K Number
K221427
Device Name
V-Laser
Manufacturer
Date Cleared
2022-08-24

(100 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V-Laser laser system is intended for use in surgical and aesthetic applications in the medical specialties of dermatology and general and plastic surgery.
Device Description
The V-Laser is a Nd: YAG laser operating at wavelengths of 1,064 nm and 532 nm. The V-Laser consists of the main body, optical fiber cable, user-undetachable laser handpiece tip, footswitch, and handpiece cable cradle. The laser output is delivered to the skin through the optical fiber terminated by the handpiece. The fluence (energy density), frequency and pulse are controlled from the LCD display/Touch Pad located on the front of the main unit. The LCD display is used to obtain feedback from the system, such as the number of pulses delivered or spot size selected.
More Information

Not Found

No
The summary describes a laser system with manual controls and feedback mechanisms, with no mention of AI/ML terms, image processing, or data-driven performance metrics.

Yes
The device is intended for use in surgical and aesthetic applications in medical specialties, indicating a therapeutic purpose.

No
The device description and intended use indicate it is a laser system for surgical and aesthetic applications, not for diagnosing conditions. It delivers laser output for treatment, not for identifying or characterizing diseases.

No

The device description explicitly lists hardware components such as the main body, optical fiber cable, handpiece, footswitch, and handpiece cable cradle, indicating it is a physical laser system, not software only.

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

Here's why:

  • Intended Use: The intended use clearly states "for use in surgical and aesthetic applications in the medical specialties of dermatology and general and plastic surgery." This describes a device used directly on the patient's body for treatment or cosmetic purposes.
  • Device Description: The description details a laser system that delivers energy to the skin. This is consistent with a therapeutic or aesthetic device, not a device that analyzes samples from the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on laboratory tests.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This laser system does not fit that description.

N/A

Intended Use / Indications for Use

The V-Laser laser system is intended for use in surgical and aesthetic applications in the medical specialties of dermatology and general and plastic surgery.

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

GEX

Device Description

The V-Laser is a Nd: YAG laser operating at wavelengths of 1,064 nm and 532 nm. The V-Laser consists of the main body, optical fiber cable, user-undetachable laser handpiece tip, footswitch, and handpiece cable cradle. The laser output is delivered to the skin through the optical fiber terminated by the handpiece. The fluence (energy density), frequency and pulse are controlled from the LCD display/Touch Pad located on the front of the main unit. The LCD display is used to obtain feedback from the system, such as the number of pulses delivered or spot size selected.

For treatment, the user can select the appropriate fluence value. The energy is changed automatically in accordance with the selected fluence value and selected spot size. The user can change the fluence value by pressing [1] (up) and/or `(down) button.

The selectable fluence values are 2 to 300 J/cm2 at 1064 nm and 1.8 to 42 J/cm2 at 532 nm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Skin and subcutaneous tissue

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 Test Summary: Bench tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with standards including AASI AAMI ES60601-1:2005/(R)2012 and A1:2012, ANSI AAMI IEC 60601-1-2:2014, IEC 60601-1-6 Edition 3.1 2013, IEC 60601-2-22 Edition 4 2014, and IEC 60825-1:2014 (Third Edition).

Software Validation: The V-Laser contains MODERATE level of concern software was designed and developed according to a software development process and was verified and validated. The software information is provided in accordance with FDA guidance: The content of premarket submissions for software contained in medical devices, on May 11, 2005.

Biocompatibility: Handpiece Tip material (Stainless Steel, Sapphire Window) has intact skin contact for limited duration (

§ 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 and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

WON TECH Co., Ltd. Hyun Sik Yoon Official Correspondent 64 Techno 8-ro, Yuseong-Gu Daejeon, 34028 Korea, South

August 24, 2022

Re: K221427

Trade/Device Name: V-Laser 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: Mav 6, 2022 Received: July 26, 2022

Dear Hyun Sik Yoon:

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 Aments, 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 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

1

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,

Neil R.P. Ogden, MS 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) K221427

Device Name V-Laser

Indications for Use (Describe)

The V-Laser laser system is intended for use in surgical and aesthetic applications in the medical specialties of dermatology and general and plastic surgery.

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/1 description: The image shows the logo for WONTECH. The logo consists of an orange circle with a stylized "W" inside of it. To the right of the circle is the text "WONTECH" in a sans-serif font. The "WON" portion of the text is orange, while the "TECH" portion is gray.

510(k) Summary

[As required by 21 CFR 807.92]

Date Prepared [21 CFR 807.92(a)(a)] 1.

May 6, 2022

Submitter's Information & Contact Person [21 CFR 807.92(a)(1)] 2.

  • Name of Manufacturer: WON TECH Co., Ltd.

  • Address: 64 Techno 8-ro, Yuseong-gu, Daejeon, 34028, Republic of Korea

  • Contact Name: Hyun Sik Yoon

  • Telephone No.: +82-10-6750-5346

  • Fax No.: +82-70-7836-0110

  • Email Address: yoonhs21@wtlaser.com

Trade Name, Common Name, Classification [21 CFR 807.92(a)(2)] 3.

Common name: Powered Laser Surgical System Trade name: V-Laser

Classification Description21 CFR SectionProduct Code
Powered Laser Surgical Instrument878.4810GEX

As stated in 21 CFR, parts 878.4810, this generic type of the device has been classified as Class II.

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Image /page/4/Picture/1 description: The image shows the logo for WONTECH. The logo consists of an orange circular shape with a stylized "W" inside it, followed by the text "WONTECH" in a sans-serif font. The "WON" part of the text is in orange, while the "TECH" part is in gray.

4. Identification of Predicate Device(s) [21 CFR 807.92(a)(3)[

The identified predicate devices within this submission are shown as follow:

Predicate device

  • 510(k) Number: K183156 ● Applicant: WON TECH Co., Ltd.
  • Classification Name: Powered Laser Surgical Instrument
  • Trade Name: V-Laser ●

ട. Description of the Device [21 CFR 807.92(a)(4)]

The V-Laser is a Nd: YAG laser operating at wavelengths of 1,064 nm and 532 nm. The V-Laser consists of the main body, optical fiber cable, user-undetachable laser handpiece tip, footswitch, and handpiece cable cradle. The laser output is delivered to the skin through the optical fiber terminated by the handpiece. The fluence (energy density), frequency and pulse are controlled from the LCD display/Touch Pad located on the front of the main unit. The LCD display is used to obtain feedback from the system, such as the number of pulses delivered or spot size selected.

For treatment, the user can select the appropriate fluence value. The energy is changed automatically in accordance with the selected fluence value and selected spot size. The user can change the fluence value by pressing [1] (up) and/or ├ (down) button.

The selectable fluence values are 2 to 300 J/cm2 at 1064 nm and 1.8 to 42 J/cm2 at 532 nm.

Wavelength1064 nm532 nmGenesis Mode
Fluence Value(J/cm²)*0.2 - 10.0**0.1 - 2.5**4 - 7**

The formula used to calculate the fluence is as follows:

*Fluence[J/cm2] = Energy [J]/((Spot Size/2[cm])2 * 3.14).

** Laser output is limited by software depending on the selected spot size ( 2 - 20 mm).

Indications for Use [21 CFR 807.92(a)(5)] 6.

The V-Laser laser system is intended for use in surgical and aesthetic applications in the medical specialties of dermatology and general and plastic surgery.

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Image /page/5/Picture/1 description: The image shows the logo for WONTECH. The logo consists of an orange circle with a stylized "W" inside, followed by the text "WONTECH" in a sans-serif font. The "WON" part of the text is in orange, while the "TECH" part is in gray.

7. Determination of Substantial Equivalence [21 CFR 807.92(a)(6) and 21 CFR 807.92(b)]

There are no significant differences between the previous and renewed V-Laser that would adversely affect the use of the product. It is substantially equivalent to this device in design, function, and technical characteristics.

Proposed DevicePredicate Device #1SE Decision
K NumberK183156N/A
ManufacturerWON TECH Co., Ltd.WON TECH Co., Ltd.Same
ModelV-LaserV-LaserSame
Indications for
UseThe V-Laser laser system is
intended for use in surgical
and aesthetic applications in
the medical specialties of
dermatology and general
and plastic surgery.The V-Laser laser system is
intended for use in surgical
and aesthetic applications in
the medical specialties of
dermatology and general and
plastic surgery.Same
Anatomical siteSkin and subcutaneous
tissueSkin and subcutaneous
tissueSame
Principle/Method
of OperationThe V-Laser is a Nd:YAG
laser operating at
wavelengths of 1,064 nm
and 532 nm. The V-Laser
consists of the main body,
optical fiber cable, user-
undetachable laser
handpiece, handpiece tip,
footswitch, and handpiece
cable cradle. The laser
output is delivered to the
skin through the optical
fiber terminated by the
handpiece. The fluence
(energy density), frequency
and pulse are controlled
from the LCD
display/Touch Pad located
on the front of the main
unit. The LCD display is
used to obtain feedback
from the system, such as the
number of pulses delivered
or spot size selected.The V-Laser is a Nd:YAG
laser operating at
wavelengths of 1,064 nm
and 532 nm. The V-Laser
consists of the main body,
optical fiber cable, user-
undetachable laser
handpiece, handpiece tip,
footswitch, and handpiece
cable cradle. The laser
output is delivered to the
skin through the optical fiber
terminated by the handpiece.
The fluence (energy
density), frequency and
pulse are controlled from the
LCD display/Touch Pad
located on the front of the
main unit. The LCD display
is used to obtain feedback
from the system, such as the
number of pulses delivered
or spot size selected. The
Skin Cooling Spray(SCS)
protects the upper layers of
the skin with a cooling burst
of cryogen.Difference
(Gas cooling has
been removed
from the
renewaled V-
Laser)
Wavelength1064 nm
532 nm1064 nm
532 nmSame
Proposed DevicePredicate Device #1SE Decision
Spot Size1064 nm: 2 to 12 mm
532 nm: 2 to 12 mm'
Genesis: 8mm1064 nm: 2 to 20 mm
532 nm: 2 to 20 mm'
Genesis: 8mmDifferent
This change has no
effect regarding
the intended of
use, safety,
and
effectiveness,
as
the tip of
the
renewed
handpiece is
all
included in
the
previous
specification.
Output1064 nm: Max. 50 J
532 nm: Max. 10 J1064 nm: Max. 50 J
532 nm: Max. 10 JSame
Fluence1064 nm: 2 to 300 J/cm2
532 nm: 1.8 to 42 J/cm2
Genesis Mode: 4 to 7 J/cm21064 nm: 2 to 300 J/cm2
532 nm: 1.8 to 42 J/cm2
Genesis Mode: 4 to 7 J/cm2Same
Pulse Duration1064 nm: Max. 60 ms
532 nm: Max. 40 ms
Genesis Mode: Max. 0.3 ms1064 nm: Max. 60 ms
532 nm: Max. 40 ms
Genesis Mode: Max. 0.3 msSame
Repetition RateMax. 10 HzMax. 10 HzSame
Laser MediaFlashlamp-pumped solid
state rodFlashlamp-pumped solid state
rodSame
Aiming Beam635 nm635 nmSame
Cooling SystemContact cooling systemContact cooling system
Gas cooling systemDifferent
Gas cooling has
been removed.

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Image /page/6/Picture/1 description: The image shows the logo for WONTECH. The logo consists of an orange symbol on the left and the text "WONTECH" on the right. The symbol appears to be two stylized "V" shapes intertwined, also in orange. The word "WON" is in orange, while "TECH" is in gray.

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Image /page/7/Picture/1 description: The image shows the logo for WONTECH. The logo consists of an orange circle with a stylized white "W" inside of it. To the right of the circle is the text "WONTECH" in a sans-serif font. The "WON" portion of the text is orange, while the "TECH" portion is gray.

Non-Clinical Test Summary [21 CFR 807.92(b)(1)]

The renewed V-Laser has been conducted required test with the current available standards,

1) Electrical Safety, Electromagnetic Compatibility Testing

Bench tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:

| Standard

(Edition)Standard Title
AASI AAMI ES60601-
1:2005/(R)2012 and A1:2012Medical electrical equipment – Part 1: General requirements
for basic safety and essential performance
ANSI AAMI IEC 60601-1-
2:2014Medical electrical equipment – Part 1-2: General requirements
for safety and essential performance – Collateral standard:
Electromagnetic compatibility – Requirements and tests
IEC 60601-1-6 Edition 3.1
2013Medical electrical equipment – Part 1-6: General requirements
for basic safety and essential performance – Collateral
standard: Usability
IEC 60601-2-22 Edition 4
2014Medical 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 (Third
EditionSafety of laser products – Part 1: Equipment classification and
requirements

2) Software Validation

The V-Laser contains MODERATE level of concern software was designed and developed according to a software development process and was verified and validated.

The software information is provided in accordance with FDA guidance: The content of premarket submissions for software contained in medical devices, on May 11, 2005.

3) Biocompatibility

| Part | Material | Patient
Contact | Duration of Contact
by ISO 10993-1 | Bio-
compatibility |
|---------------|-----------------|--------------------|---------------------------------------|-----------------------|
| Handpiece Tip | Stainless Steel | Intact Skin | Limited
()

Clinical Test Summary [21 CFR 807.92(b)(2)]

No clinical studies were considered necessary and performed.

Conclusion [21 CFR 807.92(b)(3)]

In according with the Federal Food & drug and cosmetic Act, 21 CFR Part 807, and based on the information provided in this premarket notification WON TECH Co., Ltd. concludes that the V-laser is substantially equivalent to previous device (V-Laser, K183156) as described herein.