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510(k) Data Aggregation

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    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Siemens Acuson X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging". The Acuson Acunav and Soundstar Ultrsound Catheter are intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology, as well as visualization of other devices in the heart of adult and pediatric patients.

    The SC2000 ultrasound imaging system is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Abdominal Intraoperative, Intraoperative, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are: Cardiac Imaging Applications and Analysis, Vascular Imaging Applications and Analysis, Superficial Imaging Applications, Intraoperative Imaging Applications, Transcranial Imaging Applications. The Acuson Acunav and Soundstar Ultrsound Catheter are intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology, as well as visualization of other devices in the heart of adult and pediatric patients.

    Device Description

    The Diagnostic Ultrasound Systems are multi-purpose mobile, software controlled diagnostic ultrasound systems with on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Its function is to acquire primary or secondary harmonic ultrasound echo data and display it in B-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Amplitude Doppler Mode, a combination of modes, 3D Imaging, or Harmonic Imaging and 4D imaging.

    AI/ML Overview

    Here's a summary of the acceptance criteria and study information based on the provided text, focusing on the request details:

    Acceptance Criteria and Device Performance

    The document describes the Siemens SC2000/X300 Diagnostic Ultrasound System and its various transducers. The acceptance criteria essentially focus on demonstrating substantial equivalence to previously cleared devices. The "reported device performance" is implicitly that the device performs equivalently to the predicate devices and meets safety and performance standards.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Criteria / Standard DemonstratedReported Device Performance (as implied by the document)
    Substantial EquivalenceEquivalence in Intended UseDemonstrated against K132654 (SC2000), K121699 (X300), K123001 (X700), K141846 (X700), K140318 (SSe8F), K071234 (AN8F)
    Equivalence in Technological CharacteristicsDemonstrated against predicate devices
    Device SafetyHardware Safety - EN60601-1 CertifiedConforms
    Acoustic Thermal Safety - IEC 60601-2-37 CertifiedConforms
    Medical device software - Software Life Cycle Process - IEC 62304Conforms
    UL 60601-1, Safety Requirements for Medical EquipmentComplies
    CSA C22.2 No. 601-1, Safety Requirements for Medical EquipmentComplies
    AIUM/NEMA UD-3Complies
    AIUM/NEMA UD-2Complies
    93/42/EEC Medical Devices DirectiveComplies
    EN/IEC 60601-1, EN/IEC 60601-1-1, EN/IEC 60601-1-2, EN/IEC 62304, EN/IEC 62366, EN/IEC 60601-2-18, EN/IEC 60601-2-25Complies
    BiocompatibilityISO 10993-1 BiocompatibilityCleared patient contact materials, electrical and mechanical safety are unchanged.
    Cleaning & DisinfectionCleaning and disinfection effectivenessEvaluated and found to conform
    Quality System21 CFR 820 Quality System Regulation & ISO 13485:2003Conforms

    2. Sample size used for the test set and the data provenance

    The document explicitly states: "Since the modified devices use the same technology and principles as existing devices, clinical data is not required." This indicates that no clinical test set with human patients was used specifically for this 510(k) submission. The evaluation was based on nonclinical tests and comparison to predicate devices. Therefore, there is no sample size, country of origin, or information on retrospective/prospective data for a clinical test set.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    As there was no clinical test set for this 510(k) submission, there is no mention of experts used to establish ground truth for a test set. The review focused on engineering and performance standards, and comparison to previously cleared devices.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable, as no clinical test set was used.

    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 document describes a diagnostic ultrasound system and its transducers, not an AI-assisted diagnostic tool. No MRMC study or AI performance evaluation is mentioned.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This device is a diagnostic ultrasound system, not a standalone algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For the nonclinical tests conducted, the "ground truth" would be established by the specifications and performance metrics outlined in the various referenced safety and performance standards (e.g., UL 60601-1, IEC 60601-2-37, etc.). For the substantial equivalence claim, the ground truth is the performance and safety profiles of the predicate devices.

    8. The sample size for the training set

    Not applicable, as this is a traditional diagnostic ultrasound system, not an AI/ML-based device requiring a training set.

    9. How the ground truth for the training set was established

    Not applicable, as no training set was used.

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    K Number
    K140959
    Date Cleared
    2014-04-30

    (15 days)

    Product Code
    Regulation Number
    892.1550
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K123001, K081148, K09034, K093812, K111674, K121138

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ultrasound imaging systems are intended for the following applications: Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Pelvic, Neonatal/Adult Cephalic, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications.

    The system also provides the ability to measure anatomical structures {fetal, abdominal, intraoperative, pediatric, small organ, neonatal cephalic, adult cephalic, cardiac, trans-esophageal, transvaginal, peripheral vessel, musculo-skeletal (conventional), musculo-skeletal (superficial) and neonatal cardiac) and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

    The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peerreviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular lmaging".

    The Acuson Acunav Ultrasound Catheter is intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology, as well as visualization of other devices in the heart of adult and pediatric patients.

    Device Description

    The ultrasound systems are multi-purpose mobile, software controlled diagnostic ultrasound systems with and on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. The function on borevire primary or secondary harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Amplitude, Doppler Mode, a combination of modes, or Harmonic Imaging and 3D/4D Imaging on a Flat Panel Display.

    AI/ML Overview

    This document is a 510(k) Pre-market Notification for a diagnostic ultrasound system. It primarily focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study to prove acceptance criteria for a new AI-based device. Therefore, much of the requested information regarding "acceptance criteria" for AI performance simply isn't present in this type of submission.

    However, I can extract information related to the device's technical characteristics and how its equivalence was established.

    Analysis of the Provided Text:

    The document describes the Acuson S1000, S2000, S3000 Diagnostic Ultrasound Systems manufactured by Siemens Medical Solutions, Inc. The submission aims to demonstrate substantial equivalence to previously cleared versions of the same systems (K132804).

    Key Findings relevant to your request, but with caveats:

    • No specific "acceptance criteria" are defined for AI/algorithm performance. This submission is for an ultrasound system, not a specific AI algorithm. The closest it comes to a performance claim for a specific component is the "Arterial Health Package (AHP) software," which "provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated in peer-reviewed studies." However, no acceptance criteria for this device's measurement capacity are presented, nor is there a study within this document proving the device meets them. The AHP feature itself relies on external, peer-reviewed studies for its normative tables, not on studies conducted for this 510(k) submission to validate the specific device's measurement accuracy against defined criteria.
    • No "study that proves the device meets the acceptance criteria" is included for a novel AI component. The document explicitly states: "Since the S1000, S2000, S3000 systems use the same technology and principles as existing devices, clinical data is not required." This indicates that the submission relies on the established safety and effectiveness of the predicate devices and the underlying technology, not on new clinical trials or performance studies for novel features.
    • "Device Performance" is inherently tied to being "substantially equivalent" to the predicate. The performance is deemed acceptable because it is demonstrably similar to a device already on the market.

    Here's how I can address your points based on the provided text, heavily noting limitations:


    1. A table of acceptance criteria and the reported device performance

    As explained above, no specific quantitative acceptance criteria for algorithm performance are presented for this ultrasound system or its features. The core "acceptance criteria" in a 510(k) for a device like this are primarily related to safety, electrical safety, biocompatibility, and functional equivalence to a predicate device.

    The "reported device performance" is essentially that it functions equivalently to the predicate device, offering various imaging modes, frequencies, and features, and meets relevant voluntary safety standards.

    Acceptance Criteria CategoryReported Device Performance (based on "Summary of Technological Characteristics" and "Non-clinical Tests")
    Functional EquivalenceThe modified Acuson S1000, S3000 Ultrasound Systems maintain all existing Indications for Use (Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Pelvic, Neonatal/Adult Cephalic, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications) and modes (B, M, PWD, CWD, Color Doppler, Amplitude Doppler, Combined) with the same supported center frequencies as the predicate devices (K# 132804). New transducers (e.g., 12LA, 18L6 HD Linear) extend these applications.
    Safety - Acoustic OutputEvaluated for acoustic output and found to conform with applicable medical device safety standards, including AIUM/NEMA UD-3 and UD-2.
    Safety - BiocompatibilityPatient contact materials tested to ISO 10993-1. Cleared patient contact materials are unchanged.
    Safety - Electrical/Mechanical/Thermal/EMEvaluated for thermal, electromagnetic, and mechanical safety, and found to conform with applicable medical device safety standards, including UL 60601-1, IEC 60601-2-37, CSA C22.2 No. 601-1, EN/IEC 60601-1, EN/IEC 60601-1-1, EN/IEC 60601-1-2. UL 60601-1 Certified. Electrical and mechanical safety are unchanged.
    Cleaning and Disinfection EffectivenessEvaluated for cleaning and disinfection effectiveness.
    Software PerformanceAdditional testing performed to verify the software release.
    Transducer & Wireless PerformanceAdditional testing performed to verify transducer and wireless performance.
    Quality System ComplianceDesign and development process conforms with 21 CFR 820 Quality System Regulation and ISO 13485:2003 quality system standards.
    Arterial Health Package (AHP) FunctionalityProvides capability to measure Intima Media Thickness and reference normative tables "validated in peer-reviewed studies." (No specific new validation study for this device's AHP performance against defined criteria is presented here).

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Not applicable (N/A) for this submission. The document explicitly states: "Since the S1000, S2000, S3000 systems use the same technology and principles as existing devices, clinical data is not required." This implies that no new test set of patient data (clinical or image-based) was used to prove the device's performance against specific acceptance criteria. The submission relies on non-clinical engineering and safety tests and the established equivalence to the predicate device.

    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)

    • N/A. No test set requiring expert ground truth was described or presented in this 510(k). The clinical data requirement was waived due to substantial equivalence. The "Arterial Health Package (AHP) software" feature mentions "normative tables that have been validated in peer-reviewed studies," implying external expert validation for those tables, but not for its integration into this specific device as part of this submission.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • N/A. No test set requiring an adjudication method was described or presented.

    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

    • N/A. No MRMC study was performed or referenced. This is not an AI-assisted diagnostic device, but a diagnostic ultrasound system. Clinical data, including MRMC studies, was not required.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • N/A. This submission is for an ultrasound system, not a standalone algorithm. While it contains software (like the AHP), its performance is not evaluated as a standalone AI given the nature of the submission. The AHP's function is "to provide the physician with the capability to measure" and "reference normative tables," suggesting a human-in-the-loop scenario where the physician retains clinical diagnosis responsibility.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    • N/A as a primary method for this submission. For establishing the safety and performance of the overall ultrasound system, the ground truth is primarily based on compliance with established engineering and safety standards and the known performance of the predicate device. For the AHP feature, its normative tables were based on "peer-reviewed studies," which would have their own ground truth (likely clinical data, pathology, or outcomes depending on the study) but this is not data directly generated or verified for this 510(k).

    8. The sample size for the training set

    • N/A. This submission does not describe a machine learning model requiring a training set.

    9. How the ground truth for the training set was established

    • N/A. No training set for a machine learning model is mentioned in this submission.

    Summary of the document's approach:

    This 510(k) submission for the Acuson S1000, S2000, S3000 Diagnostic Ultrasound Systems relies on demonstrating substantial equivalence to existing, legally marketed predicate devices. This means that:

    • The device uses the same technology and principles of operation as previously cleared devices.
    • It has the same intended uses as the predicate.
    • Any differences in technological characteristics do not raise new questions of safety or effectiveness.
    • Non-clinical tests (acoustic output, biocompatibility, cleaning/disinfection, electrical/mechanical/thermal/EM safety, software validation, transducer/wireless performance) confirm compliance with recognized medical device safety standards.
    • Clinical data (and thus specific "acceptance criteria" and studies to meet them for novel algorithmic performance) were explicitly deemed not required because the systems utilize established technology and principles.

    Therefore, the requested information about acceptance criteria and studies to meet them, particularly concerning AI or complex algorithmic performance, is not present in this type of 510(k) submission which focuses on substantial equivalence for a general diagnostic imaging system.

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    K Number
    K130754
    Date Cleared
    2013-03-25

    (6 days)

    Product Code
    Regulation Number
    892.1550
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SC2000 ultrasound imaging system is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Abdominal, Intraoperative Abdominal, Intraoperative Neurological, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are: Cardiac Imaging Applications and Analysis, Vascular Imaging Applications and Analysis, Superficial Imaging Applications, Intraoperative Imaging Applications, Transcranial Imaging Applications.

    Device Description

    The Acuson SC2000™ has been designed to meet the following product safety standards: UL 60601-1, Safety Requirements for Medical Equipment; IEC 60601-2-37 Diagnostic Ultrasound Safety Standards; CSA C22.2 No. 601-1, Safety Requirements for Medical Equipment; AIUM/NEMA UD-3. Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment; AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound; Safety and EMC Requirements for Medical Equipment; IEC 60601-1; IEC 60601-1-1; IEC 60601-1-2; IEC 1157 Declaration of Acoustic Power; ISO 10993-1 Biocompatibility.

    AI/ML Overview

    This 510(k) summary for the ACUSON SC2000 Diagnostic Ultrasound System is a Special 510(k), indicating a minor change to a previously cleared device. Therefore, a comprehensive de novo clinical study demonstrating performance against acceptance criteria for a novel device is not part of this submission. Instead, the performance data section explicitly states: "No performance data required to support this modification, as there is no change to any hardware or software, or method of use."

    The submission focuses on demonstrating substantial equivalence to a previously cleared device (K123622) by only renaming three transducers. As such, the typical elements of a study proving a device meets acceptance criteria (like a test set, ground truth, experts, and statistical results) are not provided in this document.

    However, I can extract the acceptance criteria implied by this type of submission, which is the determination of substantial equivalence to the predicate device for the specified indications for use.

    Here's a breakdown based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Implied for a Special 510(k) for Renaming Transducers): The modified device, specifically the renamed transducers, must demonstrate substantial equivalence to the previously cleared predicate device concerning intended use and technological characteristics, with no changes to hardware, software, or method of use.

    Acceptance CriterionReported Device Performance
    Substantial Equivalence to PredicateThe submission device is substantially equivalent to the predicate with regard to both intended use and technological characteristics. This modification is intended only to rename three transducers.
    No Change in Hardware/Software/Method of UseConfirmed: "No performance data required to support this modification, as there is no change to any hardware or software, or method of use."
    Continued Adherence to Safety StandardsThe Acuson SC2000™ has been designed to meet the following product safety standards: UL 60601-1, IEC 60601-2-37, CSA C22.2 No. 601-1, AIUM/NEMA UD-3, AIUM/NEMA UD-2, IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 1157, ISO 10993-1.
    Intended Use Remaining ConsistentThe Indications for Use for the overall system and the individual transducers remain largely consistent with previously cleared indications. (P = Previously Cleared)

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Test Set: Not applicable. No new performance testing with a specific test set was conducted for this Special 510(k) given the nature of the modification (renaming transducers).
    • Data Provenance: Not applicable. No new data was generated or analyzed for this submission. The basis for substantial equivalence relies on the established performance of the predicate device and the claim that the changes are confined to nomenclature.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    • Number of Experts: Not applicable. No new ground truth establishment was required as no new performance data was generated.
    • Qualifications of Experts: Not applicable.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    • MRMC Study: No. This submission does not describe an MRMC comparative effectiveness study.
    • Effect Size of Human Readers Improvement: Not applicable.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    • Standalone Performance: Not applicable. This device is an ultrasound imaging system, not an AI algorithm requiring standalone performance evaluation in the context of this submission.
    • The document states there is "no change to any hardware or software," implying no new algorithms or software features are being introduced that would require such testing.

    7. The Type of Ground Truth Used

    • Type of Ground Truth: Not applicable for new performance evaluation. The "ground truth" for this Special 510(k) is implicitly the established safety and effectiveness of the predicate device (K123622), to which the modified device (with renamed transducers) is claimed to be substantially equivalent without any functional changes.

    8. The Sample Size for the Training Set

    • Sample Size for Training Set: Not applicable. This document does not describe the development or training of any new algorithms or software components.

    9. How the Ground Truth for the Training Set Was Established

    • Ground Truth Establishment for Training Set: Not applicable.
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    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    V5Ms trans-esophageal echocardiograph (TEE) ultrasound transducer is intended primarily for cardiology applications.

    ACUSON Antares Ultrasound System: The Acuson Antares ultrasound imaging system is intended for the following applications: Abdominal, Intraoperative, Small Parts, Transcranial, OB/GYN, Cardiac, Intracardiac, Transesophageal, Pelvic, Neonatal/Adult Cephalic, Vascular, Intravascular, Musculoskeletal, Superficial Musculoskeletal. Great Vessel, and Peripheral Vascular applications. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

    ACUSON CV70 Cardiovascular System: The CV70 ultrasound imaging system is intended for the following applications: Abdominal. Intraoperative, Small Parts, Transcranial, OB/GYN, Cardiac, Intracardiac, Transesophageal, Pelvic, Neonatal/Adult Gephalic, Vascular, Intravascular, Musculoskeletal, Superficial Musculoskeletal, Great Vessel, and Peripheral Vascular applications. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

    ACUSON Cypress Ultrasound System: The Cypress platform is intended for use in the following applications: General Imaging and Cardiology for Fetal. Abdominal. Intraoperative (cardiac), Pediatrics, Neonatal Cephalic, Cardiac (adult, pediatric), Trans-esophageal, Peripheral Vessel, Intraluminal and Intra-cardiac applications, and intended uses as defined in the FDA quidance document. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes

    ACUSON S1000/S2000 Ultrasound System: The S2000™ ultrasound imaging systems are intended for the following applications: Fetal. Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN, Cardiac, Pelvic, Neonatal/Adult Cephalic, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications. The system also provides the ability to measure anatomical structures {fetal, abdominal, intraoperative, intraoperative neurological, pediatric, small organ, neonatal cephalic, adult cephalic, cardiac, trans-esophageal, transvaginal, peripheral vessel, musculoskeletal(conventional), musculo-skeletal (superficial) and neonatal cardiac} and calculation packages that provide information that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients regarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging."

    ACUSON SC2000 Ultrasound System: The SC2000 ultrasound imaging system is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Intraoperative Neurological, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are: Cardiac Imaging Applications and Analysis, Vascular Imaging Applications and Analysis, Superficial Imaging Applications, Intraoperative Imaging Applications, Transcranial Imaging Applications.

    ACUSON Sequoia Ultrasound System: The Siemens ACUSON Sequoia ultrasound imaging system is intended for the following applications: General Imaging and Cardiology for Fetal, Abdominal, Intraoperative (abdominal and neurological), Pediatrics, Small Organs (breast, testes, thyroid and penis), Neonatal/Adult Cephalic, Cardiac (adult, pediatric, and neonatal), Trans-esophageal, Transrectal, Transvaginal, Peripheral Vessel, and Musculo-sceletal (superficial and conventional) applications, and intended uses as defined in the FDA quidance document. The system also provides for the measurement of anatomical structures and for analysis packages that provide information that is used for clinical diagnosis purposes.

    ACUSON X300 Ultrasound System: The Siemens ACUSON X300 ultrasound imaging system is intended for the following applications: General Radiology, Fetal, Abdominal, Intraoperative, Pediatric, Small Parts, Neonatal/Adult Cephalic, Cardiac, Transesophageal, Pelvic, Transcranial, OB/GYN, Urology, Vascular, Musculoskeletal, Superficial Musculoskeletal, and Peripheral Vascular applications. The system also provides measurement of anatomical structures and analysis packages that provide information that is used for clinical diagnosis purposes. The Arterial Health Package (AHP) software provides the physician with the capability to measure Intima Media Thickness and the option to reference normative tables that have been validated and published in peer-reviewed studies. The information is intended to provide the physician with an easily understood tool for communicating with patients reqarding state of their cardiovascular system. This feature should be utilized according to the "ASE Consensus Statement: Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Association of Echocardiography; Carotid Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging".

    Device Description

    The V5Ms Transesophageal Transducer consists of a gastroscope control housing where nosepiece articulation and transducer rotation are controlled. A flexible transesophageal guide tube with a nosepiece containing the acoustic array extends from one end of the control housing and the system cable/connector extends from the other end. The acoustic array has 64 elements and rotates 180 degrees to provide imaging planes from transverse view to inverse transverse view. Rotation is powered by a motor in the control housing and is controlled by the operator using a switch button on the control housing for clockwise and counterclockwise rotation. Nosepiece articulation is achieved by manipulating a vertebrae section adjacent to the nosepiece through a series of control wires attached to knobs on the control housing. The nosepiece can be articulated in both the anterior/posterior and left/right directions.

    AI/ML Overview

    Here's a breakdown of the requested information, based on the provided document:

    Acceptance Criteria and Study Details for V5Ms Transesophageal Transducer

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided 510(k) submission document does not explicitly state quantitative acceptance criteria or specific device performance metrics in the way one might expect for a new or significantly modified device. Instead, the submission relies heavily on substantial equivalence to a previously cleared predicate device (Siemens V5Ms Transesophageal Transducer, K052021). The key "performance data" presented is that "Performance data is not required for this modification as there is no change to software or hardware." This implies that the device is expected to perform identically to its predicate because the changes are limited to patient contact materials.

    Therefore, the acceptance criteria are implicitly met by demonstrating that the modifications do not negatively impact the established performance of the predicate device.

    Implicit Acceptance Criteria and Reported Performance (Based on Substantial Equivalence):

    Acceptance Criterion (Implicit)Reported Device Performance
    Safety and EffectivenessThe modified device is safe and effective for its intended uses, as demonstrated by its substantial equivalence to the predicate device (Siemens V5Ms Transesophageal Transducer, K052021). No changes to software or hardware, thus performance is maintained.
    BiocompatibilityMeets ISO10993-1 standards for cytotoxicity, sensitization, and irritation.
    Intended Use (across various ultrasound systems)The device is intended for the same cardiology applications and clinical applications (e.g., Transesophageal, Cardiac, various Doppler modes, 3D imaging, Harmonic Imaging) as the predicate when used with compatible ACUSON systems. The intended uses are identical to the predicate device.
    Technological CharacteristicsThe device possesses the same fundamental technological characteristics (e.g., phased array transducer, 64 elements, 180-degree rotation, nosepiece articulation) as the predicate, with modifications only to patient contact materials.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Test Set: Not applicable (N/A). The document explicitly states, "Performance data is not required for this modification as there is no change to software or hardware." Therefore, there was no clinical performance test set used. The evaluation centered on non-clinical tests for biocompatibility and asserting substantial equivalence.
    • Data Provenance: N/A for clinical performance data. For biocompatibility testing, the data would typically originate from a laboratory (likely in the USA or a facility that adheres to international standards like ISO). The origin is not specified beyond "Nonclinical tests contained in this submission include biocompatibility testing per ISO10993-1 (cytotoxicity, sensitization, irritation)."

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts

    • N/A. As no clinical performance test set was conducted, there was no need for experts to establish ground truth. The primary "experts" involved in the submission would be Siemens' own regulatory and engineering teams, and subsequently, FDA reviewers.

    4. Adjudication Method for the Test Set

    • N/A. Since no clinical performance test set was conducted, no adjudication method was used.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    • No. No MRMC study was conducted. The submission is a 510(k) for substantial equivalence based on minor modifications (patient contact materials) to an existing device, not a new clinical effectiveness study.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • N/A. The device is a diagnostic ultrasound transducer, not an AI algorithm. Therefore, the concept of "standalone performance" in the context of an algorithm does not apply.

    7. The Type of Ground Truth Used

    • N/A for clinical effectiveness. For biocompatibility, the "ground truth" is defined by the ISO10993-1 standard for cytotoxicity, sensitization, and irritation. This involves standardized biological tests.

    8. The Sample Size for the Training Set

    • N/A. This device is a hardware component (transducer) and does not involve machine learning or AI, and therefore does not have a "training set."

    9. How the Ground Truth for the Training Set Was Established

    • N/A. As there is no training set for this device, this question is not applicable.
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    K Number
    K113179
    Date Cleared
    2011-12-07

    (40 days)

    Product Code
    Regulation Number
    892.1550
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K071234, K093812, K081808, K070242

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SC2000 ultrasound imaging system is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transespohageal, Adult Cephalic, Peripheral Vessel, Intrcperative Neurological, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. The typical examinations performed using the SC2000 Ultrasound System are: Cardiac Imaging Applications and Analysis, Vascular Imaging Applications and Analysis, Superficial Imaging Applications, Intraoperative Imaging Applications, Transcranial Imaging Applications.

    Device Description

    The SC2000™ Diagnostic Ultrasound System is a multi-purpose mobile, software controlled diagnostic ultrasound system with an on-screen display for themical indices related to potential bio-effect mechanisms. Its function is to acquire primary of Secondary harmonic ultrasound echo data and display it in B-Mode, Pulsed (PW) Dopler Mode, a combination Continuous (CW) Doppler Mode, Color Dopen Mode, Ampling on a France, Nissalay of modes, 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display. The SC2000™Ultrasound System has been optimized for user ergonomics with adjustable keyboard height and rotation and independently adjustable Flat P available off-line workstation (SC2000WP).

    AI/ML Overview

    Here's an analysis of the provided 510(k) summary regarding the Acuson SC2000™ Diagnostic Ultrasound System, focusing on acceptance criteria and study details.

    Important Note: The provided document is a 510(k) Summary, which typically focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting detailed standalone performance studies with specific acceptance criteria and outcome metrics in the way a clinical trial for a new therapeutic device might. The "performance data" section in this type of submission generally refers to engineering verification and validation against internal specifications and relevant safety standards, rather than direct clinical performance in terms of diagnostic accuracy against a ground truth in a clinical setting.

    Therefore, the answers below will reflect the information available in this type of regulatory document. Many of the requested details (like sample size for test sets, number of experts for ground truth, adjudication methods, MRMC studies, effect size, and training set information) are explicitly not present in a standard 510(k) premarket notification for an ultrasound system, as this is a device modification submission focusing on safety and technological equivalence.


    1. Table of Acceptance Criteria and Reported Device Performance

    As this is a 510(k) for a modification to an existing device, the "acceptance criteria" are primarily based on established safety and performance standards for diagnostic ultrasound systems, and the "reported device performance" is the device's demonstrated compliance with these standards and verification of its specifications.

    Acceptance Criteria (Standards Met)Reported Device Performance (Compliance)
    UL 60601-1 (Safety Requirements for Medical Equipment)Compliant
    IEC 60601-2-37 (Diagnostic Ultrasound Safety Standards)Compliant
    CSA C22.2 No. 601-1 (Safety Requirements for Medical Equipment)Compliant
    AIUM/NEMA UD-3 (Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices)Compliant
    AIUM/NEMA UD-2 (Acoustic Output Measurement Standard for Diagnostic Ultrasound)Compliant
    IEC 60601-1 (Safety and EMC Requirements for Medical Equipment)Compliant
    IEC 60601-1-1Compliant
    IEC 60601-1-2Compliant
    IEC 1157 (Declaration of Acoustic Power)Compliant
    ISO 10993-1 (Biocompatibility)Compliant
    Meeting company's design control process and specificationsVerified and validated through extensive safety and performance testing
    Substantial equivalence to predicate devices (K072365 and K102017) in intended use and technological characteristicsFDA determined substantially equivalent based on the submission

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not specify a "test set" in the context of clinical performance evaluation (e.g., patient data for diagnostic accuracy). The performance data cited refers to engineering and safety testing. Therefore, there is no information provided regarding sample size for a clinical test set or data provenance (e.g., country of origin, retrospective/prospective clinical data).

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

    Not applicable/Not provided. As stated above, this submission focuses on technical safety and performance validation against standards, not a clinical study requiring expert-established ground truth for diagnostic accuracy.

    4. Adjudication Method for the Test Set

    Not applicable/Not provided. No clinical test set or adjudication method is mentioned in the document.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and its effect size

    No. The document does not mention any MRMC comparative effectiveness study, nor does it provide information on a human readers' improvement with or without AI assistance. This type of study is not common for 510(k) submissions of basic ultrasound system modifications.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

    No. The SC2000™ is a diagnostic ultrasound system, an imaging device operated by a human. It is not an AI algorithm intended for standalone diagnostic performance. The document describes the system's ability to acquire and display ultrasound data, and its "calculation packages" provide information to the clinician for diagnosis, implying human interpretation is always in the loop.

    7. The Type of Ground Truth Used

    For the safety and performance testing described, the "ground truth" is defined by the technical specifications for the device and the objective criteria outlined in the various international and national safety and performance standards (e.g., acoustic output measurements, electrical safety limits, biocompatibility standards). This is engineering and regulatory compliance ground truth, not clinical ground truth (like pathology results or patient outcomes) for diagnostic accuracy.

    8. The Sample Size for the Training Set

    Not applicable/Not provided. This submission describes an ultrasound imaging system, not a machine learning model that requires a training set.

    9. How the Ground Truth for the Training Set was Established

    Not applicable/Not provided. As there is no mention of a machine learning model or training set, the establishment of ground truth for such a set is not relevant to this submission.

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