K Number
K053280
Device Name
PROBEAT
Date Cleared
2006-03-09

(106 days)

Product Code
Regulation Number
892.5050
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Hitachi's PROBEAT is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.

Device Description

The PROBEAT is a proton beam irradiation system, which provides a therapeutic proton beam for clinical treatment. It is designed to deliver a proton beam with the prescribed dose and dose distribution to the prescribed patient treatment site. The equipment is comprised of two main components. One is a beam delivery system whose primary responsibility is to ensure that the above listed prescription parameters are properly delivered. The other is the equipment necessary to generate the proton beam and direct it to the beam delivery system.

AI/ML Overview

The provided text describes Hitachi's PROBEAT, a proton beam therapy system, and its 510(k) submission for FDA clearance. However, it does not contain detailed information about specific acceptance criteria or a study designed to prove the device meets those criteria in the way typically required for AI/ML-based medical devices (e.g., performance metrics like sensitivity, specificity, or AUC against a ground truth).

The document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices rather than providing a detailed performance study with quantitative results against established acceptance criteria.

Here's an attempt to answer your questions based only on the provided text, highlighting where information is absent:


1. Table of Acceptance Criteria and Reported Device Performance

Acceptance CriteriaReported Device Performance
Specific quantitative performance criteria (e.g., accuracy, precision, dose delivery uniformity) are NOT provided in the document. The document states "The submission includes performance testing that Hitachi conducted to demonstrate that the device meets its performance specifications." However, what those specifications are, and the exact results of meeting them, are not detailed.The document broadly states that the PROBEAT meets its performance specifications. Specific metrics are not presented. It implies successful demonstration of: Producing and delivering a proton beam.Delivering the prescribed dose and dose distribution to the prescribed patient treatment site.

2. Sample Size Used for the Test Set and Data Provenance

Information regarding a specific "test set" with a defined sample size for evaluating the PROBEAT's performance as a medical device is not provided. The document mentions general "performance testing" but does not detail the nature of this testing (e.g., patient data, phantom studies) or its provenance.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

Information about experts establishing ground truth for a test set is not provided. This type of detail is usually relevant for diagnostic devices or those involving human interpretation, which is not the primary focus of this submission for a radiation therapy delivery system.

4. Adjudication Method for the Test Set

Information on an adjudication method for a test set is not provided.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Its Effect Size

A Multi-Reader Multi-Case (MRMC) comparative effectiveness study, which typically evaluates human reader performance with and without AI assistance, was not mentioned and is not relevant for this type of device (a proton beam therapy delivery system). This device delivers the therapy, it does not assist human readers in making diagnoses or interpretations of images in the same way an AI diagnostic tool would.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

The document refers to "performance testing" conducted by Hitachi but does not explicitly describe it as a "standalone" algorithm-only performance study in the context of AI. The PROBEAT is a physical system, not primarily a software algorithm for interpretation. The performance testing would be focused on the hardware's ability to create and deliver the proton beam accurately and safely.

7. The Type of Ground Truth Used

The document does not specify the type of ground truth used for the "performance testing." For a proton beam therapy system, ground truth would likely involve:

  • Physical measurements using dosimeters in phantoms to verify dose distribution and accuracy against planned treatment.
  • Engineering specifications and calibration standards.
  • Possibly pre-clinical studies or simulations.

8. The Sample Size for the Training Set

Information about a "training set" is not provided. As this is a proton beam therapy delivery system, and not an AI/ML-based diagnostic or predictive algorithm, the concept of a "training set" for the device's core function (beam generation and delivery) is not applicable in the same way it would be for an AI algorithm. Its design and engineering would be based on physics principles and engineering validation, not statistical learning from a large dataset.

9. How the Ground Truth for the Training Set Was Established

Information about how ground truth for a "training set" was established is not provided, as the concept of a training set is not applicable to the description of the device's validation in this document.

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2006 MAR 9

510(k) SUMMARY

Hitachi's PROBEAT

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Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

Hitachi, Ltd., Power Systems Group Advanced Medical Technology and Solutions Division, Proton Therapy 18-13, Sotokanda 1-chome, chiyoda-ku Tokyo, 101-8608 Japan

011-81-3-4564-3565 Phone: Facsimile: 011-81-3-4564-2882

Naoya Nishimura Contact Person:

November 21, 2005 Date Prepared:

Name of Device and Name/Address of Sponsor:

PROBEAT

Hitachi, Ltd., Power Systems Group Advanced Medical Technology and Solutions Division, Proton Therapy 18-13, Sotokanda 1-chome, chiyoda-ku Tokyo, 101-8608 Japan

Common or Usual Name

Proton Beam Therapy System ("PBTS")

Classification Name

Medical Charged-Particle Radiation Therapy System

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Predicate Devices

ﺮ ﭘﺮ

K053280

  • Optivus Technology, Inc.'s Proton Beam Therapy System (K992414) 1)
  • Ion Beam Applications S.A.'s, Proton Therapy System (K983024) 2)

Intended Use / Indications for Use

The PROBEAT is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.

Technological Characteristics

The PROBEAT is a proton beam irradiation system, which provides a therapeutic proton beam for clinical treatment. It is designed to deliver a proton beam with the prescribed dose and dose distribution to the prescribed patient treatment site. The equipment is comprised of two main components. One is a beam delivery system whose primary responsibility is to ensure that the above listed prescription parameters are properly delivered. The other is the equipment necessary to generate the proton beam and direct it to the beam delivery system.

Performance Data

The submission includes performance testing that Hitachi conducted to demonstrate that the device meets its performance specifications.

Substantial Equivalence

The PROBEAT is substantially equivalent to the Optivus Technology, Inc.'s Proton Beam Therapy System (K992414), and the Ion Beam Applications S.A.'s, Proton Therapy System (K983024). The PROBEAT has the same intended uses and similar indications, technological characteristics and principles of operation. The minor technological differences between the PROBEAT and its predicate devices raise no new issues of safety or effectiveness. Thus, the PROBEAT is substantially equivalent to its predicate devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Hitachi, Ltd., % Mr. Jonathan S. Kahan Hogan & Hartson L.L.P. Columbia Square 555 Thirteenth Street, NW WASHINGTON DC 20004-1109

MAR 9 - 2006

Re: K053280

Trade/Device Name: PROBEAT Regulation Number: 21 CFR §892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: LHN Dated: February 21, 2006 Received: February 21, 2006

Dear Mr. Kahan:

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 (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.

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This letter will allow you to begin marketing your device as described in your Section 510(k)
10 Jagain This letter will anow you to begin harketing your united equivalence of your device to a legally premarket notification. The FDA inding of suestantial of a locked 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 on our laboring 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, please note the regulation entitled, "finisornation on your responsibilities under the Act from the 807.97). You may obtain other general information on John of
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

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INDICATIONS FOR USE STATEMENT

3280 510(K) NUMBER (IF KNOWN):_

Device Name: PROBEAT

Indications for Use: Hitachi's PROBEAT is a medical device designed to produce and deliver a multations for USe. Intern of patients with localized tumors and other conditions susceptible to treatment by radiation.

Prescription Use __
(Per 21 C.F.R. 801.109)

OR

Over-The-Counter Use_X

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel A. Sgroon

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

§ 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.