July 23, 2015. Dear Mr. Kim:



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DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center WO66-G609 Silver Spring, MD 20993-0002 ALPINION MEDICAL SYSTEMS Co., Ltd. Donghwan Kim Quality Management Representative (QMR) 1, 6 and 7FL Verdi Tower 72, Digital-ro(St) 26-gil(Rd) Guro-gu Seoul 152-848 REPUBLIC OF KOREA July 23, 2015 Re: K150773 Trade/Device Name: E-CUBE 15 Diagnostic Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed imaging system Regulatory Class: II Product Code: IYN, IYO, ITX Dated: June 19, 2015 Received: June 22, 2015 Dear Mr. Kim: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not 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 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); 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.

Page 2 Mr. Kim If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/medicaldevices/resourcesforyou/industry/default.htm. Also, please note the regulation entitled, Misbranding by reference to premarket notification (21 CFR 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. You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/medicaldevices/resourcesforyou/industry/default.htm. Sincerely yours, Enclosure For Robert Ochs, Ph.D. Acting Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

K150773

E-CUBE 15 Ultrasound System P P P P P P P P Abdominal P P P P P P P P Intra-operative Pediatric P P P P P P P P P P P P P P P N N N N N N N N Trans-rectal P P P P P P P N Trans-vaginal P P P P P P P N P P P P P P P P P P P P P P P P P P P P P P Cardiac Pediatric P P P P P P P P (Cardiac) P P P P P P P Urology (including prostate) P P P P P P P N N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SC1-6H Transducer P P P P P P P Abdominal P P P P P P P Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) P P P P P P P N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with L3-12H Transducer Abdominal Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal P P P P P P P P P P P P P P Cardiac Pediatric (Cardiac) P P P P P P P Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SP1-5X Transducer Abdominal P P P P P P P Intra-operative Pediatric P P P P P P P N N N N N N N Trans-rectal Trans-vaginal P P P P P P P P Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with L8-17X Transducer Abdominal Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal P P P P P P P P P P P P P P Cardiac Pediatric (Cardiac) P P P P P P P Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SC1-4H Transducer P P P P P P P Abdominal P P P P P P P Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) P P P P P P P N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with E3-10H Transducer Abdominal Intra-operative Pediatric Trans-rectal P P P P P P P Trans-vaginal P P P P P P P Cardiac Pediatric (Cardiac) Urology (including prostate) P P P P P P N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SVC1-6 Transducer P P P P P P P P Abdominal P P P P P P P P Intra-operative Pediatric P P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) P P P P P P P N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with L3-12X Transducer Abdominal Intra-operative Pediatric P P P P P P P P P P P P P P Trans-rectal Trans-vaginal P P P P P P P P P P P P P P Cardiac Pediatric (Cardiac) P P P P P P P Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with L3-8 Transducer Abdominal Intra-operative Pediatric P P P P P P P P P P P P P P Trans-rectal Trans-vaginal P P P P P P P P P P P P P P Cardiac Pediatric (Cardiac) P P P P P P P Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SP3-8 Transducer Abdominal P P P P P P P Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric P P P P P P P P (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with CW 2.0 Transducer Abdominal Intra-operative Pediatric Trans-rectal Trans-vaginal P Cardiac Pediatric P (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with CW 5.0 Transducer Abdominal Intra-operative Pediatric Trans-rectal Trans-vaginal P Cardiac Pediatric P (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K123610; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with C5-8 Transducer Abdominal P P P P P P P Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric P P P P P P P (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K132687; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with TEE3-7 Transducer Abdominal Intra-operative Pediatric Trans-rectal Trans-vaginal N N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SVC1-6H Transducer N N N N N N N N Abdominal N N N N N N N N Intra-operative Pediatric N N N N N N N N Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SPN1-5X Transducer Abdominal N N N N N N N Intra-operative Pediatric N N N N N N N N N N N N N N Trans-rectal Trans-vaginal N N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with SC1-4HS Transducer N N N N N N N Abdominal N N N N N N N Intra-operative Pediatric N N N N N N N Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with IO3-12 Transducer Abdominal Intra-operative Pediatric P P P P P P P Trans-rectal Trans-vaginal Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA K132687; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with IO8-17 Transducer Abdominal Intra-operative Pediatric N N N N N N N Trans-rectal Trans-vaginal N N N N N N N N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with EV3-10H Transducer Abdominal Intra-operative Pediatric Trans-rectal N N N N N N N Trans-vaginal N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with EC3-10H Transducer Abdominal Intra-operative Pediatric Trans-rectal N N N N N N N Trans-vaginal N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with EV3-10X Transducer Abdominal Intra-operative Pediatric Trans-rectal N N N N N N N Trans-vaginal N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with EC3-10X Transducer Abdominal Intra-operative Pediatric Trans-rectal N N N N N N N Trans-vaginal N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with MP1-5X Transducer Abdominal N N N N N N N Intra-operative Pediatric N N N N N N N N N N N N N N Trans-rectal Trans-vaginal N N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with VE3-10H Transducer B M PWD CWD Color Abdominal Intra-operative Pediatric Trans-rectal N N N N N N N N Trans-vaginal N N N N N N N N Cardiac Pediatric (Cardiac) Urology (including prostate) N N N N N N N N N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

E-CUBE 15 with C5-8N Transducer Abdominal N N N N N N N Intra-operative Pediatric N N N N N N N Trans-rectal Trans-vaginal Cardiac Pediatric N N N N N N N (Cardiac) Urology (including prostate) N = new indication; P = previously cleared by FDA; E = added under appendix * Combined: B/Color, B/PWD, B/Color /PWD; **Other: 3D, 4D

510(k) E-CUBE 15 Section F 510(k) Summary In accordance with 21CFR807.92, the following summary of information is provided; Date March 20 th 2015 Submitter: Primary Contact Person Secondary Contact Person ALPINION MEDICAL SYSTEMS Co., Ltd. Address: 1, 6 and 7FL Verdi Tower, 72, Digital-ro(St) 26-gil(Rd), Guro-gu, Seoul, Republic of Korea 152-848 Donghwan Kim Quality Management Representative(QMR) Address: 1, 6 and 7FL Verdi Tower, 72, Digital-ro(St) 26-gil(Rd), Guro-gu, Seoul, Republic of Korea 152-848 Phone: +82 70 7465 2068 Fax: +82 2 6220 2162 Email: donghwan.kim@alpinion.com JULIAN LEE Address: 21312 30th Dr SE Ste 100 Bothell, WA 98021, United States Phone: 425 949 1059 Fax: 425 949 4910 Email: julian.lee@alpinionusa.com Device Trade Name: E-CUBE 15 Common/Usual Name: Classification Names Product Code: Predicate Device(s) Device Description: Ultrasonic Pulsed System System,, Pulsed Ultrasonic Ultrasonic Pulsed System, 21CFR 892.1550 90-IYN Ultrasonic Pulsed Echo System, 21CFR 892.1560, 90-IYO Diagnostic Ultrasound Transducer, 21CFR 892.1570, 90-ITX K120060 E-CUBE 9 Diagnostic Ultrasound System E-CUBE 15 product is an ultrasound imaging system for medical diagnosis. The system platform provides optimal patient diagnosis workflow with the 18.5 (or 19.5 ) wide flat panel display, ergonomic control panel with easy user interface, optimal image quality. Modes of operation: 1. Signal Mode: B(2D) mode, M mode, Color Flow(CF) mode, (PD) mode, Pulsed Wave (PWD) mode, (THI) 2. Combination Mode: B/M, B/CF, B/PD, B/PWD, B/CF/PWD, B/PD/PWD, B/CF/M Acoustic output track: Track 3 ALPINION MEDICAL SYSTEMS Co., Ltd. F-1

510(k) E-CUBE 15 Types of transducers compatible with the device: Applicable frequency Intended Usage Foot print size (mm) Applicable mode Scanning depth(mm) L3-12H SC1-6H L8-17X SP1-5X 3~12MHz 1~6MHz 8~17MHz 1~5MHz, Musculoskeletal(conventi onal, superficial), Peripheral vessel, Abdominal, Pediatric, Urology, (conventional, superficial), Peripheral vessel Abdominal, Pediatric, 44.8 x 7.8 72.4 x 16.8 58.2 x 10.4 24.8 x 17.6 Color / Color / / Color / doppler CWD/ Color / / 100 300 100 300 FOV N/A 60( ) N/A 90( ) Steer Angle 15( ) N/A 15( ) 45( ) Total number of element Element spacing elevating length 192 192 256 96 0.2mm 0.342mm 0.150mm 0.2mm 4.5mm 13.5mm 4mm 13.5mm Applicable frequency Intended Usage Foot print size (mm) Applicable mode Scanning depth(mm) SC1-4H E3-10H SVC1-6 L3-12X 1~4MHz 3~10 MHz 1~6 MHz 3~12 MHz, Abdominal, Pediatric, Urology Trans-rectal, Trans-vaginal, Abdominal, Pediatric, Urology Pediatric, (conventional, superficial), Peripheral vessel 72.4 x 16.8 21.5 x 18.2 59.2 x 45.2 58.2 X 10.4 Color / / Color / / Color / / Color / / 300 140 300 100 FOV 60( ) 145( ) 79( ) N/A Steer Angle N/A N/A N/A 15( ) Total number of element Element spacing elevating length 192 192 128 256 0.342mm 0.135mm 0.414mm 0.2mm 13.5mm 6mm 13mm 4.5mm ALPINION MEDICAL SYSTEMS Co., Ltd. F-2

510(k) E-CUBE 15 Applicable frequency Intended Usage Foot print size (mm) Applicable mode Scanning depth(mm) L3-8 SP3-8 CW2.0 CW5.0 3~8 MHz 3~8 MHz 2.0 MHz 5.0 MHz Pediatric, (conventional, superficial), Peripheral vessel Abdominal, Pediatric, Cardiac Pediatric, Cardiac (Adult &Pediatric) Cardiac (Adult &Pediatric) 44.8 x 7.8 16 x 12.8 17.2 x 17.2 11.3 x 11.3 Color / Color / / CWD CWD 100 300 N/A N/A FOV N/A 90( ) N/A N/A Steer Angle 15( ) 45( ) N/A N/A Total number of element Element spacing elevating length 128 64 2(TX1, RX1) 2(TX1, RX1) 0.3mm 0.15mm N/A N/A 7.0mm 13.5mm N/A N/A Applicable frequency Intended Usage Foot print size (mm) Applicable mode Scanning depth(mm) FOV Steer Angle Total number of element Element spacing elevating length SVC1-6H SC1-4HS C5-8 SPN1-5X 1~6 MHz 1~4 MHz 5~8 MHz 1~5MHz, Abdominal, Pediatric, Urology, Abdominal, Pediatric Urology Abdominal, Pediatric, Cardiac Pediatric Abdominal, Pediatric, 59.2*45.2 68 x 15.9 mm 35 x 6.2 mm 24.8 x 17.6 Color / / Color / / Color / / CWD/ Color / / 300 300 140 300 1.4mm (@65mm) 0.8mm (@105mm) 3.7mm (@65mm) 4.5mm (@105mm) 2.0mm (@65mm) 1.4mm (@105mm) 2.8mm (@65mm) 3.9mm (@105mm) 0.8mm (@65mm) 0.8mm (@105mm) 3.9mm (@65mm) 7.0mm (@105mm) 2.0mm (@65mm) 1.4mm (@105mm) 2.68mm (@65mm) 3.9mm (@105mm) 79( ) 73( ) 92( ) 90( ) N/A NA NA 45( ) Curved linear array 40mm Radius of curvature Curved linear array 46mm Radius of curvature Curved linear array 14mm Radius of curvature Linear phased array ALPINION MEDICAL SYSTEMS Co., Ltd. F-3

510(k) E-CUBE 15 Applicable frequency Intended Usage TEE3-7 IO3-12 IO8-17 SC1-4M 3~7MHz 3~12MHz 8~17MHz 1~4MHz Cardiac (Adult) Pediatric, Small Organ, Musculoskeletal,, Peripheral vessel, Abdominal, Urology Foot print size (mm) Ø 14 22.8 x 6.4 mm 36.7 x 4.2 72.4 x 16.8 CWD/ Color / Color / Color / Applicable Color / / / / mode / Scanning 140 100 100 300 depth(mm) FOV Steer Angle Total number of element Element spacing elevating length 2.0mm (@65mm) 1.4mm (@105mm) 2.68mm (@65mm) 3.9mm (@105mm) 0.3mm (@25mm) 0.5 (@45mm) 1.1mm (@25mm) 1.3mm (@45mm) N/A 60( ) 15( ) N/A 90( ) NA 128 192 X 2 45( ) 15( ) 0.200mm 0.342mm Linear phased array Linear array 16mm aperture 3.5mm 13.5mm Applicable frequency EV3-10H EC3-10H EV3-10X EC3-10X 3-10 MHz 3-10 MHz 3-10 MHz 3-10 MHz Intended Usage Trans-rectal, Trans-vaginal, Urology Trans-rectal, Trans-vaginal, Urology Trans-rectal, Trans-vaginal, Urology Trans-rectal, Trans-vaginal, Urology Foot print size (mm) 21.5 x 18.6 21.5 x 18.6 21.5 x 18.6 21.5 x 18.6 Applicable mode Color / Color / Color / Color / Scanning depth(mm) 140 140 140 140 FOV 152( ) 152( ) 202( ) 202( ) Steer Angle N/A N/A N/A N/A Total number of element Element spacing elevating length 192 192 256 256 0.14mm 0.14mm 0.14mm 0.14mm 6mm 6mm 6mm 6mm ALPINION MEDICAL SYSTEMS Co., Ltd. F-4

510(k) E-CUBE 15 Applicable frequency Intended Usage Foot print size (mm) Applicable mode Scanning depth(mm) MP1-5X VE3-10H C5-8N 1~5MHz 3-10 MHz 5~8 MHz, Abdominal, Pediatric,Adult Cephalic, Trans-rectal, Trans-vaginal, Urology Abdominal, Pediatric, Cardiac Pediatric 24.8 x 17.6 24.4 x 24.4 25.5 x 9 CWD Color / / Color / Color / / / Combined 300 140 140 FOV 90( ) 152( ) 93.6( ) Steer Angle 45( ) N/A N/A Total number of element Element spacing elevating length 96 192 128 0.2mm 0.14mm 0.195mm 13.5mm 6mm 6mm Indications For Use: The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; ; Abdominal (renal & GYN/pelvic); Pediatric, ; ; Trans-rectal, Trans-vaginal, Musculoskeletal; ; Cardiac (adult& pediatric); Peripheral Vascular (PV); and Urology (including prostate). Determination of Substantial Equivalence: Comparison with Predicate device: 1) E-CUBE 15 and E-CUBE 9 Proposed Feature E-CUBE 15 Indications for use The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; ; Abdominal (renal & GYN/pelvic); Pediatric, (breast, testes, thyroid); ; Trans-rectal(TR); Trans-vaginal(TV); ; ; Cardiac (adult& pediatric); Peripheral Vascular (PV); Urology (including prostate). Predicate E-CUBE 9 (K120060) The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; ; Abdominal (renal & GYN/pelvic); Pediatric; (breast, testes, thyroid); Trans-rectal(TR); Trans-vaginal(TV); ; ; Cardiac (adult & pediatric); Peripheral Vascular (PV); Urology (including prostate). Electrical power Voltage: 100~120V, 200~240V Frequency: 50/60Hz : Max. 900 VA with Built-in and On-Board Peripherals Voltage: 100~120V, 200~240V Frequency: 50/60Hz : Max. 600 VA with Built-in and On-Board Peripherals ALPINION MEDICAL SYSTEMS Co., Ltd. F-5

510(k) E-CUBE 15 Operating Mode Thermal, mechanical and electrical safety B Mode M Mode Color Flow Mode PW Mode Mode Continuous wave mode Mode 3D/4D Mode Xpeed FullSRI Spatial Compounding Frequency Compounding Panoramic Stress Echo Cube Strain Live HQ Needle Vision /Needle Vision Plus Elastography The E-CUBE 15 has been designed to conform to the following standards: - NEMA UD2, UD3 - AIUM Medical Ultrasound Safety - IEC60601-1 - IEC60601-1-2 - IEC60601-2-37 B Mode M Mode Color Flow Mode PW Mode Mode Continuous wave mode Mode 3D/4D Mode Xpeed FullSRI Spatial Compounding Frequency Compounding Panoramic Stress Echo Cube Strain Live HQ Needle Vision /Needle Vision Plus The E-CUBE 9 has been designed to conform to the following standards: - NEMA UD2, UD3 - AIUM Medical Ultrasound Safety - IEC60601-1 - IEC60601-1-2 - IEC60601-2-37 2) E-CUBE 15 and iu22 Proposed Feature E-CUBE 15 Manufactur er Indications for use Alpinion Medical System The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; Predicate iu 22 (K132304) Philips The clinical environments where the EPIQ Diagnostic Ultrasound System can be used include Clinics, Hospitals, and clinical point-of-care for diagnosis of patients; Electrical power ; Abdominal (renal & GYN/pelvic); Pediatric, (breast, testes, thyroid); ; Trans-rectal(TR); Trans-vaginal(TV); ; ; Cardiac (adult& pediatric); Peripheral Vascular (PV); Urology (including prostate). Voltage: 100~120V, 200~240V Frequency: 50/60Hz : Max. 900 VA with Built-in and On-Board Peripherals ; Abdominal Pediatric; (breast, thyroid, testicle); Cephalic(Adult, neonatal) Trans-rectal(TR); Trans-vaginal(TV); ; ; Cardiac (adult, pediatric, fetal, trans-esophageal); Peripheral Vascular Urology Gynecological Intra-operative(vascular, cardic) Echo Vascular (cerebral) Voltage: 100~127V, 220~240V Frequency: 50/60Hz : 750VA~900VA ALPINION MEDICAL SYSTEMS Co., Ltd. F-6

510(k) E-CUBE 15 Operating Mode Thermal, mechanical and electrical safety B Mode M Mode Color Flow Mode PW Mode Mode Continuous wave mode Mode 3D/4D Mode Xpeed FullSRI Spatial Compounding Frequency Compounding Panoramic Stress Echo Cube Strain Live HQ Needle Vision /Needle Vision Plus Elastography The E-CUBE 15 has been designed to conform to the following standards: - NEMA UD2, UD3 - AIUM Medical Ultrasound Safety - IEC60601-1 - IEC60601-1-2 - IEC60601-2-37 M-mode Spectral Pulsed wave (PW) Auto Steerable continuous wave (CW) (TDI) Live xplane imaging Live volume imaging/live 3D Echo 3D/4D and MPR imaging Adaptive broadband flow imaging Contrast imaging Interventional imaging (THI) Color Angio imaging (CPA) Freehand 3D volume and MPR imaging Spatio-Temporal Image Correlation (STIC) imaging Panoramic SonoCT imaging Strain based elastography Shear wave elastography Philips Ultrasound performed the following testing to ensure the safety and effectiveness of the EPIQ device: - IEC60601-1 - IEC60601-1-2 - IEC60601-1-6 - IEC60601-2-37 - ISO 10993 Summary of Non-Clinical Tests: E-CUBE 15 has been evaluated for biocompatibility, acoustic output as well as thermal, electrical, electromagnetic, and mechanical safety, and has been found to conform to applicable medical device safety standards. E-CUBE 15 and its application comply with voluntary standards as detailed in this premarket submission. The following quality management system measures were applied to the development of E-CUBE 15: Medical Device Risk Management Requirements Reviews Design Reviews Component Verification Integration Review (System Verification) Performance Testing (System Verification) Safety Testing (Compliance Test) Design Validation Transducer materials and other patient contact materials are biocompatible. Summary of Clinical Tests: The subject of this premarket submission, E-CUBE 15, did not require clinical studies to support substantial equivalence. Discussion: E-CUBE 15 and the predicate device have differences in clinical applications and operating modes. Several transducers are changed for these purposes. These design changes have been verified via non-clinical ALPINION MEDICAL SYSTEMS Co., Ltd. F-7

510(k) E-CUBE 15 testing. The subject device is in conformance with applicable safety standards. Therefore, the differences between E-CUBE 15 and the predicate would not affect the safety, effectiveness and essential performance of E-CUBE 15. Conclusion: ALPINION MEDICAL SYSTEMS Co., Ltd. considers E-CUBE 15 to be as safe, as effective. Performance, technology and software are substantially equivalent to the predicate device. ALPINION MEDICAL SYSTEMS Co., Ltd. will update and include in this summary any other information deemed reasonably necessary by the FDA or the requirements will be published in guidance documents. ALPINION MEDICAL SYSTEMS Co., Ltd. F-8