K Number
K222221
Device Name
DEKA HELIX
Date Cleared
2023-01-04

(163 days)

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

The Helix Laser System with its accessories is intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery).

CO2 Handpieces
The Helix CO2 handpieces with wavelength of 10600 nm are indicated for use for the particular indications as follows:
Dermatology & Plastic Surgery
The ablation, vaporization, excision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:

  • laser skin resurfacing
  • laser derm-abrasion
  • laser burn debridement.
    Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts.

Scanning unit
The Helix Scanning unit, with wavelength of 10600 nm is indicated for:
·Laser skin resurfacing (ablation and/or vaporization) of soft tissue
The Helix Scanning unit, with wavelength of 1570 nm, is indicated for:
· Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue
The Helix Scanning unit, with wavelengths of 10600 nm & 1570mm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.

Device Description

The Helix system consists of:
• Laser system console (containing the optical bench assembly and laser, the microcontroller control electronics and system software, the high voltage power supply, the laser cooling system, the compressed air-purge system, and the service panel)
• LCD control panel with touch-screen technology: the LCD display provides information on the status and settings of the Helix system with touch-screen technology provided to input commands into the system.

  • Two wavelengths CO2 and 1570 nm
  • Articulated arm
  • Footswitch
  • Delivery devices (CO₂ non-fractional applicators, Scanner CO₂/1570nm fractional applicator)
    Electrical specifications are:
    100-230V ~ single phase, 50/60 Hz, Absorbed electric power 1500 VA (max)
AI/ML Overview

The DEKA HELIX is a laser surgical instrument for use in general, plastic surgery, and dermatology. The acceptance criteria and the study that proves the device meets the acceptance criteria are detailed below, based on the provided FDA 510(k) summary (K222221).

1. Table of Acceptance Criteria and Reported Device Performance

The 510(k) submission primarily demonstrates substantial equivalence to a predicate device (Alma Hybrid Laser System, K203441) rather than explicitly defining and meeting specific analytical or clinical performance acceptance criteria in the format of a separate study. Instead, the "acceptance criteria" are implied through the comparison of the proposed device's characteristics and performance to those of the legally marketed predicate device, and through compliance with recognized electrical safety and laser safety standards.

The table below summarizes the comparison between the DEKA HELIX and its predicate device, highlighting where the proposed device is considered to be "as safe, as effective, and performs as well." Differences are noted as not affecting safety and effectiveness, implying performance within acceptable limits.

Acceptance Criteria (Implied by Predicate Equivalence & Standards Compliance)Reported Device Performance (DEKA HELIX)Comment
Indications for Use (General)Intended for surgical applications requiring ablation, vaporization, excision, incision, and coagulation of soft tissue in aesthetic surgery (dermatology and plastic surgery). Specific indications for CO2 handpieces and scanning unit are listed, including laser skin resurfacing for warts, acne scars, nevi epidermal, syringoma, and fractional skin resurfacing/coagulation with 1570 nm.Identical to predicate device in overall scope.
Regulation Number21 CFR 878.4810 Laser surgical instrument for use in general and plastic surgery and in dermatologyIdentical
Product CodeGEX, ONGIdentical
System ControlFully computerizedIdentical
Emission ControlFootswitch, InterlockIdentical
User InterfaceTouch-screen display, Emergency button, Key switchIdentical
Cooling SystemClosed loop, heat exchangerIdentical
Emission IndicatorVisual, AudibleIdentical
Electrical Requirements100-230 V, 16A 50/60 Hz, single phaseDifferences do not affect safety and effectiveness.
Physical Dimensions and Weight62 cm x 63 cm x 138/202 cm (erected), ~ 70 KgDifferences do not affect safety and effectiveness.
Laser TypeRF-excited CO2 laser, Class 4; Fiber Laser, Class 4Identical
CO2 Handpieces Wavelength10600 nmIdentical
CO2 Handpieces Pilot Beam635nm, 4mWDifferences do not affect safety and effectiveness.
CO2 Handpieces Spot Size (mm)0.125 – 2.0 mmDifferences do not affect safety and effectiveness.
CO2 Handpieces Pulse Duration10 - 900msDifferences do not affect safety and effectiveness.
CO2 Handpieces Pulse Repetition Frequency0.2 — 200 HzDifferences do not affect safety and effectiveness.
CO2 Handpieces Min Output Energy5 mJIdentical
CO2 Handpieces Output Power70WDifferences do not affect safety and effectiveness (Predicate has 30W, 70W; Proposed has 70W).
Scanning Unit Wavelength10600 nm and/or 1570 nmIdentical
Scanning Unit Pilot Beam635nm, 4mWDifferences do not affect safety and effectiveness.
Scanning Unit ScannerDual axis scannerIdentical
Scanning Unit TipCooledIdentical
Scanning Unit Spot Size @ 10600 nm0.374mmDifferences do not affect safety and effectiveness.
Scanning Unit Scan Size @ 1570 nm20x20 mmDifferences do not affect safety and effectiveness.
Scanning Unit Spot Size @ 1570 nm0.75mmIdentical
Scanning Unit Output Energy @ 10600 nmMax 251mJDifferences do not affect safety and effectiveness.
Scanning Unit Output Energy @ 1570 nmMax 144mJIdentical
Scanning Unit Beam Density @ 10600 nm61% - 98% untreated tissue between spotsDifferences do not affect safety and effectiveness.
Scanning Unit Beam Density @ 1570 nmUp to 400 pixels/cm2Differences do not affect safety and effectiveness.
Electrical Safety & EMCCompliance with ANSI AAMI ES60601-1 and IEC 60601-1-2.Testing conducted and documented.
Software Validation & VerificationConducted and documented as recommended by FDA guidance.Testing conducted and documented.
Laser SafetyCompliance with IEC 60601-2-22 and IEC 60825-1.Testing conducted and documented.

2. Sample Size Used for the Test Set and Data Provenance

No clinical performance data (human subject studies) were conducted for this 510(k) submission. Therefore, there is no "test set" in the context of clinical data for which a sample size or data provenance would be specified. The submission relies solely on non-clinical performance data and comparison to a predicate device.

3. Number of Experts Used to Establish Ground Truth and Qualifications

Not applicable. Since no clinical performance data was used, there was no need for experts to establish ground truth for a test set.

4. Adjudication Method

Not applicable. No test set requiring adjudication was used.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC comparative effectiveness study was done. The submission explicitly states "Clinical Performance Data: None."

6. Standalone Algorithm Performance Study

Not applicable. This device is a hardware laser system, not an AI algorithm, so there is no standalone algorithm performance to evaluate.

7. Type of Ground Truth Used

Not applicable. No clinical performance data was presented, so no ground truth from pathology, outcomes data, or expert consensus was required for direct device evaluation in this submission. The ground truth for proving safety and effectiveness relies on established engineering principles, international safety standards compliance, and the equivalence to a legally marketed predicate device.

8. Sample Size for the Training Set

Not applicable. As a hardware device with no AI algorithm, there is no "training set" in the machine learning sense. The development of the device likely involved engineering design, prototyping, and iterative testing, but this is distinct from an AI training set.

9. How the Ground Truth for the Training Set Was Established

Not applicable. There was no training set in the context of machine learning.

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January 4, 2023

El.En Electronic Engineering Spa Paolo Peruzzi Regulatory Affairs Manager Via Baldanzese 17 Calenzano, Firenze 50041 Italy

Re: K222221

Trade/Device Name: Deka Helix 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, ONG Dated: December 2, 2022 Received: December 5, 2022

Dear Paolo Peruzzi:

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 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 -S

Jianting Wang Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K222221

Device Name DEKA HELIX

Indications for Use (Describe)

The Helix Laser System with its accessories is intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery).

CO2 Handpieces

The Helix CO2 handpieces with wavelength of 10600 nm are indicated for use for the particular indications as follows:

Dermatology & Plastic Surgery

The ablation, vaporization, excision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:

    • laser skin resurfacing
    • laser derm-abrasion
    • laser burn debridement.

Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts.

Scanning unit

The Helix Scanning unit, with wavelength of 10600 nm is indicated for:

·Laser skin resurfacing (ablation and/or vaporization) of soft tissue

The Helix Scanning unit, with wavelength of 1570 nm, is indicated for:

· Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue

The Helix Scanning unit, with wavelengths of 10600 nm & 1570mm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510(k) Summary

K222221

DEKA HELIX

Submitter:

El.En. S.p.A. Via Baldanzese, 17 50041 Calenzano (FI), Italy

Contact:

Paolo Peruzzi Regulatory Affairs Manager & Official Correspondent Phone: +39.055.8826807 E-mail: p.peruzzi@elen.it

Date Summary Prepared:

July 20, 2022

Device Trade Name:

DEKA HELIX

Common Name:

Powered Laser Surgical Instrument

Classification Name:

Powered laser surgical Instrument

Powered laser surgical instrument with microbeam\fractional output

Product Code:

GEX

ONG

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Regulatory Class:

Class II

Classification Number:

21 CFR 878.4810

Predicate Device:

The Alma Hybrid Laser System (K203441)

Device Description:

The Helix system consists of:

• Laser system console (containing the optical bench assembly and laser, the microcontroller control electronics and system software, the high voltage power supply, the laser cooling system, the compressed air-purge system, and the service panel)

• LCD control panel with touch-screen technology: the LCD display provides information on the status and settings of the Helix system with touch-screen technology provided to input commands into the system.

  • Two wavelengths CO2 and 1570 nm
  • Articulated arm
  • Footswitch
  • Delivery devices (CO₂ non-fractional applicators, Scanner CO₂/1570nm fractional applicator)

Electrical specifications are:

100-230V ~ single phase, 50/60 Hz, Absorbed electric power 1500 VA (max)

Indications for Use:

The Helix Laser System with its accessories is intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery).

CO₂ handpieces

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The Helix CO handpieces, with wavelength of 10600nm, are indicated for use for the particular indications as follows:

Dermatology and Plastic Surgery

The ablation, vaporization, excision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:

laser skin resurfacing laser derm-abrasion laser burn debridement.

Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts.

Scanning unit

The Helix Scanning unit, with wavelength of 10600 nm is indicated for: Laser skin resurfacing (ablation and/or vaporization) of soft tissue

The Helix Scanning unit, with wavelength of 1570 nm, is indicated for: Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue

The Helix Scanning unit, with wavelengths of 10600nm & 1570nm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.

Comparison with The Predicate Device:

The DEKA HELIX is substantially equivalent to Alma Hybrid Laser System (K203441)

Device Trade NameProposed DeviceDEKA HELIXPredicate DeviceThe Alma Hybrid LaserSystem (K203441)Comment
Indications for UseThe Helix Laser Systemwith its accessories isintended for use insurgical applicationsrequiring the ablation,vaporization, excision,incision, and coagulationof soft tissue in medicalspecialties including:aesthetic surgery(dermatology and plasticThe Alma Hybrid LaserSystem, Delivery Devices,Applicators andAccessories are intendedfor use in surgicalapplications requiring theablation, vaporization,excision, incision, andcoagulation of soft tissuein medical specialtiesincluding: aestheticIdentical
Device Trade NameProposed DeviceDEKA HELIXPredicate DeviceThe Alma Hybrid LaserSystem (K203441)Comment
surgery).CO2 handpiecesThe Helix CO2 handpieces,with wavelength of10600nm, are indicatedfor use for the particularsurgery (dermatology andplastic surgery).Hy-Light CO2The Alma Hybrid CO2 non-fractional applicator, withwavelength of 10600 nm is
indications as follows:Dermatology and PlasticSurgeryThe ablation, vaporization,excision, incision, andcleared for use for theparticular indications asfollows:Dermatology & Plastic
coagulation of soft tissuein dermatology and plasticsurgery in theperformance of:*laser skin resurfacing*laser derm-abrasionSurgeryThe ablation, vaporization,excision, incision, andcoagulation of soft tissuein dermatology and plasticsurgery in theperformance of:
*laser burn debridement.Laser skin resurfacing(ablation and/orvaporization) of soft tissue* laser skin resurfacing* laser derm-abrasion* laser burn debridement.
for the reduction,removal, and/ortreatment of: warts, acnescars, nevi epidermal,syringoma.Vaporization/coagulationof warts.Laser skin resurfacing(ablation and/orvaporization) of soft tissuefor the reduction,removal, and/ortreatment of: warts, acnescars, nevi epidermal,syringoma.Vaporization/coagulation
Device Trade NameProposed DevicePredicate DeviceComment
DEKA HELIXThe Alma Hybrid Laser System (K203441)
Scanning unitof warts.
The Helix Scanning unit, with wavelength of 10600 nm is indicated for:Laser skin resurfacing (ablation and/or vaporization) of soft tissuePixelThe Alma Hybrid Pixel CO2 fractional applicator, with wavelength of 10600 nm is indicated for: The ablation, vaporization and coagulation of soft tissues in dermatology and plastic surgery in the performance of skin resurfacing.
The Helix Scanning unit, with wavelength of 1570 nm, is indicated for:Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue
The Helix Scanning unit, with wavelengths of 10600nm & 1570nm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.ProScanThe Alma Hybrid ProScan CO2 fractional applicator, with wavelength of 10600 nm is indicated for:•Laser skin resurfacing (ablation and/or vaporization) of soft tissueThe Alma Hybrid ProScan 1570nm fractional applicator, with wavelength of 1570 nm, is indicated for:• Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue
Device Trade NameProposed DeviceDEKA HELIXPredicate DeviceThe Alma Hybrid LaserSystem (K203441)Comment
CO2 &1570nm fractionalapplicator, withwavelengths of 10600 nm&1570nm is indicated forlaser skin resurfacing(ablation and/orvaporization) of softtissue.
Regulation number21 CFR 878.4810 Lasersurgical instrument foruse in general andplastic surgery and indermatology21 CFR 878.4810 Lasersurgical instrument foruse in general andplastic surgery and indermatologyIdentical
Product CodeGEXONGGEXONGIdentical
System ControlFully computerizedFully computerizedIdentical
Emission ControlFootswitchInterlockFootswitchInterlockIdentical
User InterfaceTouch-screen displayEmergency buttonKey switchTouch-screen displayEmergency buttonKey switchIdentical
Cooling SystemClosed loop, heatexchangerClosed loop, heatexchangerIdentical
Emission indicatorVisualAudibleVisualAudibleIdentical
ElectricalRequirements100-230 V, 16A 50/60 Hz,single phase120 VAC, 11 A, 50/60 Hz,single phase220/230 VAC, 6 A, 50/60Hz, single phaseDifferences do notaffect safety andeffectiveness.
Device Trade NameProposed DeviceDEKA HELIXPredicate DeviceThe Alma Hybrid LaserSystem (K203441)Comment
PhysicalDimensions andWeight62 cm x 63 cm x 138/202cm (erected)~ 70 Kg465mm x 533 mm x1345/1973 mm (erected)~ 86 KgDifferences do notaffect safety andeffectiveness.
Laser TypeRF-excited CO2 laser, Class4Fiber Laser, Class 4RF-excited CO2 laser, Class4Fiber Laser, Class 4Identical
CO2 Handpieces
Wavelength10600 nm10600 nmIdentical
Pilot beam635nm, 4mW650 nm, 3mWDifferences do notaffect safety andeffectiveness.
Spot size (mm)0.125 – 2.0 mm0.15 – 3.0 at 50 mmworking distance0.25- 3.1 (Dia.) at 200 mmworking distanceDifferences do notaffect safety andeffectiveness
Pulse Duration10 - 900ms1-1000 msDifferences do notaffect safety andeffectiveness.
Pulse RepetitionFrequency0.2 — 200 Hz1 — 100 HzDifferences do notaffect safety andeffectiveness.
Min output energy5 mJ5 mJIdentical
Output Power70W30W, 70WDifferences do notaffect safety andeffectiveness.
Scanning unit
Wavelenght10600 nm and/or 1570nm10600 nm and/or 1570 nmIdentical
Pilot beam635nm, 4mW650 nm, 3mWDifferences do notaffect safety andeffectiveness.
Device Trade NameProposed DeviceDEKA HELIXPredicate DeviceThe Alma Hybrid LaserSystem (K203441)Comment
ScannerDual axis scannerDual axis scannerIdentical
TipCooledCooledIdentical
Spot size @ 10600nm0.374mm0.35 mm@ 100 mmdistanceDifferences do notaffect safety andeffectiveness.
Scan size @ 1570nm20x20 mmUp to 30 mm diameterDifferences do notaffect safety andeffectiveness.
Spot size @ 1570nm0.75mm0.75 mmIdentical
Output energy @10600 nmMax 251mJ120 (30W model)240 mJ (70W model)Differences do notaffect safety andeffectiveness.
Output energy @1570 nmMax 144mJ24mJ-144 mJ/pixelIdentical
Beam density @10600 nm61% - 98% untreatedtissue between spots~63% - 97% untreatedtissue between spotsDifferences do notaffect safety andeffectiveness.
Beam density @1570 nmUp to 400 pixels/cm2Up to 390 pixels/cm2Differences do notaffect safety andeffectiveness.

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Clinical Performance Data:

None

Non-Clinical Performance Data:

Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the Helix device, according to the following standards:

. ANSI AAMI ES60601-1Medical electrical equipment - Part 1: General requirements for basic safety and essential performance.

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. IEC 60601-1-2 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances -Requirements and tests.

Software Validation and Verification Testing

Software verification and validation testing were conducted and documented as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices."

Additional non-clinical testing conducted

Additional tests were conducted on the Helix device, according to the following standards:

. IEC 60601-2-22: 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: Safety of laser products - Part 1: Equipment classification and requirements.

Conclusion:

On the basis of the comparison with the predicate device and on the non-clinical performance data, we can conclude that DEKA HELIX is as safe, as effective, and performs as well as the legally marketed predicate device (K203441).

Additional Information:

None

§ 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.