K Number
K173676
Device Name
A-FIT
Manufacturer
Date Cleared
2018-09-14

(288 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Main Hand Piece For use in dermatology: incision, excision, ablation, and vaporization with hemostasis of soft tissue, Treatment of back acne Treatment of atrophic acne scars Treatment of facial wrinkles Treatment of mild to moderate acne vulgaris Treatment of Sebaceous Hyperplasia Radio Frequency Hand piece The RF Hand piece energy is intended to provide topical heating for the purpose of elevating tissue temperature for the treatment of selected medical conditions such as relief of pain, muscle spasms, and increase in local circulation.
Device Description
A-FIT consists of Laser diode and high-frequency (RF) stimulator. It can be used for incision, destruction and removal of skin tissue by illuminating a 1450 nm wavelength laser on the skin tissue. In addition, the RF energy can be used to relieve pain. Laser surgical unit, diode: Specifically, a 1450 nm wavelength laser is absorbed into the skin to be transformed into thermal energy, which then induces incision, destruction and removal of skin tissues. Laser is sent out through the power unit equipped inside the Main Body to oscillate the laser diode, and the user uses the touch LCD in the Main Body to set the output parameters while controlling laser radiation through the foot switch. At this point, a coolant is sprayed from the end of the hand piece to protect skin from the heat generated by the radiated laser, resulting in a reduction in skin irritation and pain. Electrosurgical system, general-purpose: The operating concept of the electrosurgical unit is to let the high frequency (RF) energy flow through the electrodes of the hand piece to use the load or heat generated by contact resistance, resulting in a coagulant activity on the cell tissues.
More Information

Not Found

No
The document describes a laser and RF energy device with user-controlled parameters and standard safety/performance testing, with no mention of AI or ML.

Yes
The device is intended for various medical conditions such as the treatment of acne, acne scars, facial wrinkles, sebaceous hyperplasia, relief of pain, muscle spasms, and increase in local circulation, which classify it as a therapeutic device.

No

The device description and intended use clearly state that this device is used for treatment purposes (incision, excision, ablation, vaporization, topical heating for pain relief, etc.), not for diagnosing conditions.

No

The device description explicitly states that A-FIT consists of a Laser diode and high-frequency (RF) stimulator, which are hardware components. It also describes a power unit, hand piece, touch LCD, and foot switch, all of which are physical parts of the device.

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

Here's why:

  • Intended Use/Indications for Use: The intended uses listed are for direct treatment of skin conditions (incision, excision, ablation, vaporization, acne treatment, wrinkle treatment, pain relief, muscle spasms, increased local circulation). These are all therapeutic applications performed directly on the patient's body.
  • Device Description: The device description details a laser and RF stimulator that apply energy directly to the skin tissue for therapeutic effects.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are used in vitro (outside the body) to analyze samples and provide diagnostic information. This device is used in vivo (on the body) for therapeutic purposes.

N/A

Intended Use / Indications for Use

Main Hand Piece
For use in dermatology: incision, excision, ablation, and vaporization with hemostasis of soft tissue,
Treatment of back acne Treatment of atrophic acne scars Treatment of facial wrinkles Treatment of mild to moderate acne vulgaris Treatment of Sebaceous Hyperplasia

Radio Frequency Hand piece
The RF Hand piece energy is intended to provide topical heating for the purpose of elevating tissue temperature for the treatment of selected medical conditions such as relief of pain, muscle spasms, and increase in local circulation.

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

GEX, PBX

Device Description

A-FIT consists of Laser diode and high-frequency (RF) stimulator. It can be used for incision, destruction and removal of skin tissue by illuminating a 1450 nm wavelength laser on the skin tissue. In addition, the RF energy can be used to relieve pain.
Laser surgical unit, diode: Specifically, a 1450 nm wavelength laser is absorbed into the skin to be transformed into thermal energy, which then induces incision, destruction and removal of skin tissues. Laser is sent out through the power unit equipped inside the Main Body to oscillate the laser diode, and the user uses the touch LCD in the Main Body to set the output parameters while controlling laser radiation through the foot switch. At this point, a coolant is sprayed from the end of the hand piece to protect skin from the heat generated by the radiated laser, resulting in a reduction in skin irritation and pain.
Electrosurgical system, general-purpose: The operating concept of the electrosurgical unit is to let the high frequency (RF) energy flow through the electrodes of the hand piece to use the load or heat generated by contact resistance, resulting in a coagulant activity on the cell tissues.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Skin

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)

Non-clinical tests: Testing conducted on the A-FIT shows that it refers to the relevant mandatory performance standards for laser products 21 CFR 1040.11. Other performance, such as electromagnetic compliance, etc, were tested using following consensus standards:

  • Basic safety and essential performance of the A-FIT was tested and evaluated according to -IEC 60601-1:2005 (Third Edition) + CORR, 1:2006 + CORR, 2:2007 + A1:2012 (or IEC 60601-1:2012 reprint).
  • -Effect to the device by electromagnetic disturbances were tested and evaluated according to the FDA-recognized consensus standard, IEC 60601-1-2 Edition 3: 2007-03.
  • -Safety of laser products is evaluated according to IEC 60825-1:2014 (Third Edition).
  • General Requirements For Basic Safety And Essential Performance Collateral Standard: -Usability was tested and evaluated according to the FDA-recognized consensus standard, IEC 60601-1-6 Edition 3.1 2013-10.
  • Particular Requirements for The Basic Safety and Essential Performance of High -Frequency Surgery Equipment And High Frequency Surgical Accessories was tested and evaluated according to IEC 60601-2-2:2009 (Fifth Edition) + C1:2014.
  • Particular Requirements for Basic Safety and Essential Performance of Surgical, Cosmetic, -Therapeutic And Diagnostic Laser Equipment was tested and evaluated according to IEC 60601-2-22:2007 (Third Edition) +A1:2012.
  • Risk management was recorded by referring to ISO 14971. -
  • -The software for A-FIT has been verified and validated based on its moderate level of concern. Software life cycle processes was evaluated according to the FDA-recognized consensus standard, IEC 62304:2006.
  • -Application of usability engineering to medical devices was tested and evaluated according to IEC 62366:2007.
  • Biocompatibility of A-FIT was documented referred to ISO 10993-1:2009, ISO 10993--5:2009, and 10993-10:2010.

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.

K041242, K133739

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.

Not Found

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.

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Image /page/0/Picture/0 description: The image shows 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 consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size below that.

September 14, 2018

HIRONIC Co., Ltd. % Mina Joo Assistant Manager BT Solutions, Inc. Unit 502, 148 Yeoksam-ro Seoul, 06249 Kr

Re: K173676 Trade/Device Name: A-fit 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: August 9, 2018 Received: August 15, 2018

Dear Mina Joo:

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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be avare that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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.

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

510(k) Number (if known) NOXANING K173676

Device Name A-FIT

Indications for Use (Describe)

Main Hand Piece For use in dermatology: incision, excision, ablation, and vaporization with hemostasis of soft tissue, Treatment of back acne Treatment of atrophic acne scars Treatment of facial wrinkles Treatment of mild to moderate acne vulgaris Treatment of Sebaceous Hyperplasia

Radio Frequency Hand piece

The RF Hand piece energy is intended to provide topical heating for the purpose of elevating tissue temperature for the treatment of selected medical conditions such as relief of pain, muscle spasms, and increase in local circulation.

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)

Form Approved: OMB No. 0910-0120

Expiration Date: 06/30/2020

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5. 510(k) Summary

1. General Information

Applicant/Submitter:Hironic Co., Ltd.
Address:19F, 767, Sinsu-Ro, Suji-Gu
Yongin-Si, Gyeonggi-do, 16827
Republic of Korea
Tel) +82-31-525-7400
Fax) +82-505-360-4201
Contact Person:Mina Joo, BT Solutions, Inc.
Address:Unit 502, 148 Yuksamro, Gangnam-gu, Seoul,
Republic of Korea
Tel) +82.2.538.9140
Email) smanager@btsolutions.co.kr
Preparation Date:September – 13 – 2018

2. Device Name and Code

Device Trade Name:A-FIT
Common Name:Laser Surgical Unit
Classification Name:Laser surgical instrument for use in general and plastic
surgery and in dermatology
Electrosurgical cutting and coagulation device and
accessories
Product Code:GEX, PBX
Regulation Number:878.4810
878.4400
Classification:Class II
Review Panel:General & Plastic Surgery (ODE)

3. Technical Characteristics in Comparison to Predicate Devices

A-FIT is substantially equivalent to the following legally marketed predicate devices. We identified two predicate devices under product code GEX for Laser hand piece and PBX for RF hand piece respectively.

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1) Predicate device for Laser – K041242

Predicate DeviceProposed Device
510(K) NumberK041242N/A
ManufacturerCANDELA CORP.Hironic Co., Ltd.
Device NameCANDELA SMOOTHBEAM LASER
SYSTEMA-FIT
Clearance Date:April 23, 2004N/A
Classification /
RegulationClass II / (21 CFR § 878.4810 Laser
Surgical Instrument for use in General
and Plastic Surgery and in Dermatology)Class II / (21 CFR § 878.4810 Laser
Surgical Instrument for use in General
and Plastic Surgery and in Dermatology)
Product CodeGEXGEX
Light SourceDiode LaserDiode Laser
Wavelength -
Beam radiation1450 nm1450 nm ± 10%
Wavelength -
Beam pointingUnknown635 nm ± 10 %
Indications for
Use / Intended
UseFor use in dermatology: incision,
excision, ablation, and vaporization with
hemostasis of soft tissue,
Treatment of back acne
Treatment of atrophic acne scars
Treatment of facial wrinkles
Treatment of mild to moderate acne
vulgaris
Treatment of Sebaceous HyperplasiaFor use in dermatology: incision,
excision, ablation, and vaporization with
hemostasis of soft tissue,
Treatment of back acne
Treatment of atrophic acne scars
Treatment of facial wrinkles
Treatment of mild to moderate acne
vulgaris
Treatment of Sebaceous Hyperplasia
Intended forPrescription UsePrescription Use
Maximum Pulse
Duration (Pulse
Width)210 msTotal 250 ms (62.5 ms X 4) ± 10%
Total 250 ms (4.17 ms X 60) ± 10%
Maximum laser
output (J/cm²)8-25 J/cm²4 J/cm² - 13 J/cm² ± 20%
(Soft and Normal modes)
Maximum laser
output - Beam
pointingUnknown