← Product Code [IYE](/submissions/RA/subpart-f%E2%80%94therapeutic-devices/IYE) · K021463 # MODEL 1133 IVD PC VERSION (K021463) _Sun Nuclear Corp. · IYE · Jun 6, 2002 · Radiology · SESE_ **Canonical URL:** https://fda.innolitics.com/submissions/RA/subpart-f%E2%80%94therapeutic-devices/IYE/K021463 ## Device Facts - **Applicant:** Sun Nuclear Corp. - **Product Code:** [IYE](/submissions/RA/subpart-f%E2%80%94therapeutic-devices/IYE.md) - **Decision Date:** Jun 6, 2002 - **Decision:** SESE - **Submission Type:** Special - **Regulation:** 21 CFR 892.5050 - **Device Class:** Class 2 - **Review Panel:** Radiology ## Indications for Use Sun Nuclear's Model 1133 rf-IVD is a battery operated dosimetry system designed to measure the patient's dose during radiation therapy treatment. ## Device Story System measures radiation output from linear accelerators or Co-60 sources during patient treatment; utilizes diode detectors placed on patient; detector module communicates via RF to battery-powered base station; data transmitted via line to optically isolated interface and PC; therapist initiates measurement remotely from control room; system displays dose value upon beam termination; provides closed-loop QA verification by comparing measured dose against treatment planning computer (TPC) expected dose; independent of treatment delivery system; intended for use in radiation oncology departments by therapists. ## Clinical Evidence Bench testing only. No clinical data provided. Effectiveness established through verification of system functions, including battery operation, diode measurement accuracy, and safety features (e.g., optical isolation, password-protected calibration). ## Technological Characteristics Solid-state measurement electrometers; microprocessor-controlled; unipolar electrometer design; detector current to pulse count frequency conversion; battery-powered detector module and base station; RF communication between module and base station; optically isolated serial interface to PC; non-volatile memory for calibration storage. ## Regulatory 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 - Model 1133 IVD ([K011332](/device/K011332.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo for Sun Nuclear Corporation. The logo features a stylized sun graphic to the left of the company name. The words "SUN NUCLEAR" are stacked on top of the word "CORPORATION". 425-A Pineda Court Melbourne, FL 32940-7508 U.S.A. 321-259-6862 FAX:321-259-7979 www.sunnuclear.com Ko 21463, P1 A 3 ## Section 1.6 ## 510(k) Premarket Notification Summary of Safety and Effectiveness | Submitter Name: | Sun Nuclear Corporation | |--------------------------|-------------------------------------------| | Submitter Address: | 425-A Pineda Court
Melbourne, FL 32940 | | Submitter Phone: | (321) 259-6862 | | Submitter Fax: | (321) 259-7979 | | Contact Person: | Jim Mixon, Quality Assurance Manager | | Date Summary Prepared: | April 12, 2002 | | Trade Name: | Model 1133 IVD PC Version | | Common Name: | Patient Radiation Dose Monitor | | Classification Name: | Accelerator, Linear, Medical | | Product Code: | 90 IYE | | Substantial Equivalence: | Model 1133 IVD
K011332 | #### Description 6 2007 The Sun Nuclear Model 1133 rf-IVD (In-Vivo Dosimetry) is a system that measures the radiation output of a linear accelerator or a radioactive substance such as a Co-60 source, during the treatment of a patient. It has 3 detector inputs per detector pod, with only one detector pod usable at a time. The radiation therapist connects the radiation detectors (diodes) to the Detector Module and then positions them on the patient in order to measure the radiation from the accelerator. The Detector Module communicates with the Base Station by radio frequency communication. The measurement data is then sent through a line to an optically isolated interface, then to the PC. The Detector Module and Base Station are battery powered. The therapist leaves the treatment room. Dose measurement is then remotely started on the rf-IVD from the control room using the PC Software and then the radiation beam is turned on. When the beam turns off, the rf-IVD is stopped and the dose value is displayed. The rf-IVD display value is recorded or printed on an accessory printer. The therapist then enters the room and removes the detector from the patient. {1}------------------------------------------------ Section 1.6 K。21463, P zof 3 ### 510(k) Premarket Notification Summary of Safety and Effectiveness #### Intended Use: The recorded rf-IVD measurement is a QA test that verifies the dose output during treatment from the radiation machine. The actual treatment plan is calculated in the Treatment Planning Computer (TPC - not part of the rf-IVD) which uses dosimetry data acquired from a NIST traceable calibrated ion chamber and 3D-water phantom. The plan output should also include the "expected" dose at the point of the rf-IVD detector placement. Then the measured rf-IVD dose and the expected TPC dose can be compared for verification. If the expected dose is not verified, the measured dose should not be used to adjust future treatments. Instead, an investigation should be conducted as to why the error occurred. Therefore, the rf-IVD offers a closed loop QA test of the implementation of the plan. #### Summary of Technological Characteristics #### Comparison of Model 1133 IVD PC Version to Marketed Device The following table shows the common functions between the Sun Nuclear Model 1133 rf-IVD and the IVD PC Version. The function is stated in the left column, and the device column has a "x" if it includes the feature. | Function | IVD PC
Version | rf-IVD
Marketed
Device | |------------------------------------------------------------------------------|-------------------|------------------------------| | Measure diode radiation detectors | X | X | | Display dose and dose rate in real time | X | X | | Solid state measurement electrometers, microprocessor
controlled | X | X | | Electrometer design - unipolar, detector current to pulse
count frequency | X | X | | Measurement result printable | X | X | | Selectable calibration configurations for different beams and
detectors | X | X | | Calibration storage in non-volatile memory | X | X | | Measurement electrometer in treatment room (eliminates
extension cables) | X | X | | Password protection of calibration procedures | X | X | | Suitable for total body treatment measurement | X | X | {2}------------------------------------------------ ### Section 1.6 Ko 21463 page 301 3 ### 510(k) Premarket Notification Summary of Safety and Effectiveness #### EFFECTIVENESS: The model 1133 IVD is an effective tool in the radiation oncology department. It offers the ability to perform closed loop quality assurance test of the radiation dose delivery to the patient without a significant burden to the therapist. The IVD can use diode detectors that are already present in the department's inventory; it only requires a calibration with these diodes. Because they are so small, the placement of the diode detector is easy for the therapist; and because there is no voltage on the diode detector, there is no electrical shock hazard. The dose measurement result is available instantly, allowing the therapist to compare with the physicist's expected dose and, while the patient is still setup for treatment, notifies physics for help in verification if there is an error noted. Since the IVD is not part of the treatment calculation or the treatment delivery system, it is totally independent and offers an effective method of testing the implementation of the desired treatment. With the operational features of the IVD, there is little effort on the part of the therapist except to: 1) place the detector, 2) click on a single "button" to start the measurement, 3) press the Stop"button" to get the final answer. 4) compare the measurement to the expected dose, 5) (optionally) print the results of the measurement for their records, and 6) remove the detector from the patient. |--| | | FEATURE | PURPOSE | |-----|-------------------------------------|------------------------------------------------------------------| | 1. | Battery Operation | Eliminates risk of shock to the patient | | 2. | Auto shut off during charging | Eliminates risk of shock to the patient | | 3. | Uses diodes, no detector voltage | Eliminates risk of shock to the patient | | 4. | Optically isolated serial interface | Eliminates risk of shock to the patient when
connected to PC | | 5. | Energy key calibration | Reduces chance of error by requiring only
one key to start | | 6. | Password protected calibration | Prevents tampering with calibration values | | 7. | Displays only calibrated detectors | Prevents accidental recording of wrong
detector | | 8. | Diagnostic power up test | Notifies user of system error (hardware and
software) | | 9. | Low Battery indicator | Cautions user that complete measurement
might not be possible | | 10. | Low Battery shut down | Prevents operation at low battery voltage | {3}------------------------------------------------ Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 6 2002 JUN Mr. William E. Simon President Sun Nuclear Corporation 425-A Pineda Court MELBOURNE FL 32940-7508 Re: K021463 Trade/Device Name: IVD Model 1133 - PC Version Radiotherapy Dosimetry System Regulation Number: 21 CFR 892.5050 Regulation Name: Medical charged-particle radiation therapy system Regulatory Class: II Product Code: 90 IYE Dated: May 2, 2002 Received: May 7, 2002 Dear Mr. Simon: 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. 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); 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. {4}------------------------------------------------ This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter: | 8xx.1xxx | (301) 594-4591 | |----------------------------------|----------------| | 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 | | 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 | | 892.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4654 | | Other | (301) 594-4692 | Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html. Sincerely yours. Nancy C. Brogdon Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ # Ko214 63 ## Section 1.4 ## Indications for Use Statement | 510(k)
Number
(if known) | K011332 - Special Submission | |--------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------| | Device Name | IVD Model 1133 - PC Version | | Indications
for Use | The PC Version of the IVD Model 1133 has the same Indications for Use as the rf
IVD submitted under K011332 which is quoted here: | | | Sun Nuclear's Model 1133 rf-IVD is a battery operated
dosimetry system designed to measure the patient's dose
during radiation therapy treatment. | PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED after on ranger in a schamments of the first for and works and wonest Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use ﮐﺎ Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ (Per 21 CFR 801. 109) David A. Dyson (Division Sign-Off) (Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices KOZ1463 510(k) Number - 160x 2 ay 312x 35 am 15 a s assess a --- **Source:** [https://fda.innolitics.com/submissions/RA/subpart-f%E2%80%94therapeutic-devices/IYE/K021463](https://fda.innolitics.com/submissions/RA/subpart-f%E2%80%94therapeutic-devices/IYE/K021463) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact). **Cite:** Innolitics at https://innolitics.com