K Number
K211977
Date Cleared
2021-10-26

(123 days)

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

The "CHERYLAS-15N and CHERYLAS-20N" are indicated for the treatment of reflux of the saphenous veins associated with varicose veins and varicosities.

Device Description

Diode laser is a kind of laser with semiconductor as working material. It consists of working material, cavity resonator and power source.The diode laser for this unit is GaAlAs diode bar, and the wavelength is 1470mm. It features impact structure, high efficiency and long lifetime. Generally the beam shall be shamed as the big beam divergence of the laser from the diode. When the coaxiality of laser and fiber meet the requirements, the laser beam can be coupled efficiently into the fiber.

The block diagram shows how the diode laser system works. MCU (Micro Controller Unit) is the control center of system. MCU controls the drive board and temperature system by changing operating current. The operating power supply is the power source of the whole system, it supplies power for MCU, diode laser module by DC-DC conversion module and temp system by temp-control circuit. MCU controls the drive current of diode laser module by adjusting the DC-DC module and current-control circuit. The MCU has three external input sources: footswitch, remote interlock and information input from the touch units, it has one external output unit: display terminal. The diode laser module provides laser power output by fiber with optical fiber coupling system. The system can test and calibrate power by the calibration and feedback unit.

AI/ML Overview

The provided document is a 510(k) premarket notification for a medical device (Medical Diode Laser Systems) and primarily focuses on proving substantial equivalence to a predicate device based on technical characteristics and adherence to safety standards. It explicitly states "Clinical data: Not applicable." Therefore, the document does not contain the information requested regarding acceptance criteria and a study proving a device meets those criteria, specifically concerning performance metrics like sensitivity, specificity, or the improvement of human readers with AI assistance.

The information provided pertains to the device's technical specifications, intended use, and comparison to a predicate device, focusing on safety and technological equivalence rather than AI/algorithm performance.

To answer your request, the document would need to include details about a clinical study or a robust non-clinical performance study with specific metrics, a test set, ground truth establishment, and statistical analysis, which is absent.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. Food & Drug Administration" in blue text.

October 26, 2021

Wuhan Dimed Laser Technology Co., Ltd. Long Yang, COO Shenzhen Hlongmed Biotech Co., Ltd. 1201, Haosheng Business Center, 4096 Dongbin Road, Nanshan Shenzhen, Guangdong 518054 China

Re: K211977

Trade/Device Name: Medical Diode Laser Systems 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: July 30, 2021 Received: August 6, 2021

Dear Long Yang:

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.

{1}------------------------------------------------

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 mediation-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 Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K211977

Device Name Medical Diode Laser Systems

Indications for Use (Describe)

The "CHERYLAS-15N and CHERYLAS-20N" are indicated for the treatment of reflux of the saphenous veins associated with varicose veins and varicosities.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

510(k) Summary (as required by 807.92(c))

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of SMDA 1990 and 21 CFR & 807.92.

The assigned 510(K) number is:__K211977 Date of Summary: _2021.10.26

1. Submitter information

Submitter Name: Wuhan Dimed Laser Technology Co., Ltd.

Address: Room 311, 313, 315, Hubei Guozhi Patent Venture Incubator Building, 327-1

Minzu Avenue, Wuhan East Lake High-tech Development Zone, Wuhan, China

Contact Person and Title: Qiao Cheng/QMS & RA Manager

Tel: 0086-15827482600

Fax: 0086-027-59706608

Email: chelsey cheng@dimedlaser.com

2. Contact person

2.1 Primary Contact Person

Long Yang (COO)

Shenzhen Hlongmed Biotech Co.,Ltd.

1201, Haosheng Business Center, 4096 Dongbin Road, Nanshan, Shenzhen, P.R.C

Tel: 0086-755-86664986

Fax: 0086-755-86664933

E-mail: yanglong@hlongmed.com

2.2 Secondarv Contact Person

{4}------------------------------------------------

Qiao Cheng(QMS & RA Manager)

Wuhan Dimed Laser Technology Co., Ltd.

Tel: 0086-15827482600

3. Device information

Type of 510(k) submissionTraditional
Device nameMedical Diode Laser Systems
ModelCHERYLAS-15N, CHERYLAS-20N
Common nameMedical Diode Laser Systems
Review PanelGeneral & Plastic Surgery
Product CodeGEX
Regulation Number21 CFR 878.4810
Device ClassII

4. Predicate device information

510(k)numberK160549
Device nameMedical Diode Laser Systems
SponsorWuhan Gigaa Optronics Technology Co., Ltd
Product codeGEX

5. Device Description

Diode laser is a kind of laser with semiconductor as working material. It consists of working material, cavity resonator and power source.The diode laser for this unit is GaAlAs diode bar, and the wavelength is 1470mm. It features impact structure, high efficiency and long lifetime. Generally the beam shall be shamed as the big beam divergence of the laser from the diode. When the coaxiality of laser and fiber meet the requirements, the laser beam can be coupled efficiently into the fiber.

{5}------------------------------------------------

Image /page/5/Figure/0 description: This image is a block diagram of a laser system. The diagram includes components such as a foot switch, remote interlock, power supply, MCU, current control, DC-DC power, working temperature control, temperature control system, laser diode, fiber, laser output, power calibration, information input, and LCD. The diagram shows the flow of power and control signals between the different components of the laser system.

The block diagram shows how the diode laser system works. MCU (Micro Controller Unit) is the control center of system. MCU controls the drive board and temperature system by changing operating current. The operating power supply is the power source of the whole system, it supplies power for MCU, diode laser module by DC-DC conversion module and temp system by temp-control circuit. MCU controls the drive current of diode laser module by adjusting the DC-DC module and current-control circuit. The MCU has three external input sources: footswitch, remote interlock and information input from the touch units, it has one external output unit: display terminal. The diode laser module provides laser power output by fiber with optical fiber coupling system. The system can test and calibrate power by the calibration and feedback unit.

6. Intended use

The "CHERYLAS-15N and CHERYLAS-20N" are indicated for the treatment of reflux of the saphenous veins associated with varicose veins and varicosities.

{6}------------------------------------------------

7. Technological characteristics and Substantial Equivalence

Wuhan Dimed Laser Technology Co., Co., Ltd. believes the CHERYLAS-15N, CHERYLAS-20N described in this submission is substantially equivalent to the predicate device as follows:

No.Item ofComparisonPredicate deviceSubject deviceDiscussion
1510K NumberK160549K211977NA
2ProprietaryNameMedical Diode LaserSystemsMedical Diode LaserSystemsNA
3ModelVELAS II-15DCHERYLAS-15N;CHERYLAS-20NNA
4ManufacturerWuhan Gigaa OptronicsTechnology Co., Ltd.Wuhan Dimed LaserTechnology Co., Ltd.NA
5Product pictureImage: Predicate deviceImage: Subject deviceNA
6ClassificationnamePowered Laser SurgicalInstrumentPowered Laser SurgicalInstrumentSame
7Product CodeGEXGEXSame
8RegulationNumber21 CFR 878.481021 CFR 878.4810Same
9Intended use/Indication forThe "VELAS II-15D" isindicated for use in theThe “ CHERYLAS-15Nand CHERYLAS-20N ”Same
use
treatment of reflux ofthe saphenous veinsassociated with varicoseveins and varicosities.are indicated for thetreatment of reflux of thesaphenous veinsassociated with varicoseveins and varicosities.
10Laser Typediode laserdiode laserSame
11ComponentsLaser system,Color touch screen,Foot switch,Power detectorLaser system,Color touch screen,Foot switchDifferent
12Wavelength1470nm1470nmSame
13Output powerVELAS II-15D: 1-15WCHERYLAS-15N:0.1W-15W;CHERYLAS-20N:0.1W-20W;Similar
14OperationmodeCW, single pulse, repeatpulseCW, single pulse, repeatpulseSame
15Pulse width10ms-2.5s10ms- 3sSimilar
16Pulse repetitionrate0.2Hz-50Hz0.2Hz-50HzSame
17Application /Light deliverysystemIt is recommended to usethe disposablesterile fiber (K124003,MED-Fibers, Inc.)registered in U.S.A.It is recommended to usethe disposablesterile fiber (K124003,MED-Fibers, Inc.)registered in U.S.A.Same
The parameters must meetThe parameters must
the followingmeet the following
requirements:requirements:
•bare fiber, long as 3m•bare fiber, long as 3m
•Fiber core diameter:•Fiber core diameter:
600μm600μm
•NA ≥0.22•NA ≥0.22
• With SMA905• With SMA905
connectorconnector
•Single used•Single used
18Aiming BeamDiode laser of635/532nm, powermax.<5mW, adjustablebrightness.Diode laser of 650nm,power <3mW, adjustablebrightness.Different
19Laser Class44Same
20OperationinterfaceColor LCD touch screenColor LCD touch screenSame
21Power Supply100-240VAC, 50/60Hz,350VA100-240VAC, 50/60Hz,1.4ADifferent
22SafetyclassificationClassI Type BClassI Type BSame
23Dimensions400(W)*385(L)*200(H)m380(W)*430(L)*220(H)mmSimilar
24Weight12.9kg11kgSimilar
25WaterprooflevelIPX1IPX1Same
26FootswitchWaterprooflevelIPX8IPX8Same
27StandardIEC60601-1IEC60601-1-2IEC60601-2-22IEC60825-1IEC60601-1IEC60601-1-2IEC60601-2-22IEC60825-1Same
28Non-sterileYesYesSame
29MicroprocessorControlYesYesSame

{7}------------------------------------------------

{8}------------------------------------------------

{9}------------------------------------------------

The subject device has same intended use, similar product design, same performance effectiveness, and performance safety as the predicate device.

The differences between the subject device and predicate device are minor and both products meet the same standard IEC60601-1, IEC60601-1-2, IEC60601-2-22 and IEC60825-1. The differences between the subject device and predicate device do not affect the basic design principle, usage, effectiveness and safety of the subject device. And no question is raised regarding to effectiveness and safety.

Argument for Substantial Equivalence to Predicate Devices

As seen in the comparison tables, the subject and predicate device have the same intended use and similar technological characteristics. The main technological differences between the subject and predicate device are minor differences, and do not raise different questions of safety or effectiveness. Information contained in this submission demonstrates that any differences in their characteristics do not raise any new questions of safety or effectiveness.

Thus, the subject device is substantially equivalent to the predicate device.

{10}------------------------------------------------

8. Effectiveness and Safety Considerations

Clinical data

Not applicable.

Non-clinical data:

The Medical Diode Laser Systems (Model: CHERYLAS-15N, CHERYLAS-20N) conforms to applicable standards included below requirements.

● AAMI / ANSI ES 60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R) 2012 (Consolidated Text) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD),

● IEC60601-1-2:2014 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests,

● IEC 60601-2-22:2007+AMD1: 2012 CSV Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment and

● IEC60825-1:2007 Safety of laser products - Part 1: Equipment classification, and requirements [Including: Technical Corrigendum 1 (2008), Interpretation Sheet 1 (2007), Interpretation Sheet 2 (2007)]

9. Conclusion

The non-clinical data support the safety of the device and the software verification and validation demonstrate that the Medical Diode Laser Systems (Model: CHERYLAS-15N, CHERYLAS-20N) device should perform as intended in the specified use conditions, and all the data demonstrate that the subject device perform comparably to the predicate device that is currently marketed for the similar intended use. In other words, the subject

{11}------------------------------------------------

device Medical Diode Laser Systems (Model: CHERYLAS-15N, CHERYLAS-20N) is substantially equivalent to the predicate device.

§ 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.