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510(k) Data Aggregation

    K Number
    K163500
    Date Cleared
    2017-08-17

    (247 days)

    Product Code
    Regulation Number
    892.5050
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The IBA Proton Therapy System (PTS) is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation. The PTS may include a fixed small beam treatment room dedicated to the treatment with localized tumors and other conditions susceptible to treatment by radiation localized to the head and neck.

    Device Description

    IBA Proton Therapy System - Proteus 235 (PTS) is a proton beam irradiation system. The device is designed to: (1) create and deliver the proton beam to the patient treatment location: (2) produce a transverse and longitudinal dose distribution appropriate for the patient's treatment; and (3) deliver the designated dose to the patient's treatment site.

    The PTS has three primary components: (1) the beam management equipment, which includes a cyclotron, transport and delivery system to direct the proton beam to the patient's treatment location; (2) the position management equipment that allows bringing the patient and the proton beam in the adequate position for treatment and verifying the patient position; and (3) the treatment control system which controls the parameters of the proton beam treatment.

    The scope of the current 510(k) premarket notification is to add a new version of the handpendant, which uses wireless and touch screen technologies to move equipment in the treatment room to the cleared IBA Proteus 235.

    AI/ML Overview

    This document describes a 510(k) premarket notification for the "IBA Proton Therapy System - Proteus 235" with the addition of a wireless hand-pendant system. The submission aims to demonstrate substantial equivalence to a previously cleared device (K152224).

    The acceptance criteria and device performance are as follows:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicAcceptance Criteria (Predicate device: Proteus 235 with wired hand-pendant - K152224)Reported Device Performance (Proteus 235 with wireless hand-pendant)
    Functional EquivalenceDeliver a proton beam for treating localized tumors and other conditions (Same)Deliver a proton beam for treating localized tumors and other conditions (Same)
    Principles of OperationCreate, deliver proton beam; produce dose distribution; deliver designated dose (Same)Create, deliver proton beam; produce dose distribution; deliver designated dose (Same)
    Energy Source to PatientProton beam (Same)Proton beam (Same)
    Clinical Performance(Not explicitly detailed, but stated as "same")(Not explicitly detailed, but stated as "same")
    Hand-pendant weight< 700 g< 250 g
    Hand-pendant volume< 3500 cm³< 400 cm³
    Hand-pendant communication linkWired communication linkWireless communication link (complies with wireless coexistence, latency, operating distance, FCC regulations)
    User interfacePassive display screen, Buttons for movement and selectionTouch screen (Human factor validation conducted for usability)
    Electrical safetyCompliant with recognized standardsCompliant with recognized standards
    Electromagnetic compatibilityCompliant with recognized standardsCompliant with recognized standards
    Software performancePerforms as intendedPerforms as intended (Software tests verified)
    Hardware performancePerforms as intendedPerforms as intended (Hardware verification and reliability testing ensured)

    2. Sample size used for the test set and the data provenance:

    This document describes a premarket notification for a modification to an existing device (adding a wireless hand-pendant). It is not a study involving patient data or a "test set" in the traditional sense of diagnostic or treatment efficacy. The testing described is primarily non-clinical performance testing of the device's components and system.

    Therefore, there is no "sample size" of patients or data provenance in terms of country of origin or retrospective/prospective data for a clinical study. The tests were performed on the device and its sub-systems.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    Not applicable. This is not a study requiring expert-established ground truth for a test set of medical cases. The "ground truth" for the non-clinical tests would be the established engineering specifications, recognized standards (e.g., electrical safety, EMC), and functional requirements of the device.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    Not applicable. There was no test set of medical cases requiring adjudication.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    Not applicable. This device is a proton therapy system for radiation treatment, not an AI-assisted diagnostic or interpretation tool for human readers. No MRMC study was conducted.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:

    Not applicable. This device is a medical device for delivering radiation therapy, not a standalone algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    For the non-clinical tests, the "ground truth" was based on:

    • Recognized standards: For electrical safety and electromagnetic compatibility.
    • Design requirements/specifications: For hardware performance, software functionality, latency, operating distance, and FCC radio frequency testing.
    • Intended use and principles of operation: The fundamental basis for comparing the modified device to the predicate.

    8. The sample size for the training set:

    Not applicable. This is not a machine learning or AI-based device that requires a training set.

    9. How the ground truth for the training set was established:

    Not applicable. As there is no training set, there is no ground truth established for one.

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