K Number
K991798
Device Name
ACME MEDICAL AESTHETIC ND:YAG LASER
Manufacturer
Date Cleared
2000-03-06

(285 days)

Product Code
Regulation Number
878.4810
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Medical Aesthetic Nd.YAG Laser is intended for use in surgical and aesthetic applications requiring selective photothermolysis of target chromophores in soft tissue in the medical specialties of general and plastic surgery and dermatology for: . the removal of unwanted hair in Fitzpatrick skin types I-V.
Device Description
ALTUS Medical Aesthetic Nd: YAG Laser Kits are comprised of the following main components: . a laser system console (including software and control electronics); . a control and display panel; . a permanently attached fiberoptic-coupled handpiece; . a skin cooling device integrated into the handpiece; . a finger-operated exposure switch (handswitch) integrated into the handpiece . (footswitch option available) . a remote interlock connector (disables laser when treatment room door is opened).
More Information

Not Found

No
The document does not mention AI, ML, or any related terms, and the device description focuses on standard laser technology components.

Yes
The device is used for surgical and aesthetic applications, specifically for the removal of unwanted hair, which are therapeutic interventions.

No

The device is described as an Nd:YAG Laser intended for surgical and aesthetic applications like hair removal, operating on the principle of selective photothermolysis. This is a therapeutic function, not a diagnostic one.

No

The device description explicitly lists multiple hardware components, including a laser system console, control and display panel, handpiece, skin cooling device, and switches. This indicates it is a hardware-based medical device with integrated software, 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 states the device is for "surgical and aesthetic applications requiring selective photothermolysis of target chromophores in soft tissue" and specifically mentions "the removal of unwanted hair". This describes a therapeutic or aesthetic procedure performed directly on the patient's body.
  • Device Description: The description details a laser system with a handpiece, cooling device, and switches, all designed for external application to the body.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, tissue, etc.) in vitro (outside the body) to diagnose a condition. IVDs are used to provide information about a patient's health status through the examination of specimens.

Therefore, this device falls under the category of a therapeutic or aesthetic medical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Medical Aesthetic Nd. YAG Laser is intended for use in surgical and aesthetic applications requiring selective photothermolysis of target chromophores in soft tissue in general and plastic surgery and dermatology. The Medical Aesthetic Nd: YAG Laser is indicated for the removal of unwanted hair in Fitzpatrick skin types I-V.

Product codes

GEX

Device Description

ALTUS Medical Aesthetic Nd: YAG Laser Kits are comprised of the following main components:

  • a laser system console (including software and control electronics);
  • a control and display panel; .
  • a permanently attached fiberoptic-coupled handpiece; .
  • a skin cooling device integrated into the handpiece; .
  • a finger-operated exposure switch (handswitch) integrated into the handpiece . (footswitch option available)
  • a remote interlock connector (disables laser when treatment room door is opened).

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

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance data was provided to demonstrate that the 1064 nm wavelength of the Acme Medical Aesthetic Nd:YAG Laser operates under the principles of selective photothermolysis. In addition, clinical data was provided to demonstrate that the Acme Medical Aesthetic Nd:YAG Laser is safe and effective when indicated for the removal of unwanted hair in Fitzpatrick skin types I-V in the medical specialties of general and plastic surgery and dermatology.

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

Not Found

Predicate Device(s)

K973324, K971737, K981351

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

K 99179p

Attachment 17 510(k) Summary Statement for the e Medical Aesthetic Nd:YAG Laser Kit

I. General Information

| Submitter: | ALTUS
Medical, Inc.
1181 Chess Drive, Suite B
Foster City, CA 94404 |
|---------------------------|------------------------------------------------------------------------------|
| Contact Person: | Michael Levernier |
| Summary Preparation Date: | May 24, 1999 |

  • II. Names
ALTUS
Device Names:Medical Aesthetic Nd:YAG Laser

Primary Classification Name:

Laser Powered Surgical Instrument (and Accessories)

III. Predicate Devices

  • · Star Medical LightSheer Diode Laser System (K973324);
  • Cynosure Apogee Long Pulse Infrared Laser (K971737); and .
  • · Candela GentleLase GL Dermatological Laser (K981351).

IV. Product Description

ALTUS

Medical Aesthetic Nd: YAG Laser Kits are comprised of the following main components:

  • · a laser system console (including software and control electronics);
  • a control and display panel; .
  • a permanently attached fiberoptic-coupled handpiece; .
  • a skin cooling device integrated into the handpiece; .
  • a finger-operated exposure switch (handswitch) integrated into the handpiece . (footswitch option available)
  • · a remote interlock connector (disables laser when treatment room door is opened).

V. Indications for Use

ALTUS

The == Medical Aesthetic Nd. YAG Laser is intended for use in surgical and aesthetic applications requiring selective photothermolysis of target chromophores in soft tissue in general and plastic surgery and dermatology. The Medical Aesthetic Nd: YAG Laser is indicated for the removal of unwanted hair in Fitzpatrick skin types I-V.

1

VI. Rationale for Substantial Equivalence

The Acme Medical Aesthetic Nd YAG Laser shares the same general indications for use. and therefore is substantially equivalent for use in hair removal/reduction to the Star Medical/Coherent LightSheer Diode Laser System (K973324), the Cynosure Apogee Long Pulse Infrared [LPIR] Laser (K971737), and the Candela GentleLase GL Dermatological Laser (K981351).

VII. Safety and Effectiveness Information

Performance data was provided to demonstrate that the 1064 nm wavelength of the Acme Medical Aesthetic Nd:YAG Laser operates under the principles of selective photothermolysis. In addition, clinical data was provided to demonstrate that the Acme Medical Aesthetic Nd:YAG Laser is safe and effective when indicated for the removal of unwanted hair in Fitzpatrick skin types I-V in the medical specialties of general and plastic surgery and dermatology.

VIII. Conclusion

The Acme Medical Aesthetic Nd: YAG Laser was found to be substantially equivalent to the Star Medical/Coherent LightSheer Diode Laser System (K973324), the Cynosure Apogee Long Pulse Infrared [LPIR] Laser (K971737), and the Candela GentleLase GL Dermatological Laser (K981351). The Acme Medical Aesthetic Nd:YAG Laser shares similar indications for use, design features, and similar functional features as, and thus are substantially equivalent to, the currently marketed predicate devices.

Performance data and clinical study results demonstrated that the Acme Medical Aesthetic Nd:YAG Laser is safe and effective for the removal of unwanted hair in Fitzpatrick skin types I-V in the medical specialties of general and plastic surgery and dermatology.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR - 6 2000

Mr. Michael Levernier Director, Clinical Development Altus Medical, Inc. 821 Cowan Road Burlingame, California 94010

Re: K991798

Trade Name: Altus Medical Aesthetic Nd:YAG Laser Regulatory Class: II Product Code: GEX Dated: January 11, 2000 Received: January 12, 2000

Dear Mr. Levernier:

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. Michael Levernier

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,
to colly

James E. Dillard III Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Attachment 2 Indications For Use Statement as Requested by FDA

510(k) Number (if Known): _ _ K 9917998_______________________________________________________________________________________________________________________________________ ALTUS Device Name: Medical Aesthetic Nd: YAG Laser

Indications For Use:

ALTUS

The Medical Aesthetic Nd.YAG Laser is intended for use in surgical and aesthetic applications requiring selective photothermolysis of target chromophores in soft tissue in the medical specialties of general and plastic surgery and dermatology for:

. the removal of unwanted hair in Fitzpatrick skin types I-V.

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


Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General Restorative Devices
510(k) NumberK991798

| Prescription Use

(Per 21 CFR 801.109)X
---------------------------------------------

OR

Over-The-Counter Use
------------------------

(Optional Format 1-2-96)


Attachment 2 - Page 1