K Number
K173359
Device Name
Fractional CO2 Surgical Laser System
Manufacturer
Date Cleared
2018-07-05

(252 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BIOXEL CO2 Surgical Laser System is indicated for use, in the non-fractionated mode, for Incision, Excision, Ablation, Vaporization, and Coagulation of Human Body Soft Tissues. The system is intended for use in Dermatology, Plastic and General Surgery, Neurosurgery, and Podiatry. The BIOXEL CO2 Surgical Laser System is indicated for use, in the fractionated mode, for Ablative Skin Resurfacing, Wrinkle, Fine line, Rhylides, and Furrows in Dermatology.
Device Description
The BIOXEL CO2 Surgical Laser System is used in Dermatology, Plastic and General Surgery, Neurosurgery and Podiatry. This equipment consists of main body, Articulated Arm, hand-piece, protective goggles, foot switch and power cable. In a main body, there are a monitor displaying all information needed by an operator at a glance and a touch LCD screen, which facilitates operation of this equipment at user's convenience. The laser output is initiated with the foot switch.
More Information

Not Found

No
The summary describes a standard CO2 surgical laser system with a touch screen interface and foot switch activation. There is no mention of AI, ML, image processing, or any features that would suggest the use of such technologies. The performance studies focus on standard device safety and functionality testing.

Yes

The device is indicated for medical procedures such as Incision, Excision, Ablation, Vaporization, and Coagulation of Human Body Soft Tissues, and Ablative Skin Resurfacing, Wrinkle, Fine line, Rhylides, and Furrows, which are therapeutic interventions.

No

Explanation: The device is a surgical laser system used for incision, excision, ablation, vaporization, and coagulation of tissues, and for ablative skin resurfacing. Its intended uses involve treatment and modification of tissue, not diagnosis.

No

The device description explicitly lists hardware components such as a main body, articulated arm, hand-piece, protective goggles, foot switch, and power cable, indicating it is a hardware-based system with integrated software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. They are used outside of the body (in vitro) to diagnose, monitor, or screen for diseases or conditions.
  • Device Function: The BIOXEL CO2 Surgical Laser System is a surgical laser used for direct interaction with human body soft tissues (incision, excision, ablation, vaporization, coagulation, and skin resurfacing). This is an in vivo (within the living body) procedure.
  • Intended Use: The intended use clearly describes surgical procedures performed directly on the patient's body, not the analysis of specimens taken from the body.

Therefore, the BIOXEL CO2 Surgical Laser System falls under the category of a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The BIOXEL CO2 Surgical Laser System is indicated for use, in the non-fractionated mode, for Incision, Excision, Ablation, Vaporization, and Coagulation of Human Body Soft Tissues. The system is intended for use in Dermatology, Plastic and General Surgery, Neurosurgery, and Podiatry.

The BIOXEL CO2 Surgical Laser System is indicated for use, in the fractionated mode, for Ablative Skin Resurfacing, Wrinkle, Fine line, Rhylides, and Furrows in Dermatology.

Product codes

GEX, ONG

Device Description

The BIOXEL CO2 Surgical Laser System is used in Dermatology, Plastic and General Surgery, Neurosurgery and Podiatry.

This equipment consists of main body, Articulated Arm, hand-piece, protective goggles, foot switch and power cable. In a main body, there are a monitor displaying all information needed by an operator at a glance and a touch LCD screen, which facilitates operation of this equipment at user's convenience. The laser output is initiated with the foot switch.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Human Body Soft Tissues

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Dermatology, Plastic and General Surgery, Neurosurgery, and Podiatry.

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 BIOXEL performs as intended based on performance data provided in the submission.

Software: Verification and validation testing of the software confirm that the software version is appropriate for release.

Electrical Safety and Electromagnetic Compatibility: The BIOXEL has been tested for electromagnetic compatibility and electrical safety per the applicable recognized consensus standards (IEC 60601-1, IEC 60601-1-2, IEC 60601-2-22 and IEC 60825-1).

Biocompatibility: Biocompatibility of the patient contacting components of the device has been established per ISO 10993-5.

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

Not Found

Predicate Device(s)

K111831, K180036

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/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.

BraunSolutions % Mr. Alexander Henderson Official Correspondent 970 South Dawson Way Unit 14 Aurora, Colorado 80012-3827

Re: K173359

Trade/Device Name: BIOXEL Fractional CO2 Surgical Laser System 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, ONG Dated: June 1, 2018 Received: June 5, 2018

Dear Mr. Henderson:

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 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.

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 comprehensive regulatory information about medical devices and radiation-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.

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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Indications for Use

510(k) Number (if known) K173359

Device Name BIOXEL CO2 Surgical Laser System

Indications for Use (Describe)

The BIOXEL CO2 Surgical Laser System is indicated for use, in the non-fractionated mode, for Incision, Excision, Ablation, Vaporization, and Coagulation of Human Body Soft Tissues. The system is intended for use in Dermatology, Plastic and General Surgery, Neurosurgery, and Podiatry.

The BIOXEL CO2 Surgical Laser System is indicated for use, in the fractionated mode, for Ablative Skin Resurfacing, Wrinkle, Fine line, Rhylides, and Furrows in Dermatology.

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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RM. 1412, SJ TECHNO VILLE, 278, BEOTKKOT-RO, GEUMCHEON-GU, SEOUL, KOREA

TEL : 82-2-3281-9091 FAX : 82-2-3281-8011 E-MAIL : amimed@amimed.co.kr

EXECUTIVE SUMMARY

1. Name of Device

Trade/Device Name: BIOXEL Fractional CO2 Surgical Laser System Regulation Number: 21CFR 878.4810 Regulation Name: Powered Laser Surgical Instrument Regulation Description: Laser Surgical instrument for use in general and plastic surgery and dermatology. Device Class: II Product Code: GEX

2. Predicate Devices

K111831 MX-7000 MICROXEL, Dae Shin Enterprises K180036 SMAXEL, IDS, Ltd.

3. Prior Submissions Statement

There were no prior submissions for the BIOXEL Fractional CO2 Surgical Laser System.

4. Device Description

The BIOXEL CO2 Surgical Laser System is used in Dermatology, Plastic and General Surgery, Neurosurgery and Podiatry.

This equipment consists of main body, Articulated Arm, hand-piece, protective goggles, foot switch and power cable. In a main body, there are a monitor displaying all information needed by an operator at a glance and a touch LCD screen, which facilitates operation of this equipment at user's convenience. The laser output is initiated with the foot switch.

5. Indications for Use

The BIOXEL CO2 Surgical Laser System is indicated for use, in the non-fractional mode, for Incision, Excision, Ablation, Vaporization, and Coagulation of Human Body Soft Tissues. The system is intended for use in Dermatology, Plastic and General Surgery, Neurosurgery and Podiatry.

The BIOXEL CO2 Surgical Laser System is indicated for use, in the fractional mode, for Ablative Skin Resurfacing, Wrinkle, Fine line, Rhylides, and Furrows in Dermatology.

6. Comparison Chart to Predicate Devices

| Characteristics | BIOXEL (AMI, Inc.)
Subject Device | SMAXEL (IDS, Ltd.)
K180036 | MICROXEL (Dae Shin)
K111831 |
|--------------------------|--------------------------------------|------------------------------------|------------------------------------|
| Laser Wavelength | 10,600nm | 10,600nm | 10,600nm |
| Laser Type | CO2 | CO2 | CO2 |
| Maximum Power | 40W | 40W | 40W |
| Laser Transfer
Method | Articulated Arm with hand
piece | Articulated Arm with
hand piece | Articulated Arm with
hand piece |
| Dimensions(mm) | 440 x 480 x 1,830 | 420 x 410 x 920 | 420 x 410 x 1,120 |
| Weight | 50 kgs | 50 kgs | 45 kgs |
| Energy | 1-30 mJ | 5-30 mJ | 4-30 mJ |

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RM. 1412, SJ TECHNO VILLE, 278, BEOTKKOT-RO, GEUMCHEON-GU, SEOUL, KOREA

TEL : 82-2-3281-9091 FAX : 82-2-3281-8011 E-MAIL : amimed@amimed.co.kr

Density1-23 Level1-23 Level1-23 Level
Scan Size20 x 20 mm20 x 20 mm5 x 15 mm
Scan ShapeSquare, Hexagonal,
Triangular, CircularSquare, Hexagonal,
Triangular, CircularSquare, Circle
ModeFractional Mode
General (CW, Normal Pulse,
Super Pulse, Ultra Pulse)General, Fractional, Non-
Factional, Low Power
FractionalFractional Mode
Normal Mode(CW, Super
Dream Pulse, Ultra
Dream Pulse)
Off Time0.2 ~ 2.5 sec, Single0.5 ~ 2.5 sec, Single0.5 ~ 1.5 sec, Single

8. Summary of Performance Testing

The BIOXEL performs as intended based on performance data provided in the submission.

Software: Verification and validation testing of the software confirm that the software version is appropriate for release.

Electrical Safety and Electromagnetic Compatibility: The BIOXEL has been tested for electromagnetic compatibility and electrical safety per the applicable recognized consensus standards (IEC 60601-1, IEC 60601-1-2, IEC 60601-2-22 and IEC 60825-1).

Biocompatibility: Biocompatibility of the patient contacting components of the device has been established per ISO 10993-5.

9. Conclusion

The BIOXEL CO2 Surgical Laser System was found to be substantially equivalent to the predicate devices.

The BIOXEL CO2 Surgical Laser System shares the same or similar indications for use, similar design features, and functional features with, and thus is substantially equivalent to the predicate devices.