THE SONOACE R3 DIAGNOSTIC ULTRASOUND SYSTEM

K101829 · Medison Co., Ltd. · ITX · Jul 16, 2010 · Radiology

Device Facts

Record IDK101829
Device NameTHE SONOACE R3 DIAGNOSTIC ULTRASOUND SYSTEM
ApplicantMedison Co., Ltd.
Product CodeITX · Radiology
Decision DateJul 16, 2010
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 892.1570
Device ClassClass 2
AttributesPediatric, 3rd-Party Reviewed

Intended Use

The SONOACE R3 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, trans-vaginal, Muscular-Skeletal (conventional, Superficial), Cardiac Adult and Peripheral-vessel.

Device Story

SONOACE R3 is a portable, software-controlled diagnostic ultrasound system. It acquires ultrasound data via transducers and displays it in B-mode, M-mode, color/power Doppler, PW/CW spectral Doppler, harmonic imaging, and freehand 3D. Operated by healthcare professionals in clinical settings, the system provides anatomical measurements and analysis packages to assist in diagnosis. It features real-time acoustic output display (mechanical and thermal indices). The system processes received echoes to generate on-screen images of structures and fluid flow. Output is used by clinicians to guide clinical decision-making, such as biopsy procedures or monitoring follicle development. Benefits include non-invasive visualization of internal structures and blood flow.

Clinical Evidence

Bench testing only. The device complies with safety standards including UL 60601-1, CSA C22.2 No. 601.1, IEC 60601-2-37, NEMA UD-2, NEMA UD-3, IEC 61157, and ISO 10993-1 for biocompatibility.

Technological Characteristics

Portable, software-controlled ultrasound system. Transducers: C2-4/20, EC4-9, CN2-8, L5-12/60, CN4-9, LN5-12/40. Imaging modes: B, M, PW/CW Doppler, Color/Power Doppler, Harmonic, 3D. Safety standards: UL 60601-1, CSA C22.2 No. 601.1, IEC 60601-2-37, NEMA UD-2/UD-3, IEC 61157, ISO 10993-1. Connectivity: Standard ultrasound interface.

Indications for Use

Indicated for diagnostic ultrasound imaging and fluid analysis in fetal, abdominal, pediatric, small organ (thyroid, parathyroid, breast, scrotum, penis), neonatal cephalic, trans-rectal, trans-vaginal, musculoskeletal (conventional, superficial), adult cardiac, and peripheral vessel applications. Includes biopsy guidance.

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

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ JUL 16 2010 6101829 510(k) Premarket Notification SONOACE R3 Diagnostic Ultrasound System # 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS This summary of safety and effectiveness is provided as part of this Premarket Notification in compliance with 21 CFR, Part 807, Subpart E, Section 807.92. # 1. Submitter's Information: 21 FR 807.92(a)(1) MEDISON CO., LTD. 1003, Daechi-dong, Gangnam-gu, Seoul 135-280, Korea Contact Person: Mr. Kyung-Am, Shim Regulatory Affairs Manager Telephone: 82.2.2194.1381 Facsimile: 82.2.2194.1399 Data Prepared: April 6, 2010 ### 2. Name of the device: | Common/Usual Name: | | | |----------------------------------------------|-----------|--------------| | Diagnostic Ultrasound System and Accessories | | | | Proprietary Name: | | | | SONOACE R3 Diagnostic Ultrasound System | | | | Classification Names: | FR Number | Product Code | | Ultrasonic Pulsed Doppler Imaging System | 892.1550 | IYN | | Ultrasound Pulsed Echo Imaging System | 892.1560 | IYO | | Diagnostic Ultrasound Transducer | 892.1570 | ITX | # 3. Identification of the predicate or legally marketed device: K081676, SONOACE X6 Diagnostic Ultrasound System K061213, SONOACE PICO Diagnostic Ultrasound System 510(k) Summary / Statement Certification #### ATTACHMENT 1 {1}------------------------------------------------ ### 4. Device Description: The SONOACE R3 is a general purpose, portable, software controlled, diagnostic ultrasound system. Its function is to acquire ultrasound data and to display the data as B mode, M mode, color Doppler imaging, power Doppler imaging, PW/CW spectral Doppler mode, Harmonic imaging, Freehand 3D imaging mode or as a combination of these modes. The SONOACE R3 also gives the operator the ability to measure annomical structures and offers analysis packages that provide information that is used to make a diagnosis by competent health care professionals. The SONOACE R3 has real time acoustic output display with two basic indices, a mechanical index and a thermised index, which are both automatically displayed. The SONOACE R3 has been designed to meet the following product safety standards: - UL 60601-1, Safety requirements for Medical Equipment - CSA C22.2 No. 601.1, Safety requirements for Medical Equipment - IEC60601-2-37, Diagnostic Ultrasound Safety Standards - EN/IEC60601-1, Safety requirements for Medical Equipment - EN/IEC60601-1-2, EMC requirements for Medical Equipment - NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment - NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment - IEC 61157, Declaration of the acoustic output - ISO10993-1. Biocompatibility #### 5. Intended Uses: The SONOACE R3 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, trans-vaginal, Muscular-Skeletal (conventional, Superficial), Cardiac Adult and Peripheral-vessel. #### Technological Characteristics: 6. The SONOACE R3 is substantially equivalent to the SONOACE X6 Diagnostic Ultrasound System, cleared via K081676, and the SONOACE PICO Diagnostic Ultrasound System, cleared via K061213. All systems transmit ultrasonic encry into patients, then perform post processing of received echoes to generate on-screen display of anatomic structures and fluid flow within the body. All system allow for specialized measurements of structures and flow, and calculations. ### END of 510(K) Summary 510(k) Summary / Statement Certification ATTACHMENT 1 {2}------------------------------------------------ Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines. Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002 # JUL 1 3 2010 Medison Co., Ltd. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313 Re: K101829 Trade/Device Name: SONOACE R3 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: June 30, 2010 Received: July 1, 2010 Dear Mr. Job: 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 SQNOACE R3 Diagnostic Ultrasound System, as described in your premarket notification: ### Transducer Model Number | C2-4/20 | EC4-9 | |---------|-----------| | CN2-8 | L5-12/60 | | CN4-9 | LN5-12/40 | {3}------------------------------------------------ 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/CDRH0ffices/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 Paul Hardy at (301) 796-6542. Sincerely vours. Maha D. O'Brien for Donald St. Pierre Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health Enclosure(s) {4}------------------------------------------------ 510(k) Premarket Notification SONOACE R3 Diagnostic Ultrasound System # Indications for Use 510(k) Number (if known): Device Name: SONOACE R3 Diagnostic Ultrasound System Indications for Use: The SONOACE R3 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Trans-rectal, trans-vaginal, Muscular-Skeletal (conventional, superficial), Cardiac Adult and Peripheral-vessel. Prescription Use (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Division Sign-Off Division of Radiological Device Office of In Vitro Diagnostic Device Evaluation and Safety 510K K101829 Page 1 of 12 Indications For Use . {5}------------------------------------------------ 510(k) Premarket Notification # DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT ### 510(k) No .: Device Name: SONOACE R3 Diagnostic Ultrasound System Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|------------------------------|---------------------------------------------------|---|-----|-----|-------------------|----------------------|------------------| | General<br>(Track I only) | Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | Ophthalmic | Ophthalmic | | | | | | | | | | Fetal (See Note 3) | N | N | N | N | N | Note 1 | Notes 2,7,8 | | | Abdominal | N | N | N | N | N | Note 1 | Notes 2,7,8 | | | Intra-operative (See Note 6) | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | Fetal Imaging<br>& Other | Laparoscopic | | | | | | | | | | Pediatric | N | N | N | N | N | Note 1 | Notes 2,5,6,7,8 | | | Small Organ (See Note 5) | N | N | N | N | N | Note 1 | Note 2,5,6 | | | Neonatal Cephalic | N | N | N | N | N | Note 1 | Notes 2,8 | | | Adult Cephalic | | | | | | | | | | Trans-rectal | N | N | N | N | N | Note 1 | Note 2,7,8 | | | Trans-vaginal | N | N | N | N | N | Note 1 | Note 2,7,8 | | | Trans-urethral | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | Musculo-skel. (Convent.) | N | N | N | N | N | Note 1 | Note 2,5,6 | | | Musculo-skel. (Superfic.) | N | N | N | N | N | Note 1 | Note 2,5,6 | | | Intra-luminal | | | | | | | | | | Other (spec.) | | | | | | | | | Cardiac | Cardiac Adult | N | N | N | N | N | Note 1 | Notes 4 | | | Cardiac Pediatric | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | Other (spec.) | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | N | N | N | N | N | Note 1 | Notes 2,5,6,8 | | | Other (spec.) | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Note 1: B+M, B+PW, B+Color, B+PD, B+Color+PW, B+PD+PW, B+Color+Color M 510 Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) *(Division Sign-Off)* Indications For Use Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety {6}------------------------------------------------ ### 510(k) No.: Device Name: C2-4/20 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|------------------------------|---------------------------------------------------|---|-----|-----|-------------------|----------------------|------------------| | General<br>(Track I only) | Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | Ophthalmic | Ophthalmic | | | | | | | | | | Fetal (See Note 3) | N | N | N | N | N | Note 1 | Notes 2,7,8 | | | Abdominal | N | N | N | N | N | Note 1 | Notes 2,7,8 | | | Intra-operative (See Note 6) | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | Fetal Imaging<br>& Other | Laparoscopic | | | | | | | | | | Pediatric | N | N | N | N | N | Note 1 | Notes 2,5,7,8 | | | Small Organ (See Note 5) | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | Adult Cephalic | | | | | | | | | | Trans-rectal | | | | | | | | | | Trans-vaginal | | | | | | | | | | Trans-urethral | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | Musculo-skel. (Convent.) | | | | | | | | | | Musculo-skel. (Superfic.) | | | | | | | | | | Intra-luminal | | | | | | | | | | Other (spec.) | | | | | | | | | | Cardiac Adult | N | N | N | N | N | Note 1 | Notes 4 | | Cardiac | Cardiac Pediatric | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | Other (spec.) | | | | | | | | | Peripheral | Peripheral vessel | | | | | | | | | Vessel | Other (spec.) | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Note 1: B+M, B+PW, B+Color, B+PD, B+Color+PW, B+PD+PW, B+Color+Color M 510k Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) (Division Sign-Off) Indications For Use . (Division Sign-Off) Division of Radiological Devices Division of Radiological Bovice Evaluation and Safety **Section 1.3, Page 3** {7}------------------------------------------------ ### 510(k) No.: Device Name: CN2-8 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|------------------------------|---------------------------------------------------|---|-----|-----|-------------------|----------------------|------------------| | General<br>(Track I only) | Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | Ophthalmic | Ophthalmic | | | | | | | | | | Fetal (See Note 3) | N | N | N | | N | Note 1 | Notes 2,7,8 | | | Abdominal | N | N | N | | N | Note 1 | Notes 2,7,8 | | | Intra-operative (See Note 6) | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | Fetal Imaging<br>& Other | Laparoscopic | | | | | | | | | | Pediatric | N | N | N | | N | Note 1 | Notes 2,7,8 | | | Small Organ (See Note 5) | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | Adult Cephalic | | | | | | | | | | Trans-rectal | | | | | | | | | | Trans-vaginal | | | | | | | | | | Trans-urethral | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | Musculo-skel. (Convent.) | | | | | | | | | | Musculo-skel. (Superfic.) | | | | | | | | | | Intra-luminal | | | | | | | | | | Other (spec.) | | | | | | | | | | Cardiac Adult | | | | | | | | | Cardiac | Cardiac Pediatric | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | Other (spec.) | | | | | | | | | | | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | | | | | | | | | | Other (spec.) | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Steel Bopper morades Fower (Ampinade) Doppler Note B+M, B+PW, B+Color, B+PD, B+Color+PW, B+PD+PW, B+Color+Color M 510 Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) Mh. S. D.K. (Division Sign-Off) Indications For Use Division of Radiological Devices Office of Ir fitro Diagnostic Device Evaluation and Safety **Section 1.3, Page 4** {8}------------------------------------------------ ### 510(k) No.: Device Name: CN4-9 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|------------------------------|---|---------------------------------------------------|-----|-----|-------------------|----------------------|------------------|--| | General<br>(Track I only) | Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | | Ophthalmic | Ophthalmic | | | | | | | | | | | Fetal (See Note 3) | | | | | | | | | | | Abdominal | | | | | | | | | | | Intra-operative (See Note 6) | | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | | Fetal Imaging<br>& Other | Laparoscopic | | | | | | | | | | | Pediatric | N | N | N | | N | Note 1 | Notes 2,8 | | | | Small Organ (See Note 5) | | | | | | | | | | | Neonatal Cephalic | N | N | N | | N | Note 1 | Notes 2,8 | | | | Adult Cephalic | | | | | | | | | | | Trans-rectal | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | Trans-urethral | | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | | Musculo-skel. (Convent.) | | | | | | | | | | | Musculo-skel. (Superfic.) | | | | | | | | | | | Intra-luminal | | | | | | | | | | | Other (spec.) | | | | | | | | | | | Cardiac Adult | | | | | | | | | | Cardiac | Cardiac Pediatric | | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | | Other (spec.) | | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | N | N | N | | N | Note 1 | Notes 2,8 | | | | Other (spec.) | | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Note 1: B+M, B+PW, B+Color, B+PD, B+Color+PW, B+PD+PW, B+Color+Color M Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) (Division Sign-Off) Indications For Use Division of Radiological Devices Office of Ir Evaluation and Safety 510K K101829 {9}------------------------------------------------ SONOACE R3 Diagnostic Ultrasound System # DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE STATEMENT #### 510(k) No.: . Device Name: EC4-9 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | General<br>(Track I only) | Clinical Application<br>Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | |---------------------------|------------------------------------------------------|---|---|-----|-----|-------------------|----------------------|------------------| | Ophthalmic | Ophthalmic | | | | | | | | | Fetal Imaging<br>& Other | Fetal (See Note 3) | | | | | | | | | | Abdominal | | | | | | | | | | Intra-operative (See Note 6) | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | | Laparoscopic | | | | | | | | | | Pediatric | | | | | | | | | | Small Organ (See Note 5) | | | | | | | | | | Neonatal Cephalic | | | | | | | | | | Adult Cephalic | | | | | | | | | | Trans-rectal | N | N | N | | N | Note 1 | Note 2,7,8 | | | Trans-vaginal | N | N | N | | N | Note 1 | Note 2,7,8 | | | Trans-urethral | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | Musculo-skel. (Convent.) | | | | | | | | | | Musculo-skel. (Superfic.) | | | | | | | | | | Intra-luminal | | | | | | | | | | Other (spec.) | | | | | | | | | Cardiac | Cardiac Adult | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | Other (spec.) | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | | | | | | | | | | Other (spec.) | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Color Doppler includes Power (Amplitude) Doppler Note 1: B+M, B+PW, B+Color, B+PD, B+PD, B+PD+PW, B+Color+Color M 510 Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) *(Division Sign-Off)* Indications For Use Division of Radiological Devices Office of iagnostic Device Evaluation and Safety **Section 1.3, Page 6** {10}------------------------------------------------ ### 510(k) No.: Device Name: L5-12/60 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|------------------------------|---------------------------------------------------|---|-----|-----|-------------------|----------------------|------------------| | General<br>(Track I only) | Specific<br>(Tracks I & III) | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | Ophthalmic | Ophthalmic | | | | | | | | | Fetal Imaging<br>& Other | Fetal (See Note 3) | | | | | | | | | | Abdominal | | | | | | | | | | Intra-operative (See Note 6) | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | | Laparoscopic | | | | | | | | | | Pediatric | N | N | N | | N | Note 1 | Note 2,5,6 | | | Small Organ (See Note 5) | N | N | N | | N | Note 1 | Note 2,5,6 | | | Neonatal Cephalic | | | | | | | | | | Adult Cephalic | | | | | | | | | | Trans-rectal | | | | | | | | | | Trans-vaginal | | | | | | | | | | Trans-urethral | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | Musculo-skel. (Convent) | N | N | N | | N | Note 1 | Note 2,5,6 | | | Musculo-skel. (Superfic.) | N | N | N | | N | Note 1 | Note 2,5,6 | | | Intra-luminal | | | | | | | | | | Other (spec.) | | | | | | | | | Cardiac | Cardiac Adult | | | | | | | | | | Cardiac Pediatric | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | Other (spec.) | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | N | N | N | | N | Note 1 | Note 5,6 | | | Other (spec.) | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Note I : B+M, B+PW, B+Color, B+PD, B+Color+PW, B+PD+PW, B+Color+Color M Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development 5101 Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) Indications For Use h. D'H (Division Sign-Off) Division of Radiological Devices Vitro Diagnostic Device Evaluation and Safety Office of In {11}------------------------------------------------ ### 510(k) No.: Device Name: LN5-12/40 for use with SONOACE R3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: | Clinical Application | | | Mode of Operation (*includes simultaneous B-mode) | | | | | | | |---------------------------|--------------------------------|--|---------------------------------------------------|---|-----|-----|-------------------|----------------------|------------------| | General<br>(Track I only) | Specific | | B | M | PWD | CWD | Color<br>Doppler* | Combined*<br>(Spec.) | Other<br>(Spec.) | | Ophthalmic | (Tracks I & III)<br>Ophthalmic | | | | | | | | | | | Fetal (See Note 3) | | | | | | | | | | | Abdominal | | | | | | | | | | | Intra-operative (See Note 6) | | | | | | | | | | | Intra-operative (Neuro.) | | | | | | | | | | Fetal Imaging<br>& Other | Laparoscopic | | | | | | | | | | | Pediatric | | N | N | N | | N | Note 1 | Note 2,5,6 | | | Small Organ (See Note 5) | | N | N | N | | N | Note 1 | Note 2,5,6 | | | Neonatal Cephalic | | | | | | | | | | | Adult Cephalic | | | | | | | | | | | Trans-rectal | | | | | | | | | | | Trans-vaginal | | | | | | | | | | | Trans-urethral | | | | | | | | | | | Trans-esoph. (non-Cardiac) | | | | | | | | | | | Musculo-skel. (Convent.) | | N | N | N | | N | Note 1 | Note 2,5,6 | | | Musculo-skel. (Superfic.) | | N | N | N | | N | Note 1 | Note 2,5,6 | | | Intra-luminal | | | | | | | | | | | Other (spec.) | | | | | | | | | | | Cardiac Adult | | | | | | | | | | Cardiac | Cardiac Pediatric | | | | | | | | | | | Trans-esophageal (Cardiac) | | | | | | | | | | | Other (spec.) | | | | | | | | | | Peripheral<br>Vessel | Peripheral vessel | | N | N | N | | N | Note 1 | Note 5,6 | | | Other (spec.) | | | | | | | | | N= new indication; P= previously cleared by FDA; E= added under Appendix E Additional Comments: Color Doppler includes Power (Amplitude) Doppler Note I : B+M, B+PW, B+Color, B+PD, B+Color+PW, B+Color+PW, B+Color+Color M Note 2: Includes imaging for guidance of biopsy Note 3: Includes infertility monitoring of follicle development 510 Note 4: Color M-mode Note 5: For example: thyroid, parathyroid, breast, scrotum and penis in adult, pediatric and neonatal patients. Note 6: Abdominal congress and registers I vocal Note 6: Abdominal organs and peripheral vessel Note 7: Tissue Harmonic Imaging (THI) Note 8: 3D imaging Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Prescription Use (Per 21 CFR 801.109) **Indications For Use** Division Sign-Off) Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety **Section 1.3, Page 8**
Innolitics
510(k) Summary
Decision Summary
Classification Order
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