K Number
K142186
Date Cleared
2015-04-17

(252 days)

Product Code
Regulation Number
878.4810
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Diode Laser Hair Removal System is intended for use in dermatologic and general surgical procedures. The Fast Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth. The Free Setting Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth The Diode Laser Hair Removal System is intended for use on all skin types (Fitzpatrick skin types I-V), including tanned skin. The permanent reduction in hair regrowth is defined as long-term, stable reduction in the number of hair regrowing when measured at 6, 9 and 12 months after the completion of a treatment regiment

Device Description

The diode laser hair removal system is a surgical device intended for use in dermatologic and general surgical procedure. It utilizes a semiconductor diode with invisible infrared radiation as a laser source (808 nm). The laser power is delivered to the treatment area via a laser handpiece. The emission laser is activated by a footswitch. The proposed diode laser removal system has two models. GP900A and GP900O. Both GP900A and GP900Q have the same functions modules, such as the power supply system, central control system, cooling system, laser delivery system and safety feature, and same working mode, such as Fast mode and Free setting mode. The GP900A is a standard case with wheels to allow easy movement on the floor. The GP900Q is a desktop case.

AI/ML Overview

This document is an FDA 510(k) premarket notification for a medical device, specifically a "Diode Laser Hair Removal System." This type of document is focused on demonstrating substantial equivalence to a previously approved device, not on proving new clinical efficacy through de novo studies with specific acceptance criteria as you might see for novel AI/ML devices. Therefore, much of the information you've requested regarding acceptance criteria, sample sizes for test/training sets, experts for ground truth, MRMC studies, and effect sizes of human readers with AI assistance, is not applicable to this type of submission.

The "acceptance criteria" here are essentially compliance with recognized safety and performance standards for similar laser devices and demonstrating that the proposed device is functionally equivalent to an existing predicate device.

Here's an attempt to answer your questions based on the provided document, indicating what is (and isn't) present:


1. A table of acceptance criteria and the reported device performance

The document does not present explicit acceptance criteria in terms of clinical performance metrics (e.g., sensitivity, specificity, accuracy, hair reduction percentage). Instead, "acceptance criteria" are implied by compliance with established safety and performance standards and direct comparison of technical specifications to a predicate device.

Acceptance Criteria (Implied by Compliance)Reported Device Performance (as compared to predicate)
Electrical Safety Standards Compliance: - IEC 60601-1: General requirements for safety - IEC 60601-1-2: Electromagnetic compatibility - IEC 60601-2-22: Basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipmentThe proposed device (GP900A/GP900Q) complies with these standards, demonstrating electrical safety equivalent to the predicate device.
Laser Safety Standards Compliance: - IEC 60825-1: Equipment classification and requirementsThe proposed device (GP900A/GP900Q) complies with this standard, demonstrating laser safety equivalent to the predicate device.
Biocompatibility Standards Compliance: - ISO 10993-5: In Vitro Cytotoxicity - ISO 10993-10: Irritation and skin sensitizationThe proposed device (GP900A/GP900Q) complies with these standards, demonstrating biocompatibility equivalent to the predicate device.
Technical Specifications Equivalence to Predicate: - Energy Source: Diode laser - Wavelength: 808 nm - Fluency (energy density): ≤ 10 J/cm2 (Fast Mode), ≤ 120 J/cm2 (Free Setting Mode) - Repetition Rate: ≤10 Hz (Fast Mode), ≤3 Hz (Free Setting Mode) - Pulse Duration: ≤ 20 ms (Fast Mode), 5-200 ms (Free Setting Mode)The proposed devices (GP900A/GP900Q) match the predicate device in these key technical specifications, indicating equivalent performance characteristics for hair removal. (Minor differences in spot size and max power were noted but deemed not to affect substantial equivalence).
Intended Use Equivalence: - Hair removal of unwanted hair - Permanent reduction in hair regrowth - Use on all skin types (Fitzpatrick I-VI), including tanned skinThe proposed devices have identical intended uses as the predicate device.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This document describes a premarket submission based on demonstrating substantial equivalence to a predicate device through non-clinical testing and comparison of technical specifications. It does not present clinical study data with a "test set" in the context of AI/ML or efficacy trials. The "test results" mentioned in Section 7 refer to compliance testing with various international standards (e.g., IEC, ISO) for electrical safety, laser safety, and biocompatibility, not clinical performance data on human subjects.

Therefore, questions about sample size for a test set and data provenance are not applicable to this document.


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)

As there is no "test set" in a clinical sense with ground truth established by experts for performance evaluation, this question is not applicable. The "truth" in this submission relies on compliance with engineering and safety standards executed by certified testing laboratories and the established safety and efficacy profile of the predicate device.


4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Since there is no clinical test set requiring expert adjudication for ground truth, this question is 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

An MRMC comparative effectiveness study is designed for evaluating AI-assisted diagnostic or clinical decision support systems. This document is for a physical laser device, not an AI/ML software device. Therefore, an MRMC study was not done, and questions about effect size of human readers with AI assistance are not applicable.


6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

This refers to the performance of an AI algorithm. Since this is a physical laser device, not an algorithm, a "standalone algorithm performance" study was not done. This question is not applicable.


7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

Given that this is a 510(k) for a physical laser hair removal device, the "ground truth" for its safety and performance is established through:

  • Compliance with international safety and performance standards: (e.g., IEC 60601-1, IEC 60825-1, ISO 10993). This is typically shown by testing conducted by accredited labs.
  • Demonstration of substantial equivalence to a legally marketed predicate device: This relies on the FDA having previously determined the predicate device to be safe and effective. The comparison table (Tables 3-1 and 3-2) in the document serves this purpose, showing that the proposed device's technical specifications and intended use closely match the predicate.

There is no "ground truth" derived from expert consensus, pathology, or outcomes data in this submission for clinical efficacy of the proposed device itself, as it is relying on the established record of the predicate and compliance with technical standards.


8. The sample size for the training set

This document describes a submission for a physical laser device, not an AI/ML system that requires a "training set." Therefore, this question is not applicable.


9. How the ground truth for the training set was established

As there is no training set, this question is not applicable.

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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 features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

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

April 17, 2015

Shenzhen Gsd Tech. Co., Ltd. % Diana Hong General Manager Mid-Link Consulting Co., Ltd P.O. Box 120-119 Shanghai, 200120 CN

Re: K142186 Trade/Device Name: Diode Laser Hair Removal 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: GEX Dated: July 29, 2014 Received: August 14, 2014

Dear Diana Hong,

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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

for Binita S. Ashar, M.D. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K142186

Device Name Diode Laser Hair Removal System

Product Model: GP900A/ GP900Q

Indications for Use (Describe)

The Diode Laser Hair Removal System is intended for use in dermatologic and general surgical procedures. The Fast Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth. The Free Setting Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth The Diode Laser Hair Removal System is intended for use on all skin types (Fitzpatrick skin types I-V), including tanned skin

The permanent reduction in hair regrowth is defined as long-term, stable reduction in the number of hair regrowing when measured at 6, 9 and 12 months after the completion of a treatment regiment

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

X Prescription Use (Part 21 CFR 801 Subpart D)

__ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Exhibit #3 510(k) Summary

This 510(k) Summary of 510(k) information is being submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92.

The assigned 510(k) Number:

    1. Date of Submission: July 29, 2014
    1. Sponsor Identification

Shenzhen GSD Tech Co., Ltd. 703, Building A, Futian TianAn Hi-tech, Venture Park, Shenzhen, Guang Dong, 51804, China

Establishment Registration Number: 3006580954

Contact Person: Wu Liu Position: Registration Engineer Tel: +86-755-82043118 Fax: +86-755-29069786 Email: 1184086173@qq.com

    1. Submission Correspondent
      Ms. Diana Hong& Mr. Tarzan Wang Mid-Link Consulting Co., Ltd P.O. Box 120-119 Shanghai, 200120, China Tel: +86-21-22815850 Fax: 240-238-7587 Email: info@mid-link.net

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4. Proposed Device Identification

Proposed Device Name: Diode Laser Hair Removal System Proposed Device Common Name: Laser Hair Removal instrument Product Model: GP900A/ GP900Q

Regulatory Information: Classification Name: Powered Laser Surgical Instrument; Classification: II; Product Code: GEX; Regulation Number: 21 CFR 878.4810; Review Panel: General& Plastic Surgery;

Intended Use Statement:

The Diode Laser Hair Removal System is intended for use in dermatologic and general surgical procedures.

The Fast Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth. The Free Setting Mode is intended for hair removal of unwanted hair, and permanent reduction in hair

regrowth.

The Diode Laser Hair Removal System is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.

The permanent reduction in hair regrowth is defined as long-term, stable reduction in the number of hair regrowing when measured at 6, 9 and 12 months after the completion of a treatment regime.

  • ડ. Predicate Device Identification
    510(k) Number: K123483 Product Name: Diode Laser Manufacturer: Beijing Syntech Laser Co., Ltd

  • Device Description 6.
    The diode laser hair removal system is a surgical device intended for use in dermatologic and general surgical procedure. It utilizes a semiconductor diode with invisible infrared radiation as a laser source (808 nm). The laser power is delivered to the treatment area via a laser handpiece. The emission laser is activated by a footswitch.

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The proposed diode laser removal system has two models. GP900A and GP900O. Both GP900A and GP900Q have the same functions modules, such as the power supply system, central control system, cooling system, laser delivery system and safety feature, and same working mode, such as Fast mode and Free setting mode.

The GP900A is a standard case with wheels to allow easy movement on the floor. The GP900Q is a desktop case.

    1. Non-Clinical Test Conclusion
      Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

IEC 60601-1-2005+CORR.1:2006+CORR.2:2007, Medical Electrical Equipment- Part 1: General requirements for safety.

IEC 60601-1-2:2007, Medical electrical equipment- Part 1-2: General requirements for basic safety and essential performance- Collateral standard: Electromagnetic compatibility- Requirements and tests.

IEC 60601-2-22:2007+A1:2012, Medical Electrical Equipment - Part 2: Particular requirements for the basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment. IEC 60825-1: 2007, Safety of laser products - Part 1: Equipment classification and requirements. ISO 10993-5:2009, Biological Evaluation of Medical Device, Part 5-Tests for Vitro Cytotoxicity. ISO 10993-10:2010, Biological Evaluation of Medical Device, Part 10-Test for irritation and skin sensitization.

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  • Substantially Equivalent (SE) Conclusion 8.
    The following table compares the DEVICE to the predicate device with respect to intended use, energy source and fluency, etc.
ItemProposed Device(s)Predicate Device
Product modelGP900AK123483
Product CodeGEXDLH-06
Regulation Number21 CFR 878.481021 CFR 878.4810
Intended UseThe Diode Laser Hair Removal System isintended for use in dermatologic and generalsurgical procedures.The Fast Mode is intended for hair removalof unwanted hair, and permanent reduction inhair regrowth.The Free Setting Mode is intended for hairremoval of unwanted hair, and permanentreduction in hair regrowth.The Diode Laser Hair Removal System isintended for use on all skin types (Fitzpatrickskin types I-VI), including tanned skin.The permanent reduction in hair regrowth isdefined as long-term, stable reduction in thenumber of hair regrowing when measured at6, 9 and 12 months after the completion of atreatment regime.The Diode Laser is intended for use indermatologic and general surgicalprocedures.The Standard Mode is intended for hairremoval, permanent hair reduction.The FHR Mode is intended for hairremoval, permanent hair reduction.The Diode Laser Hair Removal Systemis intended for use on all skin types(Fitzpatrick skin types I-VI), includingtanned skin.
ConfigurationLaser system and handpieceLaser system and handpiece
Energy SourceDiode laserDiode laser
Wavelength808 nm808 nm
Spot size1.44cm21.2cm2
Working ModeFast ModeFree Setting ModeFHR ModeStandard Mode
Power144W518.4W120W432W
Power density100W/ cm2360W/ cm2100W/ cm2360W/ cm2
Fluency(energy density)≤ 10 J/cm2≤ 120 J/cm2≤ 10 J/cm2≤ 120 J/cm2
Repetition Rate≤10 Hz≤3 Hz≤10 Hz≤3 Hz
Pulse Duration≤ 20 ms5-200 ms≤ 20 ms5-200 ms
Product AppearanceDesignStandard caseDesktop case
Electrical SafetyIEC 60601-1,IEC60601-1-2,IEC 60601-2-22 and IEC 60825-1IEC 60601-1,IEC60601-1-2,IEC 60601-2-22 and IEC 60825-1
BiocompatibilityISO 10993-5 and ISO 10993-10ISO 10993-5 and ISO 10993-10

Table 3-1 Comparison of Technology Characteristics between GP900A and Predicate Device

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ItemProposed Device(s)Predicate Device
Product modelGP900QK123483
Product CodeGEXDLH-06
Regulation Number21 CFR 878.481021 CFR 878.4810
Intended UseThe Diode Laser Hair Removal System is intended for use in dermatologic and general surgical procedures.The Fast Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth.The Free Setting Mode is intended for hair removal of unwanted hair, and permanent reduction in hair regrowth.The Diode Laser Hair Removal System is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.The permanent reduction in hair regrowth is defined as long-term, stable reduction in the number of hair regrowing when measured at 6, 9 and 12 months after the completion of a treatment regime.The Diode Laser is intended for use in dermatologic and general surgical procedures.The Standard Mode is intended for hair removal, permanent hair reduction.The FHR Mode is intended for hair removal, permanent hair reduction.The Diode Laser Hair Removal System is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.
ConfigurationLaser system and handpieceLaser system and handpiece
Energy SourceDiode laserDiode laser
Wavelength808 nm808 nm
Spot size1.44cm21.2cm2
Working ModeFast ModeFree Setting ModeFHR ModeStandard Mode
Power120W432W120W432W
Power density100W/ cm2360W/ cm2100W/ cm2360W/ cm2
Fluency(energy density)≤ 10 J/cm2≤ 120 J/cm2≤ 10 J/cm2≤ 120 J/cm2
Repetition Rate≤10 Hz≤3 Hz≤10 Hz≤3 Hz
Pulse Duration≤ 20 ms5-200 ms≤ 20 ms5-200 ms
Product Appearance DesignStandard caseDesktop case
Electrical SafetyIEC 60601-1,IEC60601-1-2,IEC 60601-2-22 and IEC 60825-1IEC 60601-1,IEC60601-1-2,IEC 60601-2-22 and IEC 60825-1
BiocompatibilityISO 10993-5 and ISO 10993-10ISO 10993-5 and ISO 10993-10
PerformanceIEC 60601-1, IEC 60601-2-22 and IEC 60825-1IEC 60601-1, IEC 60601-2-22 and IEC 60825-1

Table 3-2 Comparison of Technology Characteristics between GP900Q and Predicate Device

The proposed device, Diode Laser Hair Removal System, is determined to be Substantially Equivalent (SE) to the predicate device, Diode Laser, in respect of safety and effectiveness.

§ 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.