K Number
K963860
Device Name
THE NOMOS TALON POSITIONING AND IMMOBILIZATION SYSTEM
Manufacturer
Date Cleared
1996-12-23

(88 days)

Product Code
Regulation Number
892.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The NOMOS TALON Positioning and Immobilization System is intended to provide an invasive means to repeatedly position and immobilize a patient during: - a) diagnostic procedures in preparation for radiation therapy (RT) treatments of the head or head and neck, and - b) during treatment procedures in the radiation therapy suite.
Device Description
The NOMOS TALON Positioning and Immobilization System is intended to provide an invasive means to repeatedly position and immobilize a patient during diagnostic procedures in preparation for radiation therapy (RT) treatments of the head or head and neck, and during treatment procedures in the radiation therapy suite. Major components include the TALON Skull Mount, NOMOGrip, Target Box, CT Reference Pointer, Radiotherapy Table Adapter, and CT Head Support.
More Information

K930279B, K811452, K912630, K923522, K901670B

K930279B,K811452,K912630,K923522,K901670B

No
The summary describes a mechanical positioning and immobilization system and does not mention any software or algorithms that would suggest the use of AI or ML.

No
The device is described as a "Positioning and Immobilization System" used during diagnostic procedures and treatment, not as a device that provides therapy itself. Its function is to hold the patient in place for other procedures.

No

The device is described as a system for positioning and immobilizing a patient, specifically for use during diagnostic and treatment procedures related to radiation therapy. It does not perform any diagnostic analysis itself.

No

The device description explicitly lists multiple hardware components (TALON Skull Mount, NOMOGrip, Target Box, CT Reference Pointer, Radiotherapy Table Adapter, and CT Head Support), indicating it is a physical system, not software-only.

Based on the provided information, the NOMOS TALON Positioning and Immobilization System is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Function: The description clearly states the device is used for positioning and immobilizing a patient during diagnostic and treatment procedures related to radiation therapy. It is a physical device that interacts with the patient's body externally (or invasively in the sense of being attached to the skull, but not for analyzing biological samples).
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, performing tests on bodily fluids or tissues, or providing diagnostic information based on such analysis.

The device is a medical device used in the context of radiation therapy, but its function is related to patient positioning and immobilization, not in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The NOMOS TALON Positioning and Immobilization System is intended to provide an invasive means to repeatedly position and immobilize a patient during:

  • a) diagnostic procedures in preparation for radiation therapy (RT) treatments of the head or head and neck, and
  • b) during treatment procedures in the radiation therapy suite.

Product codes

892.5050, 892.1920

Device Description

The NOMOS TALON Positioning and Immobilization System is intended to provide an invasive means to repeatedly position and immobilize a patient during: a) diagnostic procedures in preparation for radiation therapy (RT) treatments of the head or head and neck, and b) during treatment procedures in the radiation therapy suite.
A description of the function(s) of the major components follow:
The TALON Skull Mount is an invasive means of repeatedly positioning and immobilizing a patient during diagnostic imaging and/or therapeutic administrations of radiation therapy (RT).
The NOMOGrip is a rigid bracket that attaches the TALON Skull Mount to the Radiotherapy Table Adapter or CT head support.
The Target Box is an external, removable frame designed to permit positioning of the patient with respect to the lateral lasers and defining light field from the linear accelerator.
CT Reference Pointer is a pointer which attaches with 2 screws to the NOMOGrip and produces a reference pointer on the CT scans.
Radiotherapy Table Adapter attaches to the treatment couch and provides an attachment point for the NOMOGrip during treatment.
CT Head Support attaches directly to the CT imaging couch and provides an attachment point for the NOMOGrip during imaging.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT

Anatomical Site

head or head and neck

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

K930279B, K811452, K912630, K923522, K901670B

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

K963860

NOMOS TALON 9/23/96 Page 31

DEC 23 1996

Appendix 1 510(k) Summary (pursuant to 513(l))

Summary of Safety and Effectiveness NOMOS TALON™ Positioning and Immobilization System

Pursuant to Section 513(i) of the Federal Food, Drug, and Cosmetic Act

I. General Information:

| Trade/Proprietary Name: | The NOMOS TALON Positioning and Immobilization
System |
|-------------------------|-----------------------------------------------------------------------|
| Common/Usual Name: | Patient Positioning/Positioning and Immobilization
System |
| Classification Name: | Medical Charged Particle Radiation Therapy
Systems and Accessories |

Applicant's Name and Address:

Marvin L. Sussman, Ph. D. NOMOS Corporation (NOMOS) 2591 Wexford Bayne Road (Suite 400) Sewickley, PA 15143

II. Name of predicate device(s):

TALON Skull Mount: RSA XKnife Radiosurgical System/BRW Stereotactic System (K811452, K912630 and K923522)

TALON Skull Mount and NOMOGrip: NOMOS ReFixTM System (K930279B) gNomos Stereotactic System for neurosurgery (K901670B)

Targeting Box: CT & MR frame from BRW Stereotactic System (K811452)

CT Reference Pointer: Vertical post of gNomos Stereotactic System (K901670B)

Radiotherapy Table Adapter: ReFix Radiotherapy Table Adapter (K930279B)

1

CT Head Support: ReFix CT Head Support (K930279B)

Each of these devices has been marketed prior to and/or following enactment of the Medical Device Amendments in May, 1976.

III. Classification:

Medical Charged Particle Radiation Therapy Systems and accessories are Class II (21 CFR 892.5050) - Radiological Devices Panel.

Radiographic Head Holders are Class I (21 CFR 892.1920) and are exempt from the premarket notification procedures in Subpart E and Part 807.

IV. Performance Standards:

No applicable performance standards have been established by FDA under section 514 of the Food. Drug and Cosmetic Act.

V. Intended Use and Device Description:

The NOMOS TALON Positioning and Immobilization System is intended to provide an invasive means to repeatedly position and immobilize a patient during:

  • a) diagnostic procedures in preparation for radiation therapy (RT) treatments of the head or head and neck, and
  • b) during treatment procedures in the radiation therapy suite.

A description of the function(s) of the major components follow:

The TALON Skull Mount is an invasive means of repeatedly positioning and immobilizing a patient during diagnostic imaging and/or therapeutic administrations of radiation therapy (RT).

The NOMOGrip is a rigid bracket that attaches the TALON Skull Mount to the Radiotherapy Table Adapter or CT head support.

The Target Box is an external, removable frame designed to permit positioning of the patient with respect to the lateral lasers and defining light field from the linear accelerator.

2

NOMOS TALON 9/23/96 Page 33

CT Reference Pointer is a pointer which attaches with 2 screws to the NOMOGrip and produces a reference pointer on the CT scans.

Radiotherapy Table Adapter attaches to the treatment couch and provides an attachment point for the NOMOGrip during treatment.

CT Head Support attaches directly to the CT imaging couch and provides an attachment point for the NOMOGrip during imaging.

VI. Summary of Substantial Equivalence:'

Indications: The indications for use are the same as the predicate NOMOS ReFix System (K930279B) and are similar to the other predicate devices.

Design: The design is similar to the components of the predicate NOMOS gNomos Stereotactic System (K901670B) and components of the predicate NOMOS ReFix System (K930279B).

Materials: The implanted material (Skull Screws) is similar to the material used in the predicate NOMOS gNomos Stereotactic System (K901670B). The non-implanted materials are the similar to those used in the NOMOS ReFix System (K930279B).

Manufacturing: The manufacturing processes are the same as those used in the NOMOS ReFix System (K930279B) and the gNomos Stereotactic System (K901670B).

Specifications: The specifications for repeat fixation are similar to those of the NOMOS gNomos Stereotactic System (K901670B).

Conclusions: The indications, design, materials, manufacturing, and specifications of the NOMOS TALON Positioning and Immobilization System do not raise any new issues relating to safety and effectiveness. NOMOS thus considers the NOMOS TALON Positioning and Immobilizing System equivalent to the predicate devices for positioning and immobilization of the head in therapeutic administrations of radiation.

Any statement made in coniunction with this submission regarding substantial equivalence to any other product only relates to whether the product can be lawfully marketed without premarket approval or reclassification and is not to be interpreted as an admission or used as evidence in patent infringement litigation. As the Commissioner of the FDA has indicated, " . . a determination of substantial equivalence under the Federal Food. Drug, and Cosmetic Act relates to the fact that the product can lawfully be marketed without premarket approval or reclassification. This determination is not intended to have any bearing whatever on the resolution of patent infringement suits." 42 Fed. Reg. 42,520 et seg. (1977).