AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano de, Soprano de and Soprano (5) is intended for use in dermatologic and general surgical procedures.

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano ^', Soprano * and Soprano "CE] includes Diode Laser and NIR Modules

Diode Laser Modules:

The indications for use for the 810mm Modified Diode Laser Module 1.2 cm² include:

  • The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • The treatment of benign vascular and pigmented lesions.(The Laser Blanch (LB) Mode)
    . Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR. SHR and LB Modes)

Optional Tapered Light Guide: It is intended for the same use as the device.

The indications for use for the 810nm Modified Diode Laser Module 2 cm² include:

  • . The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR, and SHR Modes)

The indications for use for the 755nm Diode Laser Module include:

  • The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • The treatment of benign vascular and pigmented lesions.(The Laser Blanch Mode) 트
  • Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR, SHR and Laser Blanch Modes) .

NIR Modules

The Alma Lasers NIR Modules intended use is to emit energy in the near infrared (NIR) spectrum to provide topical heating. The indications for use for NIR Modules are :

  • Elevating the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, 트
  • The temporary relief of minor joint pain associated with arthritis,
  • 프 The temporary increase in local circulation where applied, and
  • 미 The relaxation of muscles; may also help muscle spasms, minor sprains and minor muscular back pain.
Device Description

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano XL, Soprano ™ and Soprano "CE] is a modification to previously cleared Soprano Family XL ™M Multi Application Platform [Soprano **] The relevant K number is K102716

Soprano 40, the new addition to the family has hand pieces with multiple wavelengths, spot sizes and supports both Diode Laser and Near Infrared (NIR) Technologies. The Soprano 40 comprises of the following major components:

  1. The main console unit
  2. Footswitch.
AI/ML Overview

The provided document is a 510(k) premarket notification for a medical device (The Modified Alma Lasers Soprano XL Family of Multi-Application and Multi-Technology Platforms). It primarily focuses on demonstrating substantial equivalence to predicate devices based on indications for use, technical characteristics, and adherence to safety standards.

Crucially, this document does not contain information about acceptance criteria for device performance as typically understood for studies evaluating diagnostic or therapeutic efficacy (e.g., sensitivity, specificity, accuracy). Nor does it describe a study that proves the device meets such performance criteria by comparing it against a ground truth in a clinical setting.

Instead, the "acceptance criteria" and "study" described in this document are related to:

  1. Substantial Equivalence: The primary "acceptance criterion" for a 510(k) submission is to demonstrate that the new device is as safe and effective as a legally marketed predicate device.
  2. Safety and Performance Standards: The "studies" are tests conducted to ensure the device meets specified electrical, electromagnetic, and laser safety standards (e.g., IEC 60601-1, IEC 60601-1-2, IEC 60601-2-22, IEC 60825-1) and software development and risk management standards (IEC 62304, ISO 14971).

Therefore, I cannot populate the table and additional information based on the typical understanding of "acceptance criteria" for a device's clinical performance. The document focuses on showing the device is substantially equivalent to existing devices and safe according to engineering and manufacturing standards.

However, I can extract the information relevant to these types of "acceptance criteria" and "studies" as presented:

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Type)Reported Device Performance (as demonstrated for Substantial Equivalence and Safety)
Substantial Equivalence to Predicate DevicesThe Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano XL, Soprano XLi and Soprano ICE] shares the same or similar design features, and functional features with, and thus is substantially equivalent to, the predicate devices: K112031, K102716, K083848, K080318, K090571, K101916, K083207. Details are provided in Tables 1-5 comparing technical characteristics and indications for use.
Electrical Safety and Essential PerformanceTested and found compliant with IEC 60601-1: 1988+A1:1991+A2:1995: Medical Electrical Equipment Part 1: General Requirements for basic safety and essential performance.
Electromagnetic Compatibility (EMC)Tested and found compliant with IEC 60601-1-2: 2001 + A1(4): Medical electrical equipment: Part 1-2: General requirements for safety- Collateral Standard: Electromagnetic compatibility - Requirements and tests.
Laser Safety (Diagnostic and Therapeutic Laser Equipment)Tested and found compliant with IEC 60601-2-22:1995: Medical Electrical Equipment - Part 2-22: Particular requirements for the safety of diagnostic and therapeutic laser equipment.
Laser Product Classification and RequirementsTested and found compliant with IEC 60825-1:2007 (2nd edition): Safety of Laser Products-Part 1: Equipment Classification and Requirements.
Software Life Cycle ProcessesSoftware documented, verified, and validated (test reports in submission) in accordance with IEC 62304:2006 - Medical Device Software: Software Life Cycle Processes.
Risk ManagementDocumented in accordance with ISO 14971:2012 – Application of Risk Management to Medical Devices.
Optional Tapered Light Guide Operation and SafetyVerified and validated (test reports in submission) in accordance with the design control and quality system principles of ISO 13485: 2012 - Medical Devices: Quality Management Systems and FDA federal regulation 21 CFR 820.

Regarding the specific questions about clinical study design for performance:

  • 2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not applicable. The document does not describe a clinical performance test set with human or biological data. The "tests" mentioned are engineering and software validation tests.
  • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience): Not applicable. Ground truth for clinical efficacy is not discussed.
  • 4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
  • 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 device is a laser platform, not an AI-assisted diagnostic or therapeutic tool for which MRMC studies would be relevant in this context.
  • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm-only device.
  • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable, as detailed clinical performance is not assessed in this document. The "ground truth" for the engineering/software tests would be the requirements of the standards themselves.
  • 8. The sample size for the training set: Not applicable. There is no machine learning or AI model being trained discussed.
  • 9. How the ground truth for the training set was established: Not applicable.

In summary, this regulatory document focuses on establishing the safety, essential performance, and substantial equivalence of a modified laser platform to existing devices, primarily through engineering tests and comparison of technical specifications, rather than clinical performance studies against a "ground truth" for efficacy.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing right, layered on top of each other, representing the department's focus on people and health.

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

August 29, 2014

Alma Lasers Ltd % Kathy Maynor Consultant 26 Rebecca Court Homosassa, Florida 34446

Re: K140009 Trade/Device Name: The Modified Alma Lasers XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano 31 Soprano 10 and Soprano 105] 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, ILY Dated: April 26, 2014 Received: June 3, 2014

Dear Ms. Maynor:

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

{1}------------------------------------------------

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 contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education 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.

for

Sincerely yours,

David Krause -S

  • Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
    Enclosure

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510(k) Number (if known):K140009
Device Name:The Modified Alma Lasers Soprano XLTM Family of Multi-Application and Multi-Technology Platforms [Soprano XL, Soprano XLi and Soprano ICE]

Intended Use

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano de, Soprano de and Soprano (5) is intended for use in dermatologic and general surgical procedures.

Indications for Use

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano ^', Soprano * and Soprano "CE] includes Diode Laser and NIR Modules

Diode Laser Modules:

The indications for use for the 810mm Modified Diode Laser Module 1.2 cm² include:

  • The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • The treatment of benign vascular and pigmented lesions.(The Laser Blanch (LB) Mode)

. Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR. SHR and LB Modes)

Optional Tapered Light Guide: It is intended for the same use as the device.

The indications for use for the 810nm Modified Diode Laser Module 2 cm² include:

  • . The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR, and SHR Modes)

The indications for use for the 755nm Diode Laser Module include:

  • The Hair Removal (HR) and Super Hair Removal(SHR) Mode is intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen.
  • The treatment of benign vascular and pigmented lesions.(The Laser Blanch Mode) 트
  • Use on all skin types (Fitzpatrick I-VI), including tanned skin.(HR, SHR and Laser Blanch Modes) .

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NIR Modules

The Alma Lasers NIR Modules intended use is to emit energy in the near infrared (NIR) spectrum to provide topical heating. The indications for use for NIR Modules are :

  • Elevating the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, 트
  • The temporary relief of minor joint pain associated with arthritis,
  • 프 The temporary increase in local circulation where applied, and
  • 미 The relaxation of muscles; may also help muscle spasms, minor sprains and minor muscular back pain.
Prescription UseAND/OROver-The-Counter Use
(Part 21 CFR 801 Subpart D)(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)

For BSA

Neil R Ogden -S

2014.08.28 14:45:04 -04'00'

Page1 of 1
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Section 8 – 510(k) Summary or 510(k) Statement

I. General Information

Submitter:Alma Lasers, Ltd,Halamish St. POB 302Industrial Park, 38900
Contact Person:Kathy MaynorConsultant352-586-3113 (cell)
Summary Preparation Date:Aug 28, 2014

II. Names

Device Names:The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano XL,Soprano XLi and Soprano ICE]
Primary Classification Names:Surgical Powered Light Instrument,Lamp, Infrared, Therapeutic Heating

III. Predicate Devices

K#Predicate Device
K112031Alma Lasers Modified Diode Laser Module with SHR TreatmentMode for use with the family of Soprano XL Multi-ApplicationPlatforms
K102716Modified Alma Lasers Family of Soprano Family XLTM MultiApplication Platform (SopranoXL, SopranoXLi).
K083848Alma Lasers Soprano XL Multi-Application Platform
K080318Alma Lasers NIR Module
K090571Alma Lasers Alex755 Module
K101916Sciton Clear Scan
K083207Quanta System Ultrawave III EX 1320

IV. Product Description

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano XL, Soprano ™ and Soprano "CE] is a modification to previously cleared Soprano Family XL ™M
Multi Application Platform [Soprano **] The relevant K number is K102716

Soprano 40, the new addition to the family has hand pieces with multiple wavelengths, spot sizes and supports both Diode Laser and Near Infrared (NIR) Technologies. The Soprano 40 comprises of the following major components:

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    1. The main console unit
    1. Footswitch.

V. Indications for Use

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology
Platforms [Soprano ** and Soprano *** and Soprano *** jis intended for use in dermatolog

The Indications for Use are provided in Section 7 of this submission.

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VI. Summary of Technical Characteristics

Table 1: Salient Characteristics of the modified diode 810nm module spot size 1.2 cm2 and the Predicate Devices

K14Alma Lasers Modified 810nm DiodeLaser Module to be used with clearedSoprano XL and XLi Platform andproposed SopranoICEK112031Alma Lasers Modified Diode Laser Module withSHR Treatment Mode used with the Soprano XLMulti-application PlatformsK102716Modified Alma Lasers Family ofSoprano Multi-Application Platforms[Soprano XLTM, Soprano XLiTM]K083848Alma Lasers SopranoXL Multi-ApplicationPlatformParameterK13Alma Lasers Modified 810nm Diode Laser Moduleto be used with cleared Soprano XL and XLiPlatform and proposed Soprano ICEK112031Alma Lasers Modified Diode Laser Module with SHR Treatment Modeused with the Soprano XL Multi-application PlatformsK102716Modified Alma Lasers Family of Soprano Multi-Application Platforms [Soprano XLTM, SopranoXLITM]K083848Alma Lasers Soprano XL Multi-Application Platform
ParameterProduct Code &Regulation No.GEX21 CFR 878.4810GEX21 CFR 878.4810GEX21 CFR 878.4810GEX21 CFR 878.4810Product Code &Regulation No.GEX21 CFR 878.4810GEX21 CFR 878.4810GEX21 CFR 878.4810GEX21 CFR 878.4810
Diode ModuleModes*SHR *HR *LBSHR HR LBHR LBHRDiode Module ModesSHRHRSHR HR LBHR LBHR
Laser Wavelength[nm]810(nominal)810(nominal)810(nominal)810(nominal)Laser Wavelength [nm]810(nominal)810(nominal)810(nominal)810(nominal)
Light/LaserSourceDiodeDiodeDiodeDiodeLight/Laser SourceDiodeDiodeDiodeDiode
SpotSize[mm*mm] or[cm2]12*10 or 1.2, optional 6mm roundtapered light guide tip12*10 or 1.212*10 or 1.212* 10 or 1.2Spot Size[mm*mm] or[cm2]20*10 or 212*10 or 1.212*10 or 1.212* 10 or 1.2
Fluence(Energy Density)[J/cm2]2-202-120 Up to 40$≤$ 10 $≤$ 120$≤$ 80 $≤$ 120Fluence(Energy Density)[J/cm2]Up to 20<=10 <=120 <=80<=120 <=80<=120
Rep Rate [Hz]5-100.5-3 2$≤$ 3$≤$ 3Rep Rate [Hz]5-10<=10 <3<3<3
Pulse Duration[ms]3.3-200$≤$ 205-2005-200Pulse Duration [ms]3.3-200<=20 5-2005-2005-200
Tissue CoolingContact continuous, thermo-electricalContact continuous, thermo-electricalContact continuous, thermo-electricalContact continuous,thermo-electricalTissue CoolingContact continuous, thermo-electricalContact continuous, thermo-electricalContact continuous, thermo-electricalContact continuous, thermo-electrical
How SuppliedNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanableHow SuppliedNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanable
ExposureIndicatorAudible & visual indicatorAudible & visual indicatorAudible & visual indicatorAudible & visualindicatorExposure IndicatorAudible & visual indicatorAudible & visual indicatorAudible & visual indicatorAudible & visual indicator
Compatible LaserSystemFamily of Soprano XL, XLi (cleared) &proposed SopranoICEFamily of Soprano XL and XLi MultiApplicationFamily of Soprano XL and XLi MultiApplication PlatformsSoprano XL SystemCompatible LaserSystemFamily of Soprano XL, XLi (cleared) & Soprano IceFamily of Soprano XL and XLi Multi ApplicationFamily of Soprano XL and XLi Multi ApplicationPlatformsSoprano XL System
Dimensions[inches]6.694.81.96.755.752.56.755.752.56.755.752.5Dimensions ["]6.694.81.96.755.752.56.755.752.56.755.752.5
User Interface12" LCD touch screen12" LCD touch screen8" LCD touch screen8" LCD touch screenUser Interface12" LCD touch screen12" LCD touch screen8" LCD touch screen8" LCD touch screen
Indications forUsePermanent reduction inhair regrowth *Treatment ofbenign vascular andpigmented lesionsHair Removal, Permanenthair reduction Treatment ofbenign vascular andpigmented lesionsHair Removal,Permanent hairreductionIndications for UsePermanent reduction in hairregrowth*Hair Removal, Permanent hair reductionHair Removal,Permanent hair reductionHair Removal, Permanenthair reduction
Indicated for use on all Skin Types (Fitzpatrick Skin Types I-VI), including tanned skin * SHR-Super Hair Removal, HR-Hair Removal, LB-Laser BlancheTreatment of benignvascular andpigmented lesionsTreatment of benignvascular andpigmented lesionsTreatment of benign vascularand pigmented lesions
** Permanent Reduction in hair regrowth is defined as the long -term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12months after the completion of a treatment regimen.Indicated for use on all Skin Types (Fitzpatrick Skin Types I-VI), including tanned skin
*Permanent Reduction in hair regwoth is defined as the long-term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after th
completion of a treatment regimen

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Table 2: Salient Characteristics of the modified diode 810nm module spot size 2 cm2 and the Predicate Devices

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Table 3-1: Salient Characteristics of 755nm diode module and the predicate devices

K13Alma Lasers 755nm Diode ModuleK090571Alma Lasers ALEX755 ModuleK083207Quantum Ultrawave III
ParameterGEXGEX
Product Code& Regulation No.GEX21 CFR 878.481021 CFR 878.481021 CFR 878.4810
Intended UseHR and SHRPermanentreduction inhair regrowth*LB Mode: Treatment of benignvascular and pigmented lesionsHR and SHR Mode :Hairremoval and permanenthair reductionTreatment of benign vascularand pigmented lesionsIntended for coagulation and hemostatis of vascular lesions and the removal andpermanent reduction of unwanted hair in Fitzpatrick skin types I-VI, includingsuntanned skin types. Also indicated for pigmentedLesions and wrinkles.
Indicated forall Skin Types (Fitzpatrick skin types I-VI), includingtanned skinall skin types (Fitzpatrick skin types I-VI), including tanned skin
Wavelength [nm]755755755
Light/LaserSourceDiodeLong Pulse AlexandriteLong Pulse Alexandrite
Beam DeliveryDirectDirectDirect
Pulse Width[msec]3.3-2003 - 1003-100
Pulse RepetitionRate [Hz]SHR:5-10HR:0.5-3LB22, 4upto 1.5
Spot Size cm21.55mm round( . 79cm2)10mm(3.14cm2)upto 16mm
Energy Density(Fluence) [J/cm2]2-202-120Up to 25328up to 123J/cm2

Permanent Reduction in hair regwoth is defined as the reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the

completion of a treatment regimen

・ .

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Table 3-2: Salient Characteristics of 755nm diode module and the predicate device

K13Alma Lasers 755nm Diode Mo duleK090571Alma Lasers ALEX755 ModuleK101916Sciton
Parameter
Product Code& Regulation No.GEX21 CFR 878.4810GEX21 CFR 878.4810GEX21 CFR 878.4810
Intended UseHR and SHR ModeLB Mode: Treatment of benign vascular and pigmented lesionsPermanent reduction in hair regrowth *HR and SHR Mode :Hair removal and permanent hair reductionTreatment of benign vascular and pigmented lesionsThe Clearscan ALX 755nm alexandrite laser system with its accessories is indicatedfor stable long term or permanent hair reduction for all skin types (Fitzpatrick I-VI)including tanned skin. It is also indicated for the treatment of vascular lesions, benignPigmented lesions and wrinkles
Indicated forall Skin Types (Fitzpatrick skin types I-VI), including tanned skinall skin types (Fitzpatrick skin types I-VI), including tanned skin
Wavelength [nm]755755755
Light/LaserSourceDiodeLong Pulse AlexandriteLong Pulse Alexandrite
Beam DeliveryDirectDirectDirect
Pulse Width[msec]3.3-2003 - 100Up to 200msec
Pulse RepetitionRate [Hz]SHR:5-10HR:0.5-3LB22, 4unk
Spot Size cm21.55mm round(.79cm2)10mm(3.14cm2)3mm, 6mm single spot, up to 30mm x 30mm scanned area
Energy Density(Fluence) [J/cm2]2-202-120Up to 25328Up to 140j/cm²

Permanent Reduction in hair regrowth is defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the

completion of a treatment regimen

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Table 4: Salient Characteristics of Alma Lasers NIR Large Module and the predicate devices

K13Alma Lasers NIR LargeModuleK080318Alma Lasers NIR ModuleK050370Palomar LuxIR Hand pieceK042165Cutera Titan Tabletop ProductK033768 - Altus MedicalOptional Infrared Handpiece*
Parameter
Product Code &ILYILYILYILY
Regulation No.21CFR 890.550021 CFR 890.550021 CFR 890.550021 CFR 890.5500
Wavelength [nm]1300800-1,800800-1,800 (Cleared)850-1350 (marketing material)850-3,000(filtered 1,100-1,800)
Lamp TypeQuartz TubeQuartz tubeQuartz tubeQuartz tube
Intended UseIntended to emit energy in the infraredspectrum to provide topical heating forthe purpose of elevating the tissuetemperatureIntended to emit energy in the infraredspectrum to provide topical heating for thepurpose of elevating the tissue temperatureIntended to emit energy in the infraredspectrum to provide topical heating forthe purpose of elevating the tissuetemperatureIntended to emit energy in theinfrared spectrum to providetopical heating for the purpose ofelevating the tissue temperature
Indications forUseFor the temporary relief of minor musclepain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation whereapplied, and the relaxation of muscles;may also help muscle spasms, minorsprains and strains, and minor muscularback pain.For the temporary relief of minor musclepain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation where applied,and the relaxation of muscles; may alsohelp muscle spasms, minor sprains andstrains, and minor muscular back pain.For the temporary relief of minor musclepain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation whereapplied, and the relaxation of muscles;may also help muscle spasms, minorsprains and strains, and minor muscularback pain.For the temporary relief of minormuscle pain and joint pain andstiffness, the temporary relief ofminor joint pain associated witharthritis, the temporary increase inlocal circulation where applied,and the relaxation of muscles; mayalso help muscle spasms, minorsprains and strains, and minormuscular back pain.
Power ControlTime controlTime controlTime controlExposure time
ModePulsedPulsedPulsedPulsed
Fluence [J/cm2]0.55-5.55.5Up to 1005 - 65
Pulse Width [sec]1-51 - 52.5 - 5Not available
Spot Size[mm*mm] or cm2]1860 x 3012 x 2810 x 15; 10 x 30
CoolingContact coolingThermo-electric (TEC)Contact coolingThermo-electric (TEC)Contact CoolingTemperature regulated contactcooling
Treatment ModeIn-motionIn-motionStationaryStationary
ExposureIndicatorAudible & visual indicatorAudible & visual indicatorNot availableAudible tone and LED indicator
How SuppliedNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanable
ModuleDimensions1908056mm (LWH)1908056mm (LWH)Not AvailableNot Available

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Table 5: Salient Characteristics of Alma Lasers NIR Small Module and the predicate devices

K13Alma Lasers NIR Small ModuleK080318Alma Lasers NIR ModuleK050370Palomar LuxIR Hand pieceK042165Cutera Titan Tabletop ProductK033768 - Altus Medical OptionalInfrared Handpiece*
Parameter
Product Code &Regulation No.ILY21 CFR 890.5500ILY21 CFR 890.5500ILY21 CFR 890.5500ILY21 CFR 890.5500
Wavelength [nm]1300800-1,800800-1,800 (Cleared)850-1350 (marketing material)850-3,000(filtered 1 100-1 800)
Lamp TypeQuartz tubeQuartz tubeQuartz tubeQuartz tube
Intended UseIntended to emit energy in the infraredspectrum to provide topical heating forthe purpose of elevating the tissuetemperatureIntended to emit energy in the infraredspectrum to provide topical heating for thepurpose of elevating the tissue temperatureIntended to emit energy in the infraredspectrum to provide topical heating forthe purpose of elevating the tissuetemperatureIntended to emit energy in theinfrared spectrum to provide topicalheating for the purpose of elevatingthe tissue temperature
Indications forUseFor the temporary relief of minor musclepain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation whereapplied, and the relaxation of muscles;may also help muscle spasms, minorsprains and strains, and minor muscularback pain.For the temporary relief of minor musclepain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation where appliedand the relaxation of muscles; may alsohelp muscle spasms, minor sprains andstrains, and minor muscular back pain.For the temporary relief of minormuscle pain and joint pain and stiffness, thetemporary relief of minor joint painassociated with arthritis, the temporaryincrease in local circulation whereapplied, and the relaxation of muscles;may also help muscle spasms, minorsprains and strains, and minor muscularback pain.For the temporary relief of minormuscle pain and joint pain andstiffness, the temporary relief ofminor joint pain associated witharthritis, the temporary increase inlocal circulation where applied, andthe relaxation of muscles; may alsohelp muscle spasms, minor sprainsand strains, and minor muscular backpain.
Power ControlTime controlTime controlTime controlExposure time
ModeFluence [J/cm²]Pulsed.55-5.5Pulsed5.5PulsedUp to 100Pulsed5 - 65
Pulse Width [sec]1-51 - 52.5 – 5Not available
Spot Size[mm*mm] or[cm²]6.460 x 3012 x 2810 x 15; 10 x 30
CoolingContact coolingThermo-electric (TEC)Contact coolingThermo-electric (TEC)Contact CoolingTemperature regulated contactcooling
Treatment ModeIn-motionIn-motionStationaryStationary
ExposureIndicatorAudible & visual indicatorAudible & visual indicatorNot availableAudible tone and LED indicator
How SuppliedNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanableNon-sterile, cleanable

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Safety and Effectiveness Information VII.

The review of the indications for use and technical characteristics provided demonstrates that the Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano ""] is substantially equivalent to the predicate devices. Additional safety testing was done as discussed in Section 18 of this submission.

The Soprano ICE was tested by a certified testing laboratory according to:

IEC 60601-1: 1988+A1:1991+A2:1995: Medical Electrical Equipment Part 1: General Requirements for basic safety and essential performance;

IEC 60601-1-2: Medical electrical equipment: Part 1-2: General requirements for safety- Collateral Standard: Electromagnetic compatibility - Requirements and tests (2001 + A1(4));

IEC 60601-2-22:1995 Medical electrical equipment - Part 2-22: Particular requirements for the safety of diagnostic and therapeutic laser equipment 1995; and

IEC 60825-1:2007 (2nd edition) Safety of Laser Products-Part 1: Equipment Classification and Requirements.

The software was documented, verified and validated (test reports in submission) in accordance with IEC 62304:2006 - Medical Device Software: Software Life Cycle Processes and ISO 14971:2012 – Medication of Risk Management to Medical Devices.

The optional tapered light guide was verified and validated (test reports in submission) for operation and safety in accordance with the design control and quality system principles of ISO 13485: 2012 - Medical Devices: Quality Management Systems and FDA federal regulation 21 CFR 820.

Conclusion VIII.

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano " and Soprano "E"] was found to be substantially equivalent to the predicate devices.

The Modified Alma Lasers Soprano XL™ Family of Multi-Application and Multi-Technology Platforms [Soprano *** and Soprano " " shares the same or similar design features, and functional features with, and thus is substantially equivalent to the predicate devices.

§ 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.