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510(k) Data Aggregation

    K Number
    K161439
    Device Name
    E-CUBE 11
    Date Cleared
    2016-09-21

    (120 days)

    Product Code
    Regulation Number
    892.1550
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; Fetal; Abdominal (renal & GYN/pelvic); Pediatric; Small Organ (breast, testes, thyroid); Adult Cephalic; Trans-rectal (TR); Trans-vaginal (TV); Musculo-skeletal (Conventional); Musculo-skeletal (Superculo-skeletal (Superficial); Cardiac Adult; Cardiac Pediatric; Peripheral Vascular (PV); and Urology (including prostate).

    Device Description

    E-CUBE 11 product is an ultrasound imaging system for medical diagnosis. This innovative system platform provides optimal patient diagnosis workflow with the wide flat panel display, ergonomic control panel with easy user interface, optimal image quality.

    AI/ML Overview

    The provided text describes the ALPINION MEDICAL SYSTEMS Co., Ltd. E-CUBE 11 ultrasound system, a Class II medical device, and its substantial equivalence to predicate devices, focusing on technical characteristics and safety standards rather than human performance studies or detailed acceptance criteria with reported device performance.

    Therefore, the following information cannot be fully extracted from the provided text:

    • A table of acceptance criteria and the reported device performance.
    • Sample size used for the test set and data provenance.
    • Number of experts used to establish ground truth for the test set and their qualifications.
    • Adjudication method for the test set.
    • Whether a multi-reader multi-case (MRMC) comparative effectiveness study was done, or the effect size of human reader improvement with AI.
    • Whether a standalone (algorithm only) performance study was done.
    • The type of ground truth used (expert consensus, pathology, outcomes data, etc.).
    • The sample size for the training set.
    • How the ground truth for the training set was established.

    The document states: "The subject of this premarket submission, E-CUBE 11, did not require clinical studies to support substantial equivalence." This indicates that no new clinical efficacy studies evaluating device performance against acceptance criteria were conducted or presented in this 510(k) submission. Instead, the submission relies on demonstrating substantial equivalence to previously cleared predicate devices by comparing technical specifications, imaging modes, and adherence to safety standards.

    However, I can provide the acceptance criteria in terms of the standards and features the device conforms to, as reported in the "Summary of Non-Clinical Tests" and "Determination of Substantial Equivalence" sections.

    1. Table of Acceptance Criteria (as per conformance to standards and features) and the Reported Device Performance (as stated in the summary of non-clinical tests and comparison to predicates):

    Acceptance Criteria (Conformance to Standards/Features)Reported Device Performance (Stated Conformance/Equivalence)
    Safety and Performance Standards
    IEC 60601-1 (General Electrical Safety)Conforms to IEC 60601-1, Medical Electrical Equipment – Part 1: General Requirements for Safety
    IEC 60601-1-2 (EMC Requirements)Conforms to IEC 60601-1-2, Medical Electrical Equipment – Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility Requirements and Tests
    IEC 60601-2-37 (Ultrasonic Medical Equipment Safety)Conforms to IEC 60601-2-37, Medical Electrical Equipment - Part 2-37: Particular Requirements for the Safety of Ultrasonic Medical Diagnostic and Monitoring Equipment
    ISO 10993-1 (Biocompatibility)Conforms to ISO10993-1, Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing; Transducer materials and other patient contact materials are biocompatible.
    ISO 14971 (Risk Management)Conforms to ISO14971, Application of risk management to medical devices
    AIUM Medical Ultrasound SafetyConforms to AIUM Medical Ultrasound Safety
    NEMA UD 2 (Acoustic Output Measurement)Conforms to NEMA UD 2, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment
    NEMA UD 3 (Real-Time Acoustic Output Display)Conforms to NEMA UD 3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic ultrasound Equipment
    Quality Management System Measures
    Medical Device Risk ManagementApplied
    Requirements ReviewsApplied
    Design ReviewsApplied
    Component VerificationApplied
    Integration Review (System Verification)Applied
    Performance Testing (System Verification)Applied
    Safety Testing (Compliance Test)Applied
    Design ValidationApplied
    Imaging Modes(All listed modes are present, aligning with various predicate devices)
    2D(B) modeSupported
    Harmonic mode (HAR)Supported
    M modeSupported
    Color M modeSupported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    Anatomical M modeSupported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    Color Flow Doppler (CF) ModeSupported
    Power Doppler (PD) ModeSupported
    Directional PD modeSupported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    Pulsed Wave Doppler (PWD) ModeSupported
    Continuous Wave Doppler (CWD) ModeSupported
    High PRF Doppler modeSupported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    Tissue Doppler Imaging (TDI) ModeSupported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    3D/4D modeSupported (similar to E-CUBE 15 & 7, new compared to E-CUBE i7)
    Imaging Functions (Advanced Features)(All listed functions are present, aligning with various predicate devices)
    Xpeed™Supported
    Full SRI™Supported
    Spatial Compounding Image (SCI)Supported
    Frequency Compounding image (FCI)Supported (similar to E-CUBE 15 & 7, new compared to E-CUBE i7)
    PanoramicSupported
    Stress EchoSupported (similar to E-CUBE 15, new compared to E-CUBE i7 & 7)
    Cube Strain™Supported (similar to E-CUBE 15, new compared to E-CUBE i7 & 7)
    Live HQ™Supported (similar to E-CUBE 15, new compared to E-CUBE i7 & 7)
    Needle Vision™ / Needle Vision™ PlusSupported (similar to E-CUBE 15 & i7, new compared to E-CUBE 7)
    ElastographySupported (similar to E-CUBE 15, new compared to E-CUBE i7 & 7)
    Cube view™Supported (similar to E-CUBE i7, new compared to E-CUBE 15 & 7)
    Intended Use / Clinical Applications(Indications for Use are listed as identical to predicate)
    FetalSupported
    Abdominal (renal & GYN/pelvic)Supported
    PediatricSupported
    Small Organ (breast, testes, thyroid)Supported
    Adult CephalicSupported
    Trans-rectal (TR)Supported
    Trans-vaginal (TV)Supported
    Musculo-skeletal (Conventional)Supported
    Musculo-skeletal (Superficial)Supported
    Cardiac AdultSupported
    Cardiac PediatricSupported
    Peripheral Vessel (PV)Supported
    Urology (including prostate)Supported

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    The document explicitly states: "The subject of this premarket submission, E-CUBE 11, did not require clinical studies to support substantial equivalence." Therefore, no specific test set sample size or data provenance from clinical studies is provided. The evaluation was based on non-clinical tests ensuring safety and performance compliance with standards and comparison to predicate devices' technical specifications.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
    Not applicable, as no clinical studies with expert-established ground truth were conducted for this submission.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable, as no clinical studies were conducted for this submission.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
    Not applicable. The device is a diagnostic ultrasound system, not an AI-assisted diagnostic tool, and no MRMC studies were conducted.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
    Not applicable, as the device is a diagnostic ultrasound system, not a standalone algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
    Not applicable, as no clinical studies with ground truth establishment were conducted for this submission.

    8. The sample size for the training set
    Not applicable, as the device is a diagnostic ultrasound system and no specific training set for an AI model is mentioned or relevant to this 510(k) submission.

    9. How the ground truth for the training set was established
    Not applicable, as no training set for an AI model is mentioned or relevant to this 510(k) submission.

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