K Number
K192970
Device Name
SLIMUS
Manufacturer
Date Cleared
2020-12-01

(405 days)

Product Code
Regulation Number
878.5400
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The SLIMUS is intended for non-invasive lipolysis of the abdomen, flanks, back, and thighs in individuals with a Body Mass Index (BMI) of 30 or less. The device is intended to affect the appearance of visible fat bulges in the abdomen, flanks, back, and thighs.

Vibrator installed inside each hand-piece and operable only in non-laser output condition is intended for relief from minor muscle aches and pains.

Device Description

The SLIMUS device incorporates a laser system that emits a 1060 nm wavelength using a diode laser. Laser radiation is emitted from the laser main unit to the device's handpieces through the handpiece fibers. The device is used to noninvasively reduce the size of the waist of overweight patients with a Body Mass Index (BMI) of less than 30 (kg/m²). A vibrator function is installed inside of each hand-piece and operable only in non-laser output mode. The device's handpieces are fixed to a belt which then combined provide mechanical vibration to the patient in order provide relief from minor muscle aches and pains.

AI/ML Overview

This document does not contain information about acceptance criteria or a study proving the device meets acceptance criteria. It is a 510(k) premarket notification summary for the SLIMUS device, primarily demonstrating its substantial equivalence to a predicate device (SculpSure™).

Specifically, the document states in section 8: "No Clinical performance testing was performed." This means there isn't a study proving the device's performance against specific acceptance criteria in a clinical setting provided in this document.

Therefore, I cannot provide the requested information in the table or answer the questions related to clinical study design, as no such study is presented in this document. The provided text focuses on non-clinical testing and technological comparisons to establish substantial equivalence.

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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, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 1, 2020

HIRONIC Co., Ltd % Sanghwa Myung Regulatory Affairs Consultant E&M D-1474, 230, Simin-daero, Dongan-gu Anyang-Si. 14067 Kr

Re: K192970

Trade/Device Name: Slimus Regulation Number: 21 CFR 878.5400 Regulation Name: Low Level Laser System For Aesthetic Use 878.5650 Regulatory Class: Class II Product Code: PKT, ISA Dated: March 12, 2020 Received: March 17, 2020

Dear Sanghwa Myung:

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. Although this letter refers to your product as a device, please be aware 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.

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Purva Pandya Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

Device Name SLIMUS

Indications for Use (Describe)

The SLIMUS is intended for non-invasive lipolysis of the abdomen, flanks, back, and thighs in individuals with a Body Mass Index (BMI) of 30 or less. The device is intended to affect the appearance of visible fat bulges in the abdomen, flanks, back, and thighs.

Vibrator installed inside each hand-piece and operable only in non-laser output condition is intended for relief from minor muscle aches and pains.

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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Image /page/3/Picture/2 description: The image shows the logo for Hironic. The logo consists of a red square with a white arrow pointing to the right, followed by the word "HIRONIC" in black, sans-serif font. The logo is simple and modern, and the red and black colors give it a bold and professional look.

510(k) Summary

This summary of 510(k) Safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

1. Submitter Information

ApplicantHironic Co., Ltd.
Address19F, 767, Sinsu-Ro, Suji-Gu, Yongin-Si, Gyeonggi-do,16827, Republic of Korea
Phone Number+82-31-525-7000
Fax Number+82-31-525-7010
Contact PersonSang Hwa, Myung
Contact InformationD-1474, 230, Simin-daero, Dongan-gu, Anyang-si,Gyeonggi-do, 14067, Republic of Koream. +82-10-4952-6638, e. mshenmc@gmail.com, f. 031-388-9263

Date 510(k) summary prepared: October 26th, 2020

2. Device Name and Product Code

Device Trade NameSLIMUS
Common NameLow Intensity Laser System
Classification NameLaser for disruption of adipocyte cells for aesthetic use
Product CodePKT
Regulation Number21 CFR 878.5400 - Low Intensity Laser System
Regulatory ClassII - Low Intensity Laser System
Review PanelGeneral & Plastic Surgery (ODE)

3. Legally marketed device(s) to which equivalence is claimed

Predicate DeviceSculpsure (K171111)
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4. Device

The SLIMUS device incorporates a laser system that emits a 1060 nm wavelength using a diode laser. Laser radiation is emitted from the laser main unit to the device's handpieces through the handpiece fibers. The device is used to noninvasively reduce the size of the waist of overweight patients with a Body Mass Index (BMI) of less than 30 (kg/m²). A vibrator function is installed inside of each hand-piece and operable only in non-laser output mode. The device's handpieces are fixed to a belt which then combined provide mechanical vibration to the patient in order provide relief from minor muscle aches and pains.

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  1. Indication for Use

The SLIMUS is intended for non-invasive lipolysis of the abdomen, flanks, back, and thighs in individuals with a Body Mass Index (BMI) of30 or less. The device is intended to affect the appearance of visible fat bulges in the abdomen, flanks, back, and thighs. Vibrator installed inside each hand-piece and operable only in non-laser output condition is intended for relief from minor muscle aches and pains ..

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Image /page/5/Picture/2 description: The image shows the logo for Hironic. The logo consists of a red square with a white arrow pointing to the right, followed by the word "HIRONIC" in black, block letters. The logo is simple and modern, and the colors are eye-catching.

6. Summary of the Technological Characteristics of the Device Compared to the Predicate

Proposed SLIMUSPredicate
SculpSure™
510(k) NumberK192970K171111
ManufacturerHironic Co., Ltd.Cynosure, Inc.
LipolysisMethodHeat-assistedHeat-assisted
Device TypeDiode LaserDiode Laser
Indication foruseThe SLIMUS is intended for non-invasive lipolysis of the abdomen,flanks, back, and thighs in individualswith a Body Mass Index (BMI) of 30 orless. The device is intended to affectthe appearance of visible fat bulgesin the abdomen, flanks, back, andthighs. Vibrator installed inside eachhand-piece and operable only in non-laser output condition is intended forrelief from minor muscle aches andpains.The Cynosure SculpSure™ is intendedfor non-invasive lipolysis of theabdomen, flanks, back, and thighs inindividuals with a Body Mass Index(BMI) of 30 or less. The device isintended to affect the appearance ofvisible fat bulges in the abdomen,flanks, back, and thighs.
Wavelength1060 ± 20 nm(infrared)1060 ± 20 nm(infrared)
Spot Size4 x 6 cm2 on each of theApplicator heads4 x 6 cm2 on each of theApplicator heads
Pulse Width(laser On time)CWCW
Power DensityUp to 1.4 W/cm2Up to 1.4 W/cm2
Attachment topatientBeltBelt
Rated InputAC 220-230 V, 4 kVAAC 200-240 V, 20 A

7. Non-clinical tests submitted - 807.92(b)(1)

  • -. Basic safety and essential performance of the SLIMUS is evaluated in accordance with IEC 60601-1:2012.
  • -. Effect to the device by electromagnetic disturbances is evaluated in accordance with the FDA-recognized consensus standard, IEC 60601-1-2:2014.
  • -. Safety of laser products is evaluated in accordance with IEC 60825-1:2014.
  • -. General Requirements for Basic Safety and Essential Performance Collateral Standard: Usability is evaluated in accordance with the FDA-recognized consensus standard, IEC 60601-1-6:2013.
  • -. Particular Requirements for Basic Safety and Essential Performance of Low Intensity Laser System are evaluated in accordance with IEC 60601-2-22:2012.
  • -. Risk management is recorded in the reference of ISO 14971:2007.
  • -. Software life cycle processes are evaluated according to the FDA-recognized consensus standard, IEC 62304:2006.
  • -. Application of usability engineering to medical devices is evaluated in accordance with IEC 62366:2007.
  • -. Biocompatibility of SLIMUS is documented in the reference of ISO 10993-1:2009, ISO 10993-5:2009, and 10993-10:2010.

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8. No Clinical performance testing was performed.

9. Discussion of non-clinical testing.

The non-clinical data for the SLIMUS device, including bench testing, electrical medical device safety, electromagnetic field compatibility, laser safety, biocompatibility, hardware, and software documentation together support that the device can perform as intended.

10. Conclusions

The SLIMUS device shares the same intended use and similar technological characteristics with the predicate device. These do not raise new types of questions regarding safety and efficacy for the SLIMUS when compared to the predicate. Based on its technical characteristics, indications for use, and performance data, the SLIMUS device is considered to be substantially equivalent to the predicate device.

§ 878.5400 Low level laser system for aesthetic use

(a)
Identification. A Low Level Laser System for Aesthetic Use is a device using low level laser energy for the disruption of adipocyte cells within the fat layer for the release of fat and lipids from these cells for noninvasive aesthetic use.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Industry and Food and Drug Administration Staff; Class II Special Controls Guidance Document: Low Level Laser System for Aesthetic Use.” See § 878.1(e) for the availability of this guidance document.