K Number
K050370
Device Name
PALOMAR LUXIR HANDPIECE
Date Cleared
2005-06-15

(121 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Palomar LuxIR Handpiece is intended to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles. In addition, the Palomar LuxIR Handpiece may also help muscle spasms, minor sprains and strains, and minor muscular back pain.
Device Description
The Palomar LuxIR Handpiece delivers infrared light with a wavelength of 800-1800 nm. The complete system consists of a power source, chiller, a footswitch, and a handpiece connected to the power unit with an umbilical. In standard use, the handpiece is held in firm contact with the skin. The handpiece tip is water-cooled to provide active skin cooling. System parameters and other system features are controlled from the user interface panel on top of the power unit.
More Information

Not Found

No
The document does not mention AI, ML, or any related concepts like image processing, training sets, or performance metrics typically associated with AI/ML devices. The description focuses on the physical components and intended use of an infrared light handpiece.

Yes
The device is intended to provide topical heating for the temporary relief of minor muscle and joint pain, stiffness, and other related conditions, which are therapeutic claims.

No

The device is intended for therapeutic purposes (pain relief, circulation increase, muscle relaxation) by elevating tissue temperature; it does not diagnose medical conditions.

No

The device description clearly outlines hardware components including a handpiece, power source, chiller, and footswitch, indicating it is a physical medical device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly describes a therapeutic device that applies topical heating to the body for the relief of pain, stiffness, and muscle issues. This is a direct treatment applied to the patient's body.
  • Device Description: The device delivers infrared light and is applied to the skin. This is a physical intervention, not a test performed on a sample taken from the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information based on laboratory analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Palomar LuxIR Handpiece is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles. In addition, the Palomar LuxIR Handpiece may also help muscle spasms, minor sprains and strains, and minor muscular back pain.

Product codes

ILY

Device Description

The complete system consists of a power source, chiller, a footswitch, and a handpiece connected to the power unit with an umbilical. In standard use, the handpiece is held in firm contact with the skin. The handpiece tip is water-cooled to provide active skin cooling. System parameters and other system features are controlled from the user interface panel on top of the power unit.

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

The differences in the specifications of the Palomar LuxIR Handpiece and the predicate device do not result in different performance or raise new questions of safety or efficacy.

Key Metrics

Not Found

Predicate Device(s)

K033768

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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K050370 1 of 2

Attachment 3

JUN 1 5 2005

510(K) Summary of Safety and Effectiveness

This 510(K) Summary of Safety and Effectiveness for the Palomar LuxIR handpiece is submitted in accordance with the requirements of Safe Medical Device Act (SMDA) of 1990 and follows the Office of Device Evaluation (ODE) guidance concerning the organization and content of a 510(K) summary.

Applicant:Palomar Medical Technologies, Inc.
Address:82 Cambridge St.
Burlington, MA 01803
Contact Person:Marcy Moore
Telephone:919-363-2432
Preparation Date:February 10, 2005
Device Trade Name:Palomar LuxIR Handpiece
Common Name:Infrared Handpiece
Classification Name:Infrared Heating Lamp
(21 CFR 890.5500).
Legally-Marketed Predicate Device:K033768
Cutera Optional Infrared Handpiece
System Description:The Palomar LuxIR Handpiece delivers infrared
light with a wavelength of 800-1800 nm. The
complete system consists of a power source, chiller,
a footswitch, and a handpiece connected to the
power unit with an umbilical. In standard use, the
handpiece is held in firm contact with the skin. The
handpiece tip is water-cooled to provide active skin
cooling. System parameters and other system
features are controlled from the user interface panel
on top of the power unit.

1

K050370

Intended Use of the Device:
The Palomar LuxIR Handpiece is intended to emit
energy in the infrared spectrum to provide topical
heating for the purpose of elevating tissue
temperature for the temporary relief of minor
muscle and joint pain and stiffness, the temporary
relief of minor joint pain associated with arthritis,
the temporary increase in local circulation where
applied, and the relaxation of muscles. In addition,
the Palomar LuxIR Handpiece may also help
muscle spasms, minor sprains and strains, and
minor muscular back pain.
Performance Data:The differences in the specifications of the Palomar
LuxIR Handpiece and the predicate device do not
result in different performance or raise new
questions of safety or efficacy.
Conclusion:Based on the foregoing, the Palomar LuxIR
Handpiece is substantially equivalent to the legally-marketed claimed predicate device.

2

Image /page/2/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

JUN 1 5 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Palomar Medical Technologies Incorporated C/o Ms. Marcy Moore Manager of Clinical Studies 131 Kelekent Lane Cary, North Carolina 27511

Re: K050370

Trade/Device Name: Palomar LuxIR Handpiece Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared lamp Regulatory Class: II Product Code: ILY Dated: May 6, 2005 Received: May 9, 2005

Dear Ms. Moore:

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 10 wor would 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 – Ms. Marcy Moore

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to begin marketing your were of your device of your device to a legally premarket nouffication. "The PDF Intering of basically 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 Patis and the pritised If you desire specific advice for your do need on our bland on the regulation entitled, and Conlict the Office of Comphalice as (21 t mart 807.97). You may obtain " Misbranding by relevence to premance nouthead.com the Act from the Division of Small
other general information on your responsibilities under the Act from the 2000 C20.00 other general information on your responsible and its toll-free number (800) 638-2041 or and Manufacturers, International and Consumer 11/vww.fda.gov/cdrb/industry/support/index.html.

Sincerely yours,

Signature

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

4

Indications for Use

510(k) Number (if known): K050370

1 of 1

10(k) Number (if known): K0502

Device Name:

Palomar LuxIR Handpiece

Indications for Use:

The Palomar LuxIR Handpiece is intended to provide topical heating for the The Palonial Luxir. Tranqpreco 16 incenture for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated and joint pain and striness, the cessportions where applied, and the whili artificis, the temporary mercuse the Palomar LuxIR Handpiece may also help muscle spasms, minor sprains and strains, and minor muscular back pain.

Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use AND/OR

(21 CFR 801 Subpart C)

7

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

ivision Sign-C If) on Signeral, Restorative and Neurological Devices

510(k) Number K25370