K Number
K041721
Date Cleared
2004-08-05

(42 days)

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

For the incision, excision, ablation, vaporization, and hemostasis of oral soft tissue.
Examples:
Excisional and incisional biopsies
Exposure of unerupted teeth
Fibroma removal
Frenectomy and frenotomy
Gingival troughing for crown impressions
Gingivectomy
Gingivoplasty
Gingival incision and excision
Hemostasis
Implant recovery
Incision and drainage of abscess
Leukoplakia
Operculectomy
Oral papillectomies
Pulpotomy
Pulpotomy as an adjunct to root canal therapy
Reduction of gingival hypertrophy
Soft tissue crown lengthening
Sulcular debridement (removal of diseased or inflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss and tooth mobility)
Treatment of aphthous ulcers
Vestibuloplasty
Biopsy incision and excision
Lesion (tumor) removal

For light activation for bleaching materials for teeth whitening
For laser-assisted bleaching/whitening for teeth.

Device Description

Dental diode laser

AI/ML Overview

The provided 510(k) summary for the LVI lase dental diode laser states that no clinical or non-clinical performance data was submitted.

Therefore, the device's acceptance criteria and the study proving it meets these criteria are not detailed in the provided text. The submission was likely based on demonstrating substantial equivalence to predicate devices, focusing on operating parameters, physical characteristics, and intended uses rather than novel performance claims requiring extensive new testing.

The document explicitly states:

  • Nonclinical Performance Data: None
  • Clinical Performance Data: None

Without specific studies mentioned, it's impossible to provide the requested details regarding:

  1. A table of acceptance criteria and reported device performance
  2. Sample size used for the test set and data provenance
  3. Number of experts used to establish ground truth
  4. Adjudication method
  5. MRMC comparative effectiveness study results
  6. Standalone performance
  7. Type of ground truth used
  8. Sample size for the training set
  9. How ground truth for the training set was established

§ 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.