K Number
K093963
Device Name
QUASAR BLUE LIGHT THERAPY SYSTEM
Manufacturer
Date Cleared
2010-08-27

(247 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The "Quasar Blue" Blue Light Therapy System is intended to provide photo therapeutic light to the body. The "Quasar Blue" Blue Light Therapy System is generally indicated to treat dermatological conditions. The "Quasar Blue" Blue Light Therapy System is specifically indicated to emit visible blue/violet light to treat mild to moderate inflammatory acne vulgaris.
Device Description
The "Quasar Blue" Blue Light Therapy System is identical to the company's previously cleared Quasar Blue Light Therapy System (K072767). Only the Operators Manual and the Patient Treatment Protocol have been modified to reflect the home use of the product. These documents have been amended to allow for an Over the Counter use. The Quasar Blue Light Therapy System has similar physical and technical characteristics to the predicate devices.
More Information

Not Found

No
The summary describes a light therapy system and explicitly states that no AI, DNN, or ML is mentioned.

Yes
The device is intended to provide phototherapeutic light to the body and specifically indicated to treat mild to moderate inflammatory acne vulgaris, which falls under the definition of a therapeutic purpose.

No

Explanation: The device is described as a "Blue Light Therapy System" intended to treat dermatological conditions, specifically acne vulgaris, by emitting phototherapeutic light. It is a therapeutic device rather than one that diagnoses conditions.

No

The device description explicitly states it is a "Blue Light Therapy System" and is identical to a previously cleared system (K072767). This strongly implies a hardware component that emits blue light for therapeutic purposes, not just software.

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

Here's why:

  • Intended Use: The intended use is to provide phototherapeutic light to the body to treat dermatological conditions, specifically mild to moderate inflammatory acne vulgaris. This is a therapeutic application, not a diagnostic one.
  • Device Description: The device is a light therapy system. IVD devices are typically used to examine specimens (like blood, urine, or tissue) outside of the body to diagnose diseases or conditions.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as analyzing biological samples, detecting biomarkers, or providing diagnostic information.

Therefore, the "Quasar Blue" Blue Light Therapy System is a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The "Quasar Blue" Blue Light Therapy System is intended to provide photo therapeutic light to the body. The "Quasar Blue" Blue Light Therapy System is generally indicated to treat dermatological conditions. The "Quasar Blue" Blue Light Therapy System is specifically indicated to emit visible blue/violet light to treat mild to moderate inflammatory acne vulgaris.

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

OLP

Device Description

The Quasar Blue Light Therapy System has similar physical and technical characteristics to the predicate devices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

home use (Over the Counter)

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)

All necessary testing has been performed for the Quasar Blue Light Therapy System to assure substantial equivalence to the predicate devices.

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.

K072767

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

1. 510(k) Summary of Safety and Effectiveness

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

APPLICANT:Silver Bay LLC
TRADE NAME:Quasar Blue Light Therapy systemAUG 27 2010
COMMON NAME:Light Therapy system
CLASSIFICATION NAME:Over-the-counter powered light based laser for acne
DEVICE CLASSIFICATION:Class II, under 21 CFR, 878.4810,
PRODUCT CODEProduct Code OLP
PREDICATE DEVICES:The "Quasar" Blue Light System for home use is identical
to the company's previously cleared Quasar Blue Light
Therapy System (K072767). Only the Operators Manual and
the Patient Treatment Protocol have been modified to
reflect the home use of the product. These documents
have been amended to allow for an Over the Counter

Substantially Equivalent To:

The Quasar Blue Light Therapy System is substantially equivalent in intended use, principal of operation and technological characteristics to the legally marketed Quasar Blue Light Therapy System (K072767).

Description of the Device Subject to Premarket Notification:

Indication for Use

Indication for Use:

The "Quasar Blue" Blue Light Therapy System is intended to provide photo therapeutic light to the body. The "Quasar Blue" Blue Light Therapy System is generally indicated to treat dermatological conditions. The "Quasar Blue" Blue Light Therapy System is specifically indicated to emit visible blue/violet light to treat mild to moderate inflammatory acne vulgaris.

Technical Characteristics:

The Quasar Blue Light Therapy System has similar physical and technical characteristics to the predicate devices.

Performance Data:

All necessary testing has been performed for the Quasar Blue Light Therapy System to assure substantial equivalence to the predicate devices.

Silver Bay LLC Quasar Blue Light Therapy system

Premarket Notification

1

Basis for Determination of Substantial Equivalence:

:

Upon reviewing the safety and effectiveness information provided in this submission and comparing intended use, principle of operation and overall technological characteristics, the Quasar Blue Light Therapy System is determined by Silver Bay to be substantially equivalent to existing legally marketed devices.

:

.

2

Silver Bay LLC Quasar Blue Light Therapy system

Premarket Notification

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a stylized eagle with three swooping lines representing its wings and body. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular fashion around the eagle.

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

Silver Bay LLC % Mr. Peter Nesbitt 1431 Tallevast Road Sarasota, Florida 34243

AUG 2 7 2010

Re: K093963

Trade/Device Name: Quasar Blue Light Therapy System 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: OLP Dated: August 18, 2010 Received: August 18, 2010

Dear Mr. Nesbitt:

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.

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

4

Page 2 - Mr. Peter Nesbitt

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 (OS) 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/CDRH0ffices/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". (21.CER 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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Mark A. Milliken

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

Enclosure

5

Indications for Use Statement

INDICATIONS FOR USE STATEMENT

AUG 2 7 2010

510(k) Number (if known): _________________

Device Name: "Quasar Blue" Light Therapy System

Indications for Use:

The "Quasar Blue" Blue Light Therapy System is intended to provide photo therapeutic light to the body. The "Quasar Blue" Blue Light Therapy System is generally indicated to treat dermatological conditions. The "Quasar Blue" Blue Light Therapy System is specifically indicated to emit visible blue/violet light to treat mild to moderate inflammatory acne vulgaris.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

OR

Prescription Use (Per 21 CFR 801.109) Over-The-Counter Use X (Optional Format 1-2-96)

Mark M. Mulhern

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

K093963

Silver Bay LLC Quasar Blue Light Therapy system

510(k) Number

Premarket Notification

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