Non-Sterile Ultrasound Gel Sterile Ultrasound Gel

K253255 · Foshan Pingchuang Medical Technology Co., Ltd. · MUI · Jun 17, 2026 · Radiology

Device Facts

Record IDK253255
Device NameNon-Sterile Ultrasound Gel Sterile Ultrasound Gel
ApplicantFoshan Pingchuang Medical Technology Co., Ltd.
Product CodeMUI · Radiology
Decision DateJun 17, 2026
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 892.1570
Device ClassClass 2
AttributesPediatric

Indications for Use

For Non-Sterile Ultrasound Gel: Non-Sterile Ultrasound Gel is intended to be used on intact skin as a non-sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. For Sterile Ultrasound Gel: Sterile Ultrasound Gel is intended to be used on intact skin as a sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures.

Device Story

Water-soluble, clear polymer gel; functions as acoustic coupling medium between patient intact skin and ultrasound transducer; eliminates air at contact surface; facilitates transmission of sound waves into body and reception of echoes from tissues. Used in healthcare facilities by clinicians during diagnostic ultrasound imaging. Non-sterile version provided in multiple-use bottles; sterile version provided in single-use packages. Output is acoustic pathway; enables visualization of internal structures. Benefits patient by ensuring effective signal transmission for diagnostic imaging.

Clinical Evidence

No clinical data. Substantial equivalence supported by bench testing including physical/chemical properties (pH, viscosity, density), acoustic performance (velocity, impedance, attenuation), microbiological testing, biocompatibility (ISO 10993-5, -10, -23), and shelf-life validation.

Technological Characteristics

Water-based polymer gel; non-sterile or sterile (Gamma radiation, SAL 10^-6). Physical specs: pH 5.5-7.5; viscosity ≥15 Pa·s; acoustic velocity 1520-1620 m/s; acoustic impedance 1.5-1.7x10^6 Pa·s/m. Biocompatibility per ISO 10993. Transportation testing per ASTM D4169-23.

Indications for Use

Indicated for use on intact skin in adults and pediatrics as a transmission medium for coupling sound waves between patient and ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures.

Regulatory Classification

Identification

A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.

Predicate Devices

Reference Devices

Submission Summary (Full Text)

{0} **FDA** **U.S. FOOD & DRUG** ADMINISTRATION June 17, 2026 Foshan Pingchuang Medical Technology Co., Ltd. % Grace Liu Consultant Shenzhen Joyantech Consulting Co., Ltd. 1713A, 17th Floor, Block A, Zhongguan Times Square Nanshan District Shenzhen, Guangdong 518000 CHINA Re: K253255 Trade/Device Name: Non-Sterile Ultrasound Gel Sterile Ultrasound Gel Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic Ultrasonic Transducer Regulatory Class: Class II Product Code: MUI Dated: September 29, 2025 Received: September 29, 2025 Dear Grace Liu: 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 (the 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 available 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. U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.gov {1} K253255 - Grace Liu Page 2 Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13484 clause 8.3 (Nonconforming product), and ISO 13485 clause 8.5 (Corrective and preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory- {2} K253255 - Grace Liu Page 3 assistance/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, **MARJAN NABILI -S** for 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 {3} # Indications for Use | Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions. | K253255 | ? | | --- | --- | --- | | Please provide the device trade name(s). | | ? | | Non-Sterile Ultrasound Gel Sterile Ultrasound Gel | | | | Please provide your Indications for Use below. | | ? | | For Non-Sterile Ultrasound Gel: Non-Sterile Ultrasound Gel is intended to be used on intact skin as a non-sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. For Sterile Ultrasound Gel: Sterile Ultrasound Gel is intended to be used on intact skin as a sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. | | | | Please select the types of uses (select one or both, as applicable). | ☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) | ? | {4} # 510(k) Summary - K253255 ## 1. Contact Details ### 1.1 Applicant information | **Applicant Name** | Foshan Pingchuang Medical Technology Co., Ltd. | | --- | --- | | **Address** | Room 301, One of Huaye Road No.3, Lingang Venture Park, Shunjiang, BeijiaoTown, Shunde District Foshan City, Guangdong 528312 China | | **Contact person** | Anthony Huang | | **Phone No.** | +86-18927534836 | | **E-mail** | sales@pingchuangyl.com | | **Date Prepared** | 2026-06-18 | ### 1.2 Submission Correspondent | 中国大陆 | Shenzhen Joyantech Consulting Co., Ltd. 1713A, 17th Floor, Block A, Zhongguan Times Square, Nanshan District Shenzhen, Guangdong 518000 China | | --- | --- | | **Phone No.** | +86-755-86069197 | | **Contact person** | Grace Liu | | **Contact person's e-mail** | grace@cefda.com | | **Website** | http://www.cefda.com | ## 2. Device Information | **Trade name** | Non-Sterile Ultrasound Gel Sterile Ultrasound Gel | | --- | --- | | **Classification** | II | | **Classification name** | Diagnostic ultrasonic transducer | | **Product code** | MUI | | **Regulation No.** | 21 CFR 892.1570 | ## 3. Legally Marketed Predicate Device | **Trade Name** | Ultra/Phonic® Scanning Gel | | --- | --- | | **Manufacturer** | Pharmaceutical Innovations, Inc. | | **510(k) Number** | K163026 | | **Product Code** | MUI | | **Device Class** | II | | **Regulation No.** | 21 CFR 892.1570 | The predicate device has not been subject to any design-related recall. Page 1 of 7 {5} #### 4. Legally marketed reference device | **Trade Name** | Sterile and Non-Sterile Ultrasonic Coupling Agent | | --- | --- | | **Manufacturer** | Anhui Deepblue Medical Technology Co., Ltd. | | **510(k) Number** | K242167 | | **Product Code** | MUI | | **Device Class** | II | | **Regulation No.** | 21 CFR 892.1570 | The reference device has not been subject to any design-related recall. #### 5. Device Description Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Gel are water-soluble, clear gel, and they are a type of conductive medium used in ultrasound diagnostic imaging procedures. When the ultrasound gel is placed between the intact skin of patients and the medical electronic transducers, it eliminates air at the contact surface while providing coupling, so that it provides an acoustic pathway between the intact skin of patients and the medical electronic transducers. This pathway allows the transducer to send sound waves which enter the body, and to receive echoes from tissues and structures. Non-Sterile Ultrasonic Gel is provided non-sterile, and it is available in several specifications: 60g/bottle, 80g/bottle, 100g/bottle, 150g/bottle and 250g/bottle. Sterile Ultrasonic Gel is a single-use device, provided sterile, and it is available in several specifications: 10g/bag, 12g/bag, 15g/bag, 20g/bag and 30g/bag. The shelf life of both Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Ge is 3 years. #### 6. Intended Use/Indication for Use For Non-Sterile Ultrasound Gel: Non-Sterile Ultrasound Gel is intended to be used on intact skin as a non-sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. For Sterile Ultrasound Gel: Sterile Ultrasound Gel is intended to be used on intact skin as a sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. Page 2 of 7 {6} ## 7. Substantial Equivalence Comparison | Comparison Item | Proposed Device (K253255) | Predicate Device (K163026) | Reference Device (K242167) | Comment | | --- | --- | --- | --- | --- | | Manufacturer | Foshan Pingchuang Medical Technology Co., Ltd. | Pharmaceutical Innovations, Inc. | Anhui Deepblue Medical Technology Co., Ltd. | / | | Product Name | Non-Sterile Ultrasound Gel Sterile Ultrasound Gel | Ultra/Phonic® Scanning Gel | Sterile and Non-Sterile Ultrasonic Coupling Agent | / | | Regulation Number | 21 CFR 892.1570 | 21 CFR 892.1570 | 21 CFR 892.1570 | Same | | Product code | MUI | MUI | MUI | Same | | Classification | Class II | Class II | Class II | Same | | Prescription Use | Yes | Yes | Yes | Same | | Intended Use / Indications for Use | For Non-Sterile Ultrasound Gel: Non-Sterile Ultrasound Gel is intended to be used on intact skin as a non-sterile transmission media for coupling sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. For Sterile Ultrasound Gel: Sterile Ultrasound Gel is intended to be used on intact skin as a sterile transmission media for coupling | Ultra/Phonic® Scanning Gel is intended for general use as a non-sterile transmission media for acoustically coupling a transducer to a human body surface during external therapeutic and diagnostic ultrasound imaging procedures. It is placed on the patient's skin or on the transducer prior to initiating an ultrasound examination. The product is indicated for prescription use only. | Sterile and Non-Sterile Ultrasonic Coupling Agent are ultrasound couplings intended to be used on intact skin during non-invasive medical ultrasound procedures to couple sound waves between a patient and the medical imaging electronics. The gels are intended for use in all diagnostic ultrasound procedures which require coupling gel or fluid. The gels can be used during the procedures that involved adults and | Equivalent to the predicate device. | Page 3 of 7 {7} | | | sound waves between a patient and the ultrasound transducer during non-invasive diagnostic ultrasound imaging procedures. | | pediatrics in professional healthcare facility. | | | --- | --- | --- | --- | --- | --- | | Target patients | | Adults and Pediatrics | Adults and Pediatrics | Adults and Pediatrics | Same | | Environment of Use | | Healthcare facility | Healthcare facility | Healthcare facility | Same | | Usage | | Non-Sterile: multiple use bottles Sterile: single use packages | Multiple use bottles | Non-Sterile: multiple use bottles Sterile: single use packages | Non-Sterile is the same with the predicate device; Non-sterile and Sterile are the same with the reference device. | | Patient-contacting material | | Water-based polymer gel | Water-based polymer gel | Water-based polymer gel | Equivalent | | Performances | Appearance | The product is colorless or light-colored transparent gel without insoluble foreign matter. | Green coloring, high clarity | The product shall be colorless or light-colored transparent gel without insoluble foreign matters. | Equivalent | | | Density | 0.85-1.15g/ml | 1.035g/ml | 987-1049 kg/m^{3} | Different | | | pH | 5.5-7.5 | 6.25±0.25 | 5.0-8.0 | | | | Viscosity | ≥15 Pa·s | 200,000±100,000 cps | ≥15 Pa·s | Same with the reference device | | | Acoustic Velocity | 1520-1620 m/s at 35°C | 1590 m/s at 22.5°C | 1520-1620 m/s at 35°C | | | | Acoustic Impedance | 1.5×10^{6}-1.7×10^{6} Pa·s/m at 35°C | 1.65×10^{6} Pa·s/m at 22.5°C | 1.5×10^{6}-1.7×10^{6} Pa·s/m at 35°C | | | | Acoustic | ≤0.1 dB/(cm·MHz) at 35°C | 0.06+0.01116f^{1.3706} dB/(cm·MHz) | ≤0.1 dB/(cm·MHz) at 35°C | | Page 4 of 7 {8} | | Attenuation | | | | | | --- | --- | --- | --- | --- | --- | | Biocompatibility | | Conform with ISO 10993 series standards (cytotoxicity, skin sensitization, and skin irritation) | Conform with ISO 10993 series standards (cytotoxicity, skin sensitization, and skin irritation) | Conform with ISO 10993 series standards (cytotoxicity, skin sensitization, and skin irritation) | Same | | Sterility | | Non-Sterile: non-sterile Sterile: Gamma radiation, SAL 10^{-6} | Non-sterile: non-sterile | Non-sterile: non-sterile Sterile: Gamma radiation, SAL 10^{-6} | Non-Sterile is the same with the predicate device; Non-sterile and Sterile are the same with the reference device. | In conclusion, the proposed device has the similar indication for use to the predicate device (K163026), and also has similar technical characteristics to the predicate device (K163026) and the reference device (K242167). The differences don't raise any additional questions for safety and effectiveness. Therefore, the proposed device is substantially equivalent to the predicate device (K163026). Page 5 of 7 {9} ## 8. Summary of Non-clinical Testing Non-clinical tests were conducted to demonstrate the safety and effectiveness of the proposed device and the substantial equivalence to the predicate device. The following tests were conducted. # Performance testing: The following performance tests have been performed on Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Gel, according to the technical specifications, and the results demonstrate the subject device can meet the technical specifications. - Physical and chemical performances (including Appearance, pH, Viscosity and Relative density) - Acoustic performances (including Acoustic velocity, Acoustic impedance and Acoustic attenuation) - Microbiological performances - Microbial limits and Antimicrobial effectiveness (only for Non-Sterile Ultrasonic Gel) - Sterility (only for Sterile Ultrasonic Gel) # Biocompatibility: The following biocompatibility tests have been performed on Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Gel, according to FDA guidance - Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" issued on Sep. 8, 2023, and the test results showed that the proposed device has no biocompatibility issues. - Cytotoxicity as per ISO 10993-5:2009 - Skin Irritation as per ISO 10993-23:2021 - Skin Sensitization as per ISO 10993-10:2021 # Sterilization: For Sterile Ultrasonic Gel, a Sterility Assurance Level (SAL) of 10⁻⁶ has been validated in accordance with the requirements of ISO 11137-1:2006, ISO 11137-2:2013 and 11137-3:2017. # Shelf Life: Real-time aging has been performed on Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Gel, to assure the shelf-life of 3 years. # Simulated Transportation Testing: The simulated transportation testing has been conducted on Non-Sterile Ultrasonic Gel and Sterile Ultrasonic Gel according to ASTM D4169-23. ## 9. Clinical Testing This 510(k) submission does not utilize clinical study for establishing substantial equivalence, therefore this section Page 6 of 7 {10} does not apply. ## 10. Conclusions A comparison of the intended use, design specifications, and results of non-clinical testing between the proposed device and the legally marketed predicate device (K163026) raised no new questions of safety and effectiveness and show that they are Substantially Equivalent (SE). Page 7 of 7
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