K Number
K160947
Device Name
LUMIX CPS 1 IR Lamp System LUMIX CPS 2 IR Lamp System LUMIX CPS 3 IR Lamp System LUMIX CPS 4 IR Lamp System LUMIX CPS 5 IR Lamp System
Date Cleared
2016-07-05

(91 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LUMIX CPS Series IR Lamp Systems are intended to emit energy in the visible and infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm; the temporary increase in local blood circulation; and/or the temporary relaxation of muscle.
Device Description
The LUMIX CPS Series IR Lamp Systems are intended for use as therapeutic heat lamps. The Systems are non-invasive devices that emit light energy to the skin-surface of the human body for the purpose of causing the therapeutic elevation of tissue temperature. The LUMIX CPS Series IR Lamp Systems deliver visible and invisible laser light beams at wavelengths between 650 and 1064 nm using gallium arsenide (GaAs) diode sources. The laser light beam is carried to the focusing lens on the handpiece probe by quartz optical fibers. The tissue to be treated is illuminated by a non-therapeutic red laser guide light with 3 mW of power. The Systems consist of 2 main hardware sub-systems: 1) the control console and 2) the treatment handpiece probe with its connecting cable. The control consoles are made of standard medical PVC material and are designed to be placed on a desktop or table in the vicinity of the patient to be treated. The console houses the user interface, which is a pressure activated membrane and an LCD display. The treatment probes are made of standard medical grade PVC. The laser energy for heat treatment is delivered to the treatment probe via fiber optic cables. The probes contain a protective lens at the aperture, which is made of glass suitable for medical applications.
More Information

Not Found

No
The document describes a therapeutic heat lamp system that uses laser light for topical heating. There is no mention of AI or ML in the intended use, device description, or performance studies. The device appears to be a standard medical device based on established physical principles.

Yes
The device is explicitly described as being intended for "therapeutic heating" and for therapeutic purposes like pain relief, increased blood circulation, and muscle relaxation.

No

The device is described as a therapeutic heat lamp intended to provide topical heating for the purpose of elevating tissue temperature to relieve pain and stiffness, not for diagnosing medical conditions.

No

The device description explicitly details hardware components including a control console, treatment handpiece probe, connecting cable, optical fibers, and a protective lens. It also mentions the use of gallium arsenide (GaAs) diode sources for emitting laser light.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for providing topical heating to the skin surface for therapeutic purposes (pain relief, increased blood circulation, muscle relaxation). This involves interacting directly with the patient's body.
  • Device Description: The description details a system that emits light energy to the skin for therapeutic heating. It describes hardware components like a control console and a treatment handpiece probe.
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens (like blood, urine, tissue) outside of the body to provide diagnostic information. IVDs are designed to perform tests on these types of samples.

The LUMIX CPS Series IR Lamp Systems are therapeutic devices that apply energy to the body for treatment, not diagnostic devices that analyze samples to provide information about a patient's health status.

N/A

Intended Use / Indications for Use

The LUMIX CPS Series IR Lamp Systems are intended to emit energy in the visible and infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm; the temporary increase in local blood circulation; and/or the temporary relaxation of muscle.

Product codes

ILY

Device Description

The LUMIX CPS Series IR Lamp Systems are intended for use as therapeutic heat lamps. The Systems are non-invasive devices that emit light energy to the skin-surface of the human body for the purpose of causing the therapeutic elevation of tissue temperature.

The LUMIX CPS Series IR Lamp Systems deliver visible and invisible laser light beams at wavelengths between 650 and 1064 nm using gallium arsenide (GaAs) diode sources. The laser light beam is carried to the focusing lens on the handpiece probe by quartz optical fibers. The tissue to be treated is illuminated by a non-therapeutic red laser guide light with 3 mW of power. The Systems consist of 2 main hardware sub-systems: 1) the control console and 2) the treatment handpiece probe with its connecting cable.

The control consoles are made of standard medical PVC material and are designed to be placed on a desktop or table in the vicinity of the patient to be treated. The console houses the user interface, which is a pressure activated membrane and an LCD display.

The treatment probes are made of standard medical grade PVC. The laser energy for heat treatment is delivered to the treatment probe via fiber optic cables. The probes contain a protective lens at the aperture, which is made of glass suitable for medical applications.

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)

Testing of the LUMIX CPS Systems includes functional performance testing and electrical safety testing. The Systems are manufactured to comply with the following international standards:
IEC 60601-1:2006 - Ed. 3 Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and Essential Performance
IEC 60825-1:2014 - Ed. 2 Safety of Laser Products - Part 1: Classification of laser devices and requirements
IEC 60601-1-2:2010 - Ed. 3 Medical Electrical Equipment - Part 1-2: Collateral Standard: Electromagnetic disturbances - Requirements and tests
IEC 60601-1-6:2013 - Ed. 3.1 Medical Electrical Equipment - Part 1-6: Collateral Standard: Usability
IEC 60601-2-22:2012 – Ed. 3.1 Medical Electrical Equipment – Part 2-22: Particular requirements for basic and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment
IEC 63204:2006 Software for Medical Devices: Software life cycle processes
ISO 14971:2012 – Ed. 2 Risk Management to Medical Devices

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K132016, K101893, K123971, K120604

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 shows the logo for the U.S. Department of Health and Human Services. The logo is a circular emblem with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the circle is a stylized image of a caduceus, a symbol often associated with medicine and healthcare. The caduceus is depicted with a staff entwined by two snakes and topped with wings.

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

July 5, 2016

USA Laser Biotech Inc. % Ms. M. Joyce Heinrich Texas Applied Biomedical Services, Inc. 1201 Cullen Boulevard, Suite A Houston, Texas 77047-2951

Re: K160947

Trade/Device Name: LUMIX CPS 1 IR Lamp System, LUMIX CPS 2 IR Lamp System LUMIX CPS 3 IR Lamp System, LUMIX CPS 4 IR Lamp System LUMIX CPS 5 IR Lamp System Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared Lamp Regulatory Class: II Product Code: ILY Dated: April 11, 2016 Received: April 12, 2016

Dear Ms. Heinrich:

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 (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" (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,

Jennifer R. Stevenson -A

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) K160947

Device Name

LUMIX CPS 1 IR Lamp System; LUMIX CPS 2 IR Lamp System; LUMIX CPS 3 IR Lamp System; LUMIX CPS 4 IR Lamp System; LUMIX CPS 5 IR Lamp System

Indications for Use (Describe)

The LUMIX CPS Series IR Lamp Systems are intended to emit energy in the visible and infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm; the temporary increase in local blood circulation; and/or the temporary relaxation of muscle.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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510(k) Summary ( as per 21 CFR 807.92)

l. GENERAL INFORMATION

Device Generic Name: Infrared Lamp

Trade Name:

LUMIX CPS 1 IR Lamp System LUMIX CPS 2 IR Lamp System LUMIX CPS 3 IR Lamp System LUMIX CPS 4 IR Lamp System LUMIX CPS 5 IR Lamp System

| Device Classification: | Class II, Performance Standards
21CFR Part 890.5500 – Infrared Lamp |

------------------------------------------------------------------------------------------------

Product Code: ILY

Applicant Name and Address:

USA Laser Biotech Inc. 9210 Forest Hill Avenue Richmond, VA 23235 USA Telephone: 877 / 423-6169

510(k) Number: K160947

II. Device Description

The LUMIX CPS Series IR Lamp Systems are intended for use as therapeutic heat lamps. The Systems are non-invasive devices that emit light energy to the skin-surface of the human body for the purpose of causing the therapeutic elevation of tissue temperature.

The LUMIX CPS Series IR Lamp Systems deliver visible and invisible laser light beams at wavelengths between 650 and 1064 nm using gallium arsenide (GaAs) diode sources. The laser light beam is carried to the focusing lens on the handpiece probe by quartz optical fibers. The tissue to be treated is illuminated by a non-therapeutic red laser guide light with 3 mW of power. The Systems consist of 2 main hardware sub-systems: 1) the control console and 2) the treatment handpiece probe with its connecting cable.

The control consoles are made of standard medical PVC material and are designed to be placed on a desktop or table in the vicinity of the patient to

be treated. The console houses the user interface, which is a pressure activated membrane and an LCD display.

The treatment probes are made of standard medical grade PVC. The laser energy for heat treatment is delivered to the treatment probe via fiber optic cables. The probes contain a protective lens at the aperture, which is made of glass suitable for medical applications.

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== Indications For Use

The LUMIX CPS Series IR Lamp Systems are intended to emit energy in the visible and infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm; the temporary increase in local blood circulation; and/or the temporary relaxation of muscle.

IV. Predicate Devices

The LUMIX CPS Series IR Lamp Systems are substantially equivalent to other therapeutic heat lamps that are currently in commercial distribution. These predicate devices include, but are not limited to:

    1. USA Laser Biotech Inc. LUMIX 3 Series Infrared Heat Lamp Therapy Systems (K132016),
    1. USA Laser Biotech Inc. NEXUS Series IR Heat Lamp Systems (K101893),
    1. CYNOSURE 1064nm Diode Laser (K123971), and
    1. ELTECH s.r.l. K-Laser Cube 1, K-Laser Cube 2, K-Laser Cube 3, K-Laser Cube 4 (K120604).

V. Summary of the Technical Characteristics of the LUMIX CPS System as Related to the Referenced Predicate Devices

The LUMIX CPS Series IR Lamp Systems and the aforementioned predicate devices are infrared lamps as defined in 21 CFR 890.5500. These devices utilize infrared and visible laser diodes to generate topical heating for the purpose of elevating tissue temperatures for temporary relief of muscle and joint pain.

VI. Testing

Testing of the LUMIX CPS Systems includes functional performance testing and electrical safety testing. The Systems are manufactured to comply with the following international standards:

| IEC 60601-1:2006 - Ed. 3 | Medical Electrical Equipment, Part 1:
General Requirements for Basic Safety
and Essential Performance |
|------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| IEC 60825-1:2014 - Ed. 2 | Safety of Laser Products - Part 1:
Classification of laser devices and
requirements |
| IEC 60601-1-2:2010 - Ed. 3 | Medical Electrical Equipment - Part 1-2:
Collateral Standard: Electromagnetic
disturbances - Requirements and tests |
| IEC 60601-1-6:2013 - Ed. 3.1 | Medical Electrical Equipment - Part 1-6:
Collateral Standard: Usability |

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| IEC 60601-2-22:2012 – Ed. 3.1 | Medical Electrical Equipment – Part 2-22:
Particular requirements for basic and
essential performance of surgical,
cosmetic, therapeutic and diagnostic laser
equipment |
|-------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IEC 63204:2006 | Software for Medical Devices: Software
life cycle processes |
| ISO 14971:2012 – Ed. 2 | Risk Management to Medical Devices |

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VII. Conclusions

Pursuant to the testing and comparison to the predicate devices, the LUMIX CPS Series IR Lamp Systems have the same intended uses, with similar functional and performance characteristics. The LUMIX CPS Series IR Lamp Systems are designed to comply with applicable performance standards promulgated by the U.S. Food and Drug Administration. These Systems perform as intended and do not raise any new safety or efficacy issues.

Clinical Efficacy

The use of light energy to generate heat for therapeutic use has been well documented and is a qenerally accepted alternative treatment modality for the temporary relief of pain