K Number
K200780
Date Cleared
2020-08-05

(133 days)

Product Code
Regulation Number
892.1550
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The XBit Series Digital Color Doppler Ultrasound System is intended for diagnostic ultrasound imaging in B (2D/3D/4D),B/M,M,B+CFM,B+CPA (PD),B+DPD,B+PW,B+CW,B+CFM +D (PW)/CW, B+ CPA(PD) + D (PW)/CW, TDI and Fusion Harmonic Imaging modes. The device is a general-purpose ultrasonic imaging instrument intended for use by a qualified clinician for evaluation of Fetal ,Abdominal,Pediatric,Small Organ (breast, thyroid,testes ), Neonatal Cephalic , Adult Cephalic, Cardiac (adult , pediatric), Musculo-skeletal (Conventional , Superficial) , Peripheral Vascular, Transesophageal, Trans-rectal, Trans-vaginal, OB/GYN and Urology.

Device Description

The XBit Series Digital Color Doppler Ultrasound System is an integrated preprogrammed color doppler ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications. This system is a Track 3 device that employs a wide array of probes that include linear array, convex array and phased array. This system consists of a mobile console with keyboard control panel, power supply module, color LED monitor and optional probes. This system is a mobile, general purpose, software controlled, color diagnostic ultrasound system. Its basic function is to acquire ultrasound echo data and to display the image B-Mode (including Fusion Harmonic Imaging), M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Power Doppler Mode, Directional Power Doppler Mode, TDI Mode or a combination of these modes, Elastography, contrast imaging, 3D/4D. Auto Follicle, SonoBeam, SonoColor, and SonoFusion, these four features are all semi-automated functions, they need to be modified during processing.

AI/ML Overview

The provided text is a 510(k) Summary for the CHISON XBit Series Digital Color Doppler Ultrasound System. This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than providing detailed clinical study results designed to prove device performance against specific acceptance criteria.

Therefore, the document does not contain the acceptance criteria or a detailed study proving the device meets those criteria in the way typically expected for a novel AI/ML device. The focus here is on the similarity of the new device to existing, already cleared ultrasound systems.

Specifically, the document states:

  • "7. Clinical Test: No clinical testing was required." This explicitly indicates that no clinical study was conducted for this submission.

Given this, I cannot extract the information required for accepting a device, particularly regarding a study that proves the device meets specific performance acceptance criteria related to AI/ML features. The "Acceptance Criteria" in this context would likely refer to the FDA's requirements for demonstrating substantial equivalence (e.g., similar indications for use, technological characteristics, and safety/performance as a legally marketed predicate device).

However, I can extract information related to the device's assessment of its substantially equivalent nature, which includes functional comparisons. The "SE Analysis" sections do describe what the device's "semi-automated functions" do and compare them to predicate features. These comparisons serve as the basis for the declaration of substantial equivalence, which is the "acceptance" in a 510(k) context.

Let's break down what can and cannot be answered based on the provided text, assuming the "AI" features refer to the "semi-automated functions" mentioned in section 4 and detailed in the SE Analyses (e.g., Auto Follicle, SonoBeam, SonoColor, SonoFusion).


Summary of what can be extracted from the document:

The document describes the XBit Series Digital Color Doppler Ultrasound System, which includes "semi-automated functions" like Auto Follicle, SonoBeam, SonoColor, and SonoFusion. For a 510(k) submission, the "acceptance criteria" revolve around demonstrating substantial equivalence to legally marketed predicate devices rather than proving performance against novel, quantitatively defined acceptance metrics. Indeed, the document explicitly states: "No clinical testing was required."

However, the "SE Analysis" sections serve as the basis for demonstrating that these "semi-automated functions" are substantially equivalent to features found in predicate devices. This is the closest the document comes to describing how the device "meets acceptance criteria" for these features.

1. A table of acceptance criteria and the reported device performance:

Since "No clinical testing was required," there are no explicit quantitative acceptance criteria or reported device performance metrics in the traditional sense (e.g., sensitivity, specificity, accuracy). Instead, substantial equivalence is claimed based on functional similarity.

Here's how the document frames the comparison for the "semi-automated functions":

Feature (Subject Device)Claimed Functionality (Subject Device)Predicate Device Analogue(s)Predicate FunctionalityBasis for Equivalence (Implicit Acceptance Criteria)
Auto FollicleAutomatically identifies, traces, and calculates area and circumference of follicles after user positions ROI. Output values can be modified (semi-automated).Acuson x700 Diagnostic Ultrasound System (synqo® Auto Follicle measurement option)Automated measurement technique for fast, accurate assessment of multiple follicles. Measurement methods supported: Distance, 2Dist + Avg, 3Dist + Avg, 2Dist Avg, 3Dist Avg, Area, Volume, Circumference.Both can get area and circumference of follicles. The semi-automated nature of the subject device is noted but doesn't affect substantial equivalence.
SonoFusion(Implied: Makes real-time ultrasound image match with CT/MR image.)Resona 7 Diagnostic Ultrasound System (Fusion Imaging)(Implied: Makes real-time ultrasound image match with CT/MR image.)Both improve diagnostic efficiency by matching images (despite differences in "navigation device and navigation bracket").
SonoColorRecognizes vessel angle automatically.Resona 7 Diagnostic Ultrasound System (Color Vol)(Implied: Requires user control for vessel angle recognition.)Both can get point velocity and meet clinical requirements, despite differences in automation level for angle acquisition.
SonoBeamImproved version of Q-beam, multi-beam blood flow high frame rate function based on traditional dual beamformer principle. Improves processing speed, increases frame rate, reduces noise.CBit 9 Digital Color Doppler Ultrasound System (Q-beam)Q-beam is implied to be a less advanced multi-beam technology for blood flow.Both improve image quality. The subject device's improvement is noted but does not invalidate substantial equivalence.

2. Sample size used for the test set and the data provenance:

  • Sample Size: Not applicable. The document states "No clinical testing was required." The "test set" for demonstrating substantial equivalence is the comparison of functional specifications and safety data to predicate devices.
  • Data Provenance: Not applicable for a clinical test set. The regulatory submission data provenance is CHISON Medical Technologies Co., Ltd. from China. The comparison is based on the declared specifications and previously cleared status of predicate devices.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable. No clinical testing with ground truth establishment was conducted.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

  • Not applicable. No clinical testing was performed for which adjudication would be relevant.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • No. The document explicitly states "No clinical testing was required." Therefore, no MRMC study was performed.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • Not applicable. No standalone performance evaluation for these "semi-automated functions" is mentioned or appears to have been required. The functions are described as "semi-automated," implying a human-in-the-loop is always present.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

  • Not applicable. As no clinical testing was performed, no ground truth needed to be established for performance evaluation. Ground truth for the predicate devices' original clearances would have been established, but this document does not detail that.

8. The sample size for the training set:

  • Not applicable. The document does not provide information on the training set for the "semi-automated functions" (AI/ML components). This level of detail is typically not required for a 510(k) submission unless the AI/ML algorithm represents a significant change in technology or indications from the predicate.

9. How the ground truth for the training set was established:

  • Not applicable. As no information on the training set is provided, how its ground truth was established is also not detailed.

In conclusion, this 510(k) summary for an ultrasound system relies on demonstrating substantial equivalence to predicate devices, and explicitly states that no clinical testing was required. Therefore, the detailed and quantitative information typically sought for AI/ML device acceptance criteria and performance studies (sample sizes, expert ground truth, MRMC studies, etc.) is not present in this document. The "acceptance" of this device is based on its similarity to already cleared devices in terms of indications, technology, and safety/performance characteristics.

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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.

CHISON Medical Technologies Co., Ltd. % Liu Qifei Regulatory Affairs Manager No. 228, Changjiang East Road, Block 51 and 53 Phase 5, Shuofang Industrial Park Xinwu District, Wuxi, Jiangsu 214142 CHINA

August 5, 2020

Re: K200780

Trade/Device Name: XBit Series Digital Color Doppler 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: June 6, 2020 Received: June 6, 2020

Dear Liu Qifei:

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

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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 mediation-emitting products, including information about labeling regulations, please see Device (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,

For

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) K200780

Device Name

XBit Series Digital Color Doppler Ultrasound System

Indications for Use (Describe)

The XBit Series Digital Color Doppler Ultrasound System is intended for diagnostic ultrasound imaging in B (2D/3D/4D),B/M,M,B+CFM,B+CPA (PD),B+DPD,B+PW,B+CW,B+CFM +D (PW)/CW, B+ CPA(PD) + D (PW)/CW, TDI and Fusion Harmonic Imaging modes. The device is a general-purpose ultrasonic imaging instrument intended for use by a qualified clinician for evaluation of Fetal ,Abdominal,Pediatric,Small Organ (breast, thyroid,testes ), Neonatal Cephalic , Adult Cephalic, Cardiac (adult , pediatric), Musculo-skeletal (Conventional , Superficial) , Peripheral Vascular, Transesophageal, Trans-rectal, Trans-vaginal, OB/GYN and Urology.

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) Summary

K200780

In accordance with 21 CFR 807.92 the following summary of information is provided:

1. Submitter:

Submitter:CHISON Medical Technologies Co., Ltd.
Address:No.228, Changjiang East Road, Block 51 and 53, Phase 5, ShuofangIndustrial Park, Xinwu District, Wuxi, Jiangsu, China 214142
Contact:Mr. Liu Qifei
Tel:+86-510-85310019
Fax:+86-510-85310021
Date Prepared:March 12th, 2020

2. Device :

Trade Name: XBit Series Digital Color Doppler Ultrasound System

Common Name: Diagnostic Ultrasound System with Transducers

Classification: Regulatory Class: II Review Category: Tier II

Classfication Name21 CFR SectionProduct Code
Ultrasonic pulsed doppler imaging system892.155090-IYN
Ultrasonic pulsed echo imaging system892.156090-IYO
Diagnostic ultrasonic transducer892.157090-ITX

3. Predicate Device(s):

DeviceModelProduct Code510(k)Number
1.Main predicate deviceCBit 9 Digital Color Doppler Ultrasound SystemIYN, IYO, ITXK180974
2.Reference deviceResona 7 Diagnostic Ultrasound SystemIYN, IYO, ITXK171233
3.Reference deviceAcuson x700 Diagnostic Ultrasound SystemIYN, IYO, ITX, OBJK141846

4. Device Description:

The XBit Series Digital Color Doppler Ultrasound System is an integrated preprogrammed color doppler ultrasound imaging system, capable of producing high detail resolution intended for clinical diagnostic imaging applications.

This system is a Track 3 device that employs a wide array of probes that include linear array, convex array and phased array. This system consists of a mobile console with keyboard control panel, power supply module, color LED monitor and optional probes.

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This system is a mobile, general purpose, software controlled, color diagnostic ultrasound system. Its basic function is to acquire ultrasound echo data and to display the image B-Mode (including Fusion Harmonic Imaging), M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Power Doppler Mode, Directional Power Doppler Mode, TDI Mode or a combination of these modes, Elastography, contrast imaging, 3D/4D.

Auto Follicle, SonoBeam, SonoColor, and SonoFusion, these four features are all semi-automated functions, they need to be modified during processing.

5. Indications for Use:

The XBit Series Digital Color Doppler Ultrasound System is intended for diagnostic ultrasound imaging in B(2D/3D/4D), B/M, M, B+CFM,B+CPA (PD),B+DPD,B+PW,B+CW, B+ CFM + D (PW)/CW, B+ CPA(PD) + D (PW)/CW, TDI and Fusion Harmonic Imaging modes. The device is a general-purpose ultrasonic imaging instrument intended for use by a qualified clinician for evaluation of Fetal,Abdominal,Pediatric,Small Organ (breast, thyroid,testes ), Neonatal Cephalic ,Adult Cephalic,Cardiac (adult , pediatric),Musculoskeletal (Conventional, Superficial), Peripheral Vascular,Transesophageal,Trans-rectal, Trans-vaginal, OB/GYN and Urology.

6. Summary of Non-Clinical Tests:

The XBit Series Digital Color Doppler Ultrasound System has been evaluated for electrical, mechanical, thermal and electromagnetic compatibility safety, biocompatibility and acoustic output.

The device has been found to conform to applicable medical device safety standards in regards to thermal, mechanical and electrical safety as well as biocompatibility.

IEC 60601-1: 2015 Medical Electrical Equipment - Part 1: General Requirements For Basic Safety And Essential Performance.

IEC 60601-1-2: 2014 Medical Electrical Equipment - Part 1-2: General Requirements For Safety - Collateral Standard: Electromagnetic Compatibility -- Requirements and Tests.

IEC 60601-2-37: 2015 Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment.

Output Indices on Diagnostic Ultrasound Equipment

ISO 10993-1:2018 Biological Evaluation of Medical Devices -- Part 1: Evaluation And Testing Within A Risk Management Process

The device has been found to conform to applicable FDA medical device guidance documents titled as followings:

  • . Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (Document issued on: June 27, 2019)
  • Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Document issued on: May 11, 2005)
  • Content of Premarket Submissions for Management of Cybersecurity in Medical Devices (Document Issued on: October 2, 2014)

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  • Use of International Standard ISO 10993-1, "Biological evaluation of medical devices ● - Part 1: Evaluation and testing within a risk management process" (Document issued on: June 16, 2016)

7. Clinical Test:

No clinical testing was required.

Software Documentation for a Moderate Level of Concern, per the FDA guidance document, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Document issued on May 11, 2005", is also included as part of this submission.

8. Comparison to Predicate Device:

Table 1 Substantial Equivalence Comparison

Main predicatedeviceReferencedeviceReferencedeviceSubmissionDevice
ItemsCBit 9 DigitalColor DopplerUltrasoundSystemK180974Resona 7DiagnosticUltrasoundSystemK171233Acuson x700DiagnosticUltrasoundSystemK141846XBit SeriesDigital ColorDopplerUltrasoundSystemRemark
Indications forUseFetalAbdominalPediatricSmall Organ(breast,thyroid ,testes)NeonatalCephalic ,AdultCephalicTrans-rectalTrans-vaginalMusculo-skeletal( Conventional,Superficial)Cardiac(adult ,pediatric)PeripheralVascularOB/GYN,UrologyTrans-esophagealFetalAbdominalIntra-operative(abdominal,thoracic, andvascular)PediatricSmallorgan(breast,thyroid ,testes)NeonatalCephalicAdult CephalicTrans-rectalTrans-vaginalMusculo-skeletaI(conventional,superficial),Cardiac adultCardiacpediatricTrans-esoph.(cardiac),PeripheralvesselurologyCardiac (Adult,Pediatric)Transesphageal(Cardiac)IntracardiacCerebrovascularPeripheralVesselAbdominalRenalFetalAbdominalIntra-operativePediatricSmall OrganNeonatalCepahalicAdult CephalicOrthopedicsMusculo-skeleta ConventionalMusculo-skeletaI SuperficialPelvicObstetricalGynecologicalUrologicalFetalAbdominalPediatricSmall Organ(breast,thyroid ,testes)NeonatalCephalic ,AdultCephalicTrans-rectalTrans-vaginalMusculo-skeletaI( Conventional,Superficial)Cardiac(adult ,pediatric)PeripheralVascularOB/GYN,UrologyTrans-esophagealSame
ItemsMain predicate deviceReference deviceReference deviceSubmission DeviceRemark
CBit 9 Digital Color Doppler Ultrasound System K180974Resona 7 Diagnostic Ultrasound System K171233Acuson x700 Diagnostic Ultrasound System K141846XBit Series Digital Color Doppler Ultrasound System
DesignAutocorrelation for color processing and FFT for pulse and CW Doppler processing. Supporting Linear, Curve, Phase array and Volume probes . Cine play back capability Image file archiveTransmit ultrasonic energy into patients, then perform post processing of received echoes to generate onscreen display of anatomic structures and fluid flow within the body.The ACUSON X700 ultrasound system features a sophisticated imaging engine migrated from our premium imaging products as well as technology to bolster compatibility across systems.Autocorrelation for color processing and FFT for pulse and CW Doppler processing. Supporting Linear, Curve, Phase array and Volume probes . Cine play back capability Image file archiveSame
TGC 8 sliderTGC 8 sliderTGO: 8 controlsTGC 8 sliderSame
Depth Range: 0 to 45 cmDepth Range: 1.5 to 40 cmDepth Range: 1 to 30 cmDepth Range: 0 to 45 cmSame
256 shades of grayNANA256 shades of graySame
B Dynamic range control: 20-280dBB Dynamic range control: 30-260dBB Dynamic range selection: 30-90dBB Dynamic range control: 20-280dBSame
Gain:0-255,1/stepGain:0-100,1/stepGain:-30-+30,1/stepGain:0-255,1/stepSame
Focal Number: adjustableNo physical focus to adjustFocal Number: adjustableFocal Number: adjustableSame
Focus position: adjustableNo physical focus to adjustFocus position: adjustableFocus position: adjustableSame
Operating ControlsB steer: available on linear transducersB steer: available on linear transducersB steer: available on linear transducersB steer: available on linear transducersSame
B Persistence: 7 stepsB Persistence: 7 stepsB Persistence:5 levelsB Persistence: 7 stepsSame
ROI size/position: adjustableROI size/position: adjustableROI size/position: adjustableROI size/position: adjustableSame
Color Wall Filter settings:8 stepsColor Wall Filter settings:8 stepsWall filter : 4 selectionsColor Wall Filter settings:8 stepsSame
Color Baseline: 16 steps Color Maps: 21 maps Color Invert:Color Baseline: 16 steps Color Maps: 21 maps Color Invert:Color Baseline: 9 steps Color maps: 16 maps ColorColor Baseline: 16 steps Color Maps: 21 maps Color Invert:Same
Main predicate deviceReference deviceReference deviceSubmission DeviceRemark
ItemsCBit 9 Digital Color Doppler Ultrasound System K180974Resona 7 Diagnostic Ultrasound System K171233Acuson x700 Diagnostic Ultrasound System K141846XBit Series Digital Color Doppler Ultrasound System
on/offon/offinvert :on/offon/off
PW sweeping speed: 6 stepsPW sweeping speed: 6 stepsSweep speed: 8 selectionsPW sweeping speed: 6 stepsSame
PW Wall Filter: 7 stepsPW Wall Filter: 8 or 9 stepsWall filter: 25 – 3906 Hz, 8 stepsPW Wall Filter: 7 stepsSame
PW sample volume:0.5-30mm (PW only)PW sample volume:0.5-30mm (PW only)Gate size: 0.2 - 20 mmPW sample volume:0.5-30mm (PW only)Same
PW angle correction:-89~8 9degrees, 1/stepPW angle correction:-89~8 9degrees, 1/stepAngle correction: 0 – 89° in 1° incrementsPW angle correction:-89~8 9degrees, 1/stepSame
Baseline: 8stepsBaseline: 9stepsBaseline shift: 17 levelsBaseline: 8stepsSame
Cine control: step, play backward, play continuouslyCine control: step, play backward, play continuouslyCine control: step, play backward, play continuouslyCine control: step, play backward, play continuouslySame
Doppler Auto TraceDoppler Auto TraceAutotrace FunctionDoppler Auto TraceSame
Freeze control:Toggling freeze keyFreeze control:Toggling freeze keyFreeze control:Toggling freeze keyFreeze control:Toggling freeze keySame
Safety ComplianceIEC60601-1IEC60601-1-2ISO 10993-1ISO 10993-5ISO 10993-10IEC 60601-2-37IEC60601-1IEC60601-1-2ISO 10993-1ISO 9001ISO 13485IEC 60601-2-37EN/IEC 60601-1EN/IEC 60601-1-1EN/IEC 60601-1-2EN/IEC 62304EN/IEC 62366EN/IEC 60601-2-18EN/IEC 60601-2-25IEC60601-1IEC60601-1-2ISO 10993-1ISO 10993-5ISO 10993-10IEC 60601-2-37Same
Operation ModeB modeB modeB modeB modeSame
B/M modeB/M modeB/M modeB/M modeSame
M modeM modeM modeM modeSame
Dual modeDual modeDual modeDual modeSame
Quad modeQuad modeQuad modeQuad modeSame
CFM modeCFM modeCFM modeCFM modeSame
CPA modeCPA modePD modeCPA modeSame
DPD modeDPD modeDPD modeDPD modeSame
ItemsMain predicatedeviceReferencedeviceReferencedeviceSubmissionDeviceRemark
CBit 9 DigitalColor DopplerUltrasoundSystemK180974Resona 7DiagnosticUltrasoundSystemK171233Acuson x700DiagnosticUltrasoundSystemK141846XBit SeriesDigital ColorDopplerUltrasoundSystem
B/BC modeB/BC modeB/BC modeB/BC modeSame
2D Steer2D SteerNA2D SteerSame
Triplex modeTriplex modeTriplex modeTriplex modeSame
QuadplexQuadplexNAQuadplexSame
HD 3DNAFreehand 3DHD 3DSame
CW modeCW modeCW modeCW modeSame
Free Steering MmodeFree Xros MAnatomical MmodeFree Steering MmodeSame
HPRFNANAHPRFSame
S-flowNANAS-flowSame
Auto TGCNATGOAuto TGCSame
Stress echoStress echoStress echoStress echoSame
TDITDITDITDISame
Color M modeColor M modeColor M modeColor M modeSame
CurvedPanoramiciScape viewSieScapeCurvedPanoramicSame
TrapezoidalimageExFovTrapezoidalModeTrapezoidalimageSame
compoundNASieClearcompoundSame
SRAiClearSpeckleReduction(SRI)SRASame
ChromaNANAChromaSame
ElastographyElastographyStrain-basedElastographyElastographySame
ECGECGECGECGSame
LV trackingStrain and StrainRatioTT QA(TissueTracking)Auto LHStrain and StrainRateLV trackingStrain and StrainRatioSame
LGCLGCNALGCSame
Auto IMTAuto IMTAuto IMTAuto IMTSame
Free NTSmart NTNAFree NTSame
Super NeedleiNeedleNASuper NeedleSame
NATSINATSSSame
NAContrastImagingContrast AgentImageSonoContrastSame
S-FlowNANASoundFlowSame
NAV FlowNASonoVectorSame
NANASyno AutoFollicleAuto FollicleSEAnalysis 1
NASmart OBSyno Auto OBFree OBsame
NAFusion ImagingNASonoFusionSEAnalysis 2
NAColor VolNASonoColorSEAnalysis 3
ItemsMain predicate deviceReference deviceReference deviceSubmission DeviceRemark
CBit 9 DigitalColorUltrasoundSystemK180974Resona 7DiagnosticUltrasoundSystemK171233Acuson x700DiagnosticUltrasoundSystemK141846XBit SeriesDigital ColorDopplerUltrasoundSystemAnalysis 3
generalmeasurementpackagegeneralmeasurementpackageNAgeneralmeasurementpackageSame
OBmeasurementpackageOBmeasurementpackageObstetricsmeasurementpackageOBmeasurementpackageSame
GYNmeasurementpackageGYNmeasurementpackageGynecologymeasurementpackageGYNmeasurementpackageSame
UROmeasurementpackageUROmeasurementpackageUrologymeasurementpackageUROmeasurementpackageSame
cardiacmeasurementpackagecardiacmeasurementpackagecardiacmeasurementpackagecardiacmeasurementpackageSame
vascularmeasurementpackagevascularmeasurementpackageVenousmeasurementpackageCerebrovascularmeasurementpackagePeripheralVascularmeasurementpackagevascularmeasurementpackageSame
small partsmeasurementpackagesmall partsmeasurementpackageNAsmall partsmeasurementpackageSame
PediatricmeasurementpackagePediatricmeasurementpackageOrthopedicmeasurementpackagePediatricmeasurementpackageSame
TCDmeasurementpackageTCDmeasurementpackageCerebrovascularmeasurementpackageTCDmeasurementpackageSame
4D softwarepackage4D softwarepackage4D softwarepackage4D softwarepackageSame
BreastmeasurementpackageBreastmeasurementpackageBreastmeasurementpackageBreastmeasurementpackageSame
Virtual HDiLiveNAVirtual HDSame
X-ContrastiBeamNAX-ContrastSame
FHITHITHIFHISame
Q imageNANAQ imageSame
Main predicatedeviceReferencedeviceReferencedeviceSubmissionDeviceRemark
ItemsCBit 9 DigitalColor DopplerUltrasoundSystemK180974Resona 7DiagnosticUltrasoundSystemK171233Acuson x700DiagnosticUltrasoundSystemK141846XBit SeriesDigital ColorDopplerUltrasoundSystem
Q-flowNANAQ-flowSame
Q-beamNANAQ-beamSonoBeamSEAnalysis 4
AIOiTouchNAAIOSame
DisplayAnnotationsLogo; HospitalName;Examdate;Exam time;AcousticPower ;Mechanicalindex;Thermalindes;Probemodel;ECGico;TGCCorve;Focusposition;Imagingparameters;Dynamic Trackballindices; Systemstatus;Gray/Color barLogo; HospitalName;Examdate;Exam time;AcousticPower ;Mechanicalindex;Thermalindes;Probemodel;ECGico;TGC Corve;Imagingparameters;Dynamic Trackballindices; Systemstatus;Gray/Color barLogo; HospitalName;Examdate;Exam time;AcousticPower ;Mechanicalindex;Thermalindes;Probemodel; ECGico;TGOCorve;Focusposition;Imagingparameters;Dynamic Trackballindices; Systemstatus;Gray/Color barLogo; HospitalName;Examdate;Exam time;AcousticPower ;Mechanicalindex;Thermalindes;Probemodel;ECGico;TGCCorve;Focusposition;Imagingparameters;Dynamic Trackballindices; Systemstatus;Gray/Color barSame
Measurements2D mode:DepthDistance ,Area:Ellipse, Trace,Spline, TraceLength , DoubleDistance ,Parallel ,Volume:Distance,Ellipse, Ellipse +Distance,DistanceRatio ,AreaRatio , IMT,Volume Flow,Color Velocity;M mode:Distance,Time,Slope, HeartRate,Velocity;Doppler mode:DVelocity ,Time ,H2D mode:DepthDistance ,Area:Ellipse, Trace,Spline, TraceLength , DoubleDistance ,Parallel ,Volume:Distance,Ellipse, Ellipse +Distance,DistanceRatio ,AreaRatio , IMT,Volume Flow,Color Velocity:M mode:Distance,Time,Slope, HeartRate,Velocity:Doppler mode:DVelocity ,Time ,Heart2D mode:Depth, Distance,Angle, Area andcircumference:ellipse, trace,Volume:1distance,2distance,3distance,ellipse anddistance Flowvolume:velocity anddistance,velocity and1ellipse,Stenosis:ellipse,distance;M mode:Distance, Time,Slope, HeartRate;2D mode:DepthDistance ,Area:Ellipse, Trace,Spline, TraceLength , DoubleDistance ,Parallel ,Volume:Distance,Ellipse, Ellipse +Distance,DistanceRatio ,AreaRatio , IMT,Volume Flow,Color Velocity;M mode:Distance,Time,Slope, HeartRate,Velocity;Doppler mode:DVelocity ,Time ,Heart
Main predicatedeviceReferencedeviceReferencedeviceSubmissionDevice
ItemsCBit 9 DigitalColor DopplerUltrasoundSystemK180974Resona 7DiagnosticUltrasoundSystemK171233Acuson x700DiagnosticUltrasoundSystemK141846XBit SeriesDigital ColorDopplerUltrasoundSystemRemark
Rate,Acceleration ,DTrace,PS/ED ,Volume Flow;Rate,Acceleration ,DTrace,PS/ED ,Volume Flow;Velocity/Frequency/PressureGradient, Heartrate/Heartcycle/Time, PS,ED, TAMx,TAMn, PI, RI,S/D, TAV, VTI,Acceleration/Deceleration, FlowvolumeRate,Acceleration ,DTrace,PS/ED ,Volume Flow;
TransducerTypes &ConnectorsConvex Array,Phased Array,LinearArray,Volumeprobe4portsConvex Array,Phased Array,LinearArray,Volumeprobe4portsConvex Array,Phased Array,LinearArray,Volumeprobe3portsConvex Array,Phased Array,LinearArray,Volumeprobe4portsSame
Users / SitesHospitals, clinicsusageHospitals, clinicsusageHospitals, clinicsusageHospitals, clinicsusageSame
AcousticOutputTrack 3; MI, TIS,TIC, TIBDerated Ispta:720mW/cm²maximum,TIS/TIB/TIC:0.1-4.0 Range,MechanicalIndex: 1.9Maximum, orDerated Isppa:190 W/cm² maxTrack 3; MI,TIS, TIC, TIBDerated Ispta:720mW/cm²maximum,TIS/TIB/TIC:0.1-4.0 Range,MechanicalIndex: 1.9Maximum, orDerated Isppa:190 W/cm² maxTrack 3; MI,TIS, TIC, TIBDerated Ispta:720mW/cm²maximum,TIS/TIB/TIC:0.1-4.0 Range,MechanicalIndex: 1.9Maximum, orDerated Isppa:190 W/cm² maxTrack 3; MI,TIS, TIC, TIBDerated Ispta:720mW/cm²maximum,TIS/TIB/TIC:0.1-4.0 Range,MechanicalIndex: 1.9Maximum, orDerated Isppa:190 W/cm² maxSame
PowerRequirementsPowerrequirements:AC :100V- 240V,Frequenzy:50-60HzOperatingtemperature:10-40 °C ; relativehumidity30-75%;Barometricpressure:700 to1060 hPaPowerrequirements:AC :100V- 240V,Frequenzy:50-60HzOperatingtemperature:0-40 ℃ ; relativehumidity20-85%;Barometricpressure:700 to1060 hPaPowerrequirements:AC :100V- 240V,Frequenzy:50-60HzOperatingtemperature:10-40 °C ; relativehumidity30-75%;Barometricpressure:700 to1060 hPaPowerrequirements:AC :100V- 240V,Frequenzy:50-60HzOperatingtemperature:10-40 °C ; relativehumidity30-75%;Barometricpressure:700 to1060 hPaSame

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Comparison Analysis

SE Analysis 1:

Operation Controls, compared with the predicate device--Acuson x700 Diagnostic Ultrasound System, the subject device employs the same operation controls design and has some differences in analyzed object.

The synqo® Auto Follicle measurement option of predicate device is an automated measurement tecnique that enables fast and acurate assessment of multiple follicles. Follicles measurement methods supported Distance, 2Dist + Avg, -- 3Dist + Avg, -- 2Dist Avg,-- 3Dist Avg,-- Area,-- Volume,-- Circumference.

Auto Follicle Detection of subject device can automatically identify, trace, and calculate the area and circumference of the follicle after the user moves the square ROI to the follicle area. It is operated in a semi-automated fashion since the output value of area and circumference can be modified.

But both of them can get area and circumference of follicle. so the SE is not affected.

SE Analysis 2:

Operation Controls, compared with the predicate device, the subject device employs the same operation controls design and has some differences in navigation device and navigation bracket. But both of them can make real-time ultrasound image match with CT/MR image. Both of them can improve the diagnostic efficiency. so the SE is not affected.

SE Analysis 3:

Operation Controls, compared with the predicate device, the subject device employs the same operation controls design and has some differences in angle acquisition. subject device recognizes the vessel angle automatically. The predicate reference device recognizes the vessel angle by user control. But both of them can get point velocity and meet clinical requirements. so the SE is not affected.

SE Analysis 4:

Operation Controls, the sonobeam function is a type of image optimization technology. SonoBeam is an improved version of Q-beam as a multi-beam blood flow high frame rate function which is based on traditional dual beamformer principle. Compared with Q-beam, SonoBeam multi-beamformer can improve the processing speed, and then increase the frame rate of image display and reduce noise. But both of them can improve image quality. so the SE is not affected.

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9. Substantially Equivalent Conclusion:

In accordance with the Act. 21 CFR Part 807 and based on the information provided in this premarket notification, CHISON Medical Technologies Co., Ltd. concludes that the XBit Series Digital Color Doppler Ultrasound System is substantially equivalent to the predicate devices with regard to safety and effectiveness.

N/A