APLIO 500/400/300 V3.0

K123992 · Toshibamedical Systems Corporation · IYN · Feb 6, 2013 · Radiology

Device Facts

Record IDK123992
Device NameAPLIO 500/400/300 V3.0
ApplicantToshibamedical Systems Corporation
Product CodeIYN · Radiology
Decision DateFeb 6, 2013
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 892.1550
Device ClassClass 2
AttributesPediatric

Intended Use

The Diagnostic Ultrasound System Aplio 500 Model TUS-A500, Aplio 400 Model TUS-A400 And Aplio 300 Model TUS-A300 is indicated for the visualization of structures, and dynamic processes with the human body using ultrasound and to provide image information for diagnosis in the followinq clinical applications: fetal, abdominal, intraoperative (abdominal), pediatric, small organs, trans-rectal, neonatal cephalic, adult cephalic, cardiac (both adult and pediatric), peripheral vascular, transesophageal, and musculo-skeletal (both conventional and superficial).

Device Story

Mobile diagnostic ultrasound systems (Aplio 500/400/300 V3.0) utilize various probes (linear, convex, sector; 2-12 MHz) to acquire ultrasound data. Systems transform acoustic signals into diagnostic images/fluid flow analysis. Operated by clinicians in clinical settings. Features include 4D imaging, Luminance, and report/communication transfer. Output displayed for physician interpretation to support diagnosis. Benefits include non-invasive visualization of internal structures and dynamic processes.

Clinical Evidence

Bench testing only. Verification and validation testing confirmed that requirements for improved and added features were met. Testing conducted in accordance with IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, IEC 60601-2-37, IEC 62304, NEMA UD3, and ISO 10993-1 standards.

Technological Characteristics

Mobile diagnostic ultrasound systems. Probes: flat linear, convex linear, sector arrays (2-12 MHz). Connectivity: report/communication transfer. Software: Moderate Level of Concern. Standards: IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, IEC 60601-2-37, IEC 62304, NEMA UD3, ISO 10993-1, ISO 13485.

Indications for Use

Indicated for visualization of structures and dynamic processes in human body via ultrasound for diagnostic imaging in fetal, abdominal, intraoperative (abdominal), pediatric, small organs, trans-vaginal, trans-rectal, neonatal/adult cephalic, cardiac (adult/pediatric), peripheral vascular, transesophageal, and musculo-skeletal (conventional/superficial) applications.

Regulatory Classification

Identification

An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K123992 #### FEB 6 2013 TOSHIBA AMERICA MEDICAL SYSTEMS, INC. 2441 Michelle Drive, Tustin, CA 92780 Phone: (714) 730-5000 ### 510(k) SUMMARY - 1. SUBMITTER'S NAME: Toshiba America Medical Systems, Inc. - ADDRESS: 2. 2441 Michelle Drive Tustin, CA. 92780-2068 - ESTABLISHMENT REGISTRATION: 3. 2020563 - CONTACT PERSON: 4. Charlemagne Chua Manager, Regulatory Affairs (714) 669-7896 Date Prepared: ട. December 21, 2012 #### TRADE NAME(S): 6. Diagnostic Ultrasound System Aplio 500 Model TUS-A500 V3.0 Aplio 400 Model TUS-A400 V3.0 Aplio 300 Model TUS-A300 V3.0 - 7. COMMON NAME: System, Diagnostic Ultrasound #### DEVICE CLASSIFICATION: 8. Class II Ultrasonic Pulsed Doppler Imaging System – Product Code: 90-IYN [per 21 CFR 892.1550] Ultrasonic Pulsed Echo Imaqinq System – Product Code: 90-IYO [per 21 CFR 892.1560] Diagnostic Ultrasonic Transducer - Product Code: 90-ITX [per 21 CFR 892.1570] ### 9. PREDICATE DEVICE: | Product | Marketed by | 510(k) Number | Clearance Date | |---------------------------------------------------|------------------------------------|---------------|-----------------| | Aplio 500/400/300 Diagnostic<br>Ultrasound System | Toshiba America<br>Medical Systems | K121422 | August 16, 2012 | {1}------------------------------------------------ ### 10. REASON FOR SUBMISSION: Modification of a cleared device ### 11. DEVICE DESCRIPTION: The Aplio 500 Model TUS-A500, Aplio 400 Model TUS-A400 and Aplio 300 Model TUS-A300 are mobile diagnostic ultrasound systems. These systems are Track 3 devices that employ a wide array of probes including flat linear array, convex linear array, and sector array with frequency ranges between approximately 2 MHz to 12 MHz. ### 12. SUMMARY OF INTENDED USES: The Diagnostic Ultrasound System Aplio 500 Model TUS-A500, Aplio 400 Model TUS-A400 And Aplio 300 Model TUS-A300 is indicated for the visualization of structures, and dynamic processes with the human body using ultrasound and to provide image information for diagnosis in the followinq clinical applications: fetal, abdominal, intraoperative (abdominal), pediatric, small organs, trans-rectal, neonatal cephalic, adult cephalic, cardiac (both adult and pediatric), peripheral vascular, transesophageal, and musculo-skeletal (both conventional and superficial). ### 13. SUBSTANTIAL EQUIVALENCE: This device is substantially equivalent to the Aplio 500/400/300 Diaqnostic Ultrasound System, K121422, marketed by Toshiba America Medical Systems. The Aplio 500 Model TUS-A500 Version 3.0, Aplio 400 Model TUS-A400 Version 3.0 and Aplio 300 Model TUS-A300 Version 3.0, functions in a manner similar to and is intended for the same use as the predicate device. The subject device includes modifications to the cleared device which improves upon existing features such as imaging and report/communication transfer. Additionally, two new transducers, a new 4D optional feature, Luminance, and new hardware items intended to improve ease of use, are now available with the subject device. A comparison table is included in this submission detailing the similarities and differences between the predicate device and the subject device. ### 14. SAFETY: . The device is designed and manufactured under the Quality System Requlations as outlined in 21 CFR § 820 and ISO 13485 Standards. This device is in conformance with the applicable parts of the IEC60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, IEC 60601-2-37, IEC 62304, NEMA UD3 Output Display and ISO 10993-1 standards. ### 15. TESTING Risk Analysis, Verification/Validation testing conducted through bench testing which are included in this submission demonstrates that the requirements for the improved/added features have been met. Software Documentation for a Moderate Level of Concern, per the FDA guidance {2}------------------------------------------------ document, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Document" issued on May 11, 2005, is also included as part of this submission. Additionally, testing of the modified system was conducted in accordance with the applicable standards published by the International Electrotechnical Commission (IEC) for Medical Devices. ### 16. CONCLUSION The modifications incorporated into the Aplio 500 Model TUS-A500 Version 3.0, Aplio 400 Model TUS-A400 Version 3.0 and Aplio 300 Model TUS-A300 Version 3.0 do not chanqe the indications for use or the intended use of the device. Based upon bench testing, successful completion of software validation, application of risk management and design controls, it is concluded that this device is safe and effective for its intended use. {3}------------------------------------------------ ### DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three stripes representing health, services, and people. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle. #### Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002 February 6, 2013 Toshiba America Medical Systems, Inc. c/o Mr. Charlemagne Chua Manager, Regulatory Affairs 2441 Michelle Drive TUSTIN CA 92780-2068 Re: K123992 Trade/Device Name: Aplio™ 500/400/300 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, and ITX Dated: December 21, 2012 Received: December 26, 2012 Dear Mr. Chua: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. This determination of substantial equivalence applies to the following transducers intended for use with the Aplio" 500/400/300 Diagnostic Ultrasound System, as described in your premarket notification: Transducer Model Number | PST-25BT | PVT-661VT | PVT-745BTV | PLT-1005BT | |-----------|------------|------------|------------| | PST-30BT | PVT-781VT | PVT-770RT | PLT-1202S | | PST-50BT | PVT-674BT | PLT-604AT | PLT-1204BT | | PST-65AT | PVT-675MV | PLT-704AT | PLT-1204BX | | PVT-375BT | PVT-681MV | PLT-704SBT | PLT-1204MV | | PVT-375MV | PVT-712BT | PLT-705BTF | PET-508MA | | PVT-382BT | PVT-745BTF | PVT-705BTH | PET-510MB | | PVT-382MV | PVT-745BTH | PLT-805AT | PET-512MC | | | | | | {4}------------------------------------------------ #### PC-20M PC-50M If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance. If you have any questions regarding the content of this letter, please contact Joshua Nipper at (301) 796-6524. Sincerely Yours. ### Sean M. Boyd -S for Janine M. Morris Director, Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health Enclosure(s) {5}------------------------------------------------ # Indications for Use 510(k) Number (if known): Device Name: ## Aplio 500/400/300 V3.0 Diagnostic Ultrasound System Indications for Use: The Diagnostic Ultrasound System Aplio 500 Model TUS-A500, Aplio 400 Model TUS-A400 And Aplio 300 Model TUS-A300 is indicated for the visualization of structures, and dynamic processes with the human body using ultrasound and to provide image information for diaqnosis in the followinq clinical applications: fetal, abdominal, intraoperative (abdominal), pediatric, small organs, trans-vaginal, trans-rectal, neonatal cephalic, adult cephalic, cardiac (both adult and pediatric), peripheral vascular, transesophageal, and musculo-skeletal (both conventional and superficial). Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR) # Sean M. Boyd -S Page 1 of _ 1 (Division Sign C Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health 510(k) k03992 {6}------------------------------------------------ ### System: _Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer: _ Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical<br>Application<br>Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other [Note] | |---------------------------------------------------|---|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|----------------------| | Ophthalmic | | | | | | | | | | | | | | Fetal | P | P | P | P | P | 2 | P | P | P | | P | 5,7,8,9,10,14 | | Abdominal | P | P | P | P | P | 2,3 | P | P | P | | P | 5,7,8,9,10,11,12,14 | | Intra-operative<br>(Abdominal) | P | P | P | | P | 2 | P | P | P | | | 4,5,7,11 | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | P | P | 2,3 | P | P | P | | P | 5,7,8,9,10,12,14 | | Small Organ (Note 1) | P | P | P | | P | 2 | P | P | P | | | 4,5,6,7,8,9,10,11,14 | | Neonatal Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Adult Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Trans-rectal | P | P | P | | P | 2 | P | P | P | | P | 4,5,7,11,12 | | Trans-vaginal | P | P | P | | P | 2 | P | P | P | | P | 4,5,7,11,12 | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph.<br>(non-Card.) | | | | | | | | | | | | | | Musculo-skeletal<br>(Conventional) | P | P | P | | P | 2 | P | P | P | | | 4,5,6,7,8,9,10,11,14 | | Musculo-skeletal<br>(Superficial) | P | P | P | | P | 2 | P | P | P | | | 4,5,6,7,8,9,10,11,14 | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Cardiac Pediatric | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | P | P | P | P | P | 3 | P | | | | | 4,13 | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | P | P | P | P | P | 2 | P | P | P | | | 4,5,6,7,8,9,10,11,14 | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducers: K121422 and K103629 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 8 STIC Note 6 MicroPure Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost Note 7 Precision Imaging Note 9 3D Color (Volume Color) Note 5 ApliPure (Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostics 510(k) *K123992* Sean M. Boyd -S {7}------------------------------------------------ #### System: _ Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer:__ PST-25BT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | P | P | P | P | P | 3 | P | P | P | | | 11 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | P | P | 3 | P | P | P | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Adult Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Cardiac Pediatric | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Prescription Use Only (Per 21 CFR 801.109) Note 13 2D WMT Note 14 Boost Sean M. Boyd -S (Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostic 510(k) C1239942 Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion {8}------------------------------------------------ #### System: __ Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer: PST-30BT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | P | P | P | P | P | 3 | P | P | P | | | 11 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | P | P | 3 | P | P | P | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Adult Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Cardiac Pediatric | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost (Division Sign Off) Division of Radiological Health Prescription Use Only (Per 21 CFR 801.109) Office of In Vitro . Boyd -S Sean N 510(k) K123992 {9}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System ### System: Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer:_ PST-50BT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>(Note) | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | P | P | P | P | P | 3 | P | P | P | | | 11 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | P | P | 3 | P | P | P | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Adult Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Cardiac Pediatric | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost (Division Sign Off) Division of Radiological Health Office of In Vitro Diagnostics and 510(k) K123992 {10}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System ### System: Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer:__ PST-65AT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | P | P | P | P | P | 3 | P | P | P | | | 11 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | P | P | 3 | P | P | P | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Adult Cephalic | P | P | P | P | P | 3 | P | P | P | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Cardiac Pediatric | P | P | P | P | P | 3 | P | P | P | P | | 4,13 | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost (Division Sign Off) Division of Radiological ിന്നാം of In Vitro Diagno 510/k) {11}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System #### System: __ Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer:_ PVT-375BT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | P | P | P | | P | 2 | P | P | P | | | 5, 7 | | Abdominal | P | P | P | | P | 2 | P | P | P | | | 5, 7, 11, 12 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | | P | 2 | P | P | P | | | 5, 7, 12 | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | | | | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD 510/k - Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost Sean M. Boyd -S. Prescription Use Only (Per 21 CFR 801.109) (Division Sign Off) Division of Radiological He Office of In {12}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System #### System: __ Aplio 500, Aplio 400, Aplio 300 V3.0 PVT-375MV Transducer:_ Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |------------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | P | P | P | | P | 2 | P | P | P | | N | 5,7,8,9,10 | | Abdominal | P | P | P | | P | 2 | P | P | P | | N | 5,7,8,9,10 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | | P | 2 | P | P | P | | N | 5,7,8,9,10 | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal<br>(Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | | | | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost Prescription Use Only (Per 21 CFR 801.109) Sean M. Boyd -S (Division Sign Off) Division of Radiological Health Office of In Vitro Di 510(k) K123992 {13}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System ### System: _ Aplio 500, Aplio 400, Aplio 300 V3,0 Transducer: PVT-382BT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | P | P | P | | P | 2 | P | P | P | | | 5,7 | | Abdominal | P | P | P | | P | 2 | P | P | P | | | 5,7,12 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | | P | 2 | P | P | P | | | 5,7,12 | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | | | | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost Prescription Use Only (Per 21 CFR 801.109) Sean M. Boyd -S (Division Signoff) Division of Radiological Health Office of In Vitro 510(k) 12392 {14}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System #### System: _Aplio 500, Aplio 400, Aplio 300 V3.0 PVT-382MV Transducer: Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application<br>Specific<br>(Tracks 3) | Mode of Operation | | | | | | | | | | | | |------------------------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | P | P | P | | P | 2 | P | P | P | | P | 5,7,9 | | Abdominal | P | P | P | | P | 2 | P | P | P | | P | 5,7,9 | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | P | P | P | | P | 2 | P | P | P | | P | 5,7,9 | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | | | | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | | | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | | | | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Note 2 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM; B/PWD; BDF/PWD; BDF/MDF/PWD; 2D/CWD; BDF/CWD - Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost (Division Sign of) **Sean M. Boyd -S** Prescription Use Only (Per 21 CFR 801.109) Office of In Vitro Diagnostics and Radiologi Division of Radiological Health 510(k) K123992 {15}------------------------------------------------ and the same of the same of the same of the same of the states of the states and ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System #### Aplio 500, Aplio 400, Aplio 300 V3.0 System: __ Transducer:___PVT-661VT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |---------------------------------|-------------------|---|-----|-----|------------------|----------------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify)<br>* | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | | | | | | | | | | | | | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | | | | | | | | | | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | P | P | P | P | P | 2 | P | P | P | | | 4,5,7,11 | | Trans-vaginal | P | P | P | P | P | 2 | P | P | P | | | 4,5,7,11 | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal (Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | | | | | Intravascular (Cardiac) | | | | | | | | | | | | | | Trans-esoph. (Cardiac) | | | | | | | | | | | | | | Intra-cardiac | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Peripheral vessel | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | N = new indication; P = previously cleared by FDA; E = added under this appendix Previous 510(k) of the transducer: K121422 Note 1 Small organ includes thyroid, breast and testicle. Prescription Use Only (Per 21 CFR 801.109) Note 2 Combined mode includes B/M; B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD Note 3 Combined mode includes BM: B/PWD; BDF/PWD; BDF/MDF; BDF/MDF/PWD; 2D/CWD; BDF/CWD - Note 4 TDI Note 5 ApliPure Note 6 MicroPure Note 7 Precision Imaging Note 8 STIC Note 9 3D Color (Volume Color) Note 10 STIC Color Note 11 Elastography Note 12 Fusion Note 13 2D WMT Note 14 Boost Sean M. Boyd -S (Division Sign Off) Division of Radiological Heal Office of In Vit 510(k) K123992 {16}------------------------------------------------ ### 510(k) Premarket Notification Aplio 500/400/300 V3.0 Diagnostic Ultrasound System #### System: Aplio 500, Aplio 400, Aplio 300 V3.0 Transducer ... PVT-781VT Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | Mode of Operation | | | | | | | | | | | | |------------------------------------|-------------------|---|-----|-----|------------------|-----------------------|-----|-----------------|-------|-----------|----|-----------------| | Specific<br>(Tracks 3) | B | M | PWD | CWD | Color<br>Doppler | Combined<br>(Specify) | THI | Dynamic<br>Flow | Power | CHI<br>2D | 4D | Other<br>[Note] | | Ophthalmic | | | | | | | | | | | | | | Fetal | | | | | | | | | | | | | | Abdominal | | | | | | | | | | | | | | Intra-operative (Abdominal) | | | | | | | | | | | | | | Intra-operative (Neuro) | | | | | | | | | | | | | | Laparoscopic | | | | | | | | | | | | | | Pediatric | | | | | | | | | | | | | | Small Organ (Specify) (1) | | | | | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | | | | Trans-rectal | E | E | E | E | E | 2 | E | E | E | | | 4,5,7,11,12 | | Trans-vaginal | E | E | E | E | E | 2 | E | E | E | | | 4,5,7,11,12 | | Trans-urethral | | | | | | | | | | | | | | Trans-esoph. (non-Card.) | | | | | | | | | | | | | | Musculo-skeletal<br>(Conventional) | | | | | | | | | | | | | | Musculo-skeletal (Superficial) | | | | | | | | | | | | | | Intravascular | | | | | | | | | | | | | | Other (Specify) | | | | | | | | | | | | | | Cardiac Adult | | | | | | | | | | | | | | Cardiac Pediatric | | | | | | | |…
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