K Number
K062248
Device Name
AZURYT MODEL CTL 1401, CO2 SURGICAL LASER SYSTEM
Date Cleared
2006-08-17

(14 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Azuryt Model CTL 1401, CO2 Surgical Laser System is indicated for the incision, excision, ablation, vaporization and coagulation of body soft tissues, including intraoral tissues. These systems can be used in a variety of medical specialties, including general and plastic surgery, dentistry, oral/maxillofacial surgery, dermatology, gastroenterology, gynecology, otorhinolaryngology, aesthetical surgery, neurosurgery, oculoplastic, orthopedic, pulmonary/thoracic surgery, and urology.
Device Description
The, Azuryt Model CTL 1401 CO2 Surgical Laser System is a CO2 laser consisting of a power supply, cooling system, laser head, articulated arm, handpiece, microcontroller and control panel.
More Information

No
The document describes a standard CO2 surgical laser system with no mention of AI or ML components or functionalities.

Yes
The device is indicated for surgical procedures such as incision, excision, ablation, vaporization, and coagulation of soft tissues, which are therapeutic interventions.

No
The device description states its purpose is for "incision, excision, ablation, vaporization and coagulation of body soft tissues," which are therapeutic actions, not diagnostic ones.

No

The device description explicitly lists hardware components such as a power supply, cooling system, laser head, articulated arm, handpiece, microcontroller, and control panel, indicating it is a physical system, 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 describes a surgical laser system used for the incision, excision, ablation, vaporization, and coagulation of body soft tissues. This is a therapeutic and surgical application, not a diagnostic one.
  • Device Description: The description details the components of a surgical laser system, which are used to physically interact with tissue.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue samples, etc.) or providing diagnostic information about a patient's condition. IVDs are designed to perform tests on these types of samples to aid in diagnosis.

Therefore, the Azuryt Model CTL 1401, CO2 Surgical Laser System is a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Azuryt Model CTL 1401, CO2 Surgical Laser System is indicated for the incision, excision, ablation, vaporization and coagulation of body soft tissues, including intraoral tissues. These systems can be used in a variety of medical specialties, including general and plastic surgery, dentistry, oral/maxillofacial surgery, dermatology, gastroenterology, gynecology, otorhinolaryngology, aesthetical surgery, neurosurgery, oculoplastic, orthopedic, pulmonary/thoracic surgery, and urology.

Product codes

GEX

Device Description

The, Azuryt Model CTL 1401 CO2 Surgical Laser System is a CO2 laser consisting of a power supply, cooling system, laser head, articulated arm, handpiece, microcontroller and control panel. The Azuryt Model CTL 1401 is a CO2 surgical laser system, utilizing a laser with a wavelength of 10.6 um. Each of these devices contains a power supply, a cooling system, a sealed CO2 laser head delivering a beam with a wavelength of 10.6 um, an arm to deliver the laser beam, a handpiece and a variety of accessories to address specific surgical needs.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

body soft tissues, including intraoral tissues

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)

K042439

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

K062248

Premarket Notification [510(k)] Summary (per 21 CFR 807.92)

AUG 1 7 2006

Submitted by: 1.

North American Clinical Lasers, Ltd. 2755 S. Amcs Way Denver, CO 80227

Contact Person:Geoffrey D. Swank
Vice-President of Operations
Phone: (303)-263-3307
Fax: (303) 985-7957

Date Prepared: 31 May 2006

2. Device Name

Trade/Proprietary Name:Azuryt Model CTL 1401, CO2 Surgical Laser System
Common/Usual Name:General Surgical Laser System
Classification Name:Laser Instrument, Surgical, Powered
(per 21 CFR 878.4810)

Predicate Device: 3.

The Azuryt Model CTL 1401, CO2 Surgical Laser System described in this submission is substantially equivalent to the Azuryt Model CTL 1401 cleared under K042439.

4. Intended use of the device

The Azuryt Model CTL 1401, CO2 Surgical Laser System is indicated for the incision, excision, ablation, vaporization and coagulation of body soft tissues, including intraoral tissues. These systems can be used in a variety of medical specialties, including general and plastic surgery, dentistry, oral/maxillofacial surgery, dermatology, gastroenterology, gynecology, otorhinolaryngology, aesthetical surgery, neurosurgery, oculoplastic, orthopedic, pulmonary/thoracic surgery, and urology.

5. Description of the Device

The, Azuryt Model CTL 1401 CO2 Surgical Laser System is a CO2 laser consisting of a power supply, cooling system, laser head, articulated arm, handpiece, microcontroller and control panel.

1

Summary of the technological characteristics of the device compared to the 6. predicate device.

The Azuryt Model CTL 1401 is a CO2 surgical laser system, utilizing a laser with a wavelength of 10.6 um. Each of these devices contains a power supply, a cooling system, a sealed CO2 laser head delivering a beam with a wavelength of 10.6 um, an arm to deliver the laser beam, a handpiece and a variety of accessories to address specific surgical needs.

7. Testing

The manufacturer of the Azuryt Model CTL 1401 certifies that its device complies with the following international standards:

  • IEC 60825-1, Safety of laser products Part 1: Equipment classification, . requirements and user's guide.
  • . IEC 60601-2-22, Medical Electrical Equipment - Part 2: Particular requirements for the safety of diagnostic and therapeutic laser equipment.
  • IEC 60601-1, Medical Electrical Equipment Part 1: General requirements for . safety, as amended by amendment 1 (1991) and amendment 2 (1995).
  • IEC 60601-1-2, Medical Electrical Equipment Part 1: General requirements for . safety - 2. Collateral Standard: Electromagnetic compatibility - Requirements and tests

The device is also complies with the European Medical Device Directive 92/42/EEC and the US Federal Performance Standards 21 CFR 1040.10 and 21 CFR 1040.11 for Class IV Laser Products, except for deviations pursuant to Lascr Notice No. 50, dated 26 July 2001.

8. Conclusions

Based upon the testing and comparison to the predicate devices, the Azuryt Model CTI. 1401 has the same intended uses, with the same technological characteristics as the device described in the previous submission. The system performs as intended and raises no new safety or effectiveness issues.

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health and Human Services, USA. 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 an eagle or a stylized human figure, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 17 2006

North American Clinical Lasers, Ltd. % Intertek Testing Services Mr. Neil E. Devine, Jr. Senior Staff Engineer 2307 East Aurora Road Unit B7 Twinsburg, Ohio 44087

Re: K062248

Trade/Device Name: Azuryt Model CTL 1401, CO2 Surgical Laser System Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: Class II Product Code: GEX Dated: August 2, 2006 Received: August 3, 2006

Dear Mr. Devine:

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

3

Page 2 - Mr. Neil E. Devine, Jr.

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. 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) 276-0120. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Nours.

Mark N. Melkerson

Mark N. Melkerson 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):

Device Namc: Azuryt Model CTL 1401, CO2 Surgical Laser System

Indications For Use:

The Azuryt Model CTL 1401, CO2 Surgical Laser System is indicated for the incision, excision, ablation, vaporization and coagulation of body soft tissues, including intraoral tissues. These systems can be used in a variety of medical specialties, including general and plastic surgery, dentistry, oral/maxillofacial surgery, dermatology, gastroenterology, gynecology, otorhinolaryngology, aesthetical surgery, neurosurgery, oculoplastic, orthopedic, pulmonary/thoracic surgery, and urology.

Prescription Use _ X (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K062248

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Azuryt CTL-1401