K Number
K071786
Device Name
PORTRAIT PSR
Date Cleared
2007-07-26

(24 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Portrait® PSR³ is indicated for treatment of the following dermatological conditions: - Treatment of wrinkles and rhytides - Superficial skin lesions - Actinic Keratosis - Viral Papillomata - Seborrhoeic Keratosis
Device Description
The Portrait® PSR³ is an electro-surgical device for use in dermatological applications. UHF energy from the generator converts Nitrogen gas into plasma within the handpiece. The plasma emerges from the nozzle at the distal end of the handpiece and is directed onto the skin to be treated. Rapid heating of the skin occurs as the excited gas gives up energy to the skin. Through the combination within the handpiece of precisely controlled energy and Nittrogen gas, individual plasma pulses are produced that will give predictable tissue effects.
More Information

Not Found

No
The description focuses on the electro-surgical mechanism and plasma energy delivery, with no mention of AI or ML.

Yes
The device is indicated for the treatment of dermatological conditions like wrinkles, skin lesions, and actinic keratosis, which are medical conditions, and treatments are therapeutic in nature.

No

The device is indicated for treatment of dermatological conditions and uses electro-surgical methods to treat skin, rather than to diagnose conditions.

No

The device description explicitly states it is an "electro-surgical device" that uses a "generator" and "handpiece" to deliver "UHF energy" and "plasma" to the skin. This clearly indicates the presence of hardware components beyond just software.

Based on the provided information, the Portrait® PSR³ is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states the device is for the treatment of dermatological conditions by applying plasma energy directly to the skin. This is a therapeutic application, not a diagnostic one.
  • Device Description: The description details an electro-surgical device that generates plasma to treat skin. This aligns with a therapeutic device, not one used to examine samples outside the body for diagnostic purposes.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.) or providing diagnostic information based on such analysis.

IVD devices are used to examine specimens from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The Portrait® PSR³ directly treats the skin, which is a therapeutic action.

N/A

Intended Use / Indications for Use

The Portrait® PSR³ is indicated for treatment of the following dermatological conditions:

  • Treatment of wrinkles and rhytides .
  • Superficial skin lesions .
  • Actinic Keratosis ●
  • Viral Papillomata .
  • Seborrhoeic Keratosis .

Product codes

GEI

Device Description

The Portrait® PSR³ is an electro-surgical device for use in dermatological applications. UHF energy from the generator converts Nitrogen gas into plasma within the handpiece. The plasma emerges from the nozzle at the distal end of the handpiece and is directed onto the skin to be treated. Rapid heating of the skin occurs as the excited gas gives up energy to the skin. Through the combination within the handpiece of precisely controlled energy and Nittrogen gas, individual plasma pulses are produced that will give predictable tissue effects.

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)

The device modifications did not raise new questions of safety or efficacy, no performance data is required.

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

Not Found

Predicate Device(s)

K060948

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

0

Page 1 of ②

510(k) Summary for the Rhytec, Inc. Portrait® PSR3

0 71 786

JUL 26 2007

This 510(k) Summary of Safety and Effectiveness is being submitted in accordance with the requirements of the SMDA 1990 and 21 CFR 807.92.

1. General Information

| Submitter: | Rhytec, Inc.
130 Turner Street
Building Two
Waltham, MA 02453 |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Robert Zoletti
Director, Regulatory Affairs and Quality
Rhytec, Inc.
Telephone: 781-419-9482
Fax: 781-419-9401 |
| Summary Preparation Date: | June 22, 2007 |
| Names | |
| Device Name: | Portrait® PSR3 |
| Classification Name: | Electrosurgical cutting and coagulation
device |

3. Predicate Devices

K060948 - Portrait® PSR3 Rhytec, Inc. Portrait® PSR3

4. Device Description

The Portrait® PSR³ is an electro-surgical device for use in dermatological applications. UHF energy from the generator converts Nitrogen gas into plasma within the handpiece. The plasma emerges from the nozzle at the distal end of the handpiece and is directed onto the skin to be treated. Rapid heating of the skin occurs as the excited gas gives up energy to the skin. Through the combination within the handpiece of precisely controlled energy and Nittrogen gas, individual plasma pulses are produced that will give predictable tissue effects.

Product Code: GEI

1

0717-86

Page 2 of ②

510(k) Summary for the Rhytec, Inc. Portrait® PSR3

5. Indications for Use

The Portrait® PSR³ is indicated for treatment of the following dermatological conditions:

  • Treatment of wrinkles and rhytides ●
  • Superficial skin lesions .
  • . Actinic Keratosis
  • . Viral Papillomata
  • Seborrhoeic Keratosis .

6. Technological Characteristics

Modifications include:

  • Revised the allowable plasma pulse repetition rate from 1 to 4.0 Hz to 1 to . 2.5 Hz as recommended in the treatment parameters in K060948.
  • Removal of the 12 hour nozzle use life. Nozzle life will continue to be . monitored by the number of pulses used.
  • Decreased the number of continuous pulses with the foot switch pressed . from 120 to 50.
  • Added the number of pulses per patient treatment to the display. .

7. Clinical and Non-Clinical Data

The device modifications did not raise new questions of safety or efficacy, no performance data is required.

2

Image /page/2/Picture/12 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of the department's name in a circular arrangement around a stylized symbol. The symbol is a representation of human figures, with three overlapping profiles. The profiles are connected by flowing lines, creating a sense of unity and movement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Rhytec Incorporated % Mr. Robert Zoletti Director, Regulatory Affairs 130 Turner Street, Building Two Waltham, Massachusetts 02453

JUL 26 2007

Re: K071786

Trade/Device Name: Rhytec, Inc. Portrait® Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: June 27, 2007 Received: July 2, 2007

Dear Mr. Zoletti:

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.

3

Page 2 -- Mr. Robert Zoletti

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, permitte your device to proceed to the market.

lf 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) 633-2011 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark A. Milliken

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):K071786
Device Name:Rhytec, Inc. Portrait®
PSR 3

The Portrait® PSR³ is indicated for treatment of the following dermatological conditions:

  • Treatment of wrinkles and rhytides .
  • Superficial skin lesions .
  • Actinic Keratosis ●
  • Viral Papillomata .
  • Seborrhoeic Keratosis .

Indications for Use are unchanged from K060948

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)

Mark A. Milken

(Division Sign-Off) (Division Sign-On) Restorative, and Neurological Devices

510(k) Number