K Number
K992208
Device Name
GE LOGIQ 200 MD DIAGNOSTIC ULTRASOUND SYSTEM
Date Cleared
1999-07-12

(12 days)

Product Code
Regulation Number
892.1560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The GE LOGIQ 200 MD is a general purpose imaging system intended for use in obstetrics, gynecology, urology and general radiology examinations by a qualified physician to aid in the diagnosis and evaluation of soft tissues by generating two dimensional images, time-motion images and biometric data. Specific Clinical applications included in the indications for use are: Fetal. Abdominal. Intraoperative (abdominal), Pediatric, Small organs (breast, male and female reproductive organs, limbs & extremities), Adult cephalic, Cardiac (adult & pediatric), Transvaginal, Transrectal and Urological.
Device Description
The GE LOGIQ 200 MD consists of a mobile console approximately 40 cm wide, 60 cm deep and 125 cm high, weighing approximately 75 kg. The user interface consists of a keyboard and monochrome video monitor. The system is designed for use in B, M and B/M scanning modes and supports linear, convex, micro convex and phased array probes.
More Information

Not Found

No
The document does not mention AI, ML, or any related concepts like deep learning, neural networks, or specific algorithms associated with AI/ML processing. The description focuses on standard ultrasound imaging modes and hardware.

No
The device is described as an imaging system intended for diagnosis and evaluation, not for treating any conditions.

Yes

The "Intended Use / Indications for Use" section states: "aid in the diagnosis and evaluation of soft tissues". This clearly indicates its role in diagnosis. Also, the predicate device (K960700) is named "GE LOGIQ a200 Diagnostic Ultrasound System", further confirming its diagnostic nature.

No

The device description clearly states it is a mobile console weighing 75 kg with a keyboard and monitor, indicating it is a hardware system, not software only.

Based on the provided information, the GE LOGIQ 200 MD is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states it's a "general purpose imaging system intended for use in obstetrics, gynecology, urology and general radiology examinations... to aid in the diagnosis and evaluation of soft tissues by generating two dimensional images, time-motion images and biometric data." This describes an in vivo imaging system, meaning it's used to examine the body directly.
  • 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. The GE LOGIQ 200 MD does not perform such tests.
  • Device Description: The description details a mobile console with a keyboard and monitor, supporting various ultrasound probes. This is consistent with an ultrasound imaging system, not an IVD device.
  • Input Imaging Modality: The input modality is Ultrasound, which is an imaging technique, not a method for analyzing biological samples.

Therefore, the GE LOGIQ 200 MD is a diagnostic imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The GE LOGIQ 200 MD is a general purpose imaging system intended for use in obstetrics, gynecology, urology and general radiology examinations by a qualified physician to aid in the diagnosis and evaluation of soft tissues by generating two dimensional images, time-motion images and biometric data. Specific Clinical applications included in the indications for use are: Fetal. Abdominal. Intraoperative (abdominal), Pediatric, Small organs (breast, male and female reproductive organs, limbs & extremities), Adult cephalic, Cardiac (adult & pediatric), Transvaginal, Transrectal and Urological.

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

90-IYO, 90-ITX

Device Description

The GE LOGIQ 200 MD consists of a mobile console approximately 40 cm wide, 60 cm deep and 125 cm high, weighing approximately 75 kg. The user interface consists of a keyboard and monochrome video monitor. The system is designed for use in B, M and B/M scanning modes and supports linear, convex, micro convex and phased array probes.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

2D ultrasound imaging or motion analysis

Anatomical Site

Fetal, Abdominal, Intraoperative (abdominal organs), Pediatric, Small organs (breast, male and female reproductive organs, limbs & extremities, neck, chest, testes, thyroid), Adult cephalic, Cardiac (adult & pediatric), Transvaginal, Transrectal, Urological.

Indicated Patient Age Range

Adult and Pediatric

Intended User / Care Setting

Qualified physician

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)

Non-clinical Tests: The device has been evaluated for acoustic output, biocompatibility, and thermal, electrical and mechanical safety, and has been found to conform with applicable medical device safety standards. The ultrasound generator modifications require re-verification of the acoustic output levels which will be provided in the 510(k) special report.
Clinical Tests: None required.

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.

K960700

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

K 992208

Section 2:

Summary of Safetv and Effectiveness

Prepared in accordance with 21 CFR Part 807.92(c).

Image /page/0/Picture/6 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'g' and 'e' intertwined within a circular border. The logo is black and white.

GE Medical Systems

General Electric Company P.O. Box 414, Milwaukee, WI 53201

Section a):

Submitter:GE Medical Systems PO Box 414 Milwaukee, WI 53201
Contact Person:Allen Schuh, Manager, Safety and Regulatory Engineering Telephone: 414-647-4385, Fax: 414-647-4090
Date Prepared:May 24, 1999
    1. Device Name: GE LOGIQ 200 MD Diagnostic Ultrasound System Ultrasonic Pulsed Echo Imaging System, 21 CFR 892.1560, 90-IYO
  1. Marketed Device: GE LOGIQ a200 Diagnostic Ultrasound System - K960700, 28 AUG 1996

  2. Device Description: The GE LOGIQ 200 MD consists of a mobile console approximately 40 cm wide, 60 cm deep and 125 cm high, weighing approximately 75 kg. The user interface consists of a keyboard and monochrome video monitor. The system is designed for use in B, M and B/M scanning modes and supports linear, convex, micro convex and phased array probes.

  3. Indications for Use: The GE LOGIQ 200 MD is a general purpose imaging system intended for use in obstetrics, gynecology, urology and general radiology examinations by a qualified physician to aid in the diagnosis and evaluation of soft tissues by generating two dimensional images, time-motion images and biometric data. Specific Clinical applications included in the indications for use are: Fetal. Abdominal. Intraoperative (abdominal), Pediatric, Small organs (breast, male and female reproductive organs, limbs & extremities), Adult cephalic, Cardiac (adult & pediatric), Transvaginal, Transrectal and Urological.

  4. Comparison with Predicate Device: The GE LOGIQ 200 MD Diagnostic Ultrasound System is of a comparable type and substantially equivalent to the currently marketed GE LOGIQ o200. It has similar technological characteristics, is comparable in key safety and effectiveness features, uses the same general design, construction, and materials, and has the same intended uses and operating modes as the predicate device.

Section b):

  1. Non-clinical Tests: The device has been evaluated for acoustic output, biocompatibility, and thermal, electrical and mechanical safety, and has been found to conform with applicable medical device safety standards. The ultrasound generator modifications require re-verification of the acoustic output levels which will be provided in the 510(k) special report.

  2. Clinical Tests: None required.

  3. Conclusion: Intended uses and other key features are consistent with traditional clinical practice, FDA guidelines, and established methods of patient examination. The design and development process of the manufacturer conforms with 21 CFR 820 Quality System Regulation and ISO 9001 & 13485 quality sytem standards. The product is designed to conform with applicable medical device safety standards and compliance is verified through independent evaluation with ongoing production surveillance. Diagnostic ultrasound has accumulated a long history of safe and effective performance. Therefore, it is the opinion of GE Medical Systems that the GE LOGIQ 200 MD is substantially equivalent with respect to safety and effectiveness to devices currently cleared for market.

1

Image /page/1/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is a stylized image of an eagle or bird-like figure, composed of three curved lines that suggest wings or feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1:2 1999

General Electric Medical Systems c/o Chantel Carson Engineering Services Underwriters Laboratories, Inc. 353 Pfingsten Road Northbrook, IL 60062-2096

K992208 Re: Trade Name: GE LOGIQ 200 MD Diagnostic Ultrasound System Regulatory Class: II Product Code: 90-IYO and 90-ITX Dated: June 22, 1999 Received: June 30, 1999

Dear Ms. Carson:

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 leqally 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 GE LOGIQ 200 MD Diagnostic Ultrasound System, as described in your premarket notification:

Transducer Model Numbers

CBF, CAE, MTZ, CZB, LH, LE, LL, LT, LB, CS, 9Lb, SY, ERB, and 3Cb

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 regulation may result in assumptions.

2

Page 2 - Ms. Chantel Carson

In addition, the Food and Drug Administration (FDA) may requlatory action. 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.

Please be advised that the determination above is based on the fact that no medical devices have been demonstrated to be safe and effective for in vitro fertilization or percutaneous umbilical blood sampling, nor have any devices been marketed for these uses in interstate commerce prior to May 28, 1976, or reclassified into class I (General Controls) or class II (Special Controls). FDA considers devices specifically intended for in vitro fertilization and percutaneous umbilical blood sampling to be investigational, and subject to the provision of the investigational device exemptions (IDE) regulations, 21 CFR, Part 812. Therefore, your product labeling must be consistent with FDA's position on this use.

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 premarket notification. The FDA finding of substantial equivalence of your 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".

3

If you have any questions regarding the content of this letter, please contact Robert Phillips, Ph.D. at (301) 594-1212.

Sincerely yours,

CAPT. Daniel G. Schultz, M.D.

CAPT Daniel G. Schultz, M.D. Acting Director Division of Reproductive, Abdominal, Ear, Nose, and Throat, and Radiology Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

4

Page 4 - Ms. Chantel Carson

cc: HFZ-401 HFZ-470 D.O.

draft: final:RAPhillips:7.9.99

.

.

۱

:

5

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD System

Intended Use: 2D ultrasound imaging or motion analysis as follows:

Clinical ApplicationMode of Operation
ABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)PPP
Intraoperative Neurological
Pediatric
Small Organ (specify)PPP
Neonatal CephalicPPP
Adult CephalicPPP
CardiacPPP
Transesophageal
TransrectalPPP
TransvaginalPPP
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)PPP

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Cardiac is Adult and Pediatric. Small Organ includes: breast, neck, chest, male and female reproductive organs, limbs, & extremities. Other includes urological. Intraoperative includes abdominal organs. Combined mode is B/M. Previous market clearance: K960700


(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 Devices

Prescription User (Per 21 CFR 801.109)
510(k) Number K992208

6

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with CBF Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

(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 Devices 510(k) Number_K992208 Prescription Usef (Per 21 CFR 801.109)

7

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with CAE Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specifyOther
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacPPP
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M. Cardiac includes adult and pediatric.

Previous market clearance: K960700

(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 Devices Prescription User (Per 21 CFR 801.109) 510(k) Number

8

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with MTZ Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specifyOther
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalPPP
TransvaginalPPP
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)PPP

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M. Other includes urological.

Previous market clearance: K960700

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division-Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices
510(k) Number K992208

9

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with CZB Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)PPP
Neonatal CephalicPPP
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

(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 Devices

Prescription User (Per 21 CFR 801.109)

510(k) Number K99 2208

1

10

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LH Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specifyOther
(specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)PPP
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Small Organ includes: breast, neck, chest, male and female reproductive organs, limbs, & extremities. Combined mode is B/M. Previous market clearance: K960700

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)) Concurrence of CDRH, Office of Device Evaluation (ODE)

$$\swarrow$$

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

1

510(k) Number_K 99 2 2 08

11

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LE Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

(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 Devices

510(k) Number_K 99 2208

Prescription User (Per 21 CFR 801.109)

1

12

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LI Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
AbdominalPPP
Intraoperative (specify)PPP
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700


Intraoperative includes abdominal organs.

(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 Devices

510(k) Number_1 492208

C Prescription User (Per 21 CFR 801.109)

13

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LT Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
AbdominalPPP
Intraoperative (specify)PPP
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

Intraoperative includes abdominal organs.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED); ' Concurrence of CDRH, Office of Device Evaluation (ODE)

ER PAGE IF NEEDED)

ation (ODE)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number . 492208

C Prescription User (Per 21 CFR 801.109)

A-9

14

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LB Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalPPP
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

2208 510(k) Number _

1

15

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with LD Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
AbdominalPPP
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Previous market clearance: K960700

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

uation (ODE)

Division Sign-Off)

Prescription User (Per 21 CFR 801.109)

C

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

16

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with CS Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Cardiac is Adult and Pediatric. Combined mode is B/M.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices
510(k) Number KG922 OF

17

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with 9Lb Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
Abdominal
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)NNN
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M. Small organ includes: breast, neck, chest, male and female reproductive organs, limbs, & extremities.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)

6 Prescription User (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number_ KGG 2208

18

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with SY Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
CardiacNNN
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M. Small organ includes breast, testes, thyroid. Cardiac includes adult and pediatric.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices
510(k) Number K99 2208

A-14

19

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with ERB Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
Fetal
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
TransrectalNNN
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)NNN

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

Other includes: Urological

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number_KG92208

20

Diagnostic Ultrasound Indications for Use Form

GE LOGIQ 200 MD with 3Cb Transducer

Intended Use: 2D ultrasound imaging or motion analysis:

Mode of Operation
Clinical ApplicationABMPWDCWDColor
DopplerAmplitude
DopplerColor
Velocity
ImagingCombined
(specify)Other
(specify)
Ophthalmic
FetalNNN
AbdominalNNN
Intraoperative (specify)
Intraoperative Neurological
Pediatric
Small Organ (specify)
Neonatal Cephalic
Adult Cephalic
Cardiac
Transesophageal
Transrectal
Transvaginal
Transuretheral
Intravascular
Peripheral Vascular
Laparoscopic
Musculo-skeletal Conventional
Musculo-skeletal Superficial
Other (specify)

N= new indication; P= previously cleared by FDA; E= added under Appendix E

Additional Comments: Combined mode is B/M.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription User (Per 21 CFR 801.109)

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices

1692208 510(k) Number_