K Number
K232056
Device Name
IPL Hair Removal Device, Model(s): PB1, PB2, PB3, PB4, TM002
Date Cleared
2023-10-06

(87 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The IPL Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/ or facial hair.
Device Description
IPL Hair Removal Device (Model: PB1, PB2, PB3, PB4, TM002), is an over-the-counter, homeuse and personal device for hair reduction based on Intense Pulsed Light (IPL). It works below the skin's surface and does not involve any cutting or pulling, reducing hair growth with minimal pain. The indications for use, performance, structure design and operation of these five models of the device are basically the same, there is only a minor difference in appearance and physical dimension. The device is only powered by the external power adapter and its IPL emission activation is by finger switch. This product is equipped with a skin sensor to detect appropriate skin contact, if the flash window of the device is not in full contact with the skin, the device cannot emit the treatment light pulses.
More Information

No
The document does not mention AI or ML, and the device description focuses on basic safety features like a skin sensor and finger switch activation, which are not indicative of AI/ML technology.

Yes
The device is intended for "removal of unwanted body and/ or facial hair" and works by "reducing hair growth with minimal pain," which is a physiological effect on the body for a non-cosmetic purpose, thus categorizing it as a therapeutic device.

No
The device is described as an "IPL Hair Removal Device" intended for "removal of unwanted body and/ or facial hair," which is a treatment, not a diagnostic function.

No

The device description explicitly details physical hardware components such as an external power adapter, finger switch, skin sensor, and flash window, indicating it is a hardware device that utilizes software for control and safety features.

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

Here's why:

  • Intended Use: The intended use is for "removal of unwanted body and/ or facial hair." This is a cosmetic or aesthetic purpose, not a diagnostic one. IVD devices are used to examine specimens (like blood, urine, or tissue) from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease.
  • Device Description: The description focuses on the mechanism of action (IPL for hair reduction) and safety features (skin sensor, power adapter). It does not mention any analysis of biological samples.
  • Lack of Diagnostic Information: There is no indication that this device provides any information about a person's health status, disease, or condition based on the analysis of biological specimens.

Therefore, this device falls under the category of a therapeutic or aesthetic device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The IPL Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/ or facial hair.

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

OHT

Device Description

IPL Hair Removal Device (Model: PB1, PB2, PB3, PB4, TM002), is an over-the-counter, homeuse and personal device for hair reduction based on Intense Pulsed Light (IPL). It works below the skin's surface and does not involve any cutting or pulling, reducing hair growth with minimal pain. The indications for use, performance, structure design and operation of these five models of the device are basically the same, there is only a minor difference in appearance and physical dimension. The device is only powered by the external power adapter and its IPL emission activation is by finger switch. This product is equipped with a skin sensor to detect appropriate skin contact, if the flash window of the device is not in full contact with the skin, the device cannot emit the treatment light pulses.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Intense Pulsed Light

Anatomical Site

body and/ or facial hair. Suitable but not limit to upper lip, bikini line, armpit, legs, arms

Indicated Patient Age Range

The secondary predicate device K213041 states "The device is used for adults."

Intended User / Care Setting

over-the-counter, home-use and personal device.

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)

  1. Biocompatibility Testing: The biocompatibility evaluation for the body-contacting components of the IPL Hair Removal Device was conducted in accordance with the "Use of International Standard ISO 10993-1, 'Biological Evaluation of Medical Devices –Part 1: Evaluation and Testing Within a Risk Management Process, Document Issued on September 4, 2020", as recognized by FDA. The following testing was performed to, and passed, including:
  • ISO 10993-5:2009, Biological evaluation of medical devices -Par t 5: Tests for in vitro cytotoxicity
  • ISO 10993-10:2021, Biological evaluation of medical devices Part 10: Tests for skin sensitization
  • ISO 10993-23: 2021, Biological evaluation of medical devices Part 23: Tests for irritation
  1. Electrical Safety and EMC: Electrical safety and EMC testing was performed to, and passed, as per the following standards:
  • IEC 60601-1 Medical electrical equipment Part 1: General requirements for basic safety and essential performance
  • 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
  • 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
  • IEC 60601-2-83 Medical electrical equipment Part 2-83: Particular requirements for the basic safety and essential performance of home light therapy equipment
  1. Eye Safety:
  • IEC 62471 Photobiological safety of lamps and lamp systems
  1. Software Verification and Validation: Software documentation consistent with moderate level of concern was submitted in this 510(k). System validation testing presented in this 510(k) demonstrated that all software requirement specifications are met and all software hazards have been mitigated to acceptable risk levels.
  2. Usability: The product usability has been evaluated according to the following FDA guidance: > Applying Human Factors and Usability Engineering to Medical Devices, issued on FEBRUARY 2016

Summary: Based on the above performance as documented in this application, IPL Hair Removal Device was found to have a safety and effectiveness profile that is similar to the predicate devices.

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.

K192432

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.

K213041

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

§ 878.4810 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 in blue, with the words "U.S. FOOD & DRUG" on top and "ADMINISTRATION" on the bottom.

Dongguan Lide Electric Appliance Co., Ltd % Riley Chen Registration Engineer Feiying Drug & Medical Consulting Technical Service Group Rm 2401 Zhenye International Business Center, No. 3101-90 Oianhai Road Shenzhen, Guangdong 518052 China

Re: K232056

Trade/Device Name: IPL Hair Removal Device, Model(s): PB1, PB2, PB3, PB4, TM002 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: OHT Dated: July 11, 2023 Received: July 11, 2023

Dear Riley Chen:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

1

(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Tanisha L.
Hithe -S
Tanisha L. Hithe -S
2023.10.06
16:07:32 -04'00'

Tanisha Hithe 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

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Enclosure

3

Indications for Use

510(k) Number (if known) K232056

Device Name IPL Hair Removal Device Model(s): PB1, PB2, PB3, PB4, TM002

Indications for Use (Describe)

The IPL Hair Removal Device is an over-the-counter device intended for removal of unwanted body and or facial hair.

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

"510(k) Summary" as required by 21 CFR Part 807.92.

I. Submitter

Dongguan Lide Electric Appliance Co., Ltd Floor 4, Building 2, No.11 Yinhe Fifth Road, Qiaotou Town, Dongguan City, Guangdong, China Post code: 523528 Fax: +86-0769-81282267

Xiang Guojun Deputy general manager Tel.: +86 18998439876 Email: SZ XGJ@126.com

II. Device

Name of Device: IPL Hair Removal Device Model(s): PB1, PB2, PB3, PB4, TM002 Common or Usual Name: Light Based Over-The-Counter Hair Removal Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: OHT Regulation Number: 21 CFR 878.4810

III. Predicate Device

Primary predicate device:

ManufacturerPredicate Device510(k) NumberApproval Date
Shenzhen
Technology Co. Ltd.Bosidin IPL Home Use Hair Removal
DeviceK192432Nov. 08, 2019

Secondary predicate device:

ManufacturerReference Device510(k) NumberApproval Date
Glan Electronics Co., Ltd.IPL Hair Removal, Model:
OBT-02K213041Nov. 18, 2021

IV. Device Description

IPL Hair Removal Device (Model: PB1, PB2, PB3, PB4, TM002), is an over-the-counter, homeuse and personal device for hair reduction based on Intense Pulsed Light (IPL). It works below the skin's surface and does not involve any cutting or pulling, reducing hair growth with minimal pain.

5

The indications for use, performance, structure design and operation of these five models of the device are basically the same, there is only a minor difference in appearance and physical dimension. The device is only powered by the external power adapter and its IPL emission activation is by finger switch. This product is equipped with a skin sensor to detect appropriate skin contact, if the flash window of the device is not in full contact with the skin, the device cannot emit the treatment light pulses.

V. Indications for Use

The IPL Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/ or facial hair.

VI. Materials

| Component

nameMaterial of ComponentBody Contact CategoryContact Duration
IPL Hair Removal
Device (Enclosure
and flash window)ABS, PCSurface-contacting
device: Intact skinLess than 24 hours

We have tested the device for biocompatibility by a reliable third-party lab. For details, please refer to "Biocompatibility Discussion".

VII.Comparison of Technological Characteristics With the Predicate Device

IPL Hair Removal Device has the same intended use, mode of action and similar operational characteristics as the predicate devices. Any minor differences between the subject device and the listed predicate devices do no raise any issues of safety or efficacy. Performance data supports that the device is safe and as effective as the predicate devices for its intended use. Therefore, the IPL Hair Removal Device may be found substantially equivalent to its predicate devices.

IPL Hair Removal Device is compared with the following Predicate Devices in terms of intended use, design, specifications and performance:

| Comparison

ElementsSubject DevicePrimary Predicate DeviceSecondary Predicate DeviceRemark
510(k)
NumberPendingK192432K213041/
Trade nameIPL Hair Removal
DeviceIPL Home Use Hair
Removal Device (model:
D-1130)IPL Hair Removal, Model:
OBT-02/
ManufacturerDongguan Lide
Electric Appliance Co.,
LtdShenzhen Bosidin
Technology Co. Ltd.Glan Electronics Co., Ltd./
Regulation
number21 CFR 878.481021 CFR 878.481021 CFR 878.4810Same
Comparison
ElementsSubject DevicePrimary Predicate DeviceSecondary Predicate DeviceRemark
Product codeOHTOHTOHTSame
Device
classificationClass IIClass IIClass IISame
Indication for
use/ Intended
useThe IPL Hair Removal
Device is an over-the-
counter device
intended for removal
of unwanted body and/
or facial hair.IPL Home Use Hair
Removal Device is an over-
the-counter device intended
for removal of unwanted
body and/or facial
hair.The IPL Hair Removal Device
OBT-02 Version is indicated
for the removal of unwanted
hair. The device is also
indicated for the permanent
reduction in hair regrowth,
defined as the long-term,
stable reduction in the number
of hairs re-growing when
measured at 6, 9 and 12
months after the completion of
a treatment regime. The device
is used for adults.Same
Prescription
or OTCOTCOTCOTCSame
Device design
Treatment
areaSuitable but not limit
to upper lip, bikini
line, armpit, legs, armsSmall areas such as the
underarm and face; Large
areas such as the legs.UnknownSimilar
Source
energySupplied by external
adapterAn external power supplySupplied by external adapterSame
Power supply100~240V, 50/60Hz100~240V, 50/60Hz100-240 V ACSame
Dimension
(mm)PB1: 19412450
PB2: 19214048
PB3: 19114048
PB4: 19114048
TM002: 19114048D-1130: 212x141x64mm150 x 75 x 45mm (HWD)Different
WeightPB1: 280g
PB2: 283g
PB3: 282g
PB4: 281g
TM002: 285gD-1130: 340g220gDifferent
SterilizationNot requiredNot requiredNot requiredSame
Output specification
Light sourceIntense Pulsed LightIntense Pulsed LightIntense Pulsed LightSame
Energy
mediumXenon arc lampXenon Arc FlashlampXenon Arc FlashlampSame
Wavelength
range510-1100nm510-1100nm510-1100nmSame
Comparison
ElementsSubject DevicePrimary Predicate DeviceSecondary Predicate DeviceRemark
Energy
density1.5~3.5 J/cm²2.0~4.0J/cm²1.5~4.0J/cm²Similar
Output
energy6.5~15.5J9.5~18J4.5~12JSimilar
Spot size4.5cm²4.5cm²3.0 cm²Same
Pulse
duration3~14ms7.5~14ms3msSimilar
Pulsing
controlFinger switchFinger switchFinger switchSame
Delivery
deviceDirect illumination to
tissueDirect illumination to tissueDirect illumination to tissueSame
Output
intensity level9 levels5 levels5 levelsDifferent
Software/
Firmware/
Microprocess
or Control?YesYesYesSame
Additional information
Electrical
safetyIEC 60601-1
IEC 60601-1-2
IEC 60601-1-11
IEC 60601-2-83IEC 60601-1
IEC 60601-1-2
IEC 60601-1-11
IEC 60601-2-57IEC 60601-1
IEC 60601-1-2
IEC 60601-1-11
IEC 60601-2-57Similar
Eye safetyIEC 62471IEC 62471IEC 62471Same
Biocompatibi
lityISO 10993-5
ISO 10993-10
ISO 10993-23ISO 10993-5
ISO 10993-10ISO 10993-5
ISO 10993-10Same

6

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Performance Data VIII.

The following performance data were provided in support of the substantial equivalence determination.

1) Biocompatibility Testing

The biocompatibility evaluation for the body-contacting components of the IPL Hair Removal Device was conducted in accordance with the "Use of International Standard ISO 10993-1, 'Biological Evaluation of Medical Devices –Part 1: Evaluation and Testing Within a Risk Management Process, Document Issued on September 4, 2020", as recognized by FDA. The following testing was performed to, and passed, including:

8

  • ISO 10993-5:2009, Biological evaluation of medical devices -Par t 5: Tests for in vitro cytotoxicity

  • ISO 10993-10:2021, Biological evaluation of medical devices Part 10: Tests for skin sensitization

  • ISO 10993-23: 2021, Biological evaluation of medical devices Part 23: Tests for irritation

2) Electrical Safety and EMC

Electrical safety and EMC testing was performed to, and passed, as per the following standards:

  • IEC 60601-1 Medical electrical equipment Part 1: General requirements for basic safety and essential performance

  • 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

  • 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

  • IEC 60601-2-83 Medical electrical equipment Part 2-83: Particular requirements for the basic safety and essential performance of home light therapy equipment

3) Eye Safety

  • IEC 62471 Photobiological safety of lamps and lamp systems

4) Software Verification and Validation

Software documentation consistent with moderate level of concern was submitted in this 510(k). System validation testing presented in this 510(k) demonstrated that all software requirement specifications are met and all software hazards have been mitigated to acceptable risk levels.

5) Usability

The product usability has been evaluated according to the following FDA guidance: > Applying Human Factors and Usability Engineering to Medical Devices, issued on FEBRUARY 2016

Summary

Based on the above performance as documented in this application, IPL Hair Removal Device was found to have a safety and effectiveness profile that is similar to the predicate devices.

IX. Conclusions

Based on the above analysis and non-clinical tests performed, it can be concluded that the subject device is as safe, as effective, and performs as well as the legally marketed predicate devices.