K Number
K050293
Device Name
FOTONA XP PLUS ND: YAG FAMILY OF LASER SYSTEMS, FONTONA DUALIS XP PLUS ND: YAG FAMILY OF LASER SYSTEMS
Manufacturer
Date Cleared
2005-03-18

(39 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of IFB. The lasers are indicated on all skin types Fitzpatrick I-VI including tanned skin. Photocoagulation and hemostasis of pigmented and vascular lesions, such as but not limited to port wine stains, hemoangioma, warts, telangiectasia, rosacea, Venus lake, leg veins and spider veins. Coagulation and hemostasis of soft tissue. Incision/excision of soft body tissue in dermatology Soft tissue general surgery applications-skin incision; tissue dissection; compelte or partial resection of internal organs, tumors, lesions; tissue ablation; vessel coagulation. Benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratosis, nevi, chloasma, verrucae, skin tags, keratosis, tattoos (significant reduction in the intensity of black and/or blue-black tatoos) and plaques. The laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments. The laser is also indicated for the reduction of red pigmentation and hypertrophic and keloid scars where vascularity is an integral part of the scar. Treatment of wrinkles.
Device Description
The Fotona XP Plus Nd:YAG Family of Laser Systems is a flashlamp-excited, Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet) laser. Pulsed laser energy at a nominal wavelength of 1064 nanometers (nm) is used. This wavelength causes maximum energy absorption by the target (hair or lesion) and minimum absorption by surrounding skin structures. In addition, the laser pulse duration is controlled to be equal to or shorter than the relaxation time of the target, to minim ize heat transfer to surrounding tissues. Within the system, an optical cavity contains the Nd: YAG crystal, which is activated by means of the use of flashlamps. After the cavity, a red diode aiming beam is reflected onto a coaxial beam path using a beamsplitter assembly. The combined therapeutic and aiming beams are guided down an optical fiber delivery system to a focusing handpiece. The laser is used in non-contact mode. The Fotona XP Plus Nd: YAG Family of Laser Systems is designed with 5 major sub-systems: a) A high voltage power supply which converts and rectifies the a.c. mains current to provide regulated power for the flashlamp simmer current and main triggering pulse. b) A cooling system consisting of an internal water flow circuit together with water-toair heat exchanger. c) An Nd: Y AG laser rod, capable of generating optical pulses . d) An optical delivery system, interfacing the energy from the laser to the patient via an optical fiber and focusing handpiece. e) The microprocessor based controller which regulates the functions of the laser and allows parameter selection by the user.
More Information

Not Found

No
The device description focuses on the hardware components and basic microprocessor control for parameter selection, with no mention of AI or ML capabilities.

Yes
The device is used for medical treatments such as photocoagulation of vascular lesions, incision/excision of soft body tissue, treatment of benign pigmented lesions, and reduction of scars, all of which are therapeutic applications.

No

The device description does not mention any diagnostic capabilities. Its intended uses are primarily for therapeutic procedures like hair removal, coagulation, incision/excision, and treatment of various lesions and wrinkles.

No

The device description clearly outlines multiple hardware components including a laser rod, optical delivery system, power supply, and cooling system. While it mentions a microprocessor-based controller, the core functionality and intended use are based on the physical laser system.

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

Here's why:

  • Intended Use: The intended uses listed are all related to therapeutic procedures performed directly on the patient's body (hair removal, treatment of skin lesions, soft tissue surgery, wrinkle treatment). IVDs are used to examine specimens (like blood, urine, tissue) outside the body to provide information about a person's health.
  • Device Description: The device description details a laser system designed to deliver energy to the patient's tissue. This is consistent with a therapeutic device, not a diagnostic one that analyzes biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological specimens, using reagents, or providing diagnostic information based on laboratory tests.

Therefore, the Fotona XP Plus Nd:YAG Family of Laser Systems is a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of PFB. The lasers are indicated on all skin types Fitzpatrick I-VI including tanned skin.

Photocoagulation and hemostasis of pigmented and vascular lesions, such as but not limited to port wine stains, hemoangioma, warts, telangiectasia, rosacea, Venus lake, leg veins and spider veins.

Coagulation and hemostasis of soft tissue.

Incision/excision of soft body tissue in dermatology

Soft tissue general surgery applications-skin incision; tissue dissection; complte or partial resection of internal organs, turnors, lesions; tissue ablation; vessel coagulation.

Benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratosis, nevi, chloasma, verrucae, skin tags, keratosis, tattoos (significant reduction in the intensity of black and/or blue-black tatoos) and plaques. The laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments. The laser is also indicated for the reduction of red pigmentation and hypertrophic and keloid scars where vascularity is an integral part of the scar.

Treatment of wrinkles.

Product codes

GEX

Device Description

1'he Fotona XP Plus Nd:YAG Family of Laser Systems is a flashlamp-excited, Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet) laser. Pulsed laser energy at a nominal wavelength of 1064 nanometers (nm) is used. This wavelength causes maximum energy absorption by the target (hair or lesion) and minimum absorption by surrounding skin structures. In addition, the laser pulse duration is controlled to be equal to or shorter than the relaxation time of the target, to minim ize heat transfer to surrounding tissues.

Within the system, an optical cavity contains the Nd: YAG crystal, which is activated by means of the use of flashlamps. After the cavity, a red diode aiming beam is reflected onto a coaxial beam path using a beamsplitter assembly. The combined therapeutic and aiming beams are guided down an optical fiber delivery system to a focusing handpiece. The laser is used in non-contact mode. The Fotona XP Plus Nd: YAG Family of Laser Systems is designed with 5 major sub-systems:

a) A high voltage power supply which converts and rectifies the a.c. mains current to provide regulated power for the flashlamp simmer current and main triggering pulse.

b) A cooling system consisting of an internal water flow circuit together with water-toair heat exchanger.

c) An Nd: Y AG laser rod, capable of generating optical pulses .

d) An optical delivery system, interfacing the energy from the laser to the patient via an optical fiber and focusing handpiece.

e) The microprocessor based controller which regulates the functions of the laser and allows parameter selection by the user.

Accessories available for use with the Fotona XP Plus :

  • Handpiece defining 2-20 mm spot sizes
  • MedArt Scanner .
  • Fotona scanner

Fotona strongly recommends using a skin cooling during the treatment (gel, cold packs, cold air, cryogen cooling, contact cooling etc.).

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)

Not Found

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

Not Found

Predicate Device(s)

K033172, K023954, K02226, K002839

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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles an eagle or bird-like figure.

MAR 1 8 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Stojan Trošt QA & RA Manager Fotona d.d. Stegne 7, 1210 Ljubjana Slovenia

Re: K050293

Trade/Device Name: Fotona XP Plus Nd:YAG Family of Laser Systems 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: February 4, 2005 Received: February 14, 2005

Dear Mr. Trošt:

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 vour device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, I'l >A may publish further announcements concerning your device in the Federal Register.

Please be advised that I'DA'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.

1

Page 2 - Mr. Stojan Trošt

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.huml.

Sincerely yours,

Earle C. Martz Jr.

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

Enclosure

2

Page 1 of 2

Appendix F : Indications for Use Statement

510(k) Number (if known): K 050293

Device Name: Fotona XP Plus Nd:YAG Family of Laser Systems

Indications For Use:

Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of IFB. The lasers are indicated on all skin types Fitzpatrick I-VI including tanned skin.

Photocoagulation and hemostasis of pigmented and vascular lesions, such as but not limited to port wine stains, hemoangioma, warts, telangiectasia, rosacea, Venus lake, leg veins and spider veins.

Coagulation and hemostasis of soft tissue.

Incision/excision of soft body tissue in dermatology

Soft tissue general surgery applications-skin incision; tissue dissection; compelte or partial resection of internal organs, tumors, lesions; tissue ablation; vessel coagulation.

Benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratosis, nevi, chloasma, verrucae, skin tags, keratosis, tattoos (significant reduction in the intensity of black and/or blue-black tatoos) and plaques. The laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments. The laser is also indicated for the reduction of red pigmentation and hypertrophic and keloid scars where vascularity is an integral part of the scar.

Treatment of wrinkles.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

| Prescription Use

(Per 21 CFR 801.109)OROver-The-Counter Use
--------------------------------------------------------------------

S IO(k) Submission: Fotona XP Plus Nd:YAG Family of Laser Systems -20-

3

Appendix E : Summary of Safety and Effectiveness Data

3/18/05

I. General Information

| Company : | Fotona d.d.
Stegne 7, 1210 Ljubljana
SLOVENIA |
|-----------------------|-------------------------------------------------------------------------------------------------------|
| Contact Person : | Stojan Trošt |
| Preparation Date : | 01-24-05 |
| Device Trade Names : | Fotona XP Plus Nd:YAG Family of Laser Systems
Fotona Dualis XP Plus Nd:YAG Family of Laser Systems |
| Common Name : | Nd:YAG Pulsed Surgical Laser System |
| Classification Name : | Instrument, Surgical, Powered, Laser
79-GEX
21 CFR 878-48 |

II. Description

1'he Fotona XP Plus Nd:YAG Family of Laser Systems is a flashlamp-excited, Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet) laser. Pulsed laser energy at a nominal wavelength of 1064 nanometers (nm) is used. This wavelength causes maximum energy absorption by the target (hair or lesion) and minimum absorption by surrounding skin structures. In addition, the laser pulse duration is controlled to be equal to or shorter than the relaxation time of the target, to minim ize heat transfer to surrounding tissues.

Within the system, an optical cavity contains the Nd: YAG crystal, which is activated by means of the use of flashlamps. After the cavity, a red diode aiming beam is reflected onto a coaxial beam path using a beamsplitter assembly. The combined therapeutic and aiming beams are guided down an optical fiber delivery system to a focusing handpiece. The laser is used in non-contact mode. The Fotona XP Plus Nd: YAG Family of Laser Systems is designed with 5 major sub-systems:

a) A high voltage power supply which converts and rectifies the a.c. mains current to provide regulated power for the flashlamp simmer current and main triggering pulse.

b) A cooling system consisting of an internal water flow circuit together with water-toair heat exchanger.

c) An Nd: Y AG laser rod, capable of generating optical pulses .

d) An optical delivery system, interfacing the energy from the laser to the patient via an optical fiber and focusing handpiece.

e) The microprocessor based controller which regulates the functions of the laser and allows parameter selection by the user.

4

Accessories available for use with the Fotona XP Plus :

  • · Handpiece defining 2-20 mm spot sizes
  • MedArt Scanner .
  • · Fotona scanner

Fotona strongly recommends using a skin cooling during the treatment (gel, cold packs, cold air, cryogen cooling, contact cooling etc.).

III. Indications for Use The Fotona XP Plus Nd: YAG Family of Laser Systems is intended for:

Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of PFB. The lasers are indicated on all skin types Fitzpatrick I-VI including tanned skin.

Photocoagulation and hemostasis of pigmented and vascular lesions, such as but not limited to port wine stains, hemoangioma, warts, telangiectasia, rosacea, Venus lake, leg veins and spider veins.

Coagulation and hemostasis of soft tissue.

Incision/excision of soft body tissue in dermatology

Soft tissue general surgery applications-skin incision; tissue dissection; complte or partial resection of internal organs, turnors, lesions; tissue ablation; vessel coagulation.

Benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratosis, nevi, chloasma, verrucae, skin tags, keratosis, tattoos (significant reduction in the intensity of black and/or blue-black tatoos) and plaques. The laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments. The laser is also indicated for the reduction of red pigmentation and hypertrophic and keloid scars where vascularity is an integral part of the scar.

Treatment of wrinkles.

III. Summary of Substantial Equivalence

The Fotona XP Plus Nd: YAG Family of Laser Systems shares the same general indications for use, operating principles, mechanism of action, technological features as the predicate devices Candela Gentle YAG Family of Laser Systems (K033172). Family of Altus Medical CoolGlide Aesthetic Lasers (K023954, K02226) and Fotona Dualis XP Plus (K002839) and therefore is substantially equivalent to the predicate devices.

5

Technologically, the predicate devices have similar characteristics to the Fotona XP Plus I echnologically, the proceded as ressell systems comprise a flashlamp pumped Nd: YAG Ind. I NO Fullify of Labt at a wavelength of 1064 nm, which is subsequently delivered to the patient via an optical fiber delivery system and focusing handpiece.

The risk and benefits for the Fotona XP Plus Nd:YAG Family of Laser Systems are comparable to the predicate devices when used for similar clinical applications.

The Fotona XP Plus Nd:YAG Family of Laser Systems shares the same design features ( wavelength, active medium, cooling system, power supply, beam deliveries, controls, housing) as the predicate devices. The output characteristics are the same as those of the predicate devices.

All lasers utilize class I aiming beams which pose no hazard to the user.

All systems are microprocessor controlled devices. The microprocessor control regulates normal operation, permits parameter selection and avoids hazard incidence.

All systems utilize an internal closed loop water-air heat exchanger circuit for optimal thermal control of the laser cavity.

The risk and benefits for the Fotona XP Plus Nd: YAG Family of Laser Systems system are identical to the predicate devices when used for similar clinical applications.

It is therefore believed that there are no new questions of Safety or Effectiveness raised by the introduction of this device.

As the Fotona XP Plus Nd:YAG Family of Laser Systems is substantially equivalent with respect to indication for use, output characteristics, materials, method of operation, and physical construction to the predicate devices, we believe it clearly meets the requirements for substantial equivalence according to Section 510(k) guidelines. Safety and effectiveness are reasonably assured, therefore justifying 510(k) clearance for commercial sale.

510(k) Submission: Fotona XP Plus Nd:YAG Family of Laser Systems -19-