(421 days)
iPulseLight IPL System (HS 300C, HS 650) are identical with regard to indications for use including recommended filters to be used with Fitzpatrick skin type. Both models are intended for medical use in the treatment of the following dermatologic conditions:
· Permanent hair reduction- long-term stable reduction in number of hairs re-growing after a treatment regimen.
· Treatment of:
- Moderate inflammatory acne vulgaris .
- Benign pigmented epidermal lesions including dyschromia, hyperpigmentation, . melasma, ephelides (freckles).
- . Cutaneous lesions including scars
- Benign cutaneous vascular lesions including port wine stains, hemangiomas, facial, truncal and leg telangiectasias, erythema of rosacea, leg veins,
spider anglomas and venous malformations.
The integrated thermal cooling is indicated for use in cooling the treatment site prior to, during, and after light treatment in general aesthetic dermatologic and plastic surgery procedures.
- Reduce pain during light treatment (via partial anesthesia from cooling) ..
- Reduce discomfort during and/or associated with light treatment .
Minimize thermal injury, including thermal necrosis, to non-target skin and skin i s tructures during and/or associated with light treatment, thus reducing possible complications such as scabbing, scarring, hyper - and/or hypo pigmentation
Allow the use of higher light or laser fluencies for light treatments (such as for hair removal and the treatment of . vascular or pigmented lesions)
Reduce potential side effects of light treatments (such as for hair removal and the treatment of vascular or pigmented i lesions)
iPulseLight IPL System is a type of intensive, broadband, coherent light source which has a wavelength spectrum of 420 nm -1200 nm. With these special properties, the IPL has a wide application in non-ablative therapies based on theory of human skin tissue's selective absorption and photothermolysis of light sources. Meanwhile, IPL treatment is more effective, with no downtime and can make the patients get recovered more quickly than conventional therapies.
This document is a 510(k) Pre-Market Notification for the iPulseLight IPL System (HS 300C, HS 650). It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a performance study with acceptance criteria in the typical sense of a clinical trial for diagnostic AI.
Here's an analysis based on your request, explaining why certain sections are not applicable to this type of submission:
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria Category | Acceptance Criteria (Not explicitly stated as such, but inferred from comparison) | Reported Device Performance (from the iPulseLight IPL System) |
|---|---|---|
| Intended Use | Must be identical or similar to the predicate device for various dermatologic conditions and cooling functions. | Identical to the Accelawave System, covering: permanent hair reduction, moderate inflammatory acne vulgaris, benign pigmented epidermal lesions (dyschromia, hyperpigmentation, melasma, ephelides), cutaneous lesions (scars), benign cutaneous vascular lesions (port wine stains, hemangiomas, telangiectasias, rosacea, spider anglomas, venous malformations, leg veins). Also identical for integrated thermal cooling functions (pain/discomfort reduction, thermal injury minimization, allowing higher fluences, reducing side effects). |
| Technology | Intense Pulsed Light (IPL)/broad spectrum light/touch screen operation. | Intense Pulsed Light (IPL)/broad spectrum light/touch screen operation. |
| Wavelength Range | 420-1200 nm | 420-1200 nm |
| Energy Output/Setting Range | 10-50 J/cm² | 10-50 J/cm² |
| Pulse Duration | 5-50 ms | 5-50 ms |
| Output Mode | Pulse method | Pulse method |
| Pulse Width | 2-15 ms (from predicate) | 2-20 ms (slightly extended range compared to predicate's stated 2-15 ms) |
| Accessories | Foot switch, protection glasses, protection goggles. | Foot switch, protection glasses, protection goggles. |
| Deliver Materials | Sannhire | Sannhire |
| Max. Power Consumption | 1200W | 1200W |
| Applicator/Hand-piece Spot Size | 15x45mm (from predicate) | 12x35mm and 15x50mm (different sizes, but within typical variations for IPL systems) |
| Charge Time/Repeat Rate | 1.5-2.0 Sec. | 1.5-2.0 Sec. |
| Cooling Method | Cooling handpiece by TE cooler and circulating water & air. | Cooling handpiece by TE cooler and circulating water & air. |
| Device Classification | Class II; 21 CFR 878.4810, GEX | Class II; 21 CFR 878.4810, GEX |
Explanation of "Acceptance Criteria" in this context: For a 510(k) submission, "acceptance criteria" are generally not defined as quantitative performance targets from a clinical study for a novel device. Instead, the primary "acceptance criterion" is demonstrating substantial equivalence to a previously legally marketed predicate device. This means the new device must have the same intended use, and the same technological characteristics, or if there are differences in technological characteristics, those differences must not raise new questions of safety or effectiveness and be demonstrated to be as safe and effective as the predicate. The table above reflects this comparison.
2. Sample size used for the test set and the data provenance
This document does not describe a specific study with a test set of data. The submission is a 510(k) premarket notification for substantial equivalence, which primarily relies on comparing the new device's technical specifications and intended use to a predicate device. It does not present clinical performance data from a "test set" in the way an AI/diagnostic device would. Therefore, sample size and data provenance are not applicable here.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not applicable. There is no mention of a test set, ground truth, or experts establishing it in this document.
4. Adjudication method for the test set
Not applicable. There is no mention of a test set or adjudication.
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 is not an AI-assisted diagnostic device, nor does the document describe an MRMC study.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This is a medical device (IPL system), not an algorithm or AI system.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
Not applicable. The document does not describe a study involving ground truth determination.
8. The sample size for the training set
Not applicable. This is not an AI/machine learning device that requires a training set.
9. How the ground truth for the training set was established
Not applicable. As above, this is not an AI/machine learning device.
Summary of the Study (as described in the document):
The "study" or evaluation presented in this 510(k) submission is a comparison to a predicate device (Accelawave System K082484) to claim substantial equivalence. The document doesn't detail a traditional clinical trial or performance study with acceptance criteria in the sense of quantitative metrics for a novel technology. Instead, it systematically compares the iPulseLight IPL System (HS 300C, HS 650) to the Accelawave System across various specifications, including:
- Intended Use: The intended uses are listed as identical, covering a wide range of dermatologic conditions and thermal cooling benefits.
- Technological Characteristics: Parameters like wavelength range, energy output, pulse duration, output mode, pulse width, accessories, power consumption, applicator spot size, charge time, and cooling method are compared. Most are identical or very similar. The pulse width for the iPulseLight is 2-20 ms compared to the predicate's 2-15 ms, and the spot sizes are different, but these are implied to be within acceptable variation and not to raise new safety or efficacy questions.
- Performance (implied): The document states "The device complies with the European Medical Directive Standards: 93/42/EEC concerning medical devices," indicating adherence to European safety and performance standards relevant for medical devices. However, no specific clinical performance data from a study is presented.
The conclusion is that based on this comparison, the iPulseLight IPL System is substantially equivalent to the predicate device and does not raise new questions of safety or efficacy.
{0}------------------------------------------------
K043627 p. 1 of 3
510(K) SUMMARY
[as required by 807.92(c)]
JAN 1 8 2011 .
A.510k Number:
B. Applicant: C ompany name: PATS CORP Address: 49 Candlewood Way, Buena Park, CA 90621, USA Phone: 714-523-1592 FAX: 714-523-1592
C. Proprietary and Established Names: Shanghai APOLO Medical Technology Co., Ltd Address: 3/F, Building A. No. 388, Yindu Road, Xuhui District,Shanghai, China Tel: +86-21-3462 2842 Fax: +86-21-3462 2840
D. Regulatory Information
Common Name: Intense Pulsed Light (IPL) system.
Classification name: Laser surgical instrument for use in general and plastic surgery and
in dermatology (21 CFR Part 878.4810).
Device classification: Class II. Product code: GEX
E. Intended use
iPulseLight IPL System (HS 300C, HS 650) are identical with regard to indications for use including recommended filters to be used with Fitzpatrick skin type. Both models are intended for medical use in the treatment of the following dermatologic conditions:
· Permanent hair reduction- long-term stable reduction in number of hairs re-growing after a treatment regimen.
· Treatment of:
- Moderate inflammatory acne vulgaris .
- Benign pigmented epidermal lesions including dyschromia, hyperpigmentation, . melasma, ephelides (freckles).
- . Cutaneous lesions including scars
- Benign cutaneous vascular lesions including port wine stains, hemangiomas, facial, truncal and leg telangiectasias, erythema of rosacea, leg veins,
spider anglomas and venous malformations.
The integrated thermal cooling is indicated for use in cooling the treatment site prior to, during, and after light treatment in general aesthetic dermatologic and plastic surgery procedures.
- Reduce pain during light treatment (via partial anesthesia from cooling) ..
- Reduce discomfort during and/or associated with light treatment .
Minimize thermal injury, including thermal necrosis, to non-target skin and skin i s tructures during and/or associated with light treatment, thus reducing possible complications such as scabbing, scarring, hyper - and/or hypo pigmentation
Allow the use of higher light or laser fluencies for light treatments (such as for hair removal and the treatment of . vascular or pigmented lesions)
Reduce potential side effects of light treatments (such as for hair removal and the treatment of vascular or pigmented i lesions)
F. Description
iPulseLight IPL System is a type of intensive, broadband, coherent light source which has a wavelength spectrum of 420 nm -1200 nm. With these special properties, the IPL has a wide application in non-ablative therapies based on theory of human skin tissue's selective absorption and photothermolysis of light sources. Meanwhile, IPL treatment is more effective, with no downtime and can make the patients get recovered more quickly than conventional therapies.
{1}------------------------------------------------
K.093627
20 P.
G. Substantial Equivalence Information
Classification name: Laser surgical instrument for use in general and plastic surgery and in dermatology (per 21 CFR Part 878.4810).
Device classification: C lass II. Product code: GEX Predicate devices: Accelawave System (K082484)
Comparison of Ellipse I PL to predicate devices:
| iPulse Li ght IP L ( HS- 650 & H S-300C) | Accelawave S ystem | |||||
|---|---|---|---|---|---|---|
| 510(k) reference | Current submission | K082484 | ||||
| Technology/ | Intense Pulsed Light | Intense Pulsed Light | ||||
| Operation/ | (IPL)/broad spectrum | (IPL)/broad spectrum | ||||
| Device | light/touch screen | light/touch screen | ||||
| description | operation. | operation. | ||||
| Intended Use ( wa | iPulseLight IPL System (HS 300C, HS 650) are identical | Accelawave System is identical with regard to indications for | ||||
| velength/ E nergy | with regard to indications for use including recommended | use including recommended filters to be used | ||||
| see at tachment t ab | filters to be used with Fitzpatrick skin type. Both modelsare intended for medical use in the treatment of the | with Fitzpatrick skin type. Both models are intended formedical use in the treatment of the following dermatologic | ||||
| le) | following dermatologic conditions: | conditions: | ||||
| · Permanent hair reduction- long-term stable reduction in | · Permanent hair reduction- long-term stable reduction in | |||||
| number of hairs re-growing after a | number of hairs re-growing after a | |||||
| treatment regimen.Treatment of: | treatment regimen.· Treatment of: | |||||
| Moderate inflammatory acne vulgaris- | - Moderate inflammatory acne vulgaris | |||||
| Benign pigmented epidermal lesions including | - Benign pigmented epidermal lesions including dyschromia, | |||||
| dyschromia, hyperpigmentation,melasma, | hyperpigmentation, melasma, ephelides | |||||
| ephelides (freckles).Cutaneous lesions including scars | (freckles).- Cutaneous lesions including scars | |||||
| Benign cutaneous vascular lesions including port | - Benign cutaneous vascular lesions including port wine stains, | |||||
| wine stains, hemangiomas, facial, truncal and leg | hemangiomas, facial, truncal and leg | |||||
| telangiectasias, erythema of rosacea, leg veins. | telangiectasias, erythema of rosacea, leg veins and venous | |||||
| spider anglomas and venous malformations. | malformations. | |||||
| The integrated thermal cooling is indicated for use in | The integrated thermal cooling is indicated for use in coolingthe epidermis at the treatment site prior to, during, | |||||
| cooling the epidermis at the treatment site prior to, during, | and after light treatment in general aesthetic dermatologic and | |||||
| and after light treatment in general aesthetic dermatologic | plastic surgery procedures. | |||||
| and plastic surgery procedures.Reduce pain during light treatment (via partial- | - Reduce pain during light treatment (via partial anesthesiafrom cooling) | |||||
| anesthesia from cooling) | - Reduce discomfort during and/or associated with light | |||||
| Reduce discomfort during and/or associated with light | treatment | |||||
| treatment | - Minimize thermal injury, including thermal necrosis, to | |||||
| Minimize thermal injury, including thermal necrosis,(to non-target skin and skinstructures during | non-target skin and skin s tructures during and/orassociated with light treatment, thus reducing possible | |||||
| and/or associated with light treatment, thus reducing | complications such as scabbing, scarring, hyper - | |||||
| possible complications such as scabbing, scarring, hyper - | and/or hypo pigmentation | |||||
| and/or hypo pigmentation | - Allow the use of higher light or laser fluencies for light | |||||
| Allow the use of higher light or laser fluencies for light,treatments (such as for hair removal and the treatment of | treatments (such as for hair removal and the treatmentof vascular or pigmented lesions) | |||||
| vascular or pigmented lesions) | - Reduce potential side effects of light treatments (such as for | |||||
| Reduce potential side effects of light treatments (such | hair removal and the treatment of vascular or | |||||
| as for hair removal and the treatment of vascular or | pigmented lesions) | |||||
| pigmented lesions) | ||||||
| Wavelength Range | 420-1200 nm | 420-1200 nm | ||||
| Energy ouput/ | 10-50 J/cm 2 | 10-50 J/cm 2 | ||||
| Setting Range | ||||||
| Pulse duration | 5-50 ms | 5-50 ms | ||||
| Output Mode | Pulse method | Pulse method | ||||
| Pulse width | 2-20 ms | 2-15 ms | ||||
| Accessories | Foot switch | Foot switch | ||||
| Protection glasses | Protection glasses | |||||
| Protection goggles | Protection goggles | |||||
| Deliver Materials | sannhire | sannhire |
{2}------------------------------------------------
K093627 p. 385
| 1200W | 1200W | |
|---|---|---|
| Max.powerconsumption | ||
| Applicator/hand-piece spot size | 12x35mm and 15x 50mm | 15x45mm |
| Charge time/Repeat rate | 1.5-2.0 Sec. | 1.5-2.0 Sec. |
| Cooling method | Cooling handpiece by TE co oler an dCirculating water & Air | Cooling handpiece by TE co oler an dCirculating water & Air |
| Deviceclassification | II; 21 CFR 878.4810, GEX | II; 21 CFR 878.4810, GEX |
use for Treatment region and dose rate.
The UDI - Sustem(HS-650,HS-300C)
| Intended use for iPulse Light IPL System(HS-650,HS-300C) | SKIN TYPES | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| CONDITIONS | I | II | III | IV | V | VI | |||||
| Hair(course) | 610~1200 | 610~1200 | 610~1200 | 640~1200 | 690~1200 | N/A | |||||
| Hair(fine) | 420-1200 | 420-1200 | 420~1200 | 510~1200 | 560-1200 | N/A | |||||
| Acen Vulgaris | N/A | ||||||||||
| Pigmented EpidermalLesions | 510-1200 | 510~1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| a) Dyschromia | 510-1200 | 510-1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| b)Hyperpigmentation | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| c)Melasma | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| d) Ephelides | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| Cutaneous Lesions | |||||||||||
| Scars | |||||||||||
| Cutaneous VascularLesions | 510-1200 | 510-1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| a) Port Wine Stain (Child) | 510-1200 | 510-1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| b) Port Wine Stain (Adult) | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| c) Hemangiomas | 510-1200 | 510-1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| d) Telaugiectasias | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| e) Rosacea | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| f) Spider Anglomas | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| g) Venous Malformations | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| Leg Veins | 510-1200 | 510-1200 | 510-1200 | 560-1200 | 560-1200 | N/A | |||||
| a) Small | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A | |||||
| b) Medium | 560-1200 | 560-1200 | 560-1200 | 560-1200 | 560-1200 | N/A |
stem (HS-650, HS-300C)"
teristics of the iPulse Light II, LED's, that the pertinent characteristi
195-60. of Present in:
Concludios of the interiminal characteristics of the Press. Internent of this concerners of the President on the President of the President of the Primer of Pr Conclusion:
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A comprison of the Accelanes System, led onte oncludes Conclusion of the indival characeae.
A computer died devel be Acelana o System. Ind to the concuision .
the iPulse Light IPL system is substantially equivalent to device approved.
IPL System is substantially equivalent of safety or efficacy.
performance or raise new questions
IPL System to
- a chance or raise new
perform.
H. Performance Characteristics (If/when applicable)
H. Performance wolies with the European Medical Director I Performance Characteristics (It/when appean Medical Prestive
The device complies with the European Medical devices, and the county of the complies 4. Performance Characterisatis (1) - 1.
The device complies with the European Medical Directive
Standards: 93/42/EEC conceming medical devices, and will comply with
enting ar
. Performance Start - 1 - 1 - European Medical Direct - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1
:
{3}------------------------------------------------
Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle or bird symbol with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the bird symbol.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring. MD 20993-0002
JAN 1 8 2011
Shanghali Apolo Medical Technologies Co., Ltd. % Mr. Brandon Choi Authorized Agent, General Manager 49 Candlewood Way Buena Park, CA 90621
Re: K093627
Trade/Device Name: Ipulselight IPL System, Models HS 300C and HS 650 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: ONF Dated: January 06, 2011 Received: January 11, 2011
Dear Mr. Choi:
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 note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.
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.
and the country of the county of the
{4}------------------------------------------------
Page 2 - Mr. Brandon Choi
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 clectronic 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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
for
Mark N. Melkerson
Director Division of Surgical, Orthopedic And Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{5}------------------------------------------------
e. l.öfz
Indications for Use
510(k) Number (if known):
Device Name: iPulseLight IPL System (HS 300C, HS 650)
Indications For Use:
iPulseLight IPL System (HS 300C, HS 650) are identical with regard to indications for use including recommended filters to be used with Fitzpatrick skin type. Both models are intended for medical use in the treatment of the following dermatologic conditions:
· Permanent hair reduction- long-term stable reduction in number of hairs re-growing after a treatment regimen.
· Treatment of:
- Moderate inflammatory acne vulgaris ।
- Benian pigmented epidermal lesions including dyschromia, hyperpigmentation, melasma, ephelides (freckles).
- Cutaneous lesions including scars -
- Benign cutaneous vascular lesions including port wine stains, hemangiomas, facial, truncal and leg telangiectasias, erythema of rosacea, leg veins, spider anglomas and venous malformations.
The integrated thermal cooling is indicated for use in cooling the epidermis at the treatment site prior to, during, and after light treatment in general aesthetic dermatologic and plastic surgery procedures.
- Reduce pain during light treatment (via partial anesthesia from cooling) เ
- Reduce discomfort during and/or associated with light treatment ı
- Minimize thermal injury, including thermal necrosis, to non-target skin and skin structures during and/or associated with light treatment, thus reducing possible complications such as scabbing, scarring, hyper - and/or hypo pigmentation
- Allow the use of higher light or laser fluencies for light treatments (such as for hair i removal and the treatment of vascular or pigmented lesions)
- Reduce potential side effects of light treatments (such as for hair removal and the treatment of vascular or pigmented lesions)
{6}------------------------------------------------
p. 20 A 2
JAN 1 8 2011
| SKIN TYPES | |||||||
|---|---|---|---|---|---|---|---|
| CONDITIONS | 1 | 테 | हा | ાિ | V | VI | |
| Hair(course) | 610~1200 | 610~1200 | 610~1200 | 640~1200 | 690~1200 | N/A | |
| Hair(fine) | 610~1200 | 610~1200 | 610-1200 | 640~ 1200 | 690-1200 | NIA | |
| Acne Vulgaris | 420~1200 | 420-1200 | 420~1200 | 510~1200 | 560~1200 | NIA | |
| Pigmented Epidermal | |||||||
| Lesions | |||||||
| a)Dyschromia | ורדה | 510~1200 | 510-1200 | 510~1200 | 560~1200 | 560~1200 | N/A |
| Hyperpigmentation | 510-1200 | 510~1200 | 510~1200 | 560~1200 | 560~1200 | N/A | |
| c)Melasma | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | N/A | |
| d)Ephelides | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | NA | |
| Cutaneous Lesions | |||||||
| Scars | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | ||
| Cutaneous Vascular | |||||||
| Lesions | |||||||
| a) Port Wine Stain (Child) | AAR HTONETEVAN DUE SOMITTES | 510~1200 | 510~1200 | 510~1200 | 560~1200 | 560~1200 | ALC |
| b) Port Wine Stain (Adult) | 510~1200 | 510~1200 | 510~1200 | 560~1200 | 560~1200 | NA | |
| c) Hemangiomas | 560~1200 | 560~1200 | 560~1200 | 550~1200 | 560~1200 | N/A | |
| d) Telaugiectasias | 510~1200 | 510~1200 | 510~1200 | 560~1200 | 560~1200 | N/A | |
| e) Rosacea | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | N/A | |
| f) Spider Anglomas | 560~1200 | 560~1200 | 580-1200 | 560~1200 | 560~1200 | NA | |
| g) Venous Malformations | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | NA | |
| Leg Veins | |||||||
| a) Small | 510-1200 | 510~1200 | 510-1200 | 560~1200 | 560~1200 | N/A | |
| b) Medium | 560~1200 | 560~1200 | 560~1200 | 560~1200 | 560~1200 | NA | |
| c) Large | 560~1200 | 560~1200 | 560~1200 | 560~1200 | NA | N/A | |
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)
штановнымичный иштемии инининин иматичинии и иматимии и имаан имальным интеменным и
Concurrence of CDRH, Office of Device Evaluation (ODE)
Ohm
(Division Sign-Off) ( ( Crision Sign-Off)
Division of Surgical, Orthopedic.
and Restorative Devices and Resion of Surgical, Ort
and Restorative Devices
510(k) Number L093627
§ 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.