K Number
K061540
Device Name
LEKSELL GAMMAPLAN
Date Cleared
2006-07-05

(30 days)

Product Code
Regulation Number
892.5750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Leksell GammaPlan® is a computer-based dose planning system specifically designed for use with Leksell Gamma Knife®.
Device Description
Leksell GammaPlan® is a computer-based dose planning system specifically designed for Eeksell Gamma Knife®. Leksell Gamma Plan® is intended to be used for alse with the Losiments, in stereotactic radiosurgery and stereotactic radiotherapy.
More Information

No
The summary describes a computer-based dose planning system and does not mention AI, ML, or related terms.

No
The device is described as a "computer-based dose planning system" for use with a therapeutic device (Leksell Gamma Knife®), but it is not the therapeutic device itself. It plans the therapy, rather than delivering it.

No

Explanation: The device is described as a "computer-based dose planning system" for radiosurgery and radiotherapy, which is a treatment planning function, not a diagnostic one.

Yes

The device is described as a "computer-based dose planning system" and is specifically designed for use with a separate hardware device (Leksell Gamma Knife®). The description focuses solely on the software's function in planning, without mentioning any associated hardware components included with the submission.

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 Leksell GammaPlan® is a "computer-based dose planning system specifically designed for use with Leksell Gamma Knife®." This describes a system used for planning radiation treatment, which is an in-vivo procedure (performed on a living organism).
  • Device Description: The description reinforces its use in "stereotactic radiosurgery and stereotactic radiotherapy," both of which are treatment modalities applied directly to the patient.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.) or providing diagnostic information based on such analysis, which are hallmarks of IVD devices.

Therefore, Leksell GammaPlan® 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

Leksell GammaPlan® is a computer-based dose planning system specifically designed for use with Leksell Gamma Knife®.

Product codes

IWB

Device Description

Leksell GammaPlan® is a computer-based dose planning system specifically designed for Eeksell Gamma Knife®. Leksell Gamma Plan® is intended to be used for alse with the Losiments, in stereotactic radiosurgery and stereotactic radiotherapy.

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

Not Found

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

Not Found

Predicate Device(s)

K051022, K973441

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.5750 Radionuclide radiation therapy system.

(a)
Identification. A radionuclide radiation therapy system is a device intended to permit an operator to administer gamma radiation therapy, with the radiation source located at a distance from the patient's body. This generic type of device may include signal analysis and display equipment, patient and equipment supports, treatment planning computer programs, component parts (including beam-limiting devices), and accessories.(b)
Classification. Class II.

0

ELEKTA INSTRUMENT ABK061540Dokumentnamn/Name of document
Special 510(k)
Utfärdare/IssuerLouise LindbladUtgåva /Edition
Ref nr/Dok nr/Ref no/Doc no.1
Avser/RegardingLeksell GammaPlan®Directory

Section 4 - 510(k) Summary

As Required by 21 CFR 807.87(k)510 (k) Summary

Subscribers Name & Address 1.

Elekta Instrument AB Kungstensgatan 18, P:O Box 7593 SE-103 93 Stockholm, Sweden Tel: (011) 46 8 587 254 00 Fax: (011) 46 8 587 255 00 Contact Person for this submission: Ms Louise Lindblad Official Correspondent: Mr Peter Löwendahl

Trade Name 2.

Leksell GammaPlan®

Device Classification 3.

Common NameProduct CodeClassRegulation Number
Radionuclide radiation therapy systemIWBII892.5750

Regulatory History (Unmodified Predicate Device) 4.

Devices510(k) #
GammaPlan®K051022

Other relevant submissions 5.

Devices510(k) #
Leksell GammaPlan®K973441

1

ELEKTA INSTRUMENT AB

1061540

Dokumentnamn/Name of documentSpecial 510(k)
Utfärdare/IssuerLouise Lindblad
Ref nr/Dok nr/Ref no/Doc no-
Utgåva / Edition1
Avser/RegardingLeksell GammaPlan®
Directory

Device Description (for detailed description see Section "Device Description") 6.

Leksell GammaPlan® is a computer-based dose planning system specifically designed for Eeksell Gamma Knife®. Leksell Gamma Plan® is intended to be used for alse with the Losiments, in stereotactic radiosurgery and stereotactic radiotherapy.

Intended Use 7.

Leksell GammaPlan® is a computer-based dose planning system specifically designed for use with Leksell Gamma Knife®.

Substantial Equivalence 8

o - - - Substainful Equivalent is equivalent to its predicate devices The ranchanel (K051022) and Leksell GammaPlan® (K973441) in safety and effectiveness. Gammal lan- (18051022) and issuesistics are similar to those of the predicate devices.

C
Carola Carola Carolla Cara (Cara Cara Cara (Cara Cara (Cara Cara (Cara (Cara (Caracteria) (Caracteria (Cara (Cara (Caracteria) (Caracteria (Caracteria (Caracteria (Caracter

2

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 stylized eagle or bird-like symbol with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

JUL - 5 2006

Ms. Louise Lindblad Elekta Instrument AB Kungstensgatan18 P.O. Box 7593 Stockholm SWEDEN SE-103 93

Re: K061540

Trade/Device Name: Leksell GammaPlan® Regulation Number: 21 CFR §892.5750 Regulation Name: Radionuclide radiation therapy system Regulatory Class: II Product Code: IWB Dated: May 30, 2006 Received: June 5, 2006

Dear Ms. Lindblad:

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, FDAD may publish further announcements concerning your device in the Federal Register.

Image /page/2/Picture/10 description: The image is a black and white circular logo. The logo contains the letters "FDA" in a stylized font, with the word "Centennial" underneath. Above the letters "FDA" are the numbers "1906 - 2006". The text around the circle reads "A Century of Consumer Protection". There are also three stars below the word "Centennial".

Protecting and Promoting Public Health

3

Page 2 -

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.

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.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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 (240) 276-3150

or at its Internet address http://www.fda.gov/edrh/industry/support/index.html.

Sincerely vours.

Nancy C. Hogdon

Nancy C. Brogdon Director. Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

ELEKTA INSTRUMENT AB

Dokumentnamn/Name of document
Special 510lkl
Utfärdare/IssuerLouise Lindblad
Ref nr/Dok nr/Ref no/Doc no
Utgava / Edition1
Avser/RegardingLeksell GammaPlan®
Directory

Section 7- Indications for Use Statement

To be defined

510(k) NumberK061540
Device NameLeksell GammaPlan®
Indications for UseLeksell GammaPlan® is a computer-based dose planning system specifically designed for use with Leksell Gamma Knife®.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)


. –

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

==============================================================================================================================================================================

Nancy C Hoadon
(Division Sign-Off)

Division of Reproductive, Abo and Radiological Devices 510(k) Number _