ACUSON Juniper Diagnostic Ultrasound System, ACUSON Juniper Select Diagnostic Ultrasound System
Device Facts
| Record ID | K230207 |
|---|---|
| Device Name | ACUSON Juniper Diagnostic Ultrasound System, ACUSON Juniper Select Diagnostic Ultrasound System |
| Applicant | Siemens Medical Solutions USA, Inc. |
| Product Code | IYN · Radiology |
| Decision Date | Feb 13, 2023 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 892.1550 |
| Device Class | Class 2 |
| Attributes | Pediatric, 3rd-Party Reviewed |
Indications for Use
For ACUSON Juniper The ACUSON Juniper ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Neonatal, Vascular, Urology, Echocardiography, Musculoskeletal, and Intraoperative applications using different ultrasound transducers for different applications. The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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. For ACUSON Juniper Select The ACUSON Juniper Select ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Vascular, Urology, Echocardiography and Musculoskeletal applications using different ultrasound transducers for different applications. The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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.
Device Story
Mobile, software-controlled diagnostic ultrasound system; acquires harmonic ultrasound echo data; displays in B-Mode, M-Mode, PW/CW Doppler, Color Doppler, Tissue Imaging, 3D/4D volume imaging on flat panel display. Operated by trained healthcare professionals in clinical settings. Includes analysis packages (e.g., Arterial Health Package) for measuring anatomical structures; provides clinicians with diagnostic information and patient communication tools. System utilizes various transducers for specific clinical applications. Output viewed by physicians to inform clinical decision-making and patient management.
Clinical Evidence
No clinical studies were required or submitted to support substantial equivalence. Bench testing only.
Technological Characteristics
Mobile ultrasound system; supports 2D, M-mode, Doppler, 3D/4D imaging. Connectivity: DICOM 3.0, wireless. Safety standards: IEC 62359, AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-18, IEC 60601-2-37. Biocompatibility: ISO 10993-1. Software features include Arterial Health Package, eSie measurements, and Lightsource rendering.
Indications for Use
Indicated for use by trained healthcare professionals in clinical settings for diagnostic ultrasound imaging (Abdominal, OB/GYN, Small Parts, Pediatric, Neonatal, Vascular, Urology, Echo, Musculoskeletal, Intraoperative). Provides anatomical measurements and analysis packages (e.g., Arterial Health Package for Intima Media Thickness) to assist physician diagnosis.
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
- ACUSON Juniper and ACUSON Juniper Select (K221190)
Reference Devices
Submission Summary (Full Text)
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February 13, 2023
Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue box, followed by the words "U.S. FOOD & DRUG" in blue, and the word "ADMINISTRATION" in a smaller font below that.
Siemens Medical Solutions USA, Inc. % Prithul Bom Most Responsible Person REGULATORY TECHNOLOGY SERVICES, LLC 1000 Westgate Drive. Suite 510k SAINT PAUL MN 55114
Re: K230207
Trade/Device Name: ACUSON Juniper Diagnostic Ultrasound System, ACUSON Juniper Select Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: Class II Product Code: IYN, IYO, ITX, OIJ Dated: January 25, 2023 Received: January 25, 2023
Dear Prithul Bom:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 misleading.
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 found 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
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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); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Yanna S. Kang -S
Yanna Kang, Ph.D. Assistant Director Mammography and Ultrasound Team DHT8C: Division of Radiological Imaging and Radiation Therapy Devices OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K230207
#### Device Name
ACUSON Juniper Diagnostic Ultrasound System, ACUSON Juniper Select Diagnostic Ultrasound System
#### Indications for Use (Describe)
For ACUSON Juniper
The ACUSON Juniper ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Neonatal, Vascular, Urology, Echocardiography, Musculoskeletal, and Intraoperative applications using different ultrasound transducers for different applications.
The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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.
#### For ACUSON Juniper Select
The ACUSON Juniper Select ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Vascular, Urology, Echocardiography and Musculoskeletal applications using different ultrasound transducers for different applications.
The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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.
Operating Modes 2D-Mode · 2D-Mode with Harmonic Imaging Color flow Doppler · Color (Velocity) · Power (Energy) Pulsed Wave Doppler · Pulsed Wave Doppler Tissue Imaging · High Pulsed Repetition Frequency Pulsed Wave Doppler Continuous Wave Doppler · Steerable Continuous Wave Doppler for imaging transducers · Auxiliary Continuous Wave Doppler for pencil transducers M Mode · M-Mode with Harmonic Imaging · Anatomical M-mode 3D/4D Volume Imaging
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#### Combined Modes
· 2D-Mode with Color
- 2D-Mode with Doppler
- · 2D-Mode with Color and Doppler
- · 2D-Mode with M-Mode
- 2D-Mode with M-Mode and Color
- · 2D-Mode with Elastography*
- 2D-Mode with Contrast Agent Imaging
- · 2D/Anatomical M-mode
- *Available only for the ACUSON Juniper system.
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)
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#### 510(k) Summary
K230207
| Date: | Nov. 16, 2022 | | |
|---------------------------------|-----------------------------------------------------------------------------------------------------------------------------|----------|--------|
| 1. Sponsor: | Siemens Medical Solutions USA, Inc.,<br>Ultrasound Division<br>22010 South East 51st Street<br>Issaquah, WA 98029 | | |
| Contact<br>Person: | Sulgue Choi<br>Tel: (425) 281-9898 | | |
| Secondary<br>Contact<br>Person: | GukHyun Kim<br>Tel: +82 10 4697 8351<br>E-mail: gukhyun.kim@siemens-healthineers.com | | |
| 2. Device<br>Name: | ACUSON Juniper Diagnostic Ultrasound System<br>ACUSON Juniper Select Diagnostic Ultrasound System | | |
| Common<br>Name: | Diagnostic Ultrasound System with Accessories | | |
| Classification: | Regulatory Class: II<br>Review Category: Tier II<br>Classification Panel: Radiology | | |
| | Ultrasonic Pulsed Doppler Imaging System | 892.1550 | 90-IYM |
| | Ultrasonic Pulsed Echo Imaging System | 892.1560 | 90-IYC |
| | Diagnostic Ultrasound Transducer | 892.1570 | 90-ITX |
| | Biopsy needle guide Kit | 892.1560 | 90-OIJ |
| Manufacturing<br>Site: | Siemens Healthineers Ltd.<br>2nd -3rd floor, 143, Sunhwan-ro,<br>Jungwon-gu, Seongnam-si, Gyeonggi-do,<br>Republic of Korea | | |
| | Siemens Healthcare s.r.o.<br>Panattoni Park Kosice Airport ul. Andreja Kvasa 5 040 17<br>Kosice- Barca, Slovakia | | |
### 3. Legally Marketed Predicate Devices
The ACUSON Juniper Diagnostic Ultrasound System and ACUSON Juniper Select Diagnostic Ultrasound System are the multi-purpose diagnostic ultrasound systems with
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accessories and proprietary software and is substantially equivalent to the company's own products.
- Primary Predicate Device: ACUSON Juniper and ACUSON Juniper Select (K221190) -
- Reference Device: ACUSON S2000 (K183575), ACUSON P500(K213487) -
## 4. Device Description
The ACUSON Juniper Diagnostic Ultrasound System and ACUSON Juniper Select Diagnostic Ultrasound System are the multi-purpose mobile, software controlled, diagnostic ultrasound systems with an on-screen display for thermal and mechanical indices related to potential bio-effect mechanisms. Their function is to acquire harmonic ultrasound echo data and display it in B-Mode, M-Mode, Pulsed (PW) Doppler Mode, Continuous (CW) Doppler Mode, Color Doppler Mode, Color M mode, Doppler Tissue Image, Amplitude Doppler Mode, a combination of modes, or Harmonic Imaging and 3D Imaging, or Harmonic Imaging and 4D imaging on a Flat Panel Display.
## 5. Intended Use/Indications for Use
## For ACUSON Juniper
The ACUSON Juniper ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Neonatal, Vascular, Urology, Echocardiography, Musculoskeletal, and Intraoperative applications using different ultrasound transducers for different applications.
The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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.
### For ACUSON Juniper Select
The ACUSON Juniper Select ultrasound imaging system is intended to provide images of, or signals from, inside the body by an appropriately trained healthcare professional in a clinical setting for the following applications: Abdominal, Obstetrics, Gynecology, Small Parts, Pediatric, Vascular, Urology, Echocardiography and Musculoskeletal applications using different ultrasound transducers for different applications.
The system also provides the ability to measure anatomical structures and provides analysis packages that provide information used by a physician for clinical diagnostic 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.
### Operating Modes
2D-Mode
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- . 2D-Mode with Harmonic Imaging
- Color flow Doppler
- Color (Velocity) ●
- Power (Energy) ●
- Pulsed Wave Doppler
- Pulsed Wave Doppler Tissue Imaging ●
- . High Pulsed Repetition Frequency Pulsed Wave Doppler Continuous Wave Doppler
- Steerable Continuous Wave Doppler for imaging transducers
- Auxiliary Continuous Wave Doppler for pencil transducers ●
- M Mode
- M-Mode with Harmonic Imaging ●
- Anatomical M-mode ●
- 3D/4D Volume Imaging
### Combined Modes
- 2D-Mode with Color .
- 2D-Mode with Doppler ●
- 2D-Mode with Color and Doppler
- 2D-Mode with M-Mode
- 2D-Mode with M-Mode and Color ●
- 2D-Mode with Elastography* ●
- 2D-Mode with Contrast Agent Imaging ●
- 2D/Anatomical M-mode .
*Available only for the ACUSON Juniper system.
## 6. Summary of Technological Characteristics and Determination of Substantial Equivalence
The ACUSON Juniper Diagnostic Ultrasound System and ACUSON Juniper Select Diagnostic Ultrasound System are substantially equivalent to the company's own product that is already cleared for US distribution. The predicate device of ACUSON Juniper & ACUSON Juniper Select is 'ACUSON Juniper and ACUSON Juniper Select (K221190)',with regards to intended use, indications for use, technological characteristics (Transducers, accessories and software features) and safety and effectiveness.
The submission device differs from the predicated devices as following:
- 1) ACUSON Juniper
- (1) Transducer & Accessories
- The addition of the 9VC2 transducer, which is substantially equivalent to the 8VC3 transducer previously cleared on the 'ACUSON Juniper and ACUSON Juniper Select (K221190)'.
- . The addition of the 9VE4 transducer, which is substantially equivalent to the 9VE3 transducer previously cleared on the 'ACUSON Juniper and ACUSON Juniper Select (K221190)'.
- The addition of the L10-5v transducer, which is substantially equivalent to the ● L10-5v transducer previously cleared on the 'ACUSON P500(K213487)'.
- The addition of the P4-2 transducer, which is substantially equivalent to the P4-2 transducer previously cleared on the 'ACUSON P500(K213487)'.
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- The addition of needle quide kit. 9VE4, which is substantially equivalent to the . needle guide Kit, 9VE3 previously cleared on the ACUSON Juniper (K221190).
- . The addition of needle guide kit, L10-5v, which is substantially equivalent to the needle guide Kit, L10-5v previously cleared on the ACUSON P500 (K213487).
- The addition of 'Fetal Echocardiography' for Indication for use of 8VC3 probe. . which is substantially equivalent to the 5C1 transducer previously cleared on the 'ACUSON Juniper and ACUSON Juniper Select (K221190)'.
- (2) Software Feature:
- The addition of 'Lightsource' clinical application, which is substantially . equivalent to 'Amnioscopic rendering' previously cleared on the ACUSON S3000 S2000 Diagnostic Ultrasound Systems (K183575). The feature has only been renamed from 'Amnioscopic rendering' to 'Lightsource' without having any technological difference between the two.
- 2) ACUSON Juniper Select
- (1) Transducer & Accessories
- The addition of the 9VC2 transducer, which is substantially equivalent to the ● 8VC3 transducer previously cleared on the 'ACUSON Juniper and ACUSON Juniper Select (K221190)'.
- The addition of the L10-5v transducer, which is substantially equivalent to the L10-5v transducer previously cleared on the 'ACUSON P500(K213487)'.
- The addition of the P4-2 transducer, which is substantially equivalent to the P4-● 2 transducer previously cleared on the 'ACUSON P500(K213487)'.
- The addition of needle guide kit, L10-5v, which is substantially equivalent to the needle guide Kit, L10-5v previously cleared on the ACUSON P500 (K213487).
The ACUSON Juniper and ACUSON Juniper Select are substantially equivalent to the predicate device with regard to the intended use, indications for use and technical characteristics.
| | ACUSON Juniper<br><This submission> | ACUSON Juniper<br>Select<br><This submission> | ACUSON Juniper<br>and ACUSON<br>Juniper Select<br>(K221190)<br><Predicate<br>device> | ACUSON S3000<br>S2000<br>(K183575)<br><Reference<br>device> |
|---------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------|-----------------------------------------------|--------------------------------------------------------------------------------------|-------------------------------------------------------------|
| Indications for Use: | | | | |
| ■ Abdominal<br>(Abdominal, Abdominal<br>Difficult, Renal, Bowel,<br>Focused Assessment with<br>Sonography for Trauma,<br>Lung) | √ | √ | √ | |
| ■ Obstetrics<br>(Obstetrics, Early Obstetrics,<br>Fetal Echocardiography,<br>Advanced Obstetrics) | √ | √ | √ | |
| ■ Gynecology<br>(Gynecology, Pelvic Floor) | √ | √ | √ | |
| ■ Small Parts<br>(Breast, Testicles, Penile,<br>Thyroid) | √ | √ | √ | |
| ■ Pediatric<br>(Pediatric Hip Joint,<br>Pediatric Abdomen) | √ | √ | √ | |
| ■ Neonatal | √ | | √ | |
| | ACUSON Juniper<br><This submission> | ACUSON Juniper<br>Select<br><This submission> | ACUSON Juniper<br>and ACUSON<br>Juniper Select<br>(K221190)<br><Predicate<br>device> | ACUSON S3000<br>S2000<br>(K183575)<br><Reference<br>device> |
| (Neonatal Head) | | | | |
| ■<br>Vascular<br>(Carotid, Peripheral Venous,<br>Peripheral Arterials,<br>Transcranial Doppler) | √ | √ | √ | |
| ■<br>Urology<br>(Pelvis, Prostate) | √ | √ | √ | |
| ■<br>Echocardiography<br>(Adult Echocardiography,<br>Pediatric Echocardiography,<br>Neonatal Echocardiography,<br>Trans-esophageal<br>Echocardiography) | √ | √ | √ | |
| ■<br>Musculoskeletal<br>(Spine, Musculoskeletal,<br>Digital, Nerve) | √ | √ | √ | |
| ■<br>Intraoperative<br>(Intraoperative<br>Abdomen, Intraoperative<br>Vascular) | √ | | √ | |
| Modes: | | | | |
| ■<br>2D (Brightness mode) | √ | √ | √ | |
| ■<br>C (Color Flow Doppler) | √ | √ | √ | |
| ■<br>D (Doppler) | √ | √ | √ | |
| ■<br>M (Motion Mode) | √ | √ | √ | |
| ■<br>CW (Continuous Waver<br>Doppler) | √ | √ | √ | |
| Features: | | | | |
| ■<br>DICOM (3.0 Connectivity,<br>Worklist, MPPS) | √ | √ | √ | |
| ■<br>DICOM SR OB/GYN | √ | √ | √ | |
| ■<br>DICOM SR Cardiac | √ | √ | √ | |
| ■<br>DICOM SR Vascular | √ | √ | √ | |
| ■<br>syngo Arterial Health<br>Package (AHP) | √ | √ | √ | |
| ■<br>syngo Auto Follicle | √ | √ | √ | |
| ■<br>syngo Auto OB | √ | √ | √ | |
| ■<br>eSie Left Heart (eSie LH) | √ | | √ | |
| ■<br>Stress Echo | √ | | √ | |
| ■<br>3-Scape Imaging | √ | √ | √ | |
| ■<br>fourSight 4D | √ | √ | √ | |
| ■<br>Advanced fourSight 4D<br>Imaging | √ | √ | √ | |
| | ACUSON Juniper<br><This submission> | ACUSON Juniper<br>Select<br><This submission> | ACUSON Juniper<br>and ACUSON<br>Juniper Select<br>(K221190)<br><Predicate<br>device> | ACUSON S3000<br>S2000<br>(K183575)<br><Reference<br>device> |
| ■ eSie Touch Elasticity<br>Imaging | √ | | √ | |
| ■ eSie Measure Workflow<br>Acceleration Package | √ | √ | √ | |
| ■ eSieScan Workflow Protocol | √ | √ | √ | |
| ■ Virtual Touch Quantification<br>(VTQ) | √ | | √ | |
| ■ SieScape Panoramic<br>Imaging | √ | √ | √ | |
| ■ Dynamic Tissue Contrast<br>Enhancement (DTCE) | √ | √ | √ | |
| ■ Advanced SieClear (ASC) | √ | √ | √ | |
| ■ Clarify Vascular<br>Enhancement (Clarify VE) | √ | √ | √ | |
| ■ eSielmage (TEQ/TGO) | √ | √ | √ | |
| ■ Anatomical M-mode (AMM) | √ | √ | √ | |
| ■ HD Zoom (Res) | √ | √ | √ | |
| ■ Needle Visualization | √ | | √ | |
| ■ Tissue Harmonic Imaging<br>(THI) | √ | √ | √ | |
| ■ Doppler Tissue Imaging<br>(DTI) | √ | √ | √ | |
| ■ Custom Tissue Imaging<br>(CTI) | √ | √ | √ | |
| ■ eSieCalcs | √ | √ | √ | |
| ■ Wireless | √ | √ | √ | |
| ■ Veterinary(VET) Imaging | √ | √ | √ | |
| ■ US Security (Virus<br>Protection) | √ | √ | √ | |
| ■ VVI(Velocity Vector Image) | √ | | √ | |
| ■ LVO(Left Ventricular<br>Opacification) | √ | √ | √ | |
| ■ Contrast Agent Imaging | √ | | √ | |
| ■ Lightsource | √ | | | √ |
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#### Siemens Medical Solutions USA, Inc. Ultrasound Division
#### ACUSON Juniper & Juniper Select Diagnostic Ultrasound System 510(k) Submission
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#### Siemens Medical Solutions USA, Inc. Ultrasound Division
#### ACUSON Juniper & Juniper Select Diagnostic Ultrasound System 510(k) Submission
# 7. A brief discussion of nonclinical tests submitted, referenced, or relied on in the 510(k) for a determination of substantial equivalence
The devices have been evaluated for acoustic output, biocompatibility, cleaning and disinfection effectiveness as well as thermal, electromagnetic and mechanical
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safety and have been found to conform to applicable medical device safety standards. The systems comply with the following voluntary standards:
- IEC 62359:2010 /A1(2017), Ultrasonic – Field characterization – Test methods for the determination of thermal and mechanical indices related to medical diagnostic ultrasonic field / This document and its separate amendments continue to be valid together with the consolidation version.
- . Safety and EMC Requirements for Medical Equipment
- AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and O A2:2010/(R)2012 (Consolidated Text) Medical electrical equipment – Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005)
- IEC 60601-1:2005/A1(2012), Medical electric equipment Part 1: General O requirements for basic safety and essential performance / This document and its separate amendments continue to be valid together with the consolidated version
- O IEC 60601-1-2 Edition 4.0 2014-02, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
- IEC 60601-2-18 Edition 3.0 2009-08. Medical electrical equipment Part 2-18: O Particular requirements for the basic safety and essential performance of endoscopic equipment
- IEC 60601-2-37 Edition 2.1 2015, Medical electrical equipment Part 2-37: O Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment
- I ISO 10993-1 Fifth edition 2018-08, Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process
### 8. A summary discussion of the clinical tests submitted, referenced, or relied on for a determination of substantial equivalence.
The subject of this premarket submission, ACUSON Juniper and ACUSON Juniper Select, did not require clinical studies to support substantial equivalence.
### 9. Summary
Subject devices and predicate device have the same intended use and substantially equivalent key technological features, and the non-clinical data support the safety of the device and demonstrate that the ACUSON Juniper and ACUSON Juniper Select should perform as intended in the specified use conditions. Therefore, it is the opinion of Siemens Medical Solutions USA, Inc. that the ACUSON Juniper and ACUSON Juniper Select to be as safe, as effective, and performance is substantially equivalent to the predicate device.
