K Number
K981627
Device Name
PROTEGE II ER: YAG LASER SYSTEM AND ACCESSOIES (UPGRADE)
Manufacturer
Date Cleared
1998-07-31

(85 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Protégé II Er:YAG Laser Systems and accessories are indicated for the surgical incision/excision, vaporization, ablation, and coagulation of soft tissue. All soft tissue is included, such as skin, cutaneous tissue, striated and smooth muscle, cartilage meniscus, mucous membrane, lymph vessels and nodes, agans and glands. Dentistry: Soft tissue (incision, excision, ablation and coagulation) Dermatology Plastic Surgery: Indications include epidermal nevi, clangiectasia, spider veins, actinic cheilitis, keloids, verrucae, skin tags, anal tags, keratoses, scar revision (including acne scars), debulking benign tumors and cysts, skin resurfacial skin lesions, and performing: diagnostic biopsies. General Surgery: Indications include surgical incision, vaporization, ablation and coagulation of soft tissue where skin incision, tissue dissection, excision of external tumors and lesions, complete or partial resection of internal organs, tumors and lesions, tissue ablation and/or vessel coagulation may be indicated. Genitourinary: Indications include lesions of the external genitalia, urethra and anus, penis, scrown and uretira (includes condylomaacuminata, giant perineal condyloma and verrucous carcinoma), vulvar lesions, polyps and familial polyps of the colon. Gynecology: Indications include cervical intracoithelial neoplasia (CIN), herpes simplex, endometrial adhesions, cysts and condyloma. Oral Maxillofacial: Indications include benign oral tumor, oral and glossal lesions and gingivectorny. Otorhinolaryigology/Head and Neck (ENT): Indications include ear, nose and throat lesions, polyps, cysts, hyperkeratosis, excision of carcinogenic tissue and oral leukoplakia. Ophthe mology: Indications include soft tissue surrounding the eye and orbit and anteriorcapsulotomy. Podiatry: Indications include warts, plantar verrucae, large mosaic verrucae andmatrixectorny. Arthrescopy: Including open and laparoscopic procedures Orthopedic Surgery Thoracic Surgery
Device Description
Protégé II (tm) Er: YAG Laser System and Accessories (Upgrade)
More Information

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Not Found

No
The document describes a laser system for soft tissue procedures and does not mention any AI or ML capabilities.

Yes.
The device's stated "Intended Use / Indications for Use" explicitly lists various medical conditions and procedures across multiple surgical specialties (e.g., Dermatology, General Surgery, Gynecology, Orthopedic Surgery), indicating its use in treating and managing health conditions.

Yes

The "Indications for Use" section under "Dermatology Plastic Surgery" explicitly states "performing: diagnostic biopsies," indicating a diagnostic function.

No

The device description explicitly states "Protégé II (tm) Er: YAG Laser System and Accessories (Upgrade)", indicating a hardware-based laser system with accessories, not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as a surgical laser system for the incision, excision, vaporization, ablation, and coagulation of soft tissue. These are all procedures performed directly on the patient's body.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. This device does not perform such tests.
  • Device Description: The description confirms it's a laser system, not a diagnostic test kit or instrument.
  • Lack of Diagnostic Language: The text does not mention any diagnostic purposes, analysis of biological samples, or providing diagnostic information.

Therefore, the Protégé II Er:YAG Laser System is a therapeutic device used for surgical procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Protégé II Er:YAG Laser Systems and accessories are indicated for the surgical incision/excision, vaporization, ablation, and coagulation of soft tissue. All soft tissue is included, such as skin, cutaneous tissue, striated and smooth muscle, cartilage meniscus, mucous membrane, lymph vessels and nodes, agans and glands.

Dentistry: Soft tissue (incision, excision, ablation and coagulation)

Dermatology Plastic Surgery: Indications include epidermal nevi, clangiectasia, spider veins, actinic

  • cheilitis, keloids, verrucae, skin tags, anal tags, keratoses, scar revision (including acne scars),
  • debulking benign tumors and cysts, skin resurfacial skin lesions, and performing: diagnostic biopsies.

General Surgery: Indications include surgical incision, vaporization, ablation and coagulation of soft tissue where skin incision, tissue dissection, excision of external tumors and lesions,

  • complete or partial resection of internal organs, tumors and lesions, tissue ablation and/or vessel coagulation may be indicated.

Genitourinary: Indications include lesions of the external genitalia, urethra and anus, penis, scrown and

  • uretira (includes condylomaacuminata, giant perineal condyloma and verrucous carcinoma),
  • vulvar lesions, polyps and familial polyps of the colon.

Gynecology: Indications include cervical intracoithelial neoplasia (CIN), herpes simplex, endometrial adhesions, cysts and condyloma.

Oral Maxillofacial: Indications include benign oral tumor, oral and glossal lesions and gingivectorny.

Otorhinolaryigology/Head and Neck (ENT): Indications include ear, nose and throat lesions, polyps,
cysts, hyperkeratosis, excision of carcinogenic tissue and oral leukoplakia.

Ophthe mology: Indications include soft tissue surrounding the eye and orbit and anteriorcapsulotomy.

Podiatry: Indications include warts, plantar verrucae, large mosaic verrucae andmatrixectorny.

Arthrescopy: Including open and laparoscopic procedures

Orthopedic Surgery

Thoracic Surgery

Product codes

GEX

Device Description

Protégé II (tm) Er: YAG Laser System and Accessories (Upgrade)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

soft tissue, skin, cutaneous tissue, striated and smooth muscle, cartilage meniscus, mucous membrane, lymph vessels and nodes, agans and glands, epidermal nevi, clangiectasia, spider veins, actinic cheilitis, keloids, verrucae, skin tags, anal tags, keratoses, scar (including acne scars), benign tumors and cysts, external tumors and lesions, internal organs, lesions of the external genitalia, urethra, anus, penis, scrown, uretira (condylomaacuminata, giant perineal condyloma and verrucous carcinoma), vulvar lesions, polyps and familial polyps of the colon, cervical intracoithelial neoplasia (CIN), endometrial adhesions, cysts and condyloma, benign oral tumor, oral and glossal lesions and gingivectorny, ear, nose and throat lesions, polyps, cysts, hyperkeratosis, carcinogenic tissue and oral leukoplakia, soft tissue surrounding the eye and orbit, warts, plantar verrucae, large mosaic verrucae.

Indicated Patient Age Range

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Intended User / Care Setting

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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)

Not Found

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

Not Found

Predicate Device(s)

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Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three human profiles incorporated into its design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 3 | 1998

Marilyn M. Chou, Ph.D. Executive Vice President Convergent Laser Technologies a Subsidiary of Xintec Corporation 900 Alice Street Oakland, California 94607

  • Re: K981627
    Protégé II (tm) Er: YAG Laser System and Accessories Regulatory Class: II Product Code: GEX Dated: May 4, 1998 Received: May 7, 1998

Dear Dr. Chou:

We have reviewed your Section 510(k) notification of intent to market the devices referenced above and we have determined the devices are 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 devices, 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 devices are classified (see above) into either class II (Special Controls) or class III (Premarket Approval), they may be subject to such additional controls. Existing major regulations affecting your devices 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. In addition, FDA may publish further announcements concerning your devices in the Federal Register. Please note: this response to your premarket notification submissions does not affect any obligation you might have under sections 531 through 542

1

Page 2 - Dr. Marilyn M. Chou

of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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

If you desire specific advice for your devices 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 devices, 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,

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

2

010014000

ﮐﮯ ﺳﺎﺗﮫ ﺳﺎ

S100k) Number: #K981627

Device Name: Protégé II (tm) Er: YAG Laser Systems and Accessories (Upgrade)

Indications For Use: The Protégé II Er:YAG Laser Systems and accessories are indicated for the surgical incision/excision, vaporization, ablation, and coagulation of soft tissue. All soft tissue is included, such as skin, cutaneous tissue, striated and smooth muscle, cartilage meniscus, mucous membrane, lymph vessels and nodes, agans and glands.

Dentistry: Soft tissue (incision, excision, ablation and coagulation)

Dermatology Plastic Surgery: Indications include epidermal nevi, clangiectasia, spider veins, actinic

  • cheilitis, keloids, verrucae, skin tags, anal tags, keratoses, scar revision (including acne scars),
  • debulking benign tumors and cysts, skin resurfacial skin lesions, and performing: diagnostic biopsies.

General Surgery: Indications include surgical incision, vaporization, ablation and coagulation of soft tissue where skin incision, tissue dissection, excision of external tumors and lesions,

  • complete or partial resection of internal organs, tumors and lesions, tissue ablation and/or vessel coagulation may be indicated.
    Genitourinary: Indications include lesions of the external genitalia, urethra and anus, penis, scrown and

· uretira (includes condylomaacuminata, giant perineal condyloma and verrucous carcinoma),

  • vulvar lesions, polyps and familial polyps of the colon.
  • Gynecology: Indications include cervical intracoithelial neoplasia (CIN), herpes simplex, endometrial adhesions, cysts and condyloma.

Oral Maxillofacial: Indications include benign oral tumor, oral and glossal lesions and gingivectorny. Otorhinolaryigology/Head and Neck (ENT): Indications include ear, nose and throat lesions, polyps,

cysts, hyperkeratosis, excision of carcinogenic tissue and oral leukoplakia. Ophthe mology: Indications include soft tissue surrounding the eye and orbit and anteriorcapsulotomy. Podiatry: Indications include warts, plantar verrucae, large mosaic verrucae andmatrixectorny.

Arthrescopy: Including open and laparoscopic procedures

Orthopedic Surgery

Thoracic Surgery

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Offi-
Divisior V
510(k) Number

Prescription Use
(21 CFR 801.109)

OR

Over-The-Counter Use