K Number
K043353
Device Name
OMEGA EXCEL/XP LASER SYSTEM
Date Cleared
2005-07-01

(207 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Omega Xp Laser System is indicated for use as an adjunctive treatment modality to provide temporary relief of pain associated with rotator cuff tendonitis.
Device Description
The Omega Xp Laser System is a non-invasive, portable therapeutic medical laser designed to deliver light energy to the target tissue. The System operates by either AC or battery power and can be used with a variety of laser probes. The Omega Xp Laser System is intended to emit energy in the infrared spectrum to provide temporary relief of pain associated with rotator cuff tendonitis. The Omega Xp Laser System is comprised of a Base Unit and select Laser Probes. The Base Unit houses the electronics, circuits and controls to power the Laser Probes. The Laser Probes are connected to the Base Unit by an umbilical cord. The Laser Probes house the laser diode and circuitry to deliver the light energy to the designated treatment areas.
More Information

Not Found

No
The description focuses on the hardware and the delivery of light energy, with no mention of AI or ML capabilities for analysis, decision-making, or adaptive treatment.

Yes
The device description explicitly states it is a "portable therapeutic medical laser" and its intended use is to "provide temporary relief of pain associated with rotator cuff tendonitis," which aligns with the definition of a therapeutic device.

No
The device is described as a therapeutic device for pain relief, not for diagnosing conditions.

No

The device description clearly states it is a "Laser System" comprised of a "Base Unit" and "Laser Probes," which are physical hardware components that deliver light energy.

Based on the provided information, the Omega Xp Laser System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to provide temporary relief of pain associated with rotator cuff tendonitis. This is a therapeutic application, not a diagnostic one. IVD devices are used to examine specimens (like blood, urine, or tissue) from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The device delivers light energy to target tissue. This is a physical therapy modality, not a method for analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to collecting, processing, or analyzing biological specimens.

Therefore, the Omega Xp Laser System is a therapeutic medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Omega Xp Laser System is indicated for use as an adjunctive treatment modality to provide temporary relief of pain associated with rotator cuff tendonitis.

Product codes (comma separated list FDA assigned to the subject device)

NHN

Device Description

The Omega Xp Laser System is a non-invasive, portable therapeutic medical laser designed to deliver light energy to the target tissue. The System operates by either AC or battery power and can be used with a variety of laser probes. The Omega Xp Laser System is intended to emit energy in the infrared spectrum to provide temporary relief of pain associated with rotator cuff tendonitis.

The Omega Xp Laser System is comprised of a Base Unit and select Laser Probes. The Base Unit houses the electronics, circuits and controls to power the Laser Probes. The Laser Probes are connected to the Base Unit by an umbilical cord. The Laser Probes house the laser diode and circuitry to deliver the light energy to the designated treatment areas.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

Further evidence of the safety and efficacy of the Omega System was assessed by the randomized, blinded clinical trial conducted.

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.

K023060, K041530

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

JUL 1 - 2005

APPENDIX D

SUMMARY OF SAFETY AND EFFICACY

Advanced Medical Technologies, Inc. Omega Xp Therapeutic Laser System (as per 21 CFR Part 807.92)

November 11, 2004

GENERAL INFORMATION I.

Device Generic Name: Low Level Laser Therapy (LLLT) Therapeutic Laser Trade Name: Omega XP Laser System Device Classification: Class II, Performance Standards 21CFR Part 890.5500 - Infrared Lamp, Non-heating NHN Product Code: Advanced Medical Technologies Applicant Name and Address: 101 Waterside Drive Centerville, MA 02632 508 / 790-9300 Nell Camera, President lasertherapeutics@comcast.net 510(k) Number: K043353

DEVICE DESCRIPTION II.

The Omega Xp Laser System is a non-invasive, portable therapeutic medical laser designed to deliver light energy to the target tissue. The System operates by either AC or battery power and can be used with a variety of laser probes. The Omega Xp Laser System is intended to emit energy in the infrared spectrum to provide temporary relief of pain associated with rotator cuff tendonitis.

The Omega Xp Laser System is comprised of a Base Unit and select Laser Probes. The Base Unit houses the electronics, circuits and controls to power the Laser Probes. The Laser Probes are connected to the Base Unit by an umbilical cord. The Laser Probes house the laser diode and circuitry to deliver the light energy to the designated treatment areas.

1

K04333)3

III. INDICATIONS FOR USE

The Omega Xp Laser System is indicated for use as an adjunctive treatment modality to provide temporary relief of pain associated with rotator cuff tendonitis.

IV. Predicate Devices

Predicate devices to the Omega Xp Laser System are the Photo Thera, Inc. Acculaser Pro 4 (K023060) and the Stargate International, Inc. Excalibur Light Therapy System (K041530).

V. Summary of the Technical Characteristics of the Omega XP Laser System as Related to the Referenced Predicate Devices.

The Omega System and the aforementioned predicate devices are infrared lamps as defined in 21 CFR 890.5500. These devices utilize infrared diodes to emit infrared light energy to human tissues. The Omega System and the named predicate devices have the same intended uses and similar technical and performance characteristics.

VI. Testing

Testing of the System includes functional performance testing and electrical safety testing. The Omega Xo Laser System is manufactured to comply with the following international standards:

ISO 9000:2000 EN46001 Directive 89/336 regarding electromagnetic compatibility

VII. Conclusions

Pursuant to the testing and comparison to the predicate devices, the Omega XP Laser has the same intended uses, with similar functional and performance characteristics. The System is designed to comply with applicable performance standards promulgated by Federal Food and Drug Administration, such as 21 CFR 1010 and 1040. Further evidence of the safety and efficacy of the Omega System was assessed by the randomized, blinded clinical trial conducted.

The Omega Xp Laser System performs as intended and do not raise any new safety or efficacy issues.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized emblem resembling an eagle or bird with three curved lines forming its body and wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 - 2005

Advanced Medical Technologies Incorporated C/o Ms. Joyce Heinrich Regulatory Consultant Texas Applied Biomedical Services Incorporated 12101 Cullen Boulevard # A Houston, Texas 77047

Re: K043353

Trade/Device Name: Omega Xp laser System Regulation Number: 21 CFR 890.5500 Regulation Name: Lamp, Non-heating for adjunction use in pain therapy Regulatory Class: II Product Code: NHN Dated: March 31, 2005 Received: April 4, 2005

Dear Ms. Heinrich:

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.

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Page 2 -- Ms. Joyce Heinrich

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 (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 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/industry/support/index.html.

Sincerely yours.

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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APPENDIX A

Indications for Use Statement

510(k) Number (if known): K043353

Device Name:

Advanced Medical Technologies, Inc. Omega Xp Laser System

Indications for Use:

The Omega Xp Laser System is intended for use as an adjunctive treatment modality to provide temporary relief of pain associated with rotator cuff tendonitis.

AND/OR Over the Counter Use: Prescription Use: X X (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D)

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

Concurrence of CDRH, Office of Device Evaluation (ODDE)

Zele

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