K Number
K201466
Device Name
Tranberg CLS Laser Applicator
Date Cleared
2021-03-26

(297 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TRANBERG® Laser Applicator is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, pulmonology, radiology, and urology, for wavelengths 980nm through 1064nm.
Device Description
The TRANBERG® Laser Applicator is used to transfer laser energy from the laser unit to the location for the treatment. The laser Applicator is designed with a core of 550 μm. The fiber length is 3 and 12m and it has a standard connector SMA 905 to fit the laser unit. The numerical aperture is at 0.22. The Laser Applicator is used with an introducer and both (fiber and introducer), are delivered sterile and for single use only. The introducer consists of an introducer stylet and introducer catheter with a fiber lock.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and safety standards of a laser applicator, with no mention of AI or ML capabilities.

Yes

The intended use explicitly states the device is used to "necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy," which are therapeutic actions.

No

The device is indicated for use to "necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy," which describes a therapeutic function, not a diagnostic one.

No

The device description clearly outlines physical components like a fiber, introducer, stylet, catheter, and connector, indicating it is a hardware device used to deliver laser energy.

Based on the provided information, the TRANBERG® Laser Applicator is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to "necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy." This is a therapeutic procedure performed directly on the patient's tissue, not a test performed on a sample taken from the body (which is the hallmark of an IVD).
  • Device Description: The device is a laser applicator designed to deliver laser energy for treatment. This aligns with a therapeutic device, not a diagnostic one.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue samples, etc.), detecting specific analytes, or providing diagnostic information based on laboratory testing.

Therefore, the TRANBERG® Laser Applicator is a therapeutic medical device, not an IVD.

N/A

Intended Use / Indications for Use

The TRANBERG® Laser Applicator is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, pulmonology, radiology, for wavelengths 980nm through 1064nm.

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

GEX

Device Description

The TRANBERG® Laser Applicator is used to transfer laser energy from the laser unit to the location for the treatment. The laser Applicator is designed with a core of 550 μm. The fiber length is 3 and 12m and it has a standard connector SMA 905 to fit the laser unit. The numerical aperture is at 0.22. The Laser Applicator is used with an introducer and both (fiber and introducer), are delivered sterile and for single use only. The introducer consists of an introducer stylet and introducer catheter with a fiber lock.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue (cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat, gastroenterology, general surgery, gynecology, head and neck, neurosurgery, plastic surgery, pulmonology, radiology, and urology)

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)

The Tranberg® Laser Applicator has been determined through engineering testing to support substantial equivalence with this device and the predicate. This testing showed the Tranberg® Laser Applicator to meet applicable ISO, IEC and FDA safety and performance standards. There are no clinical data submitted with this Notification.

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.

K163103

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 for the U.S. Food & Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol is a stylized representation of a human figure, while the FDA name is written in blue and includes the words "U.S. Food & Drug Administration".

March 26, 2021

Clinical Laserthermia Systems, AB % David Makanani CEO OMEDtech, LLC 1725 Signal Ridge Drive, Suite 150 Edmond, Oklahoma 73013

Re: K201466

Trade/Device Name: Tranberg CLS Laser Applicator 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: February 22, 2021 Received: February 26, 2021

Dear David Makanani:

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 (QS) 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.

For Purva Pandya 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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Indication for Use

510(k) Number: K201466

Device Name: TRANBERG에 Laser Applicator

Indications for Use:

The TRANBERGOS| Laser Applicator is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, earnose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, pulmonology, radiology, for wavelengths 980nm through 1064nm.

Prescription Use: X AND/OR (Part 21 CFR 801 Subpart D)

Over-The-Counter Use: NO (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off

510(k)

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510(K) SUMMARY

DateMay 23, 2020
SUBMITTERLars-Erik Eriksson, CEO
Clinical Laserthermia Systems, AB
Scheelevagen 2
Lund, Sweden 22381
CONTACT PERSONLars-Erik Eriksson, CEO
Clinical Laserthermia Systems, AB
Scheelevagen 2
Lund, Sweden 22381
Tel: +4646152100
Email: lee@clinicallaser.se
DEVICE NAME
Classification
Trade Name
Common Name
Classification
Product Code
Review PanelClass II
TRANBERG® Laser Applicator
TRANBERG® Laser Applicator
21 CFR 878.4810
GEX - Powered Laser Surgical Instrument
General and Plastic Surgery
PREDICATE DEVICE:K163103, Clinical LaserThermia Systems Tranberg®
Laser Diffuser Fiber
INTENDED USE:The TRANBERG® Laser Applicator is indicated for use
to necrotize or coagulate soft tissue through
interstitial irradiation or thermal therapy in medicine
and surgery in cardiovascular thoracic surgery
(excluding the heart and the vessels in the pericardial
sac), dermatology, ear-nose-throat surgery,
gastroenterology, general surgery, gynecology, head
and neck surgery, neurosurgery, plastic surgery,
pulmonology, radiology, and urology, for
wavelengths 980nm through 1064nm.

DEVICE DESCRIPTION:

The TRANBERG® Laser Applicator is used to transfer laser energy from the laser unit to the location for the treatment.

Clinical Laserthermia Systems, AB ● 223 81 Lund, Sweden

4

The laser Applicator is designed with a core of 550 μm. The fiber length is 3 and 12m and it has a standard connector SMA 905 to fit the laser unit. The numerical aperture is at 0.22.

The Laser Applicator is used with an introducer and both (fiber and introducer), are delivered sterile and for single use only. The introducer consists of an introducer stylet and introducer catheter with a fiber lock

TECHNOLOGICAL CHARACTERISTIC AND SUBSTANTIAL EQUIVALENCE:

This device is identical in construction and design as the predicate device.

The following table provides more detailed information regarding the basis for the determination of substantial equivalence:

ParameterPredicateDevice
Laser Fiber
Product nameTranberg® Laser Diffuser FiberTranberg® Laser Applicator
ManufacturerClinical LaserThermia Systems CLS,
SwedenClinical LaserThermia Systems CLS,
Sweden
Indications for useThe Tranberg® Laser fiber is indicated for
use to necrotize or coagulate soft tissue
through interstitial irradiation or thermal
therapy in medicine and surgery in
cardiovascular thoracic surgery (excluding
the heart and the vessels in the
pericardial sac), dermatology, ear-nose-
throat surgery, gastroenterology, general
surgery, gynecology, head and neck
surgery, neurosurgery, plastic surgery,
pulmonology, radiology, and urology, for
wavelengths 980nm through 1064nmThe Tranberg® Laser Applicator is
indicated for use to necrotize or
coagulate soft tissue through interstitial
irradiation or thermal therapy in
medicine and surgery in cardiovascular
thoracic surgery (excluding the heart and
the vessels in the pericardial sac),
dermatology, ear-nose-throat surgery,
gastroenterology, general surgery,
gynecology, head and neck surgery,
neurosurgery, plastic surgery,
pulmonology, radiology, and urology, for
wavelengths 980nm through 1064nm
Device Regulatory
ClassificationAccessory to powered surgical laser
instrument
FDA 878.4810Accessory to powered surgical laser
instrument
FDA 878.4810
Product CodeGEXGEX

Clinical Laserthermia Systems, AB ● 223 81 Lund, Sweden

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ParameterPredicateDevice
Device ClassAccessory to powered surgical laser instrument
Class 2Accessory to powered surgical laser instrument
Class 2
510(k) numberK163013To be obtained
Fiber core diameter:550 μm550 μm
Numerical aperture:0.220.22
Fiber length:3m, 12m standard3m, 12m standard
Proximal connector:SMA 905SMA 905
Wavelength:980nm-1064 nm980nm-1064 nm
Laser operation mode:Continuous WaveContinuous Wave
Diffusing region length:10-15 mm1-25 mm
Diffusing tip assembly diameter:1.55 mm1.55 mm
Lesion Shape:Elliptical shapeElliptical or Round shape

PERFORMANCE TESTING - (NON-CLINICAL) BENCH

The Tranberg® Laser Applicator has been determined through engineering testing to support substantial equivalence with this device and the predicate. This testing showed the Tranberg® Laser Applicator to meet applicable ISO, IEC and FDA safety and performance standards.

PERFORMANCE TESTING - CLINICAL

There are no clinical data submitted with this Notification.

CONCLUSION:

Based on the results of non-clinical testing, the TRANBERG® Laser Applicator performs according to specifications, and as intended, and the comparative discussion of intended use, principle of operation, and technological characteristics, has determined that the Tranberg® Laser Applicator is substantially equivalent to the predicate device.