K Number
K981992
Device Name
ELECTRON WEDGE MODEL MT-EW-1000
Manufacturer
Date Cleared
1998-12-15

(190 days)

Product Code
Regulation Number
892.5710
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of this device is to help provide dose uniformity for electron beam profile.
Device Description
MED-TEC, INC. has a Block, Beam-Shaping, Radiation system to be manufactured by MED-TEC, INC.
More Information

Invalid Request. The Predicate Device(s) K/DEN number is not in the provided text.

Not Found

No
The summary does not mention AI, ML, or any related concepts, and the device description is for a physical beam-shaping block.

No
Explanation: The device is used to shape an electron beam for dose uniformity, which is a component of radiation therapy delivery, but the device itself does not directly treat a patient or perform a therapeutic function. It is an accessory to a therapeutic device.

No
The device is described as a "Block, Beam-Shaping, Radiation system" intended "to help provide dose uniformity for electron beam profile." This function is related to the delivery of radiation, not the diagnosis of a medical condition.

No

The device description explicitly states it is a "Block, Beam-Shaping, Radiation system," which implies a physical hardware component used in radiation therapy. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is to "help provide dose uniformity for electron beam profile." This describes a function related to radiation therapy equipment, specifically shaping the radiation beam.
  • Device Description: The device is described as a "Block, Beam-Shaping, Radiation system." This further reinforces its role in radiation therapy.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, tissue) from the human body to provide information for diagnosis, monitoring, or treatment.

IVD devices are specifically designed to perform tests on biological samples in vitro (outside the body). This device's function is related to the delivery of radiation to the body.

N/A

Intended Use / Indications for Use

The intended use of this device is to help provide dose uniformity for electron beam profile.

Product codes

90 IXI

Device Description

MED-TEC, INC. has a Block, Beam-Shaping, Radiation system to be manufactured by MED-TEC, INC.

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

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.5710 Radiation therapy beam-shaping block.

(a)
Identification. A radiation therapy beam-shaping block is a device made of a highly attenuating material (such as lead) intended for medical purposes to modify the shape of a beam from a radiation therapy source.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract image of an eagle or bird-like figure with three stylized lines forming its body and wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 5 1998

Donald F. Riibe Vice President of Operations Med-Tec. Inc. P.O. Box 320 Orange City, Iowa 51041

Re: K981992 Electron Wedge MT-EW-1000 Dated: September 22, 1998 Received: September 24, 1998 Regulatory class: II 21 CFR 892.5710/Procode: 90 IXI

Dear Mr. Riibe:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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 redassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). 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.

If your device is classified (see above) into either class III (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory action. In addition. FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the requiried, "Misbranding by reference to premarket notfication"(21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Capt. Daniel G. Schultz, M.D. Acting Director, Division of Reproductive. Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of _l

510(k) Number (if known): K981992

Device Name: MED-TEC Electron Wedge

Indications For Use:

MED-TEC, INC. has a Block, Beam-Shaping, Radiation system to be manufactured by MED-TEC, INC.

Classification Name:Radiation Beam-Shaping Block
Common/Usual Name:Block, Beam-Shaping, Radiation
Proprietary Name:Electron Wedge

The intended use of this device is to help provide dose uniformity for electron beam profile.

Classification: Since this device, attaches to class II accelerator, we believe it is a Class II device.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

David h. Symm
(Division Sign-Off)

Division of Reproductive, Abdominal, EN and Radiological 510(k) Number

Prescription Use Per 21 CFR 801.109)

OR

Over - The - Counter Use

(Optional Format 1-2-96)