K Number
K092145
Device Name
160MLC OPTION
Date Cleared
2009-09-18

(65 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of the SIEMENS branded ARTISTE™, ONCOR™ and PRIMUS™ family of linear accelerator systems is to deliver X-Ray photon and electron radiation for the therapeutic treatment of cancer. The linear accelerator is a high-dose rate medical linear accelerator optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT) and when used in conjunction with a multi-leaf collimator, supports precision radiation therapy treatment. The radiation therapy treatment may include single-session treatment, fractionated radiation therapy treatments, fractionated intensity modulated radiation therapy (IMRT) for lesions, turnors and conditions anywhere in the body where radiation therapy is indicated. Additionally, the SIEMENS branded linear accelerators includes as an optional feature, a 160 leaf multi-leaf collimator that is marketed as 160MLC™. The 160MLC is provided to assist the radiation oncologist in the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation. The indications for use for the 160MLC Option remains unchanged from the previously cleared 160MLC used on the ARTISTE linear accelerator (K072485). The syngo® Suite for Oncology Workspaces includes a number of syngo® based software applications whose indication for use include the viewing, processing, filming, and archiving of medical images. The workspaces also permit patient data management, patient selection/setup, patient positioning verification, treatment planning, treatment delivery/verification, and treatment recording.
Device Description
The 160MLC™ Option is an integral feature of the currently cleared SIEMENS ARTISTE™ system and is intended to be marketed as an optional upgrade to the ONCOR™ Klystron class family of medical linear accelerator devices. The basic design, safety features and function of the 160-leaf Multi-Leaf Collimator and the ONCOR Linear Accelerator remain unchanged from their currently cleared intended use and functions. The 160MLC™ supports the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation using the conventional linear accelerator. The 160MLC, in conjunction with the Linear Accelerator and control systems, arrough to delivery of X-Ray photon or electron energy for precise treatment of lesions, turnors and onditions anywhere in the body where radiation therapy is indicated. The 160MLC™ option supports the dynamic IMRT and dynamic Arc delivery of up to 1,000 (± 2%) MU / Minute X-Ray photon beam using a calibrated MV photon energy spectrum with an edge position acouracy at isocenter of 0.5mm (± 0.5mm) with minimal leakage and penumbra.
More Information

No
The document describes a linear accelerator and multi-leaf collimator for radiation therapy. While it mentions image processing and treatment planning software, there is no mention of AI or ML technologies being used in the device's operation or decision-making processes. The focus is on the physical delivery of radiation and image management.

Yes
The intended use statement explicitly states that the device is "to deliver X-Ray photon and electron radiation for the therapeutic treatment of cancer." It also mentions "radiation therapy treatment" for "lesions, turnors and conditions anywhere in the body where radiation therapy is indicated."

No

Explanation: The device is described as a linear accelerator system used for the therapeutic treatment of cancer by delivering X-Ray photon and electron radiation. Its function is to deliver treatment, not to diagnose conditions.

No

The device description explicitly states that the 160MLC™ Option is an "integral feature" and "optional upgrade" to the SIEMENS ARTISTE™ and ONCOR™ linear accelerator systems, which are hardware devices. While the syngo® Suite includes software, the 510(k) summary is primarily focused on the 160MLC hardware component.

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

Here's why:

  • Intended Use: The intended use is clearly stated as delivering X-Ray photon and electron radiation for the therapeutic treatment of cancer. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description focuses on the physical components and function of a linear accelerator and multi-leaf collimator, which are used for delivering radiation therapy.
  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not interact with such specimens.

While the device description mentions software for viewing, processing, filming, and archiving medical images, this is in the context of supporting radiation therapy treatment planning and delivery, not for performing in vitro diagnostic tests on patient samples.

N/A

Intended Use / Indications for Use

The intended use of the SIEMENS branded ARTISTE™, ONCOR™ and PRIMUS™ family of linear accelerator systems is to deliver X-Ray photon and electron radiation for the therapeutic treatment of cancer.

The linear accelerator is a high-dose rate medical linear accelerator optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT) and when used in conjunction with a multi-leaf collimator, supports precision radiation therapy treatment. The radiation therapy treatment may include single-session treatment, fractionated radiation therapy treatments, fractionated intensity modulated radiation therapy (IMRT) for lesions, tumors and conditions anywhere in the body where radiation therapy is indicated.

Additionally, the SIEMENS branded linear accelerators includes as an optional feature, a 160 leaf multi-leaf collimator that is marketed as 160MLC™. The 160MLC is provided to assist the radiation oncologist in the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation. The indications for use for the 160MLC Option remains unchanged from the previously cleared 160MLC used on the ARTISTE linear accelerator (K072485).

The syngo® Suite for Oncology Workspaces includes a number of syngo® based software applications whose indication for use include the viewing, processing, filming, and archiving of medical images. The workspaces also permit patient data management, patient selection/setup, patient positioning verification, treatment planning, treatment delivery/verification, and treatment recording.

Product codes

IYE

Device Description

The 160MLC™ Option is an integral feature of the currently cleared SIEMENS ARTISTE™ system and is intended to be marketed as an optional upgrade to the ONCOR™ Klystron class family of medical linear accelerator devices. The basic design, safety features and function of the 160-leaf Multi-Leaf Collimator and the ONCOR Linear Accelerator remain unchanged from their currently cleared intended use and functions. The 160MLC™ supports the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation using the conventional linear accelerator. The 160MLC, in conjunction with the Linear Accelerator and control systems, are used for the delivery of X-Ray photon or electron energy for precise treatment of lesions, tumors and conditions anywhere in the body where radiation therapy is indicated.

The 160MLC™ option supports the dynamic IMRT and dynamic Arc delivery of up to 1,000 (± 2%) MU / Minute X-Ray photon beam using a calibrated MV photon energy spectrum with an edge position accuracy at isocenter of 0.5mm (± 0.5mm) with minimal leakage and penumbra.

The syngo® Suite for Oncology Workspaces includes a number of syngo® based software applications whose indication for use include the viewing, processing, filming, and archiving of medical images. The workspaces also permit patient data management, patient selection/setup, patient positioning verification, treatment planning, treatment delivery/verification, and treatment recording.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found. However, 'Mega-Voltage Cone Beam - a method of obtaining 3 dimensional data for portal imaging' is mentioned.

Anatomical Site

anywhere in the body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

radiation oncologist

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)

K072485, K060226, K082775

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

K692145

SEP 1 8 2009

1

Siemens Medical Solutions USA, Inc. Oncology Care Systems

Section 5

510(k) Summary

| Submitter: | Siemens Medical Solutions USA, Inc.
Oncology Care Systems
4040 Nelson Avenue
Concord, CA 94520 | | | |
|--------------------------|---------------------------------------------------------------------------------------------------------|-----------------------------------------------|--|--|
| Contact: | Christine Dunbar
Senior Regulatory Affairs Specialist | | | |
| Phone:
Fax:
Email: | (925)602-8157
(925)602-8008
christine.dunbar.ext@siemens.com | | | |
| Proprietary Name: | 160MLC™ Option | | | |
| Common Name: | | An accessory to: Accelerator, Linear, Medical | | |
| Classification: | 892.5050 | | | |
| Product Code: | IYE | | | |

Substantial Equivalence Claimed To:

PRODUCTClearanceClaim of Equivalence For:
SIEMENS ARTISTE™K072485The Siemens branded Linear Accelerator with the 160
leaf MLC and the syngo® Suite for Oncology
Workspaces including the syngo® RT Therapist and RT
Therapist Express.
SIEMENS ONCOR™
ExpressionK060226ONCOR™ linear accelerator families and COHERENCE
Workspaces (or the re-branded syngo® Suite for
Oncology Workspaces), RT Therapist workspace with
the PRIMEVIEW V&R system, the 82 leaf MLC marketed
as OPTIFOCUS™, the Flat Panel device marketed as
the OPTIVUE™ and the Mega-Voltage Cone Beam
technology marketed as MVision™ and Adaptive
Targeting™.
SIEMENS PreScision™
OptionK082775Establishes the basic hardware/firmware and software
components across all of Siemens branded Linear
Accelerators for the purposes SE and conformity to
standards testing at the device level. Indicates common
features between Siemens branded Linear Accelerators
for interchangeability of device accessories and options.
Supports increased dose rate and Enhanced Stereotactic
Technique (EST) for the delivery of high precision
radiation therapy when used with an 82 leaf, 160 leaf or
Third Party Multi-Leaf Collimators or stereotactic
accessories.

000030

510(k) for SIEMENS 160MLCTM Option

:有

ﺳﺘﺴ

1

Slemens Medical Solutions USA, Inc. Oncology Care Systems

The ARTISTE™ and ONCOR™ family of linear accelerators with the 160MLC™ Option as described in this premarket notification has similar intended use and fundamental scientific technical characteristics as the predicate devices listed above.

Description Summary:

Within the submission the following internal naming conventions are used:

Market NameInternal naming convention
ARTISTE™ARTISTE™ linear accelerator and ACCEL release 4.x+
ONCOR™ ExpressionONCOR™ linear accelerator and ACCEL release 2.x+
ONCOR™ Avant-GardeONCOR™ linear accelerator and ACCEL release 1.x+ and 2.x+
PRIMEVIEW™Siemens proprietary verify and record system. The syngo®based
PRIMEVIEW is hosted on the COHERENCE™ Therapist
Workspace.
The syngo base version is marketed as PRIMEVIEW3i and is used
on the PRIMUS™ linear accelerator systems.
COHERENCE™ Therapist WorkspaceRTT Workspace contains the SIEMENS proprietary verify and
record system as well as access to the Oncology Information
System and directly connects to the LINAC control console.
MVCB - MVision™Mega-Voltage Cone Beam - a method of obtalning 3 dimensional
data for portal imaging.
160 MLC™160-leaf multi-leaf collimator
OPTIFOCUS™82-leaf multi-leaf collimator
58 MLC58 leaf multi-leaf collimator
OPTIVUE™aSi flat panel electronic portal imaging device (EPID) AL7 model
OPTIVUE 1000STaSi flat panel electronic portal imaging device (EPID) AG9 model
syngo® Therapist Workspace,
RTT Express™RTT Workspace contains the SIEMENS proprietary verify and
record system as well as access to the Oncology Information
System and directly connects to the LINAC control console on the
ARTISTE™ linear accelerator system.
syngo® Suite for Oncology
WorkspacesSyngo based workstation, re-branded COHERENCE workspaces.
syngo®Siemens proprietary software architecture and hosting SIEMENS
software applications organized by task cards on a dedicated
workstation.
Sys_VB35System Software, version VB35 for ONCOR R2.2.

For further definitions of the terms used in this submission, refer to the Glossary in Section 24.

000031

510(k) for SIEMENS 160MLC™ Option

2

Siemens Medical Solutions USA, Inc. Oncology Care Systems

Technological Characteristics:

The 160MLC™ Option:

The 160MLC™ Option is an integral feature of the currently cleared SIEMENS ARTISTE™ system and is

intended to be marketed as an optional upgrade to the ONCOR™ Klystron class family of medical linear accelerator devices. The basic design, safety features and function of the 160-leaf Multi-Leaf Collimator and the ONCOR Linear Accelerator remain unchanged from their currently cleared intended use and functions. The 160MLC™ supports the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation using the conventional linear accelerator. The 160MLC, in conjunction with the Linear Accelerator and control systems, arrough to delivery of X-Ray photon or electron energy for precise treatment of lesions, turnors and onditions anywhere in the body where radiation therapy is indicated.

The 160MLC™ option supports the dynamic IMRT and dynamic Arc delivery of up to 1,000 (± 2%) MU / Minute X-Ray photon beam using a calibrated MV photon energy spectrum with an edge position acouracy at isocenter of 0.5mm (± 0.5mm) with minimal leakage and penumbra.

Refer to Section 11- Description, for the Product Specification regarding these specific modifications.

General Safety and Effectiveness:

The device labeling contains instructions for use and any necessary cautions and warnings, to provide for safe and effective use of the device.

Risk management is ensured via a risk analysis, which is used to identify potential hazards and miligations. These potential hazards are controlled by software development, vertification of requirements and validation testing. To minimize electrical, mechanical and radiation hazards, SIEMENS adheres to recognized and established industry practice and relevant international standards,

Intended Use:

The intended use of the SIEMENS branded ARTISTE™, ONCOR™ and PRIMUS™ family of linear accelerator systems is to deliver X-Ray photon and electron radiation for the therapeutic treatment of cancer.

The linear accelerator is a high-dose and high-dose rate medical linear accelerator optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT) and when used in conjunction with a multi-leaf collimator, supports precision radiation therapy treatment. The radiation therapy treatment may include single-session treatment, fractionated radiation therapy treation ated in the next modulated radiation therapy (IMRT) for lesions, tumors and conditions anywhere in the body when radiation therapy is indicated.

Additionally, the SIEMENS branded linear accelerators includes as an optional feature, a 160 leaf multileaf collimator that is marketed as 160MLC™. The 160MLC is provided to assist the radiation oncologist in the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation. The indications for use for the 160MLC Option remains unchanged from the previously cleared 160MLC used on the ARTISTE linear accelerator (K072485).

510(k) for SIEMENS 160MLC™ Optlon

00032

3

Siemens Medical Solutions USA, Inc., Oncology Care Systems

The syngo® Suite for Oncology Workspaces:

The syngo® Suite for Oncology Workspaces includes a number of syngo® based software applications whose indication for use include the viewing, processing, filming, and archiving of medical images. The workspaces also permit patient data management, patient selection/setup, patient positioning verification, treatment planning, treatment delivery/verification, and treatment recording.

Summary:

In summary, it is SIEMENS' belief that the addition of the 160MLC™ option to the ONCOR linear accelerators for high precision radiation therapy does not introduce any new potential safety risks and is substantially equivalent to, and performs as well as, the predicate devices.

510(k) for SIEMENS 160MLC™ Option

CONFIDENTIAL Page Sect. 5/4

00003

4

Image /page/4/Picture/0 description: The image shows the seal of the Department of Health & Human Services-USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged around the top half of the circle. The bottom half of the circle contains a stylized image of an eagle with its wings spread, with three lines representing the wings and a wavy line representing the body.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

SEP 1 8 2009

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

Ms. Christine Dunbar Senior Regulatory Affairs Specialist Siemens Medical Solutions USA, Inc. Oncology Care Systems 4040 Nelson Avenue CONCORD CA 94520

Re: K092145

Trade/Device Name: 160MLCTM Option Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: IYE Dated: July 10, 2009 Received: July 15, 2009

Dear Ms. Dunbar:

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 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); medical device reporting (reporting of medical

5

device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Janine M. Morris

Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Siemens Medical Solutions USA, Inc. Oncology Care Systems

Section 4

Indication For Use Statement

510(k) Number (if known):

Device Name: 160MLC™ Option

Indications for Use:

The intended use of the SIEMENS branded ARTISTE™, ONCOR™ and PRIMUS™ family of linear accelerator systems is to deliver X-Ray photon and electron radiation for the therapeutic treatment of cancer.

The linear accelerator is a high-dose rate medical linear accelerator optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT) and when used in conjunction with a multi-leaf collimator, supports precision radiation therapy treatment. The radiation therapy treatment may include single-session treatment, fractionated radiation therapy treatments, fractionated intensity modulated radiation therapy (IMRT) for lesions, turnors and conditions anywhere in the body where radiation therapy is indicated.

Additionally, the SIEMENS branded linear accelerators includes as an optional feature, a 160 leaf multi-leaf collimator that is marketed as 160MLC™. The 160MLC is provided to assist the radiation oncologist in the delivery of radiation to defined target volumes while sparing surrounding normal tissue and critical organs from excess radiation. The indications for use for the 160MLC Option remains unchanged from the previously cleared 160MLC used on the ARTISTE linear accelerator (K072485).

The syngo® Suite for Oncology Workspaces:

The syngo® Suite for Oncology Workspaces includes a number of syngo® based software applications whose indication for use include the viewing, processing, filming, and archiving of medical images. The workspaces also permit patient data management, patient selection/setup, patient positioning verification, treatment planning, treatment delivery/verification, and treatment recording.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices
510(k) NumberK092145
Prescription Use (Per 21 CFR 801.109)
OR
Over-the-Counter Use

000029