K Number
K040921
Device Name
COOLTOUCH, MODEL NS 160
Manufacturer
Date Cleared
2004-09-28

(173 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CoolTouch NS-160 Nd: YAG Laser System is indicated for the treatment of reflux of the greater saphenous vein associated with varicose veins and varicosities.
Device Description
The CoolTouch NS-160 Nd:YAG Laser System is an ND:YAG laser producing laser emission at 1320 nm. The laser consists of two sections: The cabinet, which houses the power supply, cooling system, microcontroller and the laser, and the fiber optic.
More Information

Not Found

No
The summary describes a laser system with a microcontroller and cooling system, but there is no mention of AI, ML, image processing, or any data processing that would suggest the use of such technologies.

Yes
The device is indicated for the "treatment" of a medical condition (reflux of the greater saphenous vein associated with varicose veins and varicosities), which falls under the definition of a therapeutic device.

No

The document states the device is indicated for the "treatment of reflux of the greater saphenous vein associated with varicose veins and varicosities," which describes a therapeutic purpose, not a diagnostic one.

No

The device description explicitly states it is a laser system consisting of a cabinet housing hardware components (power supply, cooling system, microcontroller, laser) and a fiber optic, indicating it is a hardware device, not software-only.

Based on the provided information, the CoolTouch NS-160 Nd: YAG Laser System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the treatment of a medical condition (reflux of the greater saphenous vein). IVDs are used for the diagnosis or monitoring of medical conditions by examining samples taken from the body (like blood, urine, tissue).
  • Device Description: The device is a laser system designed to deliver energy to tissue. It does not involve the analysis of biological samples.
  • Anatomical Site: The device is applied directly to the greater saphenous vein within the body. IVDs analyze samples outside the body.

Therefore, the CoolTouch NS-160 Nd: YAG Laser System is a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CoolTouch NS-160 Nd: YAG Laser System is indicated for the treatment of reflux of the greater saphenous vein associated with varicose veins and varicosities.

Product codes

GEX

Device Description

The CoolTouch NS-160 Nd:YAG Laser System is an ND:YAG laser producing laser emission at 1320 nm. The laser consists of two sections: The cabinet, which houses the power supply, cooling system, microcontroller and the laser, and the fiber optic.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

greater saphenous vein

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Clinical data produced results that indicate that the CoolTouch Nd:YAG Laser System is effective in the treatment of reflux of the greater saphenous vein associated with varicose veins and varicosities.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K023543, K012398, K030700, K024088

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4810 Laser surgical instrument for use in general and plastic surgery and in dermatology.

(a)
Identification. (1) A carbon dioxide laser for use in general surgery and in dermatology is a laser device intended to cut, destroy, or remove tissue by light energy emitted by carbon dioxide.(2) An argon laser for use in dermatology is a laser device intended to destroy or coagulate tissue by light energy emitted by argon.
(b)
Classification. (1) Class II.(2) Class I for special laser gas mixtures used as a lasing medium for this class of lasers. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.

0

SEP 2 8 2004

CoolTouch Inc. CoolTouch NS-160 Nd:YAG Laser System 510(k) Premarket Notification 510(k) SUMMARY

KO4 0421

This 510(k) summary of safety and effectiveness for the CoolTouch NS-160 Nd:YAG Laser System is submitted in accordance with the requirements of SMDA of 1990 and follows Office of Device Evaluation guidance concerning the organization and content of a 510(k) summary.

Applicant:CoolTouch Inc.
Address:9085 Foothills Boulevard
Roseville, CA 95747
Contact Person:Donald V. Johnson
Vice-President of Operations
Telephone:(916) 677-1912
Facsimile:(916) 677-1901
Date Prepared:April 6. 2004
Device Trade Name:CoolTouch Model NS-160 Nd:YAG Laser System
Common Name:Nd: YAG Surgical Laser
Classification Name:Laser Surgical Instrument.
21 C.F.R. § 878.4810
Legally Marketed Predicate Device:Diomed 810nm Surgical Laser, K023543, K012398
Biolitec Ceralas D10-60 810nm Diode Laser, K030700
Biolitec Ceralas D 980nm Diode Laser, K024088
Description of the CoolTouch
Nd:YAG Laser Systems:The CoolTouch NS-160 Nd:YAG Laser System is an
ND:YAG laser producing laser emission at 1320 nm.
The laser consists of two sections: The cabinet, which
houses the power supply, cooling system,
microcontroller and the laser, and the fiber optic.
Intended use of CoolTouch
Nd:YAG Laser Systems:The CoolTouch NS-160 Nd: Y AG Laser System is
indicated for the treatment of reflux of the greater
saphenous vein associated with varicose veins and
varicosities.
Nonclinical Performance Data:None

1

| Clinical Performance Data: | Clinical data produced results that indicate that the
CoolTouch Nd:YAG Laser System is effective in the
treatment of reflux of the greater saphenous vein
associated with varicose veins and varicosities. |
|----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Conclusion: | The CoolTouch NS-160 Laser System is indicated for
the treatment of reflux of the greater saphenous vein
associated with varicose veins and varicosities. The
CoolTouch NS-160 is substantially equivalent to the
predicate devices with the same intended use. |
| Additional Information: | None requested at this time |

.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the department's mission. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 8 2004

Mr. Donald V. Johnson Vice President of Operations CoolTouch, Inc. 9085 Foothills Boulevard Roseville, California 95747

Re: K040921

Trade/Device Name: CoolTouch NS-160 Nd:YAG Laser System Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: August 16, 2004 Received: August 19, 2004

Dear Mr. Johnson:

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 such 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.

3

Page 2 - Mr. Donald V. Johnson

This letter will allow you to begin marketing your device as described in your Section 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 (301) 594-4659. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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,

Miriam C. Provost

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

INDICATION FOR USE STATEMENT

K040921 510(k) Number:

Device Name: CoolTouch NS-160 Nd: YAG Laser System

Indications for Use:

The CoolTouch NS-160 Nd: YAG Laser System is indicated for the treatment of reflux of the greater saphenous vein associated with varicose veins and varicosities.

(Please do not write below this line - Continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Muriam C. Provost

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

Prescription Use 510(k) Number OR K640921 Over-the-Counter Use
(per 21 CFR 801.109)