K Number
K230511
Device Name
K3900 Ultrasound Imaging System
Manufacturer
Date Cleared
2023-10-25

(243 days)

Product Code
Regulation Number
892.1560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The K3900 Ultrasound Imaging System is intended for use by a qualified healthcare personnel in environments where healthcare is provided for ultrasound evaluation of Fetal; Abdominal; Pediatric; Small Organ (breast, thyroid); Neonatal Cephalic; Adult Cephalic; Cardiac (adult and pediatric); Peripheral Vascular; Musculo-skeletal Conventional and Superficial; Urology (including prostate); and Intraoperative (abdominal, thoracic and vascular).
Device Description
The K3900 Ultrasound Imaging System ("K3900") is a Track 3 general purpose ultrasound imaging system. The device generates and collects ultrasonic pulsed echo data via a transducer that is then digitized for further processing. The processing includes beamforming, image processing, and image optimization that then outputs an ultrasound image. This image may be displayed on a tablet or common displays through HDMI for general purpose radiological evaluation. The K3900 consists of an ultrasound transducer, a processing unit that manages the transducer and all data processing, and a tablet that provides the user interface to operate the device, view and analyze the ultrasound dataset, and manage patient study sessions.
More Information

Not Found

No
The summary describes standard ultrasound image processing techniques (beamforming, image processing, image optimization) and does not mention AI, ML, or related terms. There is no description of training or test sets, which are typically associated with AI/ML development.

No
The device is described as an "Ultrasound Imaging System" intended for "ultrasound evaluation" and "outputs an ultrasound image" for "general purpose radiological evaluation." Its purpose is diagnostic imaging, not therapeutic intervention.

Yes

The device generates ultrasound images for evaluation of various anatomical sites, which is a key function of diagnostic imaging.

No

The device description explicitly states that the K3900 Ultrasound Imaging System consists of an ultrasound transducer, a processing unit, and a tablet, indicating it is a hardware system with integrated software, not a software-only device.

Based on the provided information, the K3900 Ultrasound Imaging System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • K3900 Function: The K3900 is an ultrasound imaging system. It uses ultrasonic waves to create images of internal body structures. It does not perform tests on samples taken from the body.
  • Intended Use: The intended use clearly states it's for "ultrasound evaluation" of various anatomical sites. This is an imaging modality, not an in vitro diagnostic test.
  • Device Description: The description details how the device generates and processes ultrasound data to produce images. There is no mention of analyzing biological samples.

Therefore, the K3900 falls under the category of medical imaging devices, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The K3900 Ultrasound Imaging System is intended for use by a qualified healthcare personnel in environments where healthcare is provided for ultrasound evaluation of Fetal; Abdominal; Pediatric; Small Organ (breast, thyroid); Neonatal Cephalic; Adult Cephalic; Cardiac (adult and pediatric); Peripheral Vascular; Musculo-skeletal Conventional and Superficial; Urology (including prostate); and Intraoperative (abdominal, thoracic and vascular).

Modes of operation: B-Mode.

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

IYO, ITX

Device Description

The K3900 Ultrasound Imaging System ("K3900") is a Track 3 general purpose ultrasound imaging system. The device generates and collects ultrasonic pulsed echo data via a transducer that is then digitized for further processing. The processing includes beamforming, image processing, and image optimization that then outputs an ultrasound image. This image may be displayed on a tablet or common displays through HDMI for general purpose radiological evaluation. The K3900 consists of an ultrasound transducer, a processing unit that manages the transducer and all data processing, and a tablet that provides the user interface to operate the device, view and analyze the ultrasound dataset, and manage patient study sessions.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal; Abdominal; Pediatric; Small Organ (breast, thyroid); Neonatal Cephalic; Adult Cephalic; Cardiac (adult and pediatric); Peripheral Vascular; Musculo-skeletal Conventional and Superficial; Urology (including prostate); and Intraoperative (abdominal, thoracic and vascular).

Indicated Patient Age Range

Fetal; Pediatric; Neonatal; Adult

Intended User / Care Setting

qualified healthcare personnel in environments where healthcare is provided

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)

Nonclinical Testing Summary: MAUI Imaging has conducted bench performance testing of the K3900 subject device to verify and validate that the device requirements and specifications and to demonstrate that any differences between the subject and predicate device do not raise different questions of safety or effectiveness. Additional testing to support the substantial equivalence between the subject and predicate device includes:

  • Evaluation of biocompatibility per ISO 10993-1,
  • Electrical safety testing per IEC 60601-1,
  • Electromagnetic compatibility per IEC 60601-1-2,
  • Performance of the ultrasound safety, controls, and display in accordance with IEC60601-2-37:2015 and IEC 62359: 2017 to demonstrate that the device is within safety limits as well as requirements for a Track 3 ultrasound imaging device per FDA Guidance, "Marketing Clearance of Diagnostic Ultrasound Systems and Transducers", dated February 2023, and
  • Human factors usability testing

Clinical Testing Summary: Clinical performance testing was conducted to validate that a healthcare professional would get equivalent imaging from the K3900 subject device as compared to the GE LOGIO E9 predicate device. MAUI collected comparative ultrasound imaging data under an IRB approved study protocol at a radiology clinic where volunteers were recruited. After obtaining informed consent, a radiologist captured ultrasound images from both devices. Side-by-side comparisons of the still images of numerous anatomical structures showed that the imaging from the subject device was substantially equivalent to the predicate.

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.

K152309

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

§ 892.1560 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.

0

October 25, 2023

Image /page/0/Picture/1 description: The image shows 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.

MAUI Imaging % Prabhu Raghavan Principal Consultant MDQR, LLC. 1790 Montemar Way SAN JOSE CA 95125

Re: K230511

Trade/Device Name: K3900 Ultrasound Imaging System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic Pulsed Echo Imaging System Regulatory Class: Class II Product Code: IYO, ITX Dated: September 27, 2023 Received: September 28, 2023

Dear Prabhu Raghavan:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Yanna S. Kang -S

Yanna Kang Assistant Director Mammography and Ultrasound Team DHT8C: Division of Radiological Imaging and Radiation Therapy Devices OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

2

Indications for Use

510(k) Number (if known) K230511

Device Name K3900 Ultrasound Imaging System

Indications for Use (Describe)

The K3900 Ultrasound Imaging System is intended for use by a qualified healthcare personnel in environments where healthcare is provided for ultrasound evaluation of Fetal; Abdominal; Pediatric; Small Organ (breast, thyroid); Neonatal Cephalic; Adult Cephalic; Cardiac (adult and pediatric); Peripheral Vascular; Musculo-skeletal Conventional and Superficial; Urology (including prostate); and Intraoperative (abdominal, thoracic and vascular).

Modes of operation: B-Mode.

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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3

Image /page/3/Picture/0 description: The image shows a logo for Maui Imaging. The logo consists of a red graphic that resembles a stylized sun or planet with horizontal lines emanating from it. Below the graphic, the words "MAUI IMAGING" are written in red, with "MAUI" in a larger font size than "IMAGING".

510(k) Summary for K230511

Prepared in accordance with the requirements of 21 CFR 807.92

Submitter Information [807.92(a)(1)]

| Submitter/Applicant | David Specht,
Chairman and CEO, MAUI Imaging
3600 136th PL SE, Ste 300,
Bellevue, WA 98006
Email: david.specht@mauiimaging.com
Phone: (408) 744-1127 |
|---------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Primary Regulatory
Correspondent | Prabhu Raghavan
Regulatory Consultant for MAUI Imaging
Principal Consultant, MDQR Solutions, LLC
Phone: 408-316-5707
Email: prabhu@mdqr.solutions |
| Secondary Regulatory
Correspondent | Roberta (Bobbi) Druyor-Sanchez
Regulatory Consultant for MAUI Imaging
Partner, NDA Partners, LLC.
Phone: 480-216-5377
Email: sanchezbobbi@ndapartners.com |

Date Prepared October 25, 2023

Device Information [807.92(a)(2)]

Trade NameK3900 Ultrasound Imaging System
Product CodesIYO, ITX
Generic/Common NameUltrasonic Pulsed Echo Imaging System
Regulation§ 892.1560
Device ClassII

Predicate Information [807.92(a)(3)]

Predicate(s)

K152309, GE LOGIQ E9, GE® Medical Systems Ultrasound and Primary Care Diagnostics

Device Description [807.92(a)(4)]

The K3900 Ultrasound Imaging System ("K3900") is a Track 3 general purpose ultrasound imaging system. The device generates and collects ultrasonic pulsed echo data via a transducer that is then digitized for further processing. The processing includes beamforming, image processing, and image optimization that then outputs an ultrasound image. This image may be displayed on a tablet or common displays through HDMI for general purpose radiological evaluation. The K3900 consists of an ultrasound transducer, a processing unit that manages the transducer and all data processing, and a tablet that provides the user interface to operate the device, view and analyze the ultrasound dataset, and manage patient study sessions.

4

510(k) Summary for K230511 MAUI Imaging, K3900 Ultrasound Imaging System

The K3900 utilizes "ping" technology. In contrast to phased array transmission that transmit along predetermined scan lines using a large number of transducer elements with multiple focal regions, a ping is an unfocussed pulse transmitted by a limited set of transducer elements. Since the transmitted pulses are unfocussed, no beamforming or focusing is performed on the transmit side. Beamforming to create the ultrasound image is entirely done on the receive side. i.e., the process of combining the echo information is done by utilizing all of the receiver element data. In the predicate device, the beamforming process is split between the transmit side and the receive side, i.e., part of the beamforming is done by transmitting a focused pulse of ultrasound waves, and additional signal processing is conducted on the received echo data. This is a minor difference in signal processing and both the subject and predicate devices achieve the same imaging results. The differences in beamforming methods, which have been verified and validated through performance testing do not raise different questions of safety or effectiveness and demonstrate substantial equivalence to the predicate device.

Indications for use [807.92(a)(5)]

The K3900 Ultrasound Imaging System is intended for use by a qualified healthcare personnel in environments where healthcare is provided for ultrasound evaluation of Fetal; Abdominal; Pediatric; Small Organ (breast, testes, thyroid); Neonatal Cephalic; Cardiac (adult and pediatric); Peripheral Vascular: Musculo-skeletal Conventional and Superficial; Urology (including prostate); and Intraoperative (abdominal, thoracic and vascular).

Modes of operation: B-mode.

Substantial Equivalence

The K3900 Ultrasound Imaging System subject device has the same intended use, and substantially equivalent physical characteristics, technological characteristics and software as the K152309, GE LOGIQ E9 predicate device. A comparison of the two devices is provided in the table below.

| Feature | K3900 Ultrasound Imaging System
(Subject Device) | LOGIQ E9 (K152309)
(Predicate Device) |
|------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Ultrasound imaging and evaluation of
adults and pediatric patients | Ultrasound imaging and evaluation of
adults and pediatric patients |
| Product Code | IYO, Ultrasonic Pulsed Echo Imaging
System
ITX, Diagnostic Ultrasonic Transducer | IYO, Ultrasonic Pulsed Echo Imaging
System
ITX, Diagnostic Ultrasonic Transducer
IYN, Ultrasonic Pulsed Doppler Imaging
System |
| Regulation | 892.1560, Ultrasonic pulsed echo imaging
system | 892.1550, Ultrasonic pulsed doppler
imaging system
892.1560, Ultrasonic pulsed echo imaging
system |
| Classification | Class II | Class II |
| Feature | K3900 Ultrasound Imaging System
(Subject Device) | LOGIQ E9 (K152309)
(Predicate Device) |
| Indications for
Use | The K3900 Ultrasound Imaging System is
intended for use by a qualified healthcare
personnel in environments where
healthcare is provided for ultrasound
evaluation of Fetal; Abdominal; Pediatric;
Small Organ (breast, testes, thyroid);
Neonatal Cephalic; Adult Cephalic;
Cardiac (adult and pediatric); Peripheral
Vascular; Musculo-skeletal Conventional
and Superficial; Urology (including
prostate); and Intraoperative (abdominal,
thoracic and vascular).
Modes of operation: B-mode. | The device is intended for use by a
qualified physician for ultrasound
evaluation of Fetal; Abdominal; Pediatric;
Small Organ (breast, testes, thyroid);
Neonatal Cephalic; Adult Cephalic;
Cardiac (adult and pediatric); Peripheral
Vascular; Musculo-skeletal Conventional
and Superficial; Urology (including
prostate); Transrectal; Transvaginal;
Transesophageal and Intraoperative
(abdominal, thoracic and vascular). |
| Contact Type | Body surface, intraoperative | Body surface, Cavitary (TV, TR, TE) and
intraoperative |
| Transducer
model.
type | MAUI3-Concave-192,
Curved Array Transducer | GE C1-6D.
Curved Array Transducer |
| Number of
Elements | Approximately 192 | Approximately 192 |
| Imaging
Modes | B-mode | B, M, Color M, Color & Power Doppler,
Pulsed & CW Doppler and various
combinations: B/M B/PW, Color/Pwr/PW.
Harmonic, Coded Pulse, Realtime 3D &
Multi-plane, Elastography Imaging, Shear
wave elastography (SWE) |
| Beamforming | Beamforming is performed on the receive
side only. | Beamforming on both the transmit side,
i.e., when sending the ultrasound pulses
and on the receive side, i.e., when
processing the ultrasound echoes. |
| Controls and
Display | Tablet-based touch screen controls with
display. HDMI output to secondary
external display | Adjustable height control panel with touch
screen and tilt/swivel LCD type image
monitor |
| Feature | K3900 Ultrasound Imaging System
(Subject Device) | LOGIQ E9 (K152309)
(Predicate Device) |
| Safety
Compliance | IEC60601-1, Medical Electrical equipment; General requirements for safety. IEC60601-1-2, Medical Electrical equipment; Electromagnetic Compatibility. ISO10993-1, Biological evaluation of medical devices. FDA Track 3 IEC 60601-2-37, Medical Electrical equipment; Particular requirements for safety of ultrasonic medical diagnostic and monitoring equipment. IEC 62359, Ultrasonics - Field characterization - Test methods for the determination of thermal and mechanical indices related to medical diagnostic ultrasonic fields | IEC60601-1, Medical Electrical equipment; General requirements for safety. IEC60601-1-2, Medical Electrical equipment; Electromagnetic Compatibility. ISO10993-1, Biological evaluation of medical devices. FDA Track 3 IEC 60601-2-37, Medical Electrical equipment; Particular requirements for safety of ultrasonic medical diagnostic and monitoring equipment. FDA Track 3, Compliance with Output Display Standard NEMA UD 3-2004 when connected to a GE Ultrasound system |

Comparison of Technological Characteristics with the Predicate Device [807.92(a)(6)]

5

Comparison of Technological Characteristics with the Predicate Device [807.92(a)(6)]

6

Comparison of Technological Characteristics with the Predicate Device [807.92(a)(6)]

7

510(k) Summary for K230511 MAUI Imaging, K3900 Ultrasound Imaging System

Performance Data [807.92(b)]

All necessary testing was conducted on K3900 Ultrasound Imaging System to support a determination of substantial equivalence to the predicate device.

Nonclinical Testing Summarv [807.92(b)(1)]

MAUI Imaging has conducted bench performance testing of the K3900 subject device to verify and validate that the device requirements and specifications and to demonstrate that any differences between the subject and predicate device do not raise different questions of safety or effectiveness. Additional testing to support the substantial equivalence between the subject and predicate device includes:

  • Evaluation of biocompatibility per ISO 10993-1, ●
  • Electrical safety testing per IEC 60601-1, ●
  • Electromagnetic compatibility per IEC 60601-1-2, ●
  • . Performance of the ultrasound safety, controls, and display in accordance with IEC60601-2-37:2015 and IEC 62359: 2017 to demonstrate that the device is within safety limits as well as requirements for a Track 3 ultrasound imaging device per FDA Guidance, "Marketing Clearance of Diagnostic Ultrasound Systems and Transducers", dated February 2023, and
  • . Human factors usability testing

Clinical Testing Summary [807.92(b)(2)]

Clinical performance testing was conducted to validate that a healthcare professional would get equivalent imaging from the K3900 subject device as compared to the GE LOGIO E9 predicate device. MAUI collected comparative ultrasound imaging data under an IRB approved study protocol at a radiology clinic where volunteers were recruited. After obtaining informed consent, a radiologist captured ultrasound images from both devices. Side-by-side comparisons of the still images of numerous anatomical structures showed that the imaging from the subject device was substantially equivalent to the predicate.

Conclusions [807.92(b)(3)]

The K3900 has the same intended use, indications for use and similar technological characteristics as the predicate. The minor differences in technological characteristics have been analyzed and addressed through software verification and validation testing. The testing results demonstrate that differences between the subject and predicate device do not raise different questions of safety or effectiveness. Therefore, the K3900 is substantially equivalent to the predicate device