K Number
K092197
Device Name
PHOTEX30 DIODE LASER SERIES: 980, 810, 940
Manufacturer
Date Cleared
2009-10-06

(77 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PhoTex30 Diode Laser Series is indicated for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in areas of surgery including: gastroenterology, general surgery, plastic surgery, genitourinary (urology), gynecology (GYN), neurosurgery, otolaryngology (ENT) head and neck. orthopedics, ophthalmology, pulmonology, and thoracic surgery.
Device Description
The PhoTex30 Diode Laser Series are diode lasers emitting radiation in either a continuous-wave (CVV), pulsed or external modulation modes in the initialians and series provides a means. wavelengths: 980nm, 810nm, and 940nm. The PhoTexy Diode Laser Series dollygry wavelengths. 960mm, and vaporization of tissue using a compatible fiber optic delivery for cutting, coagulation, and vaporization of tiber optic delivery accessory terminated with a numerical accessory. The laser is compatible with uny hist "bptro" and one of larger with a numerical aperture of at least .37.
More Information

Not Found

No
The summary describes a diode laser for surgical applications and does not mention any AI or ML capabilities. The performance studies focus on engineering equivalence to predicate devices and compliance with FDA standards, not on AI/ML performance metrics.

Yes.
The device is used for surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue, which aims to treat or alleviate a disease or condition.

No

The device is indicated for surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue, not for diagnosis.

No

The device is a diode laser system, which is a hardware device that emits radiation for surgical applications. The description clearly outlines physical components and their functions.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for surgical applications involving the ablation, vaporization, excision, incision, and coagulation of soft tissue. These are direct surgical interventions on the body.
  • Device Description: The description details a diode laser that emits radiation for cutting, coagulation, and vaporization of tissue using a fiber optic delivery system. This is a physical device used for surgical procedures.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens (like blood, urine, or tissue samples) outside of the body to provide information for diagnosis, monitoring, or screening. This device does not perform any such analysis of specimens.

The information provided consistently points to a surgical laser used for direct treatment of tissue within the body, which is not the function of an IVD.

N/A

Intended Use / Indications for Use

The PhoTex30 Diode Laser Series is indicated for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in areas of surgery including: gastroenterology, general surgery, plastic surgery, genitourinary (urology), gynecology (GYN), neurosurgery, otolaryngology (ENT) head and neck, orthopedics, ophthalmology, pulmonology, and thoracic surgery.

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

GEX

Device Description

The PhoTex30 Diode Laser Series are diode lasers emitting radiation in either a continuous-wave (CW), pulsed or external modulation modes at one of the following wavelengths: 980nm, 810nm, and 940nm. The PhoTex30 Diode Laser Series delivers wavelengths for cutting, coagulation, and vaporization of tissue using a compatible fiber optic delivery accessory terminated with a numerical aperture of at least .37.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Soft tissue

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)

Engineering studies have demonstrated the substantial equivalence of the PhoTex30 Diode Laser Series to the PhoTex15 Diode Laser Series (K060304) and SLT Thermalite Diode Laser Series (K952661). The Studies concluded that the lasers functioned as intended and in compliance with FDA standards 21CFR1040.10 and 21CFR1040.11.

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.

K060304, K952661

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.

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K092197

pg 1 of 2

CT - 6 2009

510(k) Summary

In accordance with the Safe Medical Devices Act of 1990 and in compliance with 21CFR 807, the In accordance with the Oale Medion Donoof of in the substantial equivalence determination is based.

Contact Information

| Submitter: | BioTex, Inc.
8058 El Rio St. .
Houston, TX 77054 |
|-----------------|--------------------------------------------------------|
| Phone: | 713.741.0111 |
| Contact Person: | Ashok Gowda |
| Date Prepared: | 6/18/2009 |

Device Names

Trade/Proprietary Name:PhoTex30 Diode Laser Series: 980, 810, 940
Common Name:Diode Laser Series
Classification Name:Powered surgical laser instrument
Product Code:GEX
Reg.Class:II
Reg. Number:878.4810

Predicate Device

PhoTex15 Diode Laser Series: 980, 810, 940 (K060304) SLT Thermalite Diode Laser Series: 980, 810, 940 (K952661)

Description of Device

The PhoTexാ Diode Laser Series are diode lasers emitting radiation in either a continuous-wave The ProTexsi Diode Laser Senes are dious facile that manye at one of the following (CVV), pulsed or external modulation modes in the initalians and series provides a means.
wavelengths: 980nm, 810nm, and 940nm. The PhoTexy Diode Laser Series dollygry wavelengths. 960mm, and vaporization of tissue using a compatible fiber optic delivery for cutting, coagulation, and vaporization of tiber optic delivery accessory terminated with a numerical accessory. The laser is compatible with uny hist "bptro" and one of larger with a numerical aperture of at least .37.

Indications for Use

The PhoTex30 Diode Laser Series is indicated for use in surgications requiring The PhoTex.50 Diode Easer Ochoo is inalisation of soft tissue in areas of
the ablation, vaporization, excision, incision, and coagulation of soft tissue in areas of the ablation, vaponzution, oxolon, meneral surgery, plastic surgery, genitourinary
surgery including: gastroenterology, general surgery, plastic surgery, genitourings surgery including. gastroomorology, genery, otolaryngology (ENT) head and neck, (urchogy), g) . synoothalmology, pulmonology, and thoracic surgery.

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K092197

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Comparison to Predicate Device

Comparison to Predicate Device
The PhoTexy Diode Laser Series has been shown to be substantially equivalent to the predicate The PhoTex.g Diode Laser Series nas been shown to be subscaninder stars. Based on the devices, the PhoTex., Diode Laser Series and SET Theimalic Liber States that no
technological features, device performance, and indications for use, BioTex, Inc. belices that technological features, device performance, and the productions of the producate devices.
significant differences exist between the PhoTexa Diode Laser Series and the significant differences exist between the Prior example the spectively and the listed by the Differences were determined to be minor and are each within the operall safety and effectiveness of the device.

Non-clinical Performance Tests:

Engineering studies have demonstrated the substantial equivalence of the PhoTexa Diode Laser Series Engineering studies have demonstrated (ne subscribe bir The mail of The mail on the mainten of the maint Series to the PhoText Diode Laser Seles (Kooooors and in compliano with FDA standards
(K952661). The Studies concluded that the lasers are in compliance with FDA standards (K952661). The studies concluded that the lasers finctioned as intonded and 21CFR1040.10 and 21CFR1040.11. In an Tirances, the facebook and and and and and and and one with the labeled
performed in a manner similar to the predicate device when used i directions for use and specified indications.

Conclusion

BioTex has demonstrated the PhoTexto Diode Laser Series is substantially equivalent to the BloTex fras demonstrated the The PhoToxy Disable and indications for use.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized graphic of an eagle or bird-like figure with three wing-like extensions.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

BioTex, Inc. % Ashok Gowda, Ph.D. President 8058 El Rio Street Houston, Texas 77054

OCT - 6 2009

Re: K092197

Trade/Device Name: PhoTex30 Diode Laser Series, Model 980nm, 810nm, 940nm 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: July 16, 2009 Received: July 21, 2009

Dear Dr. Gowda:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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Page 2 - Ashok Gowda, Ph.D.

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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 go to http://www.fda.gov/cdrl/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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. Melkerson

Director

Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K092197

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Indications for Use

510(k) Number (if known):

Device Name:

PhoTex30 Diode Laser Series, Model 980nm, 810nm, 940nm

Indications for Use:

The PhoTex30 Diode Laser Series is indicated for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in areas of surgery including: gastroenterology, general surgery, plastic surgery, genitourinary (urology), gynecology (GYN), neurosurgery, otolaryngology (ENT) head and neck. orthopedics, ophthalmology, pulmonology, and thoracic surgery.

Prescription Use × (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

NulRP dh for mxm

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

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510(k) Number K092197