Eclipse Treatment Planning System v16.0

K200608 · Varian Medical Systems, Inc. · MUJ · Apr 3, 2020 · Radiology

Device Facts

• Record ID: K200608
• Device Name: Eclipse Treatment Planning System v16.0
• Applicant: Varian Medical Systems, Inc.
• Product Code: MUJ · Radiology
• Decision Date: Apr 3, 2020
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 892.5050
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

The Eclipse Treatment Planning System (Eclipse TPS) is used to plan radiotherapy treatments for patients with malignant or benign diseases. Eclipse TPS is used to plan external beam irradiation with photon, electron and proton beams, as well as for internal irradiation (brachytherapy) treatments.

Device Story

Eclipse TPS is a computer-based software system used by trained medical professionals to design and simulate radiation therapy treatments. It processes patient anatomical data to plan external beam (photon, electron, proton) and brachytherapy treatments. The system includes tools for RT Peer Review, RapidPlan (now extended to proton planning), Multi-Criteria Optimization (MCO), and various planning enhancements for specific treatment delivery systems like Halcyon. Clinicians use the software to optimize dose distribution and treatment parameters. The output assists in defining radiation delivery plans, which directly informs clinical decision-making for cancer therapy. The system benefits patients by enabling precise, individualized radiation treatment planning.

Clinical Evidence

Bench testing only. No clinical or animal studies were performed. Software verification and validation were conducted in accordance with FDA guidance for major level of concern software, demonstrating conformance to requirements and specifications.

Technological Characteristics

Computer-based software for radiotherapy planning. Conforms to IEC 62304 (software lifecycle), IEC 62366-1 (usability), IEC 61217 (coordinates/movements), IEC 62083 (safety of TPS), and IEC 82304-1 (health software safety). Features include RapidPlan, MCO, and ESAPI. Operates as a standalone software application for clinical use.

Indications for Use

Indicated for patients with malignant or benign diseases requiring radiotherapy treatment planning, including external beam irradiation (photon, electron, proton) and internal irradiation (brachytherapy).

Regulatory Classification

Identification

A medical charged-particle radiation therapy system is a device that produces by acceleration high energy charged particles (e.g., electrons and protons) intended for use in radiation therapy. 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

• Eclipse Treatment Planning System v15.6 (K181145)

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the symbol of the Department of Health and Human Services. To the right of the symbol is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The word "FDA" is in a blue square.

April 3, 2020

Varian Medical Systems, Inc. % Mr. Peter J. Coronado Senior Director, Regulatory Affairs 911 Hansen Way PALO ALTO CA 94304

Re: K200608

Trade/Device Name: Eclipse Treatment Planning System v16.0 Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: Class II Product Code: MUJ Dated: March 6, 2020 Received: March 9, 2020

Dear Mr. Coronado:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmp/pmn.cfm identifies combination product submissions. 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 note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see

{1}------------------------------------------------

https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

For

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

### Indications for Use

510(k) Number (if known) K200608

Device Name Eclipse Treatment Planning System v16.0

#### Indications for Use (Describe)

The Eclipse Treatment Planning System (Eclipse TPS) is used to plan radiotherapy treatments with malignant or benign diseases. Eclipse TPS is used to plan external beam irradiation with photon, electron and proton beams, as well as for internal irradiation (brachytherapy) treatments.

Type of Use (Select one or both, as applicable)

| <input checked="true" type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D) |
|--------------------------------------------------------------------------------------|
| <input type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C) |

#### CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff [e-mail]

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

Image /page/3/Picture/0 description: The image contains three blue circles arranged horizontally. The circles are evenly spaced and appear to be the same size. The background is white, which makes the blue circles stand out.

## varian

Varian Medical Systems 3100 Hansen Way Palo Alto, CA 94304

# 510(k) Summary

## K200608

The following information is provided as required by 21 CFR 807.92.

| SUBMITTER | |
|----------------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| Name and Address: | Varian Medical Systems<br>3100 Hansen Way, m/s E110<br>Palo Alto, CA 94304 |
| Contact Person: | Peter J. Coronado<br>Sr. Director, Regulatory Affairs<br>Phone: [phone] Fax: [phone]<br>[e-mail] |
| Date Prepared: | 06 March 2020 |
| DEVICE | |
| Subject Device Name: | Eclipse Treatment Planning System v16.0 |
| Common/Usual Name: | Eclipse Treatment Planning System (Eclipse TPS) |
| Product Code and Classification: | Medical charged-particle radiation therapy system<br>MUJ 21 CFR 892.5050 Class II |
| PREDICATE DEVICE | |
| Predicate Device Name: | Eclipse Treatment Planning System v15.6 (K181145) |
| Reference Device(s): | No reference devices were used in this submission. |

#### DEVICE DESCRIPTION

The Varian Eclipse™ Treatment Planning System (Eclipse TPS) provides software tools for planning the treatment of malignant or benign diseases with radiation. Eclipse TPS is a computer-based software device used by trained medical professionals to design and simulate radiation therapy treatments. Eclipse TPS consists of different applications, each used for specific purposes at a different phase of treatment planning.

Eclipse TPS is capable of planning treatments for external beam irradiation with photon, electron, and proton beams, as well as for internal irradiation (brachytherapy) treatments.

#### INDICATIONS FOR USE

The Eclipse Treatment Planning System (Eclipse TPS) is used to plan radiotherapy treatments for patients with malignant or benign diseases. Eclipse TPS is used to plan external beam irradiation with photon, electron and proton beams, as well as for internal irradiation (brachytherapy) treatments.

{4}------------------------------------------------

Image /page/4/Picture/0 description: The image shows the word "varian" in a bold, sans-serif font. The letters are all lowercase. The word is centered in the image and the background is white.

#### COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The modified device, referred to as the "subject device" throughout this summary, is release version v16.0 (version 16.0) of the Eclipse Treatment Planning System with additional software changes incorporated since the release version of the predicate device, version 15.6 (K181145).

At a high level, both the predicate device and the subject device are based on the same characteristics:

- . Both the subject device and the predicate provide software tools for planning the treatment of malignant or benign diseases with radiation.
- . They are computer-based software devices used by trained medical professionals to design and simulate radiation therapy treatments.
- . They are both capable of planning treatments for external beam irradiation with photon, electron, and proton beams, as well as for internal irradiation (brachytherapy) treatments.

The following differences exist between the software release versions of the subject and the predicate devices:

- 1. Introduction of the new RT (Radiotherapy) Peer Review feature
- 2. Introduction of the existing RapidPlan feature to proton planning
- 3. Other improvements and enhancements of existing radiotherapy planning features
- a. Multi-Criteria Optimization (MCO) Enhancements
- b. External Beam Planning Enhancements
- Halcyon Treatment Planning Enhancements C.
- d. Brachytherapy Treatment Planning Enhancements
- Eclipse Scripting API (ESAPI) Enhancements e.
- 4. Maintenance or obsolescence of other radiotherapy planning features
- a. Update to the Indications for Use Statement

#### History of These Features within the Eclipse Treatment Planning System:

| Features in v16.0 | Available in v15.6? | Available in earlier versions? |
|------------------------------------------|---------------------------|--------------------------------------------|
| RT Peer Review | No, new feature for v16.0 | No, new feature for v16.0 |
| RapidPlan | Yes, for photon planning | Yes, first introduced in v13.5 (K141283) |
| Multi-Criteria Optimization (MCO) | Yes | Yes, first introduced in v15.5 (K172163) |
| External Beam Planning Support | Yes | Yes, present as early as v8.8 (K091492) |
| Halcyon Treatment Planning Support | Yes | Yes, first introduced in v15.1.1 (K170969) |
| Brachytherapy Treatment Planning Support | Yes | Yes, present as early as v8.8 (K091492) |
| Eclipse Scripting API (ESAPI) | Yes | Yes, first introduced in v12.0 (K131891) |

{5}------------------------------------------------

Image /page/5/Picture/0 description: The image shows the word "varian" in a bold, sans-serif font. The letters are all lowercase and evenly spaced. The word is black against a white background, creating a high contrast.

#### PERFORMANCE DATA

The following performance data was provided in support of the substantial equivalence determination.

#### Software Verification and Validation Testing

Software verification and validation was conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "major" level of concern.

Test results demonstrate conformance to applicable requirements and specifications. No animal studies or clinical tests have been included in this pre-market submission.

#### Standards conformance

The subject device conforms in whole or in part with the following standards:

- IEC 62304 Edition 1.1 2015-06 Medical device software - Software life cycle processes
- IEC 62366-1 Edition 1.0 2015-02 Application of usability engineering to medical devices ●
- IEC 61217 Edition 2.0 2011-12 Radiotherapy equipment - Coordinates, movements, and scales
- IEC 62083 Edition 2.0 2009-09 Requirements for the safety of radiotherapy treatment planning systems ●
- . IEC 82304-1 Edition 1.0 2016-10 Health software - Part 1: General requirements for product safety

#### Argument for substantial equivalence to the predicate device

A subset of software features and characteristics of the subject device are different from the predicate device. However, Varian considers these differences to be enhancements of the predicate. The principle of operation of the subject device is the same as that of the existing predicate device. Verification and validation demonstrate that the subject device is as safe and effective as the predicate. Varian therefore believes that the subject device is substantially equivalent to the predicate device.

#### CONCLUSION

The predicate device was cleared based only on non-clinical testing, and no animal or clinical studies were performed for the subject device. The non-clinical data supports the device, and verification and validation demonstrate that the subject device should perform as intended in the specified use conditions. There were no remaining discrepancy reports (DRs) which could be classified as Safety or Customer Intolerable. Therefore, Varian considers Eclipse Treatment Planning System v16.0 to be safe and effective and perform at least as well as the predicate device, Eclipse Treatment Planning System v15.6 (K181145).