K Number
K031999
Device Name
ELEKTA LEKSELL STEREOTACTIC SYSTEM WITH MR POST KIT
Date Cleared
2003-07-25

(28 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Leksell Stereotactic System with MR post kit is a system intended for localization and diagnosis of intracranial disorders and their surgical treatment, including radiotherapy and stereotactic radiaton therapy
Device Description
Not Found
More Information

None

Not Found

No
The summary does not mention AI, ML, or related terms, nor does it describe features typically associated with AI/ML in medical devices like image processing algorithms or performance metrics derived from AI models.

No.
The device is intended for localization and diagnosis, which are diagnostic purposes, not therapeutic. Surgical treatment and radiotherapy are mentioned as actions that follow localization and diagnosis, not as functions of the device itself.

Yes
The 'Intended Use / Indications for Use' explicitly states the system is "intended for localization and diagnosis of intracranial disorders".

No

The description explicitly states "Leksell Stereotactic System with MR post kit," indicating a system that includes hardware components (the stereotactic system and MR post kit) in addition to any potential software. The intended use also describes surgical treatment, which inherently involves physical devices.

Based on the provided information, the Leksell Stereotactic System with MR post kit is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "localization and diagnosis of intracranial disorders and their surgical treatment, including radiotherapy and stereotactic radiaton therapy." This describes a system used in vivo (on a living patient) for surgical planning and treatment, not for testing samples in vitro (outside the body).
  • Device Description: While the description is "Not Found," the intended use clearly points to a surgical/treatment system.
  • Mentions image processing, AI, DNN, or ML: These are often associated with IVD devices that analyze images or data for diagnostic purposes. Their absence further supports it not being an IVD.
  • Input Imaging Modality: MR is an in vivo imaging technique.
  • Anatomical Site: Intracranial refers to within the skull, which is an in vivo location.

IVD devices are typically used to examine specimens such as blood, urine, tissue, etc., to provide information for diagnosis, monitoring, or screening. The Leksell Stereotactic System is a tool used directly on the patient for surgical and treatment purposes.

N/A

Intended Use / Indications for Use

The Leksell Stereotactic System with MR post kit is a system intended for localization and diagnosis of intracranial disorders and their surgical treatment, including radiotherapy and stereotactic radiaton therapy

Product codes

84 HAW

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intracranial

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.4560 Stereotaxic instrument.

(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/2 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" around the edge. Inside the circle is a stylized image of an eagle with three lines extending from its head. The image is black and white and appears to be a scan of a document.

JUL 2 5 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Peter Löwendahl Quality and Regulatory Affairs Manager Elekta Instrument AB P.O. Box 7593 S-103 93 Stockholm SWEDEN

Re: K031999

Trade/Device Name: Leksell Stereotactic System Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic instrument Regulatory Class: II Product Code: 84 HA W Dated: May 9, 2003 Received: June 27, 2003

Dear Mr. Löwendahl:

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.

1

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

2

ELEKTA LEKSELL STEREOTACTIC SYSTEM® Special Premarket 510(k) Notification: Device Modification

Indications for Use Statement

510(k) NumberTo be assigned by FDA K031999
Device NameElekta Leksell Stereotactic System©

Indications for Use The Leksell Stereotactic System with MR post kit is a system intended for localization and diagnosis of intracranial disorders and their surgical treatment, including radiotherapy and stereotactic radiaton therapy

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

David A. Seymour


(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Device:

510(k) Number

Prescription Use
(Per 21 CFR 801.109)