K Number
K161926
Date Cleared
2017-02-22

(224 days)

Product Code
Regulation Number
878.4810
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The ND YAG Q-switch Laser Therapy Machine is indicated for the treatment of: benign cutaneous lesions, such as Warts, Scars, Striae and Psoriasis; benign pigmented lesions, such as Lentigines, nevus, and birthmark; and the removal of black or blue tattoos.

Device Description

The ND YAG Q-switch Laser Therapy Machine is laser system which delivers laser at a wavelength 1064nm or 532nm.

There are 3 models included, FG 2010, FG 2010-B, FG 2010-C, the three models have same intended use, mechanism of action, principle and specification, only differences are the configurations.

AI/ML Overview

The provided text describes a 510(k) premarket notification for a medical device, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting novel acceptance criteria or comprehensive study results for a new AI/software system. Therefore, much of the requested information regarding AI-specific criteria, studies, and ground truth establishment is not applicable or available in this document.

However, I can extract the relevant information from the provided text as it pertains to the device's performance claims and the studies conducted to support its substantial equivalence.

1. A table of acceptance criteria and the reported device performance

The document does not explicitly state acceptance criteria in the typical sense for a new AI/software device. Instead, it compares the proposed device's specifications and performance to a predicate device to demonstrate "substantial equivalence" (SE). The "reported device performance" is essentially the detailed specifications of the proposed device as presented for comparison.

Criterion TypeAcceptance Criteria (Predicate Device K072536)Reported Device Performance (Proposed Device)Remark
Regulatory Information
Product CodeGEXGEXSE
Regulation No.21 CFR 878.481021 CFR 878.4810SE
Class22SE
Intended UseBenign cutaneous lesions, benign pigmented lesions, tattoo removal, vascular lesions, non-ablative treatment of facial wrinkles, laser skin resurfacing, reduction of red pigmentation in scars, use on all skin types.Benign cutaneous lesions (Warts, Scars, Striae, Psoriasis); benign pigmented lesions (Lentigines, nevus, birthmark); removal of black or blue tattoos.SE
Performance Comparison
Laser MediumNd:YAGNd:YAGSE
Wavelength1064 nm, 532 nm1064 nm, 532 nmSE
Output energy400-1200mJ100-1000mJ for 1064nm, 50-500mJ for 532nmSE
Max. Energy Density16.9 J/cm²31.8 J/cm² (for 1064nm), 15.9 J/cm² (for 532nm)Analysis
Spot Size3, 5 mm2-10mmAnalysis
Pulse Width20 ns5ns-8nsAnalysis
Repetition Rate1, 2, 4 Hz1-10 HzAnalysis
Disinfection---Disinfect the handpiece before and after every treatment by 75% medicinal alcoholAnalysis
Laser ClassClass 4Class 4SE
Cooling method for treated skinN.A.N.A.SE
Aiming BeamN.A.Red Laser,

§ 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.