K Number
K123828
Device Name
PROSOUND F75 DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
2013-01-18

(37 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended 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.
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).
More Information

No
The summary does not mention AI, ML, deep learning, or any related terms, and the description focuses on standard ultrasound system features and expanded indications.

No.
The device's intended use is for "ultrasound evaluation," which is a diagnostic purpose, not a therapeutic one.

Yes

Explanation: The "Device Description" section explicitly states, "The Prosound F75, formerly named Aloka Prosound F75, Diagnostic Ultrasound System is a full feature imaging and analysis system." Additionally, the "Intended Use / Indications for Use" section describes its use for "ultrasound evaluation" across various anatomical sites and applications, which is a diagnostic purpose.

No

The device description explicitly states it is a "full feature imaging and analysis system" consisting of a "mobile console" with a "computer type keyboard, specialized controls and a display," indicating it is a hardware system with integrated software, not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for ultrasound evaluation of various anatomical sites and patient populations. This involves imaging the body from the outside or inside to visualize structures and assess their characteristics.
  • Device Description: The description confirms it's a "Diagnostic Ultrasound System" that provides "acquisition, processing and display capability." This aligns with the function of an ultrasound machine.
  • Input Imaging Modality: The input is explicitly stated as "Ultrasound."
  • Anatomical Site: The listed anatomical sites are all parts of the human body being imaged.
  • IVD Definition: In vitro diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.

This device is an in vivo diagnostic device, meaning it is used to diagnose conditions within the living body through imaging. It does not perform tests on samples taken from the body.

N/A

Intended Use / 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.

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

90 IYN, 90 ITX, 90 IYO

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).

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

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; Gynecological; Airways, Tracheobronchial tree, Gastrointestinal Tract and Surrounding Organs

Indicated Patient Age Range

Adult/Pediatric/Neonatal

Intended User / Care Setting

Qualified 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)

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).

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.

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.

K110207, K033311, K032875

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.

K051541, K093395, K070983

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

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 System21 CFR 892.1550
90 ITX - Transducer Ultrasonic, Diagnostic21 CFR 892.1570
90 IYO - Ultrasonic Pulsed Echo Imaging System21 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):

    1. 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).

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-567UST-5293-5UST-9130UST-52114P
UST-675PUST-5411UST-9132 I & TUST-52119S
UST-677PUST-5415UST-9133UST-52121S
UST-678UST-5417UST-9135PUST-52124
ASU-1010UST-5419UST-9146 I & TGF-UE160 AL
ASU-1012UST-5713TUST-9147GF-UCT180
ASU-1013UST-9115-5UST-52105BF-UC180F
UST-2265-2UST-9118UST-52110STGF-UC180
UST-2266-5UST-9120UST-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 ApplicationMode of Operation
General
(Track 1
Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Imaging &
OtherFetalPPPPNote 1
AbdominalPPPPNote 1
Intra-operative (Specify)*PPPPNote 1
Intra-operative (Neurosurgery)NNNNNote 1
Laparoscopic
PediatricNNNN
Small Organ (Specify)*PPPNPNote 1,2
Neonatal CephalicPPPPNote 1
Adult Cephalic
Trans-rectalPPPPNote 1
Trans-vaginalPPPPNote 1
TEE (non cardiac)NNNNNote 1
Musculo-skeletal (Convent.)PPPPNote 1
Musculo-skeletal (Superficial)
Intravascular
Intra-luminal
CardiacCardiac, AdultPPPPPNote 1, 2
Cardiac Adult, TEENNNNNNote 1, 2
Cardiac- NeonatalNNNNNNote 1, 2
Cardiac- PediatricNNNNNNote 1, 2
Cardiac Pediatric, TEENNNNNNote 1, 2
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularPPPNPNote 1,2
Other: GynecologicalPPPPNote 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)*PPPPSee note 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)PPPPSee note 1
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularPPPPSee 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal ImagingSmall Organ (Specify)
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectalPPPPSee note 1
Trans-vaginalPPPPSee note 1
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
PeripheralPeripheral Vascular
VesselOther: 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalEEEE
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalEEEE
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
CardiacCardiac Adult
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPNote 1
AbdominalPPPPNote 1
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral Vascular
Other: GynecologicalPPPPNote 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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColorCombinedOther
(Track 1 Only)(Tracks 1 & 3)Doppler(Specify)(Specify)
OphthalmicOphthalmic
FetalEEE
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal ImagingSmall Organ (Specify)
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginalEEE
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
PeripheralPeripheral Vascular
VesselOther: GynecologicalEEE

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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)EEE
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
CardiacCardiac Adult
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
CardiacCardiac AdultP
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1
Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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 AdultP
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
PeripheralPeripheral VascularP
VesselOther : 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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 AdultPPPPPNote 1, 2
Cardiac Adult, TEENNNNNNote 1, 2
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)*PPPPNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)PPPPNote 1
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularPPPPNote 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 ApplicationMode of Operation
GeneralSpecific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)Ophthalmic
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)*PPPPNote 1
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)PPPPNote 1
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularPPPPNote 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)*EEE
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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularEEE
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
BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
General
(Track 1 Only)Clinical Application
Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
AbdominalEEE
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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral VascularEEE
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 Application
Specific
(Tracks 1 & 3) | B | M | PWD | CWD | Color
Doppler | 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 Application
Specific
(Tracks 1 & 3) | B | M | PWD | CWD | | | Color
Doppler |
| 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) | | | | | | | |
| | | | | | | | | |
| Peripheral
Vessel | 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPNote 1
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginalPPPPNote 1
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselOther: GynecologicalPPPPNote 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)EEE
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal CephalicEEE
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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)(Tracks 1 & 3)
OphthalmicOphthalmic
FetalPPPPNote 1
AbdominalPPPPNote 1
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral Vascular
Other: GynecologicalPPPPNote 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)EEE
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)*PPPPNote 1
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal CephalicPPPPNote 1
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
CardiacCardiac Adult
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
AbdominalEEE
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
CardiacCardiac Adult
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)PPPPNote 1
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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

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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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPPPNote 1
AbdominalPPPPNote 1
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac) .
Other (Specify)
Peripheral
VesselPeripheral Vascular
Other: GynecologicalPPPPNote 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Imaging &
OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
CardiacCardiac AdultPPPPPNote 1 & 2
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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
CardiacCardiac- NeonatalNNN
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 Application
Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall 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, TEEENote 1 & 2
CardiacCardiac- NeonatalEEEEENote 1 & 2
Cardiac PediatricEEEEENote 1 & 2
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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

K123828

33

System: Prosound F75 Transducer: UST-52114P

Clinical ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative
(Neurosurgery)NNN
Laparoscopic
Fetal Imaging
& OtherPediatric
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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal ImagingSmall Organ (Specify)
& OtherNeonatal 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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEENNNNNote 1, 2, 3
Intravascular (Cardiac)
Other (Specify)
PeripheralPeripheral Vascular
VesselOther: 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 Application
Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative
(Neurosurgery))
Laparoscopic
Fetal Imaging
& OtherPediatric
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
CardiacCardiac- Neonatal
Cardiac Pediatric, TEENNNNNNote 1,2, 3
Intravascular (Cardiac)
Other (Specify)
Peripheral
VassalPeripheral 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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmiOphthalmic
c
Fetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal CephalicPPPPPNote 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
CardiacCardiac- NeonatalPPPPPNote 1, 2
Cardiac-PediatricNNNNNNote 1, 2
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
PeripheralPeripheral Vascular
VesselOther: 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:

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

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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
FetalPPNote 1
AbdominalPPPPNote 1
Intra-operative (Specify)PPPPNote 1
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Fetal Imaging
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)PPPPNote 1
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Others (Specify) Note 2PPPPNote 1
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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:

(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

ean

(Division Sign Off)

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 ApplicationMode of Operation
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
OphthalmicOphthalmic
Fetal
AbdominalPPPPNote 1
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Fetal Imaging
& OtherSmall Organ (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)PPPPNote 1
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Others (Specify) Note 2PPPPNote 1
CardiacCardiac Adult
Cardiac Adult, TEE
Cardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Peripheral
VesselOther (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:

(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

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:

(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)

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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColor
DopplerCombined
(Specify)Other
(Specify)
(Track 1 Only)(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal
AbdominalPPPPNote 1
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ (Specify)
Fetal Imaging
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
TEE (non-Cardiac)PPP. PNote 1
Musculo-skeletal (Convent.)
Musculo-skeletal
(Superficial)
Intravascular
Intra-luminal
Other (Specify) Note 2PPPPNote 1
Cardiac Adult
Cardiac Adult, TEE
CardiacCardiac- Neonatal
Cardiac Pediatric, TEE
Intravascular (Cardiac)
Other (Specify)
Peripheral
VesselPeripheral 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