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc. 3D imaging

  • Note 3
    Note 5 Power SieScape panoramic imaging

  • Note 7 Contrast agent imaging Tissue Equalization Technology
    Note 9 Note 11 Dynamic TCE

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

Nota 2

Note 4

Note 6

Note 8

Note 10

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B&W SieScape panoramic imaging

For example: abdominal, vascular

Intracardiac imaging

SieClear multi-view spatial compounding

Page. 6.26 of 6.29

31

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

C6-2 Convex Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks11& 3)AвMPWDCWDColor
DopplerAmplitude
. DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPPBMDCNote
2,3,4,5,7,8,9,11
AbdominalPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatricPPPPPBMDCNote
2,3,4,5,7,8,9,11
Imaging
& OtherSmallOrgan
(Note 1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skei.
(Convent.)PPPPPBMDCNote
2,3,4,5,7,8,9,11
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultPPPPPBMDCNote
2,3,4,5,7,8,9,11
CardiacCardiac PediatricPPPPPBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiac
Other (Specify)
PenpheralPeripheral vesselPPPPP8MDCNote
2,3,4,5,7,8,9,11
VesselOther (Specify)

N = new indication; P = previously cleared by K080760

Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

  • Note 3 3D imaging
  • Note 5 Power SieScape panoramic imaging
  • Note 7 Contrast agent imaging

Tissue Equalization Technology Note 9

  • Note 11 Dynamic TCE
    Dynamic, OE

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

Note 2

Note 4

Note 6

Note 8 Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices
510(k)
Kla1699

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Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

For example: abdominal, vascular SieClear multi-view spatial compounding

32

Diagnostic Ultrasound Indications for Use Form

510(k) Number (if known):

Device Name:

SoundStar 10F Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

Intended Use:

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

Clinical ApplicationMode of Operation
Other
( Track 1
Only)Specific
(Tracks 1 & 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative
(Note 6)
Intra-operative
(Neuro)
Laparoscopic
FetalPediatric
Imaging
& OtherSmallOrgan
(Note 1)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent.)
Musculo-skel.
(Superfic)
Intra-vascularPPPPPPPBMDCNote
2,3,7,8,9,10,11
Other
(Specify)
Cardiac AdultPPPPPPPBMDCNote
2,3,7,8,9,10,11
CardiacCardiac PediatricPPPPPPPBMDCNote
2,3,7,8,9,10,11
Intra-vascular
(Cardiac)PPPPPPPBMDCNote
2,3,7,8,9,10,11
Trans-esophageal
(Cardiac)
Intra-cardiacPPPPPPPBMDCNote
2,3,7,8,9,10,11
Other (Specify)
PeripheralPeripheral vessel
VesselOther (Specify)

N = new indication; P = previously cleared by K080760;

For example: breast, testes, thyroid, penis, prostate, etc. Note 1

  • Note 3 3D imaging
  • Note 5 Power SieScape panoramic imaging
  • Note 7 Contrast agent imaging

Note 9 Tissue Equalization Technology

  • Note 11 Dynamic TCE
    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Note 2

Note 4

Note 6

Note 8 Note 10

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

Division Sign-Off - Office of In Vitro Diagnostic Devices

510(k) K121699

Page 29 of

Ensemble tissue harmonic imaging

B&W SieScape panoramic imaging

SieClear multi-view spatial compounding

For example: abdominal, vascular

33

510(k) Number (if known):

Device Name: Intended Use: P9-4 Phased Array Transducer for use with: ACUSON X300 Diagnostic Ultrasound Systems

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

Clinical ApplicationMode of Operation
Other
(Track 1
Only)Specific
(Tracks11& 3)ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
AbdominalNNNNNNNBMDCNote
2,3,5,6,7,8,9,11
Intra-operative
(Note 6)
Intra-operative
(Neuro)NNNNNNBMDCNote
2,3,4,5,7,8,9,11
Laparoscopic
Fetal
Imaging
& OtherPediatricNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
SmallOrgan
(Note 1)NNNNNNNBMDCNote
2,3,4,5,7,8,9,11
Neonatal CephalicNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
Adult CephalicNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph.
(non-Card.)
Musculo-skel.
(Convent)
Musculo-skel.
(Superfic)
Intra-vascular
Other
(Specify)
Cardiac AdultNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
CardiacCardiac PediatricNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
Intra-vascular
(Cardiac)
Trans-esophageal
(Cardiac)
Intra-cardiacNote
Other
(Cardiac Neonatal)NNNNNNNBMDCNote
2,3,4,5,7,8,9,11
PeripheralPeripheral vesselNNNNNNNBMDCNote
2,3,4,5,7,8,9,11
VesselOther (Specify)

N = new indication; P = previously cleared by FDA K090276

For example: breast, testes, thyroid, penis, prostate, etc. -Note 1

Note 3 3D imaging

o indiging
Power SieScape panoramic imaging
Contrast agent imaging Note 5 Note 7

  • Tissue Equalization Technology Note 9
    Dynamic TCE Note 11

Note 11 Dynamic TCE

Note 2 Ensemble tissue hamonic imaging Note 4 B&W SieScape panoramic imaging

Note 6 For example: abdominal, vascular

Note 8 SieClear multi-view spatial compounding

Note 10 Intracardiac imaging

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

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

itro Dia stic Devices of In Divis 51

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