K Number
K153618
Device Name
Capillus202
Manufacturer
Date Cleared
2016-01-19

(32 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Capillus202 is indicated to promote hair growth in females with androgenic alopecia who have Ludwig-Savin Classifications of I-II, and with Fitzpatrick Skin Phototypes I-IV.
Device Description
The Capillus202 consists of 202 red, visible light, diode lasers operating at 650 nanometers, configured within an outer helmet and protective inner liner, and configured for portable use with rechargeable battery and adapter. Just as for the previous version, the helmet system will automatically pause therapy if the subject's head is moved outside of the zone of radiation and will resume therapy when the correct head position is re-established. This is achieved by a safety interlock. At the beginning and of a therapy session, audible tones are delivered to the user, indicating that therapy has begun (2 beeps) or ended (one long beep). The system is powered by rechargeable Nickel Metal Hydride battery cells assembled into a proprietary battery pack. Both the battery pack and charger are fully compliant to recognized, international standards.
More Information

Not Found

No
The device description and performance studies focus on laser technology and safety interlocks, with no mention of AI or ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The intended use states that the device is "indicated to promote hair growth," which is a therapeutic purpose.

No.
The "Intended Use / Indications for Use" states that the device is "indicated to promote hair growth," which is a therapeutic function, not a diagnostic one.

No

The device description explicitly details hardware components such as diode lasers, a helmet, a battery, and an adapter. It also mentions a safety interlock and audible tones, indicating physical components and functions beyond software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Capillus202 Function: The Capillus202 is a device that uses light therapy applied externally to the head to promote hair growth. It does not involve the analysis of any biological specimens.

The provided information clearly describes a device for external therapeutic use, not for diagnostic testing of samples.

N/A

Intended Use / Indications for Use

The Capillus202 is indicated to promote hair growth in females with androgenic alopecia who have Ludwig-Savin Classifications of I-II, and with Fitzpatrick Skin Phototypes I-IV.

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

OAP

Device Description

The Capillus202 consists of 202 red, visible light, diode lasers operating at 650 nanometers, configured within an outer helmet and protective inner liner, and configured for portable use with rechargeable battery and adapter. Just as for the previous version, the helmet system will automatically pause therapy if the subject's head is moved outside of the zone of radiation and will resume therapy when the correct head position is re-established. This is achieved by a safety interlock. At the beginning and of a therapy session, audible tones are delivered to the user, indicating that therapy has begun (2 beeps) or ended (one long beep). The system is powered by rechargeable Nickel Metal Hydride battery cells assembled into a proprietary battery pack. Both the battery pack and charger are fully compliant to recognized, international standards.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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)

All verification and validation activities were performed by designated individuals. The results (available for review) demonstrate that the predetermined acceptance criteria were met. Performance testing was conducted to confirm compliance to design specifications; all functions have been verified to operate as designed. All acceptance criteria were met by the device. The Capillus202 conforms to the standard IEC-602025-2007-03; This IEC standard is a recognized and accepted standard by the FDA. This report validates for the Capillus202 the laser class of 3R which establishes the AEL (accessible emission limits) as 5 milliWatts maximum. The charger conforms to IEC 61959. The performance data available for review demonstrates that the Capillus202 has exactly the same laser wavelength, output power (per diode), output beam, energy type, laser field, and treatment area as the original Capillus272 Pro cleared under K143199. Total "dose" - delivered energy over time - (J/cm2) is logically reduced. Just as for Capillus272 Pro (K143199) and reference devices, there are no reported adverse events for this technology.

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.

K143199, K150613

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

§ 890.5500 Infrared lamp.

(a)
Identification. An infrared lamp is a device intended for medical purposes that emits energy at infrared frequencies (approximately 700 nanometers to 50,000 nanometers) to provide topical heating.(b)
Classification. Class II (special controls). The device, when it is an infrared therapeutic heating lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing right, with flowing lines suggesting hair or movement. The profiles are arranged in a way that they appear connected. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the image.

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

January 19, 2016

Capillus LLC Ms. Patricia Schnoor Manager, Quality & Regulatory Affairs 1715 Northwest 82nd Avenue Miami, Florida 33126

Re: K153618

Trade/Device Name: Capillus202 Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared lamp Regulatory Class: Class II Product Code: OAP Dated: December 16, 2015 Received: December 18, 2015

Dear Schnoor:

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 Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

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/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 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.

Jennifer R. Stevenson -S

For 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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Indications for Use

510(k) Number (if known) K153618

Device Name Capillus202

Indications for Use (Describe)

The Capillus202 is indicated to promote hair growth in females with androgenic alopecia who have Ludwig-Savin Classifications of I-II, and with Fitzpatrick Skin Phototypes I-IV.

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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Special 510(k) Summary

Capillus, LLC

Date Revised:

January 13, 2016

Submitter's Contact Information:

Name:Patricia Schnoor
Address:Capillus LLC
1715 NW 202nd Avenue
Miami, FL 33126
Estab't Reg#3010123655
Telephone:(786) 888-1874
Facsimile:(305) 418-7581

Name of Device and Name / Address of Sponsor:

Trade Name:Capillus202
Common or Usual Name:Lamp, non-heating, for promotion of hair growth
Classification Name:Infrared lamp per 21 CFR 890.5500
Classification Code:OAP (Laser, Comb, Hair)
Sponsor Contact Information:Patricia Schnoor
Capillus LLC
1715 NW 82nd Avenue
Miami, FL 33126
Telephone:(786) 888-1874

Predicate Devices:

Device Trade NameManufacturer510(k)
Capillus272 ProCapillus LLC143199
LaserCap LCProTransdermal Cap, Inc150613

Reference Devices:

Device Trade NameManufacturer
Hairmax LasercombLexington International

Intended Use / Indications for Use:

The Capillus202 is indicated to promote hair growth in females with androgenic alopecia who have Ludwig-Savin Classifications of I-II, and with Fitzpatrick Skin Phototypes I-IV.

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Technological Characteristics

The Capillus202 is exactly the same as the Capillus272 Pro in every way except the following:

The Capillus202 has fewer diodes - 202 compared to 272 for Capillus272 Pro 1.

The Capillus272 Pro consists of 272 red, visible light, diode lasers operating at 650 nanometers, configured within an outer helmet and protective inner liner, and configured for portable use with rechargeable battery and adapter. The Capillus202 consists of 202 red, visible light, diode lasers operating at 650 nanometers, configured within an outer helmet and protective inner liner, and configured for portable use with rechargeable battery and adapter.

Just as for the previous version, the helmet system will automatically pause therapy if the subject's head is moved outside of the zone of radiation and will resume therapy when the correct head position is re-established. This is achieved by a safety interlock. At the beginning and of a therapy session, audible tones are delivered to the user, indicating that therapy has begun (2 beeps) or ended (one long beep). The system is powered by rechargeable Nickel Metal Hydride battery cells assembled into a proprietary battery pack. Both the battery pack and charger are fully compliant to recognized, international standards.

Design Control Activities:

The Capillus design and development team followed ANSI/AAMI/ISO 14971:2007/(R)2010 Risk Management: Medical devices - Application of risk management to medical devices. Significant changes included assessing the effect a reduction of lasers would have on the end product, both for safety and for efficacy. All residual risks are found acceptable and the risk management file and summary are available for review. Based on the Capillus272 Pro, the verification and validation activities remain the same (e.g. output of each laser, operation of safety interface, and output of power pack), and were performed and assessed by designated personnel qualified to perform such activities. All methods, tests, and acceptance criteria are stipulated on the verification reports. All documents are available for review.

Safety ratings remained the same; there was no change to the individual lasers (≤ SmW); however, the "dose" (total delivered energy/cm2) is reduced number of lasers. This may affect efficacy; this observation is made based on the performance of other devices similar to Capillus that are currently cleared under device code OAP and utilize much fewer than 272 lasers (The closest equivalent in light sources is Transdermal with a total of 224 lasers).

Use instructions do not change. Indications for use and the dose schedule remain exactly the same as for Capillus272 Pro and as for other devices in the same category (product code OAP); which is for maximum 30 minutes, every other day.

The output of the laser diodes was verified to remain the same (each diode) as for the previous model. Design control activities were followed per 21 CFR 820.30:

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  • a) General: The Capillus LLC Quality Management System is compliant to the requirement of the quality system regulation and specifically to design controls as stipulated by 21 CFR 820.30.
  • b) Design and development planning: During project planning activities, the risks were identified and assessed with respect to the proposed design change. The proposed design change was minimal and affected only the number of diodes in the PCB array. The power pack remains exactly the same. Review of the risk assessment from previous model revealed no significant changes or risks are identified for the new model Capillus202. Vigilance activities for the Capillus272 Pro indicated that there were no significant problems identified (no adverse events reported).
  • c) Design input: Design requirements for the Capillus272 Pro are transferred to the Capillus202 and an input/output matrix completed as for the original project.
  • d) Design output: Design requirements for the Capillus272 Pro are transferred to the Capillus202 and an input/output matrix completed as for the original project. Design outputs are verified per performance tests.
  • e) Design review: Appropriate design reviews were conducted; in this case (due to minimal change), a technical evaluation, and a verification of inputs and outputs (physical values) were completed.
  • Design verification: All verification activities to assess the impact of the change (reduction of 0 number of laser diodes) were completed. Laser diode output remains the same, but total dosage is reduced. Since the cap is intended to be used indefinitely (if treatment is stopped, results are lost see instructions for use), this will likely affect only the time required to witness the same result as achieved with the Capillus272 Pro. The Capillus202 is offered as a lower-cost alternative.
  • g) Design validation: Feedback from hair restoration specialists and consumers indicate that a lower-cost alternative is desired. The slower efficacy is accepted, with the understanding that treatment is intended to be indefinite.
  • h) Design transfer: The Capillus family of products are manufactured on-site in the factory in Miami. Design transfer was minimal; training requirement to the new PCB was minimal, and all other components (including overall build) remained the same.
  • Design changes: The design of all models follows our established design control, change control, i) document control procedures.
  • Design history: The design history file for the Capillus202 is available for review. i)

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Performance Data:

All verification and validation activities were performed by designated individuals. The results (available for review) demonstrate that the predetermined acceptance criteria were met.

Performance testing was conducted to confirm compliance to design specifications; all functions have been verified to operate as designed. All acceptance criteria were met by the device.

The Capillus202 conforms to the standard IEC-602025-2007-03; This IEC standard is a recognized and accepted standard by the FDA. The guidance document for this accepted standard is found in the Federal register, July 26, 2001 (volume 66, Number 144) [page 39049 39050]. This report validates for the Capillus202 the laser class of 3R which establishes the AEL (accessible emission limits) as 5 milliWatts maximum. The charger conforms to IEC 61959.

The performance data available for review demonstrates that the Capillus202 has exactly the same laser wavelength, output power (per diode), output beam, energy type, laser field, and treatment area as the original Capillus272 Pro cleared under K143199. Total "dose" - delivered energy over time - (J/cm2) is logically reduced. Just as for Capillus272 Pro (K143199) and reference devices, there are no reported adverse events for this technology.

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Substantial Equivalence

The Capillus202 is the same technology used by Capillus272 Pro (K143199) and other reference devices; specifically. Transdermal Cap (K150613). The Capillus202 is as safe and (commensurate to number of diodes) effective as the Capillus272 Pro, as well as other reference devices in its class, such as the Hairmax Lasercomb.

Capillus272 ProCapillus202LaserCap LCPro
K143199CandidateK150613
LLLT Device TypeLLLT Device TypeLLLT Device Type
Prescription UsePrescription UsePrescription Application
Intended Use - Androgenic AlopeciaIntended Use - Androgenic AlopeciaIntended Use -Androgenic Alopecia
Contain Laser Diodes- Class 3RContain Laser Diodes- Class 3RContain Laser Diodes-Class3R
Helmet/Cap DesignHelmet/Cap DesignHelmet/Cap Design
650nm650nm650nm
Marketing clearance for FemalesMarketing clearance for FemalesMarketing clearance for both genders
Passive Use-Hands FreePassive Use-Hands FreePassive Use-Hands-Free
272 Laser Diodes202 Laser Diodes224 Laser Diodes
OAP ClassificationOAP ClassificationOAP Classification
Classification Name -Infrared LampClassification Name -Infrared LampClassification Name - Infrared Lamp
Common Usage Name - Lamp. Non-HeatingCommon Usage Name - Lamp, Non-HeatingCommon Usage Name - Lamp, Non- Heating
General & Plastic Surgery CommitteeGeneral & Plastic Surgery CommitteeGeneral & Plastic Surgery Committee
Fitzpatrick Skin Phototypes - I-IVFitzpatrick Skin Phototypes - I-IVFitzpatrick Skin Phototypes - I-IV
Ludwig-Savin 1-11 (females)Ludwig-Savin I-II (females)Ludwig-Savin I-II (females)
Efficacy Rates - High Compared to PlaceboEfficacy Rates - High Compared to PlaceboNA
Treatment- 17 weeks, every other day
(indefinite)Treatment- 17 weeks, every other day
(indefinite)Treatment - 16 weeks, every otherday
(indefinite)
Device Class IIDevice Class IIDevice Class II

Capillus LLC believes that with the exception of the configuration of the optical elements, the Capillus202 is the same device in form, function, safety, and efficacy as the predicate device(s). The Hairmax Lasercomb, offered as a reference, is proof of the functionality and acceptability of devices with fewer laser diodes cleared by the FDA in the category of OAP, both technically and clinically. Capillus LLC believes that the difference in the physical appearance, number of diodes, or in the method of delivering the radiant energy of the systems is of no consequence and does not affect the therapeutic value or the safety profile.

All compliant LLLT systems which use red light diode lasers are classified as class 3R laser systems by the IEC standard for allowable emission levels, which is a recognized standard by the FDA as well, and the adverse event profile is the same.

For these reasons, the Capillus202 satisfies the FDA's requirements (for device modification notification) with respect to intended use, and technological and design characteristics. Additionally, no new safety or efficacy concerns are

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raised due to the minor difference present between devices.

Signed:

Patricia Schnoor

01.13.2016

Quality, Safety & Compliance Manager