K Number
K961601
Date Cleared
1996-12-23

(242 days)

Product Code
Regulation Number
892.5700
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The H.A.M. Applicator is intended to be used as an accessory to highdose-rate (HDR) remote controlled radionuclide applicator systems cleared for market by the FDA. The H.A.M. Applicator may be used externally, on the surface of the patient, to treat superficial tumors or placed internally to treat the tumor or tumor bed in a procedure known as Intraoperative High-Dose-Rate Brachytherapy (IOHDR) [a subset of Intraoperative Radiation Therapy (IORT)], during the time the treatment site is exposed surgically.

Device Description

The H.A.M. (Harrison-Anderson-Mick) Applicator system consists of the H.A.M. Applicator, the H.A.M. Sandwich (a clamping device) source-guide tubes, when required by certain HDR systems, and a Martin Arm/Clamp ( a preamended device manufactured by Martin Medizin-Technik) which attaches the H.A.M. Sandwich to the operating table. The H.A.M. Applicator is manufactured from liguid silicone rubber and contains between three and twenty-four embedded hollow tubes. The tubes are spaced 1 cm on center laterally and are positioned 5mm from the treatment surface.

AI/ML Overview

This document (K961601) is a 510(k) summary for the H.A.M. Applicator, a medical device. It does not contain information about acceptance criteria, study designs, performance metrics, ground truth establishment, or sample sizes typically associated with demonstrating the performance and safety of a diagnostic or AI-powered device.

The H.A.M. Applicator is a physical accessory used for brachytherapy. The submission focuses on its intended use, technological characteristics, and substantial equivalence to a predicate device, rather than quantitative performance studies.

Therefore, I cannot provide the requested information. The provided text is a regulatory submission for a physical device, not a performance study for a diagnostic or AI algorithm.

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K961601

Attachment 2

DEC 23 1996 Premarket Notification |510(k)| Summary

Trade Name: H.A.M. Applicator

Common Name: Applicator for remote controlled afterloading brachytherapy

Classification Name and Number: Remote controlled radionuclide applicator system (accessory), JAQ (per 21 CFR 892.5700)

Class II, Radiology Panel (90)

Description: The H.A.M. (Harrison-Anderson-Mick) Applicator system consists of the H.A.M. Applicator, the H.A.M. Sandwich (a clamping device) source-guide tubes, when required by certain HDR systems, and a Martin Arm/Clamp ( a preamended device manufactured by Martin Medizin-Technik) which attaches the H.A.M. Sandwich to the operating table. The H.A.M. Applicator is manufactured from liguid silicone rubber and contains between three and twenty-four embedded hollow tubes. The tubes are spaced 1 cm on center laterally and are positioned 5mm from the treatment surface.

Intended Use: The H.A.M. Applicator is intended to be used as an accessory to highdose-rate (HDR) remote controlled radionuclide applicator systems cleared for market by the FDA. The H.A.M. Applicator may be used externally, on the surface of the patient, to treat superficial tumors or placed internally to treat the tumor or tumor bed in a procedure known as Intraoperative High-Dose-Rate Brachytherapy (IOHDR) [a subset of Intraoperative Radiation Therapy (IORT)], during the time the treatment site is exposed surgically.

Technological Characteristics: The technological characteristics of the H.A.M. Applicator and the predicate device are the same in that both are meant to position radioactive sources in a specific, known geometrical relationship to the treatment volume as prescribed by the physician.

Prepared by: Felix W. Mick, President Mick Radio-Nuclear Instruments, Inc. P.O. Box 99 1470 Outlook Avenue Bronx, NY 10465 Tel: 718-597-3999 Fax: 718-824-8834

Date: 22 September 1996

§ 892.5700 Remote controlled radionuclide applicator system.

(a)
Identification. A remote controlled radionuclide applicator system is an electromechanical or pneumatic device intended to enable an operator to apply, by remote control, a radionuclide source into the body or to the surface of the body for radiation therapy. This generic type of device may include patient and equipment supports, component parts, treatment planning computer programs, and accessories.(b)
Classification. Class II.