Siemens Medical Solutions, USA, Inc. October 15, 2020 ...2020/10/13  · U.S. Food & Drug...

145
U.S. Food & Drug Administration 10903 New Hampshire Avenue Doc ID# 04017.04.18 Silver Spring, MD 20993 www.fda.gov Siemens Medical Solutions, USA, Inc. October 15, 2020 ℅ Ms. Christine Dunbar Senior Regulatory Affairs Specialist 22010 South East 51 st Street ISSAQUAH WA 98029 Re: K202683 Trade/Device Name: ACUSON Sequoia Diagnostic Ultrasound System, ACUSON SC2000 Diagnostic Ultrasound System, ACUSON Freestyle Diagnostic Ultrasound System, ACUSON S1000, S2000, S3000 Diagnostic Ultrasound Systems, ACUSON P200 Diagnostic Ultrasound System, ACUSON P500 Diagnostic Ultrasound System, ACUSON NX3, NX3 Elite 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, OBJ, LLZ, OIJ Dated: September 11, 2020 Received: September 15, 2020 Dear Ms. Dunbar: 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

Transcript of Siemens Medical Solutions, USA, Inc. October 15, 2020 ...2020/10/13  · U.S. Food & Drug...

  • U.S. Food & Drug Administration

    10903 New Hampshire Avenue D o c I D # 0 4 0 1 7 . 0 4 . 1 8

    Silver Spring, MD 20993

    www.fda.gov

    Siemens Medical Solutions, USA, Inc. October 15, 2020

    ℅ Ms. Christine Dunbar

    Senior Regulatory Affairs Specialist

    22010 South East 51st Street

    ISSAQUAH WA 98029

    Re: K202683

    Trade/Device Name: ACUSON Sequoia Diagnostic Ultrasound System, ACUSON SC2000 Diagnostic

    Ultrasound System, ACUSON Freestyle Diagnostic Ultrasound System,

    ACUSON S1000, S2000, S3000 Diagnostic Ultrasound Systems, ACUSON P200

    Diagnostic Ultrasound System, ACUSON P500 Diagnostic Ultrasound System,

    ACUSON NX3, NX3 Elite 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, OBJ, LLZ, OIJ

    Dated: September 11, 2020

    Received: September 15, 2020

    Dear Ms. Dunbar:

    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

    http://www.fda.gov/http://www.fda.gov/https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfmhttps://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm

  • K202683 – Ms. Christine Dunbar Page

    2

    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 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-reporting-

    combination-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-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-

    assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE

    by email ([email protected]) or phone (1-800-638-2041 or 301-796-7100).

    Sincerely,

    For

    Thalia T. Mills, Ph.D.

    Director

    Division of Radiological Health

    OHT7: Office of In Vitro Diagnostics

    and Radiological Health

    Office of Product Evaluation and Quality

    Center for Devices and Radiological Health

    Enclosure

    https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-productshttps://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-productshttps://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-productshttps://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-productshttps://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problemshttps://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problemshttps://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problemshttps://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problemshttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistancehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistancehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistancehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistancehttps://www.fda.gov/training-and-continuing-education/cdrh-learnhttps://www.fda.gov/training-and-continuing-education/cdrh-learnhttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dicehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dicehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dicehttps://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dicemailto:%[email protected]:%[email protected]

  • Page 1 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: ACUSON Sequoia Diagnostic Ultrasound SystemIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMDCSmall Organ(Note 1) P P P P P BMDC

    Neonatal Cephalic P P P P P BMDCAdult Cephalic P P P P P BMDCCardiac P P P P P P BMDCTrans-esophagealTransrectal P P P P P BMDCTransvaginal P P P P P BMDC Volume ImagingTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficial P P P P P BMDC

    Other (specify)N = new indication; P = previously cleared by K200707

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 2 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 4V1 Phased Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMDCSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 3 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: DAX Curved Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMCDAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 4 of 18

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known):

    Device Name: 5C1 Curved Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMCDAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 5 of 18

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known):

    Device Name: 9C3 Curved Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMCDAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventional P P P P P BMCD

    Musculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 6 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 18L6 Linear Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1) P P P P P BMCD

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventional P P P P P BMCD

    Musculo-skeletalSuperficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 7 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 14L5 Linear Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1) P P P P P BMCD

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMCDLaparoscopicMusculo-skeletalConventional P P P P P BMCD

    Musculo-skeletalSuperficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 8 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 10L4 Linear Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMCDAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1) P P P P P BMCD

    Neonatal Cephalic P P P P P BMCDAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMCDLaparoscopicMusculo-skeletalConventional P P P P P BMCD

    Musculo-skeletalSuperficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 9 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 9EC4 Endocavity TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectal P P P P P BMCDTransvaginal P P P P P BMCDTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 10 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 5V1 Phased Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMCDSmall Organ(Note 1)Neonatal CephalicAdult Cephalic P P P P P BMCDCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 11 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 8V3 Phased Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMCDSmall Organ(Note 1)Neonatal Cephalic P P P P P BMCDAdult CephalicCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 12 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: CW2 Continuous Wave TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric PSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiac PTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 13 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 10V4 Phased Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMCDSmall Organ(Note 1)Neonatal Cephalic P P P P P BMCDAdult CephalicCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 14 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 18H6 Linear Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ(Note 1) P P P P P BMCD

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 15 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: CW5 Continuous Wave TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel PLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 16 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 7L2 Linear Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominal P P P P P BMCDIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMCDLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 17 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 11M3 Curved Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMCDSmall Organ(Note 1)Neonatal Cephalic P P P P P BMCDAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 18 of 18

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 9VE4 Curved Endovaginal Mechanical 3D TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWDColor

    DopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ(Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginal N N N N N BMCD Volume ImagingTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by K200707

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • FORM FDA 3881 (7/17) Page 1 of 2 PSC Publishing Services (301) 443-6740 EF

    DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

    Indications for Use

    Form Approved: OMB No. 0910-0120Expiration Date: 06/30/2020See PRA Statement below.

    Device NameACUSON SC2000 Diagnostic Ultrasound System

    Indications for Use (Describe)The SC2000 ultrasound imaging system is intended for the following applications: Cardiac, Neo-natal and Fetal Cardiac, Pediatric, Transesophageal, Adult Cephalic, Peripheral Vessel, Abdominal, Intraoperative Abdominal, Musculo-skeletal Conventional, and Musculo-skeletal Superficial applications. The system also provides the ability to measure anatomical structures and calculation packages that provide information to the clinician that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.The typical examinations performed using the SC2000 Ultrasound System are: Cardiac Imaging Applications and Analysis The system transmits ultrasound energy into adult, pediatric, neonatal, and fetal cardiac patients creating 2D (B), 3D, MMode (M), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave (PW) Doppler, and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the heai1, cardiac valves, great vessels, and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images. The system also supports catheters which are intended for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures. The system has Cardiac Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. Vascular Imaging Applications and Analysis The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the carotid arteries or juggler veins in the neck; superficial and deep veins and arteries in the arms and legs and abdomen; and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images. The system has Vascular Measurements and Calculation Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes. Superficial Imaging Applications The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of conventional or superficial musculoskeletal structures and surrounding anatomical structures to evaluate the presence or absence of pathology. The system may be used to acquire patient electrocardiogram for synchronizing the diastolic and systolic capture of ultrasound images. Intraoperative Imaging Applications The system transmits ultrasound energy into various parts of the body of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), and Pulsed Wave Doppler (PWD) to obtain images and blood flow velocity that provide guidance during intraoperative procedures. Transcranial Imaging Applications The system transmits ultrasound energy into the cranium of adult patients creating 2D (B), Color Doppler (CD), Color Power Doppler (CPD), Pulsed Wave Doppler (PWD), and Continuous Wave Doppler (CWD) to obtain images and blood flow velocity of the brain and surrounding anatomical structures to evaluate the presence or absence of pathology. The system provides Measurement Packages that provide information that may be used adjunctively with other medical data obtained by a physician for clinical diagnosis purposes.

    510(k) Number (if known)K202683

  • FORM FDA 3881 (7/17) Page 2 of 2

    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)

    CONTINUE ON A SEPARATE PAGE IF NEEDED.

    This section applies only to requirements of the Paperwork Reduction Act of 1995.*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

    The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and completeand review the collection of information. Send comments regarding this burden estimate or any other aspectof this information collection, including suggestions for reducing this burden, to:

    Department of Health and Human ServicesFood and Drug AdministrationOffice of Chief Information OfficerPaperwork Reduction Act (PRA) [email protected]

    “An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number.”

  • K202683

  • Page 1 of 5

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (ifknown):

    Device Name: ACUSON Freestyle™ Diagnostic Ultrasound SystemIntended Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    ClinicalApplication A B M PWD CWD

    ColorDoppler

    Amplitude

    Doppler

    ColorVelocityImaging

    Combined(Specify)(Note 2)

    Other(Specify)

    OphthalmicFetal

    Abdominal P P PIntraoperativeIntraoperativeNeurologicalPediatric P P PSmall Organ(Note 1) P P P

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectal

    TransvaginalTransurethralIntravascularPeripheral vessel P P PLaparoscopicMusculo-skeletalConventional P P P P P

    Musculo-skeletalSuperficial P P P P P

    Other (specify)N = new indication; P = previously cleared by K162417, Blank = Not Claimed

    Additional Comments:Note 1 For example: breast, testes, thyroid, penis etc.Note 2 B-mode and PWD mode or Color Doppler and PW mode

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 2 of 5

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: L8-3 Linear Array TransducerIntended Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)(Note 2)

    Other(Specify)

    OphthalmicFetalAbdominal P P PIntraoperativeIntraoperativeNeurologicalPediatric P P PSmall Organ(Note 1) P P P

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P PLaparoscopicMusculo-skeletalConventional P P P

    Musculo-skeletalSuperficial P P P

    Other (specify)N = new indication; P = previously cleared by K162417, Blank = Not Claimed

    Additional Comments:Note 1 For example: breast, testes, thyroid, penis etc.Note 2 B-mode and PWD mode or Color Doppler and PW mode

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 3 of 5

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: L13-5 Linear Array TransducerIntended Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)(Note 2)

    Other(Specify)

    OphthalmicFetal

    Abdominal P P PIntraoperativeIntraoperativeNeurologicalPediatric P P PSmall Organ(Note 1) P P P

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P PLaparoscopicMusculo-skeletalConventional P P P

    Musculo-skeletalSuperficial P P P

    Other (specify)N = new indication; P = previously cleared by K162417, Blank = Not Claimed

    Additional Comments:Note 1 For example: breast, testes, thyroid, penis etc.Note 2 B-mode and PWD mode or Color Doppler and PW mode

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 4 of 5

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known):

    Device Name: L17-5 Linear Array TransducerIntended Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)(Note 2)

    Other(Specify)

    OphthalmicFetal

    Abdominal N N NIntraoperativeIntraoperativeNeurologicalPediatric N N NSmall Organ(Note 1) N N N

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel N N NLaparoscopicMusculo-skeletalConventional N N N

    Musculo-skeletalSuperficial N N N

    Other (specify)N = new indication; P = previously cleared by K162417, Blank = Not Claimed

    Additional Comments:Note 1 For example: breast, testes, thyroid, penis etc.Note 2 B-mode and PWD mode or Color Doppler and PW mode

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 5 of 5

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known):

    Device Name: C5-2 Curvilinear Array TransducerIntended Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)(Note 2)

    Other(Specify)

    OphthalmicFetal

    Abdominal P P PIntraoperativeIntraoperativeNeurologicalPediatric P P PSmall Organ(Note 1) P P P

    Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P PLaparoscopicMusculo-skeletalConventional P P P

    Musculo-skeletalSuperficial P P P

    Other (specify)N = new indication; P = previously cleared by K162417, Blank = Not Claimed

    Additional Comments:Note 1 For example: breast, testes, thyroid, penis etc.Note 2 B-mode and PWD mode or Color Doppler and PW mode

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • K202683

  • Page 1 of 27

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known): ____________________Device Name: ACUSON S1000, S2000 and S3000 Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperative P P P P P P BMDC Note 2IntraoperativeNeurologicalPediatric P P P P P P BMDCSmall Organ P P P P P P BMDC Note 1Neonatal Cephalic P P P P P P BMDCAdult Cephalic P P P P P P BMDCCardiac P P P P P P BMDCTrans-esophageal P P P P P P BMDCTransrectal P P P P P BMDCTransvaginal P P P P P BMDCTransurethralIntravascularPeripheral vessel P P P P P P BMDCLaparoscopicMusculo-skeletalConventional

    P P P P P P BMDC

    Musculo-skeletalSuperficial

    P P P P P P BMDC

    Other (specify)Neonatal Cardiac

    P P P P P P BMDC

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)______________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 2 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 12L4 Transducer for use with ACUSON S1000, S2000 and

    S3000 Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as

    follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMDCSmall Organ P P P P BMDC Note 1Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)______________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 3 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): _________________________Device Name: CW2 Probe for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal PAbdominal PIntraoperative P Note 2IntraoperativeNeurologicalPediatric PSmall Organ P Note 1Neonatal Cephalic PAdult Cephalic PCardiac PTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel PLaparoscopicMusculo-skeletalConventional P

    Musculo-skeletalSuperficial P

    Other (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 4 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): _________________________Device Name: CW5 Probe for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal PAbdominal PIntraoperative P Note 2IntraoperativeNeurological P

    Pediatric PSmall Organ P Note 1Neonatal Cephalic PAdult Cephalic PCardiac PTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel PLaparoscopicMusculo-skeletalConventional P

    Musculo-skeletalSuperficial P

    Other (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 5 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (ifknown):

    ______________________

    Device Name: EC9-4 Transducer for use with ACUSON S1000, S2000 and S3000 UltrasoundSystems

    Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P BMDC Note 1Neonatal Cephalic P P P P P BMDCAdult CephalicCardiacTrans-esophagealTransrectal P P P P P BMDCTransvaginal P P P P P BMDCTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 6 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ______________________Device Name: MC9-4 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P BMDC Note 1Neonatal Cephalic P P P P P BMDCAdult CephalicCardiacTrans-esophagealTransrectal P P P P P BMDCTransvaginal P P P P P BMDCTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)

    ________________________________________________________________________Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 7 of 27

    Diagnostic Ultrasound Indications for Use Form510 (k) Number (if known): ____________________Device Name: 9L4 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMDCSmall Organ P P P P P BMDC Note 1Neonatal Cephalic P P P P P BMDCAdult Cephalic P P P P PCardiac P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficial P P P P P BMDC

    Other (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 8 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 14L5 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P BMDC Note 1Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 9 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 4P1 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal CephalicAdult Cephalic P P P P P P BMDCCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health(CDRH)

  • Page 10 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 6C2 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMDCSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 11 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 4C1 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P P BMDC Note 2Neonatal CephalicAdult CephalicCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

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

  • Page 12 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 6C1 HD Transducer for use with ACUSON S2000 and S3000 Ultrasound

    SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P P BMDC Note 2Neonatal CephalicAdult CephalicCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 13 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 8C3 HD Transducer for use with ACUSON S2000 and S3000 Ultrasound

    SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatric P P P P P BMDCSmall Organ P P P P P BMDC Note 2Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 14 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 4V1 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 15 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 10V4 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMDCSmall OrganNeonatal Cephalic P P P P P P BMDCAdult CephalicCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 16 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 14L5 SP Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIndications For Use: Diagnostic imaging or fluid flow analysis of the human body as follows:

    Clinical Application

    Mode of Operation

    A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperative P P P P P BMDC Note 2IntraoperativeNeurologicalPediatricSmall Organ P P P P P BMDC Note 1Neonatal CephalicAdult CephalicCardiac P P P P P BMDCTransesophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 17 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 7CF2 Transducer for use with ACUSON S1000, S2000 and S3000 Ultrasound

    SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 18 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): _________________

    Device Name: 7CF1 Transducer for use with ACUSON S1000, S2000 and S3000Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)_____________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 19 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ________________________Device Name: 9EVF4 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal Cephalic P P P P P BMDCAdult CephalicCardiacTrans-esophagealTransrectalTransvaginal P P P P P BMDCTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 20 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): __________________Device Name: V5Ms Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophageal P P P P P P BMDCTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 21 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: 18L6 HD Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperativeIntraoperativeNeurologicalPediatricSmall Organ P P P P P BMDC Note 1Neonatal CephalicAdult CephalicCardiac P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P BMDCLaparoscopicMusculo-skeletalConventional P P P P P BMDC

    Musculo-skeletalSuperficial P P P P P BMDC

    Other (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 22 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): _______________________Device Name: 8V3 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominalIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P BMDCSmall OrganNeonatal Cephalic P P P P P P BMDCAdult CephalicCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)Neonatal Cardiac P P P P P P BMDC

    N = new indication; P = previously cleared by FDA K162243Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 23 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ________________________Device Name: 4V1c Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperative P P P P P P BMDC Note 2IntraoperativeNeurological P P P P P P BMDC

    Pediatric P P P P P P BMDCSmall OrganNeonatal CephalicAdult Cephalic P P P P P P BMDCCardiac P P P P P P BMDCTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel P P P P P P BMDCLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)Neonatal Cardiac P P P P P P BMDC

    N = new indication; P = previously cleared by FDA K162243Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 24 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): _______________________Device Name: EV-8C4 Transducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application A B M PWD CWD ColorDopplerAmplitudeDoppler

    ColorVelocityImaging

    Combined(Specify)

    Other(Specify)

    OphthalmicFetal P P P P P P BMDCAbdominal P P P P P P BMDCIntraoperativePediatricSmall OrganNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginal P P P P P P BMDCTransurethralIntravascularPeripheral vesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (specify)N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    Note 1 For example: breast, testes, thyroid, penis, prostate, etc.Note 2 For example: vascular, abdominal

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 25 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ____________________Device Name: V7MTransducer for use with ACUSON S1000, S2000 and S3000

    Ultrasound SystemsIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of OperationClinical Application A B M PWD CWD Color

    DopplerPower

    (Amplitude)Doppler

    ColorVelocityImaging

    Combined(Specify) *

    HarmonicImaging Other

    (Specify)

    OphthalmicFetalAbdominal P P P P P P P PIntraoperativeIntraoperativeNeurologicalPediatric P P P P P P P PSmall OrganNeonatal CephalicAdult CephalicCardiac P P P P P P P PTrans-esophageal P P P P P P P PTransrectalTransvaginalTransurethralIntravascularPeripheral VesselLaparoscopicMusculo-skeletal(Conventional)Musculo-skeletal(Superficial)Other (specify)

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    *Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+ColorDoppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler,B+CWD+Power Doppler, B+Clarify VE

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 26 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (ifknown):

    __________________

    Device Name: AcuNav 8F Ultrasound Catheter for use with ACUSON S1000, S2000 andS3000 Ultrasound Systems

    Intended Use: The AcuNav Ultrasound Catheter is intended for intra-cardiac andintraluminal visualization of cardiac and great vessel anatomy and physiologyas well as visualization of other devices in the heart of adult and pediatricpatients.

    Mode of OperationClinical Application

    A B M PWD CWDColor

    DopplerPower

    (Amplitude)Doppler

    ColorVelocityImaging

    Combined(Specify) *

    Other:HarmonicImaging

    OphthalmicFetalAbdominalIntraoperative(Vascular)Intraoperative(Neurological)Pediatric P P P P P P PSmall OrganNeonatal CephalicAdult CephalicCardiac P P P P P P PTrans-esophagealTransrectalTransvaginalTransurethralIntra-Luminal P P P P P P PPeripheral VesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (Intra-Cardiac) P P P P P P P

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    *Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Color Doppler, B+PWD+ColorDoppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler,B+CWD+Power Doppler

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • Page 27 of 27

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known): ___________________Device Name: AcuNav 10F Ultrasound Catheter for use with ACUSON S1000, S2000

    and S3000 Ultrasound SystemsIntended Use: The AcuNav Ultrasound Catheter is intended for intra-cardiac and

    intraluminal visualization of cardiac and great vessel anatomy and physiologyas well as visualization of other devices in the heart of adult and pediatricpatients.

    Mode of OperationClinical Application

    A B M PWD CWDColor

    DopplerPower

    (Amplitude)Doppler

    ColorVelocityImaging

    Combined(Specify) *

    Other:HarmonicImaging

    OphthalmicFetalAbdominalIntraoperative(Vascular)Intraoperative(Neurological)Pediatric P P P P P P PSmall OrganNeonatal CephalicAdult CephalicCardiac P P P P P P PTrans-esophagealTransrectalTransvaginalTransurethralIntra-Luminal P P P P P P PPeripheral VesselLaparoscopicMusculo-skeletalConventionalMusculo-skeletalSuperficialOther (Intra-Cardiac) P P P P P P P

    N = new indication; P = previously cleared by FDA K162243

    Additional Comments:

    *Combinations include: B+M, B+PWD, B+CWD, B+Color Doppler, B+M+ Colo Doppler, B+PWD+ColorDoppler, B+CWD+Color Doppler, B+Power Doppler, B+M+Power Doppler, B+PWD+Power Doppler,B+CWD+Power Doppler

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON A SEPARATE PAGE IF NEEDED)________________________________________________________________________

    Concurrence of Center for Devices and Radiological Health (CDRH)

  • K202683

  • Page 1 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: ACUSON Diagnostic Ultrasound SystemIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperative Intraoperative NeurologicalPediatric P P P P P P BMDCSmall Organ (Note 1) P P P P P BMCDNeonatal Cephalic P P P P P BMCDAdult CephalicCardiac P P P P P P BMCDTrans-esophageal P P P P P P BMCDTransrectal P P P P P BMCDTransvaginal P P P P P BMCDTransurethralIntravascularPeripheral vessel(Note 2) P P P P P P BMCD

    LaparoscopicMusculo-skeletal Conventional P P P P P BMCD

    Musculo-skeletal Superficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by FDA K180067; K180039; K187357

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 2 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 4V1 Phased Array TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMDCAbdominal P P P P P BMDCIntraoperative Intraoperative NeurologicalPediatric P P P P P BMDCSmall Organ (Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2)LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K180067

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices

    510(k)____________________

  • Page 3 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 5V1 Phased Array Transducer Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperative Intraoperative NeurologicalPediatric P P P P P P BMCDSmall Organ (Note 1)Neonatal CephalicAdult CephalicCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2)LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K180067

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 4 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 8V3 Phased Array Transducer Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetalAbdominal P P P P P BMCDIntraoperative Intraoperative NeurologicalPediatric P P P P P P BMCDSmall Organ (Note 1)Neonatal CephalicAdult CephalicCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2)LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K180067

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 5 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 10V4 Curved Array Transducer Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetalAbdominal P P P P P BMCDIntraoperative Intraoperative NeurologicalPediatric P P P P P BMCDSmall Organ (Note 1)Neonatal Cephalic P P P P P BMCDAdult CephalicCardiac P P P P P P BMCDTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2)LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K183575

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 6 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: CW2 Continuous Wave Transducer Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperative Intraoperative NeurologicalPediatric PSmall Organ (Note 1)Neonatal CephalicAdult CephalicCardiac PTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2)LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K183575

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 7 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: CW5 Continuous Wave TransducerIntended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetalAbdominalIntraoperative Intraoperative NeurologicalPediatric PSmall Organ (Note 1)Neonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2) P

    LaparoscopicMusculo-skeletal ConventionalMusculo-skeletal SuperficialOther (specify)

    N = new indication; P = previously cleared by FDA K183575

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 8 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 10L4 Linear Array Transducer Intended Use: Ultrasound imaging or fluid flow analysis of the human body as follows:

    Mode of Operation

    Clinical Application B M PWD CWD Color DopplerAmplitude Doppler

    Combined (Specify)

    Other(Specify)

    OphthalmicFetal P P P P P BMCDAbdominal P P P P P BMCDIntraoperative Intraoperative NeurologicalPediatric P P P P P BMCDSmall Organ (Note 1) P P P P P BMCDNeonatal CephalicAdult CephalicCardiacTrans-esophagealTransrectalTransvaginalTransurethralIntravascularPeripheral vessel(Note 2) P P P P P BMCD

    LaparoscopicMusculo-skeletal Conventional P P P P P BMCD

    Musculo-skeletal Superficial P P P P P BMCD

    Other (specify)N = new indication; P = previously cleared by FDA K180067

    Note 1 For example: Breast, Thyroid, TestisNote 2 For example: Carotid, Arterial, Venous

    (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)________________________________________________________________________

    Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

    ____________________________________________Division Sign-Off - Office of In Vitro Diagnostic Devices510(k)____________________

  • Page 9 of 14

    Diagnostic Ultrasound Indications for Use Form

    510 (k) Number (if known):

    Device Name: 14L5 Linear Array Transducer Intended Use: Ultrasound imaging or fluid