K Number
K131837
Device Name
CO2 FRACTIONAL LASER
Date Cleared
2014-01-22

(216 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CO2 Laser (10600nm) is indicated for use in dermatological procedures requiring ablation, resurfacing and coagulation of soft tissue.
Device Description
The CO2 Laser consists of semiconductor solid-state lasers, switching power supply, laser power, treatment handle, key switch, cooling system and accessories. The CO2 Laser produces a beam of coherent infrared light with 10600nm wavelength. The CO2 laser comprises five models: YILIYA-10600AH, YILIYA-10600AL, YILIYA-10600CH, Aeslight-10600EH, Aeslight-Ultra peel; their technical parameters and functions are the same, the only difference is their appearances and sizes.
More Information

Not Found

No
The summary describes a standard CO2 laser device and its components, with no mention of AI, ML, or related concepts like image processing or performance metrics typically associated with AI/ML algorithms.

Yes
The device is indicated for dermatological procedures requiring ablation, resurfacing, and coagulation of soft tissue, which are therapeutic applications.

No
The "Intended Use / Indications for Use" states that the device is "indicated for use in dermatological procedures requiring ablation, resurfacing and coagulation of soft tissue," which are therapeutic procedures, not diagnostic ones.

No

The device description explicitly lists multiple hardware components including semiconductor solid-state lasers, switching power supply, laser power, treatment handle, key switch, and cooling system.

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

Here's why:

  • Intended Use: The intended use is for "dermatological procedures requiring ablation, resurfacing and coagulation of soft tissue." This describes a therapeutic or surgical procedure performed directly on a patient's body, not a test performed on a sample taken from the body (which is the definition of an in vitro diagnostic).
  • Device Description: The device is a CO2 laser, which is a medical device used for surgical and therapeutic purposes. It does not involve the analysis of biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening based on sample analysis

Therefore, this CO2 Laser is a therapeutic medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CO2 Laser (10600nm) is indicated for use in dermatological procedures requiring ablation, resurfacing and coagulation of soft tissue.

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

GEX

Device Description

The CO2 Laser consists of semiconductor solid-state lasers, switching power supply, laser power, treatment handle, key switch, cooling system and accessories. The CO2 Laser produces a beam of coherent infrared light with 10600nm wavelength.
The CO2 laser comprises five models: YILIYA-10600AH, YILIYA-10600AL, YILIYA-10600CH, Aeslight-10600EH, Aeslight-Ultra peel; their technical parameters and functions are the same, the only difference is their appearances and sizes.

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)

The CO2 Laser and its application comply with standards as detailed in section 9, 11 and 17 of this premarket notification. Therefore, Beijing Honkon states that the non-clinical tests determined that the CO2 Laser to be as safe, as effective and performance is substantially equivalent to the predicate device(s).

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.

K080496

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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K13183

HONKON
北京宏强富瑞技术有限公司

510(k) Premarket Notification Submission

JAN 2 2 2014

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510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:18 June, 2013
Submitter:Beijing Honkon Technologies Co., Ltd.
Address: No.3 Building, No.11 Yard, Kangding Street, BDA,
100176, Beijing, P.R.China
Primary Contact Person:Mike Gu
Address: 7th floor, Jingui Business Building, 982 Congyun Road,
Baiyun District, 510420, Guangzhou, China
OSMUNDA Medical Device Consulting Co., Ltd.
Tel: (+86) 20 6232 1333
Fax:(+86) 208633 0253
Secondary Contact Person:Zhao Li
Management representative
Beijing Honkon Technologies Co., Ltd.
Tel: (+86) 10-56370050
Fax: (+86) 10-56370076-610
Trade Name:CO2 Laser (10600nm)
Common/Usual Name:CO2 Laser
Regulatory Number:878.4810
Regulation Name:Laser surgical instrument for use in general and plastic surgery
and in dermatology
Product Code:GEX
Predicate Device(s):K080496
Device Description:The CO2 Laser consists of semiconductor solid-state lasers,
switching power supply, laser power, treatment handle, key
switch, cooling system and accessories. The CO2 Laser produces
a beam of coherent infrared light with 10600nm wavelength.
The CO2 laser comprises five models: YILIYA-10600AH, YILIYA-
10600AL, YILIYA-10600CH, Aeslight-10600EH, Aeslight-Ultra
peel; their technical parameters and functions are the same, the
only difference is their appearances and sizes.
Intended Use:The CO2 Laser (10600nm) is indicated for use in dermatological
procedures requiring ablation, resurfacing and coagulation of
soft tissue.

Confidential and Privileged. This document contains contidential and privileged trade secrets and other information of Beijing Contridential and i Whileged. "This document contribution the provinced by Beijing Honkon Technologies Co., Ltd. All rights reserved

1

Image /page/1/Picture/1 description: The image shows a logo with the word "HONKON" in bold, black letters on the top line. Below the word, there is a line of Chinese characters that reads "北京宏强富瑞技术有限公司". The text is enclosed in a rectangular box.

510(k) Premarket Notification Submission

Technology: The CO2 laser therapy device emits a highly focused laser beam. Absorbed by water of the soft tissue, the CO2 laser incorporating the advanced technologies can immediate ablate discrete columns of tissue without charring. This device can be used in multiple specialties, such as Oral Surgery, Plastic Surgery, Dermatology.

| Determination
of Substantial
Equivalence: | Specification | Predicate Device
K080496 | Proposed
CO2 Laser |
|-------------------------------------------------|--------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|
| | Manufacturer | Lutronic Corporation | Honkon |
| | Intended Use | It is indicated for use in dermatological procedures requiring ablation (removal), resurfacing and coagulation of soft tissue. | The CO2 Laser is indicated for use in dermatological procedures requiring ablation (removal), resurfacing and coagulation of soft tissue. |
| | Energy output | 2-240mj | 2-200mj |
| | Laser transfer method | Articulated Arm with Handpiece | Articulated Arm with Handpiece |
| | CO₂ RF Module
Maximum Power | Maximum 30w at continuous wave | Maximum 30w at continuous wave |
| | Wavelength (nm) | 10600 | 10600 |
| | Pulse duration (ms) | 5-100 | 5-100 |
| | Frequency (Hz) | 10-200Hz | 10-200Hz |
| | Patient contacting materials | Aluminum | Aluminum |
| | Compatibility with environment and other devices | Comply with the IEC 60601-1-2 | Comply with the IEC 60601-1-2 |
| | Electrical Safety | Comply with the IEC 60601-1 | Comply with the IEC 60601-1 |
| | Radiation Safety | IEC 60825-1;
IEC 60601-2-22 | IEC 60825-1;
IEC 60601-2-22 |
| | Biocompatibility | ISO 10993-5;
ISO 10993-10 | ISO 10993-5;
ISO 10993-10 |

Confidential and Privileged. This document contidential and privileged trade secrets and other information of Heijing Honkon Technologies Co., Ltd. and as such may not be disclosed to others not employed by Beijing Honkon Technologies Co., Ltd. All rights reserved

19

2

510(k) Premarket Notification Submission
Other: Device
Specific Guidance
Requirements for
ComparisonGuidance on the Content and
Organization of a Premarket
Notification for a Medical
Laser;
21 CFR 1040.10Guidance on the Content and
Organization of a Premarket
Notification for a Medical
Laser;
21 CFR 1040.10
  • The CO2 Laser and its application comply with standards as detailed in section 9, 11 Conclusion: and 17 of this premarket notification. Therefore, Beijing Honkon states that the non-clinical tests determined that the CO2 Laser to be as safe, as effective and performance is substantially equivalent to the predicate device(s).
    Confidential and Privileged. This document confidential and privileged trade secrets and other information of Beijing Honkon Technologies Co., Ltd. and as such may not be disclosed to others not employed by Beijing Honkon Technologies Co., Ltd. All rights reserved

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DEPARTMENT OF HEALTH & HUMAN SERVICES

January 22, 2014

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

Osmunda Medical Device Consulting Co., Ltd. Mike Gu Regulatory Affairs Manager 7th floor. Jingui Business Building, 982 Congyun Road, Baiyun District, 510420, Guangzhou, China

Re: K131837

Trade/Device Name: CO2 Laser Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: January 15, 2014 Received: January 17, 2014

Dear Mr. Gu:

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 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

4

Page 2 - Mr. Mike Gu

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/Resourcesfor You/Industry/default.htm.

Sincerely yours.

Joshua CDNhipper-S

For

Dr. Binita Ashar Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

510(k) Premarket Notification Submission

510(k) Number: K131837

Device Name: CO2 Laser (10600nm)

.

Indications for Use:

The CO2 Laser (10600nm) is indicated for use in dermatology procedures requiring ablation,
resurfacing and coagulation of soft tissue.

Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)

Over-The-Counter Use_ . (Part 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)

Neil R Ogden -S 2014.01.21 13:10:40
-05'00' -05'00' -05'00' -05'00' -05'00' -05'00' -05'00' -05'00' -05'00' -0

(Division Sign-Off) for BSA Division of Surgical Devices K131837 S10(k) Number __