K Number
K142219
Device Name
GammaBeam 100
Date Cleared
2014-11-13

(93 days)

Product Code
Regulation Number
892.5750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A Cobalt Teletherapy unit is a device by which gamma radiation is delivered for the treatment of cancer under the direction of health care professionals in a radiation therapy clinic.
Device Description
The GammaBeam 100 is a radiotherapy treatment unit with a cobalt-60 radiation delivery system. The device consists of a source head, collimator, gantry, main frame, base, controls and a pendulum or beamstopper style counterweight. The design of this device is substantially equivalent to predicate device Theratron Phoenix.
More Information

No
The summary describes a traditional cobalt teletherapy unit and does not mention any AI/ML components or functionalities.

Yes
The device is described as delivering gamma radiation for the treatment of cancer, which directly indicates a therapeutic purpose.

No
The device description states it is a "radiotherapy treatment unit" and is used for "treatment of cancer," indicating a therapeutic rather than diagnostic purpose.

No

The device description clearly outlines physical hardware components like a source head, collimator, gantry, main frame, base, controls, and counterweight, indicating it is a hardware device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the treatment of cancer by delivering gamma radiation. IVDs are used for the diagnosis of diseases or conditions by examining samples from the human body (like blood, urine, tissue).
  • Device Description: The description details a radiotherapy treatment unit, not a device that analyzes biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples.
    • Detecting specific analytes (like proteins, DNA, etc.).
    • Providing diagnostic information.

This device is clearly a therapeutic device used for treating cancer, not a diagnostic device used for identifying it.

N/A

Intended Use / Indications for Use

A Cobalt Teletherapy unit is a device by which gamma radiation is delivered for the treatment of cancer under the direction of health care professionals in a radiation therapy clinic.

Product codes

IWB

Device Description

The GammaBeam 100 is a radiotherapy treatment unit with a cobalt-60 radiation delivery system. The device consists of a source head, collimator, gantry, main frame, base, controls and a pendulum or beamstopper style counterweight. The design of this device is substantially equivalent to predicate device Theratron Phoenix.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

health care professionals in a radiation therapy clinic.

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

The performance of the device was tested against a set of functional specifications in an environment that simulated, as much as possible, the actual operating environment. Validation testing demonstrated that the device is as safe and effective as the predicate device.

Key Metrics

Not Found

Predicate Device(s)

Theratron Phoenix (K863180)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.5750 Radionuclide radiation therapy system.

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

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

November 13, 2014

Best Theratronics Limited % Mr. Mike de van der Schueren Quality and Regulary Manager 413 March Road Ottawa, Ontario K2K 0E4 CANADA

Re: K142219

Trade/Device Name: Gammabeam 100 Regulation Number: 21 CFR 892.5750 Regulation Name: Radionuclide radiation therapy system Regulatory Class: II Product Code: IWB Dated: October 15, 2014 Received: October 15, 2014

Dear Mr. de van der Schueren:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 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.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Michael D. 'O'Hara

for

Janine M. Morris Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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INDICATIONS FOR USE

K142219 510(k) Number:

Device Name: GammaBeam 100

Indications For Use:

A Cobalt Teletherapy unit is a device by which gamma radiation is delivered for the treatment of cancer under the direction of health care professionals in a radiation therapy clinic.

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

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

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510(k) SUMMARY

Date Summary PreparedOctober 14, 2014
Submitted byBest Theratronics
413 March Road
Ottawa, Ontario K2K 0E4
Canada
Tel. (613) 591-2100
Fax. (613) 592-5680
Contact PersonMr. Mike de van der Schueren
Quality & Regulatory Manager
Trade NameGammaBeam 100
Common NameCobalt Teletherapy Device
Classification NameRadionuclide Radiation Therapy System
Legally Marketed Predicate DeviceTheratron Phoenix (K863180)
Device ClassificationClass II, 21 CFR 892.5750
Product CodeIWB

Description of Device

The GammaBeam 100 is a radiotherapy treatment unit with a cobalt-60 radiation delivery system. The device consists of a source head, collimator, gantry, main frame, base, controls and a pendulum or beamstopper style counterweight. The design of this device is substantially equivalent to predicate device Theratron Phoenix.

Intended Use of Device

A Cobalt Teletherapy unit is a device by which gamma radiation is delivered for the treatment of cancer under the direction of health care professionals in a radiation therapy clinic.

The indications/intended use of the modified device, as described in the labeling, has not changed as a result of the modifications.

Summary of Technological Characteristics

The GammaBeam 100 is substantially equivalent to the predicate device (K863180).

This GammaBeam 100 includes several changes to the design of Phoenix teletherapy unit.

  • . an updated control system
  • new independent jaws collimator
  • . new covers

Changes are made due to obsolescence of many components in the existing Phoenix control system as well as to achieve compliance with current regulatory standards.

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Usability is being improved by adding functions relevant to contemporary cancer treatment techniques and removing those that are not.

The major components of the Theratron Phoenix, including the head, gantry, main frame, base, and pendulum/beam stopper counterweight have had minor modifications to accommodate the above changes.

There are no changes to the mechanical structure or radiological shielding of the head.

The irradiation source and radioactivity of the cobalt-60 source remains unchanged as does the source drawer mechanism.

The control system has been designed to meet the same intended use as the current model.

Safety & Effectiveness

The safety of the GammaBeam 100 is equivalent or better than the predicate device.

In terms of safety, the GammaBeam 100 is designed to comply with

  • IEC 60601-1-2: Edition 3.0 2007-03 Medical electrical equipment Part 1-2: General . requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests (Appendix Q)
  • IEC 60601-1: Edition 3.0 2005 + CORR. 1 (2006) + CORR. 2 (2007) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (Appendix R)
  • EN 60601-2-11 (2004) Medical electrical equipment Part 2: Particular requirements for the . safety of gamma beam therapy equipment
  • EN 61217 (2011) Radiotherapy equipment Coordinates, movements and scales .

The performance of the device was tested against a set of functional specifications in an environment that simulated, as much as possible, the actual operating environment. Validation testing demonstrated that the device is as safe and effective as the predicate device.