K Number
K172819
Device Name
LightWalker Laser System Family
Manufacturer
Date Cleared
2017-12-01

(74 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Er: YAG laser (2940 nm wavelength) in dentistry: - Intra-oral soft tissue surgery (incision, excision, ablation coagulation) - Leukoplakia - Pulpotomy as adjunct to root canal retreatment - Pulp extirpation - Removal of fibromae - Removal of granulated tissue - Caries removal, cavity preparation, enamel roughening - Sulcular debridement - Tooth preparation to obtain access to root canal debridement and cleaning, root canal preparation including enlargement - Cutting, shaving, contouring and resection of oral osseous tissue (bone) - Osteotomy, osseous crown lengthening, osteoplasty - Apicectomy surgery - Removal of subgingival calculi in periodontal pockets with periodontitis by closed or open curetage Er: Y AG laser (2940 nm wavelength) in dermatology and other surgical areas: - Dermatology and Plastic Surgery Indications: Epidermal nevi, actinic cheilitis, verrucae, skin tags, keratoses and skin resurfacing; - ENT Surgery Indications: ENT lesions, cysts, polyps, hyperkeratosis, oral leukoplakia; - Oral/Maxillofacial Indications: Oral and glossal lesions, gingivectomy; - General Surgery Indications: Surgical incision, vaporization and coagulation of soft tissue during any general surgery application where skin incision, tissue dissection, excision of lesions, complete or partial resection of internal organs, lesions, tissue ablation and vessel coagulation; - Podiatry Indications: Warts, plantar verrucae, large mosaic verrucae, matrixectomy; - Ophtalmology Indications: Soft tissue surrounding the eye ; - Gynecology Indications: Herpes simplex, endometrial adhesion, CIN (Cervical intraepithelial neoplasia), cysts, condiloma; Nd:YAG laser (1064 nm wavelength) in dentistry: - Excisional and incisional biopsies - Excision and vaporization of herpes simplex I and II - Exposure of unerupted teeth - Fibroma removal - Frenectomy and frenotomy - Gingival troughing for crown impressions - Gingivectomy - Gingivoplasty - Gingival incision and excision - Hemostasis - Implant recovery - Incision and drainage of abscess - Laser assisted uvulopaletoplasty (LAUP) - Operculectomy - Oral papillectomies - Pulpotomy and pulpotomy as an adjunct to root canal therapy - Reduction of denture hyperplasia - Reduction of gingival hypertrophy - Removal of filling material such as gutta percha or resin as adjunct treatment during root canal therapy - Removal of post-surgical granulations - Soft tissue crown lengthening - Sulcular debridement or soft tissue curettage (removal of diseased or imflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss, and tooth mobility) - Tissue retraction for impression - Treatment of aphtous ulcers - Vestibuloplastv - Laser assisted new attachment procedure (cementum-mediated periodontal ligament now-attachment to the root surface in the absence of long junctional epithelium) - Periodontal regeneration true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface Nd:YAG laser (1064 nm wavelength) in dermatology and other surgical areas: - Removal of unwanted hair, for stable long term or permanent hair reatment of PFB. The laser is indicated for all skin types, Fitzpatrick I-VI, including tanned skin - Photocoagulation and hemostasis of pigmented and vascular lesions, such as, but not limited to, port wine stains, hemaongiomae, warts, telangiectasiae, rosacea, venus lake, leg veins and spider veins - Treatment of wrinkles - Treatment of mild to moderate inflammatory acne vulgaris - General surgery indications: surgical incision, vaporization and coagulation of soft tissue. All soft tissue is included, striated and smooth tissue, muscle, cartillage, menibrane, lymph vessels and nodes, organs and glands, fibroma removal. - Podiatry (ablation, vaporization, incision, and coagulation of soft tissue) including: - Matrixectomy - Periungual and subungual warts - Plantar warts - Radical nail excision - Neuromas The Fotona LightWalker Laser System Family is indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophyton rubrum and T mentagrophytes, and/or yeasts Candida albicans, etc.).
Device Description
The device is Fotona LightWalker laser system family (same as K121508). It is based on Er:YAG (2940 nm) and Nd:YAG (1064 nm) laser technology. It combines two flashlamp-pumped laser sources in one housing, with optical cavities containing the Er:YAG and Nd:YAG crystals. A diode aiming beam is combined with both therapeutic laser beams. The combined therapeutic and aiming beams are guided through an articulated arm to an optical hand piece (in the case of the Er: YAG laser), or, in the case of the Nd: YAG laser, through an optical fiber delivery system to an optical hand piece or to the bare fiber distal end. The Er:YAG laser is capable of delivering up to 1.5 J of laser energy in pulses with durations of 50 - 1000 us and frequencies (repetition rates) of up to 50 Hz. The maximum average output power is 20 W. The laser is intended to be used for incision/excision, cutting, ablation, vaporization and coagulation of soft and hard tissue in dentistry, dermatology and other surgical areas. The Nd:YAG laser is capable of delivering up to 10 J of energy with pulse durations from 0.1- 25 ms, and frequencies of up to 100 Hz. For dental indications it is capable of delivering laser pulses with durations of up to 650 us, frequencies (repetition rates) of up to 100 Hz and a maximum output power of 15 W. The laser is intended to be used for various intra oral treatments in dentistry, and for various surgical and aesthetic applications in dermatology and other surgical areas.
More Information

No
The summary describes a laser system with various applications but does not mention any AI or ML capabilities.

Yes
The device is clearly indicated for various therapeutic procedures, including surgical incisions, excisions, and treatments for various medical conditions across dentistry, dermatology, and other surgical areas.

No
The device is a laser system intended for surgical procedures, including cutting, ablation, vaporization, and coagulation of tissues. It does not perform diagnostic functions.

No

The device description clearly states it is a laser system with physical components like laser sources, optical cavities, articulated arms, and hand pieces. This is a hardware device, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Fotona LightWalker Laser System Family is a therapeutic device that uses laser energy to perform surgical procedures on various tissues (soft tissue, hard tissue, bone) in different parts of the body (oral cavity, skin, etc.). It directly interacts with the patient's body for treatment purposes.
  • Intended Use: The listed intended uses are all related to surgical interventions and treatments, not the analysis of in vitro specimens.

Therefore, the device falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Er: YAG laser (2940 nm wavelength) in dentistry:

  • Intra-oral soft tissue surgery (incision, excision, ablation coagulation)
  • Leukoplakia
  • Pulpotomy as adjunct to root canal retreatment
  • Pulp extirpation
  • Removal of fibromae
  • Removal of granulated tissue
  • Caries removal, cavity preparation, enamel roughening
  • Sulcular debridement
  • Tooth preparation to obtain access to root canal debridement and cleaning, root canal preparation including enlargement
  • Cutting, shaving, contouring and resection of oral osseous tissue (bone)
  • Osteotomy, osseous crown lengthening, osteoplasty
  • Apicectomy surgery
  • Removal of subgingival calculi in periodontal pockets with periodontitis by closed or open curetage

Er: YAG laser (2940 nm wavelength) in dermatology and other surgical areas:

  • Dermatology and Plastic Surgery Indications: Epidermal nevi, actinic cheilitis, verrucae, skin tags, keratoses and skin resurfacing;
  • ENT Surgery Indications: ENT lesions, cysts, polyps, hyperkeratosis, oral leukoplakia;
  • Oral/Maxillofacial Indications: Oral and glossal lesions, gingivectomy;
  • General Surgery Indications: Surgical incision, vaporization and coagulation of soft tissue during any general surgery application where skin incision, tissue dissection, excision of lesions, complete or partial resection of internal organs, lesions, tissue ablation and vessel coagulation;
  • Podiatry Indications: Warts, plantar verrucae, large mosaic verrucae, matrixectomy;
  • Ophtalmology Indications: Soft tissue surrounding the eye ;
  • Gynecology Indications: Herpes simplex, endometrial adhesion, CIN (Cervical intraepithelial neoplasia), cysts, condiloma;

Nd:YAG laser (1064 nm wavelength) in dentistry:

  • Excisional and incisional biopsies
  • Excision and vaporization of herpes simplex I and II
  • Exposure of unerupted teeth
  • Fibroma removal
  • Frenectomy and frenotomy
  • Gingival troughing for crown impressions
  • Gingivectomy
  • Gingivoplasty
  • Gingival incision and excision
  • Hemostasis
  • Implant recovery
  • Incision and drainage of abscess
  • Laser assisted uvulopaletoplasty (LAUP)
  • Operculectomy
  • Oral papillectomies
  • Pulpotomy and pulpotomy as an adjunct to root canal therapy
  • Reduction of denture hyperplasia
  • Reduction of gingival hypertrophy
  • Removal of filling material such as gutta percha or resin as adjunct treatment during root canal therapy
  • Removal of post-surgical granulations
  • Soft tissue crown lengthening
  • Sulcular debridement or soft tissue curettage (removal of diseased or imflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss, and tooth mobility)
  • Tissue retraction for impression
  • Treatment of aphtous ulcers
  • Vestibuloplasty
  • Laser assisted new attachment procedure (cementum-mediated periodontal ligament now-attachment to the root surface in the absence of long junctional epithelium)
  • Periodontal regeneration true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface

Nd:YAG laser (1064 nm wavelength) in dermatology and other surgical areas:

  • Removal of unwanted hair, for stable long term or permanent hair reatment of PFB. The laser is indicated for all skin types, Fitzpatrick I-VI, including tanned skin
  • Photocoagulation and hemostasis of pigmented and vascular lesions, such as, but not limited to, port wine stains, hemaongiomae, warts, telangiectasiae, rosacea, venus lake, leg veins and spider veins
  • Treatment of wrinkles
  • Treatment of mild to moderate inflammatory acne vulgaris
  • General surgery indications: surgical incision, vaporization and coagulation of soft tissue. All soft tissue is included, striated and smooth tissue, muscle, cartillage, menibrane, lymph vessels and nodes, organs and glands, fibroma removal.
  • Podiatry (ablation, vaporization, incision, and coagulation of soft tissue) including:
  • Matrixectomy
  • Periungual and subungual warts
  • Plantar warts
  • Radical nail excision
  • Neuromas

The Fotona LightWalker Laser System Family is indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophyton rubrum and T mentagrophytes, and/or yeasts Candida albicans, etc.).

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

GEX

Device Description

The device is Fotona LightWalker laser system family (same as K121508). It is based on Er:YAG (2940 nm) and Nd:YAG (1064 nm) laser technology. It combines two flashlamp-pumped laser sources in one housing, with optical cavities containing the Er:YAG and Nd:YAG crystals. A diode aiming beam is combined with both therapeutic laser beams. The combined therapeutic and aiming beams are guided through an articulated arm to an optical hand piece (in the case of the Er: YAG laser), or, in the case of the Nd: YAG laser, through an optical fiber delivery system to an optical hand piece or to the bare fiber distal end.

The Er:YAG laser is capable of delivering up to 1.5 J of laser energy in pulses with durations of 50 - 1000 us and frequencies (repetition rates) of up to 50 Hz. The maximum average output power is 20 W. The laser is intended to be used for incision/excision, cutting, ablation, vaporization and coagulation of soft and hard tissue in dentistry, dermatology and other surgical areas.

The Nd:YAG laser is capable of delivering up to 10 J of energy with pulse durations from 0.1- 25 ms, and frequencies of up to 100 Hz. For dental indications it is capable of delivering laser pulses with durations of up to 650 us, frequencies (repetition rates) of up to 100 Hz and a maximum output power of 15 W. The laser is intended to be used for various intra oral treatments in dentistry, and for various surgical and aesthetic applications in dermatology and other surgical areas.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Intra-oral, Oral, Head and Neck (ENT), Skin, Soft tissue, Bone, Dental structures (tooth, root canal, periodontal pocket), Eye (soft tissue surrounding), Female reproductive organs (cervix, endometrium), nails, fibroids.

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)

No clinical testing was needed. Laboratory testing has been conducted to validate and verify that the proposed Fotona LightWalker laser system family meets all design specifications and is substantially equivalent to the predicate devices.

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.

K070355, K151763

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.

K121508

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

§ 878.4810 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.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 1, 2017

Fotona d.o.o. Marko Berdajs R&D Engineer Stegne 7 Ljubljana. Si

Re: K172819

Trade/Device Name: LightWalker Laser System Family 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: September 15, 2017 Received: September 18, 2017

Dear Marko Berdajs:

We have reviewed vour 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 of medical device-related adverse events) (21 CFR 803); good

1

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.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely, 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

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K172819

Device Name

LightWalker Laser System Family

Indications for Use (Describe)

Er: YAG laser (2940 nm wavelength) in dentistry:

  • Intra-oral soft tissue surgery (incision, excision, ablation coagulation)
  • Leukoplakia
  • Pulpotomy as adjunct to root canal retreatment
  • Pulp extirpation
  • Removal of fibromae
  • Removal of granulated tissue
  • Caries removal, cavity preparation, enamel roughening
  • Sulcular debridement
  • Tooth preparation to obtain access to root canal debridement and cleaning, root canal preparation including enlargement
  • Cutting, shaving, contouring and resection of oral osseous tissue (bone)
  • Osteotomy, osseous crown lengthening, osteoplasty
  • Apicectomy surgery
  • Removal of subgingival calculi in periodontal pockets with periodontitis by closed or open curetage

Er: Y AG laser (2940 nm wavelength) in dermatology and other surgical areas:

  • Dermatology and Plastic Surgery Indications: Epidermal nevi, actinic cheilitis, verrucae, skin tags, keratoses and skin resurfacing;
  • ENT Surgery Indications: ENT lesions, cysts, polyps, hyperkeratosis, oral leukoplakia;
  • Oral/Maxillofacial Indications: Oral and glossal lesions, gingivectomy;
  • General Surgery Indications: Surgical incision, vaporization and coagulation of soft tissue during any general surgery application where skin incision, tissue dissection, excision of lesions, complete or partial resection of internal organs, lesions, tissue ablation and vessel coagulation;
  • Podiatry Indications: Warts, plantar verrucae, large mosaic verrucae, matrixectomy;
  • Ophtalmology Indications: Soft tissue surrounding the eye ;
  • Gynecology Indications: Herpes simplex, endometrial adhesion, CIN (Cervical intraepithelial neoplasia), cysts, condiloma;

Nd:YAG laser (1064 nm wavelength) in dentistry:

  • Excisional and incisional biopsies
  • Excision and vaporization of herpes simplex I and II
  • Exposure of unerupted teeth
  • Fibroma removal
  • Frenectomy and frenotomy
  • Gingival troughing for crown impressions
  • Gingivectomy
  • Gingivoplasty
  • Gingival incision and excision
  • Hemostasis
  • Implant recovery
  • Incision and drainage of abscess
  • Laser assisted uvulopaletoplasty (LAUP)

3

  • Operculectomy

  • Oral papillectomies

  • Pulpotomy and pulpotomy as an adjunct to root canal therapy

  • Reduction of denture hyperplasia

  • Reduction of gingival hypertrophy

  • Removal of filling material such as gutta percha or resin as adjunct treatment during root canal therapy

  • Removal of post-surgical granulations

  • Soft tissue crown lengthening

  • Sulcular debridement or soft tissue curettage (removal of diseased or imflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss, and tooth mobility)

  • Tissue retraction for impression

  • Treatment of aphtous ulcers

  • Vestibuloplastv

  • Laser assisted new attachment procedure (cementum-mediated periodontal ligament now-attachment to the root surface in the absence of long junctional epithelium)

  • Periodontal regeneration true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface

Nd:YAG laser (1064 nm wavelength) in dermatology and other surgical areas:

  • Removal of unwanted hair, for stable long term or permanent hair reatment of PFB. The laser is indicated for all skin types, Fitzpatrick I-VI, including tanned skin
  • Photocoagulation and hemostasis of pigmented and vascular lesions, such as, but not limited to, port wine stains, hemaongiomae, warts, telangiectasiae, rosacea, venus lake, leg veins and spider veins
  • Treatment of wrinkles
  • Treatment of mild to moderate inflammatory acne vulgaris
  • General surgery indications: surgical incision, vaporization and coagulation of soft tissue. All soft tissue is included, striated and smooth tissue, muscle, cartillage, menibrane, lymph vessels and nodes, organs and glands, fibroma removal.
  • Podiatry (ablation, vaporization, incision, and coagulation of soft tissue) including:
  • Matrixectomy
  • Periungual and subungual warts
  • Plantar warts
  • Radical nail excision
  • Neuromas

The Fotona LightWalker Laser System Family is indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophyton rubrum and T mentagrophytes, and/or yeasts Candida albicans, etc.).

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

4

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5

510(k) Summary

SUBMITTER'S INFORMATION

| Submitter: | Fotona d.o.o.
Stegne 7
1000 Ljubljana, Slovenia
Phone: +386 1 5009 100
Fax: + 386 1 5009 200 |
|-----------------|-----------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Marko Berdajs, Quality Assurance and Regulatory Affairs
Phone: +386 1 5009 119
E-mail: marko.berdajs@fotona.com |
| Date: | September 15, 2017 |

DEVICE INFORMATION

Device Trade Name:LightWalker Laser System Family
Common name:Medical Laser System
Classification name:GEX-Powered Laser Surgical Instrument, General and Plastic
Surgery
21 CFR 878.4810, Class II
Product Code:GEX

PREDICATE DEVICES

  • . Fotona Fidelis III Er:YAG/Nd:Y AG Laser System Family (K070355)
  • PerioLase Nd: YAG Pulsed Dental Laser System (K151763) .

6

DEVICE DESCRIPTION

The device is Fotona LightWalker laser system family (same as K121508). It is based on Er:YAG (2940 nm) and Nd:YAG (1064 nm) laser technology. It combines two flashlamp-pumped laser sources in one housing, with optical cavities containing the Er:YAG and Nd:YAG crystals. A diode aiming beam is combined with both therapeutic laser beams. The combined therapeutic and aiming beams are guided through an articulated arm to an optical hand piece (in the case of the Er: YAG laser), or, in the case of the Nd: YAG laser, through an optical fiber delivery system to an optical hand piece or to the bare fiber distal end.

The Er:YAG laser is capable of delivering up to 1.5 J of laser energy in pulses with durations of 50 - 1000 us and frequencies (repetition rates) of up to 50 Hz. The maximum average output power is 20 W. The laser is intended to be used for incision/excision, cutting, ablation, vaporization and coagulation of soft and hard tissue in dentistry, dermatology and other surgical areas.

The Nd:YAG laser is capable of delivering up to 10 J of energy with pulse durations from 0.1- 25 ms, and frequencies of up to 100 Hz. For dental indications it is capable of delivering laser pulses with durations of up to 650 us, frequencies (repetition rates) of up to 100 Hz and a maximum output power of 15 W. The laser is intended to be used for various intra oral treatments in dentistry, and for various surgical and aesthetic applications in dermatology and other surgical areas.

INTENDED USE

a) The Fotona LightWalker Laser System Family and its accessories will be marketed for the following indications added in this submission:

Nd:YAG laser (1064 nm wavelength) in dentistry:

  • Laser assisted new attachment procedure (cementum-mediated periodontal ligament new-attachment to the root surface in the absence oflongjunctional epithelium)

  • Periodontal regeneration - true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface.

b) Fotona LightWalker Laser System Family and its accessories will also be marketed for the following indications for use, already previously cleared under K121508:

Er: YAG laser (2940 nm wavelength) in dentistry:

  • Intra-oral soft tissue surgery (incision, excision, ablation coagulation)
  • Leukoplakia
  • Pulpotomy as adjunct to root canal retreatment
  • Pulp extirpation
  • Removal of fibromae
  • Removal of granulated tissue
  • Caries removal, cavity preparation, enamel roughening
  • Sulcular debridement

7

  • Tooth preparation to obtain access to root canal, root canal debridement and cleaning, root canal preparation including enlargement

  • Cutting, shaving, contouring and resection of oral osseous tissue (bone)

  • Osteotomy, osseous crown lengthening, osteoplasty

  • Apicectomy surgery

  • Removal of subgingival calculi in periodontal pockets with periodontitis by closed or open curetage

Er: YAG laser (2940 nm wavelength) in dermatology and other surgical areas:

  • Dermatology and Plastic Surgery Indications: Epidermal nevi, actinic cheilitis, verrucae, skin tags, keratoses and skin resurfacing;

  • ENT Surgery Indications: ENT lesions, cysts, polyps, hyperkeratosis, oral leukoplakia;

  • Oral/Maxillofacial Indications: Oral and glossal lesions, gingivectomy;

  • General Surgery Indications: Surgical incision/excision, vaporization and coagulation of soft tissue during any general surgery application where skin incision, tissue dissection, excision of lesions, complete or partial resection of internal organs, lesions, tissue ablation and vessel coagulation;

  • Podiatry Indications: Warts, plantar verrucae, large mosaic verrucae, matrixectomy;

  • Ophtalmology Indications: Soft tissue surrounding the eye ;

  • Gynecology Indications: Herpes simplex, endometrial adhesion, CIN (Cervical intraepithelial neoplasia), cysts, condiloma;

Nd:YAG laser (1064 nm wavelength) in dentistry:

  • Excisional and incisional biopsies

  • Excision and vaporization of herpes simplex I and II

  • Exposure of unerupted teeth

  • Fibroma removal

  • Frenectomy and frenotomy

  • Gingival troughing for crown impressions

  • Gingivectomy

  • Gingivoplasty

  • Gingival incision and excision

  • Hemostasis

  • Implant recovery

  • Incision and drainage of abscess

  • Laser assisted uvulopaletoplasty (LAUP)

  • Operculectomy

  • Oral papillectomies

  • Pulpotomy and pulpotomy as an adjunct to root canal therapy

  • Reduction of denture hyperplasia

  • Reduction of gingival hypertrophy

  • Removal of filling material such as gutta percha or resin as adjunct treatment during root canal therapy

  • Removal of post-surgical granulations

  • Soft tissue crown lengthening

  • Sulcular debridement or soft tissue curettage (removal of diseased or imflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss, and tooth mobility)

8

  • Tissue retraction for impression
  • Treatment of aphtous ulcers
  • Vestibuloplasty

Nd:YAG laser (1064 nm wavelength) in dermatology and other surgical areas:

  • Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of PFB. The laser is indicated for all skin types, Fitzpatrick I-VI, including tanned skin

  • Photocoagulation and hemostasis of pigmented and vascular lesions, such as, but not limited to, port wine stains, hemaongiomae, warts, telangiectasiae, rosacea, venus lake, leg veins and spider veins

  • Treatment of wrinkles

  • Treatment of mild to moderate inflammatory acne vulgaris

  • General surgery indications: surgical incision, excision, vaporization and coagulation of soft tissue. All soft tissue is included, striated and smooth tissue, muscle, cartillage, meniscus, mucous membrane, lymph vessels and nodes, organs and glands, fibroma removal.

  • Podiatry (ablation, vaporization, incision, excision, and coagulation of soft tissue) including:

  • Matrixectomy

  • Periungual and subungual warts

  • Plantar warts

  • Radical nail excision

  • Neuromas

The Fotona LightWalker Laser System Family is indicated for use for the temporary increase of clear nail in patients with onychomycosis (e.g., dermatophytes Trichophyton rubrum and T mentagrophytes, and/or yeasts Candida albicans, etc.).

SUMMARY OF TECHNOLOGICAL CHARACTERISTICS

The Fotona LightWalker Laser System Family has the same technological and design characteristics (design, chemical composition, energy source; wavelength, active medium, cooling system, power supply, beam delivery, controls, housing) as the previously cleared Fotona's LightWalker Laser System family Device (K121508) and the predicate devices Fotona Fidelis III Er:YAG/Nd: YAG Laser System ( K070355) and PerioLase Nd: YAG Pulsed Dental Laser System (K151763). The output characteristics are for the intended use the same as those of the predicate devices. All lasers utilize class I aiming beams which pose no hazard to the user. All systems are microprocessor controlled devices. The microprocessor control regulates normal operation, permits parameter selection and avoids hazard incidence. All systems utilize an internal closed loop water-air heat exchanger circuit for optimal thermal control of the laser cavity. The risk and benefits for the Fotona LightWalker Laser System Family are identical to the predicate devices when used for similar clinical applications.

The indications for use required no changes to the device or software previously cleared to market, thus we believe LightWalker Laser System Family is substantially equivalent in terms of indications for use and technology based on technical characteristics to previously predicate devices.

A comparison of the technical specifications for the intended use of the LightWalker

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Laser System Family with the previously cleared devices is provided in Tables 1 and 2.

Table 1:Indication for use: Laser assisted new attachment procedure (cementummediated periodontal ligament new-attachment to the root surface in the absence of long junctional epithelium); Comparison of Fotona LightWalker Laser System Family with the predicate device: Fotona Fidelis III Laser System Family (K070355).

TREATMENT PARAMETERS
Fotona Fidelis III Family
(K070355)LightWalker Laser System Family
(K172819)
Wavelength1064 nm1064 nm
Contact partBare fiberBare fiber
Power2 – 4 W2- 4 W
Pulsewidth ModeSP mode and LP modeSP mode and LP mode*
Frequency10 – 20 Hz10 – 20 Hz
Fiber diameter300 μm300 μm
  • SP and LP LightWalker's modes denote pulse durations 150 µs and 650 µs, respectively.

Table 2: Indication for use: Periodontal regeneration - true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface; Comparison of Fotona LightWalker Nd: YAG with the predicate device: Periolase Nd: YAG Laser System (K151763).

TREATMENT PARAMETERS
Millennium Periolase Nd:YAG
(K151763)LightWalker Laser System Family
(K172819)
Wavelength1064 nm1064 nm
Contact partBare fiberBare fiber
Power3 - 4 W3 - 4 W
Pulsewidth150 $\mu$ s and 650 $\mu$ s150 $\mu$ s and 650 $\mu$ s
Frequency20 Hz20 Hz
Fiber diameter360 $\mu$ m - 400 $\mu$ m360 $\mu$ m - 400 $\mu$ m

STATEMENT OF SUBSTANTIAL EQUIVALENCE

The LightWalker Laser System Family shares the same indications for use, similar design and functional features with predicate devices, and therefore Fotona believes that its LightWalker laser system family is substantially equivalent to the Fotona Fidelis III Er:YAG/Nd:YAG Laser System Family (K070355) and PerioLase Nd: YAG Pulsed Dental Laser System (K151763).

The Fotona LightWalker Laser System Family is substantially equivalent in terms of indications for use and technology based on technical characteristics.

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TESTING

Clinical testing:

No clinical testing was needed.

Fotona LightWalker laser system family is designed, tested and will be manufactured in accordance with both mandatory and voluntary standards

EN 60601-1:2006 + A1:2013 *

Medical electrical equipment -- Part 1: General requirements for basic safety and essential performance.

EN 60601-1-2:2015+

Medical electrical equipment -- Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests.

EN 60601-2-22-2013 **

Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment.

EN 60601-1-6:2010 + A1:2015 *

Medical electrical equipment -- Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability.

EN 62366:2008 + A1:2015 *

Medical devices - Application of usability engineering to medical devices.

EN 60825-1:2014 *

Safety of laser products -- Part 1: Equipment classification and requirements.

EN ISO 14971:2012

Medical devices - Application of risk management to medical devices.

EN 62304:2006 * + A1:2015 Medical device software - Software life-cycle processes.

EN ISO 17664:2004

Sterilization of medical devices - Information to be provided by the manufacturer for the processing of resterilizable medical devices

EN ISO 10993-1:2009

Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process

* For international compliance see CB Scheme standards

  • The standard EN 60601-2-22:2013 and EN 60601-1-2:2015 have been published but not harmonized yet. It is however our decision to follow the current state of the art assuming the newer standards assure a higher level of safety

CB Scheme standards:

IEC 60601-1:2005 + A1:2012

Medical electrical equipment - Part 1: General requirements for basic safety and essential performance.

IEC 60601-1-2:2014

Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests.

IEC 60601-2-22:2007 + A1:2012

Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment.

IEC 60601-1-6:2010 + A1:2013

Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability.

IEC 60825-1:2014

Safety of laser products - Part 1: Equipment classification and requirements.

IEC 62366:2007 + A1:2014

Medical devices - Application of usability engineering to medical devices.

IEC 62304:2006 + A1:2015

Medical device software - Software life-cycle processes.

Laboratory testing has been conducted to validate and verify that the proposed Fotona LightWalker laser system family meets all design specifications and is substantially equivalent to the predicate devices.