(246 days)
Using the 2.3 MHz probe: Early detection of fetal life, detection of multiple pregnancies, fetal screening from early gestation through delivery, general indication of fetal well being. Using the 5.1 Mhz probe: Detection of blood flow in the peripheral vascular system of the body
The Cadence system utilizes the well understood principle of Doppler shift of an ultrasound signal to detect the flow of blood within the body. The system consists of a base unit that contains the speaker, the volume and on/off controls. The base unit is connected to a 2.3 MHz CW transducer, or to a 5.1 MHz CW transducer via a coil cord. The Cadence operates from a single 9 volt battery.
This document describes the Medasonics Cadence Doppler Ultrasound System (K991441), a device cleared in 1999. The submission does not contain a study that establishes acceptance criteria through performance data; instead, it relies on substantial equivalence to legally marketed predicate devices. Therefore, many of the requested details about acceptance criteria and study design are not present in this 510(k) summary.
Here's a breakdown of the information that can be extracted from the document:
1. Table of Acceptance Criteria and Reported Device Performance
This document does not provide a table with specific acceptance criteria (e.g., sensitivity, specificity, accuracy) or quantitative performance metrics for the Cadence Doppler Ultrasound System. The device's safety and effectiveness are established through substantial equivalence to predicate devices, rather than through a performance study against predefined criteria.
2. Sample Size Used for the Test Set and Data Provenance
No test set or performance study data is included in this 510(k) summary. The submission is based on a claim of substantial equivalence.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Experts
Not applicable, as no dedicated test set requiring expert-established ground truth is described in this submission.
4. Adjudication Method for the Test Set
Not applicable, as no test set requiring adjudication is described.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No MRMC comparative effectiveness study is mentioned or provided in this 510(k) summary. The submission does not include any information about human reader performance with or without AI assistance, as the device is a Doppler Ultrasound System, not an AI-assisted diagnostic tool.
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
Not applicable, as the device is a standalone hardware Doppler Ultrasound System, not an algorithm, and its performance is not evaluated in an "algorithm only" context.
7. Type of Ground Truth Used
Not applicable, as no performance study with a formally established ground truth is presented in this 510(k) summary.
8. Sample Size for the Training Set
Not applicable, as this device submission does not relate to machine learning or AI models that would require a training set.
9. How the Ground Truth for the Training Set Was Established
Not applicable, as this device submission does not involve machine learning or AI models.
Summary of Device and Regulatory Approach (from the provided text):
The Medasonics Cadence Doppler Ultrasound System is a Class II device (per 21 CFR 884.2660) intended for:
- 2.3 MHz probe: Early detection of fetal life, detection of multiple pregnancies, fetal screening from early gestation through delivery, general indication of fetal well-being.
- 5.1 MHz probe: Detection of blood flow in the peripheral vascular system of the body.
The device's substantial equivalence was established against:
- Medasonics Incorporated Models FP3B and BF4B (Pre-amendment devices)
- Huntleigh Technologies Dopplex II Pocket Doppler (K930200, cleared 6/24/94)
The FDA reviewed the 510(k) notification and determined the device to be substantially equivalent to the legally marketed predicate devices. The clearance was conditional upon the submission of a post-clearance special report containing complete information, including acoustic output measurements based on production line devices, as requested in Appendix G of the Center's September 30, 1997 "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers." This condition is a manufacturing and safety verification, not a performance study to establish acceptance criteria for a diagnostic outcome.
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DEC 2 8 1999
SAFETY AND EFFECTIVENESS SUMMARY Medasonics Incorporated Cadence Doppler Ultrasound System
Name and address of Device Manufacturer submitting 510(k) Notification:
Medasonics Incorporated 38875 Cherry Street Newark, California 94560
Regulatory Correspondent of Device Manufacturer:
Don Killam Medasonics Incorporated 38875 Cherry Street Newark, California 94560 Phone:510-494-1097
Date Summary was prepared: April 23,1999 Name of the device: Cadence Doppler Ultrasound System Classification: Class II per 21CFR Monitor, Fetal Doppler Ultrasound 884.2660 Monitor, Blood Flow Class II per 21CFR 884.2660 Indications for Use: Using the 2.3 MHz probe: Early detection of fetal life, detection of multiple pregnancies, fetal screening from early gestation through delivery, general indication of fetal well being. Using the 5.1 Mhz probe: Detection of blood flow in the peripheral vascular system of the body
Description of the device:
The Cadence system utilizes the well understood principle of Doppler shift of an ultrasound signal to detect the flow of blood within the body. The system consists of a base unit that contains the speaker, the volume and on/off controls. The base unit is connected to a 2.3 MHz CW transducer, or to a 5.1 MHz CW transducer via a coil cord. The Cadence operates from a single 9 volt battery.
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Substantial Equivalence:
The Medasonics Cadence Doppler Ultrasound System is substantially equivalent to the following legally marketed devices:
Medasonics Incorporated 38875 Cherry Street Newark, California Models FP3B and BF4B, Preamendment devices
Huntleigh Technologies Manalapan, New Jersey Dopplex II Pocket Doppler K930200, Cleared 6/24/94
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Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle or bird-like symbol with three overlapping lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird symbol. The logo is presented in black and white.
DEC 2 8 1999
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Medasonics, Inc. C/o William E. McKay President RCMDI 9712 S. Altamont Drive Sandy, Utah 84092
Re: K991441 Cadence Doppler Ultrasound System Dated: December 6, 1999 Received: December 7, 1999 Regulatory Class: II 21 CFR 8842660/Procode: 85 KNG
Dear Mr. McKay:
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 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.
This determination of substantial equivalence applies to the following transducers intended for use with the Cadence Doppler Ultrasound System, as described in your premarket notification:
Transducer Model Number
P338 (2 MHz Fetal) P339 (5 MHz Vascular)
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) it may be subject to such additional controls. Existing major regulations affecting your device can be 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 Requlation (QS) for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic QS inspections, the FDA will verify such Failure to comply with the GMP requlation may result in assumptions. requlatory 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.
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Page - 2 - William McKay
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., 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 requlation entitled, "Misbranding by reference to premarket notification" (21 CFR Other general information on your responsibilities under the Act may 807.97). 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 regarding the content of this letter, please contact Rod Perez at (301) 594-1212.
Sincerely yours,
CAPT. Daniel Schultz, M.D.
CAPT Daniel Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Diagnostic Ultrasound Indications for Use Form
| Mode of Operation | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Clinical Application | A | B | M | PWD | CWD | ColorDoppler | AmplitudeDoppler | ColorVelocityImaging | Combined(specify) | Other(specify) |
| Ophthalmic | ||||||||||
| Fetal | N | |||||||||
| Abdominal | ||||||||||
| Intraoperative (specify) | ||||||||||
| Intraoperative | ||||||||||
| Neurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ (specify) | - | - | + | |||||||
| Neonatal Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | ||||||||||
| Transesophageal | ||||||||||
| Transrectal | ||||||||||
| Transvaginal | ||||||||||
| Transurethral | ||||||||||
| Intravascular | ||||||||||
| Peripheral Vascular | N | |||||||||
| Laparoscopic | ||||||||||
| Musculo-skeletal Conventional | ||||||||||
| Musculo-skeletal Superficial | ||||||||||
| Other (specify) |
Stagnoons United Thirdledite 1334 or System with Vascular Probe - Model T335
The system consists of a 5.1 MHz unfocused CW transducer for peripheral Additional Comments: vascular applications, and a 2.3 MHz unfocused CW transducer for fetal heart rate detection. Only one transducer can be used with the speaker unit at a time
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (per 21 CFR 801.109)
(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices
510(k) Number K991441
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Diagnostic Ultrasound Indications for Use Form 2 MHz Fetal Probe - Model P338 (probe only)
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Mode of Operation | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Clinical Application | A | B | M | PWD | CWD | ColorDoppler | AmplitudeDoppler | ColorVelocityImaging | Combined(specify) | Other(specify) |
| Ophthalmic | ||||||||||
| Fetal | N | |||||||||
| Abdominal | ||||||||||
| Intraoperative (specify) | ||||||||||
| Intraoperative | ||||||||||
| Neurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ (specify) | ||||||||||
| Neonatal Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | ||||||||||
| Transesophageal | ||||||||||
| Transrectal | ||||||||||
| Transvaginal | ||||||||||
| Transurethral | ||||||||||
| Intravascular | ||||||||||
| Peripheral Vascular | ||||||||||
| Laparoscopic | ||||||||||
| Musculo-skeletalConventional | ||||||||||
| Musculo-skeletalSuperficial | ||||||||||
| Other (specify) |
N= new indication; P= previously cleared by FDA; E= added under Appendix E
The above is a 2.3 MHz unfocused CW transducer for fetal heart Additional Comments: rate detection
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (per 21 CFR 801.109)
Division Site Off
(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices
510(k) Number _
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Diagnostic Ultrasound Indications for Use Form 5 MHz Vascular Probe - Model P339 (probe only) Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Mode of Operation | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Clinical Application | A | B | M | PWD | CWD | ColorDoppler | AmplitudeDoppler | ColorVelocityImaging | Combined(specify) | Other(specify) |
| Ophthalmic | ||||||||||
| Fetal | ||||||||||
| Abdominal | ||||||||||
| Intraoperative (specify) | ||||||||||
| Intraoperative | ||||||||||
| Neurological | ||||||||||
| Pediatric | ||||||||||
| Small Organ (specify) | ||||||||||
| Neonatal Cephalic | ||||||||||
| Adult Cephalic | ||||||||||
| Cardiac | ||||||||||
| Transesophageal | ||||||||||
| Transrectal | ||||||||||
| Transvaginal | ||||||||||
| Transurethral | ||||||||||
| Intravascular | ||||||||||
| Peripheral Vascular | N | |||||||||
| Laparoscopic | ||||||||||
| Musculo-skeletalConventional | ||||||||||
| Musculo-skeletalSuperficial | ||||||||||
| Other (specify) |
N= new indication; P= previously cleared by FDA; E= added under Appendix E
Additional Comments: The above is a 5.1 MHz unfocused CW transducer for peripheral vascular applications
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (per 21 CFR 801.109)
(Division Sign-Off)
Division
Division of Reproductive, Abdominal, ENT, and Radiological Device
510(k) Number K991441
§ 884.2660 Fetal ultrasonic monitor and accessories.
(a)
Identification. A fetal ultrasonic monitor is a device designed to transmit and receive ultrasonic energy into and from the pregnant woman, usually by means of continuous wave (doppler) echoscopy. The device is used to represent some physiological condition or characteristic in a measured value over a period of time (e.g., perinatal monitoring during labor) or in an immediately perceptible form (e.g., use of the ultrasonic stethoscope). This generic type of device may include the following accessories: signal analysis and display equipment, electronic interfaces for other equipment, patient and equipment supports, and component parts. This generic type of device does not include devices used to image some relatively unchanging physiological structure or interpret a physiological condition, but does include devices which may be set to alarm automatically at a predetermined threshold value.(b)
Classification. Class II (performance standards).