K Number
K172049
Device Name
CryoIQ DERM, CryoIQ PRO, CryoIQ EquiMED
Manufacturer
Date Cleared
2017-08-30

(55 days)

Product Code
Regulation Number
878.4350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The CryoIQ Multi LINE are reusable devices intended to destroy tissue during surgical procedures by applying extreme cold.
Device Description
The CryoIQ devices consist of a unit body with a lever and an applicator (capillary tube, tip). A disposable cartridge filled with nitrous oxide (N₂O, laughing qas) will be attached to the unit body by slightly screwing into it. The cartridge has a build-in valve for safety storage and release of the gas. The CryoIQ designed to dispense a continuous stream of liquid nitrous oxide when actuated by pressing the lever. The device functions by means of heat evaporation upon phase transition where the nitrous oxide is applied to the treatment area by means of the applicator (capillary tube, tip) at a constant temperature of -89°C/-128°F (cold performance) followed by evaporation. Physicians or medical professionals can use the gas in procedures requiring the destruction of tissue using the extreme cold of nitrous oxide (-89°C/-128°F).
More Information

No
The device description and performance studies focus on the mechanical and thermodynamic properties of the device and the cryosurgical process, with no mention of AI or ML.

Yes
The device is intended to destroy tissue during surgical procedures by applying extreme cold, which is a therapeutic action.

No

The device is intended to destroy tissue during surgical procedures by applying extreme cold, which is a therapeutic function, not a diagnostic one.

No

The device description clearly outlines physical components (unit body, lever, applicator, disposable cartridge) and a mechanism involving the release and phase transition of nitrous oxide gas, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use is to "destroy tissue during surgical procedures by applying extreme cold." This is a therapeutic or surgical application, not a diagnostic one.
  • Mechanism of Action: The device works by applying extreme cold to tissue for destruction. This is a physical intervention on the body, not an analysis of samples taken from the body.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting biomarkers, or providing diagnostic information about a patient's condition.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The CryoIQ Multi LINE does not fit this description.

N/A

Intended Use / Indications for Use

The CryoIQ Multi LINE are reusable devices intended to destroy tissue during surgical procedures by applying extreme cold.

Product codes (comma separated list FDA assigned to the subject device)

GEH

Device Description

The CryoIQ devices consist of a unit body with a lever and an applicator (capillary tube, tip). A disposable cartridge filled with nitrous oxide (N₂O, laughing qas) will be attached to the unit body by slightly screwing into it. The cartridge has a build-in valve for safety storage and release of the gas.

The CryoIQ designed to dispense a continuous stream of liquid nitrous oxide when actuated by pressing the lever.

The device functions by means of heat evaporation upon phase transition where the nitrous oxide is applied to the treatment area by means of the applicator (capillary tube, tip) at a constant temperature of -89°C/-128°F (cold performance) followed by evaporation. Physicians or medical professionals can use the gas in procedures requiring the destruction of tissue using the extreme cold of nitrous oxide (-89°C/-128°F).

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

Physicians or medical professionals

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)

The CryoIQ Multiline performance has been tested according to Standard ASTM: F882-84 for Cryosurgical Medical Instruments.:

  • Freezing Effect Evidence •
  • PPM test report •
  • Mechanical Integrity test report .

The subject devices meet the requirements of the standard.

The freezing effect with the predicate device is comparable as same technology is used to dispense the nitrous oxide gas in liquid form. Bench performance test liquid freezing and gas consumption confirmed comparable performance when compared to the predicate.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K091721

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K024009, K102006

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.4350 Cryosurgical unit and accessories.

(a)
Identification —(1)Cryosurgical unit with a liquid nitrogen cooled cryoprobe and accessories. A cryosurgical unit with a liquid nitrogen cooled cryoprobe and accessories is a device intended to destroy tissue during surgical procedures by applying extreme cold.(2)
Cryosurgical unit with a nitrous oxide cooled cryoprobe and accessories. A cryosurgical unit with a nitrous oxide cooled cryoprobe and accessories is a device intended to destroy tissue during surgical procedures, including urological applications, by applying extreme cold.(3)
Cryosurgical unit with a carbon dioxide cooled cryoprobe or a carbon dioxide dry ice applicator and accessories. A cryosurgical unit with a carbon dioxide cooled cryoprobe or a carbon dioxide dry ice applicator and accessories is a device intended to destroy tissue during surgical procedures by applying extreme cold. The device is intended to treat disease conditions such as tumors, skin cancers, acne scars, or hemangiomas (benign tumors consisting of newly formed blood vessels) and various benign or malignant gynecological conditions affecting vulvar, vaginal, or cervical tissue. The device is not intended for urological applications.(b)
Classification. Class II.

0

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

August 30, 2017

Cry IO AB % Ms. Cherita James Regulatory Consultant M Squared Associates. Inc 515 Eight Avenue, St. 1212 New York, New York 10018

Re: K172049

Trade/Device Name: CryoIQ MULTI LINE Regulation Number: 21 CFR 878.4350 Regulation Name: Cryosurgical unit and accessories Regulatory Class: Class II Product Code: GEH Dated: July 5, 2017 Received: July 6, 2017

Dear Ms. James:

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 Actinclude 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 of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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 (DICE) 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 (DICE) 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.

Sincerelv.

Jennifer R. Stevenson -S3

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

2

Indications for Use

510(k) Number (if known)

K172049

Device Name CryoIQ Multi LINE

Indications for Use (Describe)

The CryoIQ Multi LINE are reusable devices intended to destroy tissue during surgical procedures by applying extreme cold.

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)

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3

K172049

In accordance with 21 CFR 807.92, the following information constitutes the CryolQ AB summary for the CryolQ Multi LINE.

I. Submission Date

August 28, 2017

II. Submitter

Name:CryoIQ AB
Address:Apelröds vägen 1
439 32 Onsala
Sweden
Contact person:Stefan Skafte, President
Phone number:+46 31-400 500
Fax number:+46 300-56 94 99

III. Device

Name of device:CryolQ MULTI line
Common or usual name:Cryosurgical unit & accessories
Classification name:Cryosurgical unit & accessories
Regulatory class:Class II per regulations 878.4350
Classification code:GEH
Panel:General & plastic surgery

IV. Predicate devices

510(k)CompanyDevice
Primary
predicateK091721New Medical Technologies
GmbHCryoSuccess
ReferenceK024009H&O Equipments NV/SACryoProbe-C
K102006STC Consulting LLCCryOmega

V. Device Description

The CryolQ devices consist of a unit body with a lever and an applicator (capillary tube, tip). A disposable cartridge filled with nitrous oxide (N₂O, laughing qas) will be attached to the unit body by slightly screwing into it. The cartridge has a build-in valve for safety storage and release of the gas.

The CryolQ designed to dispense a continuous stream of liquid nitrous oxide when actuated by pressing the lever.

4

The device functions by means of heat evaporation upon phase transition where the nitrous oxide is applied to the treatment area by means of the applicator (capillary tube, tip) at a constant temperature of -89°C/-128°F (cold performance) followed by evaporation. Physicians or medical professionals can use the gas in procedures requiring the destruction of tissue using the extreme cold of nitrous oxide (-89°C/-128°F).

VI. Intended use

The CryoIQ Multi LINE are reusable devices intended to destroy tissue during surgical procedures by applying extreme cold.

VII. Comparisons of the technological characteristics with the predicate device

CryolQ MULTI line exists of 3 devices, CryolQ DERM, CryoIQ PRO, CryolQ EquiMed. They all have the same intended use to destroy tissue during surgical procedures by applying extreme cold, same technical features but they differ in design.

Subject devicePredicate DeviceReference devicesS.E
510(k)No number yetK091721K024009K102006
510(K)
sponsorCryolQ ABNew Medical
Technologies
GmbHH&O
Equipments
NV/SASTC
Consulting
LLC
Device
NameCryolQ MULTI
lineCryoSuccessCryoProbe-CCryOmega
ModelsCryolQ DERM
CryolQ PRO
CryolQ EquiMed
Std tip (ø 1mm)
Dermatology tip
(ø 2mm)
Dermatology tip
(ø 3mm)
Dermatology tip
(ø 4mm)
Derm. tip, White
(ø 1mm)
Derm. tip, Blue
(ø 2mm)
Derm. tip, Green
(ø 3mm)
Long tip 13 cm
Angled tip 45°CryoSuccess
Std tip (ø 1mm)
Std tip (ø 2mm)
Std tip (ø 3mm)
Std tip (ø 4mm)
Gynecology tipCryoProbe I c
CryoProbe I xCryOmega
Subject devicePredicate DeviceReference devicesS.E
510(k)No number yetK091721K024009K102006
510(K)
sponsorCryolQ ABNew Medical
Technologies
GmbHH&O
Equipments
NV/SASTC
Consulting
LLC
Indication for
useTo destroy tissue
during surgical
procedures by
applying extreme
cold.To destroy tissue
during surgical
procedures by
applying extreme
coldTo destroy
tissue during
surgical
procedures
by applying
extreme coldSurgical
destruction of
target tissue
by applying
cryogenic
gases at
extreme low
temperatures.
The list below
shows
examples of
the type of
lesions that
can be
treated:
-Genital
lesions
-Molluscum
Contagiosum
-Verruca
Plantaris
-Verruca
Plana
-Actinic
Keratosis
-Seborrheic
Keratosis
-Skin Tags
-LentigoYes
Type of
lesions to be
treated-Genital lesions
-Molluscum
Contagiosum
-Verruca
Plantaris
-Verruca Plana
-Actinic Keratosis
-Seborrheic
Keratosis
-Skin Tags
-LentigoNot statedNot stated-Genital
lesions
-Molluscum
Contagiosum
-Verruca
Plantaris
-Verruca
Plana
-Actinic
Keratosis
-Seborrheic
Keratosis
-Skin Tags
-LentigoYes
NitrogenNitrous Oxide
(N2O, laughing
gas). Available in
16 g, 25 g and 40
g cartridge.Nitrous Oxide
(N2O, laughing
gas). Available in
23.5 g cartridge.Nitrous Oxide
(N2O,
laughing
gas).
Available in 8
g or 16 g
cartridges.Nitrous Oxide
(N2O,
laughing
gas).
Available in
16 g
cartridge.Yes
Cartridge
pressure: 50 bar
(725 psi)Cartridge
pressure: 50 bar
(725 psi)Cartridge
pressure: 50
bar (725 psi)Cartridge
pressure: 50
bar (725 psi)Yes
Subject devicePredicate DeviceReference devicesS.E
510(k)No number yetK091721K024009K102006
510(K)
sponsorCryolQ ABNew Medical
Technologies
GmbHH&O
Equipments
NV/SASTC
Consulting
LLC
Shelf life: 2 yearsShelf life: 2 yearsShelf life: 2
yearsShelf life: 2
yearsYes
Shelf life
Device5 years5 years (with 2
years warranty)2 yearsDisposable
unit, is
discarded
after liquefied
gas is
emptiedYes
Treatment
TemperatureLiquid freezing:
-89°C/-128°F
constant temp.Liquid freezing:
-89°C/-128°F
constant temp.Liquid
freezing:
-89°C/-128°F
constant
temp.Liquid
freezing:
-89°C/-128°F
constant
temp.Yes
MaterialHousing:
Cryo device has
no housing.
The device
material is brass
and stainless
steel,
gold platedHousing:
Cryo device has
no housing.
The device
material is brass
and stainless
steel,
gold platedHousing:
AluminumHousing:
plasticYes
Cryo tip: metal,
gold plated, cryo
tip in borosilicate
glass 3.3 (such
as DURAN)Cryotip: metal,
gold plated,
cryotip in
borosilicate glass
3.3 (such as
DURAN)Micro-
Applicator:
UnknownMicro-
Applicator:
UnknownYes
Lock cap:
PlasticProtective Cap:
Thermoplastic
rubberLock cap:
PlasticLock cap:
UnknownYes
Filter:
Stainless steelFilter:
Stainless steelFilter:
UnknownFilter:
PlasticYes
O-rings/Seals
PTFE and
acrylonitrile-
butadiene-rubberO-rings/Seals
PTFE and
acrylonitrile-
butadiene-rubberO-
rings/Seals:
UnknownO-rings/Seals
Butadiene-
rubberYes
Nitrous oxide
cartridges:
MetalNitrous oxide
cartridges:
MetalNitrous oxide
cartridges:
MetalNitrous oxide
cartridges:
MetalYes
Mode of UseApply spray
topicallyApply spray
topicallyApply spray
topicallyApply spray
topicallyYes
Storage
ConditionsProtect the unit
against heat and
exposure to
direct sunlight.
The storage
temperature is
between -Protect the unit
against heat and
exposure to direct
sunlight. The
storage
temperature is
between -Store in a
cool dry
place and
keep out of
reach of
children,