K Number
K081218
Device Name
BELLYSTEP, HEADSTEP, BREASTSTEP, PROSTEP, WINGSTEP AND ICAST
Date Cleared
2008-07-21

(82 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The function of the BellySTEP™ is for positioning of the lower abdomen of a patient during radiotherapy and diagnostics. The function of the HeadSTEP™ is for fixation and (re)positioning of the head and neck area of the patient during radiotherapy and diagnostics. The function of the BreastSTEP™ is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics. The function of the ProSTEP™ is for positioning of hip and lower extremities of a patient for radiotherapy. The function of the WingSTEP™ is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics. The function of the iCAST™ thermoplastic materials are for use in retaining and reproducing a patient's position during radiation therapy.
Device Description
BellySTEP™: The BellySTEP™ is made for the positioning of the lower abdomen of a patient. The BellySTEP™ Baseplate enables the use of Inter-changeable inserts. It is made of Polyethylene Foam and covered with artificial leather. HeadSTEP™: The HeadSTEP™ iFRAME based immobilization system guarantees high precision and facile repositioning in routine cranial as well as head and neck immobilization. BreastSTEP™: The BreastSTEP™ enable positioning, repositioning and high comfort in the routine breast and thorax fixation. ProSTEP™: The ProSTEP™ was designed to improve the accuracy of the positioning of the hip and the lower extremities. WingSTEP™: The WingSTEP™ enable positioning, repositioning and high comfort in the routine breast and thorax fixation. iCAST™: The iCAST™ Thermoplastic is a non-sticky low temperature thermoplastic sheet material for the production of immobilization masks (head, head/neck) for patients undergoing radiation therapy treatment.
More Information

Not Found

No
The device description and intended use focus solely on physical positioning and immobilization devices for radiotherapy and diagnostics, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The devices are for patient positioning and immobilization during radiotherapy and diagnostics, not for directly treating a disease or condition.

No

The devices are primarily intended for patient positioning, fixation, and repositioning during radiotherapy and diagnostics. While "diagnostics" is mentioned, the core function described for all devices (BellySTEP, HeadSTEP, BreastSTEP, ProSTEP, WingSTEP, iCAST) is patient immobilization to facilitate accurate delivery of radiation therapy, not to actively diagnose a medical condition.

No

The device description clearly outlines physical components made of materials like Polyethylene Foam and artificial leather, as well as thermoplastic sheets. These are hardware components, not software.

Based on the provided information, these devices are not IVDs (In Vitro Diagnostics).

Here's why:

  • Intended Use: The intended use of all these devices is for positioning, fixation, and repositioning of patients during radiotherapy and diagnostics. This is a physical function related to patient setup and immobilization for medical procedures.
  • Device Description: The descriptions detail physical devices made of materials like polyethylene foam, artificial leather, and thermoplastic sheets, designed to support and hold parts of the body.
  • Lack of IVD Characteristics: IVDs are devices intended for use in vitro (outside the body) for the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The provided information does not mention any interaction with biological specimens or the generation of diagnostic information from such specimens.

These devices fall under the category of medical devices used in a clinical setting, specifically for supporting and positioning patients during procedures like radiotherapy and imaging. They are not designed to analyze biological samples or provide diagnostic information in the way an IVD does.

N/A

Intended Use / Indications for Use

  • The function of the BellySTEPTM is for positioning of the lower abdomen of a patient during radiotherapy and diagnostics.
  • The function of the HeadSTEPTM is for fixation and (re)positioning of the head and neck area of the patient during radiotherapy and diagnostics.
  • The function of the BreastSTEPTM is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics.
  • The function of the ProSTEPTM is for positioning of hip and lower extremities of a patient for radiotherapy.
  • The function of the WingSTEPTM is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics.
  • The function of the iCASTTM thermoplastic materials are for use in retaining and reproducing a patient's position during radiation therapy.

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

IYE

Device Description

BellySTEP™: The BellySTEP™ is made for the positioning of the lower abdomen of a patient. The BellySTEP™ Baseplate enables the use of Inter-changeable inserts. It is made of Polyethylene Foam and covered with artificial leather.
HeadSTEP™: The HeadSTEP™ iFRAME based immobilization system guarantees high precision and facile repositioning in routine cranial as well as head and neck immobilization.
BreastSTEP™: The BreastSTEP™ enable positioning, repositioning and high comfort in the routine breast and thorax fixation.
ProSTEP™: The ProSTEP™ was designed to improve the accuracy of the positioning of the hip and the lower extremities.
WingSTEP™: The WingSTEPTM enable positioning, repositioning and high comfort in the routine breast and thorax fixation.
iCAST™: The iCAST™ Thermoplastic is a non-sticky low temperature thermoplastic sheet material for the production of immobilization masks (head, head/neck) for patients undergoing radiation therapy treatment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

BellySTEP™: lower abdomen
HeadSTEP™: head and neck
BreastSTEP™: lung- and thorax area
ProSTEP™: hip and lower extremities
WingSTEP™: lung- and thorax area
iCAST™: head, head/neck

Indicated Patient Age Range

Not Found

Intended User / Care Setting

BellySTEP™: can be used both in combination with an CT-scanner and an accelerator.
HeadSTEP™: Can be used on all brands of couches in diagnostic and radiotherapy environment.
BreastSTEP™: can be used during both diagnostics and radiotherapy.
ProSTEP™: can be used both in the diagnostic and treatment environment, due to the materials and construction chosen.
WingSTEP™: can be used during both diagnostics and radiotherapy.
iCAST™: 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): 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.

K060131, K991319

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

「JUL 2 1 2008

Section 05

Image /page/0/Picture/2 description: The image shows a logo for IT-Medizintechnik GmbH. The logo consists of the letters "IT" and a stylized "V" shape, all in white, set against a black background. Below the logo, the words "MEDIZINTECHNIK GMBH" are printed in black.

رن

510(k) SUMMARY IT-V positioning devices

1. BellySTEP™

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameBellySTEP™
Common namePelvis and lower extremities immobilization system.
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate deviceBellyboard system by SINMED BV
Description of the devicesThe BellySTEP™ is made for the positioning of the lower
abdomen of a patient. The BellySTEP™ Baseplate enables
the use of Inter-changeable inserts. It is made of
Polyethylene Foam and covered with artificial leather.
Intended usePositioning of the lower abdomen of a patient during
radiotherapy and diagnostics.
Summary of the technological
characteristics of your device
compared to the predicate deviceThe BellySTEP™ is substantially equivalent to the SINMED
Bellyboard System in design, construction, and function. The
BellySTEP™ is flat and has a similar, generally rectangular-
shaped contour, with areas specifically designed for the
abdomen, and thighs. The Prone pillow support cushion has
a contoured opening so that the patient may rest his/her
head comfortably in the prone position during treatment
process. The inter-changeable inserts are also designed with
an open, contoured cut out region. The patient is positioned
over the abdominal cushion such that the belly drops into the
cut out region during the radiation therapy session. The
BellySTEP™ is constructed in a manner similar to the
bellyboard System from SINMED.

Document #:

510(k) summary.doc

1

Image /page/1/Picture/1 description: The image shows a logo for a company called IT-V MEDIZINTECHNIK GMBH. The logo is in a black box with white text. The top line of the logo is the company's initials, IT-V, and the bottom line is the company's full name, MEDIZINTECHNIK GMBH.

| Substantial Equivalence Device | The BellySTEP TM is defined as substantially equivalent (SE)
in terms of intended use to the SINMED Bellyboard,
manufactured by SINMED BV (Registration number
8030455) and cleared by FDA with K060131. |

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BellySTEPT™SINMED bellyboard system
Intended usePositioning of the lower abdomen of
a patient during radiotherapy and
diagnostics.Positioning of the lower abdomen of
a patient during radiotherapy and
diagnostics.
Target populationPatients with tumors in the lower-
abdomen area.Patients with tumors in the lower-
abdomen area.
Position of the
patientProne position on this device.Prone position on this device.
MaterialMade of Polyethylene Foam and
covered with artificial leather. The
PE foam material is commonly used
in radiotherapy.Carbon fiber sandwich construction.
DimensionsThick hollow construction with an
aperture to place the belly. Flat top-
part for positioning the arms and
head.Thick hollow construction with an
aperture to place the belly. Flat top-
part for positioning the arms and
head.
Design / ShapeErgonomic design for a comfortable
position and support of the patient.Ergonomic design for a comfortable
position of the patient. Extra ruler for
laser - alignment along the sides of
the bellyboard.
Possible adjustmentsNo adjustments possible, only by
using additional cushions like the
prone pillow support cushion.No adjustments possible, only by
using additional cushions like the
prone-cushion.
Couch fixationCan be placed at indexed position
on the couch.Can be placed at indexed position
on the couch, using fixation strips.
AccessoriesVarious Inter-changeable inserts and
prone pillow to optimize the
positioning and comfort of the
patient.Prone cushion for bellyboard to
improve the position on the
bellyboard.
Compatibility with the
environment and
other devicesThis device can be used both in
combination with an CT-scanner and
an accelerator.This device can be used both in
combination with an CT-scanner
and an accelerator.

2

Image /page/2/Picture/1 description: The image shows a logo for a company called IT-V MEDIZINTECHNIK GMBH. The logo consists of the letters IT-V in a bold, sans-serif font. The letters are white on a black background. Below the letters is the company name, MEDIZINTECHNIK GMBH, in a smaller, sans-serif font. The company name is black on a white background.

2. HeadSTEP™

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameHeadSTEP™
Common nameHead and neck immobilization systems
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate devicePositilt head inclination system by SINMED BV
Description of the devicesThe HeadSTEP™ iFRAME based immobilization system
guarantees high precision and facile repositioning in routine
cranial as well as head and neck immobilization.
Intended useFixation and (re)positioning of the head and neck during
radiotherapy and diagnostics
Summary of the technological
characteristics of your device
compared to the predicate deviceThe HeadSTEP™ is designed to position the head and neck of
a patient for diagnostics and radiotherapy and reposition it
several times.
This is exactly the purpose of the Positilt head inclination
system. The same kind of construction and materials are used
to reach this. Products from both companies are used for the
same kind of radiotherapy treatments. These products from
both companies are really competitive systems.
Substantial EquivalenceThe HeadSTEP™ is defined as substantially equivalent (SE) in
terms of intended use to the SINMED Positilt head inclination
system, manufactured by SINMED BV (Registration number
  1. and cleared by FDA with K060131. | |

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Image /page/3/Picture/1 description: The image shows a logo for IT-V Medizintechnik GmbH. The logo consists of the letters "IT-V" in a bold, sans-serif font, with a horizontal line connecting the "T" and the "V". The letters are white and set against a black rectangular background. Below the rectangle, the words "MEDIZINTECHNIK GMBH" are printed in black, also in a sans-serif font.

HeadSTEP™SINMED Positilt
Intended useFixation and (re) positioning of the
head and neck during radiotherapy
and diagnostics.Fixation and (re) positioning of the
head and neck during radiotherapy
and diagnostics.
Target populationRadiotherapy patients with tumors in
head and neck area.Radiotherapy patients with tumors in
head and neck area.
Position of the
patientLying on a couch in prone or supine
position. Shoulders and head are
positioned by in a certain position
using accessories for an optimized
treatment.Lying on a couch in prone or supine
position. Shoulders and head are
positioned by in a certain position
using accessories for an optimized
treatment.
MaterialRadio-translucent carbon fiber
construction. The skin contact
material carbon fiber is exactly the
same as those used in the predicate
device.Carbon fiber and acrylic, polyethylene
foam.
DimensionsSquare shaped baseplate which
follows the patients contours of the
head.Square shaped baseplate which
follows the patients contours of the
head.
Design / ShapeFlat baseplate on which the
thermoplastic mask can be placed.
Using a 23-step elevation
mechanism, the baseplate can be
inclined to change the position of the
head.Flat baseplate on which the
thermoplastic mask and various head
supports can be placed. Using the
Positilt or other accessories, the
baseplate can be inclined to change
the position of the head.
Possible adjustmentsHead can be lifted or inclined by
using the 23-step elevation
mechanism, without any wedges.Head can be lifted or inclined by using
the blocks and wedges or the Positilt
system.
Couch fixationThe aluminum fixation rails connects
the baseplate to the couch. The
adjustable aluminum rails can be
mounted on the baseplate. They
allow the baseplate to be locked
down in the desired position on the
simulator or treatment couch.The aluminum fixation rails connects
the baseplate to the couch. The
adjustable aluminum rails can be
mounted on all of our baseplates. They
allow the baseplate to be locked down
in the desired position on the simulator
or treatment couch.
AccessoriesFoam head supports, which can
position the head for an optimized
treatment.
Thermoplastic mask-material which
can be placed on the baseplate with
plastic profiles.Foam head supports, which can
position the head for an optimized
treatment.
Thermoplastic mask-material which
can be placed on the baseplate with
plastic profiles.

510(k) summary.doc Document #: Version 1 of 2008-03-28 page 4 of 12

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Image /page/4/Picture/1 description: The image shows a logo for IT-W Medizintechnik GmbH. The logo consists of the letters IT-W in a bold, sans-serif font. The letters IT are white on a black background, while the W is black on a white background. Below the letters is the text "MEDIZINTECHNIK GMBH" in a smaller, sans-serif font.

Compatibility with the environment and other devicesCan be used on all brands of couches in diagnostic and radiotherapy environment.
Can be used on all brands of couches in diagnostic and radiotherapy environment.

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Image /page/5/Picture/1 description: The image shows a logo with the text "IT-V" in a black rectangle. The letters are white and bold. Below the rectangle, the text "MEDIZINTECHNIK GMBH" is written in a smaller font size. The text is also in black and white.

3. BreastSTEP™

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameBreastSTEP™
Common nameBreast and thorax immobilization systems
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate DevicePosiboard by SINMED BV
Description of the devicesThe BreastSTEP™ enable positioning, repositioning and high
comfort in the routine breast and thorax fixation.
Intended usePositioning of the lung- and thorax area of the patient during
radiotherapy and diagnostics.
Summary of the technological
characteristics of your device
compared to the predicate deviceThe SINMED Posiboard is intended to position patients
undergoing irradiation treatment in the breast- and lung area.
This is exactly the same purpose of the BreastSTEP™. The
patient support of the SINMED Posiboard can be inclined for
better treatment. This same inclination of the upper body is
also possible with the BreastSTEP™. To keep the arms out of
the treatment area, the arms are placed above the head.
Various arm supports can be fixed on the SINMED Posiboard.
This arm support fixation is also possible on the
BreastSTEP™. The features of the SINMED Posiboard can all
be found on the BreastSTEP™.
Substantial Equivalence DeviceThe BreastSTEP™ is defined as substantially equivalent (SE)
in terms of intended use to the SINMED Posiboard,
manufactured by SINMED BV (Registration number 8030455)
and cleared by FDA with K060131.

:

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Document #:510(k) summary.doc
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Version 1 of 2008-03-28

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page 6 of 12

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Image /page/6/Picture/1 description: The image shows a logo with the text "IT-V MEDIZINTECHNIK GMBH". The letters "IT" are on the left side of the logo, followed by a dash and the letter "V". The text "MEDIZINTECHNIK GMBH" is located below the logo. The logo is enclosed in a rectangular box.

BreastSTEP™SINMED Posiboard
Intended usePositioning of the lung- and thorax
area of the patient during
radiotherapy and diagnostics.Positioning of the lung- and thorax
area of the patient during radiotherapy
and diagnostics.
Target populationPatients with tumors in breast and
thorax.Patients with tumors in breast and
thorax.
Position of the
patientSupine position, can be inclined, with
arms above the head.Supine position, can be inclined, with
arms above the head.
MaterialCarbon fiber sandwich construction,
PE Foam, and acrylic. Only non-
metal materials are used, like foam,
acrylic and carbon fiber sandwich in
the treatment area.
The skin contact material carbon
fiber is exactly the same as those
used in the predicate device.Carbon fiber sandwich construction,
PE Foam, and acrylic. Only non-metal
materials are used, like foam, acrylic
and carbon fiber sandwich in the
treatment area.
DimensionsOptimized dimensions (width) to be
CT-scanner compatible.Optimized dimensions (width) to be
CT-scanner compatible.
Design / ShapeBaseplate, with an aperture for
placing headsupports. Above the
head the arms can be placed by
using various armsupports.Baseplate, with an aperture for placing
headsupports. Above the head the
arms can be placed by using various
armsupports.
Possible adjustments0-20 degrees inclination possible.0-25 degrees inclination possible.
Couch fixationThe BreastSTEP™ is fixed onto the
couch using indexing bars.The Posiboard is fixed onto the couch
with fixationstrips.
AccessoriesVarious headsupports for a
comfortable patient positioning.
Various armsupports for patient
positioning.Various headsupports for a
comfortable patient positioning.
Various armsupports for patient
positioning.
Compatibility with the
environment and
other devicesDue to the chosen construction and
materials, these products can be
used during both diagnostics and
radiotherapy.Due to the chosen construction and
materials, these products can be used
during both diagnostics and
radiotherapy.

| Document #: | 510(k) summary.doc. | Version 1 of 2008-03-28

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| | Property of Children
No. of Cattle on 14 | |

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4. ProSTEP™

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameProSTEP™
Common namePelvis and lower extremities immobilization systems
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate deviceCombifix by SINMED BV
Description of the devicesThe ProSTEP™ was designed to improve the accuracy of the
positioning of the hip and the lower extremities.
Intended usePositioning of hip and lower extremities of a patient for
radiotherapy
Summary of the technological
characteristics of your device
compared to the predicate deviceThe SINMED Combifix is intended for positioning and
immobilization of pelvis and lower extremities.
The ProSTEP™ is a system with which the pelvis and lower
extremities are positioned in the same way as with the
SINMED Combifix. Both devices are exactly the same in terms
of intended use and technical characteristics.
Substantial Equivalence DeviceThe ProSTEP™ is defined as substantially equivalent (SE) in
terms of intended use to the SINMED Combifix, manufactured
by SINMED BV (Registration number 8030455) and cleared by
FDA with K060131.
Addresses of the lim an a se a semployer was
Document #:510(k) summary.doc

Version 1 of 2008-03-28



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Image /page/8/Picture/0 description: The image shows a logo with the text "IT-W" in a bold, sans-serif font. The letters are white against a black background. Below the logo, the words "MEDIZINTECHNIK GMBH" are printed in a smaller, sans-serif font. The logo and text are enclosed in a rectangular border.

ProSTEP™SINMED Combifix
Intended usePositioning of hip and lower
extremities of a patient for
radiotherapy.Positioning of hip and lower
extremities of a patient for
radiotherapy.
Target populationPatients undergoing irradiation
treatment in pelvis or lower
extremities.Patients undergoing irradiation
treatment in pelvis or lower
extremities.
Position of the
patientSupine position.Supine position.
MaterialCarbon fiber sandwich construction
or plastic (PE-Foam) devices.Carbon fiber sandwich construction or
plastic (acrylic and PE-Foam) devices.
DesignBaseplate on which the hip and
lower extremities of the patient can
be positioned by using a KneeSTEP
and FeetSTEP system.Baseplate on which the hip and lower
extremities of the patient can be
positioned by using a Kneefix or
Feetfix.
Possible adjustmentsThese devices can be adjusted to
optimize the fit for the patient.
Individual adjustment can be
reached by changing distances.These devices can be adjusted to
optimize the fit for the patient.
Individual adjustment can be reached
by changing distances.
Couch fixationBaseplate can be positioned on the
couch on indexed positions.Baseplate can be positioned on the
couch on indexed positions.
AccessoriesN. a.Repovac vacuum cushions.
Multi Purpose Support Cushion
Compatibility with the
environment and
other devicesThe ProSTEP™ can be used both in
the diagnostic and treatment
environment, due to the materials
and construction chosen.The Combifix system can be used both
in the diagnostic and treatment
environment, due to the materials and
construction chosen.

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Image /page/9/Picture/1 description: The image shows a logo for IT-W Medizintechnik GmbH. The logo consists of the letters IT-W in a bold, sans-serif font. The letters are white on a black background. Below the letters is the text "MEDIZINTECHNIK GMBH" in a smaller, sans-serif font. The text is black on a white background.

5. WingSTEP™

.

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameWingSTEPTM
Common nameBreast and thorax immobilization systems
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate DevicePET-armsupport by SINMED BV
Description of the devicesThe WingSTEPTM enable positioning, repositioning and high
comfort in the routine breast and thorax fixation.
Intended usePositioning of the lung- and thorax area of the patient during
radiotherapy and diagnostics.
The SINMED PET-armsupport is intended to position patients
undergoing irradiation treatment in the breast- and lung area.
This is exactly the same purpose of the WingSTEPTM.
Summary of the technological
characteristics of your device
compared to the predicate deviceTo keep the arms out of the treatment area the SINMED PET-
armsupport place the arms above the head. This positioning of
the arms above the head to achieve more space around the
breast- and lung area is also the exact intended use of the
WingSTEPTM.
Substantial Equivalence DeviceThe WingSTEPTM is defined as substantially equivalent (SE) in
terms of intended use to the SINMED PET-armsupport,
manufactured by SINMED BV (Registration number 8030455)
and cleared by FDA with K060131.

Document #:

510(k) summary.doc

10

Image /page/10/Picture/1 description: The image shows a logo for IT-W Medizintechnik GmbH. The logo consists of the letters IT-W in a bold, sans-serif font, with a horizontal line connecting the T and the W. The letters are white on a black background. Below the letters, the words "MEDIZINTECHNIK GMBH" are printed in a smaller, sans-serif font.

WingSTEP™SINMED PET-armsupport
Intended usePositioning of the lung- and thorax
area of the patient during
radiotherapy and diagnostics.Positioning of the lung- and thorax
area of the patient during radiotherapy
and diagnostics.
Target populationPatients with tumors in breast and
thorax.Patients with tumors in breast and
thorax.
Position of the
patientSupine position with arms above the
head.Supine position with arms above the
head.
MaterialAcrylic construction, PE foam. Only
non-metal materials are used, like
foam and acrylic in the treatment
area.Acrylic construction, PE foam. Only
non-metal materials are used, like
foam and acrylic in the treatment area.
DimensionsOptimized dimensions (width) to be
CT-scanner compatible.Optimized dimensions (width) to be
CT-scanner compatible.
Design / ShapeBaseplate, with an aperture for
placing headsupports. Above the
head the arms can be placed by
using armsupports.Baseplate, with an aperture for placing
headsupports. Above the head the
arms can be placed by using
armsupports.
Possible adjustmentsNo adjustments possible.No adjustments possible.
Couch fixationThe WingSTEP™ is fixed onto the
couch using indexing bars.The PET-armsupport is fixed onto the
couch with fixationstrips.
AccessoriesVarious headsupports for a
comfortable patient positioning.
Armsupports for patient positioning.Various headsupports for a
comfortable patient positioning.
Armsupports for patient positioning.
Compatibility with the
environment and
other devicesDue to the chosen construction and
materials, these products can be
used during both diagnostics and
radiotherapy.Due to the chosen construction and
materials, these products can be used
during both diagnostics and
radiotherapy.

510(k) summary.doc Document #:___


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Image /page/11/Picture/1 description: The image shows a logo with the text "IT-W" in a bold, sans-serif font. The text is set against a black background. Below the logo, the words "MEDIZINTECHNIK GMBH" are printed in a smaller, sans-serif font. The logo appears to be for a medical technology company.

6. iCAST™

IT - V Medizintechnik GmbH
Submitted byKranebitterbodenweg 40a
6020 Innsbruck
Austria
Contact personMarkus Völp (C.E.O.)
Phone: +43/664 4009009
Preparation DateFeb. 11, 2008
Trade NameiCAST™
Common nameThermoplastic immobilization system
Classification nameAccelerator, Linear, Medical
Class 2 devices, 892.5050 IYE
Predicate DeviceRaycast Thermoplastics by ORFIT Industries
Description of the devicesThe iCAST™ Thermoplastic is a non-sticky low temperature
thermoplastic sheet material for the production of
immobilization masks (head, head/neck) for patients
undergoing radiation therapy treatment.
Intended useThermoplastic materials are used to retain and reproduce a
patient's position during radiation therapy.
Summary of the technological
characteristics of your device
compared to the predicate deviceORFIT has registered this product in 1999. ORFIT is one of our
distributors. We want to register this product under our own
name. So the product we want to register is exactly the same
as registered by ORFIT in 1999.
The material, the intended use, etc. have not changed since
then. Therefore a comparison seems to be not necessary.
Substantial Equivalence DeviceThe thermoplastic is defined as substantially equivalent (SE) in
terms of intended use to the ORFIT Raycast thermoplastic
material, manufactured by ORFIT (Registration number
  1. and cleared by FDA with K991319. |
Document #:510
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Version 1 of 2008-03-28

)(k) summary.doc

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Image /page/12/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 21 2008

Ms. Cornelia Damsky Regulatory Consultant IT V MEDIZINTECHNIK GMBH 56 Westcott Road STAMFORD CT 06902

Re: K081218

Trade/Device Name: IT-V Positioning Devices: BellySTEP™, HeadSTED™, BreastSTEPTM ProSTEP™, WingSTEP™, and iCASTTM

Regulation Number: 21 CFR 892.5050

Regulation Name: Medical charged-particle radiation therapy system

Regulatory Class: II

Product Code: IYE

Dated: April 11, 2008

Received: May 1, 2008

Dear Ms. Damsky:

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.

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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" (21 CFR 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 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

510(k) Number K081218

Device Name:

8 선수 : 2017-02-07

これがある。 **

.

IT-V positioning devices:

    1. BellySTEP !!!
      1. HeadSTEP™
      1. BreastSTEP TH
      1. ProSTEP ™
      1. WingSTEP TM
      1. iCAST™

Indications for Use:

  • The function of the BellySTEP™ is for positioning of the lower abdomen of a 1. BellySTEP™ patient during radiotherapy and diagnostics.
  • The function of the HeadSTEP™ is for fixation and (re)positioning of the head-2. HeadSTEP™ and neck area of the patient during radiotherapy and diagnostics.
    1. BreastSTEP™ The function of the BreastSTEP™ is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics.
    1. ProSTEP™ The function of the ProSTEP™ is for positioning of hip and lower extremities of a patient for radiotherapy.
    1. WingSTEP™ The function of the WingSTEP™ is for positioning of the lung- and thorax area of the patient during radiotherapy and diagnostics.
  • The function of the iCAST™ thermoplastic materials are for use in retaining and 6. ICAST™ reproducing a patient's position during radiation therapy.

Prescription Use: Yes (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 NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hogarth Whe

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(Division Sign Off)
Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K081218