K Number
K142982
Device Name
OPUS 5100 Diagnostic Doppler Ultrasound System
Date Cleared
2015-09-03

(323 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
OPUS 5100 Diagnostic Doppler Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdomen; Pediatric; Small Organ(breast, thyroid, tests); Cephalic (adult and neonatal); Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional and Superficial); Ob/GYN; Urology; Cardiac (adult and pediatric) and Peripheral Vascular.
Device Description
OPUS 5100 Diagnostic Doppler Ultrasound System is a compact and portable diagnostic ultrasound device, have integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications. The all digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features. The major features include: 128 Channel all digital beam former; progressive dynamic receive focusing; wide band all digital demodulation; native frequency digital scan converter; hand carried for portable use; remote access image management through LAN port: USB 2.0 drive for image storage and retrieving; Supports 2D Bmode (including Tissue Harmonic image, M-mode, TDI, Color Flow Doppler, Power Doppler, Pulse wave Doppler and Continuous Wave Doppler, or a combination of these modes, 3D/4D.
More Information

Not Found

No
The summary describes standard ultrasound imaging techniques and digital signal processing methods (autocorrelation, FFT) without mentioning AI or ML algorithms.

No
The device is described as a "Diagnostic Doppler Ultrasound System" intended for "evaluation" and "diagnostic imaging applications," which are all related to diagnosis rather than therapy.

Yes
The "Intended Use / Indications for Use" and "Device Description" sections explicitly state that the device is a "Diagnostic Doppler Ultrasound System" and is intended for "clinical diagnostic imaging applications."

No

The device description explicitly states it is a "compact and portable diagnostic ultrasound device" with "integrated preprogrammed color ultrasound imaging system," indicating it includes hardware components beyond just software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health.
  • Device Function: The OPUS 5100 Diagnostic Doppler Ultrasound System is an imaging device that uses ultrasound waves to create images of internal structures within the body. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states it's for "evaluation of Fetal, Abdomen; Pediatric; Small Organ... and Peripheral Vascular," which are all in-vivo (within the living body) applications.

The device description and intended use are consistent with a diagnostic imaging system, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

OPUS 5100 Diagnostic Doppler Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdomen; Pediatric; Small Organ(breast, thyroid, tests); Cephalic (adult and neonatal); Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional and Superficial); Ob/GYN; Urology; Cardiac (adult and pediatric) and Peripheral Vascular.

Product codes

IYN, IYO, ITX

Device Description

OPUS 5100 Diagnostic Doppler Ultrasound System is a compact and portable diagnostic ultrasound device, have integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications.

The all digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features.

The major features of OPUS 5100 Diagnostic Doppler Ultrasound System: 128 Channel all digital beam former; progressive dynamic receive focusing; wide band all digital demodulation; native frequency digital scan converter; hand carried for portable use; remote access image management through LAN port: USB 2.0 drive for image storage and retrieving; Supports 2D B-mode (including Tissue Harmonic image, M-mode, TDI, Color Flow Doppler, Power Doppler, Pulse wave Doppler and Continuous Wave Doppler, or a combination of these modes, 3D/4D.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasonic pulsed doppler imaging, Ultrasonic pulsed echo imaging

Anatomical Site

Fetal, Abdomen, Pediatric, Small Organ(breast, thyroid, tests), Cephalic (adult and neonatal), Trans-rectal, Trans-vaginal, Musculo-skeletal(Conventional and Superficial), Ob/GYN, Urology, Cardiac (adult and pediatric), Peripheral Vascular.

Indicated Patient Age Range

Adult, pediatric, neonatal, fetal

Intended User / Care Setting

qualified physician / Hospitals, clinics usage.

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)

Laboratory testing was conducted to verify that the OPUS 5100 Diagnostic Doppler Ultrasound System was substantially equivalent to the Predicate Device.

  • IEC 60601-1: 2005 Medical Electrical Equipment Part 1: General Requirement for Safety.
  • IEC 60601-1-2: 2007 Medical Electrical Equipment Part1-2: General Requirement for Safety - Collateral Standard: Electromagnetic Compatibility - Requirement and Tests.
  • IEC 60601-2-37: 2008 Medical electrical equipment Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment.
  • NEMA UD3: 2004 Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment.
  • NEMA UD 2: 2004. Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment.
  • ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity.
  • ISO 10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K131088

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized graphic of three human profiles facing to the right, with the profiles overlapping each other.

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

September 3, 2015

Chang Gung Medical Technology Co., Ltd. % Mr. Bob Leiker Owner Leiker Regulatory & Quality Consulting 4157 North Del Rey Avenue CLOVIS CA 93619

Re: K142982

Trade/Device Name: OPUS 5100 Diagnostic Doppler 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 6, 2015 Received: August 10, 2015

Dear Mr. Leiker:

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.

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.

1

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,

Robert Oals

Robert Ochs. Ph.D. 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 on last page.

510(k) Number (if known)

142982

Device Name

OPUS 5100 Diagnostic Doppler Ultrasound System

Indications for Use (Describe)

OPUS 5100 Diagnostic Doppler Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdomen; Pediatric; Small Organ(breast, thyroid, tests); Cephalic (adult and neonatal); Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional and Superficial); Ob/GYN; Urology; Cardiac (adult and pediatric) and Peripheral Vascular.

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

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

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

FORM FDA 3881 (1/14)

PSC Publishing Services (301) 443-6740

3

Section 1.3 Indications for Use

K142982 510(k) Number:

Device Name: OPUS 5100 Diagnostic Doppler Ultrasound System

Indications for Use:

OPUS 5100 Diagnostic Doppler Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdomen; Pediatric; Small Organ(breast, thyroid, tests); Cephalic (adult and neonatal); Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional and Superficial); Ob/GYN; Urology; Cardiac (adult and pediatric) and Peripheral Vascular.

The following transducers are intended for use with OPUS 5100 Diagnostic Doppler Ultrasound System.

Transducer model Number
LA75 Linear ArrayCLA35 Curve Linear ArrayMCLA65 Micro-Curved Linear array
LA75T Linear ArrayCLA35R5 Curve Linear ArrayPA25 Phase Array
LA75C Linear ArrayCLA35C Curve Linear ArrayPA25S Phase Array
LA75S Linear ArrayCLA35T Curve Linear ArrayPA25E8 Phase Array
LA80N Linear ArrayCLA35S Curve Linear ArrayPA50 Phase Array
LA85N Linear ArrayTV65 Transvaginal Micro-Curved
Linear arrayM3D45 4D Curved Array
LA10N Linear ArrayTV65S Transvaginal Micro-Curved
Linear arrayCGTE50 Multi-Plane Phased Array

Prescription Use AND/OR Over-The-Counter Use X (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

4

Chang Gunq Medical Technology Co., Ltd. System: OPUS 5100 Diagnostic Doppler Ultrasound System 510(k) Submission

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3, 4
AbdominalNNNNNNNote 1NNote 3, 4
Intra-operative (Specify)N
Intra-operative (Neuro)
Laparoscopic
PediatricNNNNNNNote 1NNote 3
Small Organ1 (Specify)NNNNNNNote 1NNote 3
Neonatal CephalicNNNNNNNote 1NNote 2, 3
Adult CephalicNNNNNNNote 1NNote 2, 3
Trans-rectalNNNNNNNote 1NNote 3
Trans-vaginalNNNNNNote 1NNote 3
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)NNNNNNote 1NNote 3, 4
Other (Ob/GYN)NNNNNNote 1NNote 3, 4
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac PediatricNNNNNNNote 1NNote 2, 3
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

5

Diagnostic Ultrasound Indications For Use

Transducer: LA75 Linear Array Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

6

LA75T Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;P = previously cleared by FDA;E = added under this appendix

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

7

LA75C Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

8

LA75S Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;E = added under this appendix

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

9

LA80N Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;P = previously cleared by FDA;
E = added under this appendix

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

10

LA85N Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;P = previously cleared by FDA;
E = added under this appendix

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

11

LA10N Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)NNNNNNNote 1NNote 3
Musculo-skeletal
(Superficial)NNNNNNNote 1NNote 3
Other (Urology)
Other (Ob/GYN)
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vesselNNNNNNNote 1NNote 3
N = new indication;P = previously cleared by FDA;
E = added under this appendix

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

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic and Radiological Health

12

CLA35 Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3
& OtherAbdominalNNNNNNNote 1NNote 3
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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13

CLA35R5 Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWCWColorPowerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3
& OtherAbdominalNNNNNNNote 1NNote 3
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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14

CLA35C Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)BMPWCWColorPowerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3
& OtherAbdominalNNNNNNNote 1NNote 3
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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15

CLA35T Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3
AbdominalNNNNNNNote 1NNote 3
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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16

CLA35S Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3
AbdominalNNNNNNNote 1NNote 3
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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17

TV65 Transvaqinal Micro-Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNNNNNote 1NNote 3
Trans-vaginalNNNNNNNote 1NNote 3
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel
N = new indication;      P = previously cleared by FDA;      E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

X AND/OR Over-The-Counter Use Prescription Use (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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18

TV65S Transvaginal Micro-Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectalNNNNNNNote 1NNote 3
Trans-vaginalNNNNNNNote 1NNote 3
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)NNNNNNNote 1NNote 3
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel
N = new indication;P = previously cleared by FDA;E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

X AND/OR Over-The-Counter Use Prescription Use (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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19

MCLA65 Micro-Curved Linear Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)NNNNNNNote 1NNote 3
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac Pediatric
Peripheral
VesselPeripheral vessel
N = new indication;
[1]: breast, thyroid, testesP = previously cleared by FDA;E = added under this appendix

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

X AND/OR Over-The-Counter Use Prescription Use (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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20

PA25 Phased Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)
Neonatal CephalicNNNNNNNote 1NNote 2, 3
Adult CephalicNNNNNNNote 1NNote 2, 3
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac PediatricNNNNNNNote 1NNote 2, 3
Peripheral
VesselPeripheral vessel
N = new indication;P = previously cleared by FDA; E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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21

PA25S Phased Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal CephalicNNNNNNNote 1NNote 2, 3
Adult CephalicNNNNNNNote 1NNote 2, 3
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac PediatricNNNNNNNote 1NNote 2, 3
Peripheral
VesselPeripheral vessel
N = new indication;P = previously cleared by FDA;E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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22

PA25E8 Phased Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)
Neonatal CephalicNNNNNNNote 1NNote 2, 3
Adult CephalicNNNNNNNote 1NNote 2, 3
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac PediatricNNNNNNNote 1NNote 2, 3
Peripheral
VesselPeripheral vessel
N = new indication;P = previously cleared by FDA;E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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23

PA50 Phased Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal CephalicNNNNNNNote 1NNote 2, 3
Adult CephalicNNNNNNNote 1NNote 2, 3
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac PediatricNNNNNNNote 1NNote 2, 3
Peripheral
VesselPeripheral vessel
N = new indication; P = previously cleared by FDA; E = added under this appendix

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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24

M3D45 4D Curved Array Transducer: Diagnostic Ultrasound Transducer

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

Clinical ApplicationMode of Operation
BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
General
(Track 1 Only)Specific
(Tracks 1 & 3)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetalNNNNNNNote 1NNote 3, 4
AbdominalNNNNNNNote 1NNote 3, 4
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ1 (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)NNNNNNNote 1NNote 3, 4
Other (Ob/GYN)NNNNNNNote 1NNote 3, 4
CardiacCardiac Adult
Cardiac Pediatric
Peripheral
VesselPeripheral vessel

[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

AND/OR Over-The-Counter Use Prescription Use X (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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25

CGTE50 Multi-Plane Phased Array Transducer: Diagnostic Ultrasound Transducer

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)BMPW
DopplerCW
DopplerColor
DopplerPower
DopplerCombined
ModesHarmonic
ImagingOther
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Specify)
Intra-operative (Neuro)
Laparoscopic
Pediatric
Small Organ[1] (Specify)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-
Card.)
Musculo-skeletal
(Conventional)
Musculo-skeletal
(Superficial)
Other (Urology)
Other (Ob/GYN)
CardiacCardiac AdultNNNNNNNote 1NNote 2, 3
Cardiac Pediatric
Peripheral
VesselPeripheral vessel
N = new indication;      P = previously cleared by FDA;      E = added under this appendix
[1]: breast, thyroid, testes

Note 1: Combined includes: B/M; B/PWD; B/THI; B/Color Doppler; M/Color M; B/Color Doppler/PWD and B/Power Doppler/PWD.

Note 2: TDI Note 3: 3D Note 4: 4D

X AND/OR Over-The-Counter Use Prescription Use (Part 21 CFR 801 Subpart D) 21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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26

IDA CDRH DMC

K142982/A001

APR 2 8 2015

Chang Gung Medical Technology Co., Ltd. OPUS 5100 Diagnostic Doppler Ultrasound System 510(k) Submission

Section 04 - 510(k) Summary

Received

  1. Date Prepared July 07 2014.

  2. Submitter

Company Name:Chang Gung Medical Technology Co., Ltd.
Head Office Address:11F., No. 201-4, Dunhua North Rd., Songshan Dist., Taipei City
10508, Taiwan R.O.C.
Manufacturer Address:2F., No. 118, Nanlin Rd., Taishan Dist., New Taipei City 24352,
Taiwan R.O.C.

Establishment Registration Number: 3005706637

Contact:Shu Ping Tsao
E-mail:iristsao@cgmh.org.tw
Phone:+886-2-29069595
Fax:+886-2-29069797

Corresponding U.S. Agent

Contact:Bob Leiker
Leiker Regulatory & Quality Consulting
Address:4157 North Del Rey Ave, Clovis, California 93619
Phone:(925) 719-1946
Fax:(866) 718-3819
E-mail:bobleiker@comcast.net

3. Identification of the Device

Device Name:OPUS 5100 Diagnostic Doppler Ultrasound System
Common Name:Diagnostic Ultrasound System and Transducers
Classification Name:21 CRF892.1550 Ultrasonic Pulsed Doppler Imaging SystemProduct code: IYN
21 CRF892.1560 Ultrasonic Pulsed Echo Imaging SystemProduct code: IYO
21 CRF892.1570 Diagnostic Ultrasound TransducerProduct code: ITX
Classification Panel:Radiology
Device Classification:Class II
Review Category:Tier II

4. Identification of the Predicate Device

Predicate Device Name:Portable Digital Color Doppler Ultrasound System
Model:S9
Manufacturer:SonoScape Company Limited
510(k) Number:K131088

510(k) Summary

2

27

5. Device Description

OPUS 5100 Diagnostic Doppler Ultrasound System is a compact and portable diagnostic ultrasound device, have integrated preprogrammed color ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications.

The all digital architecture with progressive dynamic receive focusing allows the system to maximize the utility of all imaging transducers to enhance the diagnostic utility and confidence provided by the system. The exam dependent default setting allows the user to have minimum adjustment for imaging the patient, while the in depth soft-menu control allows the advanced user to set the system for different situations. The architecture allows cost-effective system integration to a variety of upgrade-able options and features.

The major features of OPUS 5100 Diagnostic Doppler Ultrasound System: 128 Channel all digital beam former; progressive dynamic receive focusing; wide band all digital demodulation; native frequency digital scan converter; hand carried for portable use; remote access image management through LAN port: USB 2.0 drive for image storage and retrieving; Supports 2D Bmode (including Tissue Harmonic image, M-mode, TDI, Color Flow Doppler, Power Doppler, Pulse wave Doppler and Continuous Wave Doppler, or a combination of these modes, 3D/4D.

6. Intended Use

OPUS 5100 Diagnostic Doppler Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal, Abdomen; Pediatric; Small Organ(breast, thyroid, tests); Cephalic (adult and neonatal); Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional and Superficial); Ob/GYN; Urology; Cardiac (adult and pediatric) and Peripheral Vascular.

7. Testing

Laboratory testing was conducted to verify that the OPUS 5100 Diagnostic Doppler Ultrasound System was substantially equivalent to the Predicate Device.

  • 8.1 IEC 60601-1: 2005 Medical Electrical Equipment Part 1: General Requirement for Safety.
  • 8.2 IEC 60601-1-2: 2007 Medical Electrical Equipment Part1-2: General Requirement for Safety - Collateral Standard: Electromagnetic Compatibility - Requirement and Tests.
  • 8.3 IEC 60601-2-37: 2008 Medical electrical equipment Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment.
  • 8.4 NEMA UD3: 2004 Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment.
  • 8.5 NEMA UD 2: 2004. Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment.
  • 8.6 ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity.
  • 8.7 ISO 10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization.

28

8. Clinical Testing

No clinical testing was required.

9. Comparison to the Predicate Device

The difference between the OPUS 5100 Diagnostic Doppler Ultrasound System and the predicate device Portable Digital Color Doppler Ultrasound System, Model S9 in almost every part are listed in the table below.

ItemsProposed DevicePredicate Device
General
Device NameOPUS 5100 Diagnostic Doppler
Ultrasound SystemPortable Digital Color Doppler
Ultrasound System, Model S9
Intended UseThe OPUS 5100 device is a general-purpose ultrasonic imaging instrument intended for use by a qualified
physician for evaluation of Fetal,
Abdomen; Pediatric; Small
Organ(breast, thyroid, tests); Cephalic
(adult and neonatal); Trans-rectal;
Trans-vaginal; Musculo-
skeletal(Conventional and
Superficial); Ob/GYN; Urology;
Cardiac (adult and pediatric) and
Peripheral Vascular.The SonoScape S9 device is a
general-purpose ultrasonic imaging
instrument intended for use by a
qualified physician for evaluation of
Fetal, Abdominal, Pediatric, Small
Organ (breast, testes, thyroid),
Cephalic(neonatal and adult), Trans-
rectal, Trans-vaginal, Peripheral
Vascular, Musculo-skeletal
(Conventional and Superficial),
Cardiac (neonatal and adult), OB/Gyn
and Urology.
Classification NameUltrasonic Pulsed Doppler Imaging
System
Ultrasonic Pulsed Echo Imaging
System
Diagnostic Ultrasound TransducerUltrasonic Pulsed Doppler Imaging
System
Ultrasonic Pulsed Echo Imaging
System
Diagnostic Ultrasound Transducer
Product Code90-IYN/90-IYO/90-ITX90-IYN/90-IYO/90-ITX
Regulation Number892.1550/892.1560/892.1570892.1550/892.1560/892.1570
PanelRadiologyRadiology
ClassIIII
Specification
Transducer Types &
ConnectorsLA75 Linear array
LA75T Linear array
LA75C Linear array
LA75S Linear array
LA80N Linear array
LA85N Linear array
LA10N Linear arrayL741 Linear array
L742 Linear array
L752 Linear array
ItemsProposed DevicePredicate Device
CLA35 Curved ArrayC344 Curved Array
CLA35R5 Curved ArrayC322 Curved Array
CLA35C Curved ArrayC353 Curved Array
CLA35T Curved Array
CLA35S Curved Array
TV65 Transvaginal Micro-Curved
Array6V1 Micro-Curved Array
TV65S Transvaginal Micro-Curved
Array6V3 Micro-Curved Array
MCLA65 Micro-Curved Array/
PA25 Phased Array2P2 Phased Array
PA25S Phased Array3P1 Phased Array
PA25E8 Phased Array5P2 Phased Array
PA50 Phased Array8P1 Phased Array
4D Curved Array: M3D45 - 4.5 MHzVC6-2 Curved Array
CGTE50 Multi-Plane Phased Array/
Multi-port connector connects 2
transducers.Multi-port connector connects 2
transducers.
Based on an embedded Linux
operating system.Based on an embedded Linux
operating system.
Based on 128 channel full digital
beam former.Based on 128 channel full digital
beam former.
Autocorrelation for color processing
and FFT for pulse and CW Doppler
processing.Autocorrelation for color processing
and FFT for pulse and CW Doppler
processing.
DesignSupporting Linear, Curve linear and
Phase array probes from 2 to 14 MHz.Supporting Linear, Curve linear and
Phase array probes from 2 to 15 MHz.
Cine play back capability and Image
file archive.Cine play back capability and Image
file archive.
Software upgrade with USB flash
drive.Software upgrade with USB flash
drive.
Digital Scan Converter 800x600.Digital Scan Converter 800x600.
Patient Contact
MaterialsRVT664+ Ultrason S2010 silicon
rubber complies with ISO 10993-5.RVT664+ Ultrason S2010 silicon
rubber complies with ISO 10993-5.
Operation ModeB, M, CFM, CPA, PW, CW, THI,
TDI 3D/4D Mode, Color M Mode and
combine mode.B, M, PW, CW, CFM, DPI, TDI,
Tissue Harmonic Image, 3D/4D
Mode, Color M Mode
Display ModeSingle and dual 2-D; Display of
Duplex 2 D/M-mode; 2-D/Pulsed
Doppler and Triplex 2-D/CD/Pulsed
Doppler image formats; Dual B andDual B, Quad Display, B and M, B
and Doppler, B+Color, Dual B(Flow),
Triplex mode; B, CFM, and PW/CW;
B, DPI, and PW/CW; B, THI and
ItemsProposed DevicePredicate Device
Color in real time.Color M, steer M, Dual B and Color
in real time, Compound imaging,
Panoramic Imaging, Trapezoid
Imaging.
Display Monitor15" LCD color monitor.15" Widescreen LCD monitor.
MeasurementDistance; Area; Circumference;
Calipers; Volume; Velocity; HR, PI,
RI, Cardiac, OB/GYN, Urology,
Vascular and small part package.Distance; Area; Circumference:
Calipers: Volume: Velocity; HR, PI.
RI, Cardiac, OB/GYN, Urology,
Vascular and small part package.
Users / SitesHospitals, clinics usage.Hospitals, clinics usage.
Acoustic OutputTrack 3: MI, TIS, TIC, TIB
Derated Ispta: 720 mW/cm² (max.)
TIS/TIB/TIC: 0.2 ~ 4.0 (Range)
Mechanical Index: 1.9 (max.)
Derated Isppa: 190 W/cm² (max.)Track 3: MI, TIS, TIC, TIB
Derated Ispta: 720 mW/cm² (max.)
TIS/TIB/TIC: 6.0 (max.) Mechanical
Index: 1.9 (max.)
Derated Isppa: 190 W/cm² (max.)
LabelingOperator's Manual, brochure.Operator's Manual, brochure.
Power RequirementPower requirement:
100 Volts AC, 1.84 Amps
120 Volts AC, 1.56 Amps
230 Volts AC, 0.81 Amps
250 Volts AC, 0.74 Amps
Power consumption: 130 watts max.Power requirement:
Voltage: 110-240 VAC
Frequency: 50/60 Hz
Power consumption: 110-240VAC,
2.7-1.2A
Operating ConditionTemperature: 5 °~ 40 °.
Relative humidity: 10~ 80%.
Air pressure: 700 hPa ~ 1060 hPa.Temperature: 10 °~ 40 °.
Relative humidity: 30 ~ 75%.
Air pressure: 700 hPa ~ 1060 hPa.
Storage ConditionTemperature: -25 °~ 55 °.
Relative humidity: 10 ~ 90%.
Air pressure: 700 hPa ~ 1060 hPa.Temperature: -20 ° ~ 55 °.
Relative humidity: 20 ~ 90%.
Air pressure: 700 hPa ~ 1060 hPa.
Safety Test Items
Electronic SafetyIEC 60601-1IEC 60601-1
Electromagnetic
CompatibilityIEC 60601-2IEC 60601-2
PerformanceIEC 60601-2-37IEC 60601-2-37
BiocompatibilityISO 10993-5
ISO 10993-10ISO 10993-5
ISO 10993-10
Level of Concern of
SoftwareModerate level of concern systemModerate level of concern system

Table 1 Substantial Equivalent Comparison Table

29

30

31

10. Conclusion

There are some differences between the proposed device and predicate device. All the parameters comply with 21CFR1020.33 and related IEC standards, so those differences between proposed device and predicate device do not affect the safety and effectiveness.

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification, it can be concluded that OPUS 5100 Diagnostic Doppler Ultrasound System is substantially equivalent to the predicate device with regard to safety and effectiveness.