(37 days)
The device is intended for use by a qualified physician for ultrasound evaluation of Fetal; Abdominal; Intra-operative; Intra-operative (Neurosurgery); Pediatric; Small Organ; Neonatal Cephalic; Trans-rectal; Trans-vaginal; TEE (non-cardiac); Musculo-skeletal; Cardiac Adult; Cardiac, Adult -TEE; Cardiac - Neonatal; Cardiac - Pediatric; Cardiac Pediatric, TEE; Peripheral Vascular; and Gynecological applications. The device is not indicated for Ophthalmic applications.
The Prosound F75, formerly named Aloka Prosound F75, Diagnostic Ultrasound System is a full feature imaging and analysis system. It consist of a mobile console that provides acquisition, processing and display capability. The user interface includes a computer type keyboard, specialized controls and a display. The changes made to the Prosound F75 are the expanded indications: Adult/ Pediatric Cardiac- TEE, Neonatal/Pediatric, Cardiac, Intraoperative Neurosurgery, and Trans-esoph (non-cardiac).
The provided text is a 510(k) Summary of Safety and Effectiveness for the Hitachi Aloka Medical, Ltd. Prosound F75 Diagnostic Ultrasound System. It describes the device, its intended use, and argues for its substantial equivalence to predicate devices. Crucially, it explicitly states:
"No new hazards were identified with the addition of the added Indications. The clinical safety and effectiveness of the system and transducers have been identified in the previous Aloka Prosound F75 submission (K110207), with the above predicates as well as this submission. The clinical safety and effectiveness of the added indications are well accepted for use with ultrasound systems including the predicate device, Aloka Prosound F75 (K110207).
... 2. Clinical Tests: None Required."
This indicates that no new primary clinical study was conducted for this specific 510(k) submission (K123828) to establish effectiveness against acceptance criteria for the expanded indications. Instead, the submission relies on the established safety and effectiveness of the previously cleared device (K110207) and predicate devices, leveraging existing knowledge and accepted medical practice for ultrasound systems.
Therefore, many of the requested details about a study and acceptance criteria (such as reported performance, sample sizes, expert qualifications, ground truth establishment, MRMC studies, or standalone performance) are not present in this document as no new clinical studies were performed for this specific submission.
Here's the information that can be extracted or deduced from the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
Acceptance Criteria:
The acceptance criteria are implicitly met by demonstrating substantial equivalence to existing, legally marketed predicate devices, specifically the Aloka Prosound F75 (K110207) and other identified ultrasound systems (K033311, K032875). The key points for substantial equivalence, which serve as the "acceptance criteria" here, are:
- Indicated for diagnostic ultrasound imaging and fluid flow analysis.
- Same gray scale and Doppler capabilities.
- Uses essentially the same technologies for imaging, Doppler functions, and signal processing.
- Acoustic output levels below Track 3 FDA limits.
- Manufactured under equivalent quality and manufacturing systems.
- Manufactured of materials with equivalent biosafety.
- Designed and manufactured to the same electrical and physical safety standards.
Reported Device Performance:
The document does not provide specific quantitative performance metrics (e.g., sensitivity, specificity, accuracy) for the expanded indications. Instead, it states that the clinical safety and effectiveness are "well accepted for use with ultrasound systems" and have been "identified in the previous Aloka Prosound F75 submission (K110207)". This means the performance is considered equivalent to the predicate devices, which are presumed to have established acceptable performance.
2. Sample Size Used for the Test Set and Data Provenance
- Sample Size: Not applicable. No new test set data from a clinical study was presented for this 510(k) submission.
- Data Provenance: Not applicable for new clinical data. The submission relies on existing data from previous 510(k) submissions (K110207, K033311, K032875) which would have covered the safety and effectiveness of the base technology. The origin of that data is not specified in this summary.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts
- Not applicable. No new test set requiring expert ground truth establishment was conducted for this 510(k) submission.
4. Adjudication Method for the Test Set
- Not applicable. No new test set was conducted for this 510(k) submission.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done
- No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done for this submission. The submission explicitly states "Clinical Tests: None Required."
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done
- Not applicable. The device is a diagnostic ultrasound system (hardware and software), not an algorithm-only device. No standalone performance study (in the sense of an AI algorithm) was conducted or needed for this hardware system and its expanded indications.
7. The Type of Ground Truth Used
- Not applicable for this specific submission to demonstrate effectiveness for the expanded indications. The "ground truth" for the current submission is the established safety and effectiveness of the predicate devices. Any ground truth used for the original predicate device (K110207) or other predicate devices for their respective clinical applications would have been established at that time (e.g., clinical diagnosis, surgical findings, pathology, or other accepted diagnostic methods for ultrasound). This document does not elaborate on that.
8. The Sample Size for the Training Set
- Not applicable. This device is a diagnostic ultrasound system, not a machine learning algorithm that requires a "training set" in the conventional sense. Its "effectiveness" is based on the established performance of the underlying ultrasound technology already cleared with predicate devices.
9. How the Ground Truth for the Training Set was Established
- Not applicable, as there is no "training set" for this type of device.
{0}------------------------------------------------
Hitachi Aloka Medical, Ltd.
510(k) Summary of Safety and Effectiveness
Prepared in accordance with 21 CFR Part 807.92
JAN 1 8 2013
Section a):
1. Submitter's contact name, address, telephone/fax number
: : : .
Angela Van Arsdale RA/OA Manager Hitachi Aloka Medical, Ltd., 10 Fairfield Boulevard Wallingford, CT 06492 Tel: (203)269-5088 Ext. 346 Fax: 203-269-6075
Date Prepared: 12/10/2012
| 2. Device Name: | Prosound F75 Diagnostic Ultrasound System | |
|---|---|---|
| 90 IYN - Ultrasonic Pulsed Doppler Imaging System | 21 CFR 892.1550 | |
| 90 ITX - Transducer Ultrasonic, Diagnostic | 21 CFR 892.1570 | |
| 90 IYO - Ultrasonic Pulsed Echo Imaging System | 21 CFR 892.1560 |
3. Substantially Equivalent Devices:
Aloka Prosound F75 Diagnostic Ultrasound System, (K110207), for system & probes. Aloka SSD-5000 V 5.0 Ultrasound System, (K033311), for expanded indications. Aloka SSD-5500 V6.0 Diagnostic Ultrasound System, (K032875), for expanded indications.
4. Device Description:
The Prosound F75, formerly named Aloka Prosound F75, Diagnostic Ultrasound System is a full feature imaging and analysis system. It consist of a mobile console that provides acquisition, processing and display capability. The user interface includes a computer type keyboard, specialized controls and a display. The changes made to the Prosound F75 are the expanded indications: Adult/ Pediatric Cardiac- TEE, Neonatal/Pediatric, Cardiac, Intraoperative Neurosurgery, and Trans-esoph (non-cardiac).
5. Indications for Use:
The device is intended for use by a qualified physician for ultrasound evaluation of Fetal; Abdominal; Intra-operative; Intra-operative (Neurosurgery); Pediatric; Small Organ; Neonatal Cephalic; Trans-rectal; Trans-vaginal; TEE (non-cardiac); Musculo-skeletal; Cardiac Adult; Cardiac, Adult -TEE; Cardiac - Neonatal; Cardiac - Pediatric; Cardiac Pediatric, TEE; Peripheral Vascular; and Gynecological applications. The device is not indicated for Ophthalmic applications.
6. Comparison w/ Predicate Device:
The Prosound F75 with expanded indications is technically comparable and substantially equivalent to the current Aloka Prosound F75 (K110207) and to the above mentioned predicates. They are Track 3 systems that employ the same fundamental and scientific technology.
{1}------------------------------------------------
510(k) Summary of Safety and Effectiveness Prepared in accordance with 21 CFR Part 807,92
Section b):
-
- Non-clinical Tests:
No new hazards were identified with the addition of the added Indications. The clinical safety and effectiveness of the system and transducers have been identified in the previous Aloka Prosound F75 submission (K110207), with the above predicates as well as this submission. The clinical safety and effectiveness of the added indications are well accepted for use with ultrasound systems including the predicate device, Aloka Prosound F75 (K110207).
- Non-clinical Tests:
The device and its transducers have been evaluated for acoustic output, biocompatibility, cleaning & disinfection effectiveness, electromagnetic compatibility, as well as electrical and mechanical safety, and have been found to conform with applicable medical device safety standards.
2. Clinical Tests: None Required.
ਤੇ Conclusion:
The Hitachi-Aloka Medical, Ltd.'s Prosound F75 with expanded indications is substantially equivalent in safety and effectiveness to the predicates identified above;
- . The predicate device(s) and the Prosound F75 with expanded indications are indicated for diagnostic ultrasound imaging and fluid flow analysis,
- The predicate device(s) and the Prosound F75 with expanded indications have the same . gray scale and Doppler capabilities.
- . The predicate device(s) and the Prosound F75 with expanded indications use essentially the same technologies for imaging, Doppler functions and signal processing,
- The predicate device(s) and the Prosound F75 with expanded indications have acoustic . output levels below the Track 3 FDA limits,
- . The predicate device(s) and the Prosound F75 with expanded indications are manufactured under equivalent quality and manufacturing systems.
- . The predicate device(s) and the Prosound F75 with expanded indications are manufactured of materials equivalent bio safety. The materials have been evaluated and found to be safe for this application.
- . The predicate device(s) and the Prosound F75 with expanded indications are designed and manufactured to the same electrical and physical safety standards.
Note: The Hitachi-Aloka Medical, Ltd. Ultra-Sound System naming convention for this device can be identified as Aloka Prosound F75 or Prosound F75; both trade names reference the same device. The trade name, Aloka Prosound F75, listed within K110207 was modified to Prosound F75 prior to this premarket 510(K) submission and may be identified as "Prosound F75, formerly named Aloka Prosound F75" within the text of this submission. All the device instruction and operator manuals, advertisement and promotional materials, and labeling will identify the device as Prosound F75. The naming convention change is simply a marketing decision and not indicative of a separate device or any design modifications other than the modifications described with the body of this submission.
{2}------------------------------------------------
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the logo is an abstract image of an eagle.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
January 18, 2013
Hitachi Aloka Medical, Ltd. c/o Ms. Angela Van Arsdale RA/QA Manager 10 Fairfield Blvd. WALLINGFORD CT 06492
Re: K123828
Trade/Device Name: Prosound F75 Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, ITX, and IYO Dated: December 10, 2012 Received: December 12, 2012
Dear Ms. Arsdale:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA), 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
This determination of substantial equivalence applies to the Prosound F75 and the following transducers intended for use with the Prosound F75 Ultrasonic pulsed Doppler Imaging System, as described in your premarket notification:
| Transducer Model Number | |||
|---|---|---|---|
| UST-567 | UST-5293-5 | UST-9130 | UST-52114P |
| UST-675P | UST-5411 | UST-9132 I & T | UST-52119S |
| UST-677P | UST-5415 | UST-9133 | UST-52121S |
| UST-678 | UST-5417 | UST-9135P | UST-52124 |
| ASU-1010 | UST-5419 | UST-9146 I & T | GF-UE160 AL |
| ASU-1012 | UST-5713T | UST-9147 | GF-UCT180 |
| ASU-1013 | UST-9115-5 | UST-52105 | BF-UC180F |
| UST-2265-2 | UST-9118 | UST-52110S | TGF-UC180 |
| UST-2266-5 | UST-9120 | UST-52120S |
{3}------------------------------------------------
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance, Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Sean M. Boyd -S for
Janine Morris Director, Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health
Center for Devices and Radiological Health
Enclosure
{4}------------------------------------------------
Hitachi Aloka Medical, Ltd.
Indications for Use
510(K) Number (if known):
Device Name:
Prosound F75
Indications For Use:
The device is intended for use by a qualified physician for ultrasound Fetal; evaluation of Abdominal; Intra-operative; Intra-operative (Neurosurgery); Pediatric; Small Organ; Neonatal Cephalic; Trans-rectal; Trans-vaginal: TEE (non-cardiac); Musculo-skeletal; Cardiac Adult; Cardiac, Adult -TEE; Cardiac - Neonatal; Cardiac - Pediatric; Cardiac Pediatric, TEE; Peripheral Vascular; and Gynecological applications. The device is not indicated for Ophthalmic applications.
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
AND/OR
Concurrence of CDRH, Office of Device Evaluation Sean M. Boyd (Division Sign Off Division of Radiological He f In Vitro Diagnostics and Pit
Page 1 of 1
{5}------------------------------------------------
System: Prosound F75
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | ||||||||
|---|---|---|---|---|---|---|---|---|
| Clinical Application | Mode of Operation | |||||||
| General(Track 1Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| FetalImaging &Other | Fetal | P | P | P | P | Note 1 | ||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify)* | P | P | P | P | Note 1 | |||
| Intra-operative (Neurosurgery) | N | N | N | N | Note 1 | |||
| Laparoscopic | ||||||||
| Pediatric | N | N | N | N | ||||
| Small Organ (Specify)* | P | P | P | N | P | Note 1,2 | ||
| Neonatal Cephalic | P | P | P | P | Note 1 | |||
| Adult Cephalic | ||||||||
| Trans-rectal | P | P | P | P | Note 1 | |||
| Trans-vaginal | P | P | P | P | Note 1 | |||
| TEE (non cardiac) | N | N | N | N | Note 1 | |||
| Musculo-skeletal (Convent.) | P | P | P | P | Note 1 | |||
| Musculo-skeletal (Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac, Adult | P | P | P | P | P | Note 1, 2 | |
| Cardiac Adult, TEE | N | N | N | N | N | Note 1, 2 | ||
| Cardiac- Neonatal | N | N | N | N | N | Note 1, 2 | ||
| Cardiac- Pediatric | N | N | N | N | N | Note 1, 2 | ||
| Cardiac Pediatric, TEE | N | N | N | N | N | Note 1, 2 | ||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | P | P | P | N | P | Note 1,2 | |
| Other: Gynecological | P | P | P | P | Note 1 |
Intended Use: Diggnostic ultrasound im
N = new indication; P= previously cleared by FDA-(K110207); E=added under Appendix E
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD
Note 3: Specification for "Other" Airways, Tracheobronchial tree, Gastrointestinal Tract and Surrounding Organs * Applications: Small Parts - (breast, testes, & thyroid...), Intra-operative - (liver, pancreas, gall bladder ...)
Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd
(Division Sign Off)
Division of Radiological Health
Office of In Vitro Diagnostics and Radiology
510(k) K123828
{6}------------------------------------------------
System: Prosound F75 Transducer: UST-567
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: |
|---|---|
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Clinical Application | Mode of Operation | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) | |
| Ophthalmic | Ophthalmic | ||||||||
| Fetal | |||||||||
| Abdominal | |||||||||
| Intra-operative (Specify) | |||||||||
| Intra-operative (Neuro) | |||||||||
| Laparoscopic | |||||||||
| Pediatric | |||||||||
| Fetal Imaging& Other | Small Organ (Specify)* | P | P | P | P | See note 1 | |||
| Neonatal Cephalic | |||||||||
| Adult Cephalic | |||||||||
| Trans-rectal | |||||||||
| Trans-vaginal | |||||||||
| Trans-urethral | |||||||||
| TEE (non-Cardiac) | |||||||||
| Musculo-skeletal (Convent.) | P | P | P | P | See note 1 | ||||
| Musculo-skeletal(Superficial) | |||||||||
| Intravascular | |||||||||
| Intra-luminal | |||||||||
| Cardiac Adult | |||||||||
| Cardiac Adult, TEE | |||||||||
| Cardiac | Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | |||||||||
| Intravascular (Cardiac) | |||||||||
| Other (Specify) | |||||||||
| PeripheralVessel | Peripheral Vascular | P | P | P | P | See note 1 | |||
| Other: Gynecological |
P= previously cleared by FDA-(K110207)
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD * Applications: Small Parts - (breast, testes, & thyroid...), Intra-operative - (liver, pancreas, gall bladder ... ) Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{7}------------------------------------------------
System: Prosound F75 Transducer: UST-675P
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging | Small Organ (Specify) | |||||||
| & Other | Neonatal Cephalic | |||||||
| Adult Cephalic | ||||||||
| Trans-rectal | P | P | P | P | See note 1 | |||
| Trans-vaginal | P | P | P | P | See note 1 | |||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| Peripheral | Peripheral Vascular | |||||||
| Vessel | Other: Gynecological |
P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801 109)
Sean M. Boyd -
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{8}------------------------------------------------
.
DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM
System: Prosound F75 Transducer: UST-677P
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | E | E | E | E | ||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Pe
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
s10(K123828
{9}------------------------------------------------
System: Prosound F75 Transducer: UST-678
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | ||||||||
|---|---|---|---|---|---|---|---|---|
| Clinical Application | Mode of Operation | |||||||
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | E | E | E | E | ||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
റ്റിഗ് of Radiological Health
วาน(k) K123828
{10}------------------------------------------------
System: Prosound F75 Transducer: ASU-1010
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows. | |||
|---|---|---|---|
| ----------------------------------------------------------------------------------------------------------------- |
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | P | P | P | P | Note 1 | |||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological | P | P | P | P | Note 1 |
P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{11}------------------------------------------------
System: Prosound F75 Transducer: ASU-1012
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | Color | Combined | Other | ||
| (Track 1 Only) | (Tracks 1 & 3) | Doppler | (Specify) | (Specify) | ||||||
| Ophthalmic | Ophthalmic | |||||||||
| Fetal | E | E | E | |||||||
| Abdominal | ||||||||||
| Intra-operative (Specify) | ||||||||||
| Intra-operative (Neuro) | ||||||||||
| Laparoscopic | ||||||||||
| Pediatric | ||||||||||
| Fetal Imaging | Small Organ (Specify) | |||||||||
| & Other | Neonatal Cephalic | |||||||||
| Adult Cephalic | ||||||||||
| Trans-rectal | ||||||||||
| Trans-vaginal | E | E | E | |||||||
| Trans-urethral | ||||||||||
| TEE (non-Cardiac) | ||||||||||
| Musculo-skeletal (Convent.) | ||||||||||
| Musculo-skeletal | ||||||||||
| (Superficial) | ||||||||||
| Intravascular | ||||||||||
| Intra-luminal | ||||||||||
| Cardiac Adult | ||||||||||
| Cardiac Adult, TEE | ||||||||||
| Cardiac | Cardiac- Neonatal | |||||||||
| Cardiac Pediatric, TEE | ||||||||||
| Intravascular (Cardiac) | ||||||||||
| Other (Specify) | ||||||||||
| Peripheral | Peripheral Vascular | |||||||||
| Vessel | Other: Gynecological | E | E | E |
E=added under Appendix E
Combination of each operating mode includes: Note : B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
51000 K123828
{12}------------------------------------------------
System: Prosound F75 Transducer: ASU-1013
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | E | E | E | |||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) ean M
(Division Sign Off)
Division of Radiological Health
Office of In vitro Ulagnostics and Rad
510(k) K123828
{13}------------------------------------------------
.
.
DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM
System: Prosound F75 Transducer: UST-2265-2
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | ||||||||
|---|---|---|---|---|---|---|---|---|
| Clinical Application | Mode of Operation | |||||||
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | P | ||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other :Gynecological |
N = new indication; P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
ean IV
(Division Sign Off)
Division of Radiological Heatth
510(k) K123828
{14}------------------------------------------------
System: Prosound F75 Transducer: UST-2266-5
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows. | |||
|---|---|---|---|
| company of collection of confidence of the driver of the driver of the driver of |
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal (Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | P | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| Peripheral | Peripheral Vascular | P | ||||||
| Vessel | Other : Gynecological |
P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other :
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 C
sean M
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{15}------------------------------------------------
System: Prosound F75 Transducer: UST-5293-5
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | P | P | P | P | P | Note 1, 2 | ||
| Cardiac Adult, TEE | N | N | N | N | N | Note 1, 2 | ||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other (Gynecological) |
N = new indication; P = previously cleared by FDA -(K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
് it in vitro Ulagnostics and Radiological Health
510(k) K123828
{16}------------------------------------------------
System: Prosound F75 Transducer: UST-5411
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | (Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify)* | P | P | P | P | Note 1 | ||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | P | P | P | P | Note 1 | |||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | P | P | P | P | Note 1 | ||
| Other :Gynecological |
N = new indication; P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD * Applications: Small Parts: (breast, testes, & thyroid ... )
Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M
(Division Sign Off)
Division of Radiological Health
Office of In Vitro Diagnostics and Radlological Health
510(k) K123828
ട്ട
{17}------------------------------------------------
System: Prosound F75 Transducer: UST-5415
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | Ophthalmic | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify)* | P | P | P | P | Note 1 | ||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | P | P | P | P | Note 1 | |||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | P | P | P | P | Note 1 | ||
| Other: Gynecological |
P= previously cleared by FDA- (K110207)
P= previously cleared by PDA- (RT10207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/CWD Combinations: Small Parts -- (breast, testes, & thyroid...), Intra-operative - (liver, pancreas, gall bladder ... ) Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 C eal
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{18}------------------------------------------------
System: Prosound F75 Transducer: UST-5417
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify)* | E | E | E | |||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | E | E | E | ||||
| Other: Gynecological |
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CDPWD Note 2: B/CWD, B/CD/CWD *Applications: Small Parts - (breast, testes, & thyroid ... ), Intra-operative - (liver, pancreas, gall bladder ... ) Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M Rovn (Division Sign Off)
Division of Radiological Health
510(k) K123828
{19}------------------------------------------------
System: Prosound F75 Transducer: UST-5419
| Mode of Operation | ||||||||
|---|---|---|---|---|---|---|---|---|
| B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) | ||
| General(Track 1 Only) | Clinical ApplicationSpecific(Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | E | E | E | |||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | E | E | E | ||||
| Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M.
(Division Sign Off)
Division of Radiological Health
Office of In Vitro Diagnostics and Radiological Health
510(k) K123828
ട്ക
{20}------------------------------------------------
System: Prosound F75 Transducer: UST-5713T
| General(Track 1 Only) | Clinical ApplicationSpecific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
|---|---|---|---|---|---|---|---|---|
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | E | E | E | |||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| Peripheral | Peripheral Vascular | |||||||
| Vessel | Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or flyid flow analysis of the human body fallows
E=added under Appendix E
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M.
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{21}------------------------------------------------
System: Prosound F75 Transducer: UST-9115-5
| Mode of Operation | Combined(Specify) | Other(Specify) | ||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Clinical ApplicationSpecific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | ||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | E | E | E | |||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological | E | E | E |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{22}------------------------------------------------
System: Prosound F75 Transducer: UST-9118
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | Color Doppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | P | P | P | P | Note 1 | |||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | P | P | P | P | Note 1 | |||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Other: Gynecological | P | P | P | P | Note 1 |
P= previously cleared by FDA- (K110207)
P= previously cleared by FDA- (KT10207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801 109)
Sean M. Bc
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{23}------------------------------------------------
System: Prosound F75 Transducer: UST-9120
| Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | ||||||||
|---|---|---|---|---|---|---|---|---|
| Clinical Application | Mode of Operation | |||||||
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | E | E | E | |||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | E | E | E | |||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) ean M. Bovo
(Division Sign Off)
Division of Radiological Health
Office of In Vitro Diagnostics and Ra
510(k) K123828
62
{24}------------------------------------------------
System: Prosound F75 Transducer: UST-9130
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | (Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | P | P | P | P | Note 1 | |||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological | P | P | P | P | Note 1 |
N = new indication; P= previously cleared by FDA- (KI10207)
1 - Inchestion of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801_109)
Sean M. Boy
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{25}------------------------------------------------
System: Prosound F75 Transducer: UST-9132 I & T
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | E | E | E | |||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
E=added under Appendix E
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M. Boyo
(Division Sign Off
Division of Radiological Health
Office of In Vitro Diagnostics and Radiological Health
510(k) K123828
64
{26}------------------------------------------------
System: Prosound F75 Transducer: UST-9133
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify)* | P | P | P | P | Note 1 | |||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | P | P | P | P | Note 1 | |||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
P= Previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD * Applications: Intra-operative - (liver, pancreas, gall bladder ... )
Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
(Division Sign Off)
Division of Radiological Health
510(k) /1/23828
{27}------------------------------------------------
System: Prosound F75 Transducer: UST-9135P
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal Imaging& Other | Fetal | |||||||
| Abdominal | E | E | E | |||||
| Intra-operative (Specify). | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
E=added under Appendix E
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
Office of In Vitro Diagnostics and Radiological Health
510(k) K193828
ନ୍ୟ
{28}------------------------------------------------
System: Prosound F75 Transducer: UST-9146 I&T
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human bedy as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | (Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | P | P | P | P | Note 1 | |||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
P= previously cleared by FDA- (K110207)
1 = previously cliarco of PDS- (1110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD . Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M. Boyd
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{29}------------------------------------------------
System: Prosound F75 Transducer: UST-9147
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | P | P | P | P | Note 1 | |||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) . | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological | P | P | P | P | Note 1 |
P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M
(Division Sign Off)
Division' of Radiological Health
Office of In Vitro Diagnostics and Radiological Hs
510(k) K123828
୧୫
{30}------------------------------------------------
System: Prosound F75 Transducer: UST-52105
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| FetalImaging &Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac | Cardiac Adult | P | P | P | P | P | Note 1 & 2 | |
| Cardiac Adult, TEE | ||||||||
| Cardiac- Neonatal | ||||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
P= previously cleared by FDA- (K110207)
1 - previously cleared of PDIT (terrors) /
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
510(k) /1123828
{31}------------------------------------------------
:
DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM
System: Prosound F75 Transducer: UST-52110S
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | N | N | N | ||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
N = new indication
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109) Sean M. Boyo
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{32}------------------------------------------------
System: Prosound F75 Transducer: UST-52120S
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Mode of Operation | ||||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Clinical ApplicationSpecific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | E | Note 1 & 2 | ||||||
| Cardiac | Cardiac- Neonatal | E | E | E | E | E | Note 1 & 2 | |
| Cardiac Pediatric | E | E | E | E | E | Note 1 & 2 | ||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
N = new indication
N = new indication
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean McBoyd -S
Division of Radiological Health
the or In Vitm Diagnostics and Radiological Health
{33}------------------------------------------------
System: Prosound F75 Transducer: UST-52114P
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative(Neurosurgery) | N | N | N | |||||
| Laparoscopic | ||||||||
| Fetal Imaging& Other | Pediatric | |||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
N = new indication
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (P
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
Office of in Vitro Diagnostics and Ria
510(k) K123828
{34}------------------------------------------------
System: Prosound F75 Transducer: UST-52119S
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | (Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging | Small Organ (Specify) | |||||||
| & Other | Neonatal Cephalic | |||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | N | N | N | N | Note 1, 2, 3 | |||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| Peripheral | Peripheral Vascular | |||||||
| Vessel | Other: Gynecological |
N = new indication
N = new markation
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Note 3: Cardiac, Pediatric cleared by FDA – (K110287) Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{35}------------------------------------------------
System: Prosound F75 Transducer: UST-52121S
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Mode of Operation | ||||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Clinical ApplicationSpecific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative(Neurosurgery)) | ||||||||
| Laparoscopic | ||||||||
| Fetal Imaging& Other | Pediatric | |||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skelctal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | N | N | N | N | N | Note 1,2, 3 | ||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVassal | Peripheral Vascular | |||||||
| Other: Gynecological |
N = new indication
N = new indication
Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Note 3: Cardiac, Pediatric cleared by FDA - (K110287)
Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Health
510(k) K123828
{36}------------------------------------------------
System: Prosound F75 Transducer: UST-52124
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmi | Ophthalmic | |||||||
| c | ||||||||
| Fetal | ||||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Fetal Imaging& Other | Small Organ (Specify) | |||||||
| Neonatal Cephalic | P | P | P | P | P | Note 1, 2 | ||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | ||||||||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | P | P | P | P | P | Note 1, 2 | |
| Cardiac-Pediatric | N | N | N | N | N | Note 1, 2 | ||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| Peripheral | Peripheral Vascular | |||||||
| Vessel | Other: Gynecological |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
N = new indication; P= previously cleared by FDA- (K110207)
Combination of each operating mode includes: Note 1: BM, B/PWD, M/CD, B/CD/PWD Note 2: B/CWD, B/CD/CWD Other:
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Concurrence of CDRH, Office of Device Evaluation (ODE)
escription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
(Division Sign Off)
Division of Radiological Hea
Office of In Vitro Diagnostics and R
510(k) K123828
{37}------------------------------------------------
DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM
System: Prosound F75 Transducer: GF-UE160 AL5
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| Ophthalmic | Ophthalmic | |||||||
| Fetal | P | P | Note 1 | |||||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify) | P | P | P | P | Note 1 | |||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Fetal Imaging& Other | Neonatal Cephalic | |||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | P | P | P | P | Note 1 | |||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Others (Specify) Note 2 | P | P | P | P | Note 1 | |||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
N = new indication; P= previously cleared by FDA via K051541; E=added under Appendix E Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Specification for "Other" Airways, Tracheobronchial tree, Gastrointestinal Tract and Surrounding Other:
Note 2:
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Prescription Use (Per 21 CFR 801
ean
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Division of Radiological Heatth
510(k) K123828
{38}------------------------------------------------
System: Olympus Endoscope for use with Aloka Ultrasound System Transducer: GF-UCT180
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| General(Track 1 Only) | Specific(Tracks 1 & 3) | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) | |
| Ophthalmic | Ophthalmic | ||||||||
| Fetal | |||||||||
| Abdominal | P | P | P | P | Note 1 | ||||
| Intra-operative (Specify) | |||||||||
| Intra-operative (Neuro) | |||||||||
| Laparoscopic | |||||||||
| Pediatric | |||||||||
| Fetal Imaging& Other | Small Organ (Specify) | ||||||||
| Neonatal Cephalic | |||||||||
| Adult Cephalic | |||||||||
| Trans-rectal | |||||||||
| Trans-vaginal | |||||||||
| Trans-urethral | |||||||||
| TEE (non-Cardiac) | P | P | P | P | Note 1 | ||||
| Musculo-skeletal (Convent.) | |||||||||
| Musculo-skeletal(Superficial) | |||||||||
| Intravascular | |||||||||
| Intra-luminal | |||||||||
| Others (Specify) Note 2 | P | P | P | P | Note 1 | ||||
| Cardiac | Cardiac Adult | ||||||||
| Cardiac Adult, TEE | |||||||||
| Cardiac- Neonatal | |||||||||
| Cardiac Pediatric, TEE | |||||||||
| Intravascular (Cardiac) | |||||||||
| PeripheralVessel | Other (Specify) | ||||||||
| Peripheral Vascular | |||||||||
| Other: Gynecological |
N = new indication; P= preyiously cleared by FDA K093395; E=added under Appendix E Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: Specification for "Other" Gastrointestinal Tract and Surrounding Organs Other:
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Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801 109) Sean M
ITTivision Sign Off)
Danston: of Radiological Health
. Mice of In Vitro Liagnostics and Radiological H
510(k) K123828
77
{39}------------------------------------------------
System: Olympus Endoscope for use with Aloka Ultrasound System Transducer: BF-UC180F
Clinical Application Mode of Operation General Specific B PWD M CWD Color Combined Other (Track 1 (Tracks 1 & 3) (Specify) Doppler (Specify) Only) Ophthalmic Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric Small Organ (Specify) Fetal Imaging Neonatal Cephalic & Other Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral TEE (non-Cardiac) P P P P Note l Musculo-skeletal (Convent.) Musculo-skeletal (Superficial) Intravascular Intra-luminal Others (Specify) Note 2 P P P P Note l Cardiac Adult Cardiac Adult, TEE Cardiac Cardiac- Neonatal Cardiac Pediatric, TEE Intravascular (Cardiac) Other (Specify) Peripheral Peripheral Vascular Vessel Other: Gynecological
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
N = new indication; P= previously cleared by FDA K070983; E=added under Appendix E Combination of each operating mode includes: Note 1: B/M, B/PWD, B/CD/PWD;
Note 2: Specification for "Other" Airways, Tracheobronchial tree Other:
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Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
(Division Sign Off)
Olvision of Radiological Health
510(k) K/23828
{40}------------------------------------------------
System: Olympus Endoscope for use with Aloka Ultrasound System Transducer: TGF-UC180J
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | ColorDoppler | Combined(Specify) | Other(Specify) |
| (Track 1 Only) | (Tracks 1 & 3) | |||||||
| Ophthalmic | Ophthalmic | |||||||
| Fetal | ||||||||
| Abdominal | P | P | P | P | Note 1 | |||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Fetal Imaging& Other | Neonatal Cephalic | |||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| TEE (non-Cardiac) | P | P | P | . P | Note 1 | |||
| Musculo-skeletal (Convent.) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Intra-luminal | ||||||||
| Other (Specify) Note 2 | P | P | P | P | Note 1 | |||
| Cardiac Adult | ||||||||
| Cardiac Adult, TEE | ||||||||
| Cardiac | Cardiac- Neonatal | |||||||
| Cardiac Pediatric, TEE | ||||||||
| Intravascular (Cardiac) | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral Vascular | |||||||
| Other: Gynecological |
N = new indication; P= previously cleared by FDA K093395; E=added under Appendix E Combination of each operating mode includes: Note 1: B/M, B/PWD, M/CD, B/CD/PWD Note 2: Specification for "Other" Gastrointestinal Tract and Surrounding Organs Other:
(PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use (Per 21 CFR 801.109)
Sean M. Boyd -S
il nuision Sign Off)
ാസ്യങ്ങൾ of Radiological Health -
510(k) K123828
§ 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.