K Number
K052220
Device Name
IPLAN RT FIBERTRACKING
Manufacturer
Date Cleared
2005-09-30

(46 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
iPlan RT FiberTracking's indications for use is to prepare and present patient and image data based on CT, MR, Angiographic and other imaging sources including - image preparation - - image localization - - image fusion - - image segmentation - - isocenter handling - - plan review and approval - fiber tracking - where the result is used for stereotactic radiation treatment planning that is intended for use in stereotactic, conformal, computer planned, LINAC based radiation treatment of cranial, head and neck and extracranial lesions. Fiber Tracking: iPlan RT FiberTracking's indication for use is to prepare and present patient and image data based on MRI scanned with diffusion-weighted sequences. These diffusion images are used for the calculation and display of fiber bundles in a selected region of interest. The created treatment plans of iPlan TT FiberTracking can be used million in a scienced region of interest. The StainLAB medical devices such as BrainSCAN, iPlan RT Image, and iPlan RT Dose where this medical device is used for radiotherapy treatment planning.
Device Description
iPlan RT FiberTracking is developed to enhance the functionality of Intuition Image software with the import and il lan in 11 Tiber Husking to do volupes (DTI). Additional to the basic functions of Intuition Image (viewing, drawing, planning of annuolen concernment of this application provides functions for the import and inflage fusion and attrootable racessing of the DTI data and the display of calculated fiber tracks.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the description focuses on image processing and calculation of fiber bundles based on DTI data, not AI/ML techniques.

No

The device is described as software for preparing and presenting patient and image data for stereotactic radiation treatment planning, including fiber tracking. It is used with other medical devices for radiotherapy treatment planning, but it does not directly treat or diagnose a disease; it assists in the planning process.

No
The device is used for radiation treatment planning and fiber tracking, which are steps in preparing for treatment, not for diagnosing a condition.

No

The device description explicitly states that iPlan RT FiberTracking is developed to "enhance the functionality of Intuition Image software." While it is software, it is presented as an enhancement to existing software, implying it is part of a larger system that likely includes hardware components for image processing, display, and potentially treatment planning integration. The description focuses on the software's capabilities but doesn't claim it is a standalone software-only device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used for stereotactic radiation treatment planning. This involves processing medical images (CT, MR, Angiographic, DTI) to create treatment plans for radiation therapy. This is a therapeutic planning function, not a diagnostic function performed on biological samples.
  • Device Description: The description reinforces that the device enhances image processing for planning purposes, specifically for displaying calculated fiber tracks based on DTI data for radiotherapy treatment planning.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.) or providing diagnostic information about a patient's disease state based on such analysis. The focus is entirely on image processing and treatment planning.

Therefore, iPlan RT FiberTracking falls under the category of a medical device used for treatment planning, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

iPlan RT FiberTracking's indications for use is to prepare and present patient and image data based on CT, MR, Angiographic and other imaging sources including

  • image preparation -
  • image localization ﮯ
  • image fusion -
  • image seqmentation -
  • isocenter handling -
  • plan review and approval -
  • fiber tracking

where the result is used for stereotactic radiation treatment planning that is intended for use in wholo the roban formal, computer planned, LINAC based radiation treatment of cranial, head and neck and extracranial lesions.

Fiber Tracking:

iPlan RT FiberTracking's indication for use is to prepare and present patient and image data based on MRI scanned with diffusion-weighted sequences. These diffusion images are used for the calculation mnt ooallify of fiber bundles in a selected region of interest. The created treatment plans of iPlan RT and display of can be used with other iPlan treatment plans and other BrainLAB medical devices such as BrainSCAN, iPlan RT Image, and iPlan RT Dose where this medical device is used for radiotherapy treatment planning.

Product codes

IYE, MUJ

Device Description

iPlan RT FiberTracking is developed to enhance the functionality of Intuition Image software with the import and il lan in 11 Tiber Husking to do volupes (DTI). Additional to the basic functions of Intuition Image (viewing, drawing, planning of annuolen concernment of this application provides functions for the import and inflage fusion and attrootable racessing of the DTI data and the display of calculated fiber tracks.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT, MR, Angiographic, MRI scanned with diffusion-weighted sequences

Anatomical Site

cranial, head and neck and extracranial lesions

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)

Substantial equivalioner.
iPlan RT FiberTracking has been verified and validated according to BrainLAB's procedures for product design in in 11 i be rrucking nad boon vermes the safety and effectiveness of the system. The information provided by and developmont. The railer was found to be substantially equivalent with the predicate device iPlan! FiberTracking (K041703) and Intuition Image (K032511).

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

Not Found

Predicate Device(s)

K041703, K032511

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.

0

SEP 3 0 2005

K05 22

5 Po 11 Summary of etv and Effectiveness for iPlan RT FiberTracking

Manufacturer:

| Address: | BrainLAB AG
Ammerthalstrasse 8
85551 Heimstetten
Germany
Phone: +49 89 99 15 68 0
Fax: +49 89 99 15 68 33 |
|-----------------|--------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Mr. Per Persson |
| Summary Date: | August 11, 2005 |
| Device Name: | |
| Trade name: | iPlan RT FiberTracking |

Common/Classification Name:

Planning System / Medical charged-particle radiation therapy system

Predicate Device: iPlan! FiberTracking (K041703). Intuition Image (K032511).

Device Classification Name: Medical charged-particle radiation therapy system Regulatory Class: Class II

Indications For Use:

iPlan RT FiberTracking's indications for use is to prepare and present patient and image data based on CT, MR, Angiographic and other imaging sources including

  • image preparation -
  • image localization -
  • image fusion -
  • image segmentation -
  • isocenter handling -
  • plan review and approval
  • fiber tracking -

where the result is used for stereotactic radiation treatment planning that is intended for use in stereotactic, conformal, computer planned, LINAC based radiation treatment of cranial, head and neck and extracranial lesions.

Fiber Tracking:

iPlan RT FiberTracking's indication for use is to prepare and present patient and image data based on MRI scanned with diffusion-weighted sequences. These diffusion images are used for the calculation and display of

1

fiber bundles in a selected region of interest. The created treatment plans of iPlan TT FiberTracking can be used million in a scienced region of interest. The StainLAB medical devices such as BrainSCAN, iPlan RT Image, and iPlan RT Dose where this medical device is used for radiotherapy treatment planning.

Device Description:

iPlan RT FiberTracking is developed to enhance the functionality of Intuition Image software with the import and il lan in 11 Tiber Husking to do volupes (DTI). Additional to the basic functions of Intuition Image (viewing, drawing, planning of annuolen concernment of this application provides functions for the import and inflage fusion and attrootable racessing of the DTI data and the display of calculated fiber tracks.

Substantial equivalence:

Substantial equivalioner.
iPlan RT FiberTracking has been verified and validated according to BrainLAB's procedures for product design in in 11 i be rrucking nad boon vermes the safety and effectiveness of the system. The information provided by and developmont. The railer was found to be substantially equivalent with the predicate device iPlan! FiberTracking (K041703) and Intuition Image (K032511).

2

Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo is circular in shape, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter of the circle. Inside the circle is an abstract image of an eagle.

Public Health Service

Food and Drug Administratio 9200 Corporate Boulevard Rockville MD 20850

Mr. Rainer Birkenbach Executive Vice President BrainLAB AG Ammerthalstrasse 8 85551 Heimstetten Germany

SEP 3 0 2005

Re: K052220

Trade/Device Name: iPlan RT FiberTracking Regulation Number: 21 CFR 892.5050 Regulation Name: Medical chargedparticle radiation therapy system Regulatory Class: II Product Code: IYE, MUJ Dated: August 11, 2005 Received: August 15, 2005

Dear Mr. Birkenbach:

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 requirc 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 (Premarket Approval), it may be subject to such 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 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 807.97). You may obtain other general information on your responsibilities under the Act 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/industry/support/index.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

510(k) Number (if known):Kp52222
------------------------------------

Device Name:

iPlan RT FiberTracking

Indications For Use:

iPlan RT FiberTracking's indications for use is to prepare and present patient and image data based on CT, MR, Angiographic and other imaging sources including

  • image preparation -
  • image localization ﮯ
  • image fusion -
  • image seqmentation -
  • isocenter handling -
  • plan review and approval -
  • fiber tracking

where the result is used for stereotactic radiation treatment planning that is intended for use in wholo the roban formal, computer planned, LINAC based radiation treatment of cranial, head and neck and extracranial lesions.

Fiber Tracking:

iPlan RT FiberTracking's indication for use is to prepare and present patient and image data based on MRI scanned with diffusion-weighted sequences. These diffusion images are used for the calculation mnt ooallify of fiber bundles in a selected region of interest. The created treatment plans of iPlan RT and display of can be used with other iPlan treatment plans and other BrainLAB medical devices such as BrainSCAN, iPlan RT Image, and iPlan RT Dose where this medical device is used for radiotherapy treatment planning.

(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 I-2-96)

Division of Reproductive, Abdom