K Number
K964001
Device Name
SWARTZ DOPPLER FLOW PROBE AND MONITOR SYSTEM
Date Cleared
1998-04-17

(557 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive microvascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for onetime use.
Device Description
The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive micro-vascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for one-time use. The device is supplied sterile and is intended for one-Reasonable assurance of biocompatibility of time use. the materials comprising the Swartz Doppler Flow Probe is provided by their established history of use in medical product manufacturing.
More Information

Not Found

Not Found

No
The summary describes a standard Doppler flow probe and monitor system without mentioning any AI or ML capabilities. The "Mentions AI, DNN, or ML" section is explicitly marked as "Not Found".

No
The device is described as a monitor and probe system for blood flow, which is a diagnostic/monitoring function, not a therapeutic one.

No
The description states the device is "intended for monitoring blood flow," which is a measurement or observational function, not a diagnostic one. It tracks a physiological parameter rather than identifying or determining the nature of a disease or condition.

No

The device description explicitly mentions a "Swartz Doppler Flow Probe and Monitor System" and states the probe is supplied sterile and intended for one-time use. This indicates the device includes physical hardware components (the probe and monitor system) in addition to any potential software.

Based on the provided information, the Swartz Doppler Flow Probe and Monitor System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to monitor blood flow in vessels following surgical procedures. This is a direct measurement of a physiological process within the body.
  • Device Description: The description reinforces the monitoring of blood flow in vessels.
  • Input Imaging Modality: Doppler Ultrasound is used to assess blood flow in vivo.
  • Anatomical Site: The anatomical site is "Vessels," which are structures within the body.

IVD devices are designed to examine specimens (like blood, urine, tissue) outside of the body to provide information about a person's health. The Swartz Doppler Flow Probe and Monitor System operates on the patient to directly measure blood flow.

N/A

Intended Use / Indications for Use

The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive microvascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for onetime use.

Product codes

90 ITX, 74 JOP

Device Description

The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive micro-vascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for one-time use. The device is supplied sterile and is intended for one-Reasonable assurance of biocompatibility of time use. the materials comprising the Swartz Doppler Flow Probe is provided by their established history of use in medical product manufacturing.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vessels

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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

K964001

Swartz Doppler Flow Probe and Monitor System (D.C. # K964001/S002) Response to Questions

APR 17 1998

510 (k) Premarket Notification Swartz Doppler Flow Probe and Monitor System

510 (K) SUMMARY I.

Submitted By:

Neal E. Fearnot President MED Institute, Incorporated P.O. Box 2402 West Lafayette, IN 47906 (317) 463-7537 October 3, 1996

Device: I

| Trade Name: | Swartz Doppler Flow
Probe and Monitor System |
|-------------------------------|---------------------------------------------------------------------|
| Common/Usual Name: | Blood Flow Sensor, Flow
Probe, Flow Monitor |
| Proposed Classification Name: | Extravascular blood flow
3probe, 21 CFR Part
870.2120 (74DPT) |

Predicate Devices:

The Swartz Doppler Flow Probe is similar to predicate extravascular blood flow probes with respect to intended use, material composition, and method of operation.

Device Description:

The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive micro-vascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for one-time use. The device is supplied sterile and is intended for one-Reasonable assurance of biocompatibility of time use. the materials comprising the Swartz Doppler Flow Probe is provided by their established history of use in medical product manufacturing.

Substantial Equivalence:

The device will be manufactured according to specified process controls and a Quality Assurance Program, undergoing packaging and sterilization procedures similar to devices currently marketed and distributed by Cook Pacemaker Corporation. This device is similar with respect to indications for use, materials and physical construction to predicate devices in terms of section 510 k) substantial equivalency.

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IV.3

1

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & H. AN SERVICES. USA" around the perimeter. In the center of the logo is a stylized image of three human profiles facing to the right.

APR 17 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Neal E. Fearnot, Ph.D., E.E. President Med Institute, Inc. P.O. Box 2402 47906 West Layfayette, IN Re: K964001 Swartz Doppler Flow Probe and Monitor System

Dated: February 18, 1998 Received: February 19, 1998 Requlatory class: II 21 CFR 892.1570/Procode: 90 ITX 21 CFR 870.2120/Procode: 74 JOP

Dear Dr. Fearnot:

We have reviewed your section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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. You may, therefore, market the device, subject to the general controls The general controls provisions of the Act include provisions Act (Act). requirements for registration, listing of devices, good manufacturing practices, labeling, and prohibitions aqainst misbranding and adulteration.

This determination of substantial equivalence applies to the following transducers intended for use with the Swartz Doppler Flow Probe and Monitor System, as described in your premarket notification:

Transducer Model Number

20.0 MHz Swartz Doppler Flow Probe

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) it may be subject to such Existing major regulations affecting your device can be additional controls. found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic QS inspections, the FDA will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, the Food and Drug Administration (FDA) may : publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification does not affect any

obligation you may have under sections 531 and 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This determination of substantial equivalence is granted on the condition that prior to shipping the first device, you submit a postclearance special report. This report should contain complete information, including acoustic output measurements based on production line devices, requested in Appendix G,
(enclosed) of the Center's September 30, 1997 "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers." If the special report is incomplete or contains unacceptable values (e.g.,

2

Page 2 - Neal E. Fearnot, Ph.D., E.E.

acoustic output greater than approved levels), then the 510(k) clearance may not apply to the production units which as a result may be considered adulterated or misbranded.

The special report should reference the manufacturer's 510(k) number. It should be clearly and prominently marked "ADD-TO-FILE" and should be submitted in duplicate to:

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850

This letter will allow you to begin marketing your device as described in your The FDA finding of substantial equivalence of your premarket notification. device to a legally marketed predicate device results in a classification for your device and thus permits your device to proceed to market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4591. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its tollfree number (800) 638-2041 or at (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

If you have any questions reqarding the content of this letter, please contact Rodrigo C. Perez at (301) 594-1212.

Sincerely yours,

Thomas J. Colloton

Lillian Yiry, Ph.D. Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

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510(k) Number (if known): _ K964001

Device Name:_ Swartz Doppler Flow Probe and Monitor System

Indications For Use:

The Swartz Doppler Flow Probe and Monitor System is intended for monitoring blood flow in vessels following reconstructive microvascular procedures, re-implantation, and free-flap transfers. The Swartz Doppler Flow Probe is supplied sterile and is intended for onetime use.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Device 510(k) Number

Prescription Use
(Per 21 CFR 801.109)