K Number
K221312
Device Name
Diode Laser Hair Removal Device
Date Cleared
2022-06-29

(55 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Diode Laser Hair Removal Device (Model: EVOLUTION MEDICAL, M-I-X MEDICAL) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. 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 regime.
Device Description
The Diode Laser Hair Removal Device is a surgical device intended for use in dermatologic and general surgical procedure. It utilizes a diode laser as a laser source (808 nm). The laser power is delivered to the treatment area via a laser handpiece. The emission laser is activated by a foot switch and a laser handpiece. There are two models included, EVOLUTION MEDICAL, M-I-X MEDICAL, the two models have same mechanism of action, principle and specification, with only one difference: the adjustable range of Energy density is different, EVOLUTION MEDICAL (1-77 J/cm²), M-I-X MEDICAL (1-70 J/cm²).
More Information

No Reference Devices were found.

No
The summary describes a standard diode laser hair removal device with no mention of AI or ML capabilities in its operation, intended use, or performance testing.

Yes
The device is intended for hair removal and permanent hair reduction, which are considered therapeutic treatments.

No

The device is described as a "surgical device intended for use in dermatologic and general surgical procedure" for "hair removal" and "permanent hair reduction." Its function is therapeutic (removing hair), not diagnostic (identifying or characterizing a medical condition).

No

The device description clearly states it is a surgical device utilizing a diode laser as a laser source and a laser handpiece, indicating significant hardware components. While software verification and validation were conducted, the device is not solely software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended for use in vitro for the examination of specimens, including blood, tissue, and urine, from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Device Description and Intended Use: The provided text clearly states the device is a "Diode Laser Hair Removal Device" intended for "hair removal, permanent hair reduction." It is described as a "surgical device intended for use in dermatologic and general surgical procedure."
  • Mechanism of Action: The device works by using a laser to target hair follicles on the body. This is a physical interaction with the body, not an examination of a specimen outside the body.

The information provided describes a therapeutic device used directly on the patient's body, not a diagnostic device used to analyze samples in a laboratory setting.

N/A

Intended Use / Indications for Use

The Diode Laser Hair Removal Device (Model: EVOLUTION MEDICAL, M-I-X MEDICAL) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. 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 regime.

Product codes

GEX

Device Description

The Diode Laser Hair Removal Device is a surgical device intended for use in dermatologic and general surgical procedure. It utilizes a diode laser as a laser source (808 nm). The laser power is delivered to the treatment area via a laser handpiece. The emission laser is activated by a foot switch and a laser handpiece.

There are two models included, EVOLUTION MEDICAL, M-I-X MEDICAL, the two models have same mechanism of action, principle and specification, with only one difference: the adjustable range of Energy density is different, EVOLUTION MEDICAL (1-77 J/cm²), M-I-X MEDICAL (1-70 J/cm²).

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

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)

Non-clinical tests were conducted to verify that the proposed device met all design specifications as was the same or similar to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

ES60601-1:2005/(R) 2012 and A1:2012, C1:2009/(R)2012 and ANSI/AAMI A2:2010/(R)2012 (Consolidated Text), Medical electrical equipment — Part 1: General requirements for basic safety and essential performance

IEC 60601-1-2:2014, 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 Edition 3.1 2012-10, Medical Electrical Equipment - Part 2-22: Particular Requirements for Basic Safety and Essential Performance of Surgical, Cosmetic, Therapeutic and Diagnostic Laser Equipment.

IEC 60825-1:2014, Safety of laser products - Part 1: Equipment classification and requirements.

ISO 10993-5 Third Edition 2009-06-01, Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity. (Biocompatibility)

ISO 10993-10 Third Edition 2010-08-01, Biological Evaluation of Medical Devices -Part 10: Tests for Irritation and Skin Sensitization. (Biocompatibility)

Performance Testing for Energy Output Accuracy.

Software Verification and Validation Testing was conducted per "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", and the level of concern was determined to be Moderate for the proposed device.

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

Not Found

Predicate Device(s)

K210663

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.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food & 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" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a sans-serif font.

June 29, 2022

Guangzhou CHUANG ZAO MEI Technology Co., Ltd % Asher No Last Name Provided Regulatory Affairs Manager AskWay Innovative Ltd. 4F, Yuehuayuan Building, 2008 Nanshan Avenue, Nanshan Street Nashan District Shenzhen, Guangdong 518000 China

Re: K221312

Trade/Device Name: Diode Laser Hair Removal Device 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 29, 2022 Received: May 5, 2022

Dear Asher No Last Name Provided:

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 and Part 809); 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 Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K221312

Device Name Diode Laser Hair Removal Device

Indications for Use (Describe)

The Diode Laser Hair Removal Device (Model: EVOLUTION MEDICAL, M-I-X MEDICAL) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. 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 regime.

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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Image /page/3/Picture/0 description: The image contains a logo for "PROF BEAUTY". To the left of the text is a circular graphic containing a line drawing of a woman's face. Below the text is the phrase "innovations creating the beauty".

510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

l. SUBMITTER

Guangzhou CHUANG ZAO MEI Technology Co., Ltd. Dehe international A505, No.2, Qixinggang Industrial Road, JUNHE street, Baiyun District, Guangzhou Contact Person: KARPOV ALEKSANDR Position: General Manager Phone: 086-(0) 13147561925 Email: 3152329212@qq.com

Date Prepared: 06/21/2022

II. SUBMISSION CORRESPONDENT

Primary Contact Person:Asher
Regulatory Affairs Manager
AskWay Innovative Ltd.
Phone: 086-(0) 18925456615
Email: Asher@cx.cx
Secondary Contact Person:Albert Ou

General Manager AskWay Innovative Ltd. Phone: 086-(0) 13751890680 Email: winner_link@126.com

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Image /page/4/Picture/0 description: The image contains the logo for PROF BEAUTY. To the left of the text is a circular graphic of a woman's face. The text to the right of the graphic says PROF BEAUTY in large, bold letters. Below that text is the phrase "Innovations creating the beauty" in a smaller font.

III. PROPOSED DEVICE

Trade Name:Diode Laser Hair Removal Device
Common Name:Powered Laser Surgical Instrument
Model(s):EVOLUTION MEDICAL, M-I-X MEDICAL
Classification Name:Laser Surgical Instrument For Use In General And Plastic
Surgery And In Dermatology (21 CFR 878.4810)
Regulation Class:II
Product Code:GEX
Review Panel:General & Plastic Surgery

IV. PREDICATE DEVICE

510(k) Number:K210663
Device Name:Dermatological Diode Laser Systems
Manufacturer:Beijing HuaCheng Taike Technology Co., Ltd.

The predicate has not been subject to a design-related recall.

DEVICE DESCRIPTION V.

The Diode Laser Hair Removal Device is a surgical device intended for use in dermatologic and general surgical procedure. It utilizes a diode laser as a laser source (808 nm). The laser power is delivered to the treatment area via a laser handpiece. The emission laser is activated by a foot switch and a laser handpiece.

There are two models included, EVOLUTION MEDICAL, M-I-X MEDICAL, the two models have same mechanism of action, principle and specification, with only one difference: the adjustable range of Energy density is different, EVOLUTION MEDICAL (1-77 J/cm²), M-I-X MEDICAL (1-70 J/cm²).

vi. INDICATIONS FOR USE

The Diode Laser Hair Removal Device (Model: EVOLUTION MEDICAL, M-I-X MEDICAL) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin.

Permanent hair reduction is defined as the long-term, stable reduction in the

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number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regime.

vii. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The Diode Laser Hair Removal Device (EVOLUTION MEDICAL, M-I-X MEDICAL) is the same or similar to the cleared predicate device.

The Diode Laser Hair Removal Device (EVOLUTION MEDICAL, M-I-X MEDICAL) has same indications for use with the predicate device, and similar technological characteristics such as fluence, laser wavelength, spot size, and pulse duration, etc. with the predicate device. Please refer to the following table for details:

| Item | Proposed Device
K221312 | Predicate Device
K210663 | Remark |
|------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|
| Device name | Diode Laser Hair Removal Device | Dermatological Diode Laser Systems | / |
| Product model | EVOLUTION MEDICAL/
M-I-X MEDICAL | CM01D/CM02D | / |
| K number | K221312 | K210663 | / |
| Product code | GEX | GEX | Same |
| Classification
regulation | 21 CFR 878.4810 | 21 CFR 878.4810 | Same |
| Class | 2 | 2 | Same |
| Indications for Use | The Diode Laser Hair removal device (Model: EVOLUTION MEDICAL, M-I-X MEDICAL) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. 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 regime. | The Dermatological Diode Laser Systems (Model: CM01D/CM02D) is intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. 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 regime. | Same |
| Prescription use or
not | Prescription use | Prescription use | Same |
| Configuration | Main Unit
Handpiece | Main Unit
Handpiece | Same |

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| Item | Proposed Device
K221312 | Predicate Device
K210663 | Remark |
|---------------------------|------------------------------------------------------------|---------------------------------------------------------------|---------|
| Foot Control | Foot Control | Foot Control | Same |
| Principle of
Operation | Diode laser | Diode laser | Same |
| Laser Type | Diode laser | Diode laser | Same |
| Laser Classification | Class IV | Class IV | Same |
| Laser Wavelength | 808 nm | 808 nm | Same |
| Spot size | 12.6mm*20.6mm | CM01D: 10 x 30 mm
CM02D: 9 x 12 mm | Similar |
| Fluence | EVOLUTION MEDICAL: 1-77 J/cm²
M-I-X MEDICAL: 1-70 J/cm² | CM01D: 5-100 J/cm²
CM02D: 3-30 J/cm² | Similar |
| Frequency | 1-10 Hz | CM01D: 1-10 Hz
CM02D: 1-3 Hz | Same |
| Pulse Duration | 3-320 ms | CM01D: 15-400 ms
CM02D: 35-400 ms | Similar |
| Power Supply | AC 120V/60 Hz | AC 110V/60Hz | Similar |
| Dimension | 393mm x 430mm x 1130mm | CM01D: 650mm x 650mm x 1230mm
CM02D: 252mm x 210mm x 193mm | / |
| Weight | 48kg | CM01D: 75kg
CM02D: 3kg | / |

Analysis:

The proposed device is slightly different in spot size, fluence range, pulse duration, power supply, dimension, and weight from the predicate device. Spot size, fluence range, pulse duration can all be covered by predicate device, the differences in power supply, dimension and weight can be accepted by complying with the non-clinical test conducted. Therefore, these differences will not affect the safety and effectiveness, and the proposed device is determined to be the same or similar with predicate device.

| Item | Proposed Device
K221312 | Predicate Device
K210663 | Remark |
|----------------------------------|----------------------------------------------------|--------------------------------------------|--------|
| EMC, Electrical and Laser Safety | | | |
| Electrical Safety | Comply with ANSI/AAMI ES60601-1,
IEC 60601-2-22 | Comply with IEC 60601-1,
IEC 60601-2-22 | Same |

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Image /page/7/Picture/0 description: The image contains the logo for PROF BEAUTY. To the left of the text is a circular graphic with a line drawing of a face. Below the company name is the tagline "innovations creating the beauty."

| Item | Proposed Device
K221312 | Predicate Device
K210663 | Remark |
|----------------------------------------------------------------|----------------------------------------------|-------------------------------------------------------------------------------------------------|--------|
| EMC | Comply with IEC 60601-1-2 | Comply with IEC 60601-1-2 | Same |
| Laser Safety | Comply with IEC 60601-2-22, IEC 60825 | Comply with IEC 60601-2-22, IEC
60825 | Same |
| Patient Direct/Indirect Contact Materials and Biocompatibility | | | |
| Patient
Direct/Indirect
Contact
Materials | Tip of Handle (6063 Aluminum
& S1 Quartz) | Tip of Handle (6061 Aluminum
&Quartz)
Device Housing (Acrylonitrile
Butadiene Styrene) | Same |
| Cytotoxicity | No Cytotoxicity | No Cytotoxicity | Same |
| Sensitization | No evidence of sensitization | No evidence of sensitization | Same |
| Irritation | No evidence of irritation | No evidence of irritation | Same |
| Biocompatibility
testing
standards | Comply with ISO 10993-5,
ISO 10993-10 | Comply with ISO 10993-5,
ISO 10993-10 | Same |

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Image /page/8/Picture/0 description: The image contains the logo for Prof Beauty. The logo consists of a circular graphic to the left of the text "PROF BEAUTY". The graphic is a line drawing of a face inside of a circle. Below the text "PROF BEAUTY" is the text "innovations creating the beauty".

VIII. Non-Clinical Test Conclusion

Non-clinical tests were conducted to verify that the proposed device met all design specifications as was the same or similar to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

ES60601-1:2005/(R) 2012 and A1:2012, C1:2009/(R)2012 and ANSI/AAMI A2:2010/(R)2012 (Consolidated Text), Medical electrical equipment — Part 1: General requirements for basic safety and essential performance

IEC 60601-1-2:2014, 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 Edition 3.1 2012-10, Medical Electrical Equipment - Part 2-22: Particular Requirements for Basic Safety and Essential Performance of Surgical, Cosmetic, Therapeutic and Diagnostic Laser Equipment.

IEC 60825-1:2014, Safety of laser products - Part 1: Equipment classification and requirements.

ISO 10993-5 Third Edition 2009-06-01, Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity. (Biocompatibility)

ISO 10993-10 Third Edition 2010-08-01, Biological Evaluation of Medical Devices -Part 10: Tests for Irritation and Skin Sensitization. (Biocompatibility)

Performance Testing for Energy Output Accuracy.

Software Verification and Validation Testing was conducted per "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", and the level of concern was determined to be Moderate for the proposed device.

IX. CLINICAL TEST CONCLUSION

No clinical study is included in this submission.

CONCLUSIONS X.

Based on the comparison and analysis above, the proposed device is determined to be as safe, as effective, and performs as well as the predicate device.