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510(k) Data Aggregation

    K Number
    K103338

    Validate with FDA (Live)

    Device Name
    COOLTOUCH
    Date Cleared
    2011-11-01

    (351 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    For CoolTouch VariaBreeze™ with CoolBreeze® Handpiece: Podiatry: Ablation, vaporization, incision, excision, and coagulation of soft tissue including matrixectomy, periungal and subungal warts, plantar warts, radical nail excision, and neuromas. For CoolTouch VariaBreeze™ with Toenail Handpiece: Indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

    Device Description

    The CoolTouch VariaBreeze Laser System is an Nd: YAG laser using a flashlamp-pumped solid state laser rod to produce laser emission at 1064 nm. The laser consists of a cabinet that houses the following: Control panel with microcontroller and emergency stop button, standby button, ready button, and key switch; Connector port for fiber optic delivery system; Remote interlock connector; 630 to 680 nm diode aiming beam; Power supply; Cooling system; Connector port for footswitch and power cord. Delivery devices for the VariaBreeze include: CoolBreeze Handpiece for CoolBreeze Mode—Contains non-replaceable fiber optic within a flexible cable connected to the laser. A standoff at the tip allows for non-contact use, and a control dial is used to set the spot size from 2mm to 10mm. The handpiece also has cryogen for topical cooling. The handpiece is cleanable and reusable. Toenail Handpiece for Toenail Mode—The fiber optic cable attaches to the laser. The handpiece features a standoff at the tip to provide the correct placement for laser delivery to the treatment site and is reusable and cleanable.

    AI/ML Overview

    This submission pertains to the CoolTouch VariaBreeze Nd:YAG Surgical Laser system.

    The provided document does not contain information about specific "acceptance criteria" or a "study that proves the device meets the acceptance criteria" in the traditional sense of a clinical trial with performance metrics. This is a 510(k) Premarket Notification summary, which focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than independently proving safety and effectiveness through new clinical data.

    Specifically, the document states:

    • "Nonclinical Performance Data: None"
    • "Clinical Performance Data: None"

    Therefore, I cannot provide a table of acceptance criteria and reported device performance from this document, nor can I answer questions about sample sizes, ground truth establishment, or multi-reader multi-case studies, as these types of studies were not conducted or reported in this 510(k) submission.

    The "study" referenced in this 510(k) is a comparison to predicate devices to demonstrate technological equivalence. The conclusion drawn is: "The CoolTouch VariaBreeze Nd:YAG Laser System is substantially equivalent to the predicate devices for the indications requested."

    Here's what can be extracted based on the provided text, addressing the relevant points:

    1. A table of acceptance criteria and the reported device performance:
      As stated above, no specific acceptance criteria or de novo device performance data from a dedicated study are present in this 510(k) summary. The "performance" assessment is primarily a comparison of technological characteristics to predicate devices.

      Characteristic (Predicate vs. New Device)CoolTouch Varia Laser System (K092964)CoolTouch Varia Breeze Laser System (K103338)Patholase PinPointe FootLaser (K093547)CoolTouch Varia Breeze Laser System (K103338)
      Laser MediumNd:YAGNd:YAGNd:YAGNd:YAG
      Wavelength1064 nm1064 nm1064 nm1064 nm
      Aiming Beam532 nm532 nm630-680 nm532 nm
      Output Power (max)36W max30W6W30W
      Energy per PulseVariable to 3.9 Joules20-200 mJ, 500-1000 mJ20-200 mJ20-200 mJ, 500-1000 mJ
      Pulse Duration600 µsec100-700 µsec100-700 µsec100-700 µsec
      ExposureSingle pulse or repeat for continuous burstContinuousContinuousContinuous
      Repetition Rate6-200 Hz5-100 Hz5-100 Hz5-100 Hz
      Spot Size2 - 10 mm2 - 10 mm1 mm (published)1 mm (for Toenail Handpiece) and 2-10mm (for CoolBreeze Handpiece)
      Dimensions31"H x 18"W x 21"D31"H x 18"W x 21"D14"H x 7"W x 16"D31"H x 18"W x 21"D
      Weight160 lbs (73kg) console160 lbs (73 kg) console36 lbs (16kg) console160 lbs (73 kg) console
      Power Requirements115VAC, 230VAC, 50/60Hz115VAC, 230VAC, 50/60Hz90-130VAC, 200-240 VAC, 50/60 Hz115VAC, 230VAC, 50/60Hz
    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
      No test set clinical data was provided or referenced. The submission explicitly states "Nonclinical Performance Data: None" and "Clinical Performance Data: None."

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):
      Not applicable, as no test set requiring expert ground truth was utilized or reported.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
      Not applicable, as no test set requiring adjudication was utilized or reported.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
      Not applicable. This device is a laser system, not an AI-assisted diagnostic tool. No MRMC study was conducted or reported.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
      Not applicable, as this device is a laser system and does not involve algorithms or AI for standalone performance evaluation in this context.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc):
      Not applicable, as no clinical studies requiring ground truth were conducted or reported.

    8. The sample size for the training set:
      Not applicable, as no training set for an algorithm was used or reported.

    9. How the ground truth for the training set was established:
      Not applicable, as no training set was used or reported.

    In summary, the CoolTouch VariaBreeze Nd:YAG Surgical Laser system received 510(k) clearance based on its substantial equivalence to previously cleared predicate devices through a comparison of their technological characteristics, rather than through new clinical performance studies.

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