K Number
K160952
Device Name
Alma Diode Tabletop Laser
Manufacturer
Date Cleared
2016-05-05

(30 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended Use The Alma Diode Tabletop Laser is intended for use in dermatologic and general surgical procedures. Indications for Use laser assisted lipolysis. The Alma Diode Tabletop Laser includes three possible diode laser modules depending on the customer order. Diode Laser Modules: The indications for use for the 810 nm Alma Diode Tabletop Laser include: - The Alma 810 nm diode tabletop laser is indicated for endovenous laser surgery for saphenous incompetent veins. The indications for use for the 980 nm Alma Diode Tabletop Laser include: -The Alma 980 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 980 nm diode tabletop laser is further indicated for laser assisted lipolysis. The indications for use for the 1470 nm Alma Diode Tabletop Laser include: -The Alma 1470 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 1470 nm diode tabletop laser is further indicated for
Device Description
The Alma Diode Tabletop Laser is comprised of the following major components: - The main console unit 1. - 2. Pull-back - 3. Footswitch - Accessories 4.
More Information

Not Found

No
The document describes a laser device for surgical procedures and does not mention any AI or ML capabilities. The performance studies focus on mechanical and software verification, not AI/ML model performance.

Yes
The device is indicated for various medical procedures such as endovenous laser surgery for incompetent veins and laser-assisted lipolysis, which are therapeutic interventions aimed at treating medical conditions or performing surgical procedures for patient benefit.

No

Explanation: The provided text describes the Alma Diode Tabletop Laser as being intended for surgical procedures such as laser-assisted lipolysis and endovenous laser surgery. These are therapeutic interventions, not diagnostic procedures. There is no mention of the device being used to identify or determine the nature of a disease or condition.

No

The device description explicitly lists hardware components such as a main console unit, pull-back, footswitch, and accessories. The performance studies also mention mechanical tests and software verification/validation for a device with a pull-back accessory, indicating a physical device.

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

Here's why:

  • Intended Use and Indications for Use: The intended use and indications for use clearly describe the device's application in surgical procedures (dermatologic, general surgical, laser assisted lipolysis, endovenous laser surgery, endovenous occlusion). These are all procedures performed on the patient's body, not on samples taken from the patient's body.
  • Device Description: The components listed (main console unit, pull-back, footswitch, accessories) are consistent with a surgical laser system, not an IVD device which would typically involve components for handling and analyzing biological samples.
  • Lack of IVD-related terms: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), diagnostic testing, or any other activities typically associated with in vitro diagnostics.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is to deliver laser energy for therapeutic and surgical interventions directly on the patient.

N/A

Intended Use / Indications for Use

The Alma Diode Tabletop Laser is intended for use in dermatologic and general surgical procedures.

The Alma Diode Tabletop Laser includes three possible diode laser modules depending on the customer order. Diode Laser Modules:

The indications for use for the 810 nm Alma Diode Tabletop Laser include: - The Alma 810 nm diode tabletop laser is indicated for endovenous laser surgery for saphenous incompetent veins.

The indications for use for the 980 nm Alma Diode Tabletop Laser include: -The Alma 980 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 980 nm diode tabletop laser is further indicated for laser assisted lipolysis.

The indications for use for the 1470 nm Alma Diode Tabletop Laser include: -The Alma 1470 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 1470 nm diode tabletop laser is further indicated for laser assisted lipolysis.

Product codes

GEX

Device Description

The Alma Diode Tabletop Laser is comprised of the following major components:

  • The main console unit 1.
    1. Pull-back
    1. Footswitch
  • Accessories 4.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Saphenous incompetent veins, greater saphenous vein, soft tissue

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)

Design verification testing was performed for the Alma 1470mm diode tabletop laser with the pullback accessory. The testing consisted of performing mechanical tests to verify the actual pull back speeds matched the requested speeds.

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

Not Found

Predicate Device(s)

K140005, K133774

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 features the department's name encircling a stylized graphic of three human profiles facing right. The profiles are stacked on top of each other, creating a sense of depth and unity. The overall design is simple and professional, reflecting the department's role in public health and human services.

Public Health Service

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

May 5, 2016

Alma Ltd % Ms. Kathy Maynor Regulatory Consultant 26 Rebecca Ct Homosassa, Florida 34446

Re: K160952

Trade/Device Name: Alma Diode Tabletop 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: April 1, 2016 Received: April 5, 2016

Dear Ms. Maynor:

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 device

1

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/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) K160952 "

Device Name Alma Diode Tabletop Laser

Indications for Use (Describe)

Intended Use The Alma Diode Tabletop Laser is intended for use in dermatologic and general surgical procedures.

Indications for Use

laser assisted lipolysis.

The Alma Diode Tabletop Laser includes three possible diode laser modules depending on the customer order. Diode Laser Modules:

The indications for use for the 810 nm Alma Diode Tabletop Laser include: - The Alma 810 nm diode tabletop laser is indicated for endovenous laser surgery for saphenous incompetent veins.

The indications for use for the 980 nm Alma Diode Tabletop Laser include: -The Alma 980 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 980 nm diode tabletop laser is further indicated for laser assisted lipolysis.

The indications for use for the 1470 nm Alma Diode Tabletop Laser include: -The Alma 1470 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 1470 nm diode tabletop laser is further indicated for

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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Section 8 – 510(k) Summary or 510(k) Statement

I. General Information

| Submitter: | Alma Lasers, Ltd,
Halamish St. POB 30
Industrial Park
Caesarea Israel 38900 |
|---------------------------|--------------------------------------------------------------------------------------|
| Contact Person: | Kathy Maynor
Consultant
352-586-3113 (cell) |
| Summary Preparation Date: | May 4, 2016 |

II. Names

Device Names:Alma Diode Tabletop Laser
Primary Classification Names:Surgical Powered Light Instrument

III. Predicate Devices

K #Predicate Device
K140005ALMA DIODE TABLETOP LASER
K133774DIOTECH CO LTD - ATOVEN

IV. Product Description

The Alma Diode Tabletop Laser is comprised of the following major components:

  • The main console unit 1.
    1. Pull-back
    1. Footswitch
  • Accessories 4.

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V. Indications for Use

Intended Use

The Alma Diode Tabletop Laser is intended for use in dermatologic and general surgical procedures.

Indications for Use

The Alma Diode Tabletop Laser includes three possible diode laser modules depending on the customer order.

Diode Laser Modules:

The indications for use for the 810 nm Alma Diode Tabletop Laser include: - The Alma 810 nm diode tabletop laser is indicated for endovenous laser surgery for saphenous incompetent veins.

The indications for use for the 980 nm Alma Diode Tabletop Laser include:

-The Alma 980 nm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 980 nm diode tabletop laser is further indicated for laser assisted lipolysis.

The indications for use for the 147 0nm Alma Diode Tabletop Laser include:

-The Alma 1470 mm diode tabletop laser is indicated for use in endovenous occlusion of the greater saphenous vein in patients with superficial vein reflux. The Alma 1470 nm diode tabletop laser is further indicated for laser assisted lipolysis.

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VI. Summary of Technical Characteristics

Table 1: Salient Characteristics of the 1470nm module and the Predicate Devices

| | K13
Alma diode tabletop laser | K100558
Quanta Diode Laser Family |
|----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Parameter | | |
| Product
Code &
Regulation
No. | GEX
21 CFR 878.4810 | GEX
21 CFR 878.4810 |
| Laser
Wavelength
[nm] | 1470 | 1470 |
| Max power | 15W | 15W |
| Light/Laser
Source | Diode | Diode |
| Laser
Delivery | Optical Fiber | Optical Fiber |
| Operation
Mode | Continuous wave, single
pulse, pulsed | Continuous wave, single pulse,
pulsed |
| Pulse
Duration | 10-990ms | 3ms - 2.5s |
| Bare fiber
size | 200, 300, 320, 400, 600,
800, 1000 | 200, 300, 320, 400, 600, 800,
1000 |
| User
Interface | LCD touch screen | LCD touch screen |
| Aiming beam | 635nm | 650nm |
| Electrical
Requirements | 100-240, V AC 50-60 Hz,
6.3 A, | 100-240, V AC 50-60 Hz, 6.3
A, single phase, |
| Indications
for Use | The Alma 1470nm diode
tabletop laser is indicated
for use in endovenous
occlusion of the greater
saphenous vein in
patients with superficial
vein reflux. The Alma
1470nm diode tabletop
laser is further indicated
for laser assisted
lipolysis, | The QUANTA Diode Laser
System is intended for delivery
of laser light to soft tissue in the
contact and non contact mode
during surgical procedures
including
via endoscopes. The QUANTA
Diode Laser System is generally
indicated for use in endovenous
occlusion of the greater
saphenous vein in Patients with
Superficial Vein Reflux. The
QUANTA1470 Diode
Laser is further indicated for
laser assisted lipolysis |

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ManufacturerAlma Lasers LTDAlma Lasers LTDDIOTECH CO LTD
Cleared DeviceKXXXXXXK140005K133774
System PlatformAlma Diode Tabletop LaserAlma Diode Tabletop LaserATOVEN
Accessory DescriptionAlma Lasers Pull-Back
DeviceAutomatic fiber pull-
back driver ATOVEN
Wavelength
Supported1470nm810nm, 980nm, and
1470nm1470nm
Intended Use /
Indications For UseThe Alma Lasers Pull-Back
Device is an accessory
intended for use in
conjunction with the
previously cleared Alma
Diode Tabletop Laser
1470nm (K140005).
The Alma Diode Tabletop
Laser 1470 nm (K140005) is
intended for use in
dermatologic and general
surgical procedures:
endovenous occlusion of
the greater saphenous vein
in patients with superficial
vein reflux, and for laser
assisted lipolysis.The Alma Diode Tabletop
Laser 1470 nm is intended
for use in dermatologic and
general surgical
procedures: endovenous
occlusion of the greater
saphenous vein in patients
with superficial vein reflux,
and for laser assisted
lipolysis.ATOVEN is a diode
laser system
designed to delivery
of laser light to soft
tissue during general
surgery procedures.
This device intended
for treatment of reflux
of the saphenous
veins of thigh
associated with
varicose veins and
varicosities.
Pullback Accessory
Dimensions (cm)
(H x W x D)5x20x8NAUnk.
Weight (kg)~0.5NAUnk.
Pullback Speed
(mm/sec)4 Steps:
1, 2, and 4 mm/secNA6 Steps:
0.5, 0.7, 1.0, 1.2, 1.5,
and 2.0 mm/sec
Pullback modeAutomaticNAAutomatic
Acceptable fiber sizes400µm fiber
600µm fiberNA400µm fiber
600µm fiber
Mode of ActionControls the rate of fiber
movement along the vein
wall providing consistent
exposure and minimizing
treatment time.NAControls the rate of
fiber movement along
the vein wall
providing consistent
exposure and
minimizing treatment
time.

Safety and Effectiveness Information VII.

The review of the indications for use and technical characteristics provided demonstrates that the Alma diode tabletop laser is substantially equivalent to the predicate devices. Additional product electrical safety testing and EMC testing was successfully completed in accordance with the following standards:

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  • IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Safety ●
  • . IEC 60601-1-2 Medical Electrical Equipment 1-2 General Requirements for basic safety and essential performance Collateral Standard: Electromagnetic disturbances -Requirements and tests

VIII. D Design Verification Testing

Design verification testing was performed for the Alma 1470mm diode tabletop laser with the pullback accessory. The testing consisted of performing mechanical tests to verify the actual pull back speeds matched the requested speeds.

Additionally, the software controlling the Alma 1470nm diode tabletop laser with the pull-back accessory was fully verified and validated in accordance with IEC 62304 and the FDA guidance document entitled "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices".

IX. Conclusion

The Alma diode tabletop laser with the pull-back accessory was found to be substantially equivalent to the predicate device.

The Alma diode tabletop laser with the pull-back accessory shares the same or similar indications for use, similar design features, and functional features with, and thus is substantially equivalent to the predicate device.