K Number
K193609
Date Cleared
2020-03-20

(85 days)

Product Code
Regulation Number
878.4810
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Q-Switched Nd: YAG Laser Therapy System is indicated for use in tattoo removal, treatment of benign vascular lesions, treatment of benign pigmented lesions, incision, ablation, vaporization of soft tissue for general dermatology as follows:

1064nm: -Tattoo Removal Dark ink: blue and black. -Treatment of Benign Pigmented Lesions Nevus of ota.

532mm: -Tattoo Removal Light ink: red, Light ink: sky blue and green. - Treatment of Benign Vascular Lesions Port wine birthmarks: Telangiectasias; Spider angioma: Cherry angioma; Spider nevi. -Treatment of Benign Pigmented Lesions Cafe-au-lait birthmarks; Solar lentiginos; Senile lentiginos; Becker's nevi; Freckles; Nevus spilus.

Device Description

The proposed device is a multi-wavelength, pulsed laser system designed for the treatment of benign pigmented lesions. The device can produce two wavelengths, 1064nm and 532nm, to treat different skin color. It consists of control panel module, main control module, laser power module, temperature and humidity control module and laser module. The physician is able to select the desired waveleneth and the related output energy via control panel.

AI/ML Overview

The provided text describes a 510(k) submission for a Q Switched Nd: YAG Laser machine. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than providing clinical performance data against specific acceptance criteria for AI/ML devices. Therefore, much of the requested information regarding AI/ML device testing (e.g., sample size for test set, number of experts for ground truth, MRMC studies, standalone performance) is not applicable or available in this document.

However, I can extract information related to the device's technical specifications and the non-clinical tests performed to demonstrate its safety and effectiveness in comparison to the predicate device.

Here's the information as far as it can be extracted from the provided text:

1. A table of acceptance criteria and the reported device performance

For a 510(k) submission, the "acceptance criteria" are typically defined by the technical specifications and adherence to recognized standards, demonstrating performance comparable to a predicate device. The "reported device performance" is then the demonstrated compliance with these specifications and standards.

Acceptance Criteria (Technical Specification/Standard Compliance)Reported Device Performance (Proposed Device)Predicate Device Specification
Product CodeGEXGEX
Regulation Number21 CFR 878.481021 CFR 878.4810
ClassClass IIClass II
Indications for UseThe Q-Switched Nd: YAG Laser Therapy System is indicated for use in tattoo removal, treatment of benign vascular lesions, treatment of benign pigmented lesions, incision, excision, ablation, vaporization of soft tissue for general dermatology as follows: 1064nm: -Tattoo Removal (Dark ink: blue and black). -Treatment of Benign Pigmented Lesions (Nevus of ota). 532nm: -Tattoo Removal (Light ink: red, Light ink: sky blue and green). -Treatment of Benign Vascular Lesions (Port wine birthmarks; Telangiectasias; Spider angioma; Cherry angioma; Spider nevi). -Treatment of Benign Pigmented Lesions (Cafe-au-lait birthmarks; Solar lentiginos; Senile lentiginos; Becker's nevi; Freckles; Nevus spilus).The Q-Switched Nd: YAG Laser Therapy System (1064nm or 532nm) is indicated for use in tattoo removal, treatment of benign vascular lesions, treatment of benign pigmented lesions, incision, excision, ablation, vaporization of soft tissue for general dermatology as follows: 1064nm: -Tattoo Removal (Dark ink: blue and black). -Treatment of Benign Pigmented Lesions (Nevus of ota). 532nm: -Tattoo Removal (Light ink: red, Light ink: sky blue and green). -Treatment of Benign Vascular Lesions (Port wine birthmarks; Telangiectasias; Spider angioma; Cherry angioma; Spider nevi). -Treatment of Benign Pigmented Lesions (Cafe-au-lait birthmarks; Solar lentiginos; Senile lentiginos; Becker's nevi; Freckles; Nevus spilus).
Lamp SourceXenon LampXenon Lamp
Energy SourceND:YAGND:YAG
Laser ClassificationClass 4Class 4
Laser Wavelength1064nm, 532nm1064nm, 532nm
Max. Output Energy500mJ for 1064nm, 260mJ for 532nm500mJ for 1064nm, 250mJ for 532nm
Spot Size2-10mm2-10mm
Pulse Width6ns ± 1ns5ns ± 1ns or 5ns
Repetition Rate1-10Hz1-5Hz
Cooling methodinternal distilled water circulating coolinginternal distilled water circulating cooling
Aiming beam wavelength635nm635nm
Aiming Beam0.1mW-5mW0.1mW-5mW
Laser output modeQ-switched pulseQ-switched pulse
Beam deliveryarticulated arm light guidearticulated arm light guide
Patient contact material (Light guide arm)Aluminum alloySteel, ABS
Biocompatibility (Cytotoxicity)No Cytotoxicity (Conforms with ISO 10993-5:2009)No Cytotoxicity
Biocompatibility (Sensitization)No evidence of Sensitization (Conforms with ISO 10993-10:2010)Conforms with ISO 19003 (presumably ISO 10993 per context)
Biocompatibility (Irritation)No evidence of Irritation (Conforms with ISO 10993-10:2010)No evidence of Irritation
Electrical SafetyConforms with IEC 60601-1:2005+AMD1:2012Conforms with IEC 60601-1
EMCConforms with IEC 60601-1-2:2014Conforms with IEC 60601-1-2
Laser SafetyConforms with IEC 60601-2-22:2012, IEC 60825-1:2014Conforms with IEC 60601-2-22, IEC 60825

2. Sample size used for the test set and the data provenance

The document states: "No clinical study is included in this submission." The testing described is non-clinical (laboratory/bench testing) verifying device specifications and adherence to standards. Therefore, an explicit "test set sample size" for patient data and "data provenance" (country of origin, retrospective/prospective) are not applicable to this type of submission. The tests involved physical device characteristics and materials.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable, as no clinical studies with human "test sets" or expert-established "ground truth" were part of this 510(k) submission.

4. Adjudication method for the test set

Not applicable, as no clinical studies with expert adjudication were part of this 510(k) submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a laser machine, not an AI-assisted diagnostic or therapeutic tool that would involve human readers or AI assistance.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This device is a physical laser machine, not an algorithm.

7. The type of ground truth used

For the non-clinical tests, the "ground truth" implicitly refers to the established scientific and engineering principles and the requirements defined by the international standards (e.g., ISO 10993 for biocompatibility, IEC 60601 series for electrical and laser safety). Device characteristics were measured against predefined specifications that are deemed safe and effective in comparison to the predicate device.

8. The sample size for the training set

Not applicable. This is not an AI/ML device, so no "training set" in that context exists.

9. How the ground truth for the training set was established

Not applicable for the same reason as above.

§ 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.