K Number
K241161
Device Name
Ultrasound Imaging System (LK128L); Ultrasound Imaging System (LK128LH); Ultrasound Imaging System (LK128C); Ultrasound Imaging System (LK128M); Ultrasound Imaging System (LK128PA); Ultrasound Imaging System (LK128E); Ultrasound Imaging System (LU700C); Ultrasound Imaging System (LU700L); Ultrasound Imaging System (LU710L); Ultrasound Imaging System (LU710LH); Ultrasound Imaging System (LU710C); Ultrasound Imaging System (LU710M); Ultrasound Imaging System (LU710PA); Ultrasound Imaging
Manufacturer
Date Cleared
2024-09-11

(138 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Ultrasound Imaging System (Model: 128 Series) and (Model: LU700 Series) is a software-based imaging system and accessories intended for use by qualified physicians and healthcare professionals who has the ability to conduct ultrasound scan process for evaluation by ultrasound imaging system or fluid flow analysis of the human body. The modes of operation include B mode, M mode, PWD mode, Color Doppler (CD) mode, Power Doppler mode, and the combined mode (B+M, B+CD, B+PWD) Specific clinical applications and exam types including: LK128C Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Urology, Musculoskeletal (conventional), OB/Gyn, Cardiac (adult), Cardiac (pediatric).Peripheral vessel .interventional quidance (free hand needle/ catheter).FAST/ EFAST,Nerve LK128L Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic.Musculoskeletal (conventional).Musculoskeletal (superficial).Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128LH Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128M Fetal General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic,Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel interventional guidance (free hand needle/ catheter) LK128PA Fetal, General abdominal imaging, Pediatric, Cardiac (adult), Cardiac (pediatric), Pulmonary, FAST/ EFAST,Nerve LK128E Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Trans-rectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter) LU700L General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial).Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve LU710L Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LU710LH Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel . Other (Carotid),Pulmonary.interventional quidance (free hand needle/ catheter),Nerve LU700C General abdominal imaging, Musculoskeletal (conventional), Musculoskeletal (superficial), OB/ Gyn, Peripheral vessel .interventional guidance (free hand needlel catheter),FAST/EFAST,Nerve LU710C Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast).Urology.Musculoskeletal (conventional).OB/Gyn.Cardiac (adult).Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/ EFAST,Nerve LU710M Fetal General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic.Urology.Musculoskeletal (conventional).OB/Gvn.Cardiac (adult).Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter) LU710PA Fetal,General abdominal imaging,Pediatric,Cardiac (adult),Cardiac (pediatric),Pulmonary,FAST/ EFAST.Nerve LU710E Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Trans-rectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter)
Device Description
The Ultrasound Imaging System is a portable, software controlled, handheld ultrasound system used to acquire and display hi-resolution, real-time ultrasound data through a commercial off-the-shelf (COTS) mobile device.. - I. The imaging system software runs as an app on a mobile device. - II. The imaging system software can be download to a commercial off-the-the-shelf (COTS) mobile device and utilizes an icon touch-based user interface. - III. The imaging system consists of a series of wireless transducers employing Wi-Fi-based technology to communicate with traditional tablet/smartphone devices via direct Wi-Fi. This allows the user to export ultrasound images and display them across a range portable personal device. - IV. The imaging system houses a built-in battery, multichannel beamformer, prescan converter and Wi-Fi components
More Information

No
The summary does not mention any AI or ML capabilities, and the device description focuses on standard ultrasound technology and software.

No
The device is described as an "Ultrasound Imaging System" intended for "imaging" and "fluid flow analysis," indicating its purpose is diagnostic, not therapeutic.

Yes

The device is described as an "Ultrasound Imaging System" intended for use by "qualified physicians and healthcare professionals" for "ultrasound scan process for evaluation by ultrasound imaging system or fluid flow analysis of the human body." It explicitly lists various "Specific clinical applications and exam types" across multiple anatomical sites (e.g., Fetal, General abdominal imaging, Cardiac, etc.). These applications involve acquiring and displaying "hi-resolution, real-time ultrasound data" for medical assessment, which is the definition of a diagnostic device.

No

The device description explicitly states that the system consists of "a series of wireless transducers" and "houses a built-in battery, multichannel beamformer, prescan converter and Wi-Fi components," which are hardware components. While it utilizes software on a mobile device, it is not solely 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 Function: The description clearly states that this is an Ultrasound Imaging System. Ultrasound is a non-invasive imaging technique that uses sound waves to create images of internal body structures. It does not involve testing samples taken from the body.
  • Intended Use: The intended use describes the system being used for "evaluation by ultrasound imaging system or fluid flow analysis of the human body" and lists various anatomical sites for imaging. This aligns with the function of an ultrasound device, not an IVD.

Therefore, the Ultrasound Imaging System (Model: 128 Series) and (Model: LU700 Series) is a medical imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Ultrasound Imaging System (Model: 128 Series) and (Model: LU700 Series) is a software-based imaging system and accessories intended for use by qualified physicians and healthcare professionals who has the ability to conduct ultrasound scan process for evaluation by ultrasound imaging system or fluid flow analysis of the human body. The modes of operation include B mode, M mode, PWD mode, Color Doppler (CD) mode, Power Doppler mode, and the combined mode (B+M, B+CD, B+PWD) Specific clinical applications and exam types including: LK128C Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Urology, Musculoskeletal (conventional), OB/Gyn, Cardiac (adult), Cardiac (pediatric).Peripheral vessel .interventional quidance (free hand needle/ catheter).FAST/ EFAST,Nerve LK128L Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic.Musculoskeletal (conventional).Musculoskeletal (superficial).Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128LH Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128M Fetal General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic,Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel interventional guidance (free hand needle/ catheter) LK128PA Fetal, General abdominal imaging, Pediatric, Cardiac (adult), Cardiac (pediatric), Pulmonary, FAST/ EFAST,Nerve LK128E Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Trans-rectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter) LU700L General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve LU710L Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LU710LH Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel . Other (Carotid),Pulmonary.interventional quidance (free hand needle/ catheter),Nerve LU700C General abdominal imaging, Musculoskeletal (conventional), Musculoskeletal (superficial), OB/ Gyn, Peripheral vessel .interventional guidance (free hand needlel catheter),FAST/EFAST,Nerve LU710C Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast).Urology.Musculoskeletal (conventional).OB/Gyn.Cardiac (adult).Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/ EFAST,Nerve LU710M Fetal General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic.Urology.Musculoskeletal (conventional).OB/Gvn.Cardiac (adult).Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter) LU710PA Fetal,General abdominal imaging,Pediatric,Cardiac (adult),Cardiac (pediatric),Pulmonary,FAST/ EFAST.Nerve LU710E Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Transrectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter) The device is intended for use in environments where healthcare is provided by trained healthcare professionals, but not intended for use in emergency medical service, ambulance, or aircraft.

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

IYN, IYO, ITX

Device Description

The Ultrasound Imaging System is a portable, software controlled, handheld ultrasound system used to acquire and display hi-resolution, real-time ultrasound data through a commercial off-the-shelf (COTS) mobile device.

  • I. The imaging system software runs as an app on a mobile device.
  • II. The imaging system software can be download to a commercial off-the-shelf (COTS) mobile device and utilizes an icon touch-based user interface.
  • III. The imaging system consists of a series of wireless transducers employing Wi-Fi-based technology to communicate with traditional tablet/smartphone devices via direct Wi-Fi. This allows the user to export ultrasound images and display them across a range portable personal device.
  • IV. The imaging system houses a built-in battery, multichannel beamformer, prescan converter and Wi-Fi components

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Urology, Musculoskeletal (conventional), OB/Gyn, Cardiac (adult), Cardiac (pediatric), Peripheral vessel, Other (Carotid), Pulmonary, Neonatal cephalic, Trans-rectal, Trans-vaginal, Ophthalmic.

Indicated Patient Age Range

Adult, Pediatric, Neonatal (cephalic)

Intended User / Care Setting

Qualified physicians and healthcare professionals. Intended for use in environments where healthcare is provided by trained healthcare professionals, but not intended for use in emergency medical service, ambulance, or aircraft.

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)

Pre-clinical test outcomes provide evidence that both the LU700 series and 128 series models meet FDA requirements for Track 3 devices, exhibit biosafety equivalence, and conform to applicable electromedical device safety standards. The specified differences have no pragmatic detriments. All safety and performance tests of the device meet essential requirements.

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.

K222365

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.

K231509

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

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September 11, 2024

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 a seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" surrounding a graphic. To the right of the seal, there is a blue square with the letters "FDA" in white. Next to the blue square, the text "U.S. FOOD & DRUG ADMINISTRATION" is written in blue.

Leltek Inc. Paul Chang Manager 6F .- 3, No.293, Sec 1, Beixin Rd., Xindian Dist., New Taipei City, 23147 TAIWAN

Re: K241161

Trade/Device Name: Ultrasound Imaging System (LK128L); Ultrasound Imaging System (LK128LH); Ultrasound Imaging System (LK128C); Ultrasound Imaging System (LK128M); Ultrasound Imaging System (LK128PA); Ultrasound Imaging System (LK128E); Ultrasound Imaging System (LU700C); Ultrasound Imaging System (LU700L); Ultrasound Imaging System (LU710L); Ultrasound Imaging System (LU710LH); Ultrasound Imaging System (LU710C); Ultrasound Imaging System (LU710M); Ultrasound Imaging System (LU710PA); Ultrasound Imaging System (LU710E) Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic Pulsed Doppler Imaging System Regulatory Class: Class II Product Code: IYN, IYO, ITX Dated: August 12, 2024 Received: August 12, 2024

Dear Paul Chang:

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

1

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).

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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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.

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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,

Yanna S. Kang -S

Yanna Kang, Ph.D. 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

Enclosure

3

Indications for Use

Submission Number (if known)

K241161
Device Name
Ultrasound Imaging System (LK128L);
Ultrasound Imaging System (LK128LH)
Ultrasound Imaging System (LK128C);
Ultrasound Imaging System (LK128M);
Ultrasound Imaging System (LK128PA);
Ultrasound Imaging System (LK128E);
Ultrasound Imaging System (LU700C);
Ultrasound Imaging System (LU700L);
Ultrasound Imaging System (LU710L);
Ultrasound Imaging System (LU710LH);
Ultrasound Imaging System (LU710C);
Ultrasound Imaging System (LU710M);
Ultrasound Imaging System (LU710PA);
Ultrasound Imaging System (LU710E)
Indications for Use (Describe)

The Ultrasound Imaging System (Model: 128 Series) and (Model: LU700 Series) is a software-based imaging system and accessories intended for use by qualified physicians and healthcare professionals who has the ability to conduct ultrasound scan process for evaluation by ultrasound imaging system or fluid flow analysis of the human body. The modes of operation include B mode, M mode, PWD mode, Color Doppler (CD) mode, Power Doppler mode, and the combined mode (B+M, B+CD, B+PWD) Specific clinical applications and exam types including: LK128C Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Urology, Musculoskeletal (conventional), OB/Gyn, Cardiac (adult), Cardiac (pediatric).Peripheral vessel .interventional quidance (free hand needle/ catheter).FAST/ EFAST,Nerve LK128L Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic.Musculoskeletal (conventional).Musculoskeletal (superficial).Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128LH Ophthalmic General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LK128M Fetal General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic,Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel interventional guidance (free hand needle/ catheter) LK128PA Fetal, General abdominal imaging, Pediatric, Cardiac (adult), Cardiac (pediatric), Pulmonary, FAST/ EFAST,Nerve LK128E Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Trans-

rectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter) LU700L

4

General abdominal imaging Pediatric, Small organ (thyroid, prostate, scrotum, breast).Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve LU710L Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral

vessel , Other (Carotid), Pulmonary, interventional guidance (free hand needle/ catheter), Nerve LU710LH

Ophthalmic, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel . Other (Carotid),Pulmonary.interventional quidance (free hand needle/ catheter),Nerve LU700C

General abdominal imaging, Musculoskeletal (conventional), Musculoskeletal (superficial), OB/ Gyn, Peripheral vessel .interventional guidance (free hand needlel catheter),FAST/EFAST,Nerve LU710C

Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum,

breast).Urology.Musculoskeletal (conventional).OB/Gyn.Cardiac (adult).Cardiac

(pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/ EFAST,Nerve

LU710M

Fetal General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Neonatal cephalic.Urology.Musculoskeletal (conventional).OB/Gvn.Cardiac (adult).Cardiac

(pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter) LU710PA

Fetal,General abdominal imaging,Pediatric,Cardiac (adult),Cardiac (pediatric),Pulmonary,FAST/ EFAST.Nerve

LU710E

Fetal, General abdominal imaging, Pediatric, Small organ (thyroid, prostate, scrotum, breast), Transrectal, Trans-vaginal, Urology, OB/Gyn, interventional guidance (free hand needle/ catheter)

The device is intended for use in environments where healthcare is provided by trained healthcare professionals, but not intended for use in emergency medical service, ambulance, or aircraft.

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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510(k) Summary K241161

1. Submitter's Information

Manufacturer: Leltek Inc. Address: 6F.-3, NO.293, SEC 1, BEIXIN RD., XINDIAN DIST., NEW TAIPEI CITY 23147, TAIWAN (R.O.C.) Tel: (886)2-2913-7577 #205 Fax: 886-2-2913-7599 Website: info@Leltek.com Contact: Paul Chang/Manager E-mail: Paul.Chang@leltek.com Name of Device: Ultrasound Imaging System (LK128L); Ultrasound Imaging System (LK128LH) Ultrasound Imaging System (LK128C); Ultrasound Imaging System (LK128M); Ultrasound Imaging System (LK128PA); Ultrasound Imaging System (LK128E); Ultrasound Imaging System (LU700C); Ultrasound Imaging System (LU700L); Ultrasound Imaging System (LU710L); Ultrasound Imaging System (LU710LH); Ultrasound Imaging System (LU710C); Ultrasound Imaging System (LU710M); Ultrasound Imaging System (LU710PA); Ultrasound Imaging System (LU710E)

2. Class Information

Date:2024/09/10
Device Name:Ultrasound Imaging System
Proprietary Name:LU700 Series, 128 Series
Common Name:Diagnostic Ultrasound System and Accessories
Classification:Class II
Classification Name:
21 CRF SectionClassification NameProduct Code
892.1550Ultrasonic Pulsed Doppler Imaging System90 $ Ι $ YN
892.1560Ultrasonic Pulsed Echo Imaging System90 IYO
892.1570Diagnostic Ultrasound Transducer90 ITX

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3. Substantially Equivalent Devices

| Primary Predicate Device
Device Name
"Leltek" Ultrasound Imaging System | 510(k) Number
K222365 |
|-------------------------------------------------------------------------------|--------------------------|
| Reference Device
Device Name
Aco Apache Ultrasound System | 510(k) Number
K231509 |

4. Reason for Submission

  • Add new specific clinical applications: FAST/EFAST, Nerve ●
  • Add new transducer: LK128C, LK128L, LK128LH, LK128M, LK128PA, LK128E. ●

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5. Indications for Use

The Ultrasound Imaging System is a software-based imaging system and accessories intended for use by qualified physicians and healthcare professionals who has the ability to conduct ultrasound scan process for evaluation by ultrasound imaging system or fluid flow analysis of the human body. The modes of operation include B mode, M mode, PWD mode, Color Doppler (CD) mode, Power Doppler mode, and the combined mode (B+M, B+CD, B+PWD). Specific clinical applications and exam types including:

LK128C

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/EFAST,Nerve

LK128L

Ophthalmic,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve

LK128LH

Ophthalmic,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve

LK128M

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter)

LK128PA

Fetal,General abdominal imaging,Pediatric,Cardiac (adult),Cardiac (pediatric), Pulmonary, FAST/EFAST, Nerve

LK128E

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Trans-rectal,Trans-vaginal,Urology,OB/Gyn,interventional guidance (free hand needle/ catheter)

LU700L

General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve LU710L

Ophthalmic,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal

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(superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve

LU710LH

Ophthalmic,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Musculoskeletal (conventional),Musculoskeletal (superficial),Peripheral vessel ,Other (Carotid),Pulmonary,interventional guidance (free hand needle/ catheter),Nerve

LU700C

General abdominal imaging,Musculoskeletal (conventional),Musculoskeletal (superficial),OB/Gyn,Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/EFAST,Nerve

LU710C

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter),FAST/EFAST,Nerve

LU710M

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Neonatal cephalic,Urology,Musculoskeletal (conventional),OB/Gyn,Cardiac (adult),Cardiac (pediatric),Peripheral vessel ,interventional guidance (free hand needle/ catheter)

LU710PA

Fetal,General abdominal imaging,Pediatric,Cardiac (adult),Cardiac (pediatric),Pulmonary,FAST/EFAST,Nerve

LU710E

Fetal,General abdominal imaging,Pediatric,Small organ (thyroid, prostate, scrotum, breast),Trans-rectal,Trans-vaginal,Urology,OB/Gyn,interventional guidance (free hand needle/ catheter)

The device is intended for use in environments where healthcare is provided by trained healthcare professionals, but not intended for use in emergency medical service, ambulance, or aircraft.

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6. Device description

The Ultrasound Imaging System is a portable, software controlled, handheld ultrasound system used to acquire and display hi-resolution, real-time ultrasound data through a commercial off-the-shelf (COTS) mobile device..

  • I. The imaging system software runs as an app on a mobile device.
  • II. The imaging system software can be download to a commercial off-the-shelf (COTS) mobile device and utilizes an icon touch-based user interface.
  • III. The imaging system consists of a series of wireless transducers employing Wi-Fi-based technology to communicate with traditional tablet/smartphone devices via direct Wi-Fi. This allows the user to export ultrasound images and display them across a range portable personal device.

Image /page/9/Picture/8 description: The image shows a diagram of a mobile device UI app communicating with a Leltek Ultrasound Imaging System via Wi-Fi. The mobile device is at the top of the image, and the ultrasound imaging system is at the bottom. The Wi-Fi communication is represented by a dashed line and a Wi-Fi symbol in the middle of the image. The text labels identify the different components of the diagram.

  • IV. The imaging system houses a built-in battery, multichannel beamformer, prescan converter and Wi-Fi components

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7. Determination of Substantial Equivalence

ItemApplication devicePrimary PredicateReference DeviceComparison
Device nameUltrasound Imaging System (Model: 128 series)Ultrasound Imaging System (Model: LU700 series)Aco Apache Ultrasound System
510(k) NumberCurrent SubmissionK222365K231509
Intended UseDiagnostic ultrasound imaging or fluid flow analysis of the human bodyDiagnostic ultrasound imaging or fluid flow analysis of the human bodyDiagnostic ultrasound imaging or fluid flow analysisSame
Indications for Use- Ophthalmic
  • Fetal
  • Abdominal
  • Pediatric
  • Small organ
  • Neonatal cephalic
  • Trans-rectal
  • Trans-vaginal
  • Musculoskeletal(conventional)
  • Musculoskeletal (superficial)
  • Urology
  • OB/Gyn
  • Cardiac adult
  • Cardiac pediatric
  • Peripheral vessel
  • Carotid
  • Pulmonary interventional guidance (includes free hand needle/ catheter)
  • FAST/EFAST,
  • Nerve, | - Ophthalmic
  • Fetal
  • Abdominal
  • Pediatric
  • Small organ
  • Neonatal cephalic
  • Trans-rectal
  • Trans-vaginal
  • Musculoskeletal(conventional)
  • Musculoskeletal (superficial)
  • Urology
  • OB/Gyn
  • Cardiac adult
  • Cardiac pediatric
  • Peripheral vessel
  • Carotid
  • Pulmonary interventional guidance (includes free hand needle/ catheter) | - Ocular
  • Fetal / Fetal Echo
  • Abdominal,
  • Pediatric,
  • Small Organ (including breast, scrotum, thyroid),
  • Musculo-skeletal (conventional
  • Musculo-skeletal (superficial)
  • Urology,
  • Obstetric/ Gynecological,
  • Cephalic (adult),
  • Peripheral Vessel,
  • Carotid,
  • Lung,
  • Needle Guidance
  • FAST/EFAST,
  • Nerve, | Different. 128 series adds more clinical applications. |
    | Mode of Operations | - B Mode (Ophthalmic and others) | - B Mode (Ophthalmic and others) | B Mode | Same. |
    | | - M mode | - M mode | M mode | |
    | | - Pulsed wave Doppler (PWD) | - Pulsed wave Doppler (PWD) | Pulsed wave Doppler (PWD) | |
    | USFDA_510(k) | | LELTEK_LU700 &128 Series | 050_510(k) Summary | |
    | Item | Application device | Primary Predicate | Reference Device | Comparison |
    | Device name | Ultrasound Imaging System (Model:
    128 series) | Ultrasound Imaging System (Model:
    LU700 series) | Aco Apache Ultrasound System | - |
    | | - Color flow Doppler(CF / CD) | - Color flow Doppler(CF / CD) | Color Doppler(CD) | |
    | | - Power Doppler(PD) | - Power Doppler(PD) | Power Doppler(PD) | |
    | | - Combined mode (B+M, B+CF,
    B+PWD) | Combined mode (B+M, B+CF, B+PWD) | Combined mode (B+M, B+CD, B+PWD) | |
    | Connect | Wireless communication via IEEE
    802.11 a/b/g/n | Wireless communication via IEEE
    802.11 a/b/g/n | Wireless communication via IEEE
    802.11g/n | Same |
    | Transducer
    Types | Linear (LK128L, LK128LH
    LU700L, LU710L, LU710LH)
    Convex array (LK128C,
    LU700C, LU710C)
    MicroConvex array (LK128M, LU710M
    Phased array (LK128PA, LU710PA)
    Endocavity array (LK128E, LU710E) | Linear (LU700L,LU710L,LU710LH)
    Convex array (LU700C,LU710C)
    MicroConvex array (LU710M)
    Phased array (LU710PA)
    Endocavity array (LU710E) | Linear array
    Convex array | More
    transducers
    are added to
    the 128
    series. |
    | Portability | Portable ultrasound system | Portable ultrasound system | Portable ultrasound system | Same |
    | Power Source | Rechargeable battery (Li-ion) | Rechargeable battery (Li-ion) | Rechargeable battery (Li-ion) | Same |
    | Display or
    OTC | iOS, Android mobile device or
    Windows | iOS, Android mobile device or Windows | iOS or Android mobile device | Same |
    | 510(k) Track | Track 3 | Track 3 | Track 3 | Same |
    | Compliance
    Standards | - AAMI/ANSI ES60601-1 (2012)
  • IEC 60601-1-2 (2014) | - AAMI/ANSI ES60601-1 (2012)
  • IEC 60601-1-2 (2014) | - ANSI/AAMI ES60601-1:2005/(R)2012
    and A1:2012
  • ANSI/AAMI IEC 60601-1-2:2014 | Same. |
    | USFDA_510(k) | LELTEK_LU700 &128 Series | | | 050_510(k) Summary |
    | Item | Application device | Primary Predicate | Reference Device | Comparison |
    | Device name | Ultrasound Imaging System (Model: 128 series) | Ultrasound Imaging System (Model: LU700 series) | Aco Apache Ultrasound System | - |
    | | - IEC 60601-1-6:2010+AMD1:2013+AMD2:2020
  • IEC60601-1-12 Edition 1.1 2020-07
  • IEC 60601-2-37 (2015)
  • AIUM/NEMA UD 2- 2004 R2009
  • AIUM/NEMA UD 3- 2004 R2009
  • IEC 62133-2:2017+ AMD1:2021 IEC 62366 (2014)
  • ISO 10993-1:2018
  • ISO 10993-5(2009)
  • ISO 10993-10:2021
  • ISO 10993-23(2021)
  • IEC 62304:2006+ AMD1:2015
  • ISO 15223-1 Fourth edition 2021-07
  • ISO 14971 (2019)
  • ISO 13485 (2016) | - IEC 60601-1-6 (2013)
  • IEC 60601-2-37 (2015)
  • AIUM/NEMA UD 2- 2004 R2009
  • AIUM/NEMA UD 3- 2004 R2009
  • IEC 62133 (2012)
  • IEC 62366 (2014)
  • ISO 10993-1:2018
  • ISO 10993-5(2009)
  • ISO 10993-10(2010)
  • IEC 62304 (2006)
  • ISO 15223-1 (2016)
  • ISO 14971 (2012)
  • ISO 13485 (2016) | - IEC 60601-1-6:2010+AMD1:2013+AMD2:2020
  • IEC 60601-2-37:2007+ AMD1:2015
  • AIUM/NEMA UD 2- 2004 R2009
  • ISO 10993-1:2018
  • ISO 62304
  • ISO 15223-1
  • ISO 14971 | As compared to the predicate, the 128 series comply with the safety and performance tests, which meets all the essential requirement for its intended use. |

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This device is a modification of an existing cleared device (K22365) using technologies that exist on the date of this submission. The Lettek Ultrasound Imaging System (Model: 128 series) meets for Track 3 devices, have biosafety equivalence, and conform to applicable electromedical devices safety standards. The differences specified above have no pragmatic detriments. All the device meet the essential requirements. Therefore, the system is substantially equivalent to the primary predicate device.

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8. Performance standards

The Ultrasound Imaging System has been designed, manufactured, tested, and certified to comply with the following internationally recognized standards:

Date of EntryRecognition NumberStandard Developing OrganizationStandard Designation Number/DateTitle of Standard
05/30/202219-46ANSI AAMIES60601-1:2005/(R)2012 &
A1:2012 C1:2009/(R)2012
& A2:2010/(R)2012 (Cons.
Text) [Incl. AMD2:2021]Medical electrical equipment - Part 1:
General requirements for basic safety and
essential performance (IEC 60601-1:2005
MOD) [Including Amendment 2 (2021)]
12/21/202019-36ANSI AAMI IEC60601-1-2:2014 [Including
AMD 1:2021]Medical electrical equipment - Part 1-2:
General requirements for basic safety and
essential performance - Collateral Standard:
Electromagnetic disturbances - Requirements
and tests [Including Amendment 1 (2021)]
12/21/20205-132IEC60601-1-6 Edition 3.2 2020-
07 CONSOLIDATED
VERSIONMedical electrical equipment - Part 1-6:
General requirements for basic safety and
essential performance - Collateral standard:
Usability
12/21/202019-38IEC60601-1-11 Edition 2.1
2020-07 CONSOLIDATED
VERSIONMedical electrical equipment - Part 1-11:
General requirements for basic safety and
essential performance - Collateral Standard:
Requirements for medical electrical
equipment and medical electrical systems
used in the home healthcare environment
06/27/201612-293IEC60601-2-37 Edition 2.1
2015Medical electrical equipment - Part 2-37:
Particular requirements for the basic safety
and essential performance of ultrasonic
medical diagnostic and monitoring
equipment
12/23/201919-33IEC62133-2 Edition1.0 2017-02Secondary cells and batteries containing
alkaline or other non-acid electrolytes -
Safety requirements for portable sealed
secondary cells and for batteries made from
them for use in portable applications - Part 2
Lithium systems
01/14/201913-79ANSI AAMI IEC62304:2006/A1:2016Medical device software - Software life cycle
processes [Including Amendment 1 (2016)]
07/06/20205-129ANSI AAMI IEC62366-1:2015+AMD1:2020
(Consolidated Text)Medical devices Part 1: Application of
usability engineering to medical devices
including Amendment 1
01/14/20192-258ISO10993-1 Fifth edition 2018-
08Biological evaluation of medical devices -
Part 1: Evaluation and testing within a risk
management process
12/23/20162-245ISO10993-5 Third edition
2009-06-01Biological evaluation of medical devices -
Part 5: Tests for in vitro cytotoxicity
12/19/20222-296ISO10993-10 Fourth edition
2021-11Biological evaluation of medical devices -
Part 10: Tests for skin sensitization
06/07/20212-291ISO10993-23 First edition
2021-01Biological evaluation of medical devices -
Part 23: Tests for irritation
12/20/20215-134ISO15223-1 Fourth edition
2021-07Medical devices - Symbols to be used with
information to be supplied by the
manufacturer - Part 1: General requirements
12/23/20195-125ISO14971 Third Edition 2019-
12Medical devices - Application of risk
management to medical devices

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9. General Safety and Effectiveness

This device is the addition of new transducer models to the Leltek Ultrasound Imaging System, using technologies existing on the market as of the date of this submission. The Leltek Ultrasound Imaging System (Model: 128 Series) and (Model: LU700 Series) meets FDA requirements for Track 3 devices, have biosafety equivalence, and conform to applicable electromedical devices safety standards.

The new models which are tested and determined to be in full compliance with acoustic output, biocompatibility, cleaning, and disinfection effectiveness, and have no pragmatic detriments. No additional clinical testing is required. The maximum acoustic output level is under the FDA recommended limit, and the power level is displayed all the time. All the safety and performance tests of the device meet the essential requirements. Therefore, the system is substantially equivalent to the primary predicate device.

10. Conclusion

With increased clinical experience and imaging, additional clinical applications such as FAST/EFAST and Nerve diagnosis have been identified by clinics, which can be added to the existing legally marketed LU700 series device (K222365). Furthermore, the Leltek Ultrasound Imaging System (Model: 128 series) utilizes the same software and hardware architecture and transducer specifications as the LU700 series but replaces the cover material with plastic and features a smaller PCBA with same block diagram.

Pre-clinical test outcomes provide evidence that both the LU700 series and 128 series models meet FDA requirements for Track 3 devices, exhibit biosafety equivalence, and conform to applicable electromedical device safety standards. The specified differences have no pragmatic detriments. All safety and performance tests of the device meet essential requirements. Therefore, the system is considered substantially equivalent to the primary predicate device