K Number
K030175
Device Name
2 BASIC
Manufacturer
Date Cleared
2003-04-17

(90 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 2 Basic is intended to be used by trained medical physicist to measure the radiation output from radiation therapy machines for verification of patient treatment plan, quality assurance, or beam characteristics. It is not intended to function as a primary calibration device. The 2 Basic can be used in direct surface contact with patients or in a phantom material. The 2 Basic is a solid state diode detector system coupled with a precision electrometer and PC for radiation measurement, data storage and display. It is intended to be used by trained medical physicists for the measurement of radiation output from radiation therapy treatment machines. The 2 Basic can be used with direct patient contact for entrance skin measurements, or in air, water, or other suitable phantoms materials for beam output measurements. Measurement data is used to verify and document the beam characteristics of radiation therapy treatment machines for quality assurance programs and to very therapeutic doses delivered to patients during treatments.
Device Description
The Capintec 2 Basic system consists of 2 diode detectors permanently attached to a precision electrometer and application software. The detectors are solid state silicon diodes with a hemispherical shape optimized for direct patient contact. They provide high sensitivity, excellent linearity, and uniform output vs. gantry angle. The diodes are completely water resistant and enclosed in biocompatible molded epoxy. The high precision electrometer measures the current from the detector and converts the value into a displayed dose and provides automatic zero compensation. Application software controls the system and stores measurement data for each detector, and associated beam parameters such as energy, MU, and patient demographic data. Data can be stored on the PC or printed for hard copy record. Customer must supply a UL recognized PC to be used with application software.
More Information

No
The summary describes a system for measuring radiation output using diode detectors and an electrometer, controlled by application software. There is no mention of AI or ML in the intended use, device description, or the sections specifically looking for mentions of AI/ML, training sets, or test sets. The performance studies focus on safety and verification/validation, not AI/ML performance metrics.

No.
This device is for measuring radiation output and verifying therapeutic doses, not for delivering therapy itself.

No

The device is used to measure radiation output for verification of treatment plans and quality assurance, not to diagnose a medical condition.

No

The device description explicitly states that the system consists of "2 diode detectors permanently attached to a precision electrometer and application software." This indicates the presence of hardware components (detectors and electrometer) in addition to the software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD definition: In Vitro Diagnostics are medical devices intended to be used in vitro for the examination of specimens derived from the human body in order to provide information for diagnostic, monitoring or compatibility purposes.
  • Device's intended use: The device is intended to measure radiation output from radiation therapy machines. This is a measurement of a physical parameter (radiation dose) from a medical device, not an examination of a human specimen.
  • Device's function: The device measures radiation dose using solid state diode detectors and an electrometer. It does not analyze biological samples like blood, urine, or tissue.
  • Anatomical site: While the device can be used in direct contact with patients, this is for measuring the radiation dose delivered to the patient's skin, not for analyzing a specimen taken from the patient.

Therefore, the device falls under the category of a radiation measurement device used in a clinical setting, specifically for quality assurance and verification in radiation therapy, rather than an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The 2 Basic is intended to be used by trained medical physicist to measure the radiation output from radiation therapy machines for verification of patient treatment plan, quality assurance, or beam characteristics. It is not intended to function as a primary calibration device. The 2 Basic can be used in direct surface contact with patients or in a phantom material.

The 2 Basic is a solid state diode detector system coupled with a precision electrometer and PC for radiation measurement, data storage and display. It is intended to be used by trained medical physicists for the measurement of radiation output from radiation therapy treatment machines. The 2 Basic can be used with direct patient contact for entrance skin measurements, or in air, water, or other suitable phantoms materials for beam output measurements.

Measurement data is used to verify and document the beam characteristics of radiation therapy treatment machines for quality assurance programs and to very therapeutic doses delivered to patients during treatments.

Product codes (comma separated list FDA assigned to the subject device)

90 IYE

Device Description

The Capintec 2 Basic system consists of 2 diode detectors permanently attached to a precision electrometer and application software. The detectors are solid state silicon diodes with a hemispherical shape optimized for direct patient contact. They provide high sensitivity, excellent linearity, and uniform output vs. gantry angle. The diodes are completely water resistant and enclosed in biocompatible molded epoxy. The high precision electrometer measures the current from the detector and converts the value into a displayed dose and provides automatic zero compensation. Application software controls the system and stores measurement data for each detector, and associated beam parameters such as energy, MU, and patient demographic data. Data can be stored on the PC or printed for hard copy record. Customer must supply a UL recognized PC to be used with application software.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained medical physicist

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The risk analysis, safety testing and verification and validation testing has addressed patient contact hazards, software hazards, and operator hazards and concluded that the unit is safe and fully meets the intended use and stated specifications of the product.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K912249, K912250

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K980826

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.5050 Medical charged-particle radiation therapy system.

(a)
Identification. A medical charged-particle radiation therapy system is a device that produces by acceleration high energy charged particles (e.g., electrons and protons) intended for use in radiation therapy. This generic type of device may include signal analysis and display equipment, patient and equipment supports, treatment planning computer programs, component parts, and accessories.(b)
Classification. Class II. When intended for use as a quality control system, the film dosimetry system (film scanning system) included as an accessory to the device described in paragraph (a) of this section, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

Image /page/0/Picture/0 description: The image shows the logo for CAPINTEC, INC. with the letters "CII" in a black box. Above the logo is the text "K Φ3 Φ1 7 5". The date "APR 1 7 2003" is on the right side of the image.

January 15, 2003

RE: Summary of Safety and Effectiveness Information for the Capintec 2 Basic

Manufacturing and Service Center
Capintec, Inc.
540 Alpha Drive
Pittsburgh, PA 15238
Phone412-963-1988
FAX412-963-0610

Corporate Office Capintec, Inc. Arrow Road amsey, NJ 07446 hone 201-825-9500 AX 201-825-1336

Establishment Registration Number 2518443

Contact information Mary Anne Dell, M.S. VP and General Manager Phone 412-963-1099 412-963-0610 FAX Email madell@capintec.com

Trade name or common name 2 Basic

Type of Submission Traditional 510(k)

Classification of Device

Class II, Accessory to Linear Accelerator, Radiology Panel

Intended Use

The 2 Basic is intended to be used by trained medical physicist to measure the radiation output from radiation therapy machines for verification of patient treatment plan, quality assurance, or beam characteristics. It is not intended to function as a primary calibration device. The 2 Basic can be used in direct surface contact with patients or in a phantom material.

1

K$\phi$ 3$\phi$175

Product Description: The Capintec 2 Basic system consists of 2 diode detectors permanently attached to a precision electrometer and application software. The detectors are solid state silicon diodes with a hemispherical shape optimized for direct patient contact. They provide high sensitivity, excellent linearity, and uniform output vs. gantry angle. The diodes are completely water resistant and enclosed in biocompatible molded epoxy. The high precision electrometer measures the current from the detector and converts the value into a displayed dose and provides automatic zero compensation. Application software controls the system and stores measurement data for each detector, and associated beam parameters such as energy, MU, and patient demographic data. Data can be stored on the PC or printed for hard copy record. Customer must supply a UL recognized PC to be used with application software.

Predicate Device: Predicate Devices submitted by Theta Systems, Inc. Model PDM/2 Patient Dose Monitor 510(k) Number K912249 and Isorad Integral Buildup Photon Diodes 510(k) Number K912250. The 2 Basic uses the Equidose Diode Detector Design submitted by MasTek DEM, Inc. 510(k) Number K980826

The 2 Basic meets the following Safety Standards Medical Electrical Equipment, Part 1 General Requirements - UL2601-1:2nd Medical Electrical Equipment, Part 1 General Requirements - IEC60601-1: Collateral standard: Electromagnetic Compatibility-IEC 60601-1-2 Medical Electrical Equipment, Part 1 General Requirements for Safety Medical Electrical Equipment, Part 1 General Requirements-Can/CSA C22.2 No.606101-M90 Medical Electrical Systems-IEC 606601-1-1:1993+A1 IEC 60601-2-9 Patient Contact Dosimeters Used in Radiation Therapy with Electrically Connected Radiation Detectors.

The risk analysis, safety testing and verification and validation testing has addressed patient contact hazards, software hazards, and operator hazards and concluded that the unit is safe and fully meets the intended use and stated specifications of the product.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird with three curved lines representing its wings or body. The bird is positioned above a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a sans-serif font. The text is arranged to follow the curve of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MID 20850

Ms. Mary Anne Dell Vice President and General Manager Capintec, Inc. 540 Alpha Drive PITTSBURG PA 15241

Re: K030175

APR 1 7 2003

Trade/Device Name: 2 Basic Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: 90 IYE Dated: January 15, 2003 Received: January 17, 2003

Dear Ms. Dell

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.

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); 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.

3

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of the letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours.

Nancy C. Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

Page 2

4

Appendix 2

Indications for Use Form

Page
510(k) Number K030175

Device Name: 2 Basic

Indications For Use: The 2 Basic is a solid state diode detector system coupled with a precision electrometer and PC for radiation measurement, data storage and display. It is intended to be used by trained medical physicists for the measurement of radiation output from radiation therapy treatment machines. The 2 Basic can be used with direct patient contact for entrance skin measurements, or in air, water, or other suitable phantoms materials for beam output measurements.

Measurement data is used to verify and document the beam characteristics of radiation therapy treatment machines for quality assurance programs and to very therapeutic doses delivered to patients during treatments.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

David A. Sypm

(Division Sign-Off) Division of Reproductive. A and Radiological Device 510(k) Numb