K Number
K192791
Device Name
Diagnostic Ultrasound System
Date Cleared
2019-11-27

(58 days)

Product Code
Regulation Number
892.1560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Acclarix AX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinical applications include: - Abdominal - Gynecology - Obstetric - Cardiac - Small parts - Urology - Musculoskeletal - Peripheral vascular - Adult Cephalic
Device Description
Acclarix AX3 Series is a software controlled Diagnostic Ultrasound System, which consists of a main unit along with associated transducers. It is intended for use by a qualified physician or allied health professional for ultrasound evaluations. This system is a Track 3 device to acquire and display ultrasound data in various imaging modes.
More Information

No
The document does not mention AI, ML, or any related concepts like deep learning, neural networks, or specific AI/ML-driven features. The description focuses on standard ultrasound system functionality and compliance with safety and performance standards.

No
The ''Intended Use / Indications for Use'' section states that the device is a "Diagnostic Ultrasound System" intended for "ultrasound evaluations." It generates images for diagnosis rather than providing treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states, "The Acclarix AX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations..." and the "Device Description" also refers to it as a "software controlled Diagnostic Ultrasound System."

No

The device description explicitly states it consists of a "main unit along with associated transducers," indicating hardware components beyond just software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the Acclarix AX3 series is a Diagnostic Ultrasound System. Its intended use is for ultrasound evaluations of various anatomical sites within the body. This involves using sound waves to create images of internal structures, which is an in vivo (within the living body) diagnostic method, not an in vitro method.
  • No Mention of Samples: The description does not mention the collection or analysis of any biological samples.

Therefore, the Acclarix AX3 series Diagnostic Ultrasound System is a medical device used for in vivo diagnostic imaging, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Acclarix AX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinical applications include:

  • □ Abdominal
  • □ Gynecology
  • Obstetric
  • Cardiac
  • □ Small parts
  • □ Urology
  • □ Musculoskeletal
  • □ Peripheral vascular
  • □ Adult Cephalic

Product codes

IYO. ITX. IYN

Device Description

Acclarix AX3 Series is a software controlled Diagnostic Ultrasound System, which consists of a main unit along with associated transducers. It is intended for use by a qualified physician or allied health professional for ultrasound evaluations. This system is a Track 3 device to acquire and display ultrasound data in various imaging modes.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

ultrasound

Anatomical Site

Abdominal, Gynecology, Obstetric, Cardiac, Small parts, Urology, Musculoskeletal, Peripheral vascular, Adult Cephalic

Indicated Patient Age Range

Adult

Intended User / Care Setting

qualified physician or allied health professional / hospitals and clinics

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

Clinical testing is not required.
Non-clinical test:
The Acclarix AX3 Series Diagnostic Ultrasound System comply with:
(1) ANSI/AAMI ES60601-1 Electrical Safety
(2) IEC 60601-1-2 Electromagnetic Compatibility
(3) IEC 60601-2-37 Requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment
(4) Acoustic output testing as per the guideline "Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" dated June 27, 2019.
The following biocompatibility standards are conducted on the subject device:
(5) ISO 10993-1, ISO 10993-5 and ISO 10993-10
The tests were selected to show substantial equivalence between the subject device and the predicate.
The non-clinical performance testing showed that the subject devices are as safe and as effective as the predicate devices.
Verification and validation testing has been conducted on the Acclarix AX3 Series Diagnostic Ultrasound System. This premarket notification submission demonstrates that Acclarix AX3 Series Diagnostic Ultrasound System are substantially equivalent to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K171900

Reference Device(s)

K173003, K180862

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1560 Ultrasonic pulsed echo imaging system.

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

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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 is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

November 27, 2019

Edan Instruments, Inc. % Stella Guo Regulatory Engineer #15 Jinhui Road, Jinsha Community, Kengzi Sub-District Pingshan District Shenzhen, Guangdong 518122 CHINA

Re: K192791

Trade/Device Name: Acclarix AX3 Series Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: Class II Product Code: IYO. ITX. IYN Dated: September 25, 2019 Received: September 30, 2019

Dear Stella Guo:

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

1

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 https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K192791

Device Name

Acclarix AX3 Series Diagnostic Ultrasound System (including Acclarix AX3 Exp/Acclarix AX3 Super/Acclarix AX25/Acclarix AX28/Acclarix AX2/Acclarix AX2 Exp/Acclarix AX2 Super/Acclarix AX15/Acclarix AX18)

Indications for Use (Describe)

The Acclarix AX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinical applications include:

  • □ Abdominal
  • □ Gynecology
  • Obstetric
  • Cardiac
  • □ Small parts
  • □ Urology
  • □ Musculoskeletal
  • □ Peripheral vascular
  • □ Adult Cephalic

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)

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510(k) SummaryK192791
Prepared in accordance with the requirements of 21 CFR Part 807.92
1. Submitter:Edan Instruments, Inc.
#15 Jinhui Road, Jinsha Community, Kengzi Sub-District, Pingshan District,
Shenzhen, 518122 P.R.China.
Tel: +86-755-2685 8736Fax: +86-755-2689 8330
Contact person:Stella Guo
Preparing date:September 25, 2019
2. Device name and
classification:Device Name: Diagnostic Ultrasound System
Model: Acclarix AX3, Acclarix AX3 Exp, Acclarix AX3 Super, Acclarix
AX25, Acclarix AX28, Acclarix AX2, Acclarix AX2 Exp, Acclarix AX2 Super
Acclarix AX15, Acclarix AX18
Classification Name/ Product code:
21 CFR 892.1550 System, Imaging, Pulsed Doppler, Ultrasonic / IYN
21 CFR 892.1560, Ultrasonic, Pulsed echo, Imaging / IYO
21 CFR 892.1570, Transducer, Ultrasonic, Diagnostic / ITX
Regulatory Class: Class II
3.Premarket Notification
Class III Certification
and SummaryNot applicable, the subject device is Class II.
4. Predicate Device(s):1) Edan Instruments, Acclarix AX4 Diagnostic Ultrasound System, cleared
under K171900 (Primary)
2) Edan Instruments, Acclarix U50 Diagnostic Ultrasound System, cleared
under K173003 (Reference)
3) Edan Instruments, Acclarix AX8 Diagnostic Ultrasound System, cleared
under K180862 (Reference)
5. Reason for
SubmissionBy submission of the Traditional 510(k), Edan Instruments is requesting
clearance for new devices Acclarix AX3 Series Diagnostic Ultrasound System
6.Pre-SubmissionNot applicable, there is no pre-submission.

IDE

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    1. Device Description: Acclarix AX3 Series is a software controlled Diagnostic Ultrasound System, which consists of a main unit along with associated transducers. It is intended for use by a qualified physician or allied health professional for ultrasound evaluations. This system is a Track 3 device to acquire and display ultrasound data in various imaging modes.
    1. Indication for Use The Acclarix AX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinics. General clinical applications include:
    • Abdominal ●
    • . Gynecology
    • Obstetric ●
    • Cardiac ●
    • Small Parts ●
    • Urology
    • . Musculoskeletal
    • Peripheral Vascular ●
    • Adult Cephalic ●

9. Predicate Device Comparison

The subject device Acclarix AX3 Series is same as the primary predicated device Acclarix AX4 (K171900) in items such as:

    1. Intended Use/ Indications for Use;
    1. Mode of Operations;
    1. Transducer Types
    1. Acoustic Output, which are below the limits of FDA;

The differences of subject device Acclarix AX3 Series with the predicated devices are described as below:

    1. The subject device Acclarix AX3 Series is not intended to do Intra-operative. Pediatric and Neonatal clinical ultrasound evaluation, which are already cleared in the primary predicated device Acclarix AX4 (K171900).

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    1. The subject device Acclarix AX3 Series does not support 3D/4D, which are already cleared in the primary predicated device Acclarix AX4 (K171900).
    1. The subject device does not support four transducers that are already cleared in the primary predicated device Acclarix AX4 (K171900)
    1. The subject device additionally support two new transducers L17-7HO and L17-70. L17-7HO is already cleared in the reference predicate device Acclarix AX8 (K180862). And L17-70 is modified from the transducer L15-7b cleared by the reference predicate device U50 (K173003) by only changing the shape of the transducer connector.

The subject and predicate devices have similar design features and performance specifications. The technological differences between the subject and predicate devices do not raise different questions of safety or effectiveness.

10. Performance Data:

Clinical test:

Clinical testing is not required.

Non-clinical test:

The Acclarix AX3 Series Diagnostic Ultrasound System comply with:

(1) ANSI/AAMI ES60601-1 Electrical Safety

(2) IEC 60601-1-2 Electromagnetic Compatibility

(3) IEC 60601-2-37 Requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment

(4) Acoustic output testing as per the guideline "Marketing Clearance of Diagnostic Ultrasound Systems and

Transducers" dated June 27, 2019.

The following biocompatibility standards are conducted on the subject device:

(5) ISO 10993-1, ISO 10993-5 and ISO 10993-10

The tests were selected to show substantial equivalence between the subject device and the predicate.

The non-clinical performance testing showed that the subject devices are as safe and as effective as the predicate devices.

11. Conclusion

Verification and validation testing has been conducted on the Acclarix AX3 Series Diagnostic Ultrasound System. This premarket notification submission demonstrates that Acclarix AX3 Series Diagnostic Ultrasound System are substantially equivalent to the predicate devices.