K Number
K990665
Device Name
BQ/BM INTEGRATED LASER DELIVERY SYSTEM
Date Cleared
1999-05-17

(76 days)

Product Code
Regulation Number
886.4390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The device is intended as a laser delivery system for use by an opthalmologist in the treatment of ocular tissue. 1. RETINAL PHOTOCOAGULATION 2. TRABECULOPLASTY
Device Description
When connected by fiber optic to a laser and properly attached to a 900 BQ or 900 BM slit lamp, the device directs and focuses laser energy on target tissue parfocally with the slit lamp image. An operator protective filter is incorporated into te device. The spot diameter is user adjustable, and the filter is removable to permit unimpaired viewing through the slit lamp microscope.
More Information

Not Found

No
The summary describes a laser delivery system with adjustable spot size and a protective filter, focusing on the physical delivery of laser energy. There is no mention of AI, ML, image processing, or any data-driven decision-making or analysis within the device description or performance studies.

Yes
The device is described as a laser delivery system for use by an ophthalmologist in the treatment of ocular tissue, specifically for retinal photocoagulation and trabeculoplasty. These are medical treatments, indicating a therapeutic purpose.

No
The device is described as a "laser delivery system" intended for treatment (retinal photocoagulation, trabeculoplasty), not for diagnosis.

No

The device description explicitly states it is a "laser delivery system" that connects to a laser and slit lamp via fiber optic, indicating it is a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This testing is done outside the body (in vitro).
  • Device Function: The provided description clearly states the device is a "laser delivery system" used by an ophthalmologist to "directs and focuses laser energy on target tissue" within the eye. This is a therapeutic device that acts directly on the patient's body (in vivo).
  • Intended Use: The intended uses are "RETINAL PHOTOCOAGULATION" and "TRABECULOPLASTY," both of which are procedures performed directly on the eye for treatment, not for analyzing samples taken from the body.

The device's function and intended use are entirely focused on delivering energy for treatment within the body, which is the opposite of an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The device is intended as a laser delivery system for use by an opthalmologist in the treatment of ocular tissue.

  1. RETINAL PHOTOCOAGULATION
  2. TRABECULOPLASTY

Product codes

86 HJQ, HQF

Device Description

When connected by fiber optic to a laser and properly attached to a 900 BQ or 900 BM slit lamp, the device directs and focuses laser energy on target tissue parfocally with the slit lamp image. An operator protective filter is incorporated into te device. The spot diameter is user adjustable, and the filter is removable to permit unimpaired viewing through the slit lamp microscope.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ocular tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

opthalmologist

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K973220, Zeiss 130 SL Laser Slit Lamp

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

MAY 17 599

BQ/BM Integrated Laser Delivery System A.R.C. Laser Corporation March 1, 1999

K990665

510 (k) Summary

Requlatory Authority:

Safe Medical Devices Act of 1990, 21 CFR 807.92

Company Name/Contact:

Daniel Hoefer A.R.C. Laser Corporation 1832 South 3850 West TEL (801) 972 1311, FAX (801) 972 5251

Name of Device

BQ/BM Integrated Laser Delivery Trade Name: System

Laser Slit Lamp adaptor Common Name:

Laser Adaptor for Classification Name: Biomicroscope, slit lamp, AC powered.

86 HJQ Product Code:

Predicate Devices:

The BQ/BM Integrated Laser Delivery System is substantially equivalent to the following legally marketed devices: The RO 5000 AR/FDY (K973220) manufactured by G. Rodenstock Instrumente GmbH and the Zeiss 130 SL Laser Slit Lamp manufactured by Carl Zeiss.

Device Description:

When connected by fiber optic to a laser and properly attached to a 900 BQ or 900 BM slit lamp, the device directs and focuses laser energy on target tissue parfocally with the slit lamp image. An operator protective filter is incorporated into te device. The spot diameter is user adjustable, and the filter is removable to permit unimpaired viewing through the slit lamp microscope.

1

BQ/BM Integrated Laser Delivery System A.R.C. Laser Corporation March 1, 1999

Intended Use:

The device is intended as a laser delivery system for use by an opthalmologist in the treatment of ocular tissue.

Technological Characteristics/Device Comparison:

The BO/BM Integrated Laser Delivery System is intended for attachment to slit lamps that are designed for use as diagnostic instruments, enabling them to be used in the delivery of therapeutic laser energy. Like the predicate devices, laser energy is transmitted through adjustable focusing optics, which allow the user to change the diameter of the laser spot from 50 to 1000 microns. As with the predicate devices, the laser energy is directed coaxially with the slit lamp illumination and focused on the same Each of the devices features operator plane. protective filters that prevent laser treatment radiation from reaching the eyes of the user. In each case, the position of the laser spot within the focal plane is moveable using a micromanipulater.

The technological characteristics, intended use, materials, design, method of manufacture, and labeling of the device is substantially equivalent to those of the predicate devices.

Conclusion:

The BQ/BM Laser Delivery System does not raise new questions of safety and effectiveness and is substantially equivalent to the Rodenstock Ro 5000 AR/FDY and the Zeiss 130 SL.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing right, stacked on top of each other. The profiles are rendered in black and have a flowing, abstract design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the image.

Public Health Service

MAY 17 1999

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Daniel Hoefer Regulatory Affairs American Laser Corporation 2417 South 3850 West Salt Lake City, Utah 84120

K990665 Re:

Trade Name: BQ/BM Integrated Laser Delivery System Regulatory Class: II Product Code: HQF Dated: March 1, 1999 Received: March 2, 1999

Dear Mr. Hoefer:

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. Daniel Hoefer

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.

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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Page 6 ol 7

• .

510(k) Number lif known): K 990 k b b

BQ/BM INTEGRATED LASER DELIVERY SYSTEM Device Name:_

Indications For Use:

..

.

  1. RETINAL PHOTOCOAGULATION

..

  1. TRABECULOPLASTY

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

Concurrence of CORH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of General Restorative Devices
510(k) NumberK990665

Prescription Use $\varnothing$ OR Over The-Counter Use ____

(Per 21 CFR 801.109)

:Optical Format 1-2-361