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510(k) Data Aggregation

    K Number
    K040804
    Date Cleared
    2004-04-28

    (30 days)

    Product Code
    Regulation Number
    892.5710
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    .DECIMAL TISSUE COMPENSATOR/INTENSITY MODULATOR

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    .decimal tissue compensator/intensity modulator manufacturing service manufactures the solid filters for missing tissue and intensity modulation for external beam radiation therapy.

    Device Description

    .decimal tissue compensator / intensity modulator manufacturing service

    AI/ML Overview

    The provided text does not contain information about specific acceptance criteria and a study demonstrating the device meets those criteria. The document is a 510(k) summary for a "Pre-market Notification" for a medical device called ".decimal tissue compensator / intensity modulator manufacturing service".

    Here's a breakdown of what the document does include:

    • Premarket Notification (K040804): This is a 510(k) summary, aiming to demonstrate substantial equivalence to previously marketed devices.
    • Device Name: .decimal tissue compensator / intensity modulator manufacturing service.
    • Intended Use: Manufactures solid filters for missing tissue and intensity modulation for external beam radiation therapy.
    • Technological Characteristics: References internal company documents (Device Master Record, Processing Work Order, MSDS sheets) but does not provide details on these characteristics or performance metrics.
    • Predicate Devices: A list of previously cleared devices to which this device claims substantial equivalence.
    • FDA Clearance Letter: A letter from the FDA stating that the device has been reviewed and determined to be substantially equivalent. This is a regulatory clearance, not a performance study report.

    Therefore, I cannot provide the requested information regarding acceptance criteria and a study that proves the device meets them because this information is not present in the provided text.

    To answer your request, I would need a document that specifically details:

    • Performance metrics (e.g., accuracy, precision, fabrication tolerances).
    • Quantitative acceptance criteria for those metrics.
    • A written report of a study (validation, verification, clinical trial) that tested the device against these criteria.
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