K Number
K100194
Device Name
OPTICAL INTEGRITY LASERGUARD FIBERS
Date Cleared
2010-05-20

(118 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Optical Integrity General Shaped Fibers with LaserGuard™ are intended to be used as an accessory to a medical laser. For specific applications, refer to the Instructions for Use documentation supplied with the laser system being used with the LaserGuard™ system.
Device Description
The product submitted herein is, in fact, the predicate device fitted with a LaserGuard™ device as an accessory. The basic device is a wave guide for laser light sources and will transmit light between 532 and 2100 nanometer wavelengths. The cladding of the fibers is either doped silica or a polymer. The outer buffer material is either Nylon or Tefzel. The LASERGUARD™ accessory included with the submitted product is an electronic device that will detect heat generated as a result of the fiber overheating anywhere along the light path and will disengage the foot switch of the laser thereby putting the laser in standby mode. The LASERGUARD™ will also indicate by an audible alarm and a light that the fiber has overheated. Both the predicate device and the submitted products are capable of delivering laser radiation from a laser instrument to the surgical site with minimal loss. Both deliver wavelengths from 532 to 2100 nanometers as, for example, is generated by Ho:YAG or Nd:YAG lasers. The laser energy is emitted through a flat, orbed or conical tip located at the distal end of the fiber. Both the predicate and submitted products are offered in a range of core sizes from 145 to 940 micrometer silica cores and are from 2.5 to 5.0 meters in length. The products are supplied in sterile and non-sterile as well as single-use and re-usable versions.
More Information

Not Found

No
The device description focuses on a heat detection mechanism and simple electronic logic (disengaging a foot switch, audible alarm, light) to respond to overheating. There is no mention of learning, adaptation, complex pattern recognition, or any terms associated with AI/ML.

No.
The device is an accessory to a medical laser, designed to deliver laser radiation to a surgical site and ensure safety by detecting overheating and shutting down the laser. It does not directly provide therapy.

No

The device is an accessory (fiber optic waveguide with a safety feature) for medical lasers, designed to deliver laser radiation. It does not diagnose medical conditions.

No

The device description explicitly states that the product includes an "electronic device" (the LASERGUARD™ accessory) which is a hardware component.

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

Here's why:

  • Intended Use: The intended use clearly states it's an "accessory to a medical laser" for delivering laser radiation to a surgical site. This is a therapeutic or surgical application, not a diagnostic one performed in vitro (outside the body).
  • Device Description: The description focuses on the physical properties of the fiber optic cable and the function of the LaserGuard™ accessory in detecting overheating and shutting down the laser. There is no mention of analyzing biological samples or providing diagnostic information.
  • Lack of IVD Indicators: The text does not contain any of the typical indicators of an IVD, such as:
    • Analysis of biological samples (blood, urine, tissue, etc.)
    • Detection of specific analytes or biomarkers
    • Providing diagnostic information about a patient's condition
    • Use in a laboratory setting for diagnostic testing

The device's function is to safely deliver laser energy for medical procedures, which falls under the category of a medical device used for treatment or surgery, not in vitro diagnosis.

N/A

Intended Use / Indications for Use

The Optical Integrity General Shaped Fibers with LaserGuard™ are intended to be used as an accessory to a medical laser. For specific applications, refer to the Instructions for Use documentation supplied with the laser system being used with the LaserGuard™ system.

Product codes

GEX

Device Description

The product submitted herein is, in fact, the predicate device fitted with a LaserGuard™ device as an accessory. The basic device is a wave guide for laser light sources and will transmit light between 532 and 2100 nanometer wavelengths. The cladding of the fibers is either doped silica or a polymer. The outer buffer material is either Nylon or Tefzel. The LASERGUARD™ accessory included with the submitted product is an electronic device that will detect heat generated as a result of the fiber overheating anywhere along the light path and will disengage the foot switch of the laser thereby putting the laser in standby mode. The LASERGUARD™ will also indicate by an audible alarm and a light that the fiber has overheated. Both the predicate device and the submitted products are capable of delivering laser radiation from a laser instrument to the surgical site with minimal loss. Both deliver wavelengths from 532 to 2100 nanometers as, for example, is generated by Ho:YAG or Nd:YAG lasers. The laser energy is emitted through a flat, orbed or conical tip located at the distal end of the fiber. Both the predicate and submitted products are offered in a range of core sizes from 145 to 940 micrometer silica cores and are from 2.5 to 5.0 meters in length. The products are supplied in sterile and non-sterile as well as single-use and re-usable versions.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Bench testing demonstrated that Optical Integrity's General Shaped Fiber with LASERGUARD™ performed the same as the predicate device, Optical Integrity's General Shaped Fiber (without the LASERGUARD™ accessory). I.E. there was no difference in the energy delivered by the undamaged fiber with or without the LASERGUARD™ accessory in place. Additionally, the test results establish that the LASERGUARD™ will shut down the laser, as intended, when a fiber break occurs and indicate such by an audible alarm and an indicator light. (Test report is in Section 18, Bench Tests)

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Bench testing demonstrated that Optical Integrity's General Shaped Fiber with LASERGUARD™ performed the same as the predicate device, Optical Integrity's General Shaped Fiber (without the LASERGUARD™ accessory). I.E. there was no difference in the energy delivered by the undamaged fiber with or without the LASERGUARD™ accessory in place. Additionally, the test results establish that the LASERGUARD™ will shut down the laser, as intended, when a fiber break occurs and indicate such by an audible alarm and an indicator light. (Test report is in Section 18, Bench Tests)

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

Not Found

Predicate Device(s)

K022338

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.

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Image /page/0/Picture/0 description: The image shows a handwritten alphanumeric string. The string starts with the letter 'K', followed by the numbers '100194'. The numbers are written in a cursive style, and the overall image has a slightly rough, handwritten appearance.

MAY 2 0 2010

510(k) Summary Prepared on 20 July 2009

| Submitted By: Optical Integrity, Inc.,
Location: 7500 McElvey Road, Panama City Beach, Florida, Zip 32408.

Contact: Ron Bowman at (850) 233-5312 ext. 209
Trade Name:
Common Name:
Classification name:Optical Integrity General Shaped Fiber with LaserGuard(tm)
surgical laser fiber
Laser surgical instrument for use in general and plastic surgery and in
dermatology
Product Code:
CFR reference:GEX
21 CFR 878.4810
Predicate device:Optical Integrity, Inc. General Shaped Fiber, 510(k) number K022338
and Dornier Midelas laser EPS mode.
Product Description:
Technological
Characteristics:The product submitted herein is, in fact, the predicate device fitted with
a LaserGuard™ device as an accessory. The basic device is a wave
guide for laser light sources and will transmit light between 532 and
2100 nanometer wavelengths. The cladding of the fibers is either doped
silica or a polymer. The outer buffer material is either Nylon or Tefzel.
The LASERGUARD™ accessory included with the submitted product is an
electronic device that will detect heat generated as a result of the fiber
overheating anywhere along the light path and will disengage the foot
switch of the laser thereby putting the laser in standby mode. The
LASERGUARD™ will also indicate by an audible alarm and a light that the
fiber has overheated.
Both the predicate device and the submitted products are capable of
delivering laser radiation from a laser instrument to the surgical site with
minimal loss. Both deliver wavelengths from 532 to 2100 nanometers
as, for example, is generated by Ho:YAG or Nd:YAG lasers. The laser
energy is emitted through a flat, orbed or conical tip located at the distal
end of the fiber. Both the predicate and submitted products are offered
in a range of core sizes from 145 to 940 micrometer silica cores and are
from 2.5 to 5.0 meters in length. The products are supplied in sterile
and non-sterile as well as single-use and re-usable versions.
Indications for Use:
for both the
submitted product
and the predicate
device.The Optical Integrity General Shaped Fibers with LaserGuard™ are intended to
be used as an accessory to a medical laser. For specific applications, refer to
the Instructions for Use documentation supplied with the laser system being
used with the LaserGuard™ system.
Comparison of
submitted product to
predicate device,
technological
characteristics:The submitted product, Optical Integrity General Shaped Fiber with
LASERGUARD™, is the predicate device fitted with an accessory capable
of detecting when the fiber material experiences a rapid rise in
temperature. This rapid rise in temperature occurs, for example, when
the fiber breaks as a result of a small bend radius. With the predicate
device, an operator must detect such a break by observing the changes
in energy delivery at the fiber tip and then respond to them by releasing
the foot or hand held switch in order to stop damage to the endoscope
or hand piece. With the LASERGUARD™ detector, the laser is
automatically put in standby, thereby limiting damage to endoscopes or
other fiber containing devices.
Additionally, if the fiber is used as a bare fiber for tissue ablation and the
tip of the fiber becomes contaminated and as a result the fiber heats up,
then the LASERGUARD™ will likewise, put the laser in standby and alert
the operator that a thermal runaway event has occurred. The surgeon
can then determine what course of action to take. That way, the
submitted device can assist the surgeon in delivering the appropriate
energy to ablate the desired tissue while minimizing collateral damage.
Summary of
Performance DataBench testing demonstrated that Optical Integrity's General Shaped
Fiber with LASERGUARD™ performed the same as the predicate device,
Optical Integrity's General Shaped Fiber (without the LASERGUARD™
accessory). I.E. there was no difference in the energy delivered by the
undamaged fiber with or without the LASERGUARD™ accessory in place.
Additionally, the test results establish that the LASERGUARD™ will shut
down the laser, as intended, when a fiber break occurs and indicate
such by an audible alarm and an indicator light. (Test report is in
Section 18, Bench Tests)

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Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized eagle with three lines representing its wings and tail. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

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

MAY 2 0 2010

Optical Integrity, Inc. % Mr. Ronald E. Bowman 7500 McElvey Road Panama City Beach, Florida 32408

Re: K100194

Trade/Device Name: Optical Integrity General ShapedFiber with LaserGuard™ 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: May 17, 2010 Received: May 18, 2010

Dear Mr. Bowman: .

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 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

3

Page 2 - Mr. Ronald E. Bowman

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 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/ReportalProblem/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 yours

Sincerely yours,

for

Mark N. Melkerson

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

Enclosure

4

PREMARKET NOTIFICATION INDICATIONS FOR USE STATEMENT

510(K) Number: K100194

Device Name: Optical Integrity General Shaped Fiber with LaserGuard™

Indications for Use:

The Optical Integrity General Shaped Fibers with LaserGuard™ are intended to be used as an accessory to a medical laser. For specific applications, refer to the Instructions for Use documentation supplied with the laser system being used with the LaserGuard™ system.

Concurrence of CDRH, Office of Evaluation (ODE)

Prescription Use _____________________________________________________________________________________________________________________________________________________________

_or Over-the-Counter Use _

Neil K. Oden for mxm

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K100194

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