(89 days)
Not Found
No
The device description focuses on LED light emission and basic controls (on/off, mode selection, automatic shut-off after a fixed time). There is no mention of any features that would require AI or ML, such as image analysis, adaptive treatment based on patient input or feedback, or learning algorithms. The non-clinical tests listed also do not include any related to AI/ML performance.
Yes.
The device is intended for the "treatment of mild to moderate inflammatory acne" and "treatment of mild to moderate inflammatory acne and full-face wrinkles," and its models "emit energy to treat mild to moderate acne" and "treat full-face wrinkles," clearly indicating a therapeutic purpose.
No
The device is described as an OTC light-emitting diode (LED) device intended for the treatment of mild to moderate inflammatory acne and wrinkles, not for diagnosis.
No
The device description explicitly states it is an "over-the-counter light emitting diode (LED) device" and lists physical components like LEDs, a controller, charging cable, and face patches. It also mentions a physical switch for operation. This indicates it is a hardware device with embedded software, not a software-only medical device.
No, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
- Device Function: The description clearly states that this device is an LED light therapy device applied directly to the skin of the face. It uses light energy to treat acne and wrinkles.
- Intended Use: The intended use is for the treatment of mild to moderate inflammatory acne and wrinkles, not for analyzing biological samples.
The device's function and intended use fall under the category of a therapeutic device, not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
Face Patches (Model: MT-12MA) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne.
Face Patches (Model: MT-12MC) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne and full-face wrinkles (including periorbital wrinkles).
Product codes (comma separated list FDA assigned to the subject device)
OHS, OLP, GEX
Device Description
The Face Patches, Model: MT-12MA and MT-12MC is an over-the-counter light emitting diode (LED) device.
Model: MT-12MA can emits 415nm and 630nm energy to treat mild to moderate acne. There is a total of 6 LEDs, providing a power intensity of approximately 30 mW/cm².
Model: MT-12MC has 3 modes (mode 1: 630+415nm, mode 2: 630+830nm, mode 3: 590nm), it can emit 630nm and 415 nm energy to treat mild to moderate acne and provide approximately 30 mW/cm²; 630nm and 830nm energy to treat full-face wrinkles and provide approximately 35 mW/cm²; and 590nm energy to treat wrinkles and provide approximately 35 mW/cm². There is a total of 18 LEDs.
The device components include the device containing two face patches, a controller, a charging cable, 120 Mini Dots, goggles and user manual. The user pastes the device on the treatment area, and the device will shut down automatically after a 3-minute after finishing treatment. Users should adjust the treatment time based on different modes and actual treatment situations. The device has one button, and delivery of therapy requires the operator to depress a physical switch on the device.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Face
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Over-the-Counter (OTC) device / Not Found
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 Performed:
- Electrical safety, and electromagnetic compatibility Test: Non-clinical tests were performed on the subject device in order to validate the design and to assure conformance with IEC 60601-1 2020-08 Edition 3.2, IEC 60601-1-11 Edition 2.1 2020-07, IEC 60601-2-57 Edition 1.0 2011-01, IEC 60601-1-2 Edition 4.1 2020-09, IEC 62471 First edition 2006-07, and IEC 62133-2 Edition 1.0 2017-02.
- Biocompatibility Test: The subject device is biocompatible for its intended use, complying with ISO 10993-5 (Cytotoxicity), ISO 10993-10 (Sensitization), ISO 10993-23 (Skin Irritation), ISO 10993-11 (Acute Systemic Toxicity and Material-mediated Pyrogens), and USP 151.
- Software verification and validation: Software verification and validation testing were conducted and documentation was provided as recommended by FDA'S Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level concern.
- Usability validation: Usability testing was conducted on the Face Patches (Models: MT-12MC), which complies with IEC 62366-1 and IEC 60601-1-6.
- Light output: The Light output test validated that the output of light from the devices are the same as stated in the specifications.
Summary of Clinical Performance:
Clinical testing was not needed for this 510(k). The non-clinical performance testing described above is sufficient to support that the device can be used safely and effectively.
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.
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
§ 878.4810 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 shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. Food & Drug Administration" in blue.
April 10, 2024
Shenzhen Kaiyan Medical Equipment Co., Ltd Alain Diikstra Official Correspondent Building#3 and Building#5, 40th of Fuxin Street, Huaide Community Fuyong Town, Baoan District Shenzhen, Guangdong 518103 China
Re: K240089
Trade/Device Name: Face Patches (MT-12MA, MT-12MC) 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. OLP. GEX Dated: January 9, 2024 Received: January 12, 2024
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 (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.
1
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" (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 QS 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).
2
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-devices/deviceadvice-comprehensive-regulatory-assistance/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. Digitally signed by Hithe -S Date: 2024.04.10 14:46:04 -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
Enclosure
3
Indications for Use
510(k) Number (if known) K240089
Device Name Face Patches (MT-12MA, MT-12MC)
Indications for Use (Describe)
Face Patches (Model: MT-12MA) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne.
Face Patches (Model: MT-12MC) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne and full-face wrinkles (including periorbital wrinkles).
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)
CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
4
510(k) Summary of K240089
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92.
Submitter's Information 1.
Sponsor Name: Shenzhen Kaiyan Medical Equipment Co., Ltd Establishment Registration Number: 3011644607 Address: Building#3 and Building#5, 40th of Fuxin Street, Huaide Community Fuyong Town, Baoan District, Shenzhen, Guangdong 518103, China Contact Person (including title): Alain Dijkstra (Manager) Tel: +86-135-10378748 Fax: +86-755-25024651 E-mail: requlation@kaiyanmedical.com
Application Correspondent:
Contact Person: Alain Diikstra Company: Shenzhen Kaiyan Medical Equipment Co., Ltd Address: Building#3 and Building#5, 40th of Fuxin Street, Huaide Community Fuyong Town, Baoan District, Shenzhen, Guangdong 518103, China Tel: +86 755 82129361 Fax: +86 755 25024651 Email: requlation@kaiyanmedical.com
2. Subject Device Information:
Trade Name: Face Patches, model: MT-12MA, MT-12MC Classification Name: Over-The-Counter Powered Light Based Laser For Acne. Light based over the counter wrinkle reduction, Laser surgical instrument for use in general and plastic surgery and in dermatology Review Panel: General & Plastic Surgery Product Code: OHS, OLP, GEX Regulation Number:21 CFR 878.4810 Regulation Class: II
3. Predicate Device Information Predicate Device 1 (K230720)
Sponsor: Light Tree Ventures Europe B.V.
Trade Name: LUSTRE 3XPRESS Light Beauty Therapy patches, model: PR6001, PR5001 Classification Name: Over-The-Counter Powered Light Based Laser For Acne, Light based over the counter wrinkle reduction, Laser surgical instrument for use in general and plastic surgery and in dermatology
Review Panel: General & Plastic Surgery Product Code: OLP Regulation Number: 21 CFR 878.4810 Regulation Class: II
Predicate Device 2 (K221946)
Sponsor: Light Tree Ventures Europe B.V. Trade Name: LED LIGHT THERAPY MASK, model: MK66R-B Classification Name: Light based over the counter wrinkle reduction Review Panel: General & Plastic Surgery Product Code: OHS Requlation Number: 21 CFR 878.4810 Regulation Class: II
5
Predicate Device 3 (K200104)
Sponsor: RAJA Trading Company, Inc. Trade Name: OxyLight Classification Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Review Panel: General & Plastic Surgery Product Code: GEX, GFE Requlation Number: 21 CFR 878.4810, 21 CFR 878.4820 Regulation Class: II
Device Description 4.
The Face Patches, Model: MT-12MA and MT-12MC is an over-the-counter light emitting diode (LED) device.
Model: MT-12MA can emits 415nm and 630nm energy to treat mild to moderate acne. There is a total of 6 LEDs, providing a power intensity of approximately 30 mW/cm².
Model: MT-12MC has 3 modes (mode 1: 630+415nm, mode 2: 630+830nm, mode 3: 590nm), it can emit 630nm and 415 nm energy to treat mild to moderate acne and provide approximately 30 mW/cm²; 630nm and 830nm energy to treat full-face wrinkles and provide approximately 35 mW/cm²; and 590nm energy to treat wrinkles and provide approximately 35 mW/cm². There is a total of 18 LEDs.
The device components include the device containing two face patches, a controller, a charging cable, 120 Mini Dots, goggles and user manual. The user pastes the device on the treatment area, and the device will shut down automatically after a 3-minute after finishing treatment. Users should adjust the treatment time based on different modes and actual treatment situations. The device has one button, and delivery of therapy requires the operator to depress a physical switch on the device.
Intended Use / Indications for Use 5.
Face Patches (Model: MT-12MA) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne.
Face Patches (Model: MT-12MC) is an Over-the-Counter (OTC) device intended for treatment of mild to moderate inflammatory acne and full-face wrinkles (including periorbital wrinkles).
Comparison to predicate devices 6.
Compare with the predicate devices, the subject device is very similar in design principle, intended use, indications for use, functions, material and the applicable standards. The differences between the subject device and predicate devices do not raise new questions of safety or effectiveness.
| Elements of
Comparison | Subject device | Predicate device
(K230720) | Predicate
device
(K221946) | Predicate device
(K200104) | Remark |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|
| Company | Shenzhen Kaiyan
Medical Equipment
Co., Ltd | Light Tree
Ventures Europe
B.V. | Light Tree
Ventures Europe
B.V. | RAJA Trading
Company, Inc. | -- |
| Trade Name | Face Patches | LUSTRE
3XPRESS Light
Beauty Therapy
patches | LED LIGHT
THERAPY
MASK | OxyLight | -- |
| Model | MT-12MA, MT-
12MC | PR6001, PR5001 | MK66R-B | -- | -- |
| 510 (K) Number | K240089 | K230720 | K221946 | K200104 | -- |
| Regulation
Class | Class II | Class II | Class II | Class II | Same |
| Indications for
Use / Intended | Face Patches
(Model: MT-12MA) | The LUSTRE
3XPRESS Light | The LED LIGHT
THERAPY | The Oxylight is
intended for | Different,
note 1 |
| Elements of
Comparison | Subject device | Predicate device
(K230720) | Predicate
device
(K221946) | Predicate device
(K200104) | Remark |
| use | is an Over-the-
Counter (OTC)
device intended for
treatment of mild
to moderate
inflammatory acne
Face Patches
(Model: MT-12MC) is
an Over-the-
Counter (OTC)
device intended for
treatment of mild
to moderate
inflammatory acne
and full-face
wrinkles (including
periorbital
wrinkles). | Beauty Therapy
patches (Model:
PR6001, PR5001) is
an Over-the-
Counter (OTC)
device intended for
the treatment of
mild to moderate
acne. | MASK
(MK66R-B) is an
over-the-counter
device that is
intended for the
use in
the treatment of
full-face wrinkles. | dermatological use
by physicians and
healthcare
professionals for the
following: LED
Technology is
intended for: -Blue
LED – 465nm – to
treat dermatological
conditions and
specifically
indicated to treat
moderate
inflammatory acne
vulgaris. -Red LED
625nm- for
treatment of
superficial, benign
vascular and
pigmented lesions. -
Yellow LED 590nm
- treatment of
periorbital wrinkles
and rhytides.
Microdermabrasion
is intended for
exfoliation of the
skin. Oxygen spray
is intended to
refresh the skin. | |
| Power Source | Controller: 3.6V,
65mAh lithium
battery, 0.234Wh | Input: 100-
240Va.c.,
50Hz/60Hz;
output: 5Vd.c., 2A | Input: 100-
240Va.c.,
50Hz/60Hz,
Output: 5Vd.c.,
2A. | not available | Different,
note 2 |
| Wavelengths | MT-12MA:
$630 \pm 10nm$
$415 \pm 10nm$
MT-12MC: $415nm \pm$
$10nm, 630nm \pm$
$10nm, 830nm \pm$
$10nm, 590nm \pm$
10nm | $630 \pm 10nm$
$415 \pm 10nm$ | Red: 630±5nm
NIR: 830nm | 590 nm +/- 5nm | Similar,
note 3 |
| Irradiance
source | LED | LED | LED | LED | Same |
| LED number | For MT-12MA:
415nm: 6
630nm: 6 | Blue: 12 Red: 12
Total 24 | 630+/-5nm: 66
830nm: 66 | not available | Different
note 4 |
| Elements of
Comparison | Subject device | Predicate device
(K230720) | Predicate
device
(K221946) | Predicate device
(K200104) | Remark |
| | For MT-12MC:
415nm: 6
630nm: 12 (two
type)
830nm: 6
590nm: 6
Total 18 LEDs | | | | |
| | Intended
location Use | Face | Face | Face | Face |
| Irradiance
(mW/cm2) | For MT-12MA:
630nm: 5
415nm: 25
630+415nm: 30
For MT-12MC:
630nm (type 1): 5
415nm: 25
Mode 1 - total: 30
830nm: 15
630nm (type 2): 20
Mode 2 - total: 35
Mode 3 - 590nm:
35 | Red: 5
Blue: 25
630+415nm: 30 | 630+/-5: 15-20
830nm: 10-15
630+830nm: 30 | Yellow (590nm): 35 | Similar,
note 5 |
| Dose / per
time(J/cm2) | For MT-12MA:
630+415nm: 5.4
For MT-12MC:
630+415nm: 5.4
630+830nm: 18.9
590nm: 44.1 | 630+415nm: 5.4 | 630+830nm: 18 | 590nm: 42 | Similar,
note 5 |
| LED distribution | Uniform
distribution | Uniform
distribution | Uniform
distribution | Uniform distribution | Same |
| Treatment Time | For MT-12MA
(630+415nm):
3 minutes per
treatment
For MT-12MC
(mode 1 -
630+415nm): 3
minutes per
treatment
For MT-12MC
(mode 2 -
630+830nm): 9
minutes per | 3 minutes per
treatment | 10 minutes per
treatment | 20 minutes | Similar,
note 5 |
| Elements of
Comparison | Subject device | Predicate device
(K230720) | Predicate
device
(K221946) | Predicate device
(K200104) | Remark |
| | treatment
For MT-12MC
(mode 3 - 590nm):
21 minutes per
treatment | | | | |
| EMC | IEC60601-1-2 | IEC60601-1-2 | IEC60601-1-2 | IEC 60601-1-2 | Same |
| Safety | IEC60601-1
IEC60601-2-57
IEC60601-1-11
IEC62471
IEC 60601-1-6 | IEC 60601-1
IEC 60601-2-57
IEC 60601-1-11
IEC 62471 | IEC 60601-1
IEC 60601-2-57
IEC 60601-1-11
IEC 62471
IEC 62366-1 &
IEC 60601-
1-6 | IEC 60601-1, EN
60601-1-2 | Same |
| Biocompatibility | ISO 10993-1
ISO10993-5
ISO10993-10
ISO 10993-23
ISO 10993-11 | ISO 10993-1
ISO 10993-5
ISO 10993-10
ISO 10993-23
ISO 10993-11 | ISO 10993-1,
ISO 10993-5,
ISO 10993-10 | not available | Same |
6
7
8
Comparison in Detail(s):
Note 1: Although the "Indications for Use / Intended use" is a little different from the predicate devices, the acne removal function of the model MT-12MA and MT-12MC (mode1) of subject device is consistent with predicate device (K230720), the wrinkle removal function of the model MT-12MC (mode 2) of subject device is consistent with predicate device (K221946), the wrinkle removal function of the model MT-12MC (mode 3) of subject device is consistent with predicate device (K200104). So, this difference will not affect the safety and effectiveness of the subject device.
Note 2: Although the "Power Supply" is a little different from the predicate devices, they all complied with the IEC 60601-1, IEC 62133-2, and IEC 60601-1-2 safety standards' requirements. So, these slight differences will not raise any safety or effectiveness issues.
Note 3: The wavelengths of the subject device can be covered by the predicate device. The wavelength of MT-12MA and MT-12MC Mode 1 is 630nm and 415nm, which is consistent with the predicate device 1 (K230720); The wavelength of MT-12MC Mode 2 is 830nm which is consistent with the predicate device 2 (K221946); The wavelength of MT-12MC Mode 3 is 590nm which is consistent with the predicate device 3 (K200104).
So, the treatment wavelength of the subject device is acceptable.
Note 4: Although the "Number of LEDs" is different from the predicate devices, it will not change the irradiance which is similar. So, these differences will not raise any safety or effectiveness issues.
Note 5: Although the "Irradiance", "Dose / per time" and "Treatment Time" are a little different from the predicate devices, the values of each treatment for these parameters are very close. Dose is equal to Irradiance (W/cm²) * Time (s). Through calculation, it can be concluded that the dose of the subject device at 630+415nm is 0.03 * 3 * 60=5.4J/cm², which is consistent with the dose of the predicate device (K230720) at 0.03 * 3 * 60=5.4J/cm²; The dose of subject device 830+630nm is 0.035 * 9 * 60=18.9J/cm², which is similar to the dose of predicate device (K221946) of 0.03 * 10 * 60=18J/cm², and the dose of
9
590nm is 0.035 * 21 * 60=44.1J/cm², which is similar to the dose of predicate device (K200104) of 0.035 * 20 * 60=42J/cm². So, these differences will not raise any safety or effectiveness issues.
7. Test Summarv
7.1 Non-Clinical Tests Performed
1) Electrical safety, and electromagnetic compatibility Test
Non-clinical tests were performed on the subject device in order to validate the design and to assure conformance with the following voluntary design standards in connection with medical device electrical safety, and electromagnetic compatibility:
- IEC 60601-1 2020-08 Edition 3.2 Medical electrical equipment Part 1: General requirements for basic � safety and essential performance - Note: This standard is recognized with relevant US national differences applied, see references #1 and #2 in the Relevant FDA Guidance and/or Supportive Publication section below.
- � IEC 60601-1-11 Edition 2.1 2020-07 Medical Electrical Equipment - Part 1: 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 60601-2-57 Edition 1.0 2011-01 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.
- � IEC 60601-1-2 Edition 4.1 2020-09 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances -Requirements and tests.
- � IEC 62471 First edition 2006-07 Photobiological safety of lamps and lamp systems.
- � IEC 62133-2 Edition 1.0 2017-02 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.
2) Biocompatibility Test
The subject device is biocompatible for its intended use. They are complied with biocompatibility standards ISO 10993-5 (Cytotoxicity), ISO 10993-10 (Sensitization), ISO 10993-23 (Skin Irritation) and ISO 10993-11 (Acute Systemic Toxicity and Material-mediated Pyrogens) and USP 151.
3) Software verification and validation
Software verification and validation testing were conducted and documentation was provided as recommended by FDA'S Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level concern, since a malfunction of, or a latent design flaw in, the Software Device leads to an erroneous diagnosis or a delay in delivery of appropriate medical care that would likely lead to Minor Injury.
4) Usability validation
Usability testing was conducted on the Face Patches (Models: MT-12MC), which complies with IEC 62366-1 and IEC 60601-1-6.
5) Light output
The Light output test validated that the output of light from the devices are the same as stated in the specifications.
7.2 Summary of Clinical Performance
Clinical testing was not needed for this 510(k). The non-clinical performance testing described above is sufficient to support that the device can be used safely and effectively.
8. Date of the summary prepared: April 9, 2024
9. Final Conclusion
10
The subject device is as safe, as effective, and performs as well as or better than the legally marketed predicated devices K230720, K221946 and K200104.