K Number
K180039
Device Name
ACUSON Juniper Diagnostic Ultrasound System
Date Cleared
2018-02-01

(27 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ACUSON P600 ultrasound imaging system is intended for the following applications: Vascular, Abdominal, Neonatal, Echocardiographical, Pediatric, Small Parts, Musculoskeletal, Obstetrical, Gynecological, Intraoperative, and Urological applications using different ultrasound transducers for different applications. The system also provides the ability to measure anatomical structures analysis packages that provide information used by a physician for clinical diagnosis purposes. Ultrasound is used as an imaging aid, but may have further restrictions specific to in-vitro fertilization (IVF), chorionic villus sampling (CVS), and percutaneous umbilical cord blood sampling (PUBS) procedures. Observe local laws and regulations. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular svstem. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Medicine."
Device Description
The ACUSON P600 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound systems with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Color M mode, Doppler Tissue Image, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.
More Information

Not Found

No
The summary does not mention AI, ML, or related terms, and the device description focuses on standard ultrasound imaging modes and post-processing.

No

The device is described as a "diagnostic ultrasound imaging system" and its intended use is for "clinical diagnosis purposes" and as an "imaging aid." It does not provide any treatment or therapy.

Yes

The device is explicitly described as the "ACUSON P600 Diagnostic Ultrasound System" and its intended use states that it provides "information used by a physician for clinical diagnosis purposes."

No

The device is described as a "Diagnostic Ultrasound System" and includes hardware components like transducers and a display, in addition to software.

Based on the provided information, the ACUSON P600 ultrasound imaging system is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • ACUSON P600 Function: The ACUSON P600 is an ultrasound imaging system. It uses sound waves to create images of internal anatomical structures within the body. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states applications like Vascular, Abdominal, Neonatal, etc., which are all in-vivo (within the living body) imaging applications. While it provides measurements and analysis packages, these are based on the ultrasound images of structures within the body, not on the analysis of biological samples.

Therefore, the ACUSON P600 falls under the category of medical imaging devices, not in vitro diagnostic devices.

N/A

Intended Use / Indications for Use

The ACUSON P600 ultrasound imaging system is intended for the following applications: Vascular, Abdominal, Neonatal, Echocardiographical, Pediatric, Small Parts, Musculoskeletal, Obstetrical, Gynecological, Intraoperative, and Urological applications using different ultrasound transducers for different applications.

The system also provides the ability to measure anatomical structures analysis packages that provide information used by a physician for clinical diagnosis purposes.

Ultrasound is used as an imaging aid, but may have further restrictions specific to in-vitro fertilization (IVF), chorionic villus sampling (CVS), and percutaneous umbilical cord blood sampling (PUBS) procedures. Observe local laws and regulations.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system.

This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Medicine."

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

IYN, IYO, ITX

Device Description

The ACUSON P600 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound systems with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Color M mode, Doppler Tissue Image, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Vascular, Abdominal, Neonatal, Echocardiographical, Pediatric, Small Parts, Musculoskeletal, Obstetrical, Gynecological, Intraoperative, and Urological.
Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Gynecology (Gynecology, Pelvic Floor)
Small Parts (Breast, Testicles, Penile, Thyroid)
Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Neonatal (Neonatal Head)
Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Urology (Pelvis, Prostate)
Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K141846, K163635, K163396, K170315

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services seal on the left and the FDA acronym along with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name written out to the right of it. The text reads U.S. FOOD & DRUG ADMINISTRATION.

Siemens Medical Solutions USA, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services, LLC 1394 25th Street, Nw Buffalo, Minnesota 55313

February 5, 2018

Re: K180039

Trade/Device Name: ACUSON P600 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: Class II Product Code: IYN, IYO, ITX Dated: January 3, 2018 Received: January 5, 2018

Dear Mark Job:

This letter corrects our substantially equivalent letter of February 1, 2018.

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 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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820);

1

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE(@)da.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Jeff Balyer

for Robert A. 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

510(k) Number (if known) K180039

Device Name

ACUSON P600 Diagnostic Ultrasound System

Indications for Use (Describe)

The ACUSON P600 ultrasound imaging system is intended for the following applications: Vascular, Abdominal, Neonatal, Echocardiographical, Pediatric, Small Parts, Musculoskeletal, Obstetrical, Gynecological, Intraoperative, and Urological applications using different ultrasound transducers for different applications.

The system also provides the ability to measure anatomical structures analysis packages that provide information used by a physician for clinical diagnosis purposes.

Ultrasound is used as an imaging aid, but may have further restrictions specific to in-vitro fertilization (IVF), chorionic villus sampling (CVS), and percutaneous umbilical cord blood sampling (PUBS) procedures. Observe local laws and regulations.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular svstem.

This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Medicine."

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)
---------------------------------------------------------------------------------------------------------------------------------------------------------

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510(k) Number (if known):

ACUSON P600™ Diagnostic Ultrasound System

Device Name: Intended Use:

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

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNBCDM
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)NNNNNBCDM
Small Parts
(Note 4)NNNNNBCDM
Pediatric
(Note 5)NNNNNNBCDM
Neonatal
(Note 6)NNNNNNBCDM
Vascular
(Note 7)NNNNNNBCDM
Urology
(Note 8)NNNNNBCDM
Echocardiography
(Note 9)NNNNNNBCDM
Musculoskeletal
(Note 10)NNNNNBCDM
Intraoperative
(Note 11)NNNNNBCDM

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

4

510(k) Number (if known):

Device Name: Intended Use: 5C1 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical Mode of Operation Application 2D Color Power Combined Other M PWD CWD (B) Doppler Doppler (Specify) (Specify)

Ophthalmic
Abdominal
(Note 1)NNNNNBCDM
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)NNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)NNNNNBCDM
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNBCDM
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

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510(k) Number (if known):

Device Name:

Intended Use:

5P1 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNBCDM
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)NNNNNBCDM
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

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510(k) Number (if known):

Device Name: Intended Use: 11L4 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNNBCDM
Obstetrics
(Note 2)NNNNNNBCDM
Gynecology
(Note 3)
Small Parts
(Note 4)NNNNNNBCDM
Pediatric
(Note 5)NNNNNNBCDM
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNNBCDM
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

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510(k) Number (if known):

Device Name: Intended Use:

12L3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNBCDM
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)
Small Parts
(Note 4)NNNNNBCDM
Pediatric
(Note 5)NNNNNBCDM
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNBCDM
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

8

510(k) Number (if known):

Device Name: Intended Use:

16L4 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNBCDM
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)NNNNNBCDM
Pediatric
(Note 5)NNNNNBCDM
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNBCDM
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

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510(k) Number (if known):

Device Name: Intended Use:

18H5 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)NNNNNBCDM
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNBCDM
Intraoperative
(Note 11)NNNNNBCDM

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

10

510(k) Number (if known):

Device Name: Intended Use: 9VE3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)NNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

510(k)

11

510(k) Number (if known):

Device Name: Intended Use: 8VC3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNNBCDM
Obstetrics
(Note 2)NNNNNNBCDM
Gynecology
(Note 3)NNNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

12

510(k) Number (if known):

Device Name: Intended Use:

10MC3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)NNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)NNNNNBCDM
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

13

510(k) Number (if known):

Device Name: Intended Use: 9MC3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)NNNNNBCDM
Gynecology
(Note 3)NNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)NNNNNBCDM
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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

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

14

510(k) Number (if known):

Device Name: Intended Use:

10V4 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)PPPPPPBCDM
Neonatal
(Note 6)PPPPPPBCDM
Vascular
(Note 7)
Urology
(Note 8)
Echocardiography
(Note 9)PPPPPPBCDM
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared (K163635)

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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15

510(k) Number (if known):

Device Name:

Intended Use:

8V4 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)NNNNNNBCDM
Neonatal
(Note 6)NNNNNNBCDM
Vascular
(Note 7)
Urology
(Note 8)
Echocardiography
(Note 9)NNNNNNBCDM
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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16

510(k) Number (if known):

Device Name:

Intended Use:

7C2 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)NNNNNNBCDM
Obstetrics
(Note 2)NNNNNNBCDM
Gynecology
(Note 3)NNNNNNBCDM
Small Parts
(Note 4)
Pediatric
(Note 5)NNNNNNBCDM
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)NNNNNNBCDM
Echocardiography
(Note 9)
Musculoskeletal
(Note 10)NNNNNNBCDM
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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17

510(k) Number (if known):

Device Name: Intended Use:

11M3 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)NNNNNBCDM
Neonatal
(Note 6)NNNNNBCDM
Vascular
(Note 7)NNNNNBCDM
Urology
(Note 8)
Echocardiography
(Note 9)NNNNNBCDM
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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18

510(k) Number (if known):

Device Name: Intended Use:

CW2 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)
Urology
(Note 8)
Echocardiography
(Note 9)P
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared (K163635)

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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19

510(k) Number (if known):

Device Name: Intended Use:

CW5 for ACUSON P600™ Diagnostic Ultrasound System Diagnostic imaging or fluid flow analysis of the human body as follows:

| Clinical

ApplicationMode of Operation
2D
(B)MPWDCWDColor
DopplerPower
DopplerCombined
(Specify)Other
(Specify)
Ophthalmic
Abdominal
(Note 1)
Obstetrics
(Note 2)
Gynecology
(Note 3)
Small Parts
(Note 4)
Pediatric
(Note 5)
Neonatal
(Note 6)
Vascular
(Note 7)P
Urology
(Note 8)
Echocardiography
(Note 9)P
Musculoskeletal
(Note 10)
Intraoperative
(Note 11)

N = new indication; P = previously cleared (K163635)

Note 1Abdominal (Abdominal, Renal, Bowel, Focused Assessment with Sonography for Trauma, Lung)
Note 2Obstetrics (Obstetrics, Early Obstetrics, Fetal Echocardiography, Advanced Obstetrics)
Note 3Gynecology (Gynecology, Pelvic Floor)
Note 4Small Parts (Breast, Testicles, Penile, Thyroid)
Note 5Pediatric (Pediatric Hip Joint, Pediatric Abdomen)
Note 6Neonatal (Neonatal Head)
Note 7Vascular (Carotid, Peripheral Venous, Peripheral Arterials, Transcranial Doppler)
Note 8Urology (Pelvis, Prostate)
Note 9Echocardiography (Adult Echocardiography, Pediatric Echocardiography, Neonatal Echocardiography)
Note 10Musculoskeletal (Spine, Musculoskeletal, Digital, Nerve)
Note 11Intraoperative (Intraoperative Abdomen, Intraoperative Vascular)

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

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20

510(k) Summary

Date:August 31, 2017
Submitter:Siemens Medical Solutions USA, Inc.,
Ultrasound Division
685 East Middlefield Road
Mountain View, California 94043
Manufacturing Facility:Siemens Healthcare Ltd.
2nd -3rd floor, 143, Sunhwan-ro,
Jungwon-gu, Seongnam-si, Gyeonggi-do,
Republic of Korea
Contact Person:Sulgue Choi
Tel: (425) 281-9898
Device Name:ACUSON P600 Diagnostic Ultrasound System
Common Name:Diagnostic Ultrasound System with Accessories
Classification:Regulatory Class: II
Review Category: Tier II
Classification Panel: Radiology
Ultrasonic Pulsed Doppler Imaging System892.155090-IYN
Ultrasonic Pulsed Echo Imaging System892.156090-IYO
Diagnostic Ultrasound Transducer892.157090-ITX

A. Legally Marketed Predicate Devices

The ACUSON P600 Diagnostic Ultrasound System is a multi-purpose diagnostic ultrasound system with accessories and proprietary software, and is substantially equivalent to our current products, the ACUSON X700 (K141846), ACUSON S2000 (K163635), ACUSON P500 (K163396) and ACUSON SC2000 (K170315).

21

B. Device Description

The ACUSON P600 Diagnostic Ultrasound System is a multi-purpose mobile, software controlled, diagnostic ultrasound systems with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Color M mode, Doppler Tissue Image, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.

C. Intended Use

The ACUSON P600 ultrasound imaging system is intended for the following applications: Vascular, Abdominal, Neonatal, Echocardiographical, Pediatric, Small Parts, Musculoskeletal, Obstetrical. Gynecological. Intraoperative, and Urological applications using different ultrasound transducers for different applications.

The system also provides the ability to measure anatomical structures and analysis packages that provide information that is used by a physician for clinical diagnosis purposes.

Ultrasound is used as an imaging aid, but may have further restrictions specific to in-vitro fertilization (IVF), chorionic villus sampling (CVS), and percutaneous umbilical cord blood sampling (PUBS) procedures. Observe local laws and regulations.

The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients reqarding state of their cardiovascular system.

This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Medicine."

D. Substantial Equivalence

The ACUSON P600 Diagnostic Ultrasound System is a multi-purpose diagnostic ultrasound system with accessories and proprietary software, and is substantially equivalent to our current products, the ACUSON X700 (K141846), ACUSON SC2000 (K170315), ACUSON S2000 (K163635) and ACUSON P500 (K163396). All systems transmit ultrasonic energy into patients, and then perform post processing of received echoes to generate onscreen display of anatomic structures and fluid flow within the body. All systems allow for specialized measurements of structures and flow, and calculations.

The submission device is substantially equivalent to the predicate with regard to both intended use and technological characteristics.

22

ACUSON P600 Diagnostic Ultrasound System 510(k) Submission

| | Predicate
Device
ACUSON X700
(K141846) | Predicate
Device
ACUSON
SC2000
(K170315) | Predicate
Device
ACUSON
S2000
(K163635) | Predicate
Device
ACUSON
P500
(K163396) | Submission
Device
ACUSON P600 |
|----------------------------------------------------------------------------------------------------------------|-------------------------------------------------|------------------------------------------------------|-----------------------------------------------------|----------------------------------------------------|-------------------------------------|
| Indications for Use: | | | | | |
| ■
Abdominal
(Abdominal, Renal, Bowel,
Focused Assessment with
Sonography for Trauma,
Lung) | √ | - | - | - | √ |
| ■
Obstetrics
(Obstetrics, Early
Obstetrics, Fetal
Echocardiography,
Advanced Obstetrics) | √ | - | - | - | √ |
| ■ Gynecology
(Gynecology, Pelvic Floor) | √ | - | - | - | √ |
| ■ Small Parts
(Breast, Testicles, Penile,
Thyroid) | √ | - | - | - | √ |
| ■
Pediatric
(Pediatric Hip Joint,
Pediatric Abdomen) | √ | - | - | - | √ |
| ■
Neonatal
(Neonatal Head) | √ | - | - | - | √ |
| ■ Vascular
(Carotid, Peripheral
Venous, Peripheral
Arterials, Transcranial
Doppler) | √ | - | - | - | √ |
| ■
Urology
(Pelvis, Prostate) | √ | - | - | - | √ |
| ■ Echocardiography
(Adult Echocardiography,
Pediatric Echocardiography,
Neonatal
Echocardiography) | √ | - | - | - | √ |
| ■
Musculoskeletal
(Spine, Musculoskeletal,
Digital, Nerve) | √ | - | - | - | √ |
| ■
Intraoperative
(Intraoperative Abdomen,
Intraoperative Vascular) | √ | - | - | - | √ |
| Modes: | | | | | |
| ■
2D (Brightness mode) | √ | - | - | - | √ |
| ■ C (Color Flow Doppler) | √ | - | - | - | √ |
| ■
D (Doppler) | √ | - | - | - | √ |
| | Predicate
Device
ACUSON X700
(K141846) | Predicate
Device
ACUSON
SC2000
(K170315) | Predicate
Device
ACUSON
S2000
(K163635) | Predicate
Device
ACUSON
P500
(K163396) | Submission
Device
ACUSON P600 |
| ■ M (Motion Mode) | √ | - | - | - | √ |
| ■ CW (Continuous Waver
Doppler) | √ | - | - | - | √ |
| Features: | | | | | |
| ■ DICOM (3.0 Connectivity,
Worklist, MPPS) | √ | - | - | - | √ |
| ■ DICOM SR OB/GYN | √ | - | - | - | √ |
| ■ DICOM SR Cardiac | √ | - | - | - | √ |
| ■ DICOM SR Vascular | √ | - | - | - | √ |
| ■ syngo Arterial Health
Package (AHP) | √ | - | - | - | √ |
| ■ syngo Auto Follicle | √ | - | - | - | √ |
| ■ syngo Auto OB | √ | - | - | - | √ |
| ■ eSie Left Heart (eSie LH) | - | √ | - | - | √ |
| ■ Stress Echo | √ | - | - | - | √ |
| ■ 3-Scape Imaging | - | - | √ | - | √ |
| ■ fourSight 4D | √ | - | - | - | √ |
| ■ Advanced fourSight 4D
Imaging | - | - | √ | - | √ |
| ■ eSie Touch Elasticity
Imaging | √ | - | - | - | √ |
| ■ eSie Measure Workflow
Acceleration Package | - | - | - | √ | √ |
| ■ eSieScan Workflow
Protocol | - | - | - | √ | √ |
| ■ Virtual Touch Quantification
(VTQ) | - | - | √ | - | √ |
| ■ SieScape Panoramic
Imaging | √ | - | - | - | √ |
| ■ Dynamic Tissue Contrast
Enhancement (DTCE) | √ | - | - | - | √ |
| ■ Advanced SieClear (ASC) | √ | - | - | - | √ |
| ■ Clarify Vascular
Enhancement (Clarify VE) | √ | - | - | - | √ |
| ■ eSielmage (TEQ/TGO) | - | - | √ | - | √ |
| | Predicate
Device
ACUSON X700
(K141846) | Predicate
Device
ACUSON
SC2000
(K170315) | Predicate
Device
ACUSON
S2000
(K163635) | Predicate
Device
ACUSON
P500
(K163396) | Submission
Device
ACUSON P600 |
| ■ Anatomical M-mode (AMM) | √ | - | - | - | √ |
| ■ HD Zoom (Res) | √ | - | - | - | √ |
| ■ Needle Visualization | - | - | - | √ | √ |
| ■ Tissue Harmonic Imaging (THI) | √ | - | - | - | √ |
| ■ Doppler Tissue Imaging (DTI) | √ | - | - | - | √ |
| ■ Custom Tissue Imaging (CTI) | - | - | √ | - | √ |
| ■ eSieCalcs | - | - | √ | - | √ |
| ■ Wireless | √ | - | - | - | √ |
| ■ Veterinary(VET) Imaging | √ | - | - | - | √ |
| ■ US Security (Virus Protection) | √ | - | - | - | √ |

23

ACUSON P600 Diagnostic Ultrasound System 510(k) Submission

24

E. A brief discussion of nonclinical tests submitted, referenced, or relied on in the 510(k) for a determination of substantial equivalence

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

  • ANSI/AAMI ES 60601-1, Safety Requirements for Medical Equipment
  • AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical ■ Acoustic Output Indices on Diagnostic Ultrasound Equipment
  • AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound
  • IEC 62359, Test methods for the determination of thermal and mechanical indices
  • 트 IEC 60601-1-2
  • 트 IEC 60601-2-18
  • IEC 60601-2-37 트
  • ISO 10993-1
  • 트 ISO 14971

25

F. A summary discussion of the clinical tests submitted, referenced, or relied on for a determination of substantial equivalence.

Since the ACUSON P600 Diagnostic Ultrasound System uses the same technology and principles as existing devices, clinical data is not required.

G. Summary

Intended uses and other kev features are consistent with traditional clinical practice and FDA quidelines. The design and development process of the manufacturer conforms to 21 CFR 820 Quality System Requlation and ISO 13485:2003 quality system standards. The product is designed to conform to applicable medical device safety standards and compliance is verified through independent evaluation with ongoing factory surveillance. Diagnostic ultrasound system has accumulated a long history of safe and effective performance. Therefore, it is the opinion of Siemens Medical Solutions USA. Inc. that the ACUSON P600 Diagnostic Ultrasound System is substantially equivalent with respect to safety and effectiveness to devices currently cleared for market.

The ACUSON P600 Diagnostic Ultrasound System is verified and validated according to the company's design control process.