K Number
K043336
Device Name
OPTISTRAND, MODEL 1032S
Manufacturer
Date Cleared
2005-01-21

(49 days)

Product Code
Regulation Number
892.5730
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
OptiStrand<sup>103</sup> implants are indicated for interstitial implantation of select localized tumors with low to moderate radiosensitivity. They are used either as primary treatment for tumors such as those of the head, lung, neck, pancreas, breast, cervix, prostate, and unresectable tumors, or for residual disease after excision of the primary tumor. OptiStrand<sup>103</sup> implants are indicated for use concurrent with or at the completion of other treatment modalities, such as external beam radiation therapy or chemotherapy.
Device Description
OptiStrand <sup>103</sup> implants are OptiSource™ seeds (#K040766) linked together with a spacer or spacers to create a multi-seed sourcetrain.
More Information

Not Found

No
The summary describes a radioactive seed implant device and its intended use for brachytherapy. There is no mention of AI, ML, image processing, or any other technology that would suggest the incorporation of AI/ML. The device description focuses on the physical components (seeds and spacers).

Yes
The device is used for the treatment of tumors, indicating a therapeutic purpose.

No
The device, OptiStrand^103 implants, is described as being used for localized tumor treatment (brachytherapy), not for identifying or characterizing a disease or condition.

No

The device description explicitly states that the device is an "implant" consisting of "seeds linked together with a spacer or spacers," which are physical components, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that OptiStrand103 implants are implanted into the body for the treatment of tumors. This is an in vivo (within the living body) application, not an in vitro (in glass/outside the body) test.

The device is a therapeutic device used for brachytherapy (internal radiation therapy).

N/A

Intended Use / Indications for Use

OptiStrand103 implants are indicated for interstitial implantation of select localized tumors with low to moderate radiosensitivity. They are used either as primary treatment for tumors such as those of the head, lung, neck, pancreas, breast, cervix, prostate, and unresectable tumors, or for residual disease after excision of the primary tumor. OptiStrand103 implants are indicated for use concurrent with or at the completion of other treatment modalities, such as external beam radiation therapy or chemotherapy.

Product codes

90-KXK

Device Description

OptiStrand 103 implants are OptiSource™ seeds (#K040766) linked together with a spacer or spacers to create a multi-seed sourcetrain.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

head, lung, neck, pancreas, breast, cervix, prostate

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

K040766

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.5730 Radionuclide brachytherapy source.

(a)
Identification. A radionuclide brachytherapy source is a device that consists of a radionuclide which may be enclosed in a sealed container made of gold, titanium, stainless steel, or platinum and intended for medical purposes to be placed onto a body surface or into a body cavity or tissue as a source of nuclear radiation for therapy.(b)
Classification. Class II (special controls). A prostate seeding kit intended for use with a radionuclide brachytherapy source only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

JAN 2005

K043336

2 December 2004CONFIDENTIALPage 16 of 16
Title:Premarket Notification: Traditional 510(k) – OptiStrand™

510(k) SUMMARY

Applicant /Manufacturing Site:IBt s.a.
Zone Industrielle C
7180 Seneffe - Belgium
Tel:(+32) 64 / 520 811
Fax:(+32) 64 / 520 801
Establishment Registration Number:9031509 (IBt s.a.)
Contact Person IBt s.a.:Sylviane Berger, Management Representative
E-mail:sberger@brachytherapy.be and FDA@ibt4seeds.com
Official Correspondent:
IBt, Inc.
6000 Live Oak Parkway, Suite 107
Norcross, GA 30093
Tel:(770) 582 0662
Fax:(770) 582 0657
Establishment Registration Number:9035105 (IBt, Inc.)
Contact Person IBt, Inc.:Ruth Feicht, Regulatory
E-mail:rfeicht@ibt4seeds.com and FDA@ibt4seeds.com
Device Information
Trade Name:OptiStrand 103 (OptiStrand™ is a Trademark of IBt s.a.)
Model Number:1032S
Common Name of DeviceSealed Source; seed; interstitial implant
Description:OptiStrand 103 implants are OptiSource™ seeds (#K040766) linked together with a spacer or spacers to create a multi-seed sourcetrain.
Type of 510(k) Submission:Traditional
------------------------------------------------
Classification Information
Classification:Radionuclide Brachytherapy Source
Class of Device:21 CFR 892.5730, Class II
Product Code:90-KXK

Intended Use

OptiStrand103 implants are indicated for interstitial implantation of select localized tumors with low to moderate radiosensitivity. They are used either as primary treatment for tumors such as those of the head, lung, neck, pancreas, breast, cervix, prostate, and unresectable tumors, or for residual disease after excision of the primary tumor. OptiStrand103 implants are indicated for use concurrent with or at the completion of other treatment modalities, such as external beam radiation therapy or chemotherapy.

1

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 1 2005

IBt, s.a. % Ms. Ruth Feicht Regulatory IBt, Inc. 6000 Live Oak Parkway, Suite 107 NORCROSS GA 30093

Re: K043336 Trade/Device Name: OptiStrand103 (OptiStrand™ is a Trademark of IBt, s.a.) Regulation Number: 21 CFR 892.5730 Regulation Name: Radionuclide brachytherapy source Regulatory Class: II Product Code: 90 KXK Dated: December 2, 2004 Received: December 8, 2004

Dear Ms. Feicht:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced within to reviewed the device is substantially equivalent (for the indications for use stated in above und nave deegally marketed predicate devices marketed in interstate commerce prior to the cleasars) to regally that the Medical Device Amendments, or to devices that have been May 20, 1770, the classicans of the Federal Food, Drug, and Cosmetic Act (Act) that recrassmed in accordantes approval application (PMA). You may, therefore, market the do not require approvisions 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 (Premarket n your do rio result subject to such additional controls. Existing major regulations affecting your Apple 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 I our an bailers and and and 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) (21 CFR Part 807), and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin marketing your antial equivalence of your device to a legally
premarket notification. The FDA finding of substantial equivalence of the mo premarket notification. THE FDA Inding of Sacsantal vice 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 desire specific advice for your device of our lasting organized 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, please note the regulation on entired, "Albertation on your responsibilities under the Act from the 807.97). You may outlair other general missistance at its toll-free number (800) Division of Small Manufacturers, Internet address http://www.fda.gov/cdrh/dsmaldsmamain.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

3

510(k) Number (if Known):

K043336

Device Name: OptiStrand103

Indications For Use:

OptiStrand103 implants are indicated for interstitial implantation of select Optiotrand - implants are indiosensitivity. They are used either localized tumors with fow to firs such as those of the head, lung, neck, as primary treatment for tumble eden as thesectable tumors, or for residual pancreast, breast, cervix, prostate, and unresocials/ callistics are ulsease anch exolon of the prither with or at the completion of other treatment Indicated for use conourront wan or adiation therapy or chemotherapy.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

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Over-The-Counter-Use__________________________________________________________________________________________________________________________________________________________

Nancy Gordon

(Division Sizn-Off) Division of Reproductive, Abdominal, and Radiological Devi $10(k) Number

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