K Number
K230076
Device Name
Enhanced AURORA™ Medical Diode System, and related accessories
Date Cleared
2023-03-08

(57 days)

Product Code
Regulation Number
878.4630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Enhanced AURORA™ Medical Diode system and related accessories is indicated for use in targeted PUVA photochemistry and UVB phototherapy for the treatment of skin conditions including psoriasis, vitiligo, atopic dermatitis, eczema, and seborrheic dermatitis. In addition, the system UVB channel is indicated for the treatment of leukoderma.
Device Description
The Enhanced AURORA™ Medical Diode system and related accessories is designed to allow a clinician to easily apply UVA or UVB light to the patient's affected skin. The clinician selects the desired treatment type (UVA or UVB light) and applies the light through the appropriate handpiece by pointing the exit aperture towards the affected skin area. The device is comprised of four main components: - A base station - A touchscreen where the user can enter system commands - Two handpieces connected to the base by power cables. One handpiece contains diode emitters that, when activated, emit UVA light. The other handpiece emits UVB light. Either handpiece will only operate if the appropriate wavelength is selected, so a user cannot accidentally activate the incorrect handpiece. Activation of energy occurs on depression of a trigger in the handpiece. - A printer accessory that can print out verification of treatment parameters for hard copy records.
More Information

Not Found

No
The description focuses on light emission and user control, with no mention of AI/ML terms or functionalities like image processing, data analysis for treatment optimization, or automated decision-making.

Yes
The device is indicated for the treatment of various skin conditions like psoriasis, vitiligo, and eczema using targeted phototherapy, which falls under the definition of therapeutic use.

No

The device is a medical device for treatment of skin conditions using UVA or UVB light, not for diagnosis.

No

The device description clearly outlines multiple hardware components including a base station, touchscreen, handpieces with diode emitters, and a printer accessory. The performance studies also describe bench testing involving hardware components and energy output measurements.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Enhanced AURORA™ Medical Diode system is a phototherapy device that applies light directly to the patient's skin for treatment. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states treatment of skin conditions, not diagnosis based on in vitro analysis.
  • Device Description: The description details a system for applying light, not for analyzing biological samples.

Therefore, the Enhanced AURORA™ Medical Diode system falls under the category of a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Enhanced AURORA™ Medical Diode system and related accessories is indicated for use in targeted PUVA photochemistry and UVB phototherapy for the treatment of skin conditions including psoriasis, vitiligo, atopic dermatius, eczema, and seborrheic dermatitis. In addition, the system UVB channel is indicated for the treatment of leukoderma.

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

FTC, GEX

Device Description

The Enhanced AURORA™ Medical Diode system and related accessories is designed to allow a clinician to easily apply UVA or UVB light to the patient's affected skin. The clinician selects the desired treatment type (UVA or UVB light) and applies the light through the appropriate handpiece by pointing the exit aperture towards the affected skin area.
The device is comprised of four main components:

  • A base station
  • A touchscreen where the user can enter system commands
  • Two handpieces connected to the base by power cables. One handpiece contains diode emitters that, when activated, emit UVA light. The other handpiece emits UVB light. Either handpiece will only operate if the appropriate wavelength is selected, so a user cannot accidentally activate the incorrect handpiece. Activation of energy occurs on depression of a trigger in the handpiece.
  • A printer accessory that can print out verification of treatment parameters for hard copy records.

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

clinician

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)

Psoria-Shield has performed bench testing consistent with design verification activities required under 21 CFR 820 to confirm the design modifications have no effect on the safety or effectiveness of the modified device. This was confirmed through verifying that UVA and UVB energy dosage output are within 10% of user-selected power settings.
Testing was performed using a production-equivalent Enhanced AURORA™ Medical Diode system and related accessories, with energy dosage measured using a Coherent PowerMax PC thermopile sensor array. Testing was performed to confirm the joule output of the device in a cm² area in the center of both the thermopile and using the center of the chipset arrays for the most accurate reading possible. Screenshots of the AURORA device were taken at the same time to demonstrate the dosage that the device was calibrated to deliver in the pulse.

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.

K192411, K073659

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

§ 878.4630 Ultraviolet lamp for dermatologic disorders.

(a)
Identification. An ultraviolet lamp for dermatologic disorders is a device (including a fixture) intended to provide ultraviolet radiation of the body to photoactivate a drug in the treatment of a dermatologic disorder if the labeling of the drug intended for use with the device bears adequate directions for the device's use with that drug.(b)
Classification. Class II.

0

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

March 8, 2023

Psoria-Shield, Inc. John Yorke General Manager 409 Mandeville St Utica, New York 13502

Re: K230076

Trade/Device Name: Enhanced AURORA™ system, and related accessories Regulation Number: 21 CFR 878.4630 Regulation Name: Ultraviolet Lamp For Dermatologic Disorders Regulatory Class: Class II Product Code: FTC, GEX Dated: January 9, 2023 Received: January 10, 2023

Dear John Yorke:

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 statutes and regulations administered by other Federal agencies. You must comply with all the Act's

1

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 (OS) 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) K230076

Device Name

Enhanced AURORA TM Medical Diode system, and related accessories

Indications for Use (Describe)

The Enhanced AURORA™ Medical Diode system and related accessories is indicated for use in targeted PUVA photochemistry and UVB phototherapy for the treatment of skin conditions including psoriasis, vitiligo, atopic dermatius, eczema, and seborrheic dermatitis. In addition, the system UVB channel is indicated for the treatment of leukoderma.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510(k) SUMMARY K230076

Psoria-Shield Inc's Enhanced AURORA™Medical Diode System, and related accessories

The following information is provided as required by 21 C.F.R. § 807.87 (2003) for Psoria-Shield Inc's AURORA system Traditional 510(k) premarket notification:

Document Control Clerk,

Pursuant to 21 CFR 807.87, this is to notify you of the intention of Psoria-Shield, Inc. to introduce the Enhanced AURORA™ Medical Diode system and related accessories into commerce.

GENERAL INFORMATION:

Premarket Application
Submitter:Psoria-Shield, Inc.
409 Mandeville St
Utica, NY 13502, USA
Phone: 315 864 3465
Email: jy@psoriashield.com
Contact:John Yorke
General Manager
Psoria-Shield, Inc.
409 Mandeville St
Utica, NY 13502, USA
Phone: 315 864 3465
Email: jy@psoriashield.com
Manufacturer:Psoria-Shield, Inc.
409 Mandeville St
Utica, NY 13502, USA
Phone: 315 864 3465
Email: jy@psoriashield.com
Date Prepared:January 9, 2023
Classification Name:Ultraviolet Lamp For Dermatologic Disorders
Laser surgical instrument for use in general and plastic surgery and in
dermatology
CFR Citation Number:21 CFR 878.4630
21 CFR 878.4810
Product Code:FTC, GEX

4

Classification:Class II
Review Panel:General & Plastic Surgery
Trade Name:Enhanced AURORA™ Medical Diode system and related
accessories
Common Name:The Enhanced AURORA™ Medical Diode system and related
accessories is a Diode medical device for dermatological disorders.
Generic Name:AURORA™ system, and related accessories
Establishment
Registration
Number:3008872264
Predicate Devices:The Psoria-Shield, Inc. AURORA™ (K192411 July 2, 2020)
The PhotoMedex, Inc. XTRAC Ultra2 Excimer Laser System, Model
AL10000 (K073659 January 2, 2008).
Purpose of this
Submission:Psoria-Shield is seeking to introduce the Enhanced AURORA™
Medical Diode system and related accessories into commerce
claiming substantial equivalence to the Psoria-Shield AURORA™
(K192411) and the PhotoMedex XTRAC Ultra2 Excimer Laser
System, Model AL10000 (K073659).
Indications for Use:The Enhanced AURORA™ Medical Diode system and related
accessories is indicated for use in targeted PUVA photochemistry
and UVB phototherapy for the treatment of skin conditions including
psoriasis, vitiligo, atopic dermatitis, eczema, and seborrheic
dermatitis. In addition, the system UVB channel is indicated for the
treatment of leukoderma.
Device Description:The Enhanced AURORA™ Medical Diode system and related
accessories is designed to allow a clinician to easily apply UVA or
UVB light to the patient's affected skin. The clinician selects the
desired treatment type (UVA or UVB light) and applies the light
through the appropriate handpiece by pointing the exit aperture
towards the affected skin area.
The device is comprised of four main components:
- A base station
  • A touchscreen where the user can enter system commands
  • Two handpieces connected to the base by power cables. One
  • handpiece contains diode emitters that, when activated, emit UVA
    light. The other handpiece emits UVB light. Either handpiece will only
    operate if the appropriate wavelength is selected, so a user cannot |

5

| - | accidentally activate the incorrect handpiece. Activation of energy
occurs on depression of a trigger in the handpiece.
A printer accessory that can print out verification of treatment
parameters for hard copy records.
The technical specifications for the AURORA are as follows: | | |
|----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------|
| | ●





● | Weight:
Size:
Min/Max power output (UVA):
Min/Max power output (UVB):
Power Increase Increments
Size of beam:
Dosage Accuracy: | 20 lbs
19" (W) x 14" (L) x 8" (H)
100 mJ/cm² / 3400 J/cm²
100 mJ/cm² / 3400 mJ/cm²
20mJ/100mJ
2.88 cm²
10% |
| Technical Characteristics: | The Enhanced AURORA™ Medical Diode system and related
accessories has the exact technological characteristics as the
previously cleared AURORA™ (K192411 July 2,2020). Additionally,
Psoria Shield is claiming substantial equivalence to the PhotoMedex
XTRACT (K073659 January 2,2008).

The Enhanced AURORA™ Medical Diode system and related
accessories emits either UVA or UVB light, depending on which has
been selected by the clinician. The power output is the same between
UVA or UVB. The treatment area is the same between UVA or UVB.
Treatment instructions are the same between both the UVA and UVB.
Thus, the modified AURORA is the same device as the cleared
AURORA™ (K192411 July 2,2020) except for the modifications listed
in table below, and for which Psoria-Shield is seeking clearance: | | |

ModificationDetailed description of modification
A modification was
implemented to improve
the communication
between the Enhanced
AURORA and the
thermal printer. Minor
changes were made to
the code of the
Enhanced AURORA.
These modified
changes are
incorporated in the new
version of the code
1.2.4.The update consisted of updating the USB Printer to improve the
communication of the USB thermal printer address. The update
was done to ensure that the firmware/software connection was
fixed to allow the Enhanced AURORA™ Medical Diode system to
properly function for the user. This was done to allow the clinician
to utilize the thermal printer function while additionally preventing
them from overriding the Patient ID function while utilizing the
device. A software change to the code was made in order for the
clinician to read results before printing and to include an added
treatment area to the results screen on the Enhanced AURORA ™
Medical Diode system.

6

| Performance Data: | Psoria-Shield has performed bench testing consistent with design
verification activities required under 21 CFR 820 to confirm the
design modifications have no effect on the safety or effectiveness of
the modified device. This was confirmed through verifying that UVA
and UVB energy dosage output are within 10% of user-selected
power settings.

Testing was performed using a production-equivalent Enhanced
AURORA™ Medical Diode system and related accessories, with
energy dosage measured using a Coherent PowerMax PC thermopile
sensor array. Testing was performed to confirm the joule output of the
device in a cm² area in the center of both the thermopile and using
the center of the chipset arrays for the most accurate reading
possible. Screenshots of the AURORA device were taken at the
same time to demonstrate the dosage that the device was calibrated
to deliver in the pulse. |
|--------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Substantial Equivalence: | The Enhanced AURORA™ Medical Diode system and related
accessories has the exact same use as the previously cleared
AURORA™ (K192411 July 2, 2020). In addition, the Enhanced
AURORA™ Medical Diode system and related accessories has the
exact indications and principles of operation as the predicate devices,
the exact technological characteristics to the AURORA™ (K192411
July 2,2020) and very similar technical characteristics to the
PhotoMedex XTRACT (K073659 January 2, 2008).

Although there are minor differences between the Enhanced
AURORA™ Medical Diode system and related accessories and its
predicate devices. Note that the indications for use (IFU's) are not
being changed, modified, or altered in any fashion from the predicate
devices. Thus, the Enhanced AURORA™ Medical Diode system and
related accessories is substantially equivalent to the predicate
devices. |
| Conclusion: | In summary, the company's Enhanced AURORA™ Medical Diode
system and related accessories has the exact same use as the
previously cleared AURORA™ (K192411 July 2,2020). In addition,
the Enhanced AURORA™ Medical Diode system and related
accessories has the exact indications and principles of operation as
the predicate devices, and the exact technological characteristics to
the AURORA™ (K192411 July 2,2020) and very similar technical
characteristics to the PhotoMedex XTRACT (K073659 January 2,
2008). Although there are minor differences between the Enhanced
AURORA™ Medical Diode system and related accessories and its
predicate devices as summarized in table below. Note that the
indications for use (IFU's) are not being changed, modified, or altered
in any fashion from the predicate devices. Thus, the Enhanced |

7

AURORA™ Medical Diode system and related accessories is substantially equivalent to the predicate devices.

| | Psoria Shield
Enhanced
AURORA™ Medical
Diode system and
related accessories
(K230076) | Psoria Shield
AURORA™
(K192411) | PhotoMedex
XTRAC Ultra²
Excimer Laser
System, Model
AL10000
(K073659) |
|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The Enhanced
AURORA™ and
related accessories
is intended to be
used for the
treatment of
dermatologic
disorders. | The AURORA is
intended to be used
for the treatment of
dermatologic
disorders. | The intended use is
targeted UVB
phototherapy for
treatment of the
skin conditions
including
psoriasis, vitiligo,
atopic dermatitis,
and leukoderma. |
| Indications for Use | The Enhanced
AURORA™ Medical
Diode system and
related accessories
is indicated for use
in targeted PUVA
photochemistry and
UVB phototherapy
for the treatment of
skin conditions
including psoriasis,
vitiligo, atopic
dermatitis, eczema,
and seborrheic
dermatitis. In
addition, the system
UVB channel is
indicated for the
treatment of
leukoderma. | The AURORA
system is indicated
for use in targeted
PUVA
photochemistry and
UVB phototherapy
for the treatment of
skin conditions
including psoriasis,
vitiligo, atopic
dermatitis (eczema),
and seborrheic
dermatitis. In
addition, the system
UVB channel is
indicated for the
treatment of
leukoderma. | UVB phototherapy
for psoriasis,
vitiligo, atopic
dermatitis, and
leukoderma. |
| Wavelength | UVA:350-395nm
UVB:300-320nm | UVA: 350-395nm
UVB:320-320nm | 308nm |

Substantial Equivalence Table Comparing Subject and Predicate Device

8

| Maximum Fluence

to Tissue:Up to 3,400mJ/cm²Up to 3,400mJ/cm²2-3.8 mJ/cm2
Pulse Duration:C/WC/WQuasi continuous
output
Beam Delivery:Flexible Fiber Optic
and Therapeutic
HandpiecesFlexible Fiber Optic
and Therapeutic
HandpiecesFlexible Fiber Optic
and Therapeutic
Handpieces
Aiming BeamYESYESYES
Power Source110V wall power110V wall power110V wall power
DimensionsH: 19H:19H: 34
D: 14D:14D: 39
W: 8W: 8W:18
Safety FeaturesKey lock to prevent
accidental energy
emission and
Emergency stop
buttonKey lock to prevent
accidental energy
emission and
Emergency stop
buttonKey lock to prevent
accidental energy
emission and
emergency stop
button
Weight20lbs20lbs220lbs
AccessoriesUSB-connected
printerUSB-connected
printerNA