(32 days)
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.
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.
The Capillus202 device 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.
The study presented is a Special 510(k) Summary, which focuses on demonstrating substantial equivalence to a previously cleared device (Capillus272 Pro, K143199) rather than a full de novo clinical trial. The Capillus202 is essentially a modified version of the Capillus272 Pro with fewer laser diodes. Therefore, the "study" demonstrating performance relies heavily on the established performance of the predicate device and the assessment that the change (fewer diodes) does not negatively impact safety and efficacy.
Here's the breakdown of the requested information based on the provided document:
1. Table of Acceptance Criteria and Reported Device Performance
Since this is a Special 510(k) for a device modification, the "acceptance criteria" are primarily related to maintaining the safety and equivalence characteristics of the predicate device. The performance is assessed comparatively.
| Acceptance Criterion (Implicit) | Reported Device Performance (Capillus202) |
|---|---|
| Safety: | |
| Conformity to established laser safety standards. | Conforms to IEC-602025-2007-03, establishing a laser class of 3R, with AEL (accessible emission limits) of 5 milliWatts maximum. |
| Charger conformity to relevant electrical safety standards. | Charger conforms to IEC 61959. |
| No new significant risks identified due to design changes (reduction in diodes). | Risk assessment from previous model (Capillus272 Pro) revealed no significant changes or risks for the Capillus202. |
| Operation of safety interlock. | Safety interlock mechanism is the same as Capillus272 Pro (pauses therapy if head is moved outside of zone of radiation). |
Individual laser diode output (SmW). | Individual laser output per diode remains the same (SmW). |
| No adverse events reported for this technology. | "Just as for Capillus272 Pro (K143199) and reference devices, there are no reported adverse events for this technology." |
| Functional/Technical Equivalence: | |
| Same laser wavelength as predicate. | 650nm (same as Capillus272 Pro). |
| Same output power per diode as predicate. | Output power (per diode) remains the same. |
| Same output beam, energy type, laser field, and treatment area as predicate (except total dose). | Exactly the same laser wavelength, output power (per diode), output beam, energy type, laser field, and treatment area. |
| Same overall design and configuration (helmet, protective liner, portable use, rechargeable battery). | Same configuration with 202 diodes (vs. 272 for predicate). |
| Implementation of design controls per 21 CFR 820.30. | Capillus LLC Quality Management System compliant to 21 CFR 820.30. All design control activities documented and followed. |
| Efficacy Equivalence (with consideration for reduced dose): | |
| Expected efficacy commensurate with the number of diodes, acknowledging a potential time difference. | "Total 'dose' - delivered energy over time - (J/cm2) is logically reduced. ... 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." "The slower efficacy is accepted, with the understanding that treatment is intended to be indefinite." |
| Same intended use/indications for use. | Same indications for use as Capillus272 Pro. |
| Same dose schedule. | Same dose schedule: maximum 30 minutes, every other day. |
2. Sample Size Used for the Test Set and Data Provenance
- Sample Size: Not applicable in the context of a traditional clinical "test set" for this submission. The document doesn't describe a new clinical study with a test set for the Capillus202 itself. Instead, it leverages the established performance of the predicate device (Capillus272 Pro) and reference devices. The "performance data" refers to technical verification and validation activities (e.g., laser output, safety interlock) rather than clinical efficacy data on a "test set" of patients for the Capillus202.
- Data Provenance: The efficacy claims for Low-Level Laser Therapy (LLLT) in general and for the Capillus272 Pro specifically would have been derived from separate studies (not detailed in this document). The current submission relies on the technological equivalence and safety verification of the modified device.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts
- This is not applicable as there was no new clinical "test set" with ground truth established by experts for the Capillus202 in this submission. The "ground truth" for efficacy of LLLT for hair growth in the predicate device would have been established through clinical trials, typically involving dermatologists or hair restoration specialists.
- The document does mention "Feedback from hair restoration specialists and consumers indicate that a lower-cost alternative is desired," suggesting experts were consulted on market need and acceptance of potentially slower efficacy.
4. Adjudication Method for the Test Set
- Not applicable, as a new clinical test set requiring adjudication was not part of this Special 510(k) submission.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
- No MRMC comparative effectiveness study was done. This type of study is typically for diagnostic imaging devices where different readers interpret cases. The Capillus202 is a therapeutic device.
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
- This concept is not applicable. The Capillus202 is a physical medical device, not an algorithm. Its performance is its direct therapeutic effect, which is measured in terms of hair growth, not reader performance.
7. Type of Ground Truth Used
- For the Capillus202 submission itself, the "ground truth" is primarily based on technical specifications, safety standards compliance, and the established clinical efficacy of the predicate device (Capillus272 Pro) and other cleared LLLT devices.
- The original ground truth for LLLT efficacy for the predicate device (Capillus272 Pro) would have been established through clinical outcomes data (e.g., hair count, hair density measurements, photographic assessment) in studies.
8. Sample Size for the Training Set
- Not applicable. There is no mention of a "training set" in the context of an AI/ML algorithm or a new clinical trial for the Capillus202. The device is a hardware modification.
9. How the Ground Truth for the Training Set Was Established
- Not applicable for the reasons stated above.
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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
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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 LLC1715 NW 202nd AvenueMiami, 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 SchnoorCapillus LLC1715 NW 82nd AvenueMiami, FL 33126 |
| Telephone: | (786) 888-1874 |
Predicate Devices:
| Device Trade Name | Manufacturer | 510(k) |
|---|---|---|
| Capillus272 Pro | Capillus LLC | 143199 |
| LaserCap LCPro | Transdermal Cap, Inc | 150613 |
Reference Devices:
| Device Trade Name | Manufacturer |
|---|---|
| Hairmax Lasercomb | Lexington 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 Pro | Capillus202 | LaserCap LCPro |
|---|---|---|
| K143199 | Candidate | K150613 |
| LLLT Device Type | LLLT Device Type | LLLT Device Type |
| Prescription Use | Prescription Use | Prescription Application |
| Intended Use - Androgenic Alopecia | Intended Use - Androgenic Alopecia | Intended Use -Androgenic Alopecia |
| Contain Laser Diodes- Class 3R | Contain Laser Diodes- Class 3R | Contain Laser Diodes-Class3R |
| Helmet/Cap Design | Helmet/Cap Design | Helmet/Cap Design |
| 650nm | 650nm | 650nm |
| Marketing clearance for Females | Marketing clearance for Females | Marketing clearance for both genders |
| Passive Use-Hands Free | Passive Use-Hands Free | Passive Use-Hands-Free |
| 272 Laser Diodes | 202 Laser Diodes | 224 Laser Diodes |
| OAP Classification | OAP Classification | OAP Classification |
| Classification Name -Infrared Lamp | Classification Name -Infrared Lamp | Classification Name - Infrared Lamp |
| Common Usage Name - Lamp. Non-Heating | Common Usage Name - Lamp, Non-Heating | Common Usage Name - Lamp, Non- Heating |
| General & Plastic Surgery Committee | General & Plastic Surgery Committee | General & Plastic Surgery Committee |
| Fitzpatrick Skin Phototypes - I-IV | Fitzpatrick Skin Phototypes - I-IV | Fitzpatrick Skin Phototypes - I-IV |
| Ludwig-Savin 1-11 (females) | Ludwig-Savin I-II (females) | Ludwig-Savin I-II (females) |
| Efficacy Rates - High Compared to Placebo | Efficacy Rates - High Compared to Placebo | NA |
| Treatment- 17 weeks, every other day(indefinite) | Treatment- 17 weeks, every other day(indefinite) | Treatment - 16 weeks, every otherday(indefinite) |
| Device Class II | Device Class II | Device 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
§ 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.