K Number
K040804
Date Cleared
2004-04-28

(30 days)

Product Code
Regulation Number
892.5710
Panel
RA
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

.decimal tissue compensator/intensity modulator manufacturing service manufactures the solid filters for missing tissue and intensity modulation for external beam radiation therapy.

Device Description

.decimal tissue compensator / intensity modulator manufacturing service

AI/ML Overview

The provided text does not contain information about specific acceptance criteria and a study demonstrating the device meets those criteria. The document is a 510(k) summary for a "Pre-market Notification" for a medical device called ".decimal tissue compensator / intensity modulator manufacturing service".

Here's a breakdown of what the document does include:

  • Premarket Notification (K040804): This is a 510(k) summary, aiming to demonstrate substantial equivalence to previously marketed devices.
  • Device Name: .decimal tissue compensator / intensity modulator manufacturing service.
  • Intended Use: Manufactures solid filters for missing tissue and intensity modulation for external beam radiation therapy.
  • Technological Characteristics: References internal company documents (Device Master Record, Processing Work Order, MSDS sheets) but does not provide details on these characteristics or performance metrics.
  • Predicate Devices: A list of previously cleared devices to which this device claims substantial equivalence.
  • FDA Clearance Letter: A letter from the FDA stating that the device has been reviewed and determined to be substantially equivalent. This is a regulatory clearance, not a performance study report.

Therefore, I cannot provide the requested information regarding acceptance criteria and a study that proves the device meets them because this information is not present in the provided text.

To answer your request, I would need a document that specifically details:

  • Performance metrics (e.g., accuracy, precision, fabrication tolerances).
  • Quantitative acceptance criteria for those metrics.
  • A written report of a study (validation, verification, clinical trial) that tested the device against these criteria.

§ 892.5710 Radiation therapy beam-shaping block.

(a)
Identification. A radiation therapy beam-shaping block is a device made of a highly attenuating material (such as lead) intended for medical purposes to modify the shape of a beam from a radiation therapy source.(b)
Classification. Class II.