K Number
K171766
Date Cleared
2017-07-12

(28 days)

Product Code
Regulation Number
892.1560
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The SC2000 ultrasound imaging system is intended for the following applications: Cardiac. Neo-natal and Fetal Cardiac. Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Abdominal, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are:

Cardiac Imaging Applications and Analysis
The system transmits ultrasound energy into adult, pediativ, neonatal, and fetal cardiac patients creating 2D (B). 3D. M-Mode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heart, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.
The system also supports catheters which are intended for intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Vascular Imaging Applications and Analysis
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and arteries in the arms and legs and abdomen; and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.
The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Superficial Imaging Applications
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Intraoperative Imaging Applications
The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during intraoperative procedures.

Transcranial Imaging Applications
The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence of pathology. The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Device Description

The ACUSON SC2000™ Diagnostic Ultrasound System is a multi-purpose mobile, software controlled diagnostic ultrasound system, with an on-screen display for thermal and mechanical indices, related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data, and display it in the following modes (The following modes below can be operated in combination or individually):

  • B-Mode
  • M-Mode
  • Pulsed (PWD) Doppler Mode
  • Continuous (CWD) Doppler Mode
  • Color Doppler Mode
  • Amplitude Doppler Mode
  • Color Velocity Imaging
  • 3D Imaging,
  • 4D Imaging (3D imaging in real time)
AI/ML Overview

This document, a 510(k) Premarket Notification for the Siemens Acuson SC2000 Diagnostic Ultrasound System, focuses on demonstrating substantial equivalence to a previously cleared predicate device (K170315) rather than proving the detailed performance of a new AI/algorithm-based device against specific acceptance criteria.

Therefore, the requested information regarding acceptance criteria, study details (sample size, data provenance, number of experts, adjudication methods, MRMC studies, standalone performance, ground truth establishment for test and training sets) is not present in this document.

The document explicitly states: "The ACUSON SC2000™ Ultrasound System is a class II device, and uses the same technology and operating principle as the predicate devices; clinical data is not required for substantial equivalence." (Page 24)

This indicates that the submission relies on the established safety and effectiveness of the predicate device and the fact that the modifications to the Acuson SC2000 are not significant enough to warrant new clinical performance studies or specific acceptance performance metrics typically associated with novel AI/algorithm-driven devices.

In summary, this document does not provide the information requested about acceptance criteria and study details for proving a device meets those criteria, because such studies were not deemed necessary for this 510(k) submission based on its substantial equivalence to an existing device.

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling a symbol. The symbol is a stylized representation of three human profiles facing right, with flowing lines suggesting movement or progress. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

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

July 12, 2017

SIEMENS MEDICAL SOLUTIONS INC. 0 Mr. MARK JOB RESPONSIBLE THIRD PARTY OFFICIAL REGULATORY TECHNOLOGY SERVICES, LLC 1394 25TH STREET, NW BUFFALO MN 55313

Re: K171766

Trade/Device Name: Acuson SC2000 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYO, IYN, ITX, OBJ Dated: June 2, 2017 Received: June 14, 2017

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.

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.

Michael D. O'Hara For

Robert Ochs Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

510(k) Number (if known)

K171766

Device Name

Acuson SC2000TM Diagnostic Ultrasound System

Indications for Use (Describe)

The SC2000 ultrasound imaging system is intended for the following applications: Cardiac. Neo-natal and Fetal Cardiac. Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Abdominal, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are:

Cardiac Imaging Applications and Analysis

The system transmits ultrasound energy into adult, pediativ, neonatal, and fetal cardiac patients creating 2D (B). 3D. M-Mode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heart, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system also supports catheters which are intended for intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively

with other medical data obtained by a physician for clinical diagnosis purposes.

Vascular Imaging Applications and Analysis

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and arteries in the arms and legs and abdomen; and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Superficial Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Intraoperative Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during intraoperative procedures.

Transcranial Imaging Applications

The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence of pathology. The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

{3}------------------------------------------------

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)

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."

{4}------------------------------------------------

510(k) Number (if known):

Device Name: SC2000 Diagnostic Ultrasound System

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:3DOther:RealTime3D
Ophthalmic
FetalPPPPPPPP*PP
AbdominalPPPPPPPP*PP
IntraoperativeAbdominalPPPPPP*P
IntraoperativeNeurological
PediatricPPPPPPPP*PPP
Small Organ(specify)
NeonatalCephalic
Adult CephalicPPPPPPPP*P
CardiacPPPPPPPP*PPP
Trans-esophagealPPPPPP*P
Transrectal
Transvaginal
Transurethral
Intra-LuminalPPPPPPPP*P
Peripheral VesselPPPPPPPPP*P
Laparoscopic
Musculo-skeletalConventionalPPPPPPPP*P
Musculo-skeletalSuperficialPPPPPPPP*P
Other (NeonatalCardiac)PPPPPPPP*P
Other (Intra-Cardiac)PPPPPPPP*P
Other(AbdominalVascular)PPPPPPPP*P

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{5}------------------------------------------------

510(k) Number (if known):

CW2 Device Name:

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)ColorVelocityCombined(Specify)Other:Harmonic
DopplerImagingImaging
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricP
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
CardiacP
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral VesselP
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (specify)

N=new indication. Previously Cleared in 510(k) K170315

Additional Comments:

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

{6}------------------------------------------------

510(k) Number (if known):

Device Name:

4Z1c

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:RealTime3D
Ophthalmic
FetalPPPPPP*PP
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPP*PP
Small Organ(specify) **
NeonatalCephalic
Adult Cephalic
CardiacPPPPPP*PP
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (specify)

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{7}------------------------------------------------

510(k) Number (if known):

Device Name:

4V1c

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImaging
Ophthalmic
FetalPPPPPPP*P
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPPP*P
Small Organ(specify)
NeonatalCephalic
Adult CephalicPPPPPPP*P
CardiacPPPPPPP*P
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (NeonatalCardiac)PPPPPPP*P

N=new indication. Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{8}------------------------------------------------

510(k) Number (if known):

Device Name:

V5Ms

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)ColorVelocityCombined(Specify)Other:HarmonicOther:3D
DopplerImagingImaging
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPP*P
Small Organ(specify)
Neonatal
Cephalic
Adult Cephalic
CardiacPPPPPP*P
Trans-esophagealPPPPPP*P
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (specify)

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{9}------------------------------------------------

510(k) Number (if known):

Device Name:

୧୯.IHD

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImaging
Ophthalmic
FetalPPPPPPP*P
AbdominalPPPPPPP*P
IntraoperativeAbdominalPPPPPPP*P
Intraoperative
PediatricPPPPPPP*P
Small Organ(specify)PPPPPPP*P
NeonatalCephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral VesselPPPPPPP*P
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other(AbdominalVascular)PPPPPPP*P

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{10}------------------------------------------------

510(k) Number (if known):

Device Name:

Z6Ms

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:RealTime3D
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
Pediatric
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPPP*PP
Trans-esophagealPPPPPPPP*PP
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (specify)

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{11}------------------------------------------------

510(k) Number (if known):

Device Name:

V7M

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:3D
Ophthalmic
Fetal
AbdominalPPPPPPPP*PP
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPPP*P
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPP*P
Trans-esophagealPPPPPPP*P
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (specify)

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{12}------------------------------------------------

510(k) Number (if known):

Device Name:

8V3

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImaging
Ophthalmic
FetalPPPPPPPP *P
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPPPP *P
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPPP *P
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (NeonatalCardiac)PPPPPPPP *P

N=new indication. Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{13}------------------------------------------------

510(k) Number (if known):

Device Name:

9L4

Indications for Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImaging
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
Pediatric
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
Cardiac
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral VesselPPPPPPPP*P
Laparoscopic
Musculo-skeletalConventionalPPPPPPPP*P
Musculo-skeletalSuperficialPPPPPPPP*P
Other (specify)

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{14}------------------------------------------------

510(k) Number (if known):

Device Name:

10V4

Intended Use:

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

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImaging
Ophthalmic
FetalPPPPPPP *P
AbdominalPPPPPPP *P
IntraoperativeAbdominalPPPPPPP *P
IntraoperativeNeurological
PediatricPPPPPPP *P
Small Organ(specify)
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPP *P
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-Luminal
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (NeonatalCardiac)PPPPPPP *P

N=new indication. Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{15}------------------------------------------------

510(k) Number (if known):

Device Name:

AcuNav 8F and 10F Ultrasound Catheter

Intended Use:

Catheter is intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients as follows:

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:RealTime3D
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPPPP*
Small Organ(specify) **
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPPP*
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-LuminalPPPPPPPP*
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (Intra-Cardiac)PPPPPPPP*

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler

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

{16}------------------------------------------------

510(k) Number (if known):

Device Name:

Intended Use:

ACUSON AcuNav™ V 10F Ultrasound Catheter

Catheter is intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients as follows:

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:RealTime3D
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
PediatricPPPPPPPP*P
Small Organ(specify) **
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPPP*P
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-LuminalPPPPPPPP*P
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (Intra-Cardiac)PPPPPPPP*P

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler, B+CWD+Power Doppler, B+Clarify VE

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

{17}------------------------------------------------

510(k) Number (if known):

Device Name:

SoundStar 10F Ultrasound Catheter

Intended Use:

Catheter is intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart:

ClinicalApplicationABMPWDCWDColorDopplerPower(Amplitude)DopplerColorVelocityImagingCombined(Specify)Other:HarmonicImagingOther:RealTime3D
Ophthalmic
Fetal
Abdominal
IntraoperativeAbdominal
IntraoperativeNeurological
Pediatric
Small Organ(specify) **
NeonatalCephalic
Adult Cephalic
CardiacPPPPPPPP*
Trans-esophageal
Transrectal
Transvaginal
Transurethral
Intra-LuminalPPPPPPPP*
Peripheral Vessel
Laparoscopic
Musculo-skeletalConventional
Musculo-skeletalSuperficial
Other (Intra-Cardiac)PPPPPPPP*

N=new indication. P = Previously Cleared in 510(k) K170315

Additional Comments:

*Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+Color Doppler, B+CWD+Color Doppler, B+Power Doppler

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

{18}------------------------------------------------

510(k) Summary

Sponsor:Siemens Medical Solutions, Inc.Ultrasound Division685 East Middlefield RoadMountain View, California 94043
Contact Person:Kevin Kong, RACTitle: Regulatory Affairs SpecialistTelephone: (650) 969-9112
Submission Date:April 7, 2017
Device Name:ACUSON SC2000™ Diagnostic Ultrasound System
Common Name:Diagnostic Ultrasound System
Classification:Regulatory Class: IIReview Category: Tier IIClassification Panel: 90, Radiology

Ultrasonic Pulsed Doppler Imaging System

  • 21 CFR # 892.1550 .
  • Product Code IYN .

Ultrasonic Pulsed Echo Imaging System

  • 21 CFR # 892.1560 .
  • Product Code IYO .

Diagnostic Ultrasound Transducer

  • . 21 CFR # 892.1570
  • Product Code ITX .

Image /page/18/Picture/13 description: The image features the word "SIEMENS" in a bold, sans-serif font. The color of the text is a vibrant teal, which stands out against the white background. The letters are evenly spaced and appear to be professionally typeset, suggesting the image is a logo or branding element.

{19}------------------------------------------------

Diagnostic Intravascular Catheter

  • . 21 CFR # 870.1200
  • Product Code OBJ ●

Legally Marketed Predicate Devices

Device Name510(k)
ACUSON SC2000™ Diagnostic Ultrasound SystemK170315

Device Description:

The ACUSON SC2000™ Diagnostic Ultrasound System is a multi-purpose mobile, software controlled diagnostic ultrasound system, with an on-screen display for thermal and mechanical indices, related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data, and display it in the following modes (The following modes below can be operated in combination or individually):

  • . B-Mode
  • M-Mode ●
  • Pulsed (PWD) Doppler Mode ●
  • Continuous (CWD) Doppler Mode
  • Color Doppler Mode .
  • Amplitude Doppler Mode ●
  • Color Velocity Imaging .
  • . 3D Imaging,
  • 4D Imaging (3D imaging in real time) .

Image /page/19/Picture/18 description: The image shows the word "SIEMENS" in a teal color. The letters are bold and sans-serif. The word is horizontally oriented and fills most of the frame.

{20}------------------------------------------------

Intended Use

The ACUSON SC2000™ Diagnostic Ultrasound System is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Abdominal, Intraoperative Abdominal, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are:

Cardiac Imaging Applications and Analysis

The system transmits ultrasound energy into adult, pediatric, neonatal, and fetal cardiac patients creating 2D (B), 3D, M-Mode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heart, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

The system also supports catheters which are intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients.

The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Vascular Imaging Applications and Analysis

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and deep veins and arteries in the arms and legs; and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Image /page/20/Picture/10 description: The image contains the word "SIEMENS" in a bold, teal-colored font. The letters are capitalized and evenly spaced. The background is plain white, which makes the text stand out.

{21}------------------------------------------------

The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Superficial Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images.

Intraoperative Imaging Applications

The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during intraoperative procedures.

Transcranial Imaging Applications

The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence or absence of pathology.

The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

Image /page/21/Picture/10 description: The image shows the word "SIEMENS" in a teal color. The letters are bold and sans-serif. The word is horizontally oriented and takes up most of the frame.

{22}------------------------------------------------

Substantial Equivalence

The submission device is a modification to ACUSON SC2000™ Diagnostic Ultrasound System. The modified device is substantially equivalent to the ACUSON SC2000™ Diagnostic Ultrasound System as previously cleared in K170315.

Primary Predicate Substantial Equivalence Table

DescriptionPrimary Predicate:ACUSON SC2000™K170315This Submission:ACUSON SC2000TM
Product Code(s)System: IYO, IYNTransducers: ITXIntravascular Catheter: OBJSame
Transducer Types-Matrix Array-Phased Array-Linear Array-Curved ArraySame
Modes of Operation-B Mode-M Mode-Pulse Wave Doppler Mode(PWD Mode)-Continuos Doppler Mode(CWD)-Color Doppler Mode-Amplitude Doppler Mode-Color Velocity Imaging-3D Imaging-4D ImagingSame
DescriptionPrimary Predicate:ACUSON SC2000TMK170315This Submission:ACUSON SC2000TM
Imaging
Multi-Hertz multiple frequencyimagingXSame
Output display standardcomplianceXSame
Dual screenXSame
Acoustic clip captureXSame
Cardiac Measurements andCalculationsXSame
DTITM Doppler tissue imagingXSame
Contrast Imaging
Contrast pulse sequencingtechnology (CPS)XSame
TEQ and NTEQ ultrasoundtechnology for CPSXSame
Vascular Imaging
Vascular Calculation andMeasurementsXSame
Spatial CompoundingXSame
Semi Auto Doppler Option(Trace Assist)XSame
Transcranial ImagingXSame
Connectivity
Wireless Network ConnectivityXSame
DICOM CompatibilityXSame

SIEMENS

{23}------------------------------------------------

Siemens Medical Solutions, Inc. Ultrasound Division

Image /page/23/Picture/3 description: The image shows the word "SIEMENS" in all capital letters. The text is a teal color and is displayed on a white background. The font is sans-serif and the letters are bold.

{24}------------------------------------------------

Non-clinical Tests submitted, referenced, or relied on for determination of substantial equivalence

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

  • . AAMI/ANS I 60601-1: Medical Electrical Equipment - Part 1 General Requirements for Basic Safety and Essential Performance
  • IEC 60601-1-2: Medical Electrical Equipment Part 1-2: General Requirements . for Basic Safety and Essential Performance: Electromagnetic Compatibility
  • IEC 60601-2-37: Medical Electrical Equipment Part 2-37 For Basic Safety and . Essential Performance of Ultrasonic Medical Diagnostic Monitoring Equipment
  • IEC 62366: Medical Devices - Application of Usability
  • IEC 62304: Medical Device Software Software Life Cycle Process .
  • NEMA UD-2: Acoustic Output Measurement Standard for Diagnostic Ultrasound ●
  • NEMA UD-3: Standard for Real-Time Display of Thermal and Mechanical . Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • . ISO 10993-1: Biological Evaluation of Medical Devices

Summary discussion of the clinical tests submitted, referenced, or relied on for determination of substantial equivalence

The ACUSON SC2000™ Ultrasound System is a class II device, and uses the same technology and operating principle as the predicate devices; clinical data is not required for substantial equivalence.

Conclusion

As shown by the substantial equivalence tables above, the modified ACUSON SC2000™ Diagnostic Ultrasound System is substantially equivalent as the Primary Predicate ACUSON SC2000™ Diagnostic Ultrasound System (K170315).

Image /page/24/Picture/16 description: The image shows the word "SIEMENS" in a teal color. The text is in all capital letters and appears to be a logo. The font is sans-serif and bolded. The background is white.

§ 892.1560 Ultrasonic pulsed echo imaging system.

(a)
Identification. An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.