K Number
K142466
Device Name
UGEO PT60A Diagnostic Ultrasound System
Date Cleared
2014-10-03

(31 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The UGEO PT60A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Pediatric, Small Organ, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric and Peripheral vessel.
Device Description
The UGEO PT60A is a general purpose, hand-held, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode. M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging or as a combination of these modes. The UGEO PT60A also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The UGEO PT60A has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on standard ultrasound imaging modes and analysis packages without mentioning AI/ML capabilities.

No
The device is explicitly stated as being intended for "diagnostic ultrasound imaging and fluid analysis of the human body," and its function is to "display the data as B mode. M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging or as a combination of these modes." It also provides "analysis packages that provide information that is used to make a diagnosis." There is no mention of treating or curing any condition.

Yes
The section "Intended Use / Indications for Use" states that the device is "intended for diagnostic ultrasound imaging." Additionally, the "Device Description" explicitly describes it as a "diagnostic ultrasound system."

No

The device description explicitly states it is a "hand-held, software controlled, diagnostic ultrasound system," indicating it includes hardware components (the hand-held system) in addition to software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The UGEO PT60A is a diagnostic ultrasound system. It uses sound waves to create images of internal structures of the human body. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states "diagnostic ultrasound imaging and fluid analysis of the human body." While it mentions "fluid analysis," this is done in vivo (within the body) using ultrasound, not by analyzing a collected sample.
  • Device Description: The description focuses on how the device acquires and displays ultrasound data and provides measurement and analysis packages based on these images.

Therefore, the UGEO PT60A is a diagnostic imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The UGEO PT60A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Pediatric, Small Organ, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric and Peripheral vessel.

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

IYN, IYO, ITX

Device Description

The UGEO PT60A is a general purpose, hand-held, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode. M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging or as a combination of these modes. The UGEO PT60A also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The UGEO PT60A has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed

Mentions image processing

All systems transmit ultrasonic energy into patients, then perform post processing of received echoes to generate on-screen display of anatomic structures and fluid flow within the body.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal/Obstetrics, Abdominal, Gynecology, Pediatric, Small Organ (e.g. thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung), Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric, Peripheral vessel, Intra-operative (Abdominal organs and peripheral vessel)

Indicated Patient Age Range

Adult, Pediatric, Neonatal

Intended User / Care Setting

Competent health care professionals.
Care setting not explicitly mentioned, but implied to be a clinical/medical setting.

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

Not Found

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

Not Found

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

Not applicable. The subject of this submission, UGEO PT60A, did not require clinical studies to support substantial equivalence.

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.

K132228, K132861, K103397

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.

K112122

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

Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other. The profiles are connected by a flowing line that resembles a ribbon or banner.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

October 3, 2014

Samsung Medison Co., Ltd. % Mr. Mark Job Responsible Third Party Official 1394 25th Street NW BUFFALO MN 55313

Re: K142466

Trade/Device Name: UGEO PT60A Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX Dated: August 28, 2014 Received: September 2, 2014

Dear Mr. Job:

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 following transducers intended for use with the UGEO PT60A Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Number
C2-5C2-8LN5-12
LS6-15PN2-4CF4-9
EVN4-9P4-12

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.

1

Page 2-Mr. Job

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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Smh.f)

for

Janine M. Morris Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known)

K142466

Device Name UGEO PT60A Diagnostic Ultrasound System

Indications for Use (Describe)

The UGEO PT60A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics, Abdominal, Gynecology, Pediatric, Small Organ, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric and Peripheral vessel.

Type of Use (Select one or both, as applicable)

2 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 A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY . . . . . . A A 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(k) No .: K142466

Device Name: UGEO PT60A Diagnostic Ultrasound System

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 7
Abdominal (See Note 8)PPPPNote 1Notes 2, 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2, 7
Small Organ (See Note 5)PPPPNote 1Note 2, 5, 6, 7, 9
Neonatal Cephalic
Adult CephalicPPPPNote 1Note 7
Trans-rectalPPPPNote 1Notes 2
Trans-vaginalPPPPNote 1Notes 2
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 2, 5, 6, 9
Musculo-skel. (Superfic.)PPPPNote 1Note 2, 5, 6, 9
Intra-luminal
Other (See Note 10)PPPPNote 1Notes 2
Cardiac AdultPPPPNote 1Notes 2, 7
CardiacCardiac PediatricPPPPNote 1Notes 2, 7
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Note 2, 5, 6, 7, 9
Other (spec.)

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

4

510(k) No .: K142466 Device Name: C2-5 for use with UGEO PT60A

Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation (*includes simultaneous B-mode)

| General
(Track I only) | Specific
(Tracks I & III) | B | M | PWD | CWD | Color
Doppler* | Combined*
(Spec.) | Other
(Spec.) |
|---------------------------|-------------------------------|---|---|-----|-----|-------------------|----------------------|------------------|
| Ophthalmic | Ophthalmic | | | | | | | |
| | Fetal/Obstetrics (See Note 3) | P | P | P | | P | Note 1 | Notes 2, 7 |
| | Abdominal (See Note 8) | P | P | P | | P | Note 1 | Notes 2, 7 |
| | Intra-operative (See Note 6) | | | | | | | |
| | Intra-operative (Neuro.) | | | | | | | |
| Fetal Imaging
& Other | Laparoscopic | | | | | | | |
| | Pediatric | | | | | | | |
| | Small Organ (See Note 5) | | | | | | | |
| | Neonatal Cephalic | | | | | | | |
| | Adult Cephalic | | | | | | | |
| | Trans-rectal | | | | | | | |
| | Trans-vaginal | | | | | | | |
| | Trans-urethral | | | | | | | |
| | Trans-esoph. (non-Cardiac) | | | | | | | |
| | Musculo-skel. (Convent.) | | | | | | | |
| | Musculo-skel. (Superfic.) | | | | | | | |
| | Intra-luminal | | | | | | | |
| | Other (See Note 10) | | | | | | | |
| Cardiac | Cardiac Adult | | | | | | | |
| | Cardiac Pediatric | | | | | | | |
| | Trans-esophageal (Cardiac) | | | | | | | |
| | Other (spec.) | | | | | | | |
| Peripheral
Vessel | Peripheral vessel | | | | | | | |
| | Other (spec.) | | | | | | | |

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

5

510(k) No .: K142466 Device Name: C2-8 for use with UGEO PT60A Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPNote 1Notes 2, 7
Abdominal (See Note 8)PPPPNote 1Notes 2, 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 10)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

6

510(k) No .: K142466

Device Name: LN5-12 for use with UGEO PT60A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 8)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)PPPPNote 1Notes 2,5,6,9
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Notes 2,5,6,9
Musculo-skel. (Superfic.)PPPPNote 1Notes 2,5,6,9
Intra-luminal
Other (See Note 10)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralPeripheral vesselPPPPNote 1Notes 2,5,6,9
VesselOther (spec.)

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

7

510(k) No .: K142466

Device Name: LS6-15 for use with UGEO PT60A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 8)
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)PPPPNote 1Note 9
Musculo-skel. (Superfic.)PPPPNote 1Note 9
Intra-luminal
Other (See Note 10)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPNote 1Note 9
Other (spec.)

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

8

510(k) No .: K142466 Device Name: PN2-4 for use with UGEO PT60A Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Mode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 8)PPPPNote 1Note 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult CephalicPPPPNote 1Note 7
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 10)
Cardiac AdultPPPPNote 1Note 7
CardiacCardiac PediatricPPPPNote 1Note 7
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N= new indication; P= previously cleared by FDA K132228; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung.

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

9

510(k) No.: K142466 Device Name: CF4-9 for use with PT60A Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 8)PPPPNote 1Notes 2, 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
PediatricPPPPNote 1Notes 2, 7
Small Organ (See Note 5)PPPPNote 1Notes 2, 7
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 10)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Notes 2, 7
Other (spec.)

N= new indication; P= previously cleared by FDA K132861; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

10

510(k) No .: K142466

Device Name: EVN4-9 for use with PT60A

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

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)PPPPNote 1Notes 2
Abdominal (See Note 8)PPPPNote 1Notes 2
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal ImagingLaparoscopic
&
OtherPediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPPPPNote 1Notes 2
Trans-vaginalPPPPNote 1Notes 2
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 10)PPPPNote 1Notes 2
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Cardiac)
Other (spec.)
PeripheralPeripheral vessel
VesselOther (spec.)

N= new indication; P= previously cleared by FDA K132861; E= added under Appendix E

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

11

510(k) No .: K142466 Device Name: P4-12 for use with PT60A Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation (*includes simultaneous B-mode)
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
Doppler*Combined*
(Spec.)Other
(Spec.)
OphthalmicOphthalmic
Fetal/Obstetrics (See Note 3)
Abdominal (See Note 8)PPPPNote 1Note 2, 7
Intra-operative (See Note 6)
Intra-operative (Neuro.)
Fetal Imaging
& OtherLaparoscopic
Pediatric
Small Organ (See Note 5)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Cardiac)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (See Note 10)
Cardiac AdultPPPPNote 1Note 2, 7
CardiacCardiac PediatricPPPPNote 1Note 2, 7
Trans-esophageal (Cardiac)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPNote 1Note 2, 7
Other (spec.)

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

Additional Comments:

Color Doppler includes Power (Amplitude) Doppler

Note 1: B+M, B+PW, B+C, B+PD, B+C+PW, B+PD+PW, Dual(B, B/C, B/PD)

Note 2: Includes imaging for guidance of biopsy

Note 3: Obstetrics and Includes infertility monitoring of follicle development

Note 4: Color M-mode

Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients, lung

Note 6: Abdominal organs and peripheral vessel

Note 7: Tissue Harmonic Imaging (THI)

Note 8: Includes Gynecology

Note 9: MultiVision (Spatial Compound Imaging)

Note 10: Includes Urology/Prostate

12

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of safety and effectiveness is provided as part of this Premarket Notification in compliance with 21 CFR, Part 807, Subpart E, Section 807.92.

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

SAMSUNG MEDISON CO., LTD. 42, Teheran-ro 108-gil, Gangnam-gu, Seoul. Korea

Contact Person: Kyeong-Mi, Park Regulatory Affairs Manager

Telephone:82.2.2194.1373
Facsimile:82.2.556.3974

Data Prepared: July 2, 2014

2. Name of the device:

Common/Usual Name: Diagnostic Ultrasound System and Accessories Proprietary Name: UGEO PT60A Diagnostic Ultrasound System Classification Names: Product Code FR Number Ultrasonic Pulsed Doppler Imaging System 892.1550 IYN Ultrasound Pulsed Echo Imaging System 892.1560 IYO Diagnostic Ultrasound Transducer 892.1570 ITX

3. Identification of the predicate or legally marketed device:

  • UGEO PT60A Diagnostic Ultrasound System (K132228) -
  • UGEO H60 Diagnostic Ultrasound System (K132861) -
  • ACCUVIX XG Diagnostic Ultrasound System (K103397) -
  • -GE Venue 40 Diagnostic Ultrasound System (K112122)

13

4. Device Description:

The UGEO PT60A is a general purpose, hand-held, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode. M mode, Color Doppler imaging, Power Doppler imaging, PW Spectral Doppler mode, Harmonic imaging or as a combination of these modes. The UGEO PT60A also gives the operator the ability to measure anatomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The UGEO PT60A has real time acoustic output display with two basic indices, a mechanical index and a thermal index, which are both automatically displayed,

The UGEO PT60A has been designed to meet the following product safety standards:

  • UL 60601-1, Safety requirements for Medical Equipment
  • CSA C22.2 No. 601.1. Safety requirements for Medical Equipment
  • IEC60601-2-37. Diagnostic Ultrasound Safety Standards
  • EN/IEC60601-1, Safety requirements for Medical Equipment
  • EN/IEC60601-1-2. EMC requirements for Medical Equipment
  • NEMA UD-2. Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
  • NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • ISO10993-1. Biocompatibility
  • ISO14971, Application of risk management to medical devices

5. Intended Uses:

The UGEO PT60A Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body.

The clinical applications include: Fetal/Obstetrics. Abdominal, Gynecology, Pediatric, Small Organ, Adult Cephalic, Trans-rectal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult. Cardiac Pediatric and Peripheral vessel.

6. Technological Characteristics:

The UGEO PT60A is substantially equivalent with respect to safety, effectiveness, and functionality to the UGEO PT60A Diagnostic Ultrasound System (K132228), UGEO H60 Diagnostic Ultrasound System (K132861) and ACCUVIX XG Diagnostic Ultrasound System (K103397).

All systems transmit ultrasonic energy into patients, then perform post processing of received echoes to generate on-screen display of anatomic structures and fluid flow within the body. All system allow for specialized measurements of structures and flow, and calculations.

These are described in detail in the technological characteristics comparison table as below.

14

:

:

| Feature / Characteristics | The subject device
UGEO PT60A | UGEO PT60A
(K132228) | The predicate devices
UGEO H60
(K132861) | ACCUVIX XQ
(K103397) |
|-----------------------------------|----------------------------------|-------------------------|------------------------------------------------|-------------------------|
| Indication for Use | | | | |
| - Fetal/Obstetrics | √ | √ | √ | √ |
| - Abdominal | √ | √ | √ | √ |
| - Gynecology | √ | √ | √ | √ |
| - Pediatric | √ | | √ | √ |
| - Small Organ | √ | √ | √ | √ |
| - Neonatal Cephalic | | | √ | √ |
| - Adult Cephalic | √ | √ | √ | √ |
| - Trans-rectal | √ | | √ | √ |
| - Trans-vaginal | √ | | √ | √ |
| - Musculo-skeletal (Conventional) | √ | √ | √ | √ |
| - Musculo-skeletal (Superficial) | √ | √ | √ | √ |
| - Urology | √ | | √ | √ |
| - Cardiac Adult | √ | √ | √ | √ |
| - Cardiac Pediatric | √ | √ | √ | √ |
| - Peripheral vessel | √ | √ | √ | √ |
| Scanhead Types | | | | |
| - Linear Array | √ | √ | √ | √ |
| - Curved Linear Array | √ | √ | √ | √ |
| - Endocavity | √ | | √ | √ |
| - Phased Array | √ | √ | √ | √ |
| - Static Probes | | | √ | √ |
| Scanhead Frequency | | | | |
| 1.0~20.0 MHz | √ | √ | √ | √ |
| Modes of Operation | | | | |
| - B-mode | √ | √ | √ | √ |
| M-mode | √ | √ | √ | √ |
| - Pulsed wave (PW) Doppler | √ | √ | √ | √ |
| - Continuous wave (CW) Doppler | | | √ | √ |
| - Color Doppler | √ | √ | √ | √ |
| - Power Amplitude Doppler | √ | √ | √ | √ |
| - Tissue Harmonic Imaging | √ | √ | √ | √ |
| - 3D/4D imaging mode | | | √ | √ |
| - Combined modes | √ | √ | √ | √ |
| Safety & EMC Compliance | | | | |
| - IEC60601-1

  • UL 60601-1 | √ | √ | √ | √ |
    | Feature / Characteristics | The subject device
    UGEO PT60A | The predicate devices | | |
    | | | UGEO PT60A
    (K132228) | UGEO H60
    (K132861) | ACCUVIX XQ
    (K103397) |
    | - CSA C22.2 No.601.1 | | | | |
    | - IEC 60601-2-37 | √ | √ | √ | √ |
    | - IEC 60601-1-2 | √ | √ | √ | √ |
    | Acoustic Output Display Standard | | | | |
    | Track 3 | √ | √ | √ | √ |
    | Patient Contact Materials | | | | |
    | Tested to ISO 10993-1 | √ | √ | √ | √ |
    | Functionality | | | | |
    | - Quick Scan (Q Scan) | √ | √ | √ | √ |
    | - Spatial Compound Imaging | √1) | √ | √ | √ |
    | - SMDR | √2) | √ | √ | √ |

510(k) Summary / Statement Certification

ATTACHEMENT 1

15

510(k) Premarket Notification

  1. The name of the feature is changed to Multi Vison.

  2. The name of the feature is changed to ClearVision.

7. A brief discussion of the bench and non-clinical tests conducted on the subject device

The device has been evaluated for acoustic output, biocompatibility effectiveness as well as thermal, electrical, electromagnetic and mechanical safety and has been found to conform to applicable medical device safety standards.

The UGEO PT60A and its application comply with voluntary standards as below:

  • UL 60601-1. Safety requirements for Medical Equipment
  • CSA C22.2 No. 601.1, Safety requirements for Medical Equipment
  • IEC60601-2-37, Diagnostic Ultrasound Safety Standards
  • EN/IEC60601-1, Safety requirements for Medical Equipment
  • EN/IEC60601-1-2. EMC requirements for Medical Equipment
  • NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
  • NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • ISO10993-1, Biocompatibility
  • ISO14971, Application of risk management to medical devices

Summary of Clinical Tests:

Not applicable. The subject of this submission, UGEO PT60A, did not reguire clinical studies to support substantial equivalence.

8. Conclusion

Intended uses and other key features are consistent with traditional clinical practices and FDA guidelines. The design, development and quality process of the manufacturer confirms with 21 CFR 820 and ISO 13485. The device is designed to conform to applicable medical device safety standards and compliance. Therefore, SAMSUNG MEDISON CO., LTD. considers the UGEO PT60A to be as safe, as effective, and performance is substantially equivalent to the predicate devices.

END of 510(K) Summary