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510(k) Data Aggregation

    K Number
    K192521

    Validate with FDA (Live)

    Date Cleared
    2019-12-06

    (84 days)

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

    The Intense Pulsed Light Treatment System (Model: HM-IPL-B8) is indicated for use in surgical and aesthetic applications in permanent hair removal, reduction of benign pigmented lesions and benign vascular lesions. Permanent hair reduction is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regimen.

    Device Description

    The HM-IPL-B8 device is an intense pulsed light system which delivers intense pulsed light at wavelengths ranging from 430mm-1200mm. Intense Pulsed Light (IPL) systems work on the principles of selective thermolysis. That is, causing thermal damage to target chromophores by using light of appropriate wavelength in pulses that exceeds the chromophores' thermal relaxation time but sparing normal skin by limiting the pulse width below the thermal relaxation time for skin. IPL systems are different from lasers in that they deliver many wavelengths in each pulse of light instead of just one wavelength. Generally, IPL enhances penetration without using excessive energy levels and enables targeting of specific chromophores.

    AI/ML Overview

    The provided text is a 510(k) summary for the "Intense Pulsed Light Treatment System" (Model: HM-IPL-B8) and details its substantial equivalence to a predicate device (Intense Pulsed Light (IPL) Systems, K122995).

    Based on the document, here's an analysis of the acceptance criteria and study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present acceptance criteria in a quantitative table format with specified thresholds. Instead, it demonstrates "Substantial Equivalence (SE)" to a predicate device by comparing various specifications and performance parameters. The "acceptance criteria" can be inferred as being "substantially equivalent" to the predicate device for each listed characteristic.

    ParameterAcceptance Criteria (inferred: Substantially Equivalent to Predicate)Reported Device Performance (Proposed Device)Comparison Remark
    Product CodeONFONFSE
    Regulation No.21 CFR 878.481021 CFR 878.4810SE
    ClassIIIISE
    Intended UseMatching predicate's core intended useMatches predicate's core uses (hair removal, pigmented lesions, vascular lesions)SE (with slight wording differences)
    Light SourceIntense pulsed lightIntense pulsed lightSE
    Wavelength430-1200nm, 530-1200nm, 640-1200nm, Optional: 480-1200nm, 560-1200nm, 590-1200nm, 690-1200nm, 750 -1200nm430-1200nm, 530-1200nm, 640-1200nm, Optional: 480-1200nm, 560-1200nm, 590-1200nm, 690-1200nm, 750 -1200nmSE
    Delivery SystemSapphireSapphireSE
    Energy Density10-60 J/cm²10-50 J/cm²Analysis 1 (slight difference, not negative effect)
    Pulse Delay5-50ms5-50msSE
    Pulse Width1-20ms1-20msSE
    Max. Power2000W2000WSE
    Spot Size (General)Various sizes (e.g., 15mmX50mm, 12mmX33mm, 15mmX35mm)15mm×50mm; 80mm×40mm;Analysis 2 (difference for treatment area, not negative effect)
    Permanent Hair Reduction
    Wavelength Range (nm)640-1200/690-1200/ 750-1200640-1200/690-1200/ 750-1200SE
    Energy Range (J/cm²)10-4410-44-
    Pulse Width (ms)3-143-14-
    Pulse Delay (ms)16-3216-32-
    Spot Size (mm)12mm X33mm; 15mmX50mm; 15mmX35mm15mm×50mm; 80mm×40mm;-
    Pigmented Lesions
    Wavelength Range (nm)480-1200/530-1200/560-1200480-1200/530-1200/560-1200SE
    Energy Range (J/cm²)12-4412-44-
    Pulse Width (ms)3-93-9-
    Pulse Delay (ms)16-3216-32-
    Spot Size (mm)12mm X33mm; 15mmX50mm; 15mmX35mm15mm×50mm; 80mm×40mm;-
    Vascular Lesions
    Wavelength Range (nm)530-1200/560-1200/ 590-1200530-1200/560-1200/ 590-1200SE
    Energy Range (J/cm²)10-4210-42SE
    Pulse Width (ms)3-83-8-
    Pulse Delay (ms)16-3216-32-
    Spot Size (mm)12mm X33mm; 15mmX50mm; 15mmX35mm15mm×50mm; 80mm×40mm;-
    Power Supply$220V \pm 20V \ 50Hz$ or $110V \pm 20V \ 60Hz$$110V \pm 10% \ 60Hz$SE
    Electrical SafetyCompliance with IEC 60601-1Compliance with IEC 60601-1SE
    EMCCompliance with IEC 60601-1-2Compliance with IEC 60601-1-2SE
    Patient Contact MaterialHandpiece (Sapphire Crystal)Handpiece (Sapphire Crystal)SE
    Biocompatibility (Cytotoxicity)No toxicity (ISO 10993-5)No toxicity (ISO 10993-5)SE
    Biocompatibility (Irritation)No irritation (ISO 10993-10)No irritation (ISO 10993-10)SE
    Biocompatibility (Sensitization)No sensitization (ISO 10993-10)No sensitization (ISO 10993-10)SE

    2. Sample Size Used for the Test Set and Data Provenance

    The document explicitly states: "7. Clinical Test Conclusion: No clinical study is included in this submission."
    Therefore, there is no test set, sample size, or data provenance related to clinical performance. The evaluation for substantial equivalence is based on non-clinical engineering tests and comparison of specifications to a previously cleared predicate device.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts

    Since no clinical study was conducted, there are no experts involved in establishing ground truth for a clinical test set. The approval is based on non-clinical engineering and biological safety evaluations.

    4. Adjudication Method for the Test Set

    As there was no clinical study or test set involving expert assessments, no adjudication method was used.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done

    No, an MRMC comparative effectiveness study was not done, as no clinical study was performed.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This device is an Intense Pulsed Light Treatment System, which is a physical device used for treatment, not an AI algorithm. Therefore, the concept of "standalone (algorithm only)" performance study is not applicable. The performance is related to its physical parameters and biological effects.

    7. The Type of Ground Truth Used

    For the non-clinical tests conducted (e.g., electrical safety, EMC, biocompatibility), the "ground truth" would be the established standards and regulations (e.g., IEC 60601-1, ISO 10993-5, ISO 10993-10). The device's performance was compared against these standards to demonstrate compliance. For the comparison to the predicate, the "ground truth" is the specifications and intended use of the legally marketed predicate device.

    8. The Sample Size for the Training Set

    There is no training set as this is a physical medical device, not an AI/machine learning algorithm that requires a training set.

    9. How the Ground Truth for the Training Set was Established

    Not applicable, as there is no training set.

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