K Number
K983100
Device Name
KAVO KEY LASER 1242
Manufacturer
Date Cleared
1999-01-27

(146 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The KaVo KEY Laser 1242 is intended for the incision, cutting, ablation, and vaporization of soft tissue in oral and maxillofacial surgery and dentistry. This includes the following: Surgery (oral and dental) on soft tissue Aphthae (herpes, decubitus) Incision for drainage of abscesses Frenectorny, incision on frenulum of the cheek Excision of fibromas and flap fibromas Gingivectomy in the case of hyperplasias of the gingiva or excision of hyperplasias Preprosthetic surgery; flabby alveolar ridge, vestibuloplasty, exposure of implants, hyperplasias, epulides, papillomas, fibromatoses, benign growths Removal of diseased or inflamed tissue in the periodontal pocket (sulcular debridement)
Device Description
The KaVo KEY Laser 1242 is an Er: Y AG laser operating at 2.94 microns with energy output up to 500 mJ.
More Information

Not Found

Not Found

No
The summary describes a laser device for soft tissue surgery and dentistry, focusing on its technical specifications (wavelength, energy output) and intended uses. There is no mention of AI, ML, image processing, or any data-driven algorithms that would suggest the use of AI/ML technology. The performance studies section also indicates equivalence to predicate devices based on design and intended use, without mentioning any AI/ML-specific performance metrics or studies.

Yes
The device is used for surgical procedures like incision, cutting, ablation, and vaporization of soft tissue in oral and maxillofacial surgery and dentistry, which are therapeutic interventions.

No
The device description indicates its use for "incision, cutting, ablation, and vaporization of soft tissue," which are treatment-oriented functions, not diagnostic ones.

No

The device description explicitly states it is an Er: Y AG laser, which is a hardware device.

Based on the provided information, the KaVo KEY Laser 1242 is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens taken from the human body. The intended use of the KaVo KEY Laser 1242 is for the incision, cutting, ablation, and vaporization of soft tissue in situ (within the body) during oral and maxillofacial surgery and dentistry. It directly interacts with the patient's tissue, rather than analyzing a sample taken from the patient.
  • The description focuses on surgical procedures. The listed indications for use are all surgical or therapeutic procedures performed directly on the patient's soft tissue.
  • There is no mention of analyzing biological samples. The device description and intended use do not involve the analysis of blood, urine, tissue samples, or any other biological material.

Therefore, the KaVo KEY Laser 1242 is a surgical laser device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The KaVo KEY Laser 1242 is intended for the incision, excision, ablation, and vaporization of soft tissue in oral and maxillofacial surgery and dentistry. This includes the following:

Surgery (oral and dental) on soft tissue Aphthae (herpes, decubitus) Incision for drainage of abscesses Frenectorny, incision on frenulum of the cheek Excision of fibromas and flap fibromas Gingivectomy in the case of hyperplasias of the gingiva or excision of hyperplasias Preprosthetic surgery; flabby alveolar ridge, vestibuloplasty, exposure of implants, hyperplasias, epulides, papillomas, fibromatoses, benign growths Removal of diseased or inflamed tissue in the periodontal pocket (sulcular debridement)

Product codes

GEX

Device Description

The KaVo KEY Laser 1242 is an Er: Y AG laser operating at 2.94 microns with energy output up to 500 mJ.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue in oral and maxillofacial surgery and dentistry

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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

The specifications and intended uses of the KaVo KEY Laser 1242 are the same or very similar to those of the claimed predicate devices. There are no significant differences between the KaVo KEY Laser 1242 and the claimed predicates in design or under conditions of intended use. The notification included an extensive bibliography and discussions of specific articles in support of the claim for equivalence. Because of this, performance data were not required.

Key Metrics

Not Found

Predicate Device(s)

SEO TriLase; Laserscope Er:YAG, Premier Centaur

Reference Device(s)

Not Found

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

K983100

TAB E

510(k) SUMMARY

KaVo KEY Laser 1242

This 510(k) summary of safety and effectiveness for the KaVo KEY Laser 1242 is submitted in accordance with the requirements of SMDA 1990 and follows guidance from the Office of Device Evaluation concerning the organization and content of a 510(k) summary.

Applicant:KaVo America Corporation
340 East Main Street
Lake Zurich, IL 60047
Address (Manufacturer):KaVo Dental GmbH
Bahnhofstr. 20
D-8847 Warthausen
Biberach
GERMANY
Contact Person:Mr. Douglas Cochrane
Product Manager, KaVo K•E•Y Laser 1242
KaVo America Corporation
340 East Main Street
Lake Zurich, IL 60047
Telephone:800-323-8029
847-550-6800
847-550-6825 (Fax)
Preparation Date:July 1998
Device Trade Name:KaVo K•E•Y Laser 1242
Common Name:Erbium:YAG surgical laser
Classification Name:Surgical Laser
Class:Class II
Legally marketed
predicate devices:SEO TriLase; Laserscope Er:YAG, Premier Centaur

:

1

Description of Device: The KaVo KEY Laser 1242 is an Er: Y AG laser operating at 2.94 microns with energy output up to 500 mJ. Intended Use: The KaVo KiE Y Laser 1242 is intended for the incision, excision, ablation, and vaporization of soft tissue in oral and maxillofacial surgery and dentistry . . -- • Performance Data: The specifications and intended uses of the KaVo KEY Laser 1242 are the same or very similar to those of the claimed predicate devices. There are no significant differences between the KaVo KEY Laser 1242 and the claimed predicates in design or under conditions of intended use. The notification included an extensive bibliography and discussions of specific articles in support of the claim for equivalence. Because of this, performance data were not required. CONCLUSION: Based on the foregoing, KaVo America Corporation believes that the KaVo

K E Y Laser 1242 is substantially equivalent to cited legally marketed predicate devices.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular emblem with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of a caduceus, a symbol often associated with healthcare, featuring a staff with a serpent coiled around it.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 27 1999

Mr. Doug Cochrane Product Manager KaVo America Corporation 340 East Main Street Lake Zurich, Illinois 60047

Re: K983100 Trade Name: KaVo KEY Laser 1242 Regulatory Class: II Product Code: GEX Dated: December 3, 1998 Received: December 7, 1998

Dear Mr. Cochrane:

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 requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) 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.

3

Page 2 - Mr. Doug Cochrane

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,

Celia M. Witten, Ph.D., M.D.

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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TAB DI

510(k) Number (if known): K983100

Device Name KaVo K·E·Y Laser 1242

Indications For Use:

The KaVo KEY Laser 1242 is intended for the incision, cutting, ablation, and vaporization of soft tissue in oral and maxillofacial surgery and dentistry. This includes the following:

Surgery (oral and dental) on soft tissue Aphthae (herpes, decubitus) Incision for drainage of abscesses Frenectorny, incision on frenulum of the cheek Excision of fibromas and flap fibromas Gingivectomy in the case of hyperplasias of the gingiva or excision of hyperplasias Preprosthetic surgery; flabby alveolar ridge, vestibuloplasty, exposure of implants, hyperplasias, epulides, papillomas, fibromatoses, benign growths Removal of diseased or inflamed tissue in the periodontal pocket (sulcular debridement)

KaVo proposes that the KaVo KE Y Laser 1242 be labeled as a prescription device. This labeling will be included in manuals and other information distributed in the United States.

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

Concurrence of CDRH, Office of Device Evaluation (ODE) Prescription Use Over-The-Counter-Use (Per 21 CFR 801.109)

Division of General Re

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