K Number
K041565
Device Name
LAZRPULSR 4X
Date Cleared
2005-03-03

(266 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lazr Pulsr 4x 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.
Device Description
The Lazr Pulsr 4x is a non-heating lamp, infrared as described under the provisions of 21 CFR 890.5500.
More Information

Not Found

Not Found

No
The summary describes a non-heating infrared lamp for pain relief and does not mention any AI or ML components or capabilities.

Yes
The device is indicated for "Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin," which describes a therapeutic purpose. It is also classified under 21 CFR 890.5500, which pertains to Infrared Lamps, often used for therapeutic heat and pain relief.

No
The device is indicated for providing temporary relief of pain, which is a therapeutic function, not a diagnostic one.

No

The device description explicitly states it is a "non-heating lamp, infrared," which is a hardware component, not software.

Based on the provided information, the Lazr Pulsr 4x 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 describes a therapeutic use on the human body, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is described as a "non-heating lamp, infrared." This is a physical therapy device, not a device designed to analyze biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening

Therefore, the Lazr Pulsr 4x falls under the category of a physical medicine device, specifically an infrared lamp, as indicated by the reference to 21 CFR 890.5500.

N/A

Intended Use / Indications for Use

The Lazr Pulsr 4x 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.

Product codes

NHN

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

neck and shoulder

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image is a black and white circular seal. The seal contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the border of the circle. Inside the circle is a symbol that resembles an eagle with three stylized wings.

Public Health Service

MAR 3 - 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Michael B. Kinder Chief Executive Officer LED Healing Light, LLC 7487 S. Glencoe Court Centennial, Colorado 80122

Re: K041565

Trade/Device Name: Lazr Pulsr 4x Regulation Number: 21 CFR 890.5500 Regulation Name: Infrarcd lamp Regulatory Class: II Product Code: NHN Dated: January 27, 2005 Received: February 15, 2005

Dear Mr. Kinder:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have reviewed your bection 310(s) peace is substantially equivalent (for the indications felerenced above and nave actering marketed predicate devices marketed in interstate for use stated in the enclosure) to regars and the Medical Device Amendments, or to commerce prior to may 20, 1978, the accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). and Cosmetic 7cc (71ct) that do nov col subject to the general controls provisions of the Act. The r ou may, mercione, mance 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 If your device is olassified (600 as . ) , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , ' , , ' , , , , , , may be subject to suen adonal egulations, Title 21, Parts 800 to 898. In addition, FDA may be found in the Obao neements 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 that 1177 than matures and regulations administered by other Federal agencies. You must or any I cacal stutures and regaraments, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set er A rate 6077, accems (QS) regulation (21 CFR Part 820); and if applicable. the electronic form in the quarty byevel provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

Page 2 - Mr. Michael B. Kinder

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis lotter will and in yours of substantial equivalence of your device to a legally prematics notification " ritesults 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 11 you active office of Compliance at (240) 276-0115. 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 other general 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/industry/support/index.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

2

D Updated Indications For Use

510(k) Number: K 041565

Device Name: Lazr Pulsr 4x

Indications for Use:

The Lazr Pulsr 4x 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.

or

Prescription Use x (Per CFR 801.109)

Over-the-counter use _________________________________________________________________________________________________________________________________________________________

Concurrence of CDRH, Office of Device Evaluation (ODE)

uriam C. Provost

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

510(k) Number_________________________________________________________________________________________________________________________________________________________________