K Number
K083253
Device Name
LOTUS II PULSED ER: YAG LASER SYSTEM
Date Cleared
2009-05-15

(192 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lotus II Pulsed Er:YAG Laser System is a pulsed erbium doped yttrium-aluminum-garnet (Er:YAG) laser. It outputs laser light with a wavelength of 2940 nm, a wavelength very efficiently absorbed by the skin. It is intended for coagulation, vaporization, ablation and/or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery), and ophthalmology (skin around the eyes). This includes skin resurfacing and the treatment of wrinkles The Lotus II Er:YAG Laser System is intended for coagulation, vaporization, ablation or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery), oral surgery, and ophthalmology (skin around the eyes).
Device Description
The Lotus II laser system is an Erbium:YAG laser with a wavelength of 2.94 um. Laser activation is by footswitch. Three basic elements of operations are as follows: 1) A Er:YAG crystal is used as a gain medium which produces a laser beam. 2) A resonator then amplifies the beam. 3) A lamp that contains Xe gas is used, as a pumping light source. The lamp requires a high-pressure power source device for operation. When the electric energy generated from the high-pressure power source is induced into the electrode of the lamp, it converts into light energy. This converted light energy pumps the Er:YAG crystal – a gain medium – and the light exhausted from the crystal is amplified into a specific wavelength light. As it passes between the resonant gases, laser beam radiates to an output unit.
More Information

Not Found

No
The description focuses on the physical components and operation of a laser system, with no mention of AI or ML technologies.

Yes
The intended use clearly states it is for coagulation, vaporization, ablation, and/or cutting of soft tissue (skin) for various medical procedures, including the treatment of wrinkles, which are all therapeutic interventions for medical conditions.

No

The description of the Lotus II Pulsed Er:YAG Laser System explicitly states its intended use for "coagulation, vaporization, ablation and/or cutting of soft tissue (skin)" which are therapeutic procedures, not diagnostic ones.

No

The device description clearly outlines hardware components such as an Er:YAG crystal, resonator, lamp, and high-pressure power source, indicating it is a physical laser system, not software only.

No, the Lotus II Pulsed Er:YAG Laser System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Lotus II Function: The Lotus II laser system directly interacts with the patient's body (skin) for therapeutic purposes (coagulation, vaporization, ablation, cutting, resurfacing, wrinkle treatment). It does not analyze samples taken from the body.

The description clearly indicates it's a surgical/therapeutic laser system used for procedures on the skin.

N/A

Intended Use / Indications for Use

The Lotus II Pulsed Er:YAG Laser System is a pulsed erbium doped yttrium-aluminum-garnet (Er:YAG) laser. It outputs laser light with a wavelength of 2940 nm, a wavelength very efficiently absorbed by the skin. It is intended for coagulation, vaporization, ablation and/or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery), and ophthalmology (skin around the eyes). This includes skin resurfacing and the treatment of wrinkles
The Lotus II Er:YAG Laser System is intended for coagulation, vaporization, ablation or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery), oral surgery, and ophthalmology (skin around the eyes).

Product codes

GEX

Device Description

The Lotus II laser system is an Erbium:YAG laser with a wavelength of 2.94 um. Laser activation is by footswitch. Three basic elements of operations are as follows:

  1. A Er:YAG crystal is used as a gain medium which produces a laser beam.
  2. A resonator then amplifies the beam.
  3. A lamp that contains Xe gas is used, as a pumping light source. The lamp requires a high-pressure power source device for operation. When the electric energy generated from the high-pressure power source is induced into the electrode of the lamp, it converts into light energy. This converted light energy pumps the Er:YAG crystal – a gain medium – and the light exhausted from the crystal is amplified into a specific wavelength light. As it passes between the resonant gases, laser beam radiates to an output unit.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue (skin), skin around the eyes

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dermatology, plastic surgery (including aesthetic surgery), oral surgery, and ophthalmology

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)

None

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

Not Found

Predicate Device(s)

K014057, K042968

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

K083253

5.0 510(K) SUMMARY

MAY 15 2009

Applicant:LASEROPTEK.CO. LTD
Address:204 Hyundai I Valley
223-12 Sangdaiwon, Jungwon
Sungnam, Kyunggi 462-714
South Korea
Contact Person:Dr. Hong Chu (President)
Telephone / Fax / E-mail:Tel) 82.31.737.9885~8
Fax) 82.31.737.9889
E-mail) hchu@laseroptek.com
Submitter:DPS International
Address:22750 Hawthorne Blvd., Suite 211
Torrance, CA 90505
Contact Person:Phillip D. Cheon
Telephone / Fax / E-Mail:Tel) 310.378.7545
Fax) 310.378.8186
E-mail) phillip@dpsii.com
Preparation Date:September 16, 2008
Device Trade Name:Lotus II Pulsed Er:YAG Laser System
Common Name:Er:YAG Pulsed Surgical Laser
Classification Name:Instrument, Surgical, Powered laser, 79-GEX, 2
CFR 878-4810
Legally Marketed Predicate Devices:• DermaStar Er:YAG Laser System (K014057) by
Asclepion-Meditec AG
• MCL 30 Dermablate Er:YAG Laser System
(K042968) by Cynosure, Inc.
Description of the Lotus II Pulsed
Er:YAG Laser System:The Lotus II laser system is an Erbium:YAG laser
with a wavelength of 2.94 um. Laser activation is by
footswitch. Three basic elements of operations are as
follows:
  1. A Er:YAG crystal is used as a gain medium
    which produces a laser beam.
  2. A resonator then amplifies the beam.
  3. A lamp that contains Xe gas is used, as a
    pumping light source. The lamp requires a
    high-pressure power source device for
    operation. When the electric energy
    generated from the high-pressure power
    source is induced into the electrode of the
    lamp, it converts into light energy. This
    converted light energy pumps the Er:YAG
    crystal – a gain medium – and the light
    exhausted from the crystal is amplified into a
    specific wavelength light. As it passes
    between the resonant gases, laser beam
    radiates to an output unit. |
    | Intended Use of the Lotus II Pulsed
    Er:YAG Laser System: | The Lotus II Pulsed Er:YAG Laser System is a
    pulsed erbium doped yttrium-aluminum-garnet
    (Er:YAG) laser. It outputs laser light with a
    wavelength of 2940 nm, a wavelength very
    efficiently absorbed by the skin. It is intended for
    coagulation, vaporization, ablation and/or cutting of
    soft tissue (skin) in dermatology, plastic surgery
    (including aesthetic surgery), and ophthalmology
    (skin around the eyes). This includes skin
    resurfacing and the treatment of wrinkles |
    | Performance Data: | None |
    | Conclusion: | The spec and intended uses of the Lotus II Pulsed
    Er:YAG Laser System are the same or very similar to
    those of claimed predicate devices. Because of this,
    performance data were not required. The Lotus II
    Pulsed Er:YAG Laser System is substantially
    equivalent to legally marketed devices. |
    | | The Lotus II Pulsed Er:YAG Laser System is another
    safe and effective device for coagulation,
    vaporization, ablation or cutting of soft tissue (skin)
    in dermatology, plastic surgery (including aesthetic
    surgery, and ophthalmology (skin around the eyes). |

, : ·

::

:

1

2

:

:

... )

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The eagle is composed of several curved lines that create a sense of movement and energy. The logo is simple and recognizable, and it is often used on official documents and websites related to the U.S. Department of Health and Human Services.

Public Health Service

MAY 15 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Laseroptek Co., Ltd. % DPS International Mr. Phillip Cheon 22750 Hawthorne Boulevard, #211 Torrance, California 90505

Re: K083253

Trade/Device Name: Lotus II Pulsed Er: Y AG Laser System Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical insrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: March 12, 2009

Received: March 17, 2009

Dear Mr. Cheon:

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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

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

4

Page 2 - Mr. Phillip Cheon

(240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at (240) 276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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,

Madl M Milburn

Mark N. Melkerson Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K083253

Device Name:

Lotus II Pulsed Er:YAG Laser System

Indications For Use:

The Lotus II Er:YAG Laser System is intended for coagulation, vaporization, ablation or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery), oral surgery, and ophthalmology (skin around the eyes).

Prescription Use × (Part 21 CFR 801 Subpart D)

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

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

AND/OR

tence
rrence of CDRH, Office of Device Evaluation (ODE)
For mx ~

ision Sien-Division of Surpical, Orthopedie, and Restorative Devices

510(k) Number