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510(k) Data Aggregation

    K Number
    K182374
    Device Name
    LIAC S
    Date Cleared
    2019-05-22

    (264 days)

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

    LIAC S is mobile electron linear accelerator for intra-operative radiotherapy (IORT). Known as intraoperative radiation therapy (IORT), this technique allows delivery of high doses of radiation directly aimed at tumours or other sites. The LIAC S is meant to be used for radiotherapy in the operating theatre on a patient to which the surgeon has just removed a neoplasm. The device must be sold by or on the order of a physician. The device is not for use by the general public or over-the-counter. LIAC S is an electron accelerator that can work in an operating theatre respecting its specific characteristics in terms of cleaning possibility, noise and heat dissipation; in particular, they do not require to move the patient.

    Device Description

    LIAC S is an electron linear Accelerator used to perform radiation therapy during surgical procedures in an operating room on a patient from whom the Surgeon has just removed a tumor. This technique is known as Intra-Operative Radiation Therapy (IORT) and it is used for the treatment of malignant and benign conditions. IORT allows delivering of high doses of radiation directly to turnour site, while normal tissues are protected against dosage impact. The available version of LIAC S is the 12 MeV one, with selectable energies of 6, 8, 10, 12 MeV and with electrical power requirement of 230 V, 50 Hz and 3kVA. LIAC S model employs the same technology as its predicate, LIAC HWL, with the following differences: 1. The Control Unit frame; 2. The total length of the applicator; 3. The design of the remote controller. All the differences have no impact on the product performances. The Equipment, LIAC S, is a system for Intraoperative Radiotherapy comprised of two main parts, Control and Mobile Unit, and the applicators. The main parts, connected by a ten meters-long cable which transfers the signals and the power are: 1) MOBILE UNIT (STAND). The Mobile Unit is a mobile component which emits the radiation. It is placed in the operating room near the patient with a remote-control device; 2) CONTROL UNIT. The Control Unit is a mobile component too. It is connected to the mobile unit through a group of cables. It is the part of the device that controls the equipment. Both the above listed components, the mobile unit (1) and the control unit (2), are joined by a cable of about 10 meters, to allow positioning the mobile unit in the operating theatre close to the patient, while the console control unit remains outside of the operating theatre allowing the operator to control the radiation. The equipment can perform its action only if the Mobile Unit and the Control Unit are connected adequately and the applicator is installed.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the LIAC S device, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state formal "acceptance criteria" in the sense of specific thresholds for clinical performance metrics (e.g., sensitivity, specificity, accuracy) for a new algorithm. Instead, it focuses on demonstrating substantial equivalence to a predicate device (LIAC HWL) through technical and performance comparisons.

    The "acceptance criteria" are implicitly met if the LIAC S device's performance parameters are comparable or superior to those of the predicate device, or if any differences are deemed not to impact safety and effectiveness.

    Here's a table summarizing the comparison, which serves as the basis for demonstrating equivalence:

    CharacteristicProposed Device (LIAC S) PerformancePredicate Device (LIAC HWL) PerformanceAssessment / Equivalence
    Device NameLIAC S (12 MeV)LIAC HWL (Model: 12 MeV)Substantially Equivalent
    ManufacturerS.I.T. - SORDINA IORT TECHNOLOGIES SPAS.I.T. - SORDINA IORT TECHNOLOGIES SPASame
    ClassificationClass IIClass IISame
    Intended UseMobile electron linear accelerator for intra-operative radiotherapy (IORT) for malignant/benign conditions.Mobile electron linear accelerator for intra-operative radiotherapy (IORT) for malignant/benign conditions.Same
    EmissionElectron beamElectron beamSame
    Type of structureLINACLINACSame
    DockingHard dockingHard dockingSame
    Remote controlYesYesSame
    Nominal energies6, 8, 10, 12 MeV (12 MeV)6, 8, 10, 12 MeV (12 MeV)Same
    Maximum operating temperature25°C25°CSame
    Electrical power requirement230 V, 50 Hz, 3 kVA230 V, 50 Hz, 3 kVASame
    Applied StandardsIEC 60601-1, IEC 60601-1-2, IEC 60601-2-1, IEC 62304, ISO 14971IEC 60601-1, IEC 60601-1-2, IEC 60601-2-1, IEC 62304Conformance claimed for LIAC S
    Surface dose≥ 85%≥ 90% (12 MeV)Difference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Field symmetry≤ 3 %≤ 3 %Same
    Pulse repetition frequency5 - 50 Hz5 - 50 Hz (depended on the selected energy)Equivalent
    Beam current1.5 mA≤ 1.5 mAEquivalent
    Long term stability≤ 3 %≤ 3 %Same
    Short term stability≤ 1 %≤ 1 %Same
    Dosimetric system linearity≤ 1 %≤ 1 %Same
    Dose rate (applicator Ø 10 cm)2 - 20 Gy/min10-30 Gy/minDifference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Stray X-radiation (PDD Bremsstrahlung tail)≤ 0.7%≤ 0.4%Difference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Source Surface Distance (SSD)60 cm64.5 cmDifference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Uniformity or Field Flatness (value in conformity with 60601-2-1 at max energy bevel angle 0° for applicator Ø 10 cm)≤ 5%≤ 7%LIAC S shows better performance, deemed equivalent or superior
    Mobile Unit movement capability2 degrees of movement (Translation), 1 degree (Roll), 1 degree (Pitch), 1 degree (Elevation)2 freedom degrees (Translation), 1 freedom degree (Roll), 1 freedom degree (Pitch), 1 freedom degree (Elevation)Equivalent (different wording, same functionality)
    Hard docking velocityUp to 0.01 m/s0.1 m/sDifference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Mobile Unit length185 cm210 cmDifference noted, but deemed not relevant for safety/effectiveness (implicitly accepted as equivalent)
    Mobile Unit Width76 cm76 cmSame
    Mobile Unit height180 cm180 cmSame
    Mobile Unit weight
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