K Number
K241876
Device Name
Vitesse (5.0)
Date Cleared
2024-10-23

(117 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Vitesse is indicated for use as a treatment planning software application used by medical professionals to plan,guide,optimize and document high-dose-rate brachytherapy procedures
Device Description
The Varian VITESSE 5.0 is a stand-alone application which provides treatment planning features for high dose rate brachytherapy. Vitesse supports real-time ultrasound guided implant procedures as well as image import based workflows based on DICOM RT. Vitesse supports DICOM RT export of the plan to another external dose planning system (e.g., Brachy Vision) or directly to the brachytherapy afterloader treatment unit.
More Information

Not Found

No
The document does not mention AI, ML, or related terms, and the description focuses on standard treatment planning software features and image processing. There is no mention of training or test sets for AI/ML models.

No

This device is a treatment planning software application, not a device that directly provides therapy. It is used by medical professionals to plan, guide, optimize, and document high-dose-rate brachytherapy procedures, which are therapeutic, but the software itself does not deliver the therapy.

No

The device is a treatment planning software application used for high-dose-rate brachytherapy procedures, not for diagnosing medical conditions.

Yes

The device description explicitly states it is a "stand-alone application" and the performance studies focus solely on software verification and validation, cybersecurity, interoperability, and usability, without mentioning any hardware components or hardware-specific testing.

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

Here's why:

  • Intended Use: The intended use is clearly described as a "treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures." This involves planning and guiding a medical procedure performed on a patient, not analyzing biological samples in vitro.
  • Device Description: The description focuses on software features for treatment planning, image processing for guiding procedures, and data export for treatment delivery. It does not mention any components or functions related to analyzing biological specimens.
  • Lack of IVD Characteristics: The description lacks any mention of analyzing blood, tissue, urine, or other biological samples. It doesn't describe any reagents, assays, or laboratory procedures typically associated with IVDs.

The device is a medical device used in the context of radiation therapy treatment planning and delivery, not for diagnostic testing of biological samples.

N/A

Intended Use / Indications for Use

Vitesse is indicated for use as a treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures.

Vitesse is intended for use as a treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures. Vitesse is indicated for use as a treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures.

Product codes

MUJ

Device Description

The Varian VITESSE 5.0 is a stand-alone application which provides treatment planning features for high dose rate brachytherapy. Vitesse supports real-time ultrasound guided implant procedures as well as image import based workflows based on DICOM RT. Vitesse supports DICOM RT export of the plan to another external dose planning system (e.g., Brachy Vision) or directly to the brachytherapy afterloader treatment unit.

Mentions image processing

Common/ Usual Name: System, Image Processing, Radiological

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Common Enhanced MR DICOM images (i.e., standard images with orthogonal volumes), PET DICOM images, color images (from color doppler and other color imaging modes)

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

medical professionals

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

Software Verification and Validation Testing: The subject device is considered under the Enhanced documentation category. Software verification and validation testing for Vitesse 5.0 demonstrates that the device requirements and risk control measures perform as intended at a level similar to the predicate.
Usability testing: conducted according to the standard IEC 62366 to verify that the subject device performs well as intended for the intended users, uses, and use environments.
No clinical studies were carried out.
No animal testing was conducted.

Key Metrics

Not Found

Predicate Device(s)

K123152

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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October 23, 2024

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA acronym with the full name of the agency on the right. The symbol on the left is a stylized representation of a human figure, while the FDA acronym is in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Varian Medical Systems Lynn Allman Senior Director, Regulatory Affairs 3100 Hansen Way Palo Alto, California 94304

Re: K241876

Trade/Device Name: Vitesse (5.0) Regulation Number: 21 CFR 892.5050 Regulation Name: Medical Charged-Particle Radiation Therapy System Regulatory Class: Class II Product Code: MUJ Dated: September 23, 2024 Received: September 24, 2024

Dear Lynn Allman:

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 (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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

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(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatory

2

assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Locon Weidner

Lora D. Weidner, Ph.D. Assistant Director Radiation Therapy Team DHT8C: Division of Radiological Imaging and Radiation Therapy Devices OHT8: Office of Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

Submission Number (if known)

K241876

Device Name

Vitesse (5.0)

Indications for Use (Describe)

Vitesse is indicated for use as a treatment planning software application used by medical professionals to plan,guide,optimize and document high-dose-rate brachytherapy procedures
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/4/Picture/1 description: The image shows the logo for Varian, a Siemens Healthineers company. The word "Varian" is written in a bold, sans-serif font. Below the word "Varian" is the text "A Siemens Healthineers Company" in a smaller font. The logo is simple and modern.

Varian Medical Systems, Inc 3100 Hansen Way Palo Alto, CA 94304-1038 Telephone: 1.650.493.4000 Toll Free: 800.544.4636

510(k) Summary

The following information is provided as required by 21 CFR 807.92

Submitter
Name and Address:Varian Medical Systems, Inc.
3100 Hansen Way, Palo Alto CA 94304
Contact Person:Lynn Allman, Senior Director Regulatory Affairs
E-mail:submissions.support@varian.com
Date Prepared:27 June 2024
Device Information:
Proprietary Name:Vitesse 5.0
Common/ Usual Name:System, Image Processing, Radiological
Product Code and Classification:Medical charged-particle radiation therapy system
MUJ 21 CFR 892.5050 Class II
Predicate Device:
Predicate Device Name:VITESSE 3.0 (K123152)

Subject Device Description:

The Varian VITESSE 5.0 is a stand-alone application which provides treatment planning features for high dose rate brachytherapy. Vitesse supports real-time ultrasound guided implant procedures as well as image import based workflows based on DICOM RT. Vitesse supports DICOM RT export of the plan to another external dose planning system (e.g., Brachy Vision) or directly to the brachytherapy afterloader treatment unit.

Intended Use/ Indications of Use Statement:

Vitesse is intended for use as a treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures. Vitesse is indicated for use as a treatment planning software application used by medical professionals to plan, guide, optimize and document high-dose-rate brachytherapy procedures.

Comparison of Technological Characteristics with the predicate device

The modified device, referred to as the subject device throughout this summary, is Vitesse (Version 5.0) with additional software changes incorporated since the release of the predicate device, Vitesse 3.0

At a high level, both the predicate device and the subject devices are based on the same characteristics:

  • Both the subject device and the predicate device Both the devices are software only medical devices.

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Image /page/5/Picture/0 description: The image contains three blue circles arranged horizontally. The circles are evenly spaced and appear to be the same size. The background is white, which makes the blue circles stand out. There are no other objects or elements in the image.

Image /page/5/Picture/1 description: The image shows the logo for Varian, a Siemens Healthineers Company. The word "varian" is written in a bold, sans-serif font. Below the word "varian" is the text "A Siemens Healthineers Company" in a smaller, sans-serif font. The logo is in black and white.

  • Both devices perform treatment planning, provide tools for qualified medical professionals to manage treatment sessions and adapt plans for patient to be treated with radiation therapy.
  • Both are compatible with radiation therapy devices. ●

The key changes exist between the subject and the predicate device.

  • . Vitesse will require the user to enter valid Windows credentials and permissions prior to accessing Vitesse.
  • . Provide more direct visualization of region definitions on the main UI. Currently, region definitions can only be visualized in a separate dialog.
  • . Provide the user with the ability to export a plan directly to a DICOM destination (e.g., Aria, Velocity) over the network (DICOM C-STORE).
  • . Provide the user with the ability to populate key elements of the patient record from the data in Aria via DICOM query (DICOM C-FIND).
  • . Provide support for import of common Enhanced MR DICOM images (i.e., standard images with orthogonal volumes).
  • . Provide support for import of PET DICOM images as secondary image volumes.
  • . Provides support for capturing color images. This allows images generated with color doppler and other color imaging modes to be captured in Vitesse and displayed as color images.

Other minor changes:

Version 5.0

  • DR Fixes and product improvements
  • Structure margins previewed on sagittal / coronal planes as well as transverse. ●
  • Autosave supported on all running instances of Vitesse, not just first. .
  • Autosave files not rejected by the user are sent to recycle bin and not deleted. ●
  • Batch margining of structures ●

Summary of Performance Testing (Non-Clinical Testing)

The following performance data was provided in support of the substantial equivalence determination.

. Software Verification and Validation Testing

The subject device is considered under the Enhanced documentation category. Software verification and validation testing for Vitesse 5.0 demonstrates that the device requirements and risk control measures perform as intended at a level similar to the predicate.

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Image /page/6/Picture/0 description: The image contains three blue circles in a row. The circles are evenly spaced and appear to be the same size. The background is white.

Image /page/6/Picture/1 description: The image shows the logo for Varian, a Siemens Healthineers Company. The word "Varian" is written in a bold, sans-serif font. Below the word "Varian" is the text "A Siemens Healthineers Company" in a smaller, sans-serif font. The logo is black and white.

The subject device and the predicate device have the same intended use, and the significant differences do not result in a new intended use. Varian, therefore, believes that Vitesse 5.0 Treatment Planning is substantially equivalent to the predicate.

Software verification was conducted in accordance with IEC 62304 – "Medical device software -Software life cycle processes" and FDA guidance "Content of Premarket Submissions for Device Software Functions (June 2023)".

Cybersecurity and Interoperability requirements were assessed per FDA guidance's "Cybersecurity in Medical Devices: Quality System Considerations and Content of Premarket Submissions (Sept 2023)", "Postmarket Management of Cybersecurity in Medical Devices (Jan 2016)", "Design Considerations and Premarket Submission Recommendations for Interoperable Medical Devices (Jan 2016)".

Cybersecurity considerations related to the subject device are included within this submission. Varian Medical Systems conforms to cybersecurity requirements by implementing a means to prevent unauthorized access, modification, misuse, denial of use or unauthorized use of information stored, accessed or transferred from a medical device to an external recipient.

Usability testing was conducted according to the standard IEC 62366 to verify that the subject device performs well as intended for the intended users, uses, and use environments.

New or Modified FeatureMethod of Evaluation
Provide the user with the ability to export a plan directly to a
DICOM destination (e.g., Aria, Velocity) over the network
(DICOM C-STORE).Software verification and validation
covering the performance and use
of this feature
Provide the user with the ability to populate key elements of
the patient record from the data in Aria via DICOM query
(DICOM C-FIND)Software verification and validation
covering the performance and use
of this feature
Vitesse will require the user to enter valid Windows
credentials and permissions prior to accessing VitesseSoftware verification and validation
covering the performance and use
of this feature
Provide more direct visualization of region definitions on the
main UlSoftware verification and validation
covering the performance and use
of this feature

Method of Evaluation

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Image /page/7/Picture/0 description: The image contains three blue circles in a row. The circles are evenly spaced and of the same size. The background is white.

Image /page/7/Picture/1 description: The image shows the Varian logo. The word "Varian" is in bold, black letters. Below the word "Varian" is the phrase "A Siemens Healthineers Company" in a smaller font.

| Provide support for PET images as secondary image volumes | Software verification and validation
covering the performance and use
of this feature |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| Provides support for import of PET DICOM images as
secondary image volumes | Software verification and validation
covering the performance and use
of this feature |
| Provides support of capturing color images. This allows
images generated with color doppler and other color imaging
modes to be captures in Vitesse and displayed as color images | Software verification and validation
covering the performance and use
of this feature |

● Clinical Testing

No clinical studies were carried out for the subject device and therefore, no such clinical data is provided within this submission.

● Animal Testing

No animal testing was conducted for the subject device and therefore, no such data is provided within this submission

. Standards conformance

  • ISO 14971:2019 Medical devices - Application of risk management to medical devices
  • IEC 62083 Edition 2.0 2009-09 Requirements for the safety of radiotherapy treatment planning systems
  • IEC 82304-1 Edition 1.0 2016-10 Health software - Part 1: General requirements for product safety
  • IEC 62366-1 Edition 1.0 2015-02 Application of usability engineering to medical devices
  • ISO 15223-1 Medical devices - Symbols to be used with medical device labels, labeling, and information to be supplied.
  • ISO 20417:2021 Information supplied by the manufacturer of medical devices.
  • IEC 62304 Edition 1.1 2015-06 Medical device software Software life cycle processes ●
  • EN ISO 13485:2016 Medical devices Quality management systems Requirements for ● regulatory purposes

Conclusion

Overall, the subject device and the predicate device have the same intended use and indications for use. There is no change to the principle of operation of the differences between the subject and predicate do not result in a new intended use and do not raise new questions of safety and effectiveness. The non-clinical data, verification and validation demonstrate that the subject device is as safe and effective as the predicate device and perform as intended. therefore, Varian believes that the subject device Vitesse 5.0 is substantially equivalent to the predicate device.