K Number
K964831
Device Name
SURESCAN
Manufacturer
Date Cleared
1997-08-08

(249 days)

Product Code
Regulation Number
878.4810
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Wavelength range 430-1064 Nanometer

In this wavelength range, SureScan is designed to assist in the partial or full coagulation or denaturization of a variety of benign epidermal vascular and pigmented lesions where precise dosimetry is required to minimize damage to adjacent or underlying tissue layers. SureScan use is restricted for adaptation to those lasers that have received FDA clearance for applications in cutaneous laser surgery for the treatment of benign superficial vascular and pigmented lesions such as port wine stains angiomas, telangiectasia, café-au-lait marks, age spots, lentigines, tattoos and similar conditions.

Wavelength range 1440-10640 Nanometer

In this wavelength range. SureScan is designed to assist in a variety of procedures that require the ablation of soft tissue, where precise removal is required to minimize damage to adjacent or underlying tissue layers. SureScan use is restricted for adaptation to those lasers that have received FDA clearance for soft tissue ablation, such as scars, keloids, warts, skin malformations and similar conditions.

Device Description

SureScan adapts to laser systems with wavelengths in the visible spectrum from 430nm to 700nm ( blue, green, yellow and red ) and to lasers in the invisible spectrum from 755nm to 2940nm to deliver precise amounts of energy to tissue.

SureScan comes equipped with multiple treatment patterns in multiple sizes. SureScan is programmable to enable adjustment of scan speed across tissue to ensure uniform laser absorption or ablation which significantly reduces thermal damage and thus the potential for post operative scarring.

SureScan also has an adjustable spot overlap density and scanner dwell time feature which allows the surgeon to select individual treatment parameters most suitable for various tissue types and lesions.

SureScan employs a microprocessor controlled, mirror system for scanning the laser beam. SureScan juxtaposes laser beam spots with precisely controlled timing and predetermined amounts of space in between or with spatial overlap of these spots. Depending on the type of laser used and its wavelength, highly controlled tissue coagulation or ablation is achieved with minimal thermal injury.

SureScan's operation is controlled via an existing laser foot switch, to eliminate any adjustment of the internal electronics or workings of the laser. To ensure precise transmission of the laser beam through the SureScan device and subsequent safe delivery of laser energy to tissue, a user controlled adjustment feature allows for realignment of the laser beam due to a misaligned fiber or other delivery system as it is directed through the SureScan hand piece.

As a result, the operator is always assured of optimum beam quality without 'clipping', as the laser beam exits the SureScan hand piece.

Different sized squares, rectangles, triangles, hexagons, parallelograms and lines may be selected and are outlined by the laser systems pilot laser. These various patterns are then automatically covered by the therapeutic laser and coagulate, denaturize or ablate tissue in a single scan cycle. This results in a more predictable and controlled tissue effect to optimize treatment results.

AI/ML Overview

The provided document (K964831) is a 510(k) summary for the SureScan device, a laser accessory. It describes the device, its indications for use, and a technical description. However, it does not contain information about acceptance criteria or a study proving the device meets those criteria.

The document is a premarket notification for substantial equivalence, not a clinical study report or a validation study. It focuses on demonstrating that the SureScan device is substantially equivalent to legally marketed predicate devices.

Therefore, I cannot provide the requested information in the table or the subsequent points because the document does not contain details about:

  1. Acceptance criteria and reported device performance: This document doesn't define specific performance metrics or acceptance criteria for the SureScan device's operation, nor does it report any testing results against such criteria.
  2. Sample size, data provenance, number of experts, adjudication method, MRMC study, standalone performance, or ground truth details for a test set.
  3. Training set sample size or ground truth establishment for a training set.

The document primarily focuses on:

  • Device Description: Explaining what the SureScan does (adapts to laser systems for precise energy delivery, offers various treatment patterns, adjustable scan speed, spot overlap, and dwell time).
  • Intended Use/Indications: Specifying the wavelengths supported and the types of benign epidermal vascular and pigmented lesions or soft tissue ablation procedures it assists with.
  • Substantial Equivalence: Listing predicate devices to which it claims equivalence.

Without a clinical or technical performance study, the requested information cannot be extracted from this document.

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Image /page/0/Figure/0 description: The image shows a drawing of an oval shape with a dark, curved line running through the center. The oval is drawn on a grid of squares. In the upper right corner of the image, there are two small, dark shapes that appear to be abstract figures.

K9648831

CLINICON CORPORATION CARLSBAD CALIFORNIA

AUG - 8 1997

510(k) Summary

Submitter:Clinicon Corporation2260, Rutherford Road, Suite 101Carlsbad, CA 92008
Phone Number:619 930 0010
Fax Number:619 930 0074
Contact Person:Alan Bunting
Date Prepared:November 26th, 1996
Trade Name:SureScan
Common Name:Laser Accessory
Classification Name:Class II
Substantial EquivalenceClaimed To:1. Hexascan - Lithan Techn. Inc. 510(k) # K 9010082. CPG - Coherent Medical Inc 510(k) # not known3. SureScan - Clinicon Corp. 510(k) # K 962242

Description:

SureScan adapts to laser systems with wavelengths in the visible spectrum from 430nm to 700nm ( blue, green, yellow and red ) and to lasers in the invisible spectrum from 755nm to 2940nm to deliver precise amounts of energy to tissue.

SureScan comes equipped with multiple treatment patterns in multiple sizes. SureScan is programmable to enable adjustment of scan speed across tissue to ensure uniform laser absorption or ablation which significantly reduces thermal damage and thus the potential for post operative scarring.

SureScan also has an adjustable spot overlap density and scanner dwell time feature which allows the surgeon to select individual treatment parameters most suitable for various tissue types and lesions.

{1}------------------------------------------------

Pattern outline and size are clearly displayed on tissue, allowing precise placement of the laser energy and alignment of subsequent scan shapes.

Indications for Use:

Wavelength range 430-1064 Nanometer

In this wavelength range, SureScan is designed to assist in the partial or full coagulation or denaturization of a variety of benign epidermal vascular and pigmented lesions where precise dosimetry is required to minimize damage to adjacent or underlying tissue layers. SureScan use is restricted for adaptation to those lasers that have received FDA clearance for applications in cutaneous laser surgery for the treatment of benign superficial vascular and pigmented lesions such as port wine stains angiomas, telangiectasia, café-au-lait marks, age spots, lentigines, tattoos and similar conditions.

Wavelength range 1440-10640 Nanometer

In this wavelength range. SureScan is designed to assist in a variety of procedures that require the ablation of soft tissue, where precise removal is required to minimize damage to adjacent or underlying tissue layers. SureScan use is restricted for adaptation to those lasers that have received FDA clearance for soft tissue ablation, such as scars, keloids, warts, skin malformations and similar conditions.

Technical Description

. .

SureScan employs a microprocessor controlled, mirror system for scanning the laser beam. SureScan juxtaposes laser beam spots with precisely controlled timing and predetermined amounts of space in between or with spatial overlap of these spots. Depending on the type of laser used and its wavelength, highly controlled tissue coagulation or ablation is achieved with minimal thermal injury.

SureScan's operation is controlled via an existing laser foot switch, to eliminate any adjustment of the internal electronics or workings of the laser. To ensure precise transmission of the laser beam through the SureScan device and subsequent safe delivery of laser energy to tissue, a user controlled adjustment feature allows for realignment of the laser beam due to a misaligned fiber or other delivery system as it is directed through the SureScan hand piece.

As a result, the operator is always assured of optimum beam quality without 'clipping', as the laser beam exits the SureScan hand piece.

Different sized squares, rectangles, triangles, hexagons, parallelograms and lines may be selected and are outlined by the laser systems pilot laser. These various patterns are then automatically covered by the therapeutic laser and coagulate, denaturize or ablate tissue in a single scan cycle. This results in a more predictable and controlled tissue effect to optimize treatment results.

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Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The eagle is composed of three curved lines that form the shape of the bird's body and wings. The seal is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockvilie MD 20850

Fritz A. Brauer, Ph.D. President Clinicon Corporation 2260 Rutherford Road Carlsbad, California 92008

  • Re: K964831
    Trade Name: SureScan Regulatory Class: II Product Code: GEX Dated: May 9, 1997 Received: May 12, 1997 AUG - 8 1997

Dear Dr. Brauer:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements . as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (OS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition. FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Fritz A. Brauer, Ph.D.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Cathy McWilliams, Ph.D., M.P.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known):¯ Device Name: SureScar Indications for Use:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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CAUTION

964831

SureScan use is restricted for adaptation to laser systems that have received FDA clearance for cutancous surgical applications and soft tissue ablation at the following specific wavelengths: 488nm,511nm, 514nm, 520nm, 530nm, 532nm, 568nm, 577nm, 578nm, 585nm, 694nm, 752nm, 1064nm, 2940nm. Users should refer to the laser manufacturer's operating manual for applications that have been cleared for the specific wavelength.

SureScan Wavelengths & Indications for Use (Consult Manufacturer's Manual for Cleared Applications)

488nmBlue/GreenCWArgonEpidermal vascular lesions
511nmGreenPulsed Copper VaporEpidermal vascular lesions
514nmGreenCWArgonEpidermal vascular lesions
520nmGreenCWKryptonEpidermal vascular lesions
530nmGreenCWKryptonEpidermal vascular & Pigm. Lesions
532nmGreenCW/Pulsed KTP YAGEpidermal vascular & Pigm. Lesions
568nmYellowCWKryptonEpidermal vascular & Pigm. Lesions
577nmYellowCWDyeEpidermal vascular & Pigm. Lesions
578nmYellowPulsed Copper VaporEpidermal vascular & Pigm. Lesions
585nmYellowCWDyeEpidermal vascular & Pigm. Lesions
694nmRedPulsed RubyEpid. Pigm. Lesions & Tattoos
752nmRedPu;lsed AlexandriteEpid. Pigm. Lesions & Tattoos
1064nmIRPulsed Nd:YAGEpidermal Pigmented Lesions
2940nmIRCW Er:YAGSoft Tissue Ablation

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (9DE)

(Division Sign-Off)
Division of General Restorative Devices

Division of General Restorative Devices
510(k) Number K964831

Prescription Use ^ (Per 21 CFR 801.109)

OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________

000006

§ 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.