SONIC WINDOW

K140126 · Analogic Corporation · IYO · Mar 4, 2014 · Radiology

Device Facts

• Record ID: K140126
• Device Name: SONIC WINDOW
• Applicant: Analogic Corporation
• Product Code: IYO · Radiology
• Decision Date: Mar 4, 2014
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 892.1560
• Device Class: Class 2

Intended Use

Visualization of peripheral vessels and assessment of vessel width and depth for needle/catheter placement by a medical professional. The Sonic Window is only intended to be used by a health care professional by prescription only.

Device Story

Sonic Window is a fully integrated, handheld ultrasound imaging system combining electronics, transducer, display, and battery. It visualizes real-time ultrasound images on a Coronal (Constant Imaging Depth) plane at a user-controllable depth. Used by healthcare professionals for peripheral vascular access guidance, specifically for needle and catheter placement. The device provides visual feedback to the clinician, facilitating accurate needle/catheter positioning, potentially reducing complications and improving success rates for vascular access procedures.

Clinical Evidence

Bench testing only. No clinical data provided. Compliance verified via IEC 60601-1 (safety), IEC 60601-1-2 (EMC), IEC 60601-1-4 (programmable electrical medical systems), and IEC 60068 (shock/vibration). Acoustic output parameters (Ispta.3 = 3.4mW/cm², MI = 0.29) meet FDA Track 3 requirements.

Technological Characteristics

Handheld ultrasound system; integrated 5MHz 2D array transducer. Materials: TPX MX 002, Polymics Carbon Black. Battery-powered. Operates in C-Mode (Coronal/Constant Imaging Depth). Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-1-4, IEC 60068, ISTA Project 2A. Software: Programmable electrical medical system.

Indications for Use

Indicated for visualization of vascular access guidance of needles and catheters (e.g., insertion of peripheral intravenous (PIV) catheters) by medical professionals. Prescription use only; not for layperson use.

Regulatory Classification

Identification

An ultrasonic pulsed echo imaging system is a device intended to project a pulsed sound beam into body tissue to determine the depth or location of the tissue interfaces and to measure the duration of an acoustic pulse from the transmitter to the tissue interface and back to the receiver. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.

Special Controls

*Classification.* Class II (special controls). A biopsy needle guide kit intended for use with an ultrasonic pulsed echo imaging system only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

Predicate Devices

• Flex Focus (K100919)
• BK Model Flex Focus Ultrasound Transducer Probe 8848 (K081154)

Submission Summary (Full Text)

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# APR 0 4 2014

Image /page/0/Picture/2 description: The image shows the logo for Analogic. The logo consists of the word "analogic" in a simple, sans-serif font, with the tagline "Innovative Solutions for Life" underneath in a smaller font. To the right of the word, there is a circular graphic with an abstract design.

510(k) Summary For Analogic Corporation

## Sonic Window

#### Date this Summary was Prepared: 1.

January 30, 2014

#### Submitter's Name and Address: 2.

| Submitter's Name: | Analogic Corporation |
|-----------------------|------------------------------|
| Address: | 8 Centennial Drive |
| City, State, and Zip: | Peabody, Massachusetts 01960 |
| Registration Number: | 1220672 |

#### Contact Person: 3.

| Name: | Albert C. Cefalo |
|------------|------------------------------------------|
| Title: | Senior Manager Global Regulatory Affairs |
| Telephone: | [phone] |
| Facsimile: | [phone] |
| E-mail: | [e-mail] |

#### 4. Device Name:

| Proprietary or Trade Name: | Sonic Window |
|------------------------------|---------------------------------------|
| Common Name: | Ultrasound System |
| Model Name: | SW1000 |
| Classification Name: | Ultrasonic Pulsed Echo Imaging System |
| Classification Panel: | Ultrasonic Imaging Devices |
| Product Codes: | IYO, ITX |
| Code of Federal Regulations: | 892.1560, 892.1570 |

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Regulatory Classification of Sonic Window

| Device Panel | CFR<br>Section | Product<br>Code | Device<br>Class | Description |
|-----------------------------------|----------------|-----------------|-----------------|------------------------------------------|
| Part 892-<br>Radiology<br>Devices | 892.1560 | IYO | II | Ultrasonic Pulsed Echo<br>Imaging System |
| Part 892-<br>Radiology<br>Devices | 892.1570 | ITX | II | Diagnostic Ultrasound<br>Transducer |

#### ડ. Predicate Devices:

The legally marketed devices to which equivalence is being claimed are:

The Flex Focus cleared under Premarket Notification K 100919 (Summary is included in Appendix C along with the User Guide, the Transducer User Guide and Transducer Data Sheet). This predicate device was chosen specifically for its use on peripheral vascular viewing and its ability to perform in C-Mode with the assistance of additional software. Additionally the BK Model Flex Focus Ultrasound Transducer Probe 8848 (cleared under K081154) was chosen as this predicate probe uses the same patient contact materials.

#### 6. Description of Sonic Window

The Sonic Window is a fully integrated handheld ultrasound imaging system that combines electronics, transducer, display and battery into the same device. The device is designed and optimized to visualize real-time ultrasound images on a Coronal (Constant Imaging Depth) plane positioned at a distance (depth) from the transducer that is controllable by the user.

#### 7. Intended Use:

Visualization of peripheral vessels and assessment of vessel width and depth for needle/catheter placement by a medical professional. The Sonic Window is only intended to be used by a health care professional by prescription only.

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#### Comparison of Technological Characteristics: 8.

The technological characteristics of the Sonic Window are the same as the legally marketed predicate devices.

The Sonic Window Acoustic Output controls are similar to the Output controls of the predicate device. The system will assure that the acoustic output always will stay well below the pre-amendment upper limits ice 15pa ≤ 720mW/cm2 and MI ≤ 1.9 (Track 3, non-ophthalmic.

The Track 3 summary table as required by the FDA guidance document Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers; issued September 9, 2008 is provided below.

| Transducer<br>Model | Ispta.3 | TI<br>Type | TI<br>Value | MI | IPA.3 at MImax |
|---------------------|-----------|------------|-------------|------|----------------|
| Sonic<br>Window | 3.4mW/cm² | TIS | 0.16 | 0.29 | 7.3 W/cm² |

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Summary of Technological Characteristics - Predicate Device Compared to Modified Device

| Manufacturer | Analogic | BK Medical | |
|--------------------|-----------------------------|-----------------------------------------------|---------------------------------------------------------------------------------------|
| | Sonic Window | Flex Focus | |
| | New Device | K100919 w/ 8820E | |
| Features | Indications | K081154 for Contact<br>Materials (Probe 8848) | |
| | Primary Market | Peripheral Vascular | Surgery, Anesthesia &<br>Interventional Radiology<br>including Peripheral<br>Vascular |
| Type Of System | | Handheld | Portable |
| Operating Modes | | C-Mode [1] | B, M, Doppler, CFM, PW,<br>THI, 3D/2/ |
| Source Of Power | Battery | Line and Battery | |
| Transducers | Integrated 5MHz 2D<br>Array | Multiple multi-frequency<br>probes | |
| | Contact Materials | TPX MX 002, Polymics<br>Carbon Black | TPX MX 002, Polymics<br>Carbon Black |
| Transducer Housing | | Radel R-5100 | TBD |

[1] C (Coronal)-Mode. (Constant Distant Imaging Plane) in real-time

[2] 3D includes the functionality to visualize Coronal planes

[3] Indicates output of Peripheral Vascular Access Probe Model 4C-RS

#### 9. Non-clinical Tests to be used in Determination of Substantial Equivalence:

Prior to marketing the Sonic Window, verification testing activities will be conducted to establish the compliance, performance, and reliability characteristics of the Sonic Window. This is to include the following non-clinical tests:

IEC 60601-1 (including Amendments 1 & 2), Medical Electrical Equipment - General Requirements for Safety

IEC 60601-1-2: 2001 Medical electrical equipment - Electromagnetic compatibility emission limits meet Group 1 Class B

IEC 60601-1-4: Medical electrical equipment - Part 1: General requirements for safety -4. Collateral standard: Programmable electrical medical systems

Mechanical shock and vibration tests will be performed in accordance with IEC 60068 series of standards to ensure the device withstands shocks and vibrations in environment of intended use.

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K140126
Page 5 of 5

Shipping container transportation tests will be performed in accordance with ISTA; Project 2A to ensure packaging of equipment is not adversely affected during shipping.

Altitude tests will be performed to ensure that operation at higher altitudes does not adversely affect electrical safety or performance.

Tests will be performed to verify enclosure material robustness and resistance to cleaning materials commonly used in hospitals.

#### 10. Conclusions from Non-clinical Testing:

The test schedule of the Sonic Window combined with "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers; issued September 9, 2008," Track 3 tests already performed demonstrate that the performance of the Sonic Window ultrasound system is substantially equivalent to the predicate devices cited in Paragraph 5 of this summary. The device will present no new concerns regarding safety and effectiveness.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-Goby

Silver Spring, MD 20993-0002

Public Health Service

April 4, 2014 .

Analogic Corporation % Mr. Albert Cefalo Senior Manager. Global Regulatory Affairs 8 Centennial Drive PEABODY MA 01960

Re: K140126

Trade/Device Name: Sonic Window Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system Regulatory Class: II Product Code: IYO, ITX Dated: January 31, 2014 Reccived: February 3, 2014

Dear Mr. Cefalo:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not miskeading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be Tound in the Code of Federal Regulations. Title 21. Parts 800 to 898. 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 (2 l CFR Part 807): labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803): 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.

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Page 2-Mr. Cefalo

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/industry/default.htm.

Sincerely yours,

Samhyl)

for

Janine M. Morris Director. Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

### Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known) K140126

Device Name Sonic Window

Indications for Use (Describe)

The Sonic Window is intended for the visualization of vasular access guidance of needles and catheters (Insertion of Peripheral Intravenous (PIV) Catheters as an example). The Sonic Window is not indicated for use by a layperson and shall be used by prescription only.

Sonic Window / SW1000

Mode of Operation

Clinical Application Other* (Specify)

Nº Peripheral Vascular

* = Coronal Plane (Constant Imaging Depth Plane)

Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

## Please do not write below this line – continue on a separate page if needed.

### FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

FORM FDA 3881 (1/14)

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