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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
    Why did this record match?
    Device Name :

    IBA Proton Therapy System- Proteus 235 (Proteus One, Proteus Plus, Proteus TK2, Proteus Class)

    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
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