K Number
K213761
Device Name
Joule diVa System
Manufacturer
Date Cleared
2022-07-19

(230 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The JOULE diVa Laser Device with its accessories is intended for coagulation, ablation, or cutting of soft tissue (skin) in Dermatology, Plastic Surgery, ENT, Gynecology, General Surgery, Podiatry, and Ophthalmology (skin around the eyes). The JOULE diVa Laser System, when used with its micro beam handpieces, is intended for use in Dermatological procedures and Skin resurfacing procedures.
Device Description
The JOULE diVa Laser Device consists of a console and laser deliver accessories. It uses focusing optics to deliver optical energy to the treatment site. The control console houses the power supply, cooling system, articulated arm delivery system and/or fiber optic arm delivery system with a handpiece. The user activates laser emission by means of a footswitch.
More Information

K101916 Joule Multi-Platform System, K060033 Profile Multi-Platform System, K210634 MCL 31 Dermablate System

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on standard laser technology components and operation.

Yes
The device is intended for coagulation, ablation, or cutting of soft tissue, which are direct therapeutic interventions.

No

Explanation: The device is intended for therapeutic procedures such as coagulation, ablation, or cutting of soft tissue, not for diagnosing conditions.

No

The device description explicitly states it consists of a console and laser delivery accessories, including hardware components like a power supply, cooling system, and handpiece. While software is mentioned for verification and validation, the core device is a hardware-based laser system.

Based on the provided information, the JOULE diVa Laser Device is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is for "coagulation, ablation, or cutting of soft tissue (skin)" and "Dermatological procedures and Skin resurfacing procedures." These are all procedures performed directly on the patient's body.
  • Device Description: The description details a laser system that delivers optical energy to the treatment site on the patient.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, tissue, or urine) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on samples taken from the human body. The JOULE diVa Laser Device is a therapeutic device used for surgical and dermatological procedures directly on the patient.

N/A

Intended Use / Indications for Use

The JOULE diVa Laser Device with its accessories is intended for coagulation, vaporization, ablation, or cutting of soft tissue (skin) in Dermatology, Plastic Surgery, ENT, Gynecology, General Surgery, Podiatry, and Ophthalmology (skin around the eyes).

The JOULE diVa Laser System, when used with its micro beam handpieces, is intended for use in Dermatological procedures and Skin resurfacing procedures.

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

GEX

Device Description

The JOULE diVa Laser Device consists of a console and laser deliver accessories. It uses focusing optics to deliver optical energy to the treatment site. The control console houses the power supply, cooling system, articulated arm delivery system and/or fiber optic arm delivery system with a handpiece. The user activates laser emission by means of a footswitch.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue (skin) in Dermatology, Plastic Surgery, ENT, Gynecology, General Surgery, Podiatry, and Ophthalmology (skin around the eyes).

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)

Summary of Non-clinical Tests:
Safety and Performance: FDA recognized consensus standards were utilized to evaluate the JOULE system for nonclinical performance. These included electrical, mechanical, EMC testing, usability and essential performance of the JOULE system.
IEC 60601-2-22: 2007 (3d edition) +A1:2012 indicates the conformity of JOULE system with the particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnose laser equipment. Examples of test performed are Interruption of power supply, indication of laser output, indications of parameters relevant to safety and emergency stop.
IEC 60601-1:2005 is applicable for the general requirements concerning basic safety and essential performance that are applicable to medical electrical equipment. Examples of tests performed on the JOULE system based upon this standard are power input, humidity, durability of markings, leakage current, dielectric strength, excessive temperature, push & impact tests, etc.
IEC 60601-1-2 (Ed 4.0): 2014 indicates the conformity of the JOULE system to the basic safety and essential performance of medical equipment (ME) in the presence of electromagnetic disturbance and for electromagnetic emission of ME systems. Examples of the tests performed are electrostatic discharge immunity test, electromagnetic field immunity, transient immunity, power frequency magnetic field immunity, voltage dips/interruptions immunity tests, etc.
IEC 60601-1-6: 2010 AMD1:2013 indicates the usability of JOULE system and its associated accessories. Examples of evaluations performed are usability of engineering principles, hazards related to usability, user interface, medical benefits versus risks, etc.
Biocompatibility: The biocompatibility of the patient-contacting component of the JOULE diVa delivery system (HEREAUS QUARTZ GLASS TUBE HLQ 200 V8) were confirmed in testing by Nelsons Lab with passing cytotoxicity, irritation and sensitivity test results. The cytotoxicity test was conducted in accordance with ISO 10993-5 and USP guidelines. The Irritation test result met the requirements of the ISO 10993-10 and ISO 10993-23 guidelines. The sensitization test results met the requirements of the ISO 10993-10 guidelines.
Software: Software verification and validation testing documents were provided as recommended by "Guidance for the content of premarket submissions for software contained in medical devices." All the items in the software risk analysis, software development procedure, cybersecurity risk analysis, software requirement specification, software design documentation, software test plan and traceability analysis met the requirements.
Sterility: The JOULE system has no component or accessory that is sold sterile.
Shelf-life: Shelf-life is not applicable for JOULE system because of low likelihood of time-dependent product degradation.
Conclusion: The conclusions drawn from the non-clinical tests demonstrate that the JOULE diVa Laser device is as safe as the legally marketed device (predicate).

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.

K101916 Joule Multi-Platform System, K060033 Profile Multi-Platform System, K210634 MCL 31 Dermablate System

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 contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: on the left, there is a symbol representing the Department of Health & Human Services-USA, and on the right, there is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The text is arranged in three lines, with "FDA" on the first line, "U.S. FOOD & DRUG" on the second line, and "ADMINISTRATION" on the third line.

July 19, 2022

Sciton, Inc Jay Patel VP of Regulatory Affairs 925 Commercial Street Palo Alto, California 94303

Re: K213761

Trade/Device Name: Joule diVa System 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: June 8, 2022 Received: June 9, 2022

Dear Jay Patel:

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.

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

1

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,

Jianting Wang 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) K213761

Device Name JOULE diVa Laser Device

Indications for Use (Describe)

The JOULE diVa Laser Device with its accessories is intended for coagulation, ablation, or cutting of soft tissue (skin) in Dermatology, Plastic Surgery, ENT, Gynecology, General Surgery, Podiatry, and Ophthalmology (skin around the eyes).

The JOULE diVa Laser System, when used with its micro beam handpieces, is intended for use in Dermatological procedures and Skin resurfacing procedures.

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)

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K213761 Summary

Submitter:Sciton, Inc.
Address:925 Commercial Street, Palo Alto, CA 94303
Phone:(650) 493-9155
Fax :(650) 493-9146
Contact Person:Jay M. Patel, VP of Regulatory Affairs
Date Prepared:July 16, 2022
Device Trade Name:JOULE diVa Laser Device
Common Name:Laser Powered Surgical Device (and Accessories)
Classification Name:Laser Surgical Instrument, 21 CFR 878.4810.
Product Code:GEX
Legally Marketed
Predicate Device:K101916 Joule Multi-Platform System
K060033 Profile Multi-Platform System
K210634 MCL 31 Dermablate System
Description of JOULE
diVa Laser Device:The JOULE diVa Laser Device consists of a console and laser deliver accessories.
It uses focusing optics to deliver optical energy to the treatment site. The control
console houses the power supply, cooling system, articulated arm delivery system
and/or fiber optic arm delivery system with a handpiece. The user activates laser
emission by means of a footswitch.
Intended Use:The JOULE diVa Laser Device with its accessories is intended for coagulation,
vaporization, ablation, or cutting of soft tissue (skin) in Dermatology, Plastic
Surgery, ENT, Gynecology, General Surgery, Podiatry, and Ophthalmology (skin
around the eyes).

The JOULE diVa Laser System, when used with its micro beam handpieces, is
intended for use in Dermatological procedures and Skin resurfacing procedures. |
| Technological
Characteristics: | The JOULE diVa Laser Device shares the same indications for use,
and as noted below, shares similar design features (including wavelength, laser
medium and delivery systems, power supply, cooling and control system), functional
features (including power output, repetition rate, energy, spot size and fluence), and
is therefore substantially equivalent to the above legally marketed predicate devices. |

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JOULE diVa Laser Device
SpecificationPredicate DevicePredicate DevicePredicate DeviceThis ApplicationSimilar
Ref. 510(k)K101916K060033K210634K213761--
ProductJoule Multi-Platform
System
1470 nm Laser SystemJoule Multi-Platform
System
2940 nm Laser SystemMCL 31 Dermablate
SystemJoule diVa Laser Device--
Indications for
UseThe JOULE 1470 nm
Multi-Platform Systems
and delivery accessories
are intended for delivery
of laser light to soft tissue
for use in incision,
excision, vaporization,
ablation, hemostasis or
coagulation of soft tissue.
The device is indicated
for the treatment of reflux
of the saphenous veins
associated with varicose
veins and varicosities.
The JOULE 14 70 nm
Multi-Platform Systems
with Profractional
handpiece and delivery
system is intended for
use in dermatological
procedures requiring skin
resurfacing and
coagulation of soft tissue.General Surgery
The Er: YAG is intended
for the surgical
incision/excision,
vaporization and
coagulation of soft tissue
during any general surgery
application where skin
incision, tissue dissection,
excision of external tumors
and lesions, complete or
partial resection of internal
organs, tumors, tissue
ablation and/or vessel
coagulation.
Gynecology:
Indications include cervical
intraepithelial neoplasia
(CIN), herpes simplex,
endometrial adhesions,
cysts and condyloma.The MCL 31 Dermablate
system with its accessories
is indicated for coagulation,
vaporization, ablation, or
cutting of soft tissue (skin) in
Dermatology, Plastic
Surgery, Oral Surgery, ENT,
Gynecology, General
Surgery, Podiatry, and
Ophthalmology (skin around
the eyes).
The MCL 31 Dermablate
System, when used with its
micro beam handpieces, is
intended for use in
Dermatological procedures
and Skin resurfacing
procedures.The JOULE diVa Laser
Device with its accessories is
intended for coagulation,
vaporization, ablation, or
cutting of soft tissue (skin) in
Dermatology, Plastic Surgery,
ENT, Gynecology, General
Surgery, Podiatry, and
Ophthalmology (skin around
the eyes).
The JOULE diVa Laser
System, when used with its
micro beam handpieces, is
intended for use in
Dermatological procedures
and Skin resurfacing
procedures.Yes
CDRH Laser
ClassClass 4Class 4Class 4Class 4Yes
Energy
SourceDiode Laser, CW, pulsedErbium YAG LaserErbium YAG LaserDiode Laser, CW, pulsed
Erbium YAG LaserYes
Laser
Wavelength1470 nm2940 nm2940 nm1470 nm and 2940 nmYes
Pulse
DurationUp to 100 sec100 $\mu$ s-1000 ms100 - 1000 $\mu$ sUp to 1000 msYes
PowerUp to 100 W100W--Up to 100 WYes
Pulse
Repetition
Rate--5-60 Hz20 Hz5-60 HzYes
Energy per
Pulse--0.2-7.0 Joules2.5 Joules0.2-7.0 JouleYes
Display
ScreenYesYesYesYesYes
Utilities230 VAC/30A, 50/60 Hz220 VAC/ 50/60 Hz/ 1φ--230 VAC/30A, 50/60 HzYes
Aiming BeamRed/GreenRedRedRed/GreenYes
Delivery
SystemArticulated Arm or Fiber
OpticArticulated Arm or Fiber
opticArticulated ArmArticulated Arm or Fiber opticYes
Cooling
SystemWater to AirWater to AirWater to AirWater to AirYes
Control
SystemMicroprocessorMicroprocessorMicroprocessorMicroprocessorYes
Energy
MonitorDisplay Indicates Energy
Delivered to TissueDisplay Indicates Energy
Delivered to TissueDisplay Indicates Energy
Delivered to TissueDisplay Indicates Energy
Delivered to TissueYes
SafetySafety Eyewear and
Remote Interlock
ConnectorSafety Eyewear and
Remote Interlock
ConnectorSafety Eyewear and
Remote Interlock ConnectorSafety Eyewear and Remote
Interlock ConnectorYes
Console
Dimensions14" x 21" x 41" high14" x 21" x 41" high11" x 23" x 37" high14" x 21" x 41" highYes
Weight200 lbs200 lbs165 lbs200 lbsYes
Handpiece
PhotosImage: handpiece 1Image: handpiece 2Image: handpiece 3Image: handpiece 4
Spot Size430 μm425 μm & 600 μm450 μmYes
Energy per
Pulse