K Number
K042861
Device Name
ODYSSEY
Manufacturer
Date Cleared
2005-01-12

(89 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Odyssey is to be used for the computation, display, evaluation and output of radiation dose estimations to be submitted for independent clinical review and judgment prior to use in radiation therapy.
Device Description
The Odyssey radiation treatment planning system is a collection of software modules that execute algorithms to produce radiation dose computations (estimations). The system includes functions for imaging, target and non-target delineation, beam planning, verification and quality assurance. An earlier version of the software was known as "OptiRad" (K993895). In addition to forward planning, users who have the Intensity Modulated Radiation Treatment (IMRT) module can perform inverse planning.
More Information

No
The summary describes a traditional radiation treatment planning system with algorithms for dose computation and planning, including inverse planning for IMRT. There is no mention of AI, ML, or related concepts in the provided text.

No
The device is a software system used for radiation dose estimations and treatment planning, not for directly administering therapy.

No

The device is a radiation treatment planning system used for computing, displaying, evaluating, and outputting radiation dose estimations for therapy, not for diagnosing a disease or condition.

Yes

The device description explicitly states "The Odyssey radiation treatment planning system is a collection of software modules" and lists only software functions. There is no mention of accompanying hardware components that are part of the device itself.

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

Here's why:

  • Intended Use: The intended use is for "computation, display, evaluation and output of radiation dose estimations to be submitted for independent clinical review and judgment prior to use in radiation therapy." This describes a system used in the planning and delivery of radiation therapy, which is a treatment process performed on a patient.
  • Device Description: The description details a "radiation treatment planning system" that performs tasks like imaging, delineation, beam planning, verification, and quality assurance. These are all activities related to planning and verifying radiation treatment for a patient.
  • Lack of IVD Characteristics: IVD devices are typically used to examine specimens (like blood, urine, tissue) taken from the human body to provide information about a physiological state, health, disease, or congenital abnormality. This device does not mention analyzing any such specimens.

The device is clearly intended for use in the context of radiation therapy treatment planning, which is a clinical process performed on a patient, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

Odyssey is to be used for the computation, display, evaluation and output of radiation dose estimations to be submitted for independent clinical review and judgment prior to use in radiation therapy.

Product codes

90 MUJ

Device Description

The Odyssey radiation treatment planning system is a collection of software modules that execute algorithms to produce radiation dose computations (estimations). The system includes functions for imaging, target and non-target delineation, beam planning, verification and quality assurance. An earlier version of the software was known as "OptiRad" (K993895). In addition to forward planning, users who have the Intensity Modulated Radiation Treatment (IMRT) module can perform inverse planning.

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

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

The performance and results of Verification and Validation demonstrate Odyssey to be safe and effective. A Hazard Analysis and Failure Modes and Effects Analysis were completed, with all hazards and failure modes mitigated to acceptable levels.
Clinical testing is not required to demonstrate substantial equivalence or safety and effectiveness of Odyssey.

Key Metrics

Not Found

Predicate Device(s)

K002237, K993895

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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JAN 1 2 2005

102

Image /page/0/Picture/2 description: The image shows the logo for PerMEdics Inc. The logo features a stylized compass rose to the left of the company name. The text "PERMEDICS" is in a serif font, with "inc." in a smaller, sans-serif font to the right.

K042861

510(k) Summary

Submitter:

PerMedics, Inc. 1475 S. Victoria Ct. San Bernardino, CA. 92408 Phone: (909) 478-5000 Fax: (909) 478-5016

Contact Person:

Jessica Connor Quality Assurance Manager

Date Prepared:

October 12, 2004

Device Name:

Odyssey

Common Name:

Radiation Treatment Planning System

Classification Name:

System, Planning, Radiation Treatment

Predicate Devices:

ADAC P3MRT™ - K002237 OptiRad - K993895

Device Description:

The Odyssey radiation treatment planning system is a collection of software modules that execute algorithms to produce radiation dose computations (estimations). The system includes functions for imaging, target and non-target delineation, beam planning, verification and quality assurance. An earlier version of the software was known as "OptiRad" (K993895). In addition to forward planning, users who have the Intensity Modulated Radiation Treatment (IMRT) module can perform inverse planning.

Intended Use:

Odyssey is to be used for the computation, display, evaluation and output of radiation dose estimations to be submitted for independent clinical review and judgment prior to use in radiation therapy.

PerMedics, Inc. ♦ 1475 S. Victoria Ct., San Bernardino, CA 92408 909.478.5000 ♦ Fax 909.478.5016 ♦ Email: information@permedics.com

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Kov-281 2if

Summary of Technological Characteristics Compared to Predicate Devices:

Odyssey contains no technological characteristics not currently contained in the predicate devices, ADAC P3 MRT inverse planning option (K002237) and OptiRad (K993895).

Summary of Non-Clinical Testing:

The performance and results of Verification and Validation demonstrate Odyssey to be safe and effective. A Hazard Analysis and Failure Modes and Effects Analysis were completed, with all hazards and failure modes mitigated to acceptable levels.

Summary of Clinical Testing:

Clinical testing is not required to demonstrate substantial equivalence or safety and effectiveness of Odyssey.

Conclusion:

Odyssey is as safe, as effective, and is substantially equivalent to the legally marketed predicate devices.

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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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three lines representing its wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 2 2005

Ms. Jessica Connor Quality Assurance Manager PerMedics, Inc. 1475 S. Victoria Ct. SAN BERNARDINO CA 92408

Re: K042861

Trade/Device Name: Odyssey Regulation Number: 21 CFR §892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: 90 MUJ Dated: December 9, 2004 Received: December 10, 2004

Dear Ms. Connor:

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 (OS) 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) I ms iction will and in your of substantial equivalence of your device to a legally prematication: "The PDF maning on 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 If you done spoorne at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, process not regulation eeneral information on your responsibilities under the Act from the 801:57). " Ou may oount ourers, International and Consumer Assistance at its toll-free number (800) DIVISION of of othern handracters, its Internet address http://www.fda.gov/cdrh/dsmadsmamain.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

4

Indications for Use

Page 1 of 1

510(k) Number (if known): Ko42861

Device Name: Odyssey

Indications for Use:

Odyssey is to be used for the computation, display, evaluation and output of radiation dose estimations to be submitted for independent clinical review and judgment prior to use in radiation therapy.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Optional Format 3-10-98)

(Posted July 1, 1998)

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(Division Signature)
Division of Banks

Prescription Use

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number _