K Number
K051922
Device Name
ASA 'M FAMILY' DIODE LASER, MODEL MI, MIX5, M6
Manufacturer
Date Cleared
2005-09-14

(61 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The 'MLS Family' Diode Laser is intended to provide topical heating for the purpose of elevating tissue temperature for temporary relief of muscle and joint pain and stiffness, arthritis pain, or muscle spasm, the temporary increase in local blood circulation and/or promoting relaxation of muscle.
Device Description
The 'MLS Family' Diode Laser provides 808 and 905 nm wavelengths. Laser emission activation is by user selectable controller. Electrical requirement is 230 VAC, 20A, 50-60 Hz, single phase.
More Information

Not Found

No
The summary describes a diode laser with user-selectable controls and does not mention any AI or ML components or functionalities.

Yes
The device is intended to provide temporary relief of muscle and joint pain and stiffness, arthritis pain, or muscle spasm, and to temporarily increase local blood circulation and/or promote muscle relaxation, which are therapeutic purposes.

No

Explanation: The device is intended for therapeutic purposes such as temporary pain relief, increased blood circulation, and muscle relaxation, not for diagnosing medical conditions.

No

The device description clearly states it is a "Diode Laser" and details electrical requirements, indicating it is a hardware device that emits laser energy.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for "topical heating for the purpose of elevating tissue temperature for temporary relief of muscle and joint pain and stiffness, arthritis pain, or muscle spasm, the temporary increase in local blood circulation and/or promoting relaxation of muscle." This describes a therapeutic device that acts directly on the body, not a device used to examine specimens from the body to provide diagnostic information.
  • Device Description: The description details a laser system with specific wavelengths and electrical requirements, consistent with a physical therapy or pain relief device.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), performing tests on specimens, or providing diagnostic information based on laboratory results.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is entirely in vivo (within the body) for therapeutic purposes.

N/A

Intended Use / Indications for Use

The 'MLS Family' Diode Laser is intended to provide topical heating for the purpose of elevating tissue temperature for temporary relief of muscle and joint pain and stiffness, arthritis pain, or muscle spasm, the temporary increase in local blood circulation and/or promoting relaxation of muscle.

Product codes

ILY

Device Description

The 'MLS Family' Diode Laser provides 808 and 905 nm wavelengths. Laser emission activation is by user selectable controller. Electrical requirement is 230 VAC, 20A, 50-60 Hz, single phase.

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)

Nonclinical Performance Data: none
Clinical Performance Data: none

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

Not Found

Predicate Device(s)

K031322

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.

0

051922
SEP 1 4 2005
510(K) Summary




510(K) Summary
Submitter:Cynosure Inc
5 Carlisle Road
Westford, MA 01886
Contact:George Cho
Senior Vice President
Date Summary Prepared:July 14, 2005
Device Trade Name:'MLS Family' Diode Laser - MLS Mix5, MLS M1, MLS M6
Common Name:Diode Laser
Classification Name:Infrared Lamp
21 CFR 890.5500
Equivalent Device:MLT-1000 IR Laser System
Device Description:The 'MLS Family' Diode Laser provides 808 and 905 nm
wavelengths. Laser emission activation is by user selectable
controller. Electrical requirement is 230 VAC, 20A, 50-60 Hz, single
phase.
Intended Use:The 'MLS Family' Diode Laser is intended to provide topical heating
for the purpose of elevating tissue temperature for temporary relief of
muscle and joint pain and stiffness, arthritis pain, or muscle spasm, the
temporary increase in local blood circulation and/or promoting
relaxation of muscle.
Comparison:The 'MLS Family' Diode Laser has the same indications for use, the
same principle of operation, and similar performance specifications as
the predicate devices.
Nonclinical Performance Data:none
Clinical Performance Data:none
Conclusion:The 'MLS Family' Diode Laser is a safe and effective device for the
indications specified.
Additional Information:none

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling a stylized caduceus or a bird-like figure with three wing-like shapes.

Public Health Service

SEP 1 4 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. George Cho Senior Vice President Medical Technology Cynosure, Inc. 5 Carlisle Road Westford, Massachusetts 01886

Re: K051922

K031322
Trade/Device Name: MLS Family Diode Laser-MLS Mix5, MLS M1, MLS M6 Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared lamp Regulatory Class: II Product Code: ILY Dated: August 25, 2005 Received: August 26, 2005

Dear Mr. Cho:

We have reviewed your Section 510(k) premarket notification of intent to market the device t we nave reviewed your Section 310(t) presentially equivalent (for the indications ferenced above and have actering ally marketed predicate devices marketed in interstate for use stated in the enclosure) to regally manities of the Medical Device Amendments, or to commerce provide to May 20, 1770, the enaounce with the provisions of the Federal Food, Drug, devices that have been recuire approval of a premarket approval application (PMA). alla Cosmelle Act (Tec) that to her requent of the general controls provisions of the Act. The You may, therefore, manset the act include requirements for annual registration, listing of general controls provisions of the tice, 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 II your device is crassified (800 a0010) ins existing major regulations affecting your device can
may be subject to such additional controls. Existing major regulations FDA may be subject to sueil additions, Title 21, Parts 800 to 898. In addition, FDA may be found in the Out of Pourses concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I Dr. 5 issuance errour device complies with other requirements of the Act that I DA has made a determinations administered by other Federal agencies. You must of any reactal statutes and regarations and adding, but not limited to: registration and listing (21 comply with an the Not 3 requirements, and manufacturing practice requirements as set CTN in the quality systems (DF CFR Part 820); and if applicable, the electronic forth in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

2

Page 2- Mr. George Cho

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin maxemily of substantial equivalence of your device to a legally
premarket notification. The FDA finding of substantial equivalize and thus premarket nothealton. The PDA midning of backantal vque
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 If you desire specific advice for your de vice of 1.5. Also, please note the regulation entitled, the lists of contact the Office of Complance at (210) 276-676 (21CFR Part 807.97). You may obtain "Misbranding by reference to premance notification of the Act from the Division of Small other general information on your responsionies and with the number (800) 638-2041 or
Manufacturers, International and Consumer Assistance at its toll-demomain btml Manufacturers, International and Collisanter Press. Internet in the main.html

Sincerely yours,

Barbara BuehrD

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510(k) Number (if known): K051922

Device Name: _ 'MLS Family' Diode Laser -- MLS Mix5, MLS M1, MLS M6

Indications For Use:

. . . . . .

The 'MLS Family' Diode Laser is intended to provide topical heating for the purpose of elevating tissue The MLS Family 'Diode Laser is filehauto provide sopical not stiffitis pathritis pain, or muscle
temperature for the temporary relief of muscle and joint pain and stimation o temperature tor the temporary reflet of muscle and John pain and or services relaxation of muscle.

OR Prescriptive Use_ X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (Part 21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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510(k) Number K051922