ONCENTRA SIMULATION 2.3

K090706 · Nucletron Corporation · KPQ · Jun 15, 2009 · Radiology

Device Facts

• Record ID: K090706
• Device Name: ONCENTRA SIMULATION 2.3
• Applicant: Nucletron Corporation
• Product Code: KPQ · Radiology
• Decision Date: Jun 15, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 892.5840
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

Oncentra Simulation is an accessory to a radiation therapy simulation system which is intended to prepare patients for radiation therapy. The Simulator emulates the geometrical positions of radiation therapy treatment machines. Using conventional radiographic and fluorographic system, patients are positioned, filmed and marked to prepare them for treatment.

Device Story

Oncentra Simulation 2.3 is PC-based software for radiation therapy simulation. It processes images acquired from Image Intensifiers (e.g., Simulix MC, HP, HQ). Functionality includes image acquisition, display, enhancement, multiple views, database management, DICOM import/export, and simulator controls. Operated by clinical staff in a radiation therapy setting, the device emulates the geometry of treatment machines to assist in patient positioning and marking. Output is used by clinicians to plan radiation therapy, potentially improving treatment accuracy.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

PC-based software platform running on Windows XP. Supports image acquisition and processing from Image Intensifiers. Includes DICOM connectivity. No specific hardware materials or sterilization methods described as it is a software-based simulation system.

Indications for Use

Indicated for patients requiring radiation therapy simulation to prepare for treatment. Used to position, film, and mark patients using conventional radiographic and fluorographic systems.

Regulatory Classification

Identification

A radiation therapy simulation system is a fluoroscopic or radiographic x-ray system intended for use in localizing the volume to be exposed during radiation therapy and confirming the position and size of the therapeutic irradiation field produced. This generic type of device may include signal analysis and display equipment, patient and equipment supports, treatment planning computer programs, component parts, and accessories.

Predicate Devices

• Simulix Evolution (K033470)

Reference Devices

• DTI (K954055)

Submission Summary (Full Text)

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Special 510(k) Oncentra Simulation

Page 36 March 2009

K090706

NUCLETRON B.V. Waardgelder 1 3905 TH Veenendaal P.O.Box 930 3900 AX Veenendaal The Netherlands Phone [phone] [phone] Fax

Department of Health and Human Services Centre of Device and Radiological Health Office of Device Evaluation Traditional 510(k) section

### JUN 1 5 2009

# 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION

as required by section 807.92(c)

Director Assurance & Regulatory Affairs

#### Submitter of 510(k):

Company name: Nucletron Corporation Registration number: 1121753 Address: 8671 Robert Fulton Drive Columbia, MD 21046 ﺔ 410-312-4100 Phone: Fax: [phone] Correspondent: Lisa Dimmick

#### New Device Name:

Trade/Proprietary Name: Oncentra Simulation 2.3 Common/Usual Name: Simulator Classification Name: System, Simulation, Radiation Therapy Classification: 21Cfr892.5840 Class II

#### Legally Marketed Device(s)

Our device is substantially equivalent to the legally marketed predicate device cited in the table below:

| | . Manufacturer Sep 1 Device Device Device 510 510 | |
|--------------|-----------------------------------------------------------------------------------------|---------|
| Nucletron BV | Simulix Evolution | k033470 |

#### Description:

Oncentra Simulation 2.3 is a revision of the image handling software of the Simulix Evolution. This software has been adapted such that images can be acquired and processed from an Image Intensifier such as used on the Nucletron Radiotherapy simulators Simulix MC, Simulix HP and Simulix HQ. This makes it a replacement for the predicate device DTI (k954055).

The PC based simulator workstation comes with functionality to support simulation procedures:

- . Image acquisition
March

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## Special 510(k) Oncentra Simulation

- . Image display
- Image enhancement and multiple views .
- . Database and DICOM Import / Export functionality
- Simulator controls .

The modification to the previously cleared device k033470 is:

- Added support for Image Intensifiers ◆
The software runs on a PC on a Windows XP platform.

## Intended use:

The modified device has the same intended use as the legally marketed predicate device cited:

Oncentra Simulation is an accessory to a radiation therapy simulation system which is intended to prepare patients for radiation therapy. The Simulator emulates the geometrical positions of radiation therapy treatment machines. Using conventional radiographic and fluorographic system, patients are positioned, filmed and marked to prepare them for treatment.

## Summary of technological considerations:

Oncentra Simulation is substantially equivalent to the cleared predicate device. Simulix Evolution, k033470.

Name: Joris Vogels Title: Business Manager Nucletron B.V. Veenendaal, The Netherlands

2-7 MARCH-2009
Date

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings and tail feathers.

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

## JUN 1 5 2009

Ms. Elaina M. Colby RA/OA Manager Nucletron Corporation 8671 Robert Fulton Drive COLUMBIA MD 21046-2133

Re: K090706

Trade/Device Name: Oncentra Simulation Regulation Number: 21 CFR 892.5840 Regulation Name: Radiation therapy simulation system Regulatory Class: II Product Code: KPO Dated: May 8, 2009 Received: May 12, 2009

#### Dear Ms. Colby:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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 reclassified in accordance with the provisions of the Federal Food. Drug. and Cosmetic act (Act) that do not require approval of a premarket approval application (PMA), 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.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter.

| 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | [phone] |
|----------------|----------------------------------|----------------|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | [phone] |
| 21 CFR 892.xxx | (Radiology) | [phone] |
| Other | | [phone] |

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at 240-276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrb/mdr/.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

[signature]

Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

Page 2 ·

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Special 510(k) Oncentra Simulation

Page 38 March 2009

# Indications for Use

#### K090706 510(k) Number (if known)

Device Name

Oncentra Simulation

Indications for Use

Oncentra Simulation is an accessory to a radiation therapy simulation system which is intended to prepare patients for radiation therapy. The Simulator emulates the geometrical positions of radiation therapy treatment machines. Using conventional radiographic and fluorographic system, patients are positioned, filmed and marked to prepare them for treatment.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 subpart D) AND/OR

Over-The-Counter Use (Part 21 CFR 801 subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Arra M Whay

(Division Sign-Off) Division of Reproductive, Abdominal and Radiological Devices 510(k) Number

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