K Number
K990075
Device Name
LPULSA SYL-9000 OPHTHALMIC YAG LASER
Date Cleared
1999-03-30

(78 days)

Product Code
Regulation Number
886.4390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Posterior Capsulotomy Pupillary Membranectomy
Device Description
LPULSA SYL-9000 Ophthalmic YAG Laser
More Information

Not Found

Not Found

No
The summary does not mention AI, ML, or any related concepts like image processing, training sets, or performance metrics typically associated with AI/ML devices. The description focuses on a laser device for ophthalmic procedures.

Yes
The device description states "Posterior Capsulotomy Pupillary Membranectomy," which are medical procedures meant to treat conditions, indicating a therapeutic purpose.

No
The device description indicates it is an "Ophthalmic YAG Laser" used for "Posterior Capsulotomy Pupillary Membranectomy," which are surgical procedures, not diagnostic ones.

No

The device description explicitly states "LPULSA SYL-9000 Ophthalmic YAG Laser," which is a hardware device.

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

Here's why:

  • Intended Use: The intended use is "Posterior Capsulotomy Pupillary Membranectomy," which are surgical procedures performed directly on the patient's eye. IVDs are used to examine specimens (like blood, urine, or tissue) outside of the body to diagnose or monitor conditions.
  • Device Description: The device is an "Ophthalmic YAG Laser," a type of medical device used for surgical interventions.
  • Anatomical Site: The anatomical site is "Ophthalmic," indicating it's used on the eye.

All of these points align with a device used for surgical treatment rather than in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

Posterior Capsulotomy Pupillary Membranectomy

Product codes

HQF

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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): 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.

Not Found

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

§ 886.4390 Ophthalmic laser.

(a)
Identification. An ophthalmic laser is an AC-powered device intended to coagulate or cut tissue of the eye, orbit, or surrounding skin by a laser beam.(b)
Classification. Class II.

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 caduceus symbol, which is a staff with two snakes coiled around it, often associated with medicine and healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the caduceus symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 3 0 1999

Mr. Thomas V. Keeley Light-Med (USA), Inc. 110P Via Estrada Laguna Hills, California 92653

Re: K990075 Trade Name: LPULSA SYL-9000 Ophthalmic YAG Laser Regulatory Class: II Product Code: HQF Dated: January 5, 1999 Received: January 11, 1999

Dear Mr. Keeley:

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.

1

Page 2 - Mr. Thomas V. Keeley

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.

Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for use

Center for Devices and Radiological Health

K990075 510(k) Number (if known):

Device Name:

LPULSA SYL-9000 Ophthalmic YAG Laser

Indications for Use:

Posterior Capsulotomy Pupillary Membranectomy

(do not write below this line - continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

$\text{\X}$
Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter-Use
(Optional Format 1-2-9)

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number ¥990075

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