K Number
K220385
Device Name
Intense Pulsed Light Equipment
Date Cleared
2022-08-12

(183 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The US 500 Intense Pulsed Light Equipment is indicated for use in surgical and aesthetic applications in permanent hair removal. Permanent hair removal is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regimen.
Device Description
The USS00 Intense Pulsed Light Equipment is a device that emits intense pulsed light in order to achieve hair reduction. The light source is a Xenon lamp that emits light which is filtered to include suitable wavelengths for hair reduction. The device is electrically powered, and main components include the console which includes electrical components and a touchscreen user interface, the IPL handpiece and cable, and a footswitch. The light pulses are emitted from the handpiece which is water cooled. The device is for prescription use only.
More Information

Not Found

No
The summary describes a standard IPL device with no mention of AI or ML capabilities, image processing, or data sets for training/testing.

Yes
The device is indicated for permanent hair removal, which is a therapeutic intervention aimed at altering a physiological condition. Additionally, the device's adherence to "IEC 60601-2-57:2011, Medical electrical equipment - Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use" directly references its therapeutic potential.

No

The device is indicated for permanent hair removal, which is a therapeutic/aesthetic application, not a diagnostic one.

No

The device description clearly outlines physical hardware components including a console, handpiece, cable, and footswitch, and describes the emission of intense pulsed light from a Xenon lamp. This is not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "surgical and aesthetic applications in permanent hair removal." This is a therapeutic/aesthetic application performed directly on the patient's body.
  • Device Description: The device emits intense pulsed light to achieve hair reduction. This is a physical interaction with the patient's tissue.
  • Lack of In Vitro Activity: IVD devices are designed to examine specimens from the human body (like blood, urine, tissue samples) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. This device does not perform any such analysis of biological specimens.

The device is a medical device, but it falls under the category of therapeutic or aesthetic devices that interact directly with the patient's body, not IVDs.

N/A

Intended Use / Indications for Use

The US 500 Intense Pulsed Light Equipment is indicated for use in surgical and aesthetic applications in permanent hair removal. Permanent hair removal is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regimen.

Product codes

ONF

Device Description

The USS00 Intense Pulsed Light Equipment is a device that emits intense pulsed light in order to achieve hair reduction. The light source is a Xenon lamp that emits light which is filtered to include suitable wavelengths for hair reduction. The device is electrically powered, and main components include the console which includes electrical components and a touchscreen user interface, the IPL handpiece and cable, and a footswitch. The light pulses are emitted from the handpiece which is water cooled. The device is for prescription use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

Non clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device conforms to the following standards:

  • IEC 60601-1:2012, Medical Electrical Equipment - Part 1: General requirements for basic safety and essential performance.
  • A EC 60601-1-2:2014, Medical Electrical Equipment-Part 1-2: General Requirements For Basic Safety And Essential Performance Collateral Standard: Electromagnetic Compatibility-Requirements And Tests
  • IEC 60601-2-57:2011, Medical electrical equipment - Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use
  • IEC 62471:2006 Photobiological safety of lamps and lamp system
  • ISO 10993-5: 2009 Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity
  • ISO 10993-10: 2010 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

A clinical study was not considered to be needed for this 510(k).

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K161286

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".

August 12, 2022

Beijing Globalipl Development Co., Ltd. % Ray Wang General Manager Beijing Believe-Med Technology Service Co., Ltd. Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd., FangShan District Beijing, Beijing 102401 China

Re: K220385

Trade/Device Name: Intense Pulsed Light Equipment 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: ONF Dated: February 9, 2022 Received: February 10, 2022

Dear Ray Wang:

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.

Jianting Wang Acting 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) K220385

Device Name US 500 Intense Pulsed Light Equipment

Indications for Use (Describe)

The US 500 Intense Pulsed Light Equipment is indicated for use in surgical and aesthetic applications in permanent hair removal. Permanent hair removal is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regimen.

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)

X Prescription Use (Part 21 CFR 801 Subpart D)

_ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92.

    1. Date of Preparation:2022/08/12
    1. Sponsor Identification

Beijing Globalipl Development Co., Ltd.

F-8 Qunyinghui Building, Jinyuan Rd.32, Daxing Economic Development Zone, Beijing, China 102628

Contact Person: Liu Jun Position: QA Manager Tel: +86-15169727366 Fax: +86-10-60212336 Email:register@globalipl.com

    1. Designated Submission Correspondent
      Mr. Ray Wang

Beijing Believe-Med Technology Service Co., Ltd.

Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd., FangShan District, Beijing, 102401, China

Tel: +86-18910677558 Fax: +86-10-56335780 Email: ray.wang@believe-med.com

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4. Identification of Proposed Device

Trade Name: Intense Pulsed Light Equipment

Common Name: Powered Light Based Non-Laser Surgical Instrument With Thermal Effect

Regulatory Information

Classification Name: Powered Light Based Non-Laser Surgical Instrument With Thermal Effect Classification: II Product Code: ONF Regulation Number: 878.4810 Review Panel: General & Plastic Surgery

Indication For Use Statement:

The US 500 Intense Pulsed Light Equipment is indicated for use in surgical and aesthetic applications in permanent hair reduction. Permanent hair reduction is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regimen.

Device Description:

The USS00 Intense Pulsed Light Equipment is a device that emits intense pulsed light in order to achieve hair reduction. The light source is a Xenon lamp that emits light which is filtered to include suitable wavelengths for hair reduction. The device is electrically powered, and main components include the console which includes electrical components and a touchscreen user interface, the IPL handpiece and cable, and a footswitch. The light pulses are emitted from the handpiece which is water cooled. The device is for prescription use only.

  • న. Identification of Predicate Device(s)
    510(k) Number: K161286 Product Name: IPL Therapy Machine Manufacturer: Beijing ADSS Development Co., Ltd

6. Non-Clinical Test Conclusion

Non clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device conforms to the following standards:

  • IEC 60601-1:2012, Medical Electrical Equipment - Part 1: General requirements for basic safety and essential performance.

  • A EC 60601-1-2:2014, Medical Electrical Equipment-Part 1-2: General Requirements For Basic Safety And Essential Performance Collateral Standard: Electromagnetic Compatibility-Requirements And Tests

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  • IEC 60601-2-57:2011, Medical electrical equipment - Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use

  • IEC 62471:2006 Photobiological safety of lamps and lamp system

  • ISO 10993-5: 2009 Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity

  • ISO 10993-10: 2010 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

    1. Clinical Test Conclusion

A clinical study was not considered to be needed for this 510(k).

    1. Substantially Equivalent (SE) Comparison
ItemProposed DevicePredicate DeviceRemark
Device NameIntense Pulsed Light
EquipmentIPL Therapy Machine/
Classification
Regulation21 CFR 878.481021 CFR 878.4810SAME
Classification PanelGeneral & Plastic
SurgeryGeneral & Plastic
SurgerySAME
ClassIIIISAME
Product CodeONFONFSAME
Common NamePowered Light Based Non-Laser
Surgical Instrument With Thermal EffectPowered Light Based Non-Laser Surgical Instrument With Thermal EffectSAME
Indication for useThe US 500 Intense Pulsed
Light Equipment is indicated
for use in surgical and aesthetic
applications in permanent hair
reduction. Permanent hair
reduction is defined as the
long-term, stable reduction in
the number of hairs regrowing
when measured at 6, 9, and 12
months after the completion of
a treatment regimen.The VE2000 device is indicated
for use in surgical, aesthetic
applications in permanent hair
reduction, reduction of benign
pigmented lesions and benign
vascular lesions.
Permanent hair reduction is
defined as the long-term, stable
reduction in the number of hairs
regrowing when measured at 6, 9,
and 12 months after the
completion of a treatment
regimen.SIMILAR
The subset
indication
for use for
hair
reduction
is the same

Table 6-1 General Comparison

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ITEMProposed DevicePredicate DeviceRemark
Light sourceIntense pulsed lightIntense pulsed lightSAME
Wavelength640nm-1200nm,480nm – 1200nm;
590nm – 1200nm;
640nm – 1200nmSIMILAR
Deliver systemSapphireSapphireSAME
Energy density1-40J/cm²1-50J/cm²SIMILAR
Pulse Width1.0-9.9ms, adjustable1-25msSIMILAR
Pulse Interval1 – 99 ms1 – 50 msSIMILAR
Light output
interval1 – 4 s1 – 4 sSAME
Pulse Number1 - 61-6SAME
Max. Power2200VA2200VASAME
Spot size15 x 50mm12 x 30 mmSIMILAR
Cooling modeclose-cycle water cooling+ air
Contact coolingCompressor closed circuit water
chiller with integrated heat
exchanger.SIMILAR
Power supplyAC 110/230V 50/60Hz110V, 50HzSIMILAR

Table 6-2 Performance Comparison

9. Conclusion

The US500 Intense Pulse Light Equipment proposed device in this 510(k) uses the same IPL technology that is used in the predicate device K161286. Differences between the proposed device and predicate device do not raise new types of questions regarding safety and effectiveness, and performance testing demonstrates that the proposed device can be used safely and effectively for the proposed indications for use. The proposed US500 Intense Pulse Light Equipment device is considered to be substantially equivalent to the predicate K161286 device.