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510(k) Data Aggregation

    K Number
    K181574
    Device Name
    Uscan
    Manufacturer
    Date Cleared
    2018-07-10

    (25 days)

    Product Code
    Regulation Number
    892.1560
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K160420, K162045

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

    The Uscan is for non-invasive imaging of the human body and is intended for the following applications: Abdominal. Musculoskeletal, Pediatric, Small Organ, and Peripheral Vessel. Users must have ultrasound training for abdominal, musculoskeletal, pediatric, small organ, and peripheral vessel imaging.

    The Uscan can also be used to obtain an image of the bladder that is used to automatically determine bladder volume.

    Device Description

    The Uscan is a hand-held, diagnostic ultrasound system with an on-screen display. Its purpose is to acquire ultrasound echo data and display it in B-Mode on an off-the-shelf display. Automated bladder volume measurements are supported.

    AI/ML Overview

    Here's an analysis of the provided text to extract information about the acceptance criteria and the supporting study for the Uscan device.

    Note: The provided FDA 510(k) summary focuses primarily on establishing substantial equivalence based on technological characteristics and adherence to recognized standards. It does not present a detailed clinical study demonstrating the device "meets acceptance criteria" in terms of clinical performance metrics (e.g., sensitivity, specificity, accuracy against a gold standard in a human population) against specific acceptance thresholds. Instead, it emphasizes bench testing for imaging performance and measurement accuracy, and conformance to regulatory standards.

    Therefore, "acceptance criteria" here largely refer to the requirements for safe and effective operation based on engineering and regulatory standards, rather than clinical performance metrics. The "study" refers to the non-clinical testing performed.


    Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Implied from testing described)Reported Device Performance and Compliance
    Safety and Essential Performance (Electrical)Complies with IEC 60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 (Consolidated Text) for basic safety and essential performance.
    Electromagnetic Compatibility (EMC)Complies with AAMI / ANSI / IEC 60601-1-2:2014 for electromagnetic compatibility.
    UsabilityComplies with IEC 60601-1-6 Edition 3.1 2013-10 (Usability) and AAMI / ANSI / IEC 62366-1:2015 (Application of usability engineering to medical devices).
    Particular Requirements for Ultrasonic Medical Diagnostic EquipmentComplies with IEC 60601-2-37:2015 Edition 2.1.
    Software Life Cycle ProcessesComplies with AAMI / ANSI / IEC 62304:2006.
    Risk ManagementComplies with ISO 14971:2007. Risks mitigated have been verified.
    Biological Evaluation of Medical DevicesComplies with AAMI / ANSI / ISO 10993-1:2009/(R)2013. Biosafety equivalence with predicate devices.
    Acoustic Output MeasurementComplies with NEMA UD 2-2004 (R2009).
    Imaging PerformanceBench tested; Uscan imaging performance shown to be substantially equivalent to predicate devices.
    Measurement Accuracy (e.g., Bladder Volume)Bench tested; Uscan measurement accuracy shown to be substantially equivalent to predicate devices. (The document specifically mentions "Automated bladder volume measurements are supported" and that measurement accuracy was bench tested. It does not provide specific accuracy metrics or thresholds, only substantial equivalence to predicates.)
    Device Operates as Intended (Verification & Validation)Verification and validation reports.
    Safe and Effective for Intended UseConclusion from testing is that the device is safe and effective for its intended use, and performs as well or better than the predicate devices.
    Substantial Equivalence (overall to predicate devices for Track 3)Uscan system and predicates meet FDA requirements for Track 3 devices, share indications for use, have biosafety equivalence, and conform to applicable electromedical device safety standards. EchoNous, Inc. believes the Uscan is substantially equivalent with regard to safety and effectiveness to the predicate devices.

    Study Details (Based on the provided text)

    1. Sample size used for the test set and the data provenance:

      • Test Set Sample Size: Not specified in terms of clinical cases or patient data. The document refers to "bench testing" of imaging and measurement accuracy. This implies a test set of physical phantoms, simulated data, or lab-based scenarios, not a human patient cohort.
      • Data Provenance: Not applicable for a clinical test set from human subjects since the testing described is non-clinical/bench testing.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • Not applicable as the testing described is non-clinical bench testing, not a clinical study involving human expert interpretation. Ground truth for bench testing would be established by the physical properties of the phantoms or known parameters of the simulated data.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • Not applicable, as this refers to a clinical study interpretation process, which is not detailed here.
    4. 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:

      • No MRMC comparative effectiveness study is described in this document. The focus is on the device itself and its equivalence to predicate devices, not on human-AI augmented performance.
    5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

      • The "bench testing for imaging performance and measurement accuracy" represents a form of standalone testing, as it evaluates the device's technical capabilities (image quality, automated measurements like bladder volume) without human interpretation in a clinical setting mentioned. However, specific metrics (e.g., accuracy, precision) are not provided beyond stating substantial equivalence to predicate devices.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • For the bench testing, the ground truth would likely be physical measurements from phantoms or known parameters of simulated datasets used to evaluate imaging performance and measurement accuracy. No clinical ground truth (like pathology or expert consensus on patient data) is mentioned for the testing described.
    7. The sample size for the training set:

      • Not applicable. This document does not describe the development or training of any AI/ML components in the Uscan, but rather its regulatory clearance as a diagnostic ultrasound system. While automated bladder volume determination might imply some underlying algorithm, the training data and its size are not disclosed here.
    8. How the ground truth for the training set was established:

      • Not applicable, as the training set details are not provided.

    Summary of what the document implies about "meeting acceptance criteria":

    The provided 510(k) summary primarily demonstrates that the Uscan device meets regulatory acceptance criteria by:

    • Conforming to a comprehensive list of FDA-recognized international and national standards for medical electrical equipment, software, usability, risk management, biological evaluation, and acoustic output.
    • Undergoing bench testing that showed its imaging performance and measurement accuracy to be "substantially equivalent" to predicate devices.
    • Having verified risk mitigation and functioning as intended per verification and validation reports.

    It does not provide details about specific clinical performance acceptance criteria (e.g., diagnostic accuracy thresholds like sensitivity/specificity for detecting certain conditions) or a clinical study demonstrating the device's ability to meet such criteria in a human population. The approval is based on substantial equivalence and compliance with engineering and safety standards.

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