K Number
K083123
Manufacturer
Date Cleared
2009-11-24

(398 days)

Product Code
Regulation Number
878.4810
Panel
SU
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Dermatology, Plastic & General Surgery

The CO2 laser, model MedArt 610, is intended to be used by physicians in the performatice of the following specialities:

The ablation and coagulation of soft tissue in dermatology, plastic and general surgery in the performance of:

  • Skin Resurfacing .
  • . Treatment of wrinkles and rhytids
  • Treatment of furrows .
  • Soft tissuc ablation .
Device Description

The MedArt 610 system comprises the following major parts:

  • A laser console containing a CO2 laser module capable of providing a laser beam having a wave-. length of 10,600 nm.
  • A scanner that is intended to manipulate and place a pulsed beam received from the laser console in . a pre-specified pattern on the skin being treated.
  • An optical fiber providing a beam path from the laser to the scanner. .
AI/ML Overview

The MedArt 610 Laser system is identified as substantially equivalent to the Uni-Laser 450P (K991297) manufactured by ASAH Medico A/S. The submission demonstrates substantial equivalence through a side-by-side comparison of device specifications and indications for use, rather than a primary clinical study with predefined acceptance criteria. Therefore, the information provided focuses on the comparative data rather than a direct performance study against specific acceptance criteria.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are implicitly met by demonstrating substantial equivalence to the predicate device, Uni-Laser 450P. This implies that the MedArt 610 is expected to perform at least as safely and effectively as the predicate device for its stated indications. The document does not provide explicit numerical acceptance criteria, but rather a direct comparison of features and performance parameters.

Acceptance Criteria (Implied by Predicate Equivalence)MedArt 610 Performance (Reported Device Performance)Predicate Device (Uni-Laser 450P) Performance
Indications for Use:
Skin ResurfacingYes (Identical application)Yes
Treatment of wrinkles and rhytidsYes (Identical application)Yes
Treatment of furrowsYes (Identical application)Yes
Soft tissue ablationYes (Identical application)Yes
Technology:
CO2 laser moduleYesYes
Scanner for pattern productionYesYes
Beam delivering system (fiber)YesYes
Physical Parameters:
Length of beam delivering system165cm165cm
Type of beam delivering systemFiber providing full freedom of movementFiber providing full freedom of movement
Wavelength10,600nm10,600nm
Max power0.1 - 12W0.1 - 12W
Minimum scanner spot sizeØ400µmØ400µm
Max power density17 kW/cm2 (Computed from 12W/Ø300µm)17 kW/cm2 (Computed from 12W/Ø300µm)
Aiming beam635nm, max 5mW635nm, max. 2mW
Scanning speed0.3-100 HzNot specified, but "In the range of 1 sec. Actual time is depending on scan pattern chosen" for full scan time.
Time for a full scanIn the range of 1 sec. Actual time is depending on scan pattern chosenIn the range of 1 sec. Actual time is depending on scan pattern chosen
Beam activationFoot switchFoot switch

2. Sample Size Used for the Test Set and Data Provenance

No specific test set or clinical data is provided for the MedArt 610 within this 510(k) summary. The submission relies on a comparison to a legally marketed predicate device (Uni-Laser 450P) to demonstrate substantial equivalence. Therefore, there is no sample size for a test set or data provenance from a new study provided for the MedArt 610.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. The submission does not involve a test set requiring expert ground truth establishment for the MedArt 610. The equivalence is based on engineering specifications and comparison to the predicate device's cleared indications and performance characteristics.

4. Adjudication Method for the Test Set

Not applicable. There was no test set or clinical study requiring an adjudication method presented in this 510(k) summary.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a laser system for surgical and dermatological procedures, not an AI-assisted diagnostic or interpretative tool. Therefore, an MRMC study and
effect size related to AI assistance for human readers is not relevant.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. This device is a medical laser system operated by physicians, not a standalone algorithm.

7. The Type of Ground Truth Used

The "ground truth" for the MedArt 610's substantial equivalence determination is the previously cleared performance and indications for use of the predicate device, the Uni-Laser 450P. This is based on the regulatory clearance of a similar device with known safety and effectiveness.

8. The Sample Size for the Training Set

Not applicable. This submission does not involve training data for an algorithm.

9. How the Ground Truth for the Training Set Was Established

Not applicable. This submission does not involve a training set or ground truth establishment for an algorithm.

§ 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.