K Number
K141425
Device Name
ELITE + LASER SYSTEM
Manufacturer
Date Cleared
2014-09-11

(104 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
755 nm: The Cynosure Elite+ Laser is indicated for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowting when measured 6, 9, or 12 months after the completion of a treatment regime. It is used for all skin types (Fitzpatrick I-VI) including tanned skin. It is also indicated for the treatment of vascular lesions, benign pigmented lesions, and wrinkles. 1064 nm: The Cynosure Elite+ Laser is intended for the coagulation and hemostasis of benign vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte; and treatment of benign cutaneous lesions such as warts, scars, striae and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), cafe au lait macules, sebortheic keratoses, nevi, chloasma, verrucae, skin tags, keratosis and plaques. The laser is also indicated for the treatment of wrinkles such as, but not limited to, periocular and perioral wrinkles. Additionally, the laser is indicated for the treatment of pseudofolliculitis barbae (PFB) and for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowing when measured at 6, 9 and 12 months after the completion of a treatment regime.
Device Description
Cynosure Elite+ laser has an Alexandrite crystal rod as the lasing medium, with a wavelength of 755 nm. The 1064 nm wavelength is generated from the Nd:YAG laser head. Laser activation is by either by finger or foot switch. The overall weight of the laser is 180 lbs and the size is 41 x 15 x 25 in (HxWxD). Electrical equipment is 208/240 VAC, single phase, 30A, 50/60 Hz. The modifications to this device are four handpieces allowing for a larger treatment area; 18 mm, 20 mm, 22 mm and 24 mm. The 1064 Nd:YAG laser did not require any modifications to support the new handpieces. Minor modifications, including rod diameter change and lamp fill pressure change, were made to the Alexandrite laser to increase the energy to support the larger spot sizes. The software continues to control the energy based on the handpiece attached. This prevents the increase in available energy from the laser from increasing the fluence of the existing spot sizes.
More Information

Not Found

No
The summary describes a laser device with specific wavelengths and handpieces, focusing on hardware modifications and software control for energy output based on the attached handpiece. There is no mention of AI, ML, image processing, or data-driven decision-making processes.

Yes
The device is indicated for the treatment of various medical conditions, including vascular lesions, benign pigmented lesions, wrinkles, warts, scars, striae, psoriasis, and pseudofolliculitis barbae, which classifies it as a therapeutic device.

No
The document describes a laser device intended for therapeutic purposes such as hair reduction, treatment of vascular lesions, pigmented lesions, and wrinkles. It does not mention any diagnostic functions.

No

The device description clearly outlines a physical laser system with hardware components (Alexandrite crystal rod, Nd:YAG laser head, handpieces, electrical equipment) and mentions software controlling energy based on the attached handpiece, indicating it's a hardware device with integrated software, 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 various cosmetic and therapeutic treatments performed directly on the patient's body (hair reduction, treatment of vascular lesions, pigmented lesions, wrinkles, etc.).
  • Device Description: The device is a laser system designed to deliver energy to the patient's tissue.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or treatment.

IVD devices are specifically designed for testing biological samples outside of the body. This device operates on the body.

N/A

Intended Use / Indications for Use

755 nm:
The Cynosure Elite+ Laser is indicated for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowtjng when measured 6, 9, or 12 months after the completion of a treatment regime. It is used for all skin types (Fitzpatrick I-VI) including tanned skin. It is also indicated for the treatment of vascular lesions, benign pigmented lesions, and wrinkles.

1064 nm:
The Cynosure Elite+ Laser is intended for the coagulation and hemostasis of benign vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte; and treatment of benign cutaneous lesions such as warts, scars, striae and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), cafe au lait macules, sebortheic keratoses, nevi, chloasma, verrucae, skin tags, keratosis and plaques.
The laser is also indicated for the treatment of wrinkles such as, but not limited to, periocular and perioral wrinkles. Additionally, the laser is indicated for the treatment of pseudofolliculitis barbae (PFB) and for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowing when measured at 6, 9 and 12 months after the completion of a treatment regime.

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

GEX

Device Description

Cynosure Elite+ laser has an Alexandrite crystal rod as the lasing medium, with a wavelength of 755 nm. The 1064 nm wavelength is generated from the Nd:YAG laser head.
Laser activation is by either by finger or foot switch. The overall weight of the laser is 180 lbs and the size is 41 x 15 x 25 in (HxWxD).
Electrical equipment is 208/240 VAC, single phase, 30A, 50/60 Hz.
The modifications to this device are four handpieces allowing for a larger treatment area; 18 mm, 20 mm, 22 mm and 24 mm. The 1064 Nd:YAG laser did not require any modifications to support the new handpieces. Minor modifications, including rod diameter change and lamp fill pressure change, were made to the Alexandrite laser to increase the energy to support the larger spot sizes. The software continues to control the energy based on the handpiece attached. This prevents the increase in available energy from the laser from increasing the fluence of the existing spot sizes.

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

Not Found

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

Non-clinical tests submitted: Software testing confirmed that the software specifications were met.
Clinical tests submitted: None
Conclusions drawn from non-clinical data: Testing confirmed that the performance of the Elite+ Laser meets the product system requirements, which is based on the predicate device. Therefore, the modification resulted in a device that performs within the same specifications of the predicate device, and is therefore substantially equivalent.

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.

K034030

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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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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, overlapping each other to create a sense of depth and connection.

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

September 11, 2014

Cynosure Incorporated Ms. Kelli McMillan Regulatory Affairs Specialist 5 Carlisle Road Westford, Massachusetts 01886

Re: K141425 Trade/Device Name: Cynosure Elite+ Laser 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: August 11, 2014 Received: August 13, 2014

Dear Ms. McMillan:

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.

Sincerely yours,

David Krause -S

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

2

Indications for Use

510(k) Number (if known) K141425

Device Name Cynosure Elite+ Laser

Indications for Use (Describe)

755 nm:

The Cynosure Elite+ Laser is indicated for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowting when measured 6, 9, or 12 months after the completion of a treatment regime. It is used for all skin types (Fitzpatrick I-VI) including tanned skin. It is also indicated for the treatment of vascular lesions, benign pigmented lesions, and wrinkles.

1064 nm:

The Cynosure Elite+ Laser is intended for the coagulation and hemostasis of benign vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte; and treatment of benign cutaneous lesions such as warts, scars, striae and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), cafe au lait macules, sebortheic keratoses, nevi, chloasma, verrucae, skin tags, keratosis and plaques. The laser is also indicated for the treatment of wrinkles such as, but not limited to, periocular and perioral wrinkles. Additionally, the laser is indicated for the treatment of pseudofolliculitis barbae (PFB) and for stable long-term, or permanent hair reduction. Permanent hair reduction is defined as long-term stable reduction in the number of hairs regrowing when measured at 6, 9 and 12 months after the completion of a treatment regime.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
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3

510k Summary Elite+ Laser Special 510(k) K141425

807.92(a)(1) Submitter Information
ApplicantCynosure, Inc
Address5 Carlisle Road
Westford, MA 01886
Phone Number(781) 993-2454
Fax Number(978) 256-6556
Establishment Registration Number1222993
Contact PersonKelli McMillan
Preparation DateSeptember 10, 2014
807.92(a)(2) Name of Device
Trade or Proprietary NameElite+ Laser
Common or Usual NameMedical Laser System
ClassificationII
Regulation NameLaser Surgical Instrument for Use in General and Plastic Surgery
and in Dermatology
Classification PanelGeneral & Plastic Surgery
Regulation878.4810
Product Code(s)GEX
807.92 (a)(3) Legally marketed device(s) to which equivalence is claimed
Apogee Elite K034030
807.92(2)(4) Device Description
Cynosure Elite+ laser has an Alexandrite crystal rod as the lasing
medium, with a wavelength of 755 nm. The 1064 nm wavelength
is generated from the Nd:YAG laser head.
Laser activation is by either by finger or foot switch. The overall
weight of the laser is 180 lbs and the size is 41 x 15 x 25 in
(HxWxD).
Electrical equipment is 208/240 VAC, single phase, 30A, 50/60
Hz.
The modifications to this device are four handpieces allowing
for a larger treatment area; 18 mm, 20 mm, 22 mm and 24 mm.
The 1064 Nd:YAG laser did not require any modifications to
support the new handpieces. Minor modifications, including
rod diameter change and lamp fill pressure change, were made
to the Alexandrite laser to increase the energy to support the
larger spot sizes. The software continues to control the energy
based on the handpiece attached. This prevents the increase in
available energy from the laser from increasing the fluence of
the existing spot sizes.
807/92(a)(5) Intended Use of the Device
755 nm:
The Cynosure Elite+ Laser is indicated for stable long-term, or
permanent hair reduction. Permanent hair reduction is defined
as long-term stable reduction in the number of hairs regrowing
K141425
when measured 6, 9, or 12 months after the completion of a
treatment regime. It is used for all skin types (Fitzpatrick I-VI)
including tanned skin. It is also indicated for the treatment of
vascular lesions, benign pigmented lesions, and wrinkles.
1064 nm:
The Cynosure Elite+ Laser is intended for the coagulation and
hemostasis of benign vascular lesions such as, but not limited to,
port wine stains, hemangiomas, warts, telangectasia, rosacea,
venus lake, leg veins, spider veins and poikiloderma of civatte;
and treatment of benign cutaneous lesions such as warts, scars,
striae and psoriasis. The laser is also intended for the treatment
of benign pigmented lesions such as, but not limited to, lentigos
(age spots), solar lentigos (sun spots), cafe au lait macules,
seborrheic keratoses, nevi, chloasma, verrucae, skin tags,
keratosis and plaques.
The laser is also indicated for the treatment of wrinkles such as,
but not limited to, periocular and perioral wrinkles. Additionally,
the laser is indicated for the treatment of pseudofolliculitis
barbae (PFB) and for stable long-term, or permanent hair
reduction. Permanent hair reduction is defined as long-term
stable reduction in the number of hairs regrowing when
measured at 6, 9 and 12 months after the completion of a
treatment regime.

4

510k Summary Elite+ Laser Special 510(k)

5

510k Summary Elite+ Laser Special 510(k) K141425

807.92(a)(6) Summary of the Technological Characteristics of the Device compared to the Predicate
Elite+
K141425Apogee Elite
K034030
Laser TypeAlexandrite and Nd:YAG LasersAlexandrite and Nd:YAG Lasers
Wavelength755 nm1064 nm755 nm1064 nm
Maximum Fluence60 J/cm300 J/cm60 J/cm300 J/cm
Repetition Rate1 to 5 Hz1 to 10 Hz1 to 5 Hz1 to 10 Hz
Pulse Duration0.1-300 ms0.1-300 ms
Spot Sizes (mm)3, 5, 7, 10, 12, 15, 18, 20, 22, 243, 5, 7, 10, 12.5, 15
807.92(b)(1) Non-clinical tests submitted
TestResult
SoftwareThe testing confirmed that the software specifications were met.
807.92(b)(2) Clinical tests submitted
None
807.92(b)(3) Conclusions drawn from non-clinical data
Testing confirmed that the performance of the Elite+ Laser meets the product system requirements, which is based on the predicate device.
Therefore, the modification resulted in a device that performs within the same specifications of the predicate device, and is therefore

substantially equivalent.