K Number
K201425
Device Name
Disposable Intraoperative Probe (DIOP8)
Date Cleared
2021-02-19

(266 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DIOP8 surgical Doppler is indicated for use by qualified healthcare practitioners in a sterile condition in the operating theatre for the assessment of vascular blood flow by direct application to the vessel wall.
Device Description
The DIOP8 is a sterile, single use, high sensitivity probe that assists in the performance of safe surgery. It is a lightweight, 8MHz ultrasound, handheld pencil probe' that has a small diameter tip that enables the detection of blood flow in vessels. The DIOP8 ultrasound probe operates in pulsed-wave mode. It has one circular piezo-electric crystal that is mounted behind the front faceplate and the crystal is used for both transmit and receive functions. The DIOP8 is manufactured at a frequency of 8MHz. The output ultrasonic parameters are fixed during the manufacturing process and cannot be adjusted by the user. A connector system at the end of the cable allows the DIOP8 to be removed from the hand held Doppler. An interconnection adapter houses the bi-directional electronics, which are specific for the device application, and is required as an interface between the main unit and DIOP8. The connector is similar to a conventional connector, but has no external conductive contacts, and is totally sealed, thus preventing the ingress of fluid and contaminants. Within the connector is a small coil that transfers electrical energy to and from a similar, but larger coil in the corresponding socket at the end of the PA8/PA8XS adapter. Transmitted and received electrical signals are passed through this connector, but there is no direct electrical connection between the probe and the PA8/PA8XS adapter. The connector provides electrical isolation between the probe and the PA8/PA8XS adapter, which optimises system electrical safety by limiting patient leakage currents to very low levels. During use, the adapter is securely held in the probe holder that is an integral part of the Doppler main unit. When connected this way, the hand held Doppler unit operates as if a normal VP8 probe is connected.
More Information

No
The device description focuses on basic ultrasound technology and electrical isolation, with no mention of AI or ML. The performance studies also do not indicate the use of AI/ML.

No
The device is described as a surgical Doppler for the assessment of vascular blood flow, used for diagnostic purposes, not for treating any condition.

Yes

The device is intended for the "assessment of vascular blood flow," which is a diagnostic purpose to evaluate a patient's condition.

No

The device description clearly details a physical ultrasound probe with hardware components (piezo-electric crystal, connector system, adapter with electronics) and mentions hardware-related testing (mechanical, functional, electrical safety, EMC, environmental). This indicates it is a hardware device with potentially embedded software, not a software-only medical device.

Based on the provided information, the DIOP8 surgical Doppler is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The DIOP8 is used for the direct assessment of vascular blood flow by direct application to the vessel wall. This is a direct measurement on the patient's body, not an analysis of a sample taken from the body.
  • The intended use clearly describes a surgical procedure. The device is used in the operating theatre by qualified healthcare practitioners for assessing blood flow during surgery. This is a clinical application, not a diagnostic test performed on a sample.
  • The device description details an ultrasound probe. Ultrasound is an imaging modality used for visualizing structures within the body, not for analyzing biological samples.

Therefore, the DIOP8 surgical Doppler falls under the category of a medical device used for clinical assessment and guidance during surgery, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The DIOP8 surgical Doppler is indicated for use by qualified healthcare practitioners in a sterile condition in the operating theatre for the assessment of vascular blood flow by direct application to the vessel wall.

Product codes

ITX

Device Description

The DIOP8 is a sterile, single use, high sensitivity probe that assists in the performance of safe surgery. It is a lightweight, 8MHz ultrasound, handheld pencil probe' that has a small diameter tip that enables the detection of blood flow in vessels.

The DIOP8 ultrasound probe operates in pulsed-wave mode. It has one circular piezo-electric crystal that is mounted behind the front faceplate and the crystal is used for both transmit and receive functions. The DIOP8 is manufactured at a frequency of 8MHz. The output ultrasonic parameters are fixed during the manufacturing process and cannot be adjusted by the user.

A connector system at the end of the cable allows the DIOP8 to be removed from the hand held Doppler. An interconnection adapter houses the bi-directional electronics, which are specific for the device application, and is required as an interface between the main unit and DIOP8. The connector is similar to a conventional connector, but has no external conductive contacts, and is totally sealed, thus preventing the ingress of fluid and contaminants. Within the connector is a small coil that transfers electrical energy to and from a similar, but larger coil in the corresponding socket at the end of the PA8/PA8XS adapter. Transmitted and received electrical signals are passed through this connector, but there is no direct electrical connection between the probe and the PA8/PA8XS adapter. The connector provides electrical isolation between the probe and the PA8/PA8XS adapter, which optimises system electrical safety by limiting patient leakage currents to very low levels. During use, the adapter is securely held in the probe holder that is an integral part of the Doppler main unit. When connected this way, the hand held Doppler unit operates as if a normal VP8 probe is connected.

The DIOP8 is compatible for use with the following Doppler units, all manufactured by Huntleigh Healthcare and have FDA clearance:

Models

  • o DISP10XS
  • DISP10 ●
  • DIPP10 ●
  • DISP10XS-DMX ●
  • DISP10-D900
  • DISP10-SD2 ●
  • ISP ●
  • ISPXS ●

The DISP10XS model contains 10xDIOP8 probes, a PA8XS adapter and a Pole Clamp (ACC47).

The DISP10 model contains 10xDIOP8 probes, a PA8 adapter and a Pole Clamp (ACC47).

The DIPP10 model contains 10xDIOP8 probes.

The DISP10XS-DMX contains the same as the DISP10XS model. with a DMXR Handheld Doppler added (cleared under K183574).

The DISP10-D900 contains the same as the DISP10 model, with a D900 Handheld Doppler added (cleared under K930200).

The DISP10-SD2 contains the same as the DISP10 model, with a SD2 Handheld Doppler added (cleared under K930200).

The ISP is an Intraoperative Probe Starter Pack and includes a PA8 adapter and Pole Clamp (ACC47).

The ISPXS is an Intraoperative Probe Starter Pack and includes a PA8XS adapter and Pole Clamp (ACC47).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

vessel wall (vascular blood flow)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

qualified healthcare practitioners in a sterile condition in the operating theatre

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)

Biocompatibility Testing

  • Study Type: Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity
  • Key Results: The biocompatibility evaluation of the device was conducted in accordance with ISO 10993-1:2009 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process. The subject device is considered an external communicating device, contacting patient tissue (outer surface of blood vessels) for a limited duration of

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.

0

February 19, 2021

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there 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.

Huntleigh Healthcare Ltd. % Mr. Steve Monks QRE Compliance Director 35 Portmanmoor Road Cardiff, CF24 5HN UNITED KINGDOM

Re: K201425

Trade/Device Name: Disposable Intraoperative Probe (DIOP8) Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic ultrasonic transducer Regulatory Class: Class II Product Code: ITX Dated: December 14, 2020 Received: December 28, 2020

Dear Mr. Monks:

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

1

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 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.

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

2

Indications for Use

510(k) Number (if known) K201425

Device Name Disposable Intraoperative Probe (DIOP8)

Indications for Use (Describe)

The DIOP8 surgical Doppler is indicated for use by qualified healthcare practitioners in a sterile condition in the operating theatre for the assessment of vascular blood flow by direct application to the vessel wall.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the logo for Huntleigh Healthcare Limited Diagnostic Products Division. The text "Huntleigh Healthcare Limited Diagnostic Products Division" is on the left side of the image. To the right of the text is the word "HUNTLEIGH" in large, blue, sans-serif font.

510(k) Summary K201425 Disposable Intraoperative Probe

| Name & Address: | Huntleigh Healthcare
Unit 35, Portmanmoor Road
Cardiff
CF24 5HN
United Kingdom |
|-----------------|--------------------------------------------------------------------------------------------|
| Telephone: | +44 (0)2920 485885 |
| Fax: | +44 (0)2920 492520 |
| Prepared: | May 2020 |
| Contact: | Steve Monks - QRE Compliance Director |

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Huntleigh Healthcare Limited | | || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || || ||

5.1 Device Information

Device Name:Disposable Intraoperative Probe (DIOP8)
Regulation Name:Diagnostic Ultrasonic Transducer
Classification Name:Transducer, Ultrasonic, Diagnostic
ClassificationClassProduct CodeClassification Regulation
IIITX892.1570

5.2 Identification of Legally Marketed Devices to which Equivalence is claimed

| Predicate Device: | IOP8 Intraoperative Probe (K032315) manufactured by
Huntleigh Healthcare Ltd., Diagnostic Products Division. | | |
|----------------------|-----------------------------------------------------------------------------------------------------------------|--------------|---------------------------|
| Regulation Name: | Diagnostic Ultrasonic Transducer | | |
| Classification Name: | Transducer, Ultrasonic, Diagnostic | | |
| Classification: | Class | Product Code | Classification Regulation |
| II | | ITX | 892.1570 |

5.3 Indications for Use

Indications for Use:The DIOP8 surgical Doppler is indicated for use by qualified healthcare practitioners in a sterile condition in the operating theatre for the assessment of vascular blood flow by direct application to the vessel wall.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

5.4 Description

Description : The DIOP8 is a sterile, single use, high sensitivity probe that assists in the performance of safe surgery. It is a lightweight, 8MHz ultrasound, handheld pencil probe' that has a small diameter tip that enables the detection of blood flow in vessels.

The DIOP8 ultrasound probe operates in pulsed-wave mode. It has one circular piezo-electric crystal that is mounted behind the front faceplate and the crystal is used for both transmit and receive functions. The DIOP8 is manufactured at a frequency of 8MHz. The output ultrasonic parameters are fixed during the manufacturing process and cannot be adjusted by the user.

A connector system at the end of the cable allows the DIOP8

5

Huntleigh Healthcare Limited =================================================================================================================================================

to be removed from the hand held Doppler. An interconnection adapter houses the bi-directional electronics, which are specific for the device application, and is required as an interface between the main unit and DIOP8. The connector is similar to a conventional connector, but has no external conductive contacts, and is totally sealed, thus preventing the ingress of fluid and contaminants. Within the connector is a small coil that transfers electrical energy to and from a similar, but larger coil in the corresponding socket at the end of the PA8/PA8XS adapter. Transmitted and received electrical signals are passed through this connector, but there is no direct electrical connection between the probe and the PA8/PA8XS adapter. The connector provides electrical isolation between the probe and the PA8/PA8XS adapter, which optimises system electrical safety by limiting patient leakage currents to very low levels. During use, the adapter is securely held in the probe holder that is an integral part of the Doppler main unit. When connected this way, the hand held Doppler unit operates as if a normal VP8 probe is connected.

The DIOP8 is compatible for use with the following Doppler units, all manufactured by Huntleigh Healthcare and have FDA clearance:

Models

  • o DISP10XS
  • DISP10 ●
  • DIPP10 ●
  • DISP10XS-DMX ●
  • DISP10-D900
  • DISP10-SD2 ●
  • ISP ●
  • ISPXS ●

The DISP10XS model contains 10xDIOP8 probes, a PA8XS adapter and a Pole Clamp (ACC47).

The DISP10 model contains 10xDIOP8 probes, a PA8 adapter and a Pole Clamp (ACC47).

The DIPP10 model contains 10xDIOP8 probes.

The DISP10XS-DMX contains the same as the DISP10XS model. with a DMXR Handheld Doppler added (cleared under K183574).

The DISP10-D900 contains the same as the DISP10 model, with a D900 Handheld Doppler added (cleared under

6

Huntleigh Healthcare Limited
Diagnostic Products Division

K930200).

The DISP10-SD2 contains the same as the DISP10 model, with a SD2 Handheld Doppler added (cleared under K930200).

The ISP is an Intraoperative Probe Starter Pack and includes a PA8 adapter and Pole Clamp (ACC47).

The ISPXS is an Intraoperative Probe Starter Pack and includes a PA8XS adapter and Pole Clamp (ACC47).

5.5 Comparison of Technological Characteristics with Predicate Device

Comparison of Technological Characteristics with Predicate Device:

Doppler ultrasound is the technological principle for both the subject and predicate device. It is based on a combination of a hand held Doppler unit, an intraoperative probe and a PA8/PA8XS adapter.

The subject and the predicate are based on the same technological elements:

Technological ElementIOP8DIOP8
Type of energy usedUltrasoundUltrasound
Principle used to detect
blood flowDopplerDoppler
Number of piezo-electric
crystals present11
Piezo-electric crystal
diameter3 mm3 mm
Operating modePulsedPulsed
Pulse repetition frequency62.5 kHz62.5 kHz
Transmit burst duration8 µs8 µs
Receive window duration7 µs7 µs

The following technological differences exist between the subject device and predicate device:

Technological ElementIOP8DIOP8
Piezo-electric crystal materialPZ27
ceramicNCE51
ceramic
Probe length130 mm126 mm

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Diagnostic Products Division |- UNTLEIGH

Probe diameter5 mm5 mm
Probe tube materialStainless
steelABS
thermoplastic
Probe faceplate materialFortron
PPSABS
thermoplastic

Piezo-electric crystal material – PZ27 is manufactured ● by Ferroperm, whereas NCE51 is manufactured by Noliac. The specification references are different, but the material properties are similar. The materials are equivalent in the intraoperative probe application.

  • Probe length The DIOP8 is slightly shorter than the . IOP8 (by 4mm). Usability evaluations have verified that there is no impact on probe usability, therefore this difference is insignificant.
  • . Probe tube material - The IOP8 tube material is stainless steel, whereas the DIOP8 tube material is ABS thermoplastic. The IOP8 can be re-sterilized using high temperature steam (autoclave method), hence stainless steel was chosen for compatibility. The DIOP8 however, is sterilised once only at the end of the manufacturing process using ethylene oxide (ETO), at a much lower temperature. This allowed the selection of ABS thermoplastic as the material for this component. Usability evaluations have verified that the probe is sufficiently rigid to perform its clinical function. Biocompatibility data is also provided for this material.
  • Probe faceplate material The faceplate is the area of . the probe at the front, which is applied to the blood vessel during surgery. The IOP8 faceplate is made from Fortron PPS, which was selected due to the requirements for the probe to be compatible with high temperature steam (autoclave) sterilisation, as PPS is able to withstand high temperatures. The DIOP8 however, is sterilised once only at the end of the manufacturing process using ethylene oxide (ETO), at a much lower temperature. This allowed the selection of ABS thermoplastic as the material for this component. Biocompatibility data is also provided for this material.

5.6 Substantial Equivalence

Substantial The DIOP8 is substantially equivalent to cleared device IOP8 Equivalence: Intraoperative Probe. The DIOP8 has equivalent performance to the IOP8 Intraoperative Probe.

Review of differences:

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Huntleigh Healthcare Limited |------------------------------------------------------------------------------------------------------------------------------------------------

5.7 Performance Data

Testing to demonstration substantial equivalence included:

Testing ConductedDiscussion
Biocompatibility Testing
-Cytotoxicity
-Sensitization
-Irritation
-Acute Systemic
ToxicityThe biocompatibility evaluation of
the device was conducted in
accordance with ISO 10993-
1:2009 Biological evaluation of
medical devices - Part 1:
Evaluation and testing within a
risk management process. The
subject device is considered an
external communicating device,
contacting patient tissue (outer
surface of blood vessels) for a
limited duration of ≤24 hours.
Mechanical
Performance TestingTesting provides verification of
mechanical performance including
general, physical, environment,
product labelling, instructions for
use, packaging, durability and life
testing.
Functional Performance
TestingTesting included acoustic output
measurements completed by a third
party laboratory, NPL, in
accordance with both IEC 60601-2-
37:2007+A1:2015 and Track 1 of
the FDA guidance. Testing
confirmed the subject device did not
exceed the recommended acoustic
output exposure levels.
Additionally, clinical measurement
accuracy testing was completed in-
house via a string phantom method.
Electrical Safety TestingElectrical safety testing was
conducted on the product by a
third party laboratory, UL. Testing
confirms device complies with IEC
60601-1:2005 + A1:2012
EMC TestingEMC testing was conducted on
the product by a third party
laboratory, Kiwa Compliance
Laboratories. Testing confirms
device complies with IEC 60601-
1-2:2014.
Environmental
Performance TestingTesting provides verification of the
operating temperature, humidity
and pressure and non-operating
temperature, humidity, pressure,
shock and vibration.
SoftwareThe functions of the DIOP8 probe
are supported by software, and
the software is previously cleared
and installed on the ultrasound
unit that supports the probe. The
software package is identical to
the predicate and no new
software code was created for the
subject device.

9

5.8 Technologies Summary

Technologies The DIOP8 single use intraoperative Doppler ultrasound Summary: probe uses very similar technology to that of the predicate device; the IOP8 intraoperative Doppler probe. The main difference is that the DIOP8 is single-use, whereas the IOP8 is reusable.

As the DIOP8 is sterilised once only at the end of the manufacturing process using ethylene oxide (ETO), it is manufactured from materials compatible with this process. The IOP8 and DIOP8 operate at the same ultrasound frequency, in the same pulsed operating mode. In use, they provide same functionality; that is to evaluate blood flow within a vessel during surgery. They can be used with the same main Doppler units and PA8 adapters. Both the IOP8 and DIOP8 have the same intended use and indications for use. Where there are material differences, they mainly exist due to the different sterilization requirements, and biocompatibility data is available in this submission for these differences.

5.9 Conclusion

Conclusion:

The data detailed within this submission demonstrates that the DIOP8 is safe, effective and performs as well as the predicate device identified in this summary, which is currently marketed for the same intended use. The device's mechanical and functional performance verification demonstrates that it should perform as intended in the specified user conditions.