K Number
K103338
Device Name
COOLTOUCH
Date Cleared
2011-11-01

(351 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For CoolTouch VariaBreeze™ with CoolBreeze® Handpiece: Podiatry: Ablation, vaporization, incision, excision, and coagulation of soft tissue including matrixectomy, periungal and subungal warts, plantar warts, radical nail excision, and neuromas. For CoolTouch VariaBreeze™ with Toenail Handpiece: Indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).
Device Description
The CoolTouch VariaBreeze Laser System is an Nd: YAG laser using a flashlamp-pumped solid state laser rod to produce laser emission at 1064 nm. The laser consists of a cabinet that houses the following: Control panel with microcontroller and emergency stop button, standby button, ready button, and key switch; Connector port for fiber optic delivery system; Remote interlock connector; 630 to 680 nm diode aiming beam; Power supply; Cooling system; Connector port for footswitch and power cord. Delivery devices for the VariaBreeze include: CoolBreeze Handpiece for CoolBreeze Mode—Contains non-replaceable fiber optic within a flexible cable connected to the laser. A standoff at the tip allows for non-contact use, and a control dial is used to set the spot size from 2mm to 10mm. The handpiece also has cryogen for topical cooling. The handpiece is cleanable and reusable. Toenail Handpiece for Toenail Mode—The fiber optic cable attaches to the laser. The handpiece features a standoff at the tip to provide the correct placement for laser delivery to the treatment site and is reusable and cleanable.
More Information

Not Found

No
The device description focuses on the laser technology and its components, with no mention of AI or ML. The "Mentions AI, DNN, or ML" section is explicitly marked as "Not Found".

Yes
The device is intended for medical purposes such as ablation, vaporization, incision, excision, and coagulation of soft tissue, as well as for the temporary increase of clear nail in patients with onychomycosis, all of which are considered therapeutic interventions.

No

The device description and intended use outline procedures for ablation, vaporization, incision, excision, coagulation, and temporary increase of clear nail, all of which are treatment-oriented rather than diagnostic. There is no mention of analysis, measurement, or interpretation for the purpose of diagnosis.

No

The device description clearly outlines a hardware system including a laser, cabinet, control panel, power supply, cooling system, and handpieces. This is not a software-only device.

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

Here's why:

  • Intended Use: The intended uses described are for the ablation, vaporization, incision, excision, and coagulation of soft tissue and for the temporary increase of clear nail in patients with onychomycosis. These are all therapeutic procedures performed directly on the patient's body.
  • Device Description: The device is a laser system designed to deliver energy to tissue. It includes handpieces for direct application to the treatment site.
  • Lack of Diagnostic Elements: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples, etc.) to provide information for the diagnosis, monitoring, or treatment of a disease or condition.

IVD devices are specifically designed to be used in vitro (outside the body) to analyze biological samples for diagnostic purposes. This device is clearly designed for in vivo (within the body) therapeutic treatment.

N/A

Intended Use / Indications for Use

For CoolTouch VariaBreeze™ with CoolBreeze® Handpiece:
Podiatry: Ablation, vaporization, incision, excision, and coagulation of soft tissue including matrixectomy, periungal and subungal warts, plantar warts, radical nail excision, and neuromas.

For CoolTouch VariaBreeze™ with Toenail Handpiece:
Indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

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

PDZ, GEX

Device Description

The CoolTouch VariaBreeze Laser System is an Nd: YAG laser using a flashlamp-pumped solid state laser rod to produce laser emission at 1064 nm. The laser consists of a cabinet that houses the following:

  • Control panel with microcontroller and emergency stop button, standby button, ready button, and key switch
  • Connector port for fiber optic delivery system
  • Remote interlock connector
  • 630 to 680 nm diode aiming beam
  • Power supply
  • Cooling system
  • Connector port for footswitch and power cord

Delivery devices for the VariaBreeze include:

  • CoolBreeze Handpiece for CoolBreeze Mode—Contains non-replaceable fiber optic within a flexible cable connected to the laser. A standoff at the tip allows for non-contact use, and a control dial is used to set the spot size from 2mm to 10mm. The handpiece also has cryogen for topical cooling. The handpiece is cleanable and reusable.
  • Toenail Handpiece for Toenail Mode—The fiber optic cable attaches to the laser. The handpiece features a standoff at the tip to provide the correct placement for laser delivery to the treatment site and is reusable and cleanable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue, nail

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)

Nonclinical Perfomance Data: None
Clinical Performance Data: None

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.

K092964, K093457

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

K103338

pg 1 of 3

NOV - 1 2011

Premarket Notification 510(k) Summary (As Required by 21 CFR 807.93)

This 510(k) Summary of safety and effectiveness for the New Star Model CoolTouch VariaBreeze Nd:YAG Surgical Laser system is submitted in accordance with the requirements of the SMDA 1990 and following guidance concerning the organization and content of a 510(k) summary.

Submitter:New Star Lasers, Inc. d.b.a. CoolTouch Inc.
Address:9085 Foothills Boulevard
Roseville, CA 95747
Contact Person:Natalie Vollrath
Quality and Regulatory Manager
Telephone/Fax/Email:(916) 677-1912 - Phone
(916) 677-1901 - Fax
nvollrath@newstarlasers.com - Email
Date prepared:September 30, 2011
Device Trade Name:CoolTouch VariaBreeze™ Nd:YAG Surgical Laser
Common Name:Nd: YAG Surgical Laser
Classification Name:Instrument, surgical, powered, laser
79-GEX
21 CFR §878.4810
Legally Marketed Predicate Devices:CoolTouch Varia Nd: YAG laser system (K092964)PinPointe USA, Inc. PinPointe FootLaser Nd:YAG laser system (K093457)
Device Description:The CoolTouch VariaBreeze Laser System is an Nd: YAG laser using a flashlamp-pumped solid state laser rod to produce laser emission at 1064 nm. The laser consists of a cabinet that houses the following: Control panel with microcontroller and emergency stop button, standby button, ready button, and key switchConnector port for fiber optic delivery systemRemote interlock connector630 to 680 nm diode aiming beamPower supplyCooling systemConnector port for footswitch and power cord

1

K103338

pg 2 of 3

Delivery devices for the VariaBreeze include:

CoolBreeze Handpiece for CoolBreeze Mode—Contains non-replaceable fiber optic within a flexible cable connected to the laser. A standoff at the tip allows for non-contact use, and a control dial is used to set the spot size from 2mm to 10mm. The handpiece also has cryogen for topical cooling. The handpiece is cleanable and reusable.Toenail Handpiece for Toenail Mode—The fiber optic cable attaches to the laser. The handpiece features a standoff at the tip to provide the correct placement for laser delivery to the treatment site and is reusable and cleanable.
Intended Use:The CoolTouch VariaBreeze with CoolBreeze® Handpiece is intended for:
Podiatry: Ablation, vaporization, incision, excision, and coagulation of soft tissue including matrixectomy, periungal and subungal warts, plantar warts, radical nail excision, and neuromas.
The CoolTouch VariaBreeze with Toenail Handpiece is intended for:
For use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).
Comparison:The Cooltouch VariaBreeze has the same principle of operation, the same wavelength and essentially the same pulse energy rate as the predicate devices.
Nonclinical Perfomance DataNone
Clinical Performance Data:None

2

K1.03338 pg 3 of 3

Technological Characteristics:

| Characteristic | CoolTouch
Varia
Laser System
K092964 | CoolTouch
Varia Breeze
Laser System
K103338 |
|-----------------------|-----------------------------------------------------------------|------------------------------------------------------|
| Laser Medium | Nd:YAG | Nd:YAG |
| Wavelength | 1064 nm | 1064 nm |
| Aiming Beam | 532 nm | 532 nm |
| Output Power
(max) | 36W max | 30W |
| Energy per Pulse | Variable to 3.9 Joules | 20-200 mJ, 500-1000 mJ |
| Pulse Duration | 600 μsec | 100-700 μsec |
| Exposure | Single pulse or repeat for
continuous burst | Continuous |
| Repetition Rate | 6-200 Hz | 5-100 Hz |
| Spot Size | 2 - 10 mm | 2 - 10 mm |
| Dimensions | 31"H x 18"W x 21"D | 31"H x 18"W x 21"D |
| Weight | 160 lbs (73kg) console | 160 lbs (73 kg) console |
| Power
Requirements | 115VAC, 230VAC
50/60Hz | 115VAC, 230VAC
50/60Hz |
| Characteristic | Patholase
PinPointe
FootLaser
Laser Systems
K093547 | CoolTouch
Varia Breeze
Laser System
K103338 |
| Laser Medium | Nd:YAG | Nd:YAG |
| Wavelength | 1064 nm | 1064 nm |
| Aiming Beam | 630-680 nm | 532 nm |
| Output Power
(max) | 6W | 30W |
| Energy per Pulse | 20-
200
mJ | 20-200 mJ, 500-1000 mJ |
| Pulse Duration | 100-
700
µsec | 100-700 µscc |
| Exposure | Continuous | Continuous |
| Repetition Rate | 5-100 Hz | 5-100 Hz |
| Spot Size | 1 mm (published) | 1 mm |
| Dimensions | 14"H x 7"W x 16"D | 31"H x 18"W x 21"D |
| Weight | 36 lbs (16kg) console | 160 lbs (73 kg) console |
| Power
Requirements | 90-130VAC,
200-240 VAC
50/60 Hz | 115VAC, 230VAC
50/60Hz |

Conclusion:

The CoolTouch VariaBreeze Nd:YAG Laser System is substantially equivalent to the predicate devices for the indications requested.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus. The logo is black and white.

Public Health Service

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

May 13, 2013

New Star Lasers, Inc. % Ms. Natalie Vollrath Quality and Regulatory Manager 9085 Foothills Boulevard Roseville, California 95747

Re: K103338

Trade/Device Name: CoolTouch VariaBreeze Nd:YAG Laser 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: PDZ, GEX Dated: October 25, 2011 Received: October 25, 2011

Dear Mr. Vollrath:

This letter corrects our substantially equivalent letter of November 01, 2011.

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 - Ms. Natalie Vollrath

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 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 Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours, FOR

Peter D. Rumm -S

Mark N. Melkerson Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

K1033.8

pg l of l

Indications For Use Statement

510(k) Number:

Device Name:

CoolTouch VariaBreeze Nd:YAG Laser System

Indications for Use:

For CoolTouch VariaBreeze™ with CoolBreeze® Handpiece:

Podiatry: Ablation, vaporization, incision, excision, and coagulation of soft tissue including matrixectomy, periungal and subungal warts, plantar warts, radical nail excision, and neuromas.

For CoolTouch VariaBreeze™ with Toenail Handpiece:

Indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

Prescription Use X (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)

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

11