K Number
K032816
Device Name
QUANTUM LIGHT THERAPY SYSTEM
Date Cleared
2004-03-26

(199 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Quantum Light Therapy System is a non-heating lamp, infrared as described under the provisions of 21 CFR §890.5500 and is indicated for: Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin using the QS-2; QS-4; and/or the QS-L applicator heads.
Device Description
The Quantum Light Therapy System is a hand-held, non-invasive, pain therapy system which utilizes non-heating lamps consisting of both laser and light emitting diodes(LED) in three optional applicator heads. It combines the clinically accepted therapentic treatment of numerous predicate light therapy callor itsacs: It commercial distribution and 510(k) approved into one complete, compact, and costeffective system. The system consists of a basic hand-held, battery operated control unit and three optional (one-LED; two-laser) and interchangeable applicator heads which can only be used with the Quantum Light Therapy System control unit. The three distinct applicator heads produce wavelengths that range between 609-645mm which falls within the spectrum as defined by 21 CFR §890.5500. The two laser applicator heads produce an output power of <Smw prom-convergent beam and I he two laser apprication neads produced wavelength of 635mm 11% and ontinued of themse are classified as Class IIIa lastis. Bour operate and included on tortly in 21CFR Part 1040. Stargeton tional, Inc. has filed as a registered laser manufacturer with the Food and Drug Administration. The distinct LED applicator head produces a non coherent diffuse light source. This applicator head operates at a measured wavelength of 628mm ±3%.
More Information

Not Found

No
The document describes a light therapy system with specific wavelengths and power outputs, focusing on hardware components and electrical/safety standards. There is no mention of AI, ML, or any data processing that would suggest the use of these technologies.

Yes
The device is described as a "pain therapy system" and is indicated for "temporary relief of minor chronic neck and shoulder pain," which are therapeutic applications.

No

The device is described as a "pain therapy system" and is indicated for "temporary relief of minor chronic neck and shoulder pain," which are therapeutic rather than diagnostic functions.

No

The device description explicitly details hardware components including a hand-held control unit, battery, and three optional applicator heads containing lasers and LEDs. It also mentions electrical safety testing and compliance with hardware-related standards.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin". This is a therapeutic use, not a diagnostic one.
  • Device Description: The device is described as a "pain therapy system" that utilizes light and laser technology. This aligns with a therapeutic device, not a device used to diagnose conditions by examining samples from the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to test samples (blood, urine, tissue, etc.) or to provide information about a patient's health status based on such testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This device's function is to apply light therapy to the body for pain relief.

N/A

Intended Use / Indications for Use

The Quantum Light Therapy System is a non-heating lamp, infrared as described under the provisions of 21 CFR §890.5500 and is indicated for: Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin using the QS-2; QS-4; and/or the QS-L applicator heads.

Product codes

NHN

Device Description

The Quantum Light Therapy System is a hand-held, non-invasive, pain therapy system which utilizes non-heating lamps consisting of both laser and light emitting diodes(LED) in three optional applicator heads. It combines the clinically accepted therapentic treatment of numerous predicate light therapy callor itsacs: It commercial distribution and 510(k) approved into one complete, compact, and costeffective system.

The system consists of a basic hand-held, battery operated control unit and three optional (one-LED; two-laser) and interchangeable applicator heads which can only be used with the Quantum Light Therapy System control unit.

The three distinct applicator heads produce wavelengths that range between 609-645mm which falls within the spectrum as defined by 21 CFR §890.5500.

The two laser applicator heads produce an output power of

§ 890.5500 Infrared lamp.

(a)
Identification. An infrared lamp is a device intended for medical purposes that emits energy at infrared frequencies (approximately 700 nanometers to 50,000 nanometers) to provide topical heating.(b)
Classification. Class II (special controls). The device, when it is an infrared therapeutic heating lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

0

Image /page/0/Picture/0 description: The image shows the word "Stargate" in bold, black letters. Above the word is a thin, black oval shape. To the right of the oval is a black star shape.

MAR 2 6 2004

Final 510(k) Summary For Application #K032816 Dated March 23, 2004

(as required per 21CFR; §807.92)

Quantum Light Therapy System

The following modified 510k summary is in response to the issues indicated by the Food and Drug Administration in a phone conversation on March 22, 2004. This represents Stargate's Final Amended Summary.

I. ApplicantStargate International, Inc.
10235 South Progress Way #7
Parker, CO 80134
Phone: 303-840-8206
Fax: 303-840-8320
II. Contact Name:Robert H. Walker; CEO

III. Device Name

Proprietary NameQuantum Light Therapy System
Common/Usual Name(s)Low Level Laser Therapy (LLLT)
Therapeutic Light System
Classification NameInfrared Lamp; (21CFR; §890.5500)
Product Code(s)NHN

rwalker@stargateinternational.com

IV. Predicate Device/Substantial Equivalency

The Quantum Light Therapy System is substantially equivalent to other pulsed low level therapeutic lasers and light therapy systems currently in commercial distribution. The Quantum Light Therapy System has the same intended use and similar technological characteristics to predicate devices. It combines the clinically accepted therapeutic uses of previously FDA 510(k) approved light therapy systems currently in commercial distribution into one complete, compact, and cost-effective system.

1

The technological equivalence to the predicate devices is substantiated by the wavelengths and power outputs generated by the individual Quantum System applicator heads. Depending on the applicator head chosen by the clinician, the Quantum System will provide the same treatment benefits and regimens for conditions already approved by the Food and Drug Administration.

The predicate devices the Quantum System establishes equivalence to include the following:

Predicate Device510(k) #Manufacturer
Tuco Erchonia PL3000K012580Tuco Innovations
Super Nova; AccubeamK001179Light Force Therapy, Inc.
MedX 100 SeriesK020017MedX Electronics, Inc.

V. Intended Use of the Device

The Quantum Light Therapy System is a non-heating lamp, infrared as described under the provisions of 21 CFR §890.5500 and is indicated for:

  • A- Adjunctive use in providing temporary relief of minor chronic neck and shoulder paint of musculoskeletal origin using the QS-2; QS-4; and/or the QS-L applicator heads.

VI. Description of the Device

The Quantum Light Therapy System is a hand-held, non-invasive, pain therapy system which utilizes non-heating lamps consisting of both laser and light emitting diodes(LED) in three optional applicator heads. It combines the clinically accepted therapentic treatment of numerous predicate light therapy callor itsacs: It commercial distribution and 510(k) approved into one complete, compact, and costeffective system.

The system consists of a basic hand-held, battery operated control unit and three optional (one-LED; two-laser) and interchangeable applicator heads which can only be used with the Quantum Light Therapy System control unit.

The three distinct applicator heads produce wavelengths that range between 609-645mm which falls within the spectrum as defined by 21 CFR §890.5500.

2

The two laser applicator heads produce an output power of Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin using the QS-2; QS-4; and/or the QS-L applicator heads.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Miriam C. Provost

(Division Sign-Off) Division of General, Restorative, and Neurological Devices

Page 1 of

510(k) Number K132816