K Number
K973328
Device Name
INTERSOURCE
Date Cleared
1998-12-10

(462 days)

Product Code
Regulation Number
892.5730
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
InterSeed™ implants are indicated for interstitial implantation of select localized tumors with low to moderate radiosensitivity. They are used either as primary treatment for tumors such as those of the head, lung, neck, pancreas, prostate, and unresectable tumors, or for residual disease after excision of the primary tumor. InterSeed™ implants are indicated for use concurrent with or at the completion of other treatment modalities, such as external beam radiation therapy.
Device Description
InterSeed™ is an hermetically sealed radiotherapeutic source indicated for interstitial implantation. The radionuclide used in InterSeed™ is Palladium 103 (Pd-103). InterSeed™ is constructed by placing a platinum radiopaque marker and Pd-103 on the surface of a medical grade titanium inner tube. The device is sealed by sliding an outer tube, also medical grade titanium, over the inner tube and laser welding both ends. The resulting device has a hollow center with an inner diameter of 0.35 mm with all body tissue contacting surfaces made from medical grade titanium.
More Information

No
The summary describes a radioactive seed implant for brachytherapy. There is no mention of AI or ML in the intended use, device description, performance studies, or any other section. The performance studies focus on radiation dose distribution, which is a physical characteristic of the radioactive source, not an AI/ML function.

Yes
Explanation: The device is a radiotherapeutic source indicated for the treatment of various tumors, directly applying radiation to affect a therapeutic outcome.

No
Explanation: The InterSeed™ device is described as a radiotherapeutic source for interstitial implantation, used for treating tumors by emitting radiation. It is a therapeutic device, not a diagnostic one.

No

The device description clearly states that InterSeed™ is an hermetically sealed radiotherapeutic source constructed from physical materials (titanium, platinum, Palladium 103) and intended for interstitial implantation, indicating it is a physical medical device, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • InterSeed™ Function: The description clearly states that InterSeed™ implants are "hermetically sealed radiotherapeutic source[s] indicated for interstitial implantation." They are used to deliver radiation directly to tumors within the body. This is a therapeutic intervention, not a diagnostic test performed on a sample outside the body.
  • Intended Use: The intended use describes treating tumors by delivering radiation, not diagnosing or monitoring a condition using a sample.

Therefore, InterSeed™ is a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

InterSeed™ implants are indicated for interstitial implantation of select localized tumors with low to moderate radiosensitivity. They are used either as primary treatment for tumors such as those of the head, lung, neck, pancreas, prostate, and unresectable tumors, or for residual disease after excision of the primary tumor. InterSeed™ implants are indicated for use concurrent with or at the completion of other treatment modalities, such as external beam radiation therapy.

Product codes

KXK

Device Description

InterSeed™ is an hermetically sealed radiotherapeutic source indicated for interstitial implantation. The radionuclide used in InterSeed™ is Palladium 103 (Pd-103). InterSeed™ is constructed by placing a platinum radiopaque marker and Pd-103 on the surface of a medical grade titanium inner tube. The device is sealed by sliding an outer tube, also medical grade titanium, over the inner tube and laser welding both ends. The resulting device has a hollow center with an inner diameter of 0.35 mm with all body tissue contacting surfaces made from medical grade titanium.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

head, lung, neck, pancreas, prostate

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K874787

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.5730 Radionuclide brachytherapy source.

(a)
Identification. A radionuclide brachytherapy source is a device that consists of a radionuclide which may be enclosed in a sealed container made of gold, titanium, stainless steel, or platinum and intended for medical purposes to be placed onto a body surface or into a body cavity or tissue as a source of nuclear radiation for therapy.(b)
Classification. Class II (special controls). A prostate seeding kit intended for use with a radionuclide brachytherapy source only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.

0

IBt SADate: September 2, 1997Page 18 of 21
Title: Premarket Notification - InterSeed™K973328
7510(K) SUMMARY
7.1General Information
Applicant / Manufacturing Site:IBt SA
Zone Industrielle C
7180 Seneffe - Belgium
Tel: (+32) 64 / 520 800
FAX: (+32) 64 / 555 397
Contact Person:Vincent E. Coniglione
Classification Name:Radionuclide Brachytherapy Source
Common/Usual Name:Palladium 103 Seed
Proprietary Name:InterSeed™
Establishment Registration Number:Registration application sent to FDA September 1997
Classification:Class II, same as the predicate device (see the Substantial Equivalence
section below for predicate device information)
Special Controls:InterSeed™ will comply with the regulatory requirements for the Georgia
Department of Natural Resources, Environmental Protection Division,
Radioactive Materials Division for sealed sources.
Substantial Equivalence:InterSeed™ is substantially equivalent to Modified Palladium Seed Model
100 (Premarket Notification #K874787), a Class II post-amendment device
granted clearance to market November 23, 1987.
7.2The contents of this premarket notification summary will demonstrate the
substantial equivalence of the subject device, InterSeed™, to the
predicate device, Modified Palladium Seed Model 100. The substantial
equivalence will be based on the following important features of the
device:
7.2.1Indications
7.2.2Physical Size
7.2.3Radiopaque Marker
7.2.4Biocompatibility
7.2.5Radioisotope
7.2.6Radiation Dose
7.3InterSeed™ Description
InterSeed™ is an hermetically sealed radiotherapeutic source indicated
for interstitial implantation. The radionuclide used in InterSeed™ is
Palladium 103 (Pd-103). InterSeed™ is constructed by placing a
platinum radiopaque marker and Pd-103 on the surface of a medical
grade titanium inner tube. The device is sealed by sliding an outer
tube, also medical grade titanium, over the inner tube and laser welding
both ends. The resulting device has a hollow center with an inner
diameter of 0.35 mm with all body tissue contacting surfaces made from

..............................................................................................................................................................................


1

Premarket Notification - InterSeed™ Title:

  • Table 8 compares the indications statement drafted for InterSeed™ with 7.4 the predicate device's indications statement.

Table 8: Indications Statement Comparison Summary

InterSeed ™Predicate Device
InterSeed™ implants are indicated for interstitial
implantation of select localized tumors with low to
moderate radiosensitivity. They are used either as
primary treatment for tumors such as those of the head,
lung, neck, pancreas, prostate, and unresectable tumors,
or for residual disease after excision of the primary
tumor. InterSeed™ implants are indicated for use
concurrent with or at the completion of other treatment
modalities, such as external beam radiation therapy.(Found on page 20 of K874787) Palladium
Seeds are indicated for tumors with the
following characteristics: localized,
unresectable, low to moderate
radiosensitivity. The tumors may be of the
following type: superficial, intrathoracic,
intraabdominal, lung, pancreas, prostate
(stage A or B), residual following external
radiation, and recurrent.
  • 7.5 Based on the intent of the indications statement for the subject device, InterSeed™ is substantially equivalent to the predicate device with respect to its indications.
  • Table 9 compares the physical size, radiopaque marker, materials of 7.6 construction, and the radioisotope for the subject device and the predicate device.
Feature DescriptionInterSeed™Predicate Device
Outer TubeMedical grade titaniumTitanium
Length4.5 mm4.5 mm
Outside Diameter0.81 mm0.81 mm
Radiopaque MarkerPlatinumLead
Isotope CarrierMedical grade titaniumAluminum cylinders
End CupNot ApplicableTitanium
Inner TubeMedical grade titaniumNot Applicable
Seal MethodLaser WeldLaser weld
RadioisotopePalladium 103Palladium 103
Half-life17 days17 days
Principal Energy20.1 keV, 20.2 keV20.1 keV, 20.2 keV
Levels22.7 keV, 23.2 keV22.7 keV, 23.2 keV
Distribution of IsotopeDeposited onto the surfaceDistributed throughout the
Binderof the isotope carrierisotope carrier
Apparent Activity0.5 to 5.0 mCi0.5 to 5.0 mCi
Levels
Residual Activity