Intense Pulsed Light Treatment System

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. December 6, 2019 Shangdong Huamei Technology Co., Ltd. % Ray Wang Official Correspondent Beijing Believe-Med Technology Service Co., Ltd. Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd. FangShan District Beijing, 102401 CN Re: K192521 Trade/Device Name: Intense Pulsed Light Treatment System Regulation Number: 21 CFR 878.4810 Regulation Name: Laser Surgical Instrument For Use In General And Plastic Surgery And In Dermatology Regulatory Class: Class II Product Code: ONF Dated: September 11, 2019 Received: September 13, 2019 Dear Ray Wang: 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/cfpmn/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. 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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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, Purva Pandva Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ ## Indications for Use 510(k) Number (if known) K192521 Device Name Intense Pulsed Light Treatment System 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. | Type of Use (Select one or both, as applicable) | <span> <span style="text-decoration: underline;">Prescription Use</span> (Part 21 CFR 801 Subpart D) <input checked="" type="checkbox"/> </span> <span> Over-The-Counter Use (21 CFR 801 Subpart C) <input type="checkbox"/> </span> | |-------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| |-------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| CONTINUE ON A SEPARATE PAGE IF NEEDED. 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Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov ============================================================================================================================================================================== {3}------------------------------------------------ # 510(k) Summary This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92. The assigned 510(k) Number: K192521 - 1. Date of Preparation: 11/25/2019 - 2. Sponsor Identification ## Shangdong Huamei Technology Co., Ltd. No. 588, Changning Street, High-tech District, WeiFang, ShanDong, China, 261205 Contact Person: Xu QingHua Position: General Manager Tel: +86-536-2110001 Fax: +86-536-2109823 Email: xuqh@yeah.net - 3. Designated Submission Correspondent Mr. Ray Wang ## Beijing Believe-Med Technology Service Co., Ltd. Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd., FangShan District, Beijing City, China, 102401 Tel: +86-18910677558 Fax: +86-10-56335780 Email: ray.wang@believe-med.com {4}------------------------------------------------ #### 4. Identification of Proposed Device Trade Name: Intense Pulsed Light Treatment System Common Name: Powered Light Based Non-Laser Surgical Instrument With Thermal Effect Model(s): HM-IPL-B8 Regulatory Information: Classification Name: Powered Light Based Non-Laser Surgical Instrument With Thermal Effect Classification: II; Product Code: ONF; Regulation Number: 21 CFR 878.4810; Review Panel: General & Plastic Surgery; Indication For Use Statement: 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. - 5. Identification of Predicate Device(s) 510(k) Number: K122995 Predicate Device Name: Intense Pulsed Light (IPL) Systems Manufacturer: Beijing KES Biology Technology Co., Ltd. #### 6. Non-Clinical Test Conclusion Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards: {5}------------------------------------------------ a) IEC 60601-1-2:2014, Medical Electrical Equipment - Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility -- Requirements and Tests. b) IEC 60601-1:2005/A1:2012, Medical electrical equipment - Part 1: General requirements for basic safety and essential performance c) IEC60601-2-57:2011, Medical electrical equipment -- Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use d) ISO 10993-5:2009, Biological Evaluation of Medical Device, Part 5-Tests for Vitro cytotoxicity. e) ISO 10993-10:2010 Standard, Biological Evaluation of Medical Device, Part 10-Test for irritation and delay-type hypersensitivity. - 7. Clinical Test Conclusion No clinical study is included in this submission. {6}------------------------------------------------ #### Substantially Equivalent (SE) Comparison 8. | Table 7-1 General Comparison | | | | |------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------| | ITEM | Proposed Device | Predicate Device | Remark | | Product Code | ONF | ONF | SE | | Regulation No. | 21 CFR 878.4810 | 21 CFR 878.4810 | SE | | Class | II | II | SE | | Intended Use | The Intense Pulsed Light Treatment<br>System (Model: HM-IPL-B8) are<br>indicated for use in surgical and<br>aesthetic applications in permanent<br>hair removal, reduction of benign<br>pigmented lesions and benign<br>vascular lesions.<br>Permanent hair reduction is defined<br>as the long-term, stable reduction in<br>the number of hairs regrowing<br>when measured at 6, 9, and 12<br>months after the completion of a<br>treatment regimen. | Intense Pulsed Light (IPL) System<br>s (inclusive of the handpiece used<br>to deliver pulsed-light energy) are<br>indicated for use in surgical,<br>aesthetic and cosmetic applications<br>in permanent hair removal,<br>reduction of pigmented lesions,<br>acne therapy, freckles, vascular<br>lesions and facial blemish. | SE | ## Table 7-1 General Comparison {7}------------------------------------------------ | ITEM | Proposed Device | Predicate Device<br>Intense Pulsed Light (IPL)<br>Systems(K122995) | Remark | |----------------|-----------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|------------| | Light source | Intense pulsed light | Intense pulsed light | SE | | Wavelength | 430-1200nm, 530-1200nm,<br>640-1200nm,<br>Optional: 480-1200nm,<br>560-1200nm, 590-1200nm,<br>690-1200nm, 750 -1200nm | 430-1200nm, 530-1200nm,<br>640-1200nm,<br>Optional: 480-1200nm,<br>560-1200nm, 590-1200nm,<br>690-1200nm, 750 -1200nm | SE | | Deliver system | Sapphire | Sapphire | SE | | Energy density | 10-50J/cm² | 10-60J/cm² | Analysis 1 | | Pulse Delay | 5-50ms | 5 - 50ms | SE | | Pulse Width | 1-20ms | 1-20ms | SE | | Max. Power | 2000W | 2000 W | SE | | Spot size | 15mm×50mm; 80mm×40mm; | MED-210: 15mmX50mm<br>(optional: 12mmX33mm,<br>15mmX35mm )<br>MED-230:<br>A: 12mm X33mm;<br>B: 15mmX50mm (optional:<br>15mmX35mm) | Analysis 2 | | Table 7-2 Performance Comparison | |----------------------------------| |----------------------------------| | ITEM | Proposed Device | Predicate Device<br>Intense Pulsed Light (IPL)<br>Systems(K122995) | Remark | |---------------------------------|-----------------------------|--------------------------------------------------------------------|--------| | <b>permanent hair reduction</b> | | | | | Wavelength Range<br>(nm) | 640-1200/690-1200/ 750-1200 | 640-1200/690-1200/ 750-1200 | SE | | Energy Range<br>(J/cm2) | 10-44 | 10-44 | | | Pulse Width (ms) | 3-14 | 3-14 | | | Pulse Delay (ms) | 16-32 | 16-32 | | | Spot Size (mm) | 15mm×50mm; 80mm×40mm; | 12mm X33mm; 15mmX50mm<br>15mmX35mm | | | <b>pigmented lesions</b> | | | | | Wavelength Range<br>(nm) | 480-1200/530-1200/560-1200 | 480-1200/530-1200/560-1200 | SE | | Energy Range<br>(J/cm2) | 12-44 | 12-44 | | | Pulse Width (ms) | 3-9 | 3-9 | | Table 7-3 Setting Comparison of Specified Indication for Use {8}------------------------------------------------ | Pulse Delay (ms) | 16-32 | 16-32 | | |--------------------------|--------------------------------|------------------------------------|----| | Spot Size (mm) | 15mm×50mm; 80mm×40mm; | 12mm X33mm; 15mmX50mm<br>15mmX35mm | | | vascular lesions | | | | | Wavelength Range<br>(nm) | 530-1200/560-1200/<br>590-1200 | 530-1200/560-1200/<br>590-1200 | | | Energy Range<br>(J/cm2) | 10-42 | 10-42 | SE | | Pulse Width (ms) | 3-8 | 3-8 | | | Pulse Delay (ms) | 16-32 | 16-32 | | | Spot Size (mm) | 15mm×50mm; 80mm×40mm; | 12mm X33mm; 15mmX50mm<br>15mmX35mm | | ## Analysis 1: The energy density range of the proposed device is within the energy density range of the predicate for the indications for use, and the slight difference does not result in a negative effect on safety and effectiveness. Therefore, the slight difference is considered to have no negative effect on effectiveness and safety. The spot size of the proposed device is different from that of predicate device, but the difference of the spot size is only for different treatment area, and it does not negatively affect the output parameter for treatment. Therefore, the slight difference is considered to have no negative effect on effectiveness and safety. {9}------------------------------------------------ | Table 7-4 Safety Comparison | | | | |-----------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|--------| | ITEM | Proposed Device<br>HM-IPL-B8 | Predicate Device<br>Intense Pulsed Light (IPL)<br>Systems(K122995) | Remark | | Power supply | $110V \pm 10\% \ 60Hz$ | $220V \pm 20V \ 50Hz$ or<br>$110V \pm 20V \ 60Hz$ | SE | | Electrical<br>Safety | The proposed devices were tested<br>to demonstrated to comply with<br>IEC 60601-1 | The proposed devices were tested<br>to demonstrated to comply with<br>IEC 60601-1 | SE | | EMC | The proposed devices were tested<br>to demonstrated to comply with<br>IEC 60601-1-2 | The proposed devices were tested<br>to demonstrated to comply with<br>IEC 60601-1-2 | SE | | Patient Contact<br>Material | Handpiece (Sapphire Crystal) | Handpiece (Sapphire Crystal) | SE | | Biocompatibility | | | | | Cytotoxicity | No toxicity (ISO 10993-5) | No toxicity (ISO 10993-5) | SE | | Irritation | Applied sample did not induce<br>irritation to skin. (ISO 10993 -10) | Applied sample did not induce<br>irritation to skin. (ISO 10993 -10) | SE | | Sensitization | The test article showed no<br>signification evidence of causing<br>skin sensitization in the guinea<br>pig .(ISO 10993-10) | The test article showed no<br>signification evidence of causing<br>skin sensitization in the guinea<br>pig .(ISO 10993-10) | SE | #### 9. Substantially Equivalent (SE) Conclusion Based on the comparison and analysis above, the proposed devices are determined to be Substantially Equivalent (SE) to the predicate devices.