K Number
K223642
Device Name
LED Lip Perfector, model: ZC-05
Date Cleared
2023-03-09

(93 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LED Lip Perfector (Model: ZC-05) is an Over-the-Counter (OTC) device intended to treat fines and wrinkles and increase in circulation within the perioral region.
Device Description
The LED Lip Perfector (Model: ZC-05) is an over-the-counter light-emitting diode (LED) device that emits energy for dermatology to treat fine lines and increase circulation within the perioral region. The device contains four types of LEDs: 605nm, 630nm, and 850nm The LED Lip Perfector components include the main device, charging base, power cord, alternative mouthpiece, user manual, and storage bag. There is only one button on the top edge of the main unit. Short press the power button to turn on the device, and long press the power button to turn off the device. This device only has one treatment mode. The LED Lip Perfector is applied to the skin to ensure consistent light administration during each treatment. The device is sold Over the Counter (OTC).
More Information

Not Found

No
The device description and performance studies focus on LED light therapy and electrical safety standards, with no mention of AI or ML components or algorithms.

Yes
The device is described as an OTC device intended to treat fine lines and wrinkles and increase circulation within the perioral region, addressing a medical condition.

No

A diagnostic device is used to identify a condition or disease. This device is intended to treat fine lines and wrinkles and increase circulation, which are therapeutic functions, not diagnostic ones.

No

The device description explicitly states it is a "light-emitting diode (LED) device" and lists physical components like the main device, charging base, power cord, etc., indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The LED Lip Perfector is a light-emitting device that applies energy to the skin for therapeutic purposes (treating fine lines and wrinkles, increasing circulation). It does not analyze any biological samples.
  • Intended Use: The intended use is for treating a physical condition on the skin, not for analyzing biological markers in a sample.

Therefore, the LED Lip Perfector falls under the category of a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The LED Lip Perfector (Model: ZC-05) is an Over-the-Counter (OTC) device intended to treat fines and wrinkles and increase in circulation within the perioral region.

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

OHS, ILY

Device Description

The LED Lip Perfector (Model: ZC-05) is an over-the-counter light-emitting diode (LED) device that emits energy for dermatology to treat fine lines and increase circulation within the perioral region. The device contains four types of LEDs: 605nm, 630nm, and 850nm The LED Lip Perfector components include the main device, charging base, power cord, alternative mouthpiece, user manual, and storage bag. There is only one button on the top edge of the main unit. Short press the power button to turn on the device, and long press the power button to turn off the device.

This device only has one treatment mode. The LED Lip Perfector is applied to the skin to ensure consistent light administration during each treatment. The device is sold Over the Counter (OTC).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

perioral region

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Over-The-Counter 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)

The LED Lip Perfector (Model: ZC-05) has been evaluated the safety and performance by lab bench testing as following:

Standards No.Standard TitleVersionDateRecognition NumberLocation
IEC 60601-1Medical electrical equipment - Part 1: General requirements for basic safety and essential performance2005/AMD1:2012, IEC 60601-1:2005/AMD2:2020//Attachment 9
IEC 60601-1-11Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environmentEdition 2.1 2020-0712/21/202019-38Attachment 9
IEC 60601-2-57Medical Electrical Equipment - Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic useEdition 1.0 2011-0103/16/201212-242Attachment 9
IEC 60601-1-2Medical Electrical Equipment - Part 1-2: General Requirements For Basic Safety And Essential Performance - Collateral Standard: Electromagnetic Disturbances -- Requirements And Tests60601-1-2 Edition 4.1 2020-0912/21/202019-36Attachment 9
IEC 60601-1-6Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: UsabilityEdition 3.2 2020-0712/21/20205-132Attachment 9
IEC 62133-2Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications - Part 2: Lithium systemsEdition 1.0 2017-0212/23/201919-33Attachment 9
ISO 10993-5Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityThird edition2009-06-012-245/
ISO 10993-10Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationThird Edition2010-08-012-174/

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K172662

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 890.5500 Infrared lamp.

(a)
Identification. An infrared lamp is a device intended for medical purposes that emits energy at infrared frequencies (approximately 700 nanometers to 50,000 nanometers) to provide topical heating.(b)
Classification. Class II (special controls). The device, when it is an infrared therapeutic heating lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

0

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

March 9, 2023

Light Tree Ventures Europe B.V. Alain Dijkstra Manager Laan van Ypenburg 108, 2497 GC, The Hague, The Netherlands Hague, Netherlands

Re: K223642

Trade/Device Name: LED Lip Perfector, model: ZC-05 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: OHS. ILY Dated: February 15, 2023 Received: February 15, 2023

Dear Alain Dijkstra:

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.

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

1

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,

Image /page/1/Picture/5 description: The image shows the name "Jianting Wang -S" in a large, clear font. The text is horizontally oriented and appears to be a title or heading. The font is simple and sans-serif, making it easy to read. The background is plain, which helps the text stand out.

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

2

Indications for Use

510(k) Number (if known) K223642

Device Name LED Lip Perfector (Model: ZC-05)

Indications for Use (Describe)

The LED Lip Perfector (Model: ZC-05) is an Over-the-Counter (OTC) device intended to treat fines and wrinkles and increase in circulation within the perioral region.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary of K223642

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92.

Date of the summary prepared: March 3, 2023 1.

Submitter's Information 2.

Sponsor Name: Light Tree Ventures Europe B.V. Establishment Registration Number: 3017422691 Address: Laan van Ypenburg 108, 2497 GC, The Hague, The Netherlands Contact Person (including title): Alain Dijkstra (Manager) Tel: +86-135-10378748 Fax: +86-755-25024651 E-mail: regulation@kaiyanmedical.com

Distributor:

Company: CurrentBody.com Ltd Add: Unit D6, Stanley Green Business Park, Commercial Avenue, Cheadle Hulme,Cheshire, SK8 6QH

Application Correspondent:

Contact Person: Alain Dijkstra Company: Light Tree Ventures Europe B.V. Address: Laan van Ypenburg 108, 2497 GC, The Hague, The Netherlands Tel: +86 755 82129361 Fax: +86 755 25024651 Email: regulation@kaiyanmedical.com

3. Subject Device Information

Trade Name: LED Lip Perfector, model: ZC-05 Trademark: CurrentBody Skin™ Classification Name: Light Based Over-The-Counter Wrinkle Reduction Review Panel: General & Plastic Surgery Product Code: OHS, ILY Regulation Number: 21 CFR 878.4810 Regulation Class: II

4. Predicate Device Information

Sponsor: LED Technologies, Inc. Trade Name: reVive Perioral LED Light Therapy System Classification Name: Light Based Over-The-Counter Wrinkle Reduction device 510(K) Number: K172662 Review Panel: General & Plastic Surgery Product Code: OHS, ILY Regulation Number: 21 CFR 878.4810 Regulation Class: II

5. Device Description

4

The LED Lip Perfector (Model: ZC-05) is an over-the-counter light-emitting diode (LED) device that emits energy for dermatology to treat fine lines and increase circulation within the perioral region. The device contains four types of LEDs: 605nm, 630nm, and 850nm The LED Lip Perfector components include the main device, charging base, power cord, alternative mouthpiece, user manual, and storage bag. There is only one button on the top edge of the main unit. Short press the power button to turn on the device, and long press the power button to turn off the device.

This device only has one treatment mode. The LED Lip Perfector is applied to the skin to ensure consistent light administration during each treatment. The device is sold Over the Counter (OTC).

Intended Use / Indications for Use 6.

The LED Lip Perfector (Model: ZC-05) is an Over-the-Counter (OTC) device intended to treat fine lines and wrinkles and increase in circulation within the perioral region.

Comparison to predicate device 7.

Compare with predicate device, the subject device is very similar in design principle, intended use, indications for use, functions, material and the applicable standards. The differences between subject device and predicate device do not raise and new questions of safety or effectiveness.

| Elements of

ComparisonSubject DevicePredicate DeviceRemark
CompanyLight Tree Ventures Europe
B.V.LED Technologies, Inc.--
Trade NameLED Lip PerfectorreVive Perioral LED Light
Therapy System--
ModelZC-05/--
Classification NameLight Based Over-The-
Counter Wrinkle ReductionLight Based Over-The-
Counter Wrinkle Reduction
device--
510(k) NumberApplyingK172662--
Product CodeOHS, ILYOHS, ILYSame
Intended Use /
Indications for UseThe LED Lip Perfector
(Model: ZC-05) is an Over-
the-Counter (OTC) device
intended to treat fine lines
and wrinkles and increase in
circulation within the perioral
region.The reVive® Perioral LED
Light Therapy system is an
Over-the-Counter (OTC)
device intended for the
treatment fine lines and
wrinkles, and increase in
circulation within the perioral
region.Same
DesignHand-held deviceHand-held deviceSame
Type of useOver-The-Counter UseOver-The-Counter UseSame
Treatment DistanceApplied directly to the skinApplied directly to the skinSame
Treatment SitesPerioral regionPerioral regionSame

5

| Change in energy (the

addition of battery)YesYesSame
Power Supply3.7V lithium battery3.7V lithium batterySame
Treatment Range3 minutes per treatment3 minutes per treatmentSame
Wavelengths605nm, 630nm, 660nm,
850nm605nm, 630nm, 660nm,
880nmDifferent,
Note
Location for USEOTCOTCSame
Number of LEDsTotal 56 LEDs
605nm: 14
660nm: 14
630nm: 14
880nm: 14Total 56 LEDs
605nm: 14
660nm: 14
630nm: 14
880nm: 14Same
Energy Level67.7±10% mW/cm $2$67.7 mW/cm $2$Same
Treatment Area24 cm $2$24 cm $2$Different
Irradiance sourceLEDLEDSame
Visible light LEDsYesYesSame
EMCIEC 60601-1-2IEC 60601-1-2Same
BiocompatibilityISO 10993-5
ISO 10993-10ISO 10993-5
ISO 10993-10Same

Note:

Although the "Wavelengths" of subject device is a little different from the predicate device, they are both have a same intended use and the "Energy Level" is the same. So, the differences between the subject device and predicate device will not raise any safety or effectiveness issue.

8. Test Summary

The LED Lip Perfector (Model: ZC-05) has been evaluated the safety and performance by lab bench testing as following:

| Standards
No. | Standard Title | Version | Date | Recognition
Number | Location |
|--------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------|------------|-----------------------|-----------------|
| IEC 60601-1 | Medical electrical
equipment - Part 1:
General requirements for
basic safety and essential
performance | 2005/AMD1:2012,
IEC 60601-
1:2005/AMD2:2020 | / | / | Attachment
9 |
| IEC 60601-
1-11 | Medical electrical
equipment - Part 1-11:
General requirements for
basic safety and essential
performance - Collateral
Standard: Requirements for
medical electrical
equipment and medical
electrical systems used in
the home healthcare
environment | Edition 2.1 2020-
07 | 12/21/2020 | 19-38 | Attachment
9 |
| IEC 60601-
2-57 | Medical Electrical
Equipment - Part 2-57:
Particular requirements for
the basic safety and
essential performance of
non-laser light source
equipment intended for
therapeutic, diagnostic,
monitoring and
cosmetic/aesthetic use | Edition 1.0 2011-
01 | 03/16/2012 | 12-242 | Attachment
9 |
| 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 | 60601-1-2 Edition
4.1 2020-09 | 12/21/2020 | 19-36 | Attachment
9 |
| IEC 60601-
1-6 | Medical electrical
equipment - Part 1-6:
General requirements for
basic safety and essential
performance - Collateral
standard: Usability | Edition 3.2 2020-
07 | 12/21/2020 | 5-132 | Attachment
9 |
| IEC 62133-2 | Secondary cells and
batteries containing
alkaline or other non-acid
electrolytes - Safety
requirements for portable
sealed secondary cells,
and for batteries made from
them, for use in portable
applications - Part 2:
Lithium systems | Edition 1.0 2017-
02 | 12/23/2019 | 19-33 | Attachment
9 |
| ISO 10993-
5 | Biological evaluation of
medical devices - Part 5:
Tests for in vitro cytotoxicity | Third edition | 2009-06-01 | 2-245 | / |
| ISO 10993-
10 | Biological evaluation of
medical devices - Part 10:
Tests for irritation and skin
sensitization | Third Edition | 2010-08-01 | 2-174 | / |

6

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9. Final Conclusion

The subject device is as safe, as effective, and performs as well as the legally marketed predicated devices K172662.