K Number
K190248
Device Name
ARIETTA 50
Date Cleared
2019-04-02

(54 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This ARIETTA 50 is intended for use by trained personnel (doctor, sonographer, etc.) for the diagnostic ultrasound evaluation of Fetal, Abdominal, Intra-operative (Spec.), Pediatric, Small Organ (Spec.), A Small Organ (Spec.), Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Other (Wound), Cardiac Adult, Cardiatric, Transesophageal (card.), Peripheral vessel, Other (Gynecological), clinical applications.
Device Description
The ARIETTA 50 is a multi-functional ultrasound diagnostic scanner in which Doppler. Color Flow Mapping, etc. are provided and all circuits related to image quality are fully digitalized. This device can be utilized with linear, convex, radial and phased array scan type probes for usage with a variety of clinical applications. The ARIETTA 50 can be used for individual or combined display in the image display model listed below. - B mode is a display mode in which the tomographic imaqe is formed with plural . ultrasound beams by the methods mentioned above. During the process of creating the tomographic image, adaptive filters (HI REZ) that modify the characteristics of each echo filter are used to produce a clear image. - M mode is a display mode of ultrasound beams received sequentially and repeatedly on ● the screen from the same direction. It indicates these reflected echoes in one direction from the interior of the patient's body's on time-series scale. - There are two types of D (Doppler) mode: PW Doppler mode and CW Doppler mode. ● PW Doppler mode displays bloodstream information consecutively at a sample point that is detected by pulsed Doppler sonography. CW Doppler mode displays bloodstream information continuously in the single-direction ultrasound beam that is detected by the CW Doppler method. - Color Doppler mode receives ultrasound from the same direction and detects any . changes that occur over time to identify three types of bloodstream information: its direction, its speed, and its inconsistency. The mode then colors that information and displays it as an overlay on B mode or M mode. Color Flow Mode, Power Doppler Mode, High-Resolution Power Doppler (eFlow) Mode can be used with this instrument according to need. The 4 methods of electronic scanning are as follows. - Linear Scanning Method: ● By this method, the ultrasound beam from the ultrasound probe is emitted in a straight line (linearly) and draws a tomographic image of the test subject. - . Convex Scanning Method: By this method, the ultrasound beam from the ultrasound probe is emitted radially and draws a tomographic image of the test subject. - . Sector Scanning Method: By this method, the ultrasound beam from the ultrasound probe is emitted in a fan shape (sector) and draws a tomographic image of the test subject. - . Trapezoidal Scanning Method: By this method, the ultrasound beam from the ultrasound probe is emitted radially without regard to the form of the probe head and draws a tomographic image of the patient.
More Information

Not Found

No
The document describes standard ultrasound imaging techniques and signal processing (adaptive filters) but does not mention AI or ML. The "Mentions AI, DNN, or ML" field is explicitly "Not Found".

No
Explanation: The device is described as an "ultrasound diagnostic scanner" and its intended use is for "diagnostic ultrasound evaluation." There is no mention of it being used for treatment or therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is "intended for use... for the diagnostic ultrasound evaluation" of various clinical applications. The "Device Description" also refers to it as a "multi-functional ultrasound diagnostic scanner."

No

The device description clearly outlines hardware components like probes and describes electronic scanning methods, indicating it is a physical ultrasound system, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • Device Function: The ARIETTA 50 is an ultrasound diagnostic scanner. It uses sound waves to create images of internal body structures. This is an in vivo diagnostic method, meaning it is performed on a living organism.
  • Intended Use: The intended use clearly states "diagnostic ultrasound evaluation" of various anatomical sites. This involves imaging the body directly, not analyzing samples taken from the body.

Therefore, the ARIETTA 50 falls under the category of medical imaging devices, not In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

This ARIETTA 50 is intended for use by trained personnel (doctor, sonographer, etc.) for the diagnostic ultrasound evaluation of Fetal, Abdominal, Intra-operative (Spec.), Pediatric, Small Organ (Spec.), A Small Organ (Spec.), Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Other (Wound), Cardiac Adult, Cardiatric, Transesophageal (card.), Peripheral vessel, Other (Gynecological), clinical applications.

The Modes of Operation are B mode, PW mode (Pulsed Wave Doppler), CW mode (Continuous Wave Doppler), Color Doppler , Power Doppler (Color Flow Angiography), TDI (Tissue Doppler Imaging).

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

IYN, IYO, ITX

Device Description

The ARIETTA 50 is a multi-functional ultrasound diagnostic scanner in which Doppler. Color Flow Mapping, etc. are provided and all circuits related to image quality are fully digitalized. This device can be utilized with linear, convex, radial and phased array scan type probes for usage with a variety of clinical applications.

The ARIETTA 50 can be used for individual or combined display in the image display model listed below.

  • B mode is a display mode in which the tomographic imaqe is formed with plural . ultrasound beams by the methods mentioned above. During the process of creating the tomographic image, adaptive filters (HI REZ) that modify the characteristics of each echo filter are used to produce a clear image.
  • M mode is a display mode of ultrasound beams received sequentially and repeatedly on ● the screen from the same direction. It indicates these reflected echoes in one direction from the interior of the patient's body's on time-series scale.
  • There are two types of D (Doppler) mode: PW Doppler mode and CW Doppler mode. ● PW Doppler mode displays bloodstream information consecutively at a sample point that is detected by pulsed Doppler sonography. CW Doppler mode displays bloodstream information continuously in the single-direction ultrasound beam that is detected by the CW Doppler method.
  • Color Doppler mode receives ultrasound from the same direction and detects any . changes that occur over time to identify three types of bloodstream information: its direction, its speed, and its inconsistency. The mode then colors that information and displays it as an overlay on B mode or M mode. Color Flow Mode, Power Doppler Mode, High-Resolution Power Doppler (eFlow) Mode can be used with this instrument according to need.

The 4 methods of electronic scanning are as follows.

  • Linear Scanning Method: ●
    By this method, the ultrasound beam from the ultrasound probe is emitted in a straight line (linearly) and draws a tomographic image of the test subject.

  • . Convex Scanning Method: By this method, the ultrasound beam from the ultrasound probe is emitted radially and draws a tomographic image of the test subject.

  • . Sector Scanning Method:

By this method, the ultrasound beam from the ultrasound probe is emitted in a fan shape (sector) and draws a tomographic image of the test subject.

  • . Trapezoidal Scanning Method:
    By this method, the ultrasound beam from the ultrasound probe is emitted radially without regard to the form of the probe head and draws a tomographic image of the patient.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, Abdominal, Intra-operative (Spec.), Pediatric, Small Organ (Spec.), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Other (Wound), Cardiac Adult, Cardiac Pediatric, Trans-esophageal (Adult/Pediatric), Peripheral vessel, Other (Gynecological)

Indicated Patient Age Range

Adult and pediatric patients (indicated by "Subscript "g": For Adult and pediatric patients" for Trans-esoph. (non-Card.) and Trans-esophageal (Adult/Pediatric) indications)

Intended User / Care Setting

Trained personnel (doctor, sonographer, etc.)

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)

Performance Testing - Bench, Performance Testing - Clinical.
Key Results: Analysis confirms the performance characteristics of the ARIETTA 50 are comparable to the predicate device and support our conclusion that the subject device is substantially equivalent. Clinical testing was not required.

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.

K181376

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). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. The text is stacked, with "U.S. FOOD & DRUG" on top and "ADMINISTRATION" on the bottom.

Hitachi Healthcare Americas % Aaron Pierce Director, RA/QA 1959 Summit Commerce Park TWINSBURG OH 44087

April 2, 2019

Re: K190248

Trade/Device Name: ARIETTA 50 Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: Class II Product Code: IYN, IYO, ITX Dated: January 31, 2019 Received: February 7, 2019

Dear Aaron Pierce:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination. product submissions. 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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see

1

https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Michael D. O'Hara

Thalia Mills, Ph.D. 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) K190248

Device Name ARIETTA 50

Indications for Use (Describe)

This ARIETTA 50 is intended for use by trained personnel (doctor, sonographer, etc.) for the diagnostic ultrasound evaluation of Fetal, Abdominal, Intra-operative (Spec.), Pediatric, Small Organ (Spec.), A Small Organ (Spec.), Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Other (Wound), Cardiac Adult, Cardiatric, Transesophageal (card.), Peripheral vessel, Other (Gynecological), clinical applications.

The Modes of Operation are B mode, PW mode (Pulsed Wave Doppler), CW mode (Continuous Wave Doppler), Color Doppler , Power Doppler (Color Flow Angiography), TDI (Tissue Doppler Imaging).

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

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

Device Name: ARIETTA 50

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spe)Other**
(Spec.)
OphthalmicOphthalmic
FetalPPPPPPP
Fetal Imaging
& OtherAbdominalPaPaPaPPaPaPa
Intra-operative (Spec.)PbPbPbPbPbPb
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
Neonatal CephalicPPPPPPP
Adult CephalicPPPPPPP
Trans-rectalPePePePePePe
Trans-vaginalPfPfPfPfPfPf
Trans-urethral
Trans-esoph. (non-Card.)PgPgPgPgPgPgPg
Musculo-skel. (Convent.)PPPPPP
Musculo-skel. (Superfic.)PPPPPP
Intra-luminal
Other (Wound)PhPhPhPhPhPh
Other (Gynecological)PPPPPP
Cardiac AdultPPPPPPP
CardiacCardiac PediatricPPPPPPP
Trans-esophageal (Adult/Pediatric)PgPgPgPgPgPgPg
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPPP
Other (spec.)

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

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD, CWD and Color Doppler. B/B, B/M, B/PW, CFM-B/CFM-M, CFM-B/PW B/CW. CFM-B/CW

**Power Doppler (Color How Angiography), Tissue Doppler Imaging, Free Angular M-mode, Contrast imaging, Trapezond, THI

Additional Comments:

Subscript "b":

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).

Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.

Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

Subscript "g": For Adult and pediatric patients

Includes imaging for Cavernous/Non-Cavernous wounds Subscript "h"

Prescription Use Only (Per 21 CFR 801.109)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

4

Device Name: ARIETTA 50 Transducer: C253

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

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(SpeOther**
(Spec.)
OphthalmicOphthalmicPPPPPP
FetalPPPPPP
Fetal Imaging
& OtherAbdominalPaPaPaPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (Wound)
Other (Gynecological)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Adult/Pediatric)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD and Color Doppler. B/B, B/M, B/PW, CFM-B/CFM-M, CFM-B/PW **Power Doppler (Color Flow Angiography), Free Angular M-mode, Contrast imaging, THI

Additional Comments:

Subscript "b": Includes imaging of organs and structures exposed during surgery

  • (excluding neurosurgery and laparoscopic procedures).
  • Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.
  • Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

  • Subscript "g": For Adult and pediatric patients
    Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

5

Device Name: ARIETTA 50 Transducer: C41V1 Intended use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(SpeOther**
(Spec.)
OphthalmicOphthalmicPPPPPP
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans-rectalPePePePePePe
Trans-vaginalPfPfPfPfPfPf
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (Wound)
Other (Gynecological)PPPPPP
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Adult/Pediatric)
Other (spec.)
Peripheral
VesselPeripheral vessel
Other (spec.)

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD and Color Doppler. B/B, B/M, B/PW, CFM-B/CFM-M, CFM-B/PW **Power Doppler (Color Flow Angiography), Free Angular M-mode, THI

Additional Comments:

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

Subscript "b": Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).

Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.

Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

Subscript "g": For Adult and pediatric patients

Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

6

Device Name: ARIETTA 50 Transducer: L442 Intended use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(SpeOther**
(Spec.)
OphthalmicOphthalmic
Fetal
Fetal Imaging
& OtherAbdominalPaPaPaPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPPP
Musculo-skel. (Superfic.)PPPPPP
Intra-luminal
Other (Wound)
Other (Gynecological)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Adult/Pediatric)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPP
Other (spec.)

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD and Color Doppler. B/B, B/M, B/CFM-B/CFM-B, CFM-B/CFM-M, CFM-B/PW **Power Doppler (Color Flow Angiography), Free Angular M-mode, Trapezoid, B-Steer, Compound, THI

Additional Comments:

  • Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).
    Subscript "b": Includes imaging of organs and structures exposed during surgery

  • (excluding neurosurgery and laparoscopic procedures).

  • Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.

  • Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

  • Subscript "g": For Adult and pediatric patients
    Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

7

Device Name: ARIETTA 50 Transducer: L55

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

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal
Fetal Imaging
& OtherAbdominalPaPaPaPaPaPa
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPP
Small Organ (Spec.)PdPdPdPdPdPd
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)PPPPPP
Musculo-skel. (Superfic.)PPPPPP
Intra-luminal
Other (Wound)PhPhPhPhPhPh
Other (Gynecological)
Cardiac Adult
CardiacCardiac Pediatric
Trans-esophageal (Adult/Pediatric)
Other (spec.)
Peripheral
VesselPeripheral vesselPPPPPP
Other (spec.)

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD and Color Doppler. B/B, B/M, B/CFM-B/CFM-B, CFM-B/CFM-M, CFM-B/PW **Power Doppler (Color Flow Angiography), Free Angular M-mode, Trapezoid, B-Steer, Compound, THI

Additional Comments:

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

Subscript "b": Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).

Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.

Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

Subscript "g": For Adult and pediatric patients

Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

8

Device Name: ARIETTA 50

Transducer: S11

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

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(SpeOther**
(Spec.)
OphthalmicOphthalmic
FetalPPPPPPP
Fetal ImagingAbdominalPPPPPPP
& OtherIntra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
PediatricPPPPPPP
Small Organ (Spec.)
Neonatal Cephalic
Adult CephalicPPPPPPP
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (Wound)
Other (Gynecological)
CardiacCardiac AdultPPPPPPP
Cardiac PediatricPPPPPPP
Trans-esophageal (Adult/Pediatric)
Other (spec.)
PeripheralPeripheral vesselPPPPPPP
VesselOther (spec.)

N = new indication; P = previously cleared in K173739, K181376

  • Combination of each operating mode, B, M, PWD, CWD and Color Doppler. B/B, B/M, B/PW, CFM-B/CFM-M, CFM-B/PW B/CW. CFM-B/CW

**Power Doppler (Color Flow Angiography), Tissue Doppler Imaging, Free Angular M-mode, THI

Additional Comments:

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amnocentesis).

Subscript "b": Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).

Includes thyroid, parathyroid, breast, scrotum, and penis. Subscript "c":

Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy. Subscript "d":

Includes imaging for guidance of trans-rectal biopsy Subscript "e":

Includes imaging for guidance of trans-vaginal biopsy. Subscript "f":

Subscript "g": For Adult and pediatric patients

Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

9

Device Name: ARIETTA 50 Transducer: L53K Intended use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(Spec.)Other**
(Spec.)
OphthalmicOphthalmic
Fetal Imaging
& OtherFetal
Abdominal
Intra-operative (Spec.)PbPbPbPbPbPb
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (Wound)
Other (Gynecological)
CardiacCardiac Adult
Cardiac Pediatric
Trans-esophageal (Adult/Pediatric)
Other (spec.)
PeripheralPeripheral vessel
VesselOther (spec.)

N = new indication; P = previously cleared in K173739

  • Combination of each operating mode, B, M, PWD and Color Doppler. B/B, B/M, B/PW, CFM-B/CFM-B, CFM-B/CFM-M, CFM-B/PW **Power Doppler (Color Flow Angiography), Free Angular M-mode, Trapezoid, B-Steer, Compound, THI

Additional Comments:

Subscript "b": Includes imaging of organs and structures exposed during surgery

  • (excluding neurosurgery and laparoscopic procedures).
  • Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.
  • Subscript "d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.
  • Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

  • Subscript "g": For Adult and pediatric patients
  • Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

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Device Name: ARIETTA 50 Transducer: UST-2265-2

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

Clinical ApplicationMode of Operation
General
(Track I only)Specific
(Tracks I & III)BMPWDCWDColor
DopplerCombined*
(SpeOther**
(Spec.)
OphthalmicOphthalmic
Fetal
Fetal Imaging
& OtherAbdominal
Intra-operative (Spec.)
Intra-operative (Neuro.)
Laparoscopic
Pediatric
Small Organ (Spec.)
Neonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-Card.)
Musculo-skel. (Convent.)
Musculo-skel. (Superfic.)
Intra-luminal
Other (Wound)
Other (Gynecological)
CardiacCardiac AdultP
Cardiac PediatricP
Trans-esophageal (Adult/Pediatric)
Other (spec.)
Peripheral
VesselPeripheral vesselP
Other (spec.)

N = new indication; P = previously cleared in K173739, K181376

Additional Comments:

Subscript "a": Includes imaging for guidance of percutaneous biopsy of abdominal organs and structures (including amniocentesis).

Subscript "b": Includes imaging of organs and structures exposed during surgery

(excluding neurosurgery and laparoscopic procedures).

Subscript "c": Includes thyroid, parathyroid, breast, scrotum, and penis.

Subscript "'d": Includes thyroid, parathyroid, breast, scrotum, penis, and imaging for guidance of biopsy.

Subscript "e": Includes imaging for guidance of trans-rectal biopsy

Subscript "f": Includes imaging for guidance of trans-vaginal biopsy.

For Adult and pediatric patients Subscript "g":

Subscript "h" Includes imaging for Cavernous/Non-Cavernous wounds

Prescription Use Only (Per 21 CFR 801.109)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

11

Image /page/11/Picture/0 description: The image shows the logo for Hitachi. The word "HITACHI" is written in large, bold, black letters. Below it, the words "Inspire the Next" are written in a smaller, black font, with a red accent mark above the letter "t" in "Next".

Section 5 510(k) Statement or Summary

K190248

Submitter Information

| Submitter: | Hitachi Healthcare Americas
1959 Summit Commerce Park
Twinsburg, Ohio 44087-2371 |
|-------------------|----------------------------------------------------------------------------------------|
| Contact: | Aaron Pierce |
| Telephone number: | 330-425-1313 |
| Telephone number: | 330-963-0749 |
| E-mail: | piercea@hitachihealthcare.com |
| Date: | January 18, 2019 |

Subject Device Name

Trade/Proprietary Name:ARIETTA 50
Regulation Number:21 CFR 892.1550
Regulation Name:Diagnostic Ultrasound System and Accessories
Product Code90-IYN, 21 CFR 892.1550 Ultrasonic Pulsed Doppler Imaging System
90-IYO, 21 CFR 892.1560 Ultrasonic Pulsed Echo Imaging System
90-ITX, 21 CFR 892.1570 Diagnostic Ultrasonic Transducer
ClassII
PanelRadiology

Predicate Device Name

Predicate Device(s):ARIETTA 65 (K181376)
Regulation Number:21 CFR 892.1550
Regulation Name:Diagnostic Ultrasound System and Accessories
Product Code90-IYN, 21 CFR 892.1550 Ultrasonic Pulsed Doppler Imaging System
90-IYO, 21 CFR 892.1560 Ultrasonic Pulsed Echo Imaging System
90-ITX, 21 CFR 892.1570 Diagnostic Ultrasonic Transducer
ClassII
PanelRadiology

Indications for Use

This ARIETTA 50 is intended for use by trained personnel (doctor, sonographer, etc.) for the diagnostic ultrasound evaluation of Fetal, Abdominal, Intra-operative (Spec.), Pediatric, Small Organ (Spec.), A Small Organ (Spec.), Adult Cephalic, Trans-rectal, Trans-vaginal, Transesoph. (non-Card.), Musculo-skel. (Convent.), Musculo-skel. (Superfic.), Other (Wound), Cardiac Adult, Cardiac Pediatric, Transesophageal (card.), Peripheral vessel, Other (Gynecological), clinical applications.

The Modes of Operation are B mode, M mode, PW mode (Pulsed Wave Doppler), CW mode (Continuous Wave Doppler), Color Doppler, Power Doppler (Color Flow Angiography), TDI (Tissue Doppler Imaging).

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Image /page/12/Picture/0 description: The image shows the logo for Hitachi. The word "HITACHI" is written in large, bold, black letters. Below it, the words "Inspire the Next" are written in a smaller font, also in black, with a red accent mark over the 'e' in Next.

Device Description

Function

The ARIETTA 50 is a multi-functional ultrasound diagnostic scanner in which Doppler. Color Flow Mapping, etc. are provided and all circuits related to image quality are fully digitalized. This device can be utilized with linear, convex, radial and phased array scan type probes for usage with a variety of clinical applications.

The ARIETTA 50 can be used for individual or combined display in the image display model listed below.

  • B mode is a display mode in which the tomographic imaqe is formed with plural . ultrasound beams by the methods mentioned above. During the process of creating the tomographic image, adaptive filters (HI REZ) that modify the characteristics of each echo filter are used to produce a clear image.
  • M mode is a display mode of ultrasound beams received sequentially and repeatedly on ● the screen from the same direction. It indicates these reflected echoes in one direction from the interior of the patient's body's on time-series scale.
  • There are two types of D (Doppler) mode: PW Doppler mode and CW Doppler mode. ● PW Doppler mode displays bloodstream information consecutively at a sample point that is detected by pulsed Doppler sonography. CW Doppler mode displays bloodstream information continuously in the single-direction ultrasound beam that is detected by the CW Doppler method.
  • Color Doppler mode receives ultrasound from the same direction and detects any . changes that occur over time to identify three types of bloodstream information: its direction, its speed, and its inconsistency. The mode then colors that information and displays it as an overlay on B mode or M mode. Color Flow Mode, Power Doppler Mode, High-Resolution Power Doppler (eFlow) Mode can be used with this instrument according to need.

The 4 methods of electronic scanning are as follows.

  • Linear Scanning Method: ●
    By this method, the ultrasound beam from the ultrasound probe is emitted in a straight line (linearly) and draws a tomographic image of the test subject.

  • . Convex Scanning Method: By this method, the ultrasound beam from the ultrasound probe is emitted radially and draws a tomographic image of the test subject.

  • . Sector Scanning Method:

By this method, the ultrasound beam from the ultrasound probe is emitted in a fan shape (sector) and draws a tomographic image of the test subject.

  • . Trapezoidal Scanning Method:
    By this method, the ultrasound beam from the ultrasound probe is emitted radially without regard to the form of the probe head and draws a tomographic image of the patient.

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Image /page/13/Picture/0 description: The image shows the logo for Hitachi. The word "HITACHI" is written in large, bold, black letters. Below the word "HITACHI" is the phrase "Inspire the Next" in a smaller, black font. There is a small red accent mark above the letter "t" in the word "Next".

5--3

Scientific Concepts

The principle of operation of ultrasound imaging involves generation of an ultrasound wave pulses with an electric signal applied to a transducer, direction of the resulting ultrasound wave into the tissue of the body, and reception and analysis of the echoes reflected back to the same or an adjacent transducer from the various tissues along the path of the ultrasound wave. The ultrasound waves comprising a beam travel in as straight line in homogeneous media. When an ultrasound wave reaches an interface between two media of different impedances, a portion of the beam energy may pass through the boundary (transmission), and a portion may be reflected. The direction of propagation of the transmitted beam is determined by the angle of incidence of the incident beam upon the boundary, and differences (if any) in the speed of sound in the two media. The direction of reflection is determined solely by the angle of incidence upon the boundary. The relative strength of the reflected wave depends upon the differences in the impedances between the two media. Reflection at a boundary between soft tissue and bone, as an example, involves a large impedance difference, and results in a relatively strong reflected echo. Reflection at a boundary between two soft tissue-types with a relatively small impedance difference, on the other hand, results in a relatively weak reflected echo.

Physical and Performance Characteristics

Analysis confirms the performance characteristics of the ARIETTA 50 are comparable to the predicate device and support our conclusion that the subject system is substantially equivalent.

Performance Comparison

No new hazards were identified with the ARIETTA 50. The subject device and its transducers have been evaluated for acoustic output, biocompatibility, cleaning & disinfection effectiveness, electromagnetic compatibility, as well as electrical and mechanical safety, and have been found to conform to applicable medical device safety standards.

Testing TypeRationale Analysis
Performance Testing - BenchHitachi judged that ARIETTA 50 is substantially equivalent to the predicate.
Performance Testing - ClinicalNone required

The analysis confirms the performance characteristics of the ARIETTA 50 are comparable to the predicate device and support our conclusion that the subject device is substantially equivalent.

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Image /page/14/Picture/0 description: The image shows the logo for Hitachi. The word "HITACHI" is written in large, bold, black letters. Below the company name is the slogan "Inspire the Next" in a smaller font size. The word "Next" has a red accent mark over the letter "e".

Device Technological Characteristics

The technological characteristics differences between the ARIETTA 50 and the predicate device ARIETTA 65 (K181376) are:

Physical characteristics of the systemThere are no significant differences in appearance, weight, size, hardware, transmit/receive parameters, modes of operation, and features from the predicate device.
ARIETTA 50
Subject DeviceARIETTA 65
Predicate Device
ProbesProbePrevious Clearance
C253K181376 (ARIETTA 65)
C41V1K181376 (ARIETTA 65)
L442K181376 (ARIETTA 65)
L55K181376 (ARIETTA 65)
L53KK163505 (ARIETTA Precision)
S11K181376 (ARIETTA 65)
UST-2265-2K181376 (ARIETTA 65)

Substantial Equivalence

A summary decision was based on a thorough analysis and comparison of the functions, scientific concepts, physical and performance characteristics, performance comparison and technological characteristics.

System Configuration

Based on that there are no significant differences in size, weight, connections, and Track from the predicate the ARIETTA 50 has no additional issues with safety and effectiveness.

Probes

The 7 probes for the system meet user requirements in indications for use and have no effect on the safety and effectiveness of the device. These probes have been cleared by previous 510(k) submissions. See Probe Comparison Chart below.

Transmit/Receive Parameters

Based on that there are no significant differences from the predicate device, Hitachi judges that the ARETTA 50 has no additional issues with safety and effectiveness.

Modes of Operation

The ARIETTA 50 has fewer modes of operation the predicate. However, there are no significant differences in the modes that are available on both systems. Therefore, Hitachi judges that the ARIETTA 50 has no additional issues with safety and effectiveness.

Features

The ARIETTA 50 has fewer features then the predicate. However, there are no significant differences in the features that are available on both systems. Therefore, Hitachi judges that the ARIETTA 50 has no additional issues with safety and effectiveness.

Based on analysis of the above-mentioned comparison. Hitachi has judged the subject device to have the equivalent safety and effectiveness of the predicate device.

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Image /page/15/Picture/0 description: The image shows the logo for Hitachi. The word "HITACHI" is written in large, bold, black letters. Below the word "HITACHI" is the phrase "Inspire the Next" in a smaller, black font. The dot on the "i" in "Next" is red.

5--5

Summary of Non-Clinical Testing

The ARIETTA 50 V3.0 system is in conformance with the applicable parts of the following standards:

  • AAMI ANSI ES60601-1:2005/(R) 2012 and A1:2012, C1:2009/(R)2012 and . A2:2010/(R)2012 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD)
  • IEC 60601-2-37 Edition 2.1 2015 . Medical electrical equipment - part 2-37: particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment. (Radiology)
  • IEC 60601-1-2 Edition 4.0 2014-02 ● Medical electrical equipment - part 1-2: general requirements for basic safety and essential performance - collateral standard: electromagnetic compatibility - requirements and tests. (General II (ES/EMC))
  • . AAMI I ANSI I ISO 10993-1:2009/(R)2013 Biological evaluation of medical devices - part I: evaluation and testing within a risk management process. (Biocompatibility)
  • AAMI I ANSI I ISO 10993-5:2009/(R)2014 Biological evaluation of medical devices - part 5: tests for in vitro cytotoxicity. (Biocompatibility)
  • AAMI I ANSI I ISO I 0993-10: 2002 + am1 2006 Biological evaluation of medical devices - part I 0: tests for irritation and skin sensitization. (Biocompatibility)

Summary of Clinical Testing

Clinical testing was not required.

Conclusions

It is the opinion of Hitachi. Ltd. that the ARIETTA 50 Ultrasound Diagnostic scanner and transducers is substantially equivalent to the predicate devices. The subject device software features, intended use, materials, and diagnostic capabilities have been taken from the predicate devices. In addition, we have concluded that the subject device and predicate devices are substantially equivalent with respect to safety, effectiveness, and functionality.