K Number
K161403
Device Name
A.R.C. Laser Surgical Fibers and Probes
Manufacturer
Date Cleared
2016-08-16

(88 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The A.R.C laser surgery fibers and probes are intended for delivery of laser energy to soft tissue in the contact and non-contact mode during surgical procedures, including via endoscopes. The fibers are indicated for use in general surgical applications for incision, excision, vaporization, ablation, hemostasis or coagulation of soft tissue. The A.R.C. Laser Surgery Fibers & Probes are indicated for use in General Surgery, Urology, Gynecology and ENT with a cleared compatible laser marketed for the mentioned intended uses and using an SMA 905 connector.
Device Description
The A.R.C. surgical laser fibers & probes are single use laser delivery devices provided EO sterile and intended for medical applications in various fields of laser surgery. The devices are based on a quartz core, have a length of 6.5 feet (2 meters) to 9.9 feet (3 meters) and a wavelength range between 450nm to 2100nm. The proximal end of the fibers is connected to a cleared laser system via an SMA 905 connector, while the distal end delivers the laser energy to the target tissue in pulsed and continuous wave mode. The distal end have a bare tip which may be flat or spherical, and may be used with a variety of sterile hand pieces for the various intended uses and effects.
More Information

Not Found

No
The summary describes a passive laser delivery device (fibers and probes) and does not mention any computational or analytical capabilities that would suggest the use of AI or ML. The device description focuses on the physical characteristics and function of the fibers.

No.
The device description indicates that the A.R.C laser surgery fibers and probes are intended for delivery of laser energy to soft tissue for surgical procedures such as incision, excision, vaporization, ablation, hemostasis or coagulation, which are surgical interventions rather than therapeutic treatments.

No
The device is described as a surgical laser delivery device intended for procedures like incision, excision, vaporization, and ablation, not for diagnosing conditions.

No

The device description clearly outlines physical components (quartz core, SMA 905 connector, bare tip) and their function in delivering laser energy, indicating it is a hardware device.

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 the "delivery of laser energy to soft tissue... during surgical procedures." This is a therapeutic or surgical intervention, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description details a laser delivery system designed to interact directly with tissue, not to analyze biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological specimens (blood, urine, tissue samples, etc.), detecting analytes, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device's function is to deliver energy for surgical procedures.

N/A

Intended Use / Indications for Use

The A.R.C laser surgery fibers and probes are intended for delivery of laser energy to soft tissue in the contact and non-contact mode during surgical procedures, including via endoscopes. The fibers are indicated for use in general surgical applications for incision, excision, vaporization, hemostasis or coagulation of soft tissue.

The A.R.C laser surgery fibers and probes are indicated for use in General Surgery, Urology, Gynecology and ENT with a cleared compatible laser marketed for the mentioned intended uses and using an SMA 905 connector.

Product codes

GEX

Device Description

The A.R.C. surgical laser fibers & probes are single use laser delivery devices provided EO sterile and intended for medical applications in various fields of laser surgery.
The devices are based on a quartz core, have a length of 6.5 feet (2 meters) to 9.9 feet (3 meters) and a wavelength range between 450nm to 2100nm.
The proximal end of the fibers is connected to a cleared laser system via an SMA 905 connector, while the distal end delivers the laser energy to the target tissue in pulsed and continuous wave mode.

The distal end have a bare tip which may be flat or spherical, and may be used with a variety of sterile hand pieces for the various intended uses and effects.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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)

Bench Testing: The A.R.C. laser surgery fibers & probes are single use and sterile medical devices, thus the following tests have been performed
Test: Bench, functional tests
Standard/ Guidelines: Internal methods
Section in submission: Section 11, Fibers functional aging test, Fibers Energy transmission validation

Test: Sterile packaging test: Visual packaging integrity test, Sealing strength validation, Microbial barrier, Peel test
Standard/ Guidelines: ASTM F1886/F1886M-09: 2013, ASTM F1980-07:2001, ASTM F1608-00:2009, DIN EN ISO 11737-2:2014, DIN EN 868:2009, ISO 10993-1:2009(R) 2013, EN ISO 11607-1
Section in submission: Section 13, Packaging, Shelf Life

Test: Sterilization validation
Standard/ Guidelines: DIN EN ISO 11135-1:2014, ISO 10993-7: 2009
Section in submission: Section 14, Appendix 8-Sterilization Validation -EO Residuals

The performance testing demonstrated that the A.R.C. laser surgery fibers & probes are as safe and as effective as the cleared predicate devices.

Clinical Performance None data: None

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

Not Found

Predicate Device(s)

Adler MicroMed Surgical Laser Fibers (K152417)

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 is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of three human profiles facing to the right, with a stylized eagle above them.

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

August 16. 2016

A.R.C. Laser GmbH Ms. Angela Thyzel CEO Bessemer St. 14 Nurnberg, 90411 Germany

Re: K161403 Trade/Device Name: A.R.C. Laser Surgical Fibers And Probes 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: Mav 20, 2016 Received: May 20, 2016

Dear Ms. Thyzel:

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 Post-market 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,

Christopher J. Ronk -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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K161403

Device Name

A.R.C Laser Surgery Fibers and Probes

Indications for Use (Describe)

The A.R.C laser surgery fibers and probes are intended for delivery of laser energy to soft tissue in the contact and non-contact mode during surgical procedures, including via endoscopes. The fibers are indicated for use in general surgical applications for incision, excision, vaporization, hemostasis or coagulation of soft tissue.

The A.R.C laser surgery fibers and probes are indicated for use in General Surgery, Urology, Gynecology and ENT with a cleared compatible laser marketed for the mentioned intended uses and using an SMA 905 connector.

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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Image /page/3/Picture/1 description: The image features the logo for A.R.C. Laser, set against a solid blue background. The acronym "A.R.C." is prominently displayed in large, bold white letters, stacked above the word "LASER," which is enclosed in a white box. Below this, the tagline "enlighten your surgery." is written in a smaller, italicized font, completing the logo's design.

Section 5 - 510(k) SUMMARY

Title:A.R.C. Laser Surgical Laser Fibers & Probes
Submitter:A.R.C. Laser GmbH
Bessemer St. 14
90411, Nurnberg
Germany
Contact :Angela Thyzel
Tittle :General Manager
Phone :0911-21779-0
Fax :0911-21779-99
E-Mail:a.thyzel@arclaser.de
Address:Bessemer St. 14
90411, Nurnberg
Germany
Date Prepared:May 15, 2016
Device Trade Name:A.R.C. Laser Surgical Laser Fibers & Probes
Common Name:Fiber Optic laser delivery system
Classification Name:Laser surgical instrument for use in general and plastic surgery and in
dermatology
Device product code:GEX
Device Classification21 CFR 878.4810
Predicate Devices:Adler MicroMed Surgical Laser Fibers (K152417)
Device Description:The A.R.C. surgical laser fibers & probes are single use laser delivery
devices provided EO sterile and intended for medical applications
in various fields of laser surgery.
The devices are based on a quartz core, have a length of 6.5 feet (2
meters) to 9.9 feet (3 meters) and a wavelength range between 450nm to
2100nm.

Page 13

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Image /page/4/Picture/1 description: The image is a logo for A.R.C. Laser. The logo is set against a blue background. The text "A.R.C." is in large, bold, white letters, with "LASER" in a smaller font size directly below it. Underneath the word "LASER" is the tagline "enlighten your surgery" in a smaller, italicized font.

The proximal end of the fibers is connected to a cleared laser system via an SMA 905 connector, while the distal end delivers the laser energy to the target tissue in pulsed and continuous wave mode.

The distal end have a bare tip which may be flat or spherical, and may be used with a variety of sterile hand pieces for the various intended uses and effects.

Intended

Use:

The A.R.C. laser surgery fibers & probes are intended for delivery of laser energy to soft tissue in the contact and non-contact mode during surgical procedures, including via endoscopes. The fibers are indicated for use in general surgical applications for incision, excision, vaporization, ablation, hemostasis or coagulation of soft tissue.

The A.R.C. Laser Surgery Fibers & Probes are indicated for use in General Surgery, Urology, Gynecology and ENT with a cleared compatible laser marketed for the mentioned intended uses and using an SMA 905 connector.

Substantial

Equivalence:

The A.R.C. laser surgery fibers & probes have the same mechanism of action, same intended use and the same technological characteristics as the predicate devices, the Adler MicroMed Laser Surgery Fibers, K152417.

Thus, we conclude that the A.R.C. Laser Surgery Fibers & Probes are as safe and effective as the predicate devices.

Performance

Bench Testing : The A.R.C. laser surgery fibers & probes are single use and sterile medical devices, thus the following tests have been performed

TestStandard/ GuidelinesSection in submission
Bench, functional testsInternal methodsSection 11
Fibers functional aging test
Fibers Energy transmission validation
Sterile packaging test:
Visual packaging integrity test
Sealing strength validation
Microbial barrier
Peel testASTM F1886/F1886M-09: 2013
ASTM F1980-07:2001
ASTM F1608-00:2009
DIN EN ISO 11737-2:2014
DIN EN 868:2009
ISO 10993-1:2009(R) 2013
EN ISO 11607-1Section 13
Packaging
Shelf Life
Sterilization validationDIN EN ISO 11135-1:2014
ISO 10993-7: 2009Section 14
Appendix 8-Sterilization
Validation -EO Residuals

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Image /page/5/Picture/1 description: The image is a logo for A.R.C. Laser. The logo is set against a blue background. The text "A.R.C." is in large, bold, white letters, with the word "LASER" directly underneath in a smaller font. Below that, the tagline "enlighten your surgery" is written in a cursive font.

The performance testing demonstrated that the A.R.C. laser surgery fibers & probes are as safe and as effective as the cleared predicate devices.

Clinical Performance None data: