K Number
K073477
Device Name
PHOTONOVA FAMILY OF PULSED LIGHT SYSTEMS
Date Cleared
2008-05-09

(150 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PhotoNova Family of Pulsed Light Systems is indicated for the following: • The removal of unwanted hair form all skin types and to effect stable long-term or permanent hair reduction • The treatment of benign pigmented lesions, including lentigines, nevi, melasma and café-au-lait • The treatment of vascular lesions, including port wine stains, hemangiomas, angiomas, ttelangiectasias, rosacea, facial and leg veins • Treatment of inflammatory acne (acne vulgaris)
Device Description
The Photonova Pulsed Light Systems delivers pulsed light at wavelengths starting at 515 nanometers. The device consists of three interconnected sections: The cabinet which houses the power supply, the cooling system and the microcontroller, the umbilical to the handpiece, and the handpiece, which houses the waveguide
More Information

K032191, K040081, K03349

Not Found

No
The summary describes a pulsed light system with a microcontroller, but there is no mention of AI, ML, image processing, or any data-driven algorithms typically associated with AI/ML in medical devices.

Yes
The device is indicated for medical treatments such as hair reduction, and the treatment of benign pigmented lesions, vascular lesions, and inflammatory acne, which are all therapeutic in nature.

No

Explanation:
The PhotoNova Family of Pulsed Light Systems is indicated for "treatment" of various conditions (hair removal, pigmented lesions, vascular lesions, acne). It delivers pulsed light for these treatments. There is no mention of it being used to diagnose or detect any conditions.

No

The device description explicitly states it consists of a cabinet housing hardware components (power supply, cooling system, microcontroller), an umbilical, and a handpiece housing a waveguide, indicating it is a hardware-based device that delivers pulsed light.

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 treating conditions on the skin (hair removal, pigmented lesions, vascular lesions, acne). IVDs are used to diagnose conditions by examining samples taken from the body (like blood, urine, tissue).
  • Device Description: The description details a system that delivers pulsed light to the body. This is a therapeutic device, not a diagnostic one.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or providing diagnostic information.

Therefore, the PhotoNova Family of Pulsed Light Systems is a therapeutic device, not an IVD.

N/A

Intended Use / Indications for Use

The PhotoNova Pulsed Light System is indicated for the following:
• The removal of unwanted hair form all skin types and to effect stable long-term or permanent hair reduction
• The treatment of benign pigmented lesions, including lentigines, nevi, melasma and café-au-lait
• The treatment of vascular lesions, including port wine stains, hemangiomas, angiomas, ttelangiectasias, rosacea, facial and leg veins
• Treatment of inflammatory acne (acne vulgaris)

Product codes (comma separated list FDA assigned to the subject device)

GEX

Device Description

The Photonova Pulsed Light Systems delivers pulsed light at wavelengths starting at 515 nanometers. The device consists of three interconnected sections: The cabinet which houses the power supply, the cooling system and the microcontroller, the umbilical to the handpiece, and the handpiece, which houses the waveguide

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

OmniLight K032191, Lux V K040081, StarLux K03349

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

510(K) Summary
PhotoNova Family of Pulsed Light Systems
K073477

This 510(K) Summary of safety and effectiveness for the Photonova Family of Pulsed Light Systems is submitted in accordance with the requirements of the SMDA 1990 and following guidance concerning the organization and content of a 510(K) summary.

Applicant:Photonova of Sweden AB
Address:Hulda Lindgrens Gata 6C
42131 Vastra Frolunda
SWEDEN
Contact Person:Anders Bonde
Telephone / Fax / Email46-31-742-1281- Phone
abonde@photonova.com
Preparation Date:October 31, 2007
Device Trade Name:Photonova Family of Pulsed Light Systems
Common Name:Intense Pulsed Light
Classification Name:Instrument, Surgical, Powered, laser
79-GEX, 21 CFR 878-48
Legally Marketed Predicate Device:OmniLight K032191
Lux V K040081
StarLux K03349
Description of the Photonova Family of
Pulsed Light SystemsThe Photonova Pulsed Light Systems delivers pulsed light at
wavelengths starting at 515 nanometers. The device consists
of three interconnected sections: The cabinet which houses
the power supply, the cooling system and the microcontroller,
the umbilical to the handpiece, and the handpiece, which
houses the waveguide
Intended use of the Photonova Family of
Pulsed Light SystemsThe Photonova Pulsed Light System is indicated for the
following:
• The removal of unwanted hair form all skin types and
to effect stable long-term or permanent hair
reduction
• The treatment of benign pigmented lesions, including
lentigines, nevi, melasma and café-au-lait
• The treatment of vascular lesions, including port wine
stains, hemangiomas, angiomas, ttelangiectasias,
rosacea, facial and leg veins
• Treatment of inflammatory acne (acne vulgaris)

Performance Data:

1

510(K) Summary PhotoNova Family of Pulsed Light Systems

Conclusion:

The PhotoNova Family of Pulsed Light Systems is substantially equivalent to other existing pulsed light systems in commercial distribution in Dermatology and Plastic Surgery.

2

Image /page/2/Picture/1 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. Inside the circle is an abstract symbol that resembles an eagle or bird in flight.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY - 9 2008

Photonova of Sweden AB % Ms. Connie Hoy 908 Stetson Street Woodland, California 95776

Re: K073477

Trade/Device Name: PhotoNova Family of Pulsed Light 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: April 30, 2008 Received: May 5, 2008

Dear Ms. Hoy:

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 - Ms. Connie Hoy

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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 yours.

Mark N. Millman

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

4

Attachment 4 Indications For Use Statement

510(k) Number (if Known):

Device Name: PhotoNova Family of Pulsed Light Systems

Indications for Use:

Prescrip

The PhotoNova Family of Pulsed Light Systems is designed for use in dermatology applications including:

  • · The removal of unwanted hair form all skin types and to effect stable long-term or permanent hair reduction
  • · The treatment of benign pigmented lesions, including lentigines, nevi, melasma and caféau-lait
  • · The treatment of vascular lesions, including port wine stains, hemangiomas, angiomas, ttelangiectasias, rosacea, facial and leg veins
  • · Treatment of inflammatory acne (acne vulgaris)

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

Nih for mem

Concurrence of EURH Office of Device Evaluation (ODE)

Division of General, Restorative, and Neurological Devices

510(k) NumberK023477
------------------------
ption UseXOROver-The-Counter Use
----------------------------------------