K Number
K214049
Date Cleared
2022-06-02

(157 days)

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

Indications for use for Leaseir MHR Xcell diode laser hair removal system with 810nm applicator includes:
· Hair Removal with Static and Dynamic modes intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9, and 12 months after the completion of a treatment regime.
· Treatment of Pseudofolliculitis barbae (PFB)
· Use on all skin types (Fitzpatrick I-VI)

Device Description

The Leaseir MHR Xcell is a surgical laser instrument for use in general and plastic surgery and dermatology, intended for hair removal and treatment of pseudo folliculitis barbae on all skin types (Fitzpatrick I-VI).
The process implies the generation of intense light pulses at specific wavelengths. The specific nature of the energies and pulse durations cause the desired effect (in the hair follicles and oxyhemoglobin in the blood) heating them sufficiently and destroying them without unnecessary damage to surrounding tissue. This is achieved by controlled emission of laser radiation to the target tissue.
The system consists of a main console and two interchangeable applicators that delivers pulsed light in the range of 800-820nm with a peak in the 810nm in different spot sizes. Two of the applicators emitting radiation at 810 nm wavelength for two areas 13.5×15 mm² and 14.5×25.5 mm². Two different operation modes are available: static mode and dynamic mode, which are differentiated basically by the frequency range defined for each mode (1-4 Hz for static and 10 Hz for dynamic).
The principle of operation consists in the photons travel along the axis and reflected again back into the crystal, continuing the chain reaction, while photons travelling in different directions leave the crystal. In one of the two mirrors, a tiny hole allows a small amount of light to leak out and the resulting beam is focused with lenses and is emitted from the laser. The total energy emitted by the Leaseir MHR Xcell is produced by an array of diodes.
The laser emission is activated by the hand piece trigger, deliver a continuous pulse pattern while the button is pressed.

AI/ML Overview

This FDA 510(k) summary is for a medical device called "Leaseir MHR Xcell," which is a diode laser hair removal system. The document establishes substantial equivalence to a predicate device ("ELYSION-PRO") rather than presenting results from a de novo clinical trial with specific acceptance criteria as you might find for a novel device or software. Therefore, the information provided focuses on comparative effectiveness and safety based on existing standards and similarities to the predicate device, rather than detailed performance metrics against specific criteria.

Let's break down the information based on your request, noting where the provided text doesn't directly address certain points:

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

The document does not explicitly state acceptance criteria in the format of "X metric must be greater than Y value." Instead, the "acceptance criteria" are implied by demonstrating substantial equivalence to a predicate device. The performance is assessed by comparing the technological characteristics of the Leaseir MHR Xcell with the predicate device, ELYSION-PRO, and showing that any differences do not raise new questions of safety or effectiveness.

Parameter for Substantial EquivalenceSubject Device (Leaseir MHR Xcell)Predicate Device (Elysion-Pro)Remarks / Implied Performance
Regulatory ClassClass IIClass IISubstantially Equivalent (SE)
Intended Use / Indications for UseHair Removal (permanent reduction), PFB Treatment, All skin types (Fitzpatrick I-VI)Hair Removal (permanent reduction), PFB Treatment, All skin types (Fitzpatrick I-VI)Similar, indicating the subject device performs the same function for the same population.
Principle of OperationAlGaAs laser diode stackAlGaAs laser diode arraySE
Laser Wavelength810nm (Dual 810b, Quad 810b)755nm, 810nmSE (subject device uses a subset of predicate wavelengths, still 810nm)
Laser ClassificationClass IVClass IVSE
Spot Sizes (mmxmm)Dual 810b: 13.5x15; Quad 810b: 14.5x25.510x10, 18x10Different, but justified that larger spot sizes with adjusted fluence do not affect safety/effectiveness.
Fluence (J/cm²)Dual 810b: 60; Quad 810b: 4870Different, but justified that maximum fluence (40J/cm²) limited by software is the same, and adjustments ensure safety/effectiveness.
Maximum Fluence limited by software (J/cm²)4040SE
FrequencyStatic: Up to 4 Hz; Dynamic: 10 HzStatic: Up to 3 Hz; Dynamic: 5-15 HzDifferent, but justified that the range is covered and non-clinical testing confirms safety/equivalence.
Pulse Duration (ms)1-4003-400SE
Optical Peak Power (W)40002000Different, explained that power and spot size combined determine power density; laser diode power calculated to achieve same fluence.
Tissue CoolingContact continuous, liquid cooledContact continuous, thermo-electricalDifferent method, but justified that cooling is important for comfort and safety/effectiveness is not affected.
Cooling Temperature (°C)-4 to +45Different, but justified that it doesn't affect safety/effectiveness.
Compliance with StandardsIEC 60601-1, IEC 60601-1-2, IEC 60601-2-22, IEC 60825-1, IEC 62304, ISO 14971, ISO 10993-1Same standardsPass for all relevant standards, demonstrating safety and essential performance.

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

The document does not describe a clinical study with a test set of data or human subjects for evaluating the device's performance. The provided information is entirely based on non-clinical testing (bench testing) and comparison to a legally marketed predicate device to demonstrate substantial equivalence.

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

Not applicable. No clinical test set or ground truth established by experts is mentioned in this 510(k) summary.

4. Adjudication method for the test set

Not applicable. No clinical test set or adjudication process is mentioned.

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 not an AI-assisted diagnostic device, and no MRMC study was conducted or described in this submission.

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

Not applicable. This device is a laser system, not an algorithm, and its performance is evaluated through non-clinical bench testing and comparison to a predicate, not standalone algorithm performance.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

Not applicable in the context of a clinical study. For the purposes of this 510(k) submission, the "ground truth" for demonstrating safety and effectiveness relies on:

  • Compliance with recognized industry standards (e.g., IEC, ISO).
  • Bench testing results demonstrating the device meets its own specifications and safety parameters.
  • The established safety and effectiveness of the legally marketed predicate device.

8. The sample size for the training set

Not applicable. This document pertains to a physical laser device, not an AI algorithm requiring a training set.

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

Not applicable for the same reason as above.

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June 2, 2022

Leaseir Technologies S.L.U. % Vardhini Kirthivas Vice President - Quality & Regulatory Affairs Freyr Global Regulatory Solutions and Services Level 4 Building No. H-08, Phoenix SEZ Phase 2 Gachibowli, Hyderabad, Telangana 500081 India

Re: K214049

Trade/Device Name: Leaseir MHR Xcell 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: April 28, 2022 Received: May 3, 2022

Dear Vardhini Kirthivas:

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 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, D.Eng. 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

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Indications for Use

510(k) Number (if known) K214049

Device Name Leaseir MHR Xcell

Indications for Use (Describe)

Indications for use for Leaseir MHR Xcell diode laser hair removal system with 810mm applicator includes: · Hair Removal with Static and Dynamic modes intended for permanent reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9, and 12 months after the completion of a treatment regime.

· Treatment of Pseudofolliculitis barbae (PFB)

· Use on all skin types (Fitzpatrick I-VI)

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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510(k) Summary (K214049)

1. Submitter Information:
Application Correspondent:Vardhini KirthivasFreyr Global Regulatory Solutions and ServiceLevel 4, Building No. H-08, Phoenix SEZ,Phase 2, Gachibowli, Hyderabad,Telangana, India, 500081
Phone:+91 - 9940445965
E-mail:usagent@freyrsolutions.com
Legal Manufacturer:Leaseir Technologies S.L.U.,C/ Jimena Fernández de la Vega, 140 1ºH,33203 Gijón,Asturias, Spain
Phone:+34 666 57 75 07
Contact Person:Pablo Boto
E-mail:pboto@leaseir.com
Date Prepared:01-June-2022

2. Device Identification:

Device Trade Name:Leaseir MHR Xcell
Common Name:Powered Laser Surgical Instrument
Classification Name:Powered Laser Surgical Instrument

Table 1 Device Identification

Regulation No.Product CodeDevice Class
21 CFR 878.4810GEXClass II

3. Predicate Device

ELYSION-PRO by High Technology Products SLU with the K-Number K193367

4. Device Description

The Leaseir MHR Xcell is a surgical laser instrument for use in general and plastic surgery and dermatology, intended for hair removal and treatment of pseudo folliculitis barbae on all skin types (Fitzpatrick I-VI).

The process implies the generation of intense light pulses at specific wavelengths. The specific nature of the energies and pulse durations cause the desired effect (in the hair follicles and oxyhemoglobin in the blood) heating them sufficiently and destroying them without unnecessary damage to surrounding tissue. This is achieved by controlled emission of laser radiation to the target tissue.

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The system consists of a main console and two interchangeable applicators that delivers pulsed light in the range of 800-820nm with a peak in the 810nm in different spot sizes. Two of the applicators emitting radiation at 810 nm wavelength for two areas 13.5×15 mm² and 14.5×25.5 mm². Two different operation modes are available: static mode and dynamic mode, which are differentiated basically by the frequency range defined for each mode (1-4 Hz for static and 10 Hz for dynamic).

The principle of operation consists in the photons travel along the axis and reflected again back into the crystal, continuing the chain reaction, while photons travelling in different directions leave the crystal. In one of the two mirrors, a tiny hole allows a small amount of light to leak out and the resulting beam is focused with lenses and is emitted from the laser. The total energy emitted by the Leaseir MHR Xcell is produced by an array of diodes.

The laser emission is activated by the hand piece trigger, deliver a continuous pulse pattern while the button is pressed.

5. Intended Use and Indications for Use

Indications for use for Leaseir MHR Xcell diode laser hair removal system with 810nm applicator includes:

  • Hair Removal with Static and Dynamic modes intended for permanent ● reduction in hair regrowth, defined as a long term, stable reduction in the number of hairs re-growing when measured at 6, 9, and 12 months after the completion of a treatment regime.
  • Treatment of Pseudofolliculitis barbae (PFB)
  • Use on all skin types (Fitzpatrick I-VI) ●

Comparison of Technological Characteristics with Predicate Device 6.

The following table is used to compare the technological characteristics of the subject device, Leaseir MHR Xcell with those of the predicate device, Elysion-Pro.

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Parameters forSubstantialEquivalenceSubject DeviceLeaseir MHR XcellPredicate DeviceElysion-ProRemarks
510(k) NumberN/AK193367
ManufacturerLeaseir TechnologiesHigh TechnologyProducts SLUN/A
Product codeGEXGEXSE
Regulationnumber878.4810878.4810SE
PanelGeneral&PlasticSurgeryGeneral&PlasticSurgerySE
ClassIIIISE
ofPrincipleOperationAlGaAs laser diodestackAlGaAs laser diodearraySE
Laser contactPure sapphire, Al2O3Pure sapphire, Al2O3SE
Laser wavelengthDual 810b: 810nmQuad 810b:810nm755nm, 810 nmSE
LaserclassificationClass IVClass IVSE
SpotsizesDual 810b: 13.5x1510x10The spot size of the proposed device is different from the spot sizes of the predicate
(mmxmm)Quad 810b:14.5x25.518x10device. The Leaseir Dual 810b and Quad 810b spots are larger than predicate device (Thisstatement is taking in account that there are two available spot sizes for both subject andpredicate device, the Leaseir Dual 810b 13,5x15 is larger than Elysion 10x10, as well asQuad 810b 14,5x25,5 is larger than Elysion 18x10). Fluence is lowered with increasingspot size to heat dermal targets effectively and to avoid side effects in the epidermis and
Parameters forSubstantialEquivalenceSubject DeviceLeaseir MHR XcellPredicate DeviceElysion-ProRemarks
510(k) NumberN/AK193367
FluenceDual 810b: 60J/cm2Quad 810b: 48J/cm270J/cm2the upper dermis. The spot size and fluence have been adjusted accordingly. Hence, thesafety and effectiveness of the device would not get affected. Also, the non-clinical testsconducted for the device, renders the device to be safe and effective.Fluence is a key factor in laser therapy. The fluency of the proposed device is slightlydifferent from the fluency of the Elysion-pro. However, the maximum fluence limited bythe software remains exactly same. The spot sizes and fluence are adjusted to heat dermal targets effectively. The non-clinical testing conducted for the device, demonstrates that the subject device is safe and effective for the proposed indications for use.
MaximumFluence limitedby the software(as per thetreatment table)40J/cm240J/cm2SE
FrequencyStatic: Up to 4 HzDynamic: 10 HzStatic: Up to 3 HzDynamic:5-15 HzThe frequency for the proposed device is slightly different from predicate device.However, the frequency range for the proposed device can be covered in the range ofpredicate device. Therefore, this difference will not affect substantial equivalencebetween proposed device and equivalent device. The justification in combination with thenon-clinical testing demonstrates the safety and equivalence of the subject device
Pulse Duration1-400ms3 - 400msSE
Optical PeakPower (W)4000 W2000 WPower and spot size are individual parameters that, when combined, provide powerdensity. This combination defines how much energy and heat are delivered to the desiredtarget. A general rule is that when the spot size is increased by half, the fluence should bedecreased by half to create an effect at the same treatment depth because of the scatteringof the incident beam. The laser diode power was calculated to achieve the same fluencewhen compared to the predicate device. maintaining the pulse durations
Parameters forSubstantialEquivalenceSubject DevicePredicate DeviceRemarks
Leaseir MHR XcellElysion-Pro
510(k) NumberN/AK193367
Treatment modeStatic and DynamicStatic and DynamicSE
Tissue coolingContactcontinuous,liquid cooledContact continuous,thermo-electricalThe difference between the subject device and the predicate is the method to cool downthe tip. The predicate uses a TEC (Thermo Electric Cooling) that consists of asemiconductor device that maintains temperature difference between two parallel planeswhen an electrical current is applied. In the case of the Leaseir MHR Xcell, a tank ofcoolant is refrigerated by a phase-change cooler. This results in amount of coolant at atemperature between -6 and -2 Celsius degrees available to cool down different parts ofthe system when necessary. The coolant is pumped to the laser head and applied part tipby pipes through the umbilical cord.Cooling is an important part of the process, particularly for patient comfort and customersatisfaction. The slight difference between the cooling temperature of subject device andpredicate device does not affect the safety and effectiveness of the device
CoolingTemperature-4°C to +4°C5°C
User InterfaceLCD touchscreenLCD touchscreenSE
Pulsing ControlFinger switchFinger switchSE
RemovableApplicatorsSet of 2 removableapplicators,Dual810b and Quad 810bSet of 3 removableapplicatorsThe subject and predicate devices differ in the number of applicators provided. Thedifferent applicators are intended to give the user the chance to change the laser aperturespot in order to fit the areas of the body to be treated. Both devices provide spot sizes thatare suitable for all the body areas to be treated and are capable to maintain the necessaryenergy density on the spot, hence this difference does not raise any difference in safetyand effectiveness of the device.
ConfigurationMain unit and handpiecesMain unit, handpiece,and foot control(optional)SE
Parameters forSubstantialEquivalenceSubject DeviceLeaseir MHR XcellPredicate DeviceElysion-ProRemarks
510(k) NumberN/AK193367
Power SupplySingle phase100-130V50/60 HzSingle-phase100-240V50/60 HzThe predicate device covers a wider power supply range (100-240V 50/60Hz) that coversall the different ac mains configurations. The Leaseir MHR Xcell is intended to work inspecific supply ranges, providing two different device models, the 110b and the 220b.The US market will be covered by the 110b model, with a power supply range of 100-130V 50/60 Hz that works on the US voltages (120V +/-6%). This model is the subjectof the present submissions. The 220b will not be marketed on the US, hence is notconsidered in this submission.
Dimension(HxWxD)1100x450x570mm650x500x450mmThe dimension and weight for the proposed device is different from predicate device.However, the dimension and weight are physical specifications, and this difference doesnot raise any issues in safety and effectiveness of the subject device.
Weight48Kg38Kg

Table 2 Summary of the comparison of Technological Characteristics

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Indication for use statements of both the proposed and the predicate device are compared in the following table,

Table 3 Comparison of Intended Use

ParameterSubject DevicePredicate DeviceRemarks
Leaseir MHR XcellElysion-Pro
Indications for useIndications for use for Leaseir MHR Xcelldiode laser hair removal system with 810nmapplicator includes:• Hair Removal with Static and Dynamicmodes intended for permanent reductionin hair regrowth, defined as a long term,stable reduction in the number of hairsre-growing when measured at 6, 9, and12 months after the completion of atreatment regime.• Treatment of Pseudofolliculitis barbae(PFB)• Use on all skin types (Fitzpatrick I-VI)Indications for use for ELYSION diode laser hair removalsystem with 755nm and 810nm applicators include:• Hair Removal with Static and Dynamic modes intended forpermanent reduction in hair regrowth, defined as a long term,stable reduction in the number of hairs re-growing whenmeasured at 6, 9, and 12 months after the completion of atreatment regime.• Treatment of Pseudofolliculitis barbae (PFB)• Use on all skin types (Fitzpatrick I-VI).Similar. Since Leaseir MHR Xcellused two applicators with 810nmwavelength. Also Leaseir MHRXcell has two modes (Static andDynamic) which is equivalent toPredicate device Elysion-Pro.

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7. Harmonized Standards Complied

Table 4 Standards Complied by Subject and Predicate Device

S. No.StandardSubject DevicePredicate Device
Electrical Safety/Radiation Safety
1IEC 60601-1PassPass
2IEC 60601-1-2PassPass
3IEC 60601-2-22PassPass
4IEC 60825-1PassPass
Software in a Medical Device
5IEC 62304PassPass
Risk Analysis
6ISO 14971PassPass
Biocompatibility
7ISO 10993-1PassPass

Comparison Summary 8.

8.1 Intended Use

The intended use of the subject and predicate device is the same.

8.2 Similar characteristics

From the above comparative tables, the proposed medical device has the same intended use of hair removal and treatment of pseudo folliculitis barbae on all skin types (Fitzpatrick I-VI), as the predicate device and has similar technological characteristics.

Mechanism of action of all the devices (predicate and the new device) is photothermolysis, i.e., destruction of a follicle due to an increase of the temperature induced by a high-powered beam of light which is selectively absorbed by the melanin.

The subject and predicate device have the same configuration of Main Unit, Handpiece, LCD User Interface. Pulsing Control, and the laser energy is delivered through the applicator by means of a Finger Switch. Principle of operation of all the devices is using same energy source laser diode and the material of the laser diode is AlGaAs, which is same for the subject device and the predicate device. The laser contacting part of the applicator/handpiece is Sapphire for all the devices and the material of the sapphire is Al2O3 which is same for the subject and predicate device. The treatments modes (Static and Dynamic modes) between the subject and predicate device are found to be the same. Leaseir MHR Xcell has the pulse duration equivalent to the predicate device.

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8.3 Differences

As explained in the Substantial Equivalence Table the differences do not substantially alter the intended use as both are non-invasive aesthetic laser for use in surgical applications in the medical specialties.

Non-Clinical Testing 9.

Testing conducted to evaluate the functional performance and safety of the Leaseir MHR Xcell equipment. The test results demonstrated that the proposed device complies with the following standards:

    1. ANSI AAMI ES60601-1:2005/(R)2012 with amendments Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD).
    1. IEC 60601-1-2 Edition 4.0 2014-02 Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests.
  • IEC 62304 Edition 1.1 2015-06 CONSOLIDATED VERSION Medical device 3. software - Software life cycle processes.
    1. IEC 60601-2-22 Edition 3.1 2012-10 Medical electrical equipment Part 2-22: Requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment.
    1. IEC 60825-1 Edition 2.0 2007-03 Safety of laser products Part 1: Equipment classification, and requirements [Including: Technical Corrigendum 1 (2008), Interpretation Sheet 1 (2007), Interpretation Sheet 2 (2007).
    1. ISO 14971 Third Edition 2019-12 Medical devices Application of risk management to medical devices.
    1. IEC 62366-1 Edition 1.1 2020-06 CONSOLIDATED VERSION Medical devices -Part 1: Application of usability engineering to medical devices.
    1. ISO 10993-1 Fifth edition 2018-08 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process.

10. Substantial Equivalence Conclusion

Based on the above technological specification comparison and justifications of the differences provided, the subject device is determined to be 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.