K Number
K222916
Device Name
US 450 Diode Laser Equipment
Date Cleared
2022-12-09

(74 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The US 450 Diode Laser Equipment is intended for 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
US450 Diode Laser Equipment is a device which adopts the high-energy and continuous diode laser to realize the conversion of electricity, light and heat energy, and thus achieves disease treatment. Therefore, this is a laser therapeutic product that integrates laser technology, electronic technology, computer science and medical science. Under the control of microprocessor, laser power supply can provide the adjustable constant current for the laser module, the high power laser diode in the laser module can transform the electric energy into the light, generate the continuous laser beam with a wavelength of 808mm. Semiconductor laser used for hair removal is mainly based on the principle of selective photothermal action, that is, a specific wavelength of laser can only be selectively absorbed by the target color base. US450 Diode Laser Equipment consists of power supply system, microprocessor control system, operation display system, cooling system, treatment handle and safety alarm system.
More Information

No
The description mentions a "microprocessor control system" and "computer science" as part of the device's integration, but there is no mention of AI, ML, or any related concepts like training sets, test sets, or performance metrics typically associated with AI/ML algorithms. The control appears to be based on pre-programmed parameters rather than learning or adaptive algorithms.

Yes
The device description explicitly states, "Therefore, this is a laser therapeutic product that integrates laser technology, electronic technology, computer science and medical science." Additionally, one of the performance studies conducted was "IEC 60601-2-22: 2012 Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment," which refers to therapeutic laser equipment.

No

The device is described as a "laser therapeutic product" intended for "hair reduction," which is a treatment, not a diagnosis. While the standards it complies with include Part 2-22 for "surgical, cosmetic, therapeutic and diagnostic laser equipment," its stated intended use is solely therapeutic.

No

The device description explicitly states it is "US450 Diode Laser Equipment" and lists hardware components such as a power supply system, microprocessor control system, cooling system, and treatment handle. It is a physical laser device, 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 is clearly stated as "hair reduction on all skin types". This is a therapeutic or cosmetic purpose, not a diagnostic one.
  • Device Description: The description details a laser device that uses light and heat energy for treatment. It does not mention any components or processes related to analyzing samples from the human body (like blood, urine, tissue, etc.) which is the core function of an IVD.
  • Lack of IVD-Specific Information: The document does not contain any information typically associated with IVDs, such as:
    • Analysis of biological samples.
    • Detection or measurement of substances in the body.
    • Diagnosis, monitoring, or screening of diseases or conditions based on in vitro analysis.

The device is a laser therapeutic product used for a physical treatment (hair reduction).

N/A

Intended Use / Indications for Use

The US 450 Diode Laser Equipment is intended for 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

US450 Diode Laser Equipment is a device which adopts the high-energy and continuous diode laser to realize the conversion of electricity, light and heat energy, and thus achieves disease treatment. Therefore, this is a laser therapeutic product that integrates laser technology, electronic technology, computer science and medical science.

Under the control of microprocessor, laser power supply can provide the adjustable constant current for the laser module, the high power laser diode in the laser module can transform the electric energy into the light, generate the continuous laser beam with a wavelength of 808mm. Semiconductor laser used for hair removal is mainly based on the principle of selective photothermal action, that is, a specific wavelength of laser can only be selectively absorbed by the target color base.

US450 Diode Laser Equipment consists of power supply system, microprocessor control system, operation display system, cooling system, treatment handle and safety alarm system.

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 as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • IEC 60601-1:2005, AMD1:2012 with US National Differences A
  • IEC 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 60825-1:2014, Safety of laser products - Part 1: Equipment classification, and requirements
  • IEC 60601-2-22: 2012 Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment
  • 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.

No clinical study is included in this submission.

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

Not Found

Predicate Device(s)

K162659

Reference Device(s)

K221312

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 contains 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 FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 9, 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: K222916

Trade/Device Name: US 450 Diode Laser 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: GEX Dated: September 26, 2022 Received: September 26, 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 -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

2

Indications for Use

510(k) Number (if known) K222916

Device Name US 450 Diode Laser Equipment

Indications for Use (Describe)

The US 450 Diode Laser Equipment is intended for 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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3

The assigned 510(k) Number:

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 Submission: 2022/12/8
    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: information@believe-med.com

Identification of Proposed Device 4.

Trade Name: US 450 Diode Laser Equipment

Common Name: Powered Laser Surgical Instrument

Regulatory Information Classification Name: Powered Laser Surgical Instrument Classification: II

4

Product Code: GEX Regulation Number: 878.4810 Review Panel: General & Plastic Surgery

  • న్. Identification of Predicate Device(s)
    510(k) Number: K162659 Product Name: Diode Laser Hair Removal System (Model:M-DL100) Manufacturer: Shandong Huamei Technology Co.,ltd.

    1. Device Description:
      US450 Diode Laser Equipment is a device which adopts the high-energy and continuous diode laser to realize the conversion of electricity, light and heat energy, and thus achieves disease treatment. Therefore, this is a laser therapeutic product that integrates laser technology, electronic technology, computer science and medical science.

Under the control of microprocessor, laser power supply can provide the adjustable constant current for the laser module, the high power laser diode in the laser module can transform the electric energy into the light, generate the continuous laser beam with a wavelength of 808mm. Semiconductor laser used for hair removal is mainly based on the principle of selective photothermal action, that is, a specific wavelength of laser can only be selectively absorbed by the target color base.

US450 Diode Laser Equipment consists of power supply system, microprocessor control system, operation display system, cooling system, treatment handle and safety alarm system.

    1. Indication For Use Statement:
      The US 450 Diode Laser Equipment 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.

Table 8-1 General Comparison
ItemProposed DevicePredicate Device K162659Remark
Device NameUS 450 Diode Laser EquipmentDiode Laser Hair Removal System
(Model:M-DL100)/
Classification
Regulation21 CFR 878.481021 CFR 878.4810SAME
Classification
PanelGeneral & Plastic SurgeryGeneral & Plastic SurgerySAME
ClassIIIISAME
Product CodeGEXGEXSAME
Common NamePowered Laser Surgical InstrumentPowered Laser Surgical InstrumentSAME
    1. Substantially Equivalent (SE) Comparison

5

| Indication for use | The US 450 Diode Laser Equipment
is intended for hair removal,
permanent hair reduction on all skin
types (Fitzpatrick skin type I-VI),
including tanned skin. | The Diode Laser Hair Removal
System is intended for hair removal,
permanent hair reduction on all skin
types (Fitzpatrick skin type I-VI),
including tanned skin. | SAME | | |
|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------|------------------------------------|------|
| | 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. | 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. | | | |
| | Prescription use
or not | Prescription use | | Prescription use | SAME |
| | Configuration | Main Unit, Handpiece, Foot Control | | Main Unit, Handpiece, Foot Control | SAME |

Table 8-2 Performance Comparison
ITEMProposed DevicePredicate DeviceRemark
Principle of
OperationDiode laserDiode laserSAME
Laser TypeDiode laserDiode laserSAME
Laser
ClassificationClass IVClass IVSAME
Laser
Wavelength808nm808nmSAME
Spot size$10\times10$ mm²1.44 cm²Different
Energy density5~80J/cm²(continuously
adjustable)1-120J/cm²Different
Pulse frequency0.5-3Hz0.5-15HzDifferent
Pulse Duration5~400ms5-400msSAME

1

6

| Power Supply | AC 110V
50/60Hz | AC 110V/60Hz | Different |
|--------------|--------------------|--------------------|-----------|
| Dimension | 47 x 47 x 132cm | 450mm× 550mm×380mm | Different |
| Weight | 68 kg | 52kg | Different |

Analysis:

Different - Spot size

The proposed device has different spot size with the predicate device, which only relate to the treatment area size, will not affect the effectiveness and safety.

Different - Energy density

The proposed device has different Energy density from the predicate device.

Energy density of proposed device is within the predicate device. The greater the energy density, the more energy output, and the greater the risk. The maximum energy density that we can adjust is smaller than the predicate device. And the proposed device has passed the IEC60601-1-2 test, IEC60601-2-22 test, IEC60825-1 test and performance test, the safety of the product can be ensured.

In order to ensure the effectiveness of the product, we have established a reference device K221312, Diode Laser Hair Removal Device (Model:EVOLUTION MEDICAL). It is also a diode laser product which intended for hair removal, permanent hair reduction on all skin types (Fitzpatrick skin type I-VI), including tanned skin. Its laser wavelength is also 808nm and its energy density is 1-77 J/cm². We have same intended use with reference device and the energy density of the proposed device is higher than the reference device. The energy output of the reference device is smaller than the proposed device and it can achieve the intended use effectively. We think the effectiveness of the proposed device also can be ensured.

Different - Pulse frequency

The proposed device has different Pulse frequency from the predicate device.

Frequency of proposed device is within the predicate device. And the proposed device has passed the IEC60601-1 test, IEC60601-1-2 test, IEC60601-2-22 test, IEC60825-1 test and performance test, the safety and performance of the product can be ensured.

Different - Power Supply

The power supply for the proposed device is different from the predicate device. However, electrical safety and EMC test has been conducted on the proposed device and the test result show that the device can work normally under this power supply. Therefore, this difference will not affect safety and effectiveness of the proposed device.

7

Different - Dimension, Weight

The proposed device is different in dimension and weight from the predicate device. By complying with IEC 60601-1, the mechanical performance of the proposed device is determined to be accepted, therefore, this difference of dimension and weight have no effect the effectiveness and safety.

ITEMProposed DevicePredicate DeviceRemark
Electrical
SafetyThe proposed devices were
tested to demonstrated to
comply with IEC 60601-1The predicate devices were
tested to demonstrated to
comply with IEC 60601-1SAME
EMCThe proposed devices were
tested to demonstrated to
comply with IEC 60601-1-2The predicate devices were
tested to demonstrated to
comply with IEC 60601-1-2SAME
Patient Contact
MaterialHandle head: Aluminum
Ophthalmic Lens: Aluminium
oxideSapphire in handpieceDifferent
Biocompatibility
CytotoxicityNo toxicity (ISO 10993-5)No toxicity (ISO 10993-5)SAME
IrritationApplied sample did not
induce irritation to skin. (ISO
10993-10)Applied sample did not induce
irritation to skin. (ISO
10993-10)SAME
SensitizationThe test article showed no
signification evidence of
causing skin sensitization in
the guinea pig. (ISO
10993-10)The test article showed no
signification evidence of
causing skin sensitization in the
guinea pig. (ISO 10993-10)SAME
Table 8-3 Safety Comparison

Discussion

The proposed device is different in Patient Contact Materials from the predicate device. But the predicate device and the proposed device has passed the ISO10993 series test. We believe that the difference will not affect the effectiveness and safety compared with the predicate device.

    1. Non-Clinical Test Conclusion
      Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:
  • IEC 60601-1:2005, AMD1:2012 with US National Differences A

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

8

Compatibility-Requirements And Tests

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

  • IEC 60601-2-22: 2012 Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment

  • ISO 10993-5: 2009 Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro ア Cytotoxicity
  • ISO 10993-10: 2010 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

    1. Clinical Test Conclusion

No clinical study is included in this submission.

    1. Conclusion
      The conclusions drawn from the nonclinical tests demonstrate that the device is as safe, as effective, and performs as well as or better than the legally marketed predicate device Diode Laser Hair Removal System (K162659).