K Number
K100552
Device Name
RAYSTATION VERSION 1.0
Date Cleared
2010-03-12

(14 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
RayStation is a software system designed for treatment planning and analysis of radiation therapy. The treatment plans provide treatment unit set-up parameters and estimates of dose distributions expected during the proposed treatment, and may be used to administer treatments after review and approval by the intended user. The system functionality can be configured based on user needs. The intended users of RayStation shall be clinically qualified radiation therapy staff trained in using the system.
Device Description
RayStation is a treatment planning system, i.e. a software program for planning and analysis of radiation therapy plans. Typically, a treatment plan is created by importing patient images obtained from a CT scanner, defining regions of interest either manually or semi-automatically, deciding on a treatment setup and objectives, optimizing the treatment parameters, comparing rival plans to find the best compromise, computing the clinical dose distribution, approving the plan and exporting it.
More Information

Not Found

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the description of the device's functionality does not mention any AI/ML features.

No.
RayStation is a software system for planning and analyzing radiation therapy, providing treatment unit set-up parameters and estimated dose distributions. It is a tool for planning and managing treatment, not a device that directly administers therapy or has a therapeutic effect itself.

No

Explanation: RayStation is described as a "treatment planning system," not a device used to diagnose a medical condition. Its purpose is to plan and analyze radiation therapy, not to identify or detect a disease.

Yes

The device description explicitly states that RayStation is a "software program for planning and analysis of radiation therapy plans." The entire description focuses on the software's functionalities and processes, with no mention of accompanying hardware components that are part of the medical device itself. While it uses input from a CT scanner (a separate medical device), RayStation itself is presented as a software system.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • RayStation's Function: RayStation is a software system for treatment planning and analysis of radiation therapy. It uses patient images (CT scans) to plan how radiation will be delivered to a patient's body for treatment. It does not analyze biological specimens.
  • Intended Use: The intended use clearly states it's for "treatment planning and analysis of radiation therapy," not for diagnostic testing of biological samples.
  • Device Description: The description details the process of creating a radiation therapy plan using images, not analyzing biological samples.

Therefore, RayStation 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

RayStation is a software system designed for treatment planning and analysis of radiation therapy.

The treatment plans provide treatment unit set-up parameters and estimates of dose distributions expected during the proposed treatment, and may be used to administer treatments after review and approval by the intended user.

The system functionality can be configured based on user needs.

The intended users of RayStation shall be clinically qualified radiation therapy staff trained in using the system.

Product codes

MUI, MUJ

Device Description

RayStation is a treatment planning system, i.e. a software program for planning and analysis of radiation therapy plans. Typically, a treatment plan is created by importing patient images obtained from a CT scanner, defining regions of interest either manually or semi-automatically, deciding on a treatment setup and objectives, optimizing the treatment parameters, comparing rival plans to find the best compromise, computing the clinical dose distribution, approving the plan and exporting it.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT images

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The intended users of RayStation shall be clinically qualified radiation therapy staff trained in using the system.

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)

The dose algorithm in both RayStation 1.0 and RayAutoplan 1.0 is the same. This is supported by the dose algorithm accuracy testing, which has used the same test specification 1.0 as was previously used for Ray Autoplan 1.0. The tests include dose calculation for a wide variety of field geometries, treatment units, treatment setups and patient positions, including different dose grid resolution settings. All tests were run successfully for RayStation 1.0.

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

Not Found

Predicate Device(s)

K083264, K081281

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.

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K100ﺎ ﮨﮯ ﮨﮯ ﮨﮯನಿ
-----------------------------
Title:Document ID:Version:
510(k) Application - RayStation 1.0RSL-D-61-041.1

510(k) Summary 5.

5.1 510(k) owner

RaySearch Laboratories AB Sveavägen 25, plan 9 111 34 Stockholm Sweden

MAR 1 2 2010

Tel: +46 (8) 54506130 Fax: +46 (8) 54506139

5.2 Contact person

Anders Murman

5.3 Preparation date 12/11/2009

5.4 Trade name

RayStation

RayStation is the product name RaySearch will use introducing this device into the world market. Aliases may be added later, if RayStation is sublicensed to other radiation therapy companies. Throughout the documentation it is our practice to write the trade name and version number together, i.e. "RayStation 1.0".

5.5 Common name

Radiation treatment planning system

રે છે. દિવેલી તેમને છે. આ ગામનાં લોકોનો મુખ્ય વ્યવસાય ખેતી, ખેતમજૂરી તેમ જ પશુપાલન છે. આ ગામનાં મુખ્યત્વે ખેત-ઉત્પાદની ખેતી, ખેતમજૂરી તેમ જ પશુપાલન છે. આ ગામનાં મુખ્યત્વે ખે Classification name

Medical charged-particle radiation therapy system (21 CFR 892.5050, Product Code MUI)

5.7 Predicate devices

RayAutoplan 1.0510(k) number K083264
Oncentra MasterPlan 3.1510(k) number K081281

5.8 Device description

RayStation is a treatment planning system, i.e. a software program for planning and analysis of radiation therapy plans. Typically, a treatment plan is created by importing patient images obtained from a CT scanner, defining regions of interest either manually or semi-automatically, deciding on a treatment setup and objectives, optimizing the treatment parameters, comparing rival plans to find the best compromise, computing the clinical dose distribution, approving the plan and exporting it.

The main workflow, creating a step-and-shoot IMRT plan from an imported patient and case, is described below:

Flow of Events
UserSystem
1.The user launches RayStation 1.0
2.The user imports a patient and case with
CT images through DICOM3.The system imports the data and checks
consistency of in-data
4.The user enters the Structure Definition
module and creates ROIs using the
contouring tools5.The system adds the ROIs to the patient
case
6.The user enters the Treatment
Specification module and creates a plan

1

Title:Document ID:Version:
510(k) Application - RayStation 1.0RSL-D-61-041.1

| | and a treatment setup with specified
machine, treatment energy and delivery
type (SMLC) | | |
|-----|--------------------------------------------------------------------------------------------------------|-----|---------------------------------------------------------------------------------------------|
| 7. | The user specifies beam configuration
including isocenter, dose grid and fluence
grid resolution | | |
| | | 8. | The system adds the plan and treatment
setup to the patient case |
| 9. | The user enters the Plan Optimization
module and creates an optimization
problem | | |
| 10. | The user defines the algorithm and
segmentation settings and starts the
optimization | | |
| | | | 11. The system generates a deliverable step-
and-shoot plan |
| | | | 12. The system displays the plan as |
| | | | - 2D and 3D dose and patient displays

  • DVH curves
  • Plan data (beams, segments etc.) |
    | 13. | The user reviews the plan | | |
    | 14. | The user enters the Plan Evaluation
    module and evaluates the plan | | |
    | 15. | The user approves and exports the plan
    together with dose, structure sets and
    images | | |
    | | | 16. | The system exports the plan and patient
    data to a DICOM server |

5.9 Intended use

RayStation is a software system designed for treatment planning and analysis of radiation therapy. The treatment plans provide treatment unit set-up parameters and estimates of dose distributions expected during the proposed treatment, and may be used to administer treatments after review and approval by the intended user.

The system functionality can be configured based on user needs.

The intended users of RayStation shall be clinically qualified radiation therapy staff trained in using the system.

5.10 Technological characteristics summary

The technological characteristics are the same for RayStation 1.0 as for RayAutoplan 1.0 and Oncentra MasterPlan v3.1. All devices produce IMRT treatment plans with corresponding dose distributions computed using a three dimensional collapsed cone dose engine. All devices have a function of electronic approval of treatment plans by trained and authorized staff, and export in DICOM format for commencing treatment or archiving.

Assessment of non-clinical performance data 5.11

The dose algorithm in both RayStation 1.0 and RayAutoplan 1.0 is the same. This is supported by the dose algorithm accuracy testing, which has used the same test specification 1.0 as was previously used for Ray Autoplan 1.0. The tests include dose calculation for a wide variety of field geometries, treatment units, treatment setups and patient positions, including different dose grid resolution settings. All tests were run successfully for RayStation 1.0.

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Image /page/2/Picture/0 description: The image shows the seal of the Department of Health & Human Services USA. The seal features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized lines that resemble a human figure.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

MAR 1 2 2010

RaySearch Laboratories AB % Mr. Casey Conry Senior Project Engineer Underwriters Laboratories, Inc. 1285 Walt Whitman Rd. MELVILLE NY 11747

Re: K100552

Trade/Device Name: RayStation Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: MUJ Dated: February 19, 2010 · Received: February 26, 2010

Dear Mr. Conry:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

3

medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/cdrh/industry/support/index.html.

Sincerely yours,

Amelia J. Roth

Donald J. St.Pierre Acting Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K100552

Device Name: RayStation

Indications for Use:

RayStation is a software system designed for treatment planning and analysis of radiation therapy.

The treatment plans provide treatment unit set-up parameters and estimates of dose distributions expected during the proposed treatment, and may be used to administer treatments after review and approval by the intended user.

The system functionality can be configured based on user needs.

The intended users of RayStation shall be clinically qualified radiation therapy staff trained in using the system.

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

(Division Sign-Off)

Division Sign-Off)
of Radiological Devices

Office of In Vitro Diagnostic Dev

510K K100552

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