K Number
K072046
Device Name
EXACTRAC 3RD PARTY, EXACTRAC X-RAY 6D 3RD PARTY, EXACTRAC OEM
Manufacturer
Date Cleared
2007-10-17

(84 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ExacTrac 3rd Party system is intended to be used in conjunction with the MHI-TM2000 radiation therapy linear accelerator system manufactured by Mitsubishi Heavy Industries, Ltd. ExacTrac 3rd Party uses the images received from the MHI-TM2000 linear accelerator for analyzing the current patient position and calculating - when applicable - a necessary correction shift. The correction shift is then exported to the MHI-TM2000 linear accelerator. The ExacTrac 3rd Party system uses stereoscopic x-ray or cone beam CT registration and optical tracking of infrared reflective markers in order to localize and correct the patient position before and during treatment.
Device Description
ExacTrac 3d Party is an Image Processing System for patient positioning on the MHI-TM2000 linear accelerator. It is based on an imported isocenter from a planning system or on an isocenter imported from a simulator. It allows verification and, if necessary correction of the patient's position. Correction of patient's position is based on a comparison of - a) digital reconstructed images (DRR) calculated from a corresponding CT set (reference image) and xray images (live images) from the imaging system of the MHI-TM2000 linear accelerator with the patient on the treatment couch. - b) the treatment planning CT and a Cone Beam CT taken on the imaging system of the MHJ-TM2000 linear accelerator with the patient on the treatment couch. The x-ray images, accomplished as stereoscopic x-rays or a Cone Beam CT scan, are created by the corresponding kV x-ray imaging system of the MHI-TM2000 linear accelerator and loaded into the ExacTrac 3rd Party System. Structures on the images to be compared can be either anatomical landmarks or implanted internal markers. Based on the imaging data, ExacTrac 3rd Party determines the correct treatment position, which is then applied by couch motion of the MHI-TM2000 linear accelerator.
More Information

Not Found

No
The description focuses on traditional image processing techniques (stereoscopic x-ray, cone beam CT registration, optical tracking, comparison of DRRs/CTs with live images) and does not mention AI, ML, or related concepts like neural networks or deep learning.

No.
The device is described as an image processing system used for patient positioning, and it calculates and exports correction shifts to a linear accelerator. It does not directly provide therapy.

No

The device processes images to determine patient position and calculate correction shifts for radiation therapy, but it does not make a diagnosis of a disease or condition. Its purpose is for positioning, not diagnosis.

No

The device description explicitly states it is an "Image Processing System" that uses images from the MHI-TM2000 linear accelerator's imaging system (kV x-ray imaging system) and exports correction shifts to the linear accelerator for couch motion. This indicates interaction with and reliance on specific hardware components (the linear accelerator's imaging system and couch), making it more than just software.

Based on the provided information, 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.
  • Device Function: The ExacTrac 3rd Party system is described as an "Image Processing System for patient positioning on the MHI-TM2000 linear accelerator." Its primary function is to analyze medical images (stereoscopic x-ray or cone beam CT) taken of the patient's body to determine and correct their position for radiation therapy.
  • No Sample Analysis: The device does not analyze any biological samples taken from the patient. It works directly with imaging data acquired from the patient's body.

Therefore, the ExacTrac 3rd Party system falls under the category of medical imaging and positioning systems used in radiation therapy, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The ExacTrac 3rd Party system is intended to be used in conjunction with the MHI-TM2000 radiation therapy linear accelerator system manufactured by Mitsubishi Heavy Industries, Ltd.

ExacTrac 3rd Party uses the images received from the MHI-TM2000 linear accelerator for analyzing the current patient position and calculating - when applicable - a necessary correction shift. The correction shift is then exported to the MHI-TM2000 linear accelerator.

The ExacTrac 3rd Party system uses stereoscopic x-ray or cone beam CT registration and optical tracking of infrared reflective markers in order to localize and correct the patient position before and during treatment.

Product codes (comma separated list FDA assigned to the subject device)

IYE

Device Description

ExacTrac 3rd Party is an Image Processing System for patient positioning on the MHI-TM2000 linear accelerator. It is based on an imported isocenter from a planning system or on an isocenter imported from a simulator. It allows verification and, if necessary correction of the patient's position. Correction of patient's position is based on a comparison of

a) digital reconstructed images (DRR) calculated from a corresponding CT set (reference image) and xray images (live images) from the imaging system of the MHI-TM2000 linear accelerator with the patient on the treatment couch.
b) the treatment planning CT and a Cone Beam CT taken on the imaging system of the MHI-TM2000 linear accelerator with the patient on the treatment couch.

The x-ray images, accomplished as stereoscopic x-rays or a Cone Beam CT scan, are created by the corresponding kV x-ray imaging system of the MHI-TM2000 linear accelerator and loaded into the ExacTrac 3rd Party System. Structures on the images to be compared can be either anatomical landmarks or implanted internal markers. Based on the imaging data, ExacTrac 3rd Party determines the correct treatment position, which is then applied by couch motion of the MHI-TM2000 linear accelerator.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray, Cone Beam CT

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)

ExacTrac 3d Party has been verified and validated according to BrainLAB's procedures for product design and development. The validation proves the safety and effectiveness of the information provided by BrainLAB in this 510 (k) application was found to be substantially equivalent with the predicate device ExacTrac 4.0 (K040585)

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K040585

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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

§ 892.5050 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

K072046

0C1 1 7 2007

510 (k) Summary of Safety and Effectiveness for ExacTrac 3rd Party

Manufacturer:BrainLAB AG
Address:Kapellenstrasse 12
85622 Feldkirchen
Germany
Phone: +49 89 99 15 68 0
Fax: +49 89 99 15 68 33
Contact Person:Mr. Rainer Birkenbach
Summary Date:May 16, 2007
Device Name:
Trade name:ExacTrac 3rd Party, will also be marketed under the name
ExacTrac X-ray 6D 3rd Party, ExacTrac OEM
Common/Classification Name:Patient Positioning System / System, Radiation Therapy, Charged-
Particle, Medical

Predicate Device: ExacTrac 4.0 (K040585)

Device Classification Name: System, Radiation Therapy, Charged-Particle, Medical Regulatory Class: Class II

1

Intended Use:

The ExacTrac 3 in Party system is intended to be used in conjunction with the MH-TM2000 radiation therapy linear accelerator system manufactured by Mitsubishi Heavy Industries, Ltd.

ExacTrac 3 m Party uses the images received from the MHI-TM2000 linear accelerator for analyzing the current patient position and calculating - when applicable - a necessary correction shift. The correction shift is then exported to the MHI-TM2000 linear accelerator.

The ExacTrac 3 ™ Party system uses stereoscopic x-ray or cone beam CT registration and optical tracking of infrared reflective markers in order to localize and correct the patient position before and during treatment.

Device Description:

ExacTrac 3d Party is an Image Processing System for patient positioning on the MHI-TM2000 linear accelerator. It is based on an imported isocenter from a planning system or on an isocenter imported from a simulator. It allows verification and, if necessary correction of the patient's position. Correction of patient's position is based on a comparison of

  • a) digital reconstructed images (DRR) calculated from a corresponding CT set (reference image) and xray images (live images) from the imaging system of the MHI-TM2000 linear accelerator with the patient on the treatment couch.
  • b) the treatment planning CT and a Cone Beam CT taken on the imaging system of the MHJ-TM2000 linear accelerator with the patient on the treatment couch.

The x-ray images, accomplished as stereoscopic x-rays or a Cone Beam CT scan, are created by the corresponding kV x-ray imaging system of the MHI-TM2000 linear accelerator and loaded into the ExacTrac 3rd Party System. Structures on the images to be compared can be either anatomical landmarks or implanted internal markers. Based on the imaging data, ExacTrac 3rd Party determines the correct treatment position, which is then applied by couch motion of the MHI-TM2000 linear accelerator.

Substantial equivalence:

ExacTrac 3d Party has been verified and validated according to BrainLAB's procedures for product design and development. The validation proves the safety and effectiveness of the information provided by BrainLAB in this 510 (k) application was found to be substantially equivalent with the predicate device ExacTrac 4.0 (K040585)

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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 7 2007

Mr. Rainer Birkenbach Executive Vice President BrainLAB AG Kapellenstraße 12 85622 Feldkirchen GERMANY

Re: K072046

Trade/Device Name: ExacTrac 3te Party (BrainLAB's Patient Positioning System) Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: IYE Dated: June 6, 2007 Received: July 25, 2007

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 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 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.

3

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 Center for Devices and Radiological Health's (CDRH's) 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" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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/cdrb/industry/support/index.html.

Sincerely vours.

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

510(k) Number (if known):

Device Name: ExacTrac 3rd Party (BrainLAB's Patient Positioning System)

Indications For Use:

ExacTrac 3rd Party

The ExacTrac 3rd Party system is intended to be used in conjunction with the MHI-TM2000 radiation therapy linear accelerator system manufactured by Mitsubishi Heavy Industries, Ltd.

ExacTrac 3rd Party uses the images received from the MHI-TM2000 linear accelerator for analyzing the current patient position and calculating - when applicable -- a necessary correction shift. The correction shift is then exported to the MHI-TM2000 linear accelerator.

The ExacTrac 3rd Party system uses stereoscopic x-ray or cone beam CT registration and optical tracking of infrared reflective markers in order to localize and correct the patient position before and during treatment.

Prescription Use (Per 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 NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jonath Whan

on Sian-Off) Division of Reproductive, Abdo Radiological Devic 510(k) Number

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