K Number
K171242
Device Name
Alma LipoFlow System
Manufacturer
Date Cleared
2017-07-14

(78 days)

Product Code
Regulation Number
878.5040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Alma LipoFlow System is used in the aspiration, harvesting, filtering and transferring of autologous adipose tissue and infiltration for aesthetic body contouring. If the harvested fat is to be re-implanted, the harvested fat is only to be used without any additional manipulation.
Device Description
The Alma LipoFlow System is a wheeled cart (also called as console) that contains a peristaltic irrigation pump and an adjustable vacuum source. The peristaltic pump (120 VAC, 50-60 Hz and 220-230 VAC, 50-60 Hz) is intended for continuous and/or intermittent delivery of tumescent liquid into a patient's body. The vacuum source is a rocking piston oil-less pump that delivers an adjustable vacuum pressure intended for subsequent aspiration of localized subcutaneous fatty deposit. The console has a control panel that is the user interface for operating the system. The control panel has a peristaltic knob that allows a flow-rate selection of up to 535ml/min. The control panel also has a vacuum knob that allows the delivery of vacuum pressure of up to 27 in Hq (90 kPa). The device operates using a Peristaltic Pump Mode or a Vacuum Pump Mode. Only one mode can be activated at a time using the footswitch. The system also includes an AC Power Cord, isolation transformer, wires and connectors. Other third party components of the system include: canister-style filters, tubing, syringe for potential re-injection, infiltration cannulas, aspiration cannulas, HEPA filter tubing, tumescent tubing, suction canister holder and waste canisters, The canister filter (fat canister) is a closed loop tissue collection system with a volume capacity of up to 2500 mL. It includes a vacuum port, tissue port, tissue port and lid. It is used with the aspiration system to separate and filter adipose tissue for possible reimplantation. The aspiration system provides the vacuum suction source to the canister. As the tissue is harvested from the patient, it enters the canister via the collection port in the canister lid. The physician removes unwanted waste materials from the collection system via the vacuum port by closing the valve. This process leaves the fatty tissue that can be transferred to syringes via the tissue port for autologous fat re-injection.
More Information

Not Found

No
The description details a mechanical system with pumps and vacuum sources controlled by knobs and a footswitch. There is no mention of AI, ML, or any form of intelligent processing or decision-making within the device's operation.

No
The device is used for aspiration, harvesting, filtering, and transferring autologous adipose tissue for aesthetic body contouring, which is not considered a therapeutic function.

No

The device is used for aspiration, harvesting, filtering, and transferring of autologous adipose tissue for aesthetic body contouring. It does not perform any diagnostic functions like detecting, diagnosing, or monitoring a disease or condition.

No

The device description clearly outlines hardware components such as a wheeled cart, peristaltic pump, vacuum source, control panel, power cord, transformer, wires, connectors, filters, tubing, syringes, and cannulas. While software verification and validation were performed, the device is fundamentally a hardware system with integrated software for control.

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

Here's why:

  • Intended Use: The intended use is for the aspiration, harvesting, filtering, and transferring of autologous adipose tissue for aesthetic body contouring. This is a surgical procedure performed on the patient's body.
  • Device Description: The device is a system for performing a physical procedure (irrigation and aspiration) on the patient. It involves pumps, vacuum sources, and collection systems for tissue.
  • Lack of In Vitro Testing: IVD devices are designed to perform tests on samples taken from the body (like blood, urine, tissue samples) outside of the body (in vitro). The Alma LipoFlow System is used on the patient's body to collect and process tissue for re-implantation.
  • No Mention of Diagnostic Purpose: The device is used for a therapeutic/aesthetic purpose (body contouring), not for diagnosing a disease or condition.

In summary, the Alma LipoFlow System is a surgical device used for a procedure on the patient, not a device used to perform tests on samples outside the body for diagnostic purposes.

N/A

Intended Use / Indications for Use

The Alma LipoFlow System is used in the aspiration, harvesting, filtering and transferring of autologous adipose tissue and infiltration for aesthetic body contouring. If the harvested fat is to be re-implanted, the harvested fat is only to be used without any additional manipulation.

Product codes

MUU

Device Description

The Alma LipoFlow System is a wheeled cart (also called as console) that contains a peristaltic irrigation pump and an adjustable vacuum source. The peristaltic pump (120 VAC, 50-60 Hz and 220-230 VAC, 50-60 Hz) is intended for continuous and/or intermittent delivery of tumescent liquid into a patient's body. The vacuum source is a rocking piston oil-less pump that delivers an adjustable vacuum pressure intended for subsequent aspiration of localized subcutaneous fatty deposit.

The console has a control panel that is the user interface for operating the system. The control panel has a peristaltic knob that allows a flow-rate selection of up to 535ml/min. The control panel also has a vacuum knob that allows the delivery of vacuum pressure of up to 27 in Hq (90 kPa). The device operates using a Peristaltic Pump Mode or a Vacuum Pump Mode. Only one mode can be activated at a time using the footswitch.

The system also includes an AC Power Cord, isolation transformer, wires and connectors. Other third party components of the system include: canister-style filters, tubing, syringe for potential re-injection, infiltration cannulas, aspiration cannulas, HEPA filter tubing, tumescent tubing, suction canister holder and waste canisters,

The canister filter (fat canister) is a closed loop tissue collection system with a volume capacity of up to 2500 mL. It includes a vacuum port, tissue port, tissue port and lid. It is used with the aspiration system to separate and filter adipose tissue for possible reimplantation. The aspiration system provides the vacuum suction source to the canister. As the tissue is harvested from the patient, it enters the canister via the collection port in the canister lid. The physician removes unwanted waste materials from the collection system via the vacuum port by closing the valve. This process leaves the fatty tissue that can be transferred to syringes via the tissue port for autologous fat re-injection.

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

The following performance testing was conducted to support the substantial equivalence of the Alma LipoFlow System to its predicate devices. In all instances, the Alma LipoFlow System functioned as intended.

  • Software verification and validation was performed, and demonstrated that the software performs as intended.
  • Electrical safety (IEC 60601-1) and electromagnetic compatibility (IEC 60601-1-2) testing was conducted and results were passing.
  • Biocompatibility of patient-contacting components was established.
  • Sterility validation was established for all required components.
  • Adipose viability testing demonstrated that fat tissue viability was maintained.
  • Bench/laboratory testing was completed to verify the functionality of the device components and combined system.

Key Metrics

Not Found

Predicate Device(s)

MicroAire LipoFilter System (K150779), MicroAire LipoTower System (K113128)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.5040 Suction lipoplasty system.

(a)
Identification. A suction lipoplasty system is a device intended for aesthetic body contouring. The device consists of a powered suction pump (containing a microbial filter on the exhaust and a microbial in-line filter in the connecting tubing between the collection bottle and the safety trap), collection bottle, cannula, and connecting tube. The microbial filters, tubing, collection bottle, and cannula must be capable of being changed between patients. The powered suction pump has a motor with a minimum of1/3 horsepower, a variable vacuum range from 0 to 29.9 inches of mercury, vacuum control valves to regulate the vacuum with accompanying vacuum gauges, a single or double rotary vane (with or without oil), a single or double diaphragm, a single or double piston, and a safety trap.(b)
Classification. Class II (special controls). Consensus standards and labeling restrictions.

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Image /page/0/Picture/2 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is a stylized image of three human profiles facing to the right, with the profiles overlapping each other.

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

July 14, 2017

Alma Lasers Inc. % Janice Hogan, J.D. Regulatory Counsel Hogan Lovells US LLP 1835 Market Street, 29th Floor Philadelphia, Pennsylvania 19103

Re: K171242

Trade/Device Name: Alma LipoFlow System Regulation Number: 21 CFR 878.5040 Regulation Name: Suction Lipoplasty System Regulatory Class: Class II Product Code: MUU. Dated: April 27, 2017 Received: April 27, 2017

Dear Ms. Hogan:

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

1

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 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.

David Krause -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 on last page

510(k) Number (if known)

K171242

Device Name

Alma LipoFlow System

Indications for Use (Describe)

The Alma LipoFlow System is used in the aspiration, harvesting, filtering and transferring of autologous adipose tissue and infiltration for aesthetic body contouring. If the harvested fat is to be re-implanted, the harvested fat is only to be used without any additional manipulation.

Type of Use (Select one or both, as applicable)

区 Prescription Use (Part 21 CFR 801 Subpart D)

□ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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FORM FDA 3881 (1/14)

Page 1 of 1 FDA

PSC Publishing Services (301) 443-6740 ER

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510(k) SUMMARY

Alma Lasers, Inc.'s Alma LipoFlow System

Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

Rekha Anand, Senior Regulatory Affairs Associate Alma Lasers, Inc. 485 Half Day Rd. Suite #100 Buffalo Grove, Illinois, 60089

Phone: 224-377-2000 (Ext 2019) Email: Rekha.Anand@almalasers.com

Date Prepared: June 29, 2017

Name of Device

Alma LipoFlow System

Common or Usual Name

Suction Lipoplasty System

Classification

21 C.F.R. 878.5040, Class II, product code MUU

Predicate Devices

MicroAire LipoFilter System (K150779) (primary) MicroAire LipoTower System (K113128)

Intended Use / Indications for Use

The Alma LipoFlow System is used in the aspiration, filtering and transferring of autologous adipose tissue and infiltration for aesthetic body contouring. If the harvested fat is to be re-implanted, the harvested fat is only to be used without any additional manipulation.

Device Description

The Alma LipoFlow System is a wheeled cart (also called as console) that contains a peristaltic irrigation pump and an adjustable vacuum source. The peristaltic pump (120 VAC, 50-60 Hz and 220-230 VAC, 50-60 Hz) is intended for continuous and/or intermittent delivery of tumescent liquid into a patient's body. The vacuum source is a rocking piston oil-less

4

pump that delivers an adjustable vacuum pressure intended for subsequent aspiration of localized subcutaneous fatty deposit.

The console has a control panel that is the user interface for operating the system. The control panel has a peristaltic knob that allows a flow-rate selection of up to 535ml/min. The control panel also has a vacuum knob that allows the delivery of vacuum pressure of up to 27 in Hq (90 kPa). The device operates using a Peristaltic Pump Mode or a Vacuum Pump Mode. Only one mode can be activated at a time using the footswitch.

The system also includes an AC Power Cord, isolation transformer, wires and connectors. Other third party components of the system include: canister-style filters, tubing, syringe for potential re-injection, infiltration cannulas, aspiration cannulas, HEPA filter tubing, tumescent tubing, suction canister holder and waste canisters,

The canister filter (fat canister) is a closed loop tissue collection system with a volume capacity of up to 2500 mL. It includes a vacuum port, tissue port, tissue port and lid. It is used with the aspiration system to separate and filter adipose tissue for possible reimplantation. The aspiration system provides the vacuum suction source to the canister. As the tissue is harvested from the patient, it enters the canister via the collection port in the canister lid. The physician removes unwanted waste materials from the collection system via the vacuum port by closing the valve. This process leaves the fatty tissue that can be transferred to syringes via the tissue port for autologous fat re-injection.

Technological Characteristics

The Alma LipoFlow System has similar technological characteristics as the predicate devices. The subject device combines the technological characteristics of both predicate devices into one device. Similar to the MicroAire LipoTower System (K113128) predicate device, the proposed device is comprised of the system console that controls the overall performance of the system and provides an adjustable suction vacuum source and an adjustable flow irrigation peristaltic pump for the aspiration of soft tissue. Both the Alma LipoFlow System and the MicroAire LipoTower System (K113128) predicate have cooling fans that cool the system. Both devices also include displays that show vacuum pressure and tool setting for control and status of the system and foot controls for controlling the suction and irrigation pump.

Similar to the MicroAire LipoFilter System (K150779) predicate device, Alma Lasers uses a fat canister containing a vacuum port, collection port, tissue port and lid that is used with the aspiration system to separate and filter the adipose tissue for possible re-implantation via syringe.

Performance Data

The following performance testing was conducted to support the substantial equivalence of the Alma LipoFlow System to its predicate devices. In all instances, the Alma LipoFlow System functioned as intended.

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  • Software verification and validation was performed, and demonstrated that the . software performs as intended.
  • . Electrical safety (IEC 60601-1) and electromagnetic compatibility (IEC 60601-1-2) testing was conducted and results were passing.
  • Biocompatibility of patient-contacting components was established. .
  • . Sterility validation was established for all required components.
  • Adipose viability testing demonstrated that fat tissue viability was maintained. .
  • . Bench/laboratory testing was completed to verify the functionality of the device components and combined system.

Substantial Equivalence

The Alma LipoFlow System has the same intended use/indications for use, as well as very similar technological characteristics, and principles of operation as its primary predicate device. The minor technological differences between the Alma LipoFlow System and the predicate devices do not raise different questions of safety or effectiveness. Performance testing of the device has demonstrated that the device performs as intended and thus, is substantially equivalent.

Conclusion

Alma Lasers' Alma LipoFlow System is a Suction Lipoplasty System and has been evaluated in nonclinical testing, including adipose viability testing. Testing demonstrates that the device performs as intended. The Alma LipoFlow System is substantially equivalent to its predicate devices.