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510(k) Data Aggregation

    K Number
    K222221
    Device Name
    DEKA HELIX
    Date Cleared
    2023-01-04

    (163 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Helix Laser System with its accessories is intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery).

    CO2 Handpieces
    The Helix CO2 handpieces with wavelength of 10600 nm are indicated for use for the particular indications as follows:
    Dermatology & Plastic Surgery
    The ablation, vaporization, excision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:

    • laser skin resurfacing
    • laser derm-abrasion
    • laser burn debridement.
      Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts.

    Scanning unit
    The Helix Scanning unit, with wavelength of 10600 nm is indicated for:
    ·Laser skin resurfacing (ablation and/or vaporization) of soft tissue
    The Helix Scanning unit, with wavelength of 1570 nm, is indicated for:
    · Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue
    The Helix Scanning unit, with wavelengths of 10600 nm & 1570mm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.

    Device Description

    The Helix system consists of:
    • Laser system console (containing the optical bench assembly and laser, the microcontroller control electronics and system software, the high voltage power supply, the laser cooling system, the compressed air-purge system, and the service panel)
    • LCD control panel with touch-screen technology: the LCD display provides information on the status and settings of the Helix system with touch-screen technology provided to input commands into the system.

    • Two wavelengths CO2 and 1570 nm
    • Articulated arm
    • Footswitch
    • Delivery devices (CO₂ non-fractional applicators, Scanner CO₂/1570nm fractional applicator)
      Electrical specifications are:
      100-230V ~ single phase, 50/60 Hz, Absorbed electric power 1500 VA (max)
    AI/ML Overview

    The DEKA HELIX is a laser surgical instrument for use in general, plastic surgery, and dermatology. The acceptance criteria and the study that proves the device meets the acceptance criteria are detailed below, based on the provided FDA 510(k) summary (K222221).

    1. Table of Acceptance Criteria and Reported Device Performance

    The 510(k) submission primarily demonstrates substantial equivalence to a predicate device (Alma Hybrid Laser System, K203441) rather than explicitly defining and meeting specific analytical or clinical performance acceptance criteria in the format of a separate study. Instead, the "acceptance criteria" are implied through the comparison of the proposed device's characteristics and performance to those of the legally marketed predicate device, and through compliance with recognized electrical safety and laser safety standards.

    The table below summarizes the comparison between the DEKA HELIX and its predicate device, highlighting where the proposed device is considered to be "as safe, as effective, and performs as well." Differences are noted as not affecting safety and effectiveness, implying performance within acceptable limits.

    Acceptance Criteria (Implied by Predicate Equivalence & Standards Compliance)Reported Device Performance (DEKA HELIX)Comment
    Indications for Use (General)Intended for surgical applications requiring ablation, vaporization, excision, incision, and coagulation of soft tissue in aesthetic surgery (dermatology and plastic surgery). Specific indications for CO2 handpieces and scanning unit are listed, including laser skin resurfacing for warts, acne scars, nevi epidermal, syringoma, and fractional skin resurfacing/coagulation with 1570 nm.Identical to predicate device in overall scope.
    Regulation Number21 CFR 878.4810 Laser surgical instrument for use in general and plastic surgery and in dermatologyIdentical
    Product CodeGEX, ONGIdentical
    System ControlFully computerizedIdentical
    Emission ControlFootswitch, InterlockIdentical
    User InterfaceTouch-screen display, Emergency button, Key switchIdentical
    Cooling SystemClosed loop, heat exchangerIdentical
    Emission IndicatorVisual, AudibleIdentical
    Electrical Requirements100-230 V, 16A 50/60 Hz, single phaseDifferences do not affect safety and effectiveness.
    Physical Dimensions and Weight62 cm x 63 cm x 138/202 cm (erected), ~ 70 KgDifferences do not affect safety and effectiveness.
    Laser TypeRF-excited CO2 laser, Class 4; Fiber Laser, Class 4Identical
    CO2 Handpieces Wavelength10600 nmIdentical
    CO2 Handpieces Pilot Beam635nm, 4mWDifferences do not affect safety and effectiveness.
    CO2 Handpieces Spot Size (mm)0.125 – 2.0 mmDifferences do not affect safety and effectiveness.
    CO2 Handpieces Pulse Duration10 - 900msDifferences do not affect safety and effectiveness.
    CO2 Handpieces Pulse Repetition Frequency0.2 — 200 HzDifferences do not affect safety and effectiveness.
    CO2 Handpieces Min Output Energy5 mJIdentical
    CO2 Handpieces Output Power70WDifferences do not affect safety and effectiveness (Predicate has 30W, 70W; Proposed has 70W).
    Scanning Unit Wavelength10600 nm and/or 1570 nmIdentical
    Scanning Unit Pilot Beam635nm, 4mWDifferences do not affect safety and effectiveness.
    Scanning Unit ScannerDual axis scannerIdentical
    Scanning Unit TipCooledIdentical
    Scanning Unit Spot Size @ 10600 nm0.374mmDifferences do not affect safety and effectiveness.
    Scanning Unit Scan Size @ 1570 nm20x20 mmDifferences do not affect safety and effectiveness.
    Scanning Unit Spot Size @ 1570 nm0.75mmIdentical
    Scanning Unit Output Energy @ 10600 nmMax 251mJDifferences do not affect safety and effectiveness.
    Scanning Unit Output Energy @ 1570 nmMax 144mJIdentical
    Scanning Unit Beam Density @ 10600 nm61% - 98% untreated tissue between spotsDifferences do not affect safety and effectiveness.
    Scanning Unit Beam Density @ 1570 nmUp to 400 pixels/cm2Differences do not affect safety and effectiveness.
    Electrical Safety & EMCCompliance with ANSI AAMI ES60601-1 and IEC 60601-1-2.Testing conducted and documented.
    Software Validation & VerificationConducted and documented as recommended by FDA guidance.Testing conducted and documented.
    Laser SafetyCompliance with IEC 60601-2-22 and IEC 60825-1.Testing conducted and documented.

    2. Sample Size Used for the Test Set and Data Provenance

    No clinical performance data (human subject studies) were conducted for this 510(k) submission. Therefore, there is no "test set" in the context of clinical data for which a sample size or data provenance would be specified. The submission relies solely on non-clinical performance data and comparison to a predicate device.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    Not applicable. Since no clinical performance data was used, there was no need for experts to establish ground truth for a test set.

    4. Adjudication Method

    Not applicable. No test set requiring adjudication was used.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No MRMC comparative effectiveness study was done. The submission explicitly states "Clinical Performance Data: None."

    6. Standalone Algorithm Performance Study

    Not applicable. This device is a hardware laser system, not an AI algorithm, so there is no standalone algorithm performance to evaluate.

    7. Type of Ground Truth Used

    Not applicable. No clinical performance data was presented, so no ground truth from pathology, outcomes data, or expert consensus was required for direct device evaluation in this submission. The ground truth for proving safety and effectiveness relies on established engineering principles, international safety standards compliance, and the equivalence to a legally marketed predicate device.

    8. Sample Size for the Training Set

    Not applicable. As a hardware device with no AI algorithm, there is no "training set" in the machine learning sense. The development of the device likely involved engineering design, prototyping, and iterative testing, but this is distinct from an AI training set.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable. There was no training set in the context of machine learning.

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    K Number
    K213658
    Device Name
    DEKA SMARTPERIO
    Date Cleared
    2022-03-11

    (112 days)

    Product Code
    Regulation Number
    878.4810
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DEKA SmartPerio system is intended to perform intraoral soft tissue dental, general, oral maxillofacial, and cosmetic surgery. The DEKA SmartPerio is intended for ablating, incising, excising, vaporization and coagulation of soft tissues using a contact fiber-optic delivery system. The device is intended to be used in dentistry. The following are the oropharyngeal indications for use: Abscess Incision and Drainage Apthous Ulcers Treatment Biopsies Excision and Incision Crown lengthening Hemostatic assistance Fibroma Removal Frenectomy Frenotomy Gingival Incision and Excision Gingivectomy Gingivoplasty Operculectomy Oral Papillectomy Tissue retraction for Impression Vestibuloplasty. Selective ablation of enamel (first degree) caries Exposure of unerupted / partially erupted teeth Implant recovery Lesion (tumor) removal Leukoplakia Pulpotomy Pulpotomy as adjunct to root canal therapy Removal of filling material such as gutta percha or resin as adjunct treatment during root canal retreatment Sulcular debridement (removal of diseased or inflamed soft tissue in the periodontal pocket) to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment level and tooth mobility. Laser assisted new attachment procedure (cementum-mediated periodontal ligament new-attachment to the root surface in the absence of long junctional epithelium.)

    Device Description

    The DEKA SmartPerio is a Nd:YAG laser device for soft-tissues intraoral treatments. The DEKA SmartPerio system delivers laser through an optical fiber that is guided to the target tissue with the aid of an handpiece and a tip. The modification to the device consists in the increasing of the average output power from 6W to 10W.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called DEKA SmartPerio. This notification focuses on demonstrating substantial equivalence to a previously cleared predicate device, rather than presenting a study to prove acceptance criteria for a new, independent device performance claim. The key modification is an increase in average output power.

    Therefore, the document does not contain the information requested for a detailed analysis of acceptance criteria, device performance studies (like MRMC or standalone performance), sample sizes, ground truth establishment, or expert involvement as would be typical for a new AI/algorithm-based device clearance or a device making novel performance claims.

    Instead, the document focuses on demonstrating that the modified device, despite the power increase, remains equally safe and effective as its predicate by adhering to established electrical safety and laser equipment standards.

    However, I can extract the information that is present and indicate where the requested information is not available:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) for a modification to an existing device, the "acceptance criteria" are primarily related to safety and effectiveness compared to the predicate, as demonstrated by compliance with relevant standards. There are no specific performance metrics like sensitivity, specificity, or AUC provided in this document that would be typical for an AI/algorithm-driven diagnostic device.

    Acceptance Criteria (Implied for Substantial Equivalence to Predicate)Reported Device Performance (as demonstrated by compliance)
    Electrical Safety: Compliance with ANSI AAMI ES60601-1Electrical safety testing conducted according to ANSI AAMI ES60601-1
    Electromagnetic Compatibility (EMC): Compliance with IEC 60601-1-2EMC testing conducted according to IEC 60601-1-2
    Laser Safety & Essential Performance (Surgical, Cosmetic, Therapeutic, Diagnostic Laser Equipment): Compliance with IEC 60601-2-22Testing conducted according to IEC 60601-2-22
    Laser Product Classification & Requirements: Compliance with IEC 60825-1Testing conducted according to IEC 60825-1
    No adverse effect on safety and effectiveness due to increased average power (0.2-6W to 0.2-10W)Demonstrated equivalence through testing and comparison of technical specifications, asserting no adverse effect.
    Identical Indications for UseIndications for use are identical to the predicate device (K203396).
    Identical Technological Characteristics (except average power)Laser Wavelength, Energy per Pulse, Pulses per Second, Pulse duration, Aiming Beam wavelength, Power of Aiming beam are identical to the predicate.

    2. Sample Size Used for the Test Set and the Data Provenance

    Not applicable. This is not a study involving a test set of data (e.g., medical images or patient records) to evaluate an algorithm's performance. The "testing" refers to non-clinical bench testing for electrical, EMC, and laser safety standards.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    Not applicable, as there is no test set with ground truth established by experts.

    4. Adjudication Method for the Test Set

    Not applicable, as there is no test set.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No. This document does not describe an MRMC comparative effectiveness study. This type of study would be relevant for evaluating the impact of an AI algorithm on human reader performance, which is not the scope of this 510(k) submission.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. The DEKA SmartPerio is a laser device, not an algorithm.

    7. The Type of Ground Truth Used

    Not applicable. This document pertains to the safety and performance of a physical medical device (a laser) and its compliance with engineering standards, rather than the accuracy of an algorithm against a defined ground truth.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/algorithm-driven device that requires a training set.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable.

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    K Number
    K212270
    Device Name
    DEKA LipoAI
    Date Cleared
    2021-10-21

    (93 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    EL.EN Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The LipoAI is indicated for the surgical incision, vaporization, ablation, and coagulation of soft tissue. All soft tissue is included, such as skin, cutaneous tissue, striated and smooth tissue, muscle, cartilage meniscus, mucous membrane, lymph vessels and nodes, organs and glands. The LipoAI is further indicated for laser assisted lipolysis.

    Device Description

    The LipoAl is medical laser equipped with a short pulse 1444 nm Nd:YAG laser source. The device delivers the laser energy through a 600 um optical fiber. The fiber is protected by a small stainless-steel cannula (max. 1.4mm) and is inserted in the tissue through a small aperture in the skin. The DEKA LipoAl device consists of: An AC/DC power supply unit, CPU controller, LASER source, Cooling system, User interface with LCD touch screen, Beam delivery system. Laser activation is controlled by footswitch. Electrical specifications are: 200-240V ~ single phase, 50/60 Hz, Absorbed electric power 3200 VA (max)

    AI/ML Overview

    The provided text does not contain information about acceptance criteria or a study proving the device meets those criteria, as typically seen for AI-driven diagnostic devices.

    The document describes a 510(k) premarket notification for a medical laser device, DEKA LipoAI. The core of this submission is to demonstrate substantial equivalence to an existing predicate device (Lutronic AccuSculpt II Laser system), not to prove performance against specific acceptance criteria for an AI algorithm.

    Here's a breakdown of why the requested information is absent and what is present:

    • No AI-driven diagnostic or analytical capabilities: The DEKA LipoAI is a "Laser Surgical Instrument" for physical procedures like surgical incision, vaporization, ablation, and coagulation of soft tissue, and laser-assisted lipolysis. It does not appear to have any AI components that perform diagnosis, image analysis, or provide analytical outputs requiring performance metrics like sensitivity, specificity, or AUC. The "AI" in "LipoAI" might refer to "Artificial Intelligence" in a product branding sense, but its function as described is that of a laser delivery system, not an intelligent analytical tool requiring performance criteria to classify medical conditions.
    • Focus on Substantial Equivalence: The document explicitly states the purpose is to "demonstrate substantial equivalence" to a predicate device. This process primarily involves comparing specifications, indications for use, and safety standards rather than proving novel performance capabilities of an AI system.
    • Non-Clinical Performance Data: The "Non-Clinical Performance Data" section discusses:
      • Electrical safety and electromagnetic compatibility (EMC): Tested against standards like ANSI AAMI ES60601-1 and IEC 60601-1-2.
      • Software Validation and Verification Testing: Conducted "as recommended by FDA's Guidance for Industry and FDA Staff, 'Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.'" This likely refers to the software controlling the laser's operation, not an AI for diagnosis.
      • Additional non-clinical testing: Against standards like IEC 60601-2-22 and IEC 60825-1 (laser safety standards).
        These are all engineering and safety compliance tests, not performance studies for an AI algorithm.
    • "Clinical Performance Data: None": This explicitly states that no clinical performance data was provided for this submission. This further confirms that no studies were conducted to assess the diagnostic or analytical performance of an AI component, as such studies would be considered clinical performance.

    Therefore, I cannot provide a table of acceptance criteria or details about an AI performance study because the provided document does not indicate the device has AI capabilities that would require such performance evaluation in the context of diagnostic accuracy.

    The information requested would typically be found in a submission for an AI/ML-driven diagnostic medical device. This document details a laser surgical instrument, where the "AI" likely does not translate to diagnostic or analytical artificial intelligence.

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    K Number
    K211091
    Device Name
    Deka Tiac II
    Date Cleared
    2021-10-15

    (186 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    EL.EN Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DEKA TIAC II RF device is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The DEKA TIAC II massage device is intended to provide a temporary reduction in the appearance of cellulite.

    Device Description

    The DEKA TIAC II is a medical device that used high frequency RF currents to produce a localized increase in temperature in subcutaneous tissue, for temporary relief of pain and muscle spasm and increase local circulation. The device has integrated massaging handpieces intended to provide a temporary reduction in the appearance of cellulite.

    The DEKA TIAC II consists of the following main components:

    • microprocessor-driven control unit
    • high-frequency electromagnetic energy generator
    • user interface with 10.4" color touch screen
    • 2 RF handpieces for application of radiofrequency
    • 2 integrated massaging balls handpieces

    Contact quality monitoring system is present for monitoring of the contact quality under the RF handpiece electrodes.

    The electrical specifications are 100-240Vac, 50/60Hz, 1500VA.

    AI/ML Overview

    This document describes the DEKA TIAC II device, a medical radio frequency and massage device intended for temporary relief of pain, muscle spasms, increased local circulation, and temporary reduction in the appearance of cellulite. The study proving the device meets acceptance criteria is detailed in the Non-Clinical Performance Data section on pages 6 and 7 of the provided document.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test PerformedAcceptance CriteriaReported Device Performance
    Non-clinical - Tissue heating performance- The sample temperature in the range 40-43°C for at least for 10 minutes in the active zone of the handpieces (hot spots);
    • Skin surface increase in temperature not greater than 3°C;
    • Temperature outside the hot spot never exceeding 40°C;
    • Dissipation phase not increasing the temperature at the end of the treatment. | - Number of planned tests: 2
    • Number of tests executed: 2
    • Number of positive outcome: 2 (100%)
    • Device able to heat the target tissue maintaining the tissue temperature in the range 40°C - 43°C for at least 10 minutes in the active zone, with no significant temperature increase out of depth. |
      | Non-clinical – Human skin temperature maintaining performance | - Skin temperature is maintained in the range 40-45°C for at least 10 minutes;
    • Skin temperature doesn't exceed 45°C over the entire test period. | - Number of planned tests: 36
    • Number of tests executed: 36
    • Number of positive outcome: 36 (100%)
    • Device able to keep the skin surface temperature in the range 40º-45ºC for at least 10 minutes. |

    2. Sample Size Used for the Test Set and the Data Provenance:

    • Non-clinical Tissue heating performance:

      • Sample Size: Ex-vivo pig muscle sample (20x20x5 cm). Two tests were executed (2 for Deep handpiece and 2 for Shallow handpiece).
      • Data Provenance: Not explicitly stated, but "ex-vivo pig muscle sample" implies a laboratory setting, likely in Italy where the submitter is located. This is retrospective as the tests were performed before submission.
    • Non-clinical Human skin temperature maintaining performance:

      • Sample Size: 3 people of different skin types (Fitzpatrick I, III, IV). 36 tests were executed (e.g., each handpiece on each person, across three body areas at different power settings).
      • Data Provenance: Not explicitly stated, but likely conducted in Italy. This is retrospective as the tests were performed before submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts:

    This information is not provided in the document. The tests performed are objective measurements of temperature, not subjective evaluations requiring expert consensus for ground truth.

    4. Adjudication Method for the Test Set:

    This information is not applicable as the tests performed are objective measurements with pre-defined acceptance criteria, not subjective assessments requiring adjudication.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    This information is not applicable. The DEKA TIAC II is a medical device for heating tissue and massage, not an AI-powered diagnostic or interpretive tool that would involve human readers. The document states "Clinical Performance Data: None."

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    This information is not applicable. The DEKA TIAC II is a physical medical device. The "tests performed" are evaluations of the device's physical output and effect on tissue/skin, not autonomous algorithmic performance.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.):

    • Non-clinical Tissue heating performance: The ground truth was direct temperature measurement within the tissue and on the skin surface.
    • Non-clinical Human skin temperature maintaining performance: The ground truth was direct skin surface temperature measurement.

    8. The Sample Size for the Training Set:

    This information is not applicable/not provided. This device is not an AI/machine learning device that requires a training set in the conventional sense. The "training" for the device's design and engineering would be based on general biophysics, engineering principles, and potentially prior device development, rather than a specific labeled dataset.

    9. How the Ground Truth for the Training Set was Established:

    This information is not applicable/not provided for the reasons stated above.

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    K Number
    K203396
    Device Name
    DEKA SMARTPERIO
    Date Cleared
    2021-08-23

    (278 days)

    Product Code
    Regulation Number
    878.4810
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En. Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DEKA SmartPerio system is intended to perform the following types of intraoral procedures: soft tissue dental, general, oral maxillofacial, and cosmetic surgery. The DEKA SmartPerio is intended for ablating, incising, excising, vaporization and coagulation of soft tissues using a contact fiber-optic delivery system. The device is intended to be used in dentistry. The following are the oropharyngeal indications for use: Abscess Incision and Drainage Apthous Ulcers Treatment Biopsies Excision and Incision Crown lengthening Hemostatic assistance Fibroma Removal Frenectomy Frenotomy Gingival Incision and Excision Gingivectomy Gingivoplasty Operculectomy Oral Papillectomy Tissue retraction for Impression Vestibuloplasty. Selective ablation of enamel (first degree) caries Exposure of unerupted / partially erupted teeth Implant recovery Lesion (tumor) removal Leukoplakia Pulpotomy Pulpotomy as adjunct to root canal therapy Removal of filling material such as gutta percha or resin as adjunct treatment during root canal retreatment Sulcular debridement (removal of diseased or inflamed soft tissue in the periodontal pocket) to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment level and tooth mobility tooth mobility. Laser assisted new attachment procedure (cementum-mediated periodontal ligament new-attachment to the root surface in the absence of long junctional epithelium.)

    Device Description

    The DEKA SmartPerio is a Nd:YAG laser device for soft-tissues intraoral treatments. The DEKA SmartPerio system delivers laser through an optical fiber that is guided to the target tissue with the aid of an handpiece and a tip. The DEKA Smartperio device consists of: An AC/DC power supply unit CPU controller LASER source Cooling system User interface with LCD touch screen Beam delivery system Laser activation is controlled by footswitch.

    AI/ML Overview

    The provided document is a 510(k) summary for the DEKA SmartPerio laser device. It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving the device meets specific acceptance criteria with quantifiable performance metrics.

    Therefore, much of the requested information cannot be extracted directly from this document. However, I can provide what is available, noting where information is absent.

    1. A table of acceptance criteria and the reported device performance

    This document does not specify quantitative acceptance criteria typically seen in performance studies for new medical devices, nor does it report specific device performance metrics in detail beyond a comparison of technical specifications with a predicate device.

    Instead, the document's primary "acceptance criteria" appear to be meeting electrical safety and electromagnetic compliance standards, as well as demonstrating substantial equivalence to a legally marketed predicate device.

    Acceptance Criteria (Inferred from regulatory context)Reported Device Performance (Summary from comparison)
    Substantial Equivalence:
    - Indications for useDEKA SmartPerio's indications are a subset of the predicate device's indications.
    - Technological Characteristics (Laser Wavelength, Energy per Pulse, Pulses per Second, Pulse duration, Average Power, Aiming Beam wavelength, Aiming beam power, Delivery system, Power Requirements, Weight, Dimensions)Most are identical or similar, with differences noted as not affecting safety and effectiveness.
    Safety Standards Compliance:
    - AAMI/ANSI ES60601-1:2005/(R)2012 and A1:2012, cl:2009/(R)2012 and a2:2010/(R)2012 (Medical Electrical Equipment)Compliant
    - IEC 60601-1-2 Ed. 4 (Electromagnetic disturbance)Compliant
    - IEC60601-2-22 Ed 3.1 (Laser equipment safety)Compliant
    - IEC 60825-1 Ed. 3.0 (Safety of laser products)Compliant
    Biocompatibility:Subject device relies on biocompatibility of already FDA-cleared accessories.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    The document explicitly states "Clinical Performance Data: None" and "Non-Clinical Performance Data" only refers to compliance with electrical and laser safety standards. This implies there was no "test set" of patient data in the sense of a clinical trial or performance study. The data provenance and sample size for such a test set are therefore not applicable or not provided.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

    Not applicable, as no clinical test set or ground truth adjudication using experts is mentioned.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable, as no clinical test set or ground truth adjudication is mentioned.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. The DEKA SmartPerio is a laser surgical instrument, not an AI-powered diagnostic or assistive device that would involve human readers or AI assistance.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    Not applicable. The DEKA SmartPerio is a physical medical device (laser surgical instrument), not an algorithm or AI system.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    Not applicable, as no clinical performance study requiring a "ground truth" (e.g., for diagnostic accuracy) was performed or reported.

    8. The sample size for the training set

    Not applicable, as the DEKA SmartPerio is a physical laser device and not an AI or machine learning algorithm that requires a "training set."

    9. How the ground truth for the training set was established

    Not applicable, as the DEKA SmartPerio is a physical laser device and not an AI or machine learning algorithm.

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    K Number
    K211821
    Device Name
    DEKA Motus AZ
    Date Cleared
    2021-07-06

    (25 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En Electronic Engineering SPA

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Alexandrite 755nm laser source:
    Temporary hair reduction.
    Stable long-term or permanent hair reduction through selective targeting of
    melanin in hair follicles. Permanent hair reduction is defined as the long-term,
    stable reduction in the number of hairs regrowing when measured at 6,9, and 12 months after the completion of a
    treatment regime, on all skin types (Fitzpatrick I - VI) including tanned skin.
    Treatment of benign pigmented lesions.
    Treatment of wrinkles.
    Photocoagulation of benign dermatological vascular lesions (such as port-wine stains, hemangiomas, telangiectasias).
    Nd:YAG 1064nm laser source:
    Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of PFB . The lasers are indicated on all Skin Types Fitzpatrick I-VI including tanned skin.
    Photocoagulation and hemostasis of benign pigmented and benign vascular lesions, such as but not limited to port wine stains, hemangioma, warts, teleangiectasia, rosacea, venus lake, leg veins and spider veins.
    Coagulation and hemostasis of soft tissue.
    Benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), cafe au lait macules, seborrheic keratosis, nevi, cloasma, verrucae, skin tags, keratosis and plaques.
    The laser is indicated for benign pigmented lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments.
    The laser is also indicated for the reduction of red pigmentation in hypertrophic and keloid scars where vascularity is an integral part of the scar.
    Treatment of wrinkles.

    Device Description

    Motus AZ is a medical device equipped with Alexandrite 755nm laser and Nd: YAG 1064nm laser.
    The laser sources deliver the laser output through a lens coupled user replaceable optical fiber with a wide range of interchangeable, quick release laser handpieces with electronic spot recognition.
    The modifications to the device consist on a restyling of the device (chassis, cover plastics and GUI) and on modifications to Moveo handpiece (new spot sizes available and new optional spacer). The spot size and the fluences are within the range of the already cleared device (K181486). The optional spacer is made of a biocompatible material (Anticorodal 6082), already used in previously cleared devices for the same type of contact (K192539, K172362, K172362, K133895).
    The intended use of the modified devices, as described in the labelling, has not changed as a result of the modifications. Labelling itself has been updated also to include general improvements that have been implemented since predicate device clearance and considered as minor changes.

    AI/ML Overview

    This document is a 510(k) summary for the DEKA Motus AZ device, a laser surgical instrument. It primarily focuses on demonstrating substantial equivalence to a predicate device (DEKA Motus AY, K181486) rather than providing extensive details about a specific clinical study for performance acceptance criteria.

    The acceptance criteria presented are essentially that the proposed device (DEKA Motus AZ) maintains the same or equivalent specifications and performance characteristics as the predicate device (DEKA Motus AY). The submission asserts that the modifications are minor and do not affect safety or effectiveness.

    Here's a breakdown of the requested information based on the provided document:

    1. A table of acceptance criteria and the reported device performance

    The document does not explicitly state numerical acceptance criteria for clinical efficacy or specific performance metrics in the way one might expect from a clinical trial summary. Instead, the acceptance criteria are implicitly met by demonstrating that the DEKA Motus AZ's specifications and performance are identical to or within acceptable variations of the predicate device (DEKA Motus AY).

    CharacteristicAcceptance Criterion (Predicate Device DEKA MOTUS AY, K181486)Reported Device Performance (Proposed Device DEKA Motus AZ)Comment
    General Specifications
    WeightApprox. 90 kgApprox. 100 kgThe variation to the weight does not affect safety and effectiveness of the device.
    Dimensions (cm)95x51x83 (HxWxD)114x45x94 (HxWxD)The variation to the dimensions does not affect safety and effectiveness of the device.
    Mains voltage230 V~single phase, 50-60 Hz230 V~single phase, 50-60 HzIdentical
    Breaker16 A16 AIdentical
    Operating environmental conditions15-35 °C; 30%-75% rel. humidity, 700-1060 hPa15-35 °C; 30%-75% rel. humidity, 700-1060 hPaIdentical
    Transport and storage conditions5-50 °C; 10-90% humidity, 700-1060 hPa5-50 °C; 10-90% humidity, 700-1060 hPaIdentical
    Indications for Use (Alexandrite 755nm)Temporary hair reduction; Stable long-term or permanent hair reduction on all skin types (Fitzpatrick I - VI) including tanned skin; Treatment of benign pigmented lesions; Treatment of wrinkles; Photocoagulation of benign dermatological vascular lesions.IdenticalIdentical
    Indications for Use (Nd:YAG 1064nm)Removal of unwanted hair, for stable long term or permanent hair reduction and for treatment of PFB on all Skin Types Fitzpatrick I-VI including tanned skin; Photocoagulation and hemostasis of benign pigmented and benign vascular lesions; Coagulation and hemostasis of soft tissue; Benign pigmented lesions (various types); Reduction of red pigmentation in hypertrophic and keloid scars; Treatment of wrinkles.IdenticalIdentical
    Regulation number21 CFR 878.4810: Laser surgical instrument for use in general and plastic surgery and in dermatologyIdenticalIdentical
    Product CodeGEXIdenticalIdentical
    Alexandrite 755nm Laser Source
    Laser TypeAlexandriteAlexandriteIdentical
    Wavelength (nm)755 nm755 nmIdentical
    Fluence (J/cm²)2-200 J/cm²2-200 J/cm²Identical
    Handpiece Spot Sizes (diameter mm)2.5, 5, 7, 10, 12, 14, 15, 16, 18, 20 mm (Moveo: 14 mm)2.5, 5, 7, 10, 12, 14, 15, 16, 18, 20 mm (Moveo: 7, 14 mm)Identical overall spot size range (note: new Moveo spot size available, but within range)
    Pulse Duration (milliseconds)2 to 50 ms2 to 50 msIdentical
    Pulse Repetition Rate (Hz)up to 10 Hzup to 10 HzIdentical
    Skin Cooling SystemYes (handpiece integrated and external)Yes (handpiece integrated and external)Identical
    Skin Cooling Temperature15°C15°CIdentical
    Nd:YAG 1064nm Laser Source
    Laser TypeNd:YAGNd:YAGIdentical
    Wavelength (nm)1064 nm1064 nmIdentical
    Fluence (J/cm²)2-600 J/cm²2-600 J/cm²Identical
    Handpiece Spot Sizes (diameter mm)2.5, 5, 7, 10, 12, 14, 15, 16, 18, 20 mm (Moveo: 14 mm)2.5, 5, 7, 10, 12, 14, 15, 16, 18, 20 mm (Moveo: 5, 14 mm)Identical overall spot size range (note: new Moveo spot size available, but within range)
    Pulse Duration (milliseconds)0.2 to 50 ms0.2 to 50 msIdentical
    Pulse Repetition Rate (Hz)up to 10 Hzup to 10 HzIdentical
    Skin Cooling SystemYes (handpiece integrated and external)Yes (handpiece integrated and external)Identical
    Skin Cooling Temperature15°C15°CIdentical

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document primarily relies on demonstrating substantial equivalence to a predicate device through engineering and performance comparisons, not on a prospective clinical trial with a "test set" as one might find for a novel device or AI algorithm. It's a "Special 510(k)" which generally indicates modifications to an already cleared device.

    Therefore, there is no mention of a specific clinical "test set" sample size or data provenance in the context of efficacy for the modified DEKA Motus AZ device. The "data" refers to engineering and non-clinical performance data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. This submission is for a laser surgical instrument, and the performance testing mentioned (electrical safety, EMC, software validation) does not involve establishing ground truth by medical experts for image interpretation or diagnosis.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. See #3.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This is a laser surgical instrument, not an AI-based diagnostic tool that would typically involve MRMC studies or human reader improvement with AI assistance.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. See #5.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    Not applicable in the context of clinical efficacy ground truth for a test set. The "ground truth" for this submission are the established safety and performance standards for laser medical devices and the characteristics of the predicate device.

    8. The sample size for the training set

    Not applicable. This document does not describe the development or testing of an AI algorithm with a training set.

    9. How the ground truth for the training set was established

    Not applicable. See #8.

    Summary of the Study Proving Acceptance Criteria:

    The "study" proving the device meets its acceptance criteria, in this context, is the demonstration of substantial equivalence to the predicate device (DEKA Motus AY, K181486) through a combination of:

    • Non-clinical performance testing:
      • Electrical safety and electromagnetic compatibility (EMC): Conducted according to ANSI AAMI ES60601-1 and IEC 60601-1-2 standards.
      • Software Validation and Verification Testing: Conducted and documented as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices."
      • Additional non-clinical testing: Conducted according to IEC 60601-2-22 (particular requirements for laser equipment) and IEC 60825-1 (safety of laser products).
    • Comparison of technological characteristics: A detailed side-by-side comparison (as shown in the provided table) confirming that the proposed device (DEKA Motus AZ) shares the same intended use, fundamental technology (Alexandrite 755nm and Nd:YAG 1064nm lasers, wavelengths, fluences, pulse durations, repetition rates, skin cooling systems), and similar or identical essential design parameters within acceptable ranges as the predicate device. The changes (restyling, new Moveo handpiece spot sizes and optional spacer) were evaluated to ensure they do not introduce new questions of safety or effectiveness.

    The conclusion states: "Based on the comparison of indications for use and the technological characteristics, we can conclude that DEKA Motus AZ is as safe, as effective, and performs as well as the legally marketed predicate device (K181486)." This statement serves as the proof that the device meets the implicit acceptance criteria of being substantially equivalent to the cleared predicate.

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    K Number
    K202258
    Date Cleared
    2021-04-26

    (259 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    EL.EN. Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    ERISE Laser Handpiece is indicated for use in soft tissue (skin and cutaneous tissue) such as, but not limited to: Dermatology and plastic Surgery: Skin resurfacing; Treatment of wrinkles; Epidermal nevi; Telangiectas; Actinic chelitis; Keloids; Verrucae; Skin tags; Keratoses; Scar revision (including acne scars). With microbeam end piece it is indicated for Skin resurfacing.

    Device Description

    ERISE is an Erbium:YAG laser handpiece delivering laser radiation at 2940nm. It is intended to be used with DEKA LUXEA platform, cleared by FDA with K192539. The Erise laser handpiece includes: - . A connector to connect to the console - A cord where electrical cables and hydraulic tubes pass in - A plastic shell - . A Laser cavity - . A mechanical shutter - . An optical guide - . An ending tip which provides different spot sizes (diameter 2, 4, 9mm), including microbeam output (diameter 9mm) The 2940 nm Erbium:YAG laser handpiece is controlled by the DEKA LUXEA console which it is connected to, through the connector.

    AI/ML Overview

    The provided FDA 510(k) summary for the ERISE Laser Handpiece does not contain information about acceptance criteria for a device performance study or any study proving such criteria are met.

    Instead, the document focuses on demonstrating substantial equivalence to a predicate device (Quanta System 2940 nm Er:YAG laser handpiece) based on technological characteristics and non-clinical performance data.

    Here's a breakdown of why the requested information cannot be provided from this document:

    1. No Clinical Performance Data: The document explicitly states under "Clinical Performance Data:" "None". This means no studies were conducted to evaluate the device's clinical effectiveness in terms of specific outcomes or meeting pre-defined acceptance criteria for efficacy.

    2. Focus on Substantial Equivalence: The primary goal of a 510(k) submission is to show that a new device is "substantially equivalent" to a legally marketed predicate device. This often involves comparing technological features, safety standards, and non-clinical performance, rather than conducting new clinical trials with acceptance criteria.

    3. Non-Clinical Data for Safety and Compatibility: The "Non-Clinical Performance Data" section describes tests related to:

      • Safety and electromagnetic compatibility (EMC): Compliance with standards like IEC 60601-2-22, IEC 60825-1 (for safety) and IEC 60601-1-2 (for EMC) for the DEKA LUXEA platform (which the ERISE handpiece connects to). These are regulatory compliance tests, not performance studies with acceptance criteria for specific clinical outcomes.
      • Software Verification and Validation: This ensures the software of the DEKA LUXEA platform (with the ERISE handpiece) functions as intended. Again, this is a form of regulatory compliance and quality assurance, not a performance study evaluating clinical efficacy.

    Therefore, it is not possible to complete the requested table or answer the specific questions about acceptance criteria and performance studies because such information is not present in this 510(k) submission. The device's approval is based on its similarity to an already cleared device and adherence to relevant safety and software standards, not on new clinical performance data demonstrating specific efficacy outcomes against predefined acceptance criteria.

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    K Number
    K181867
    Date Cleared
    2018-10-02

    (82 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DEKA SmartXide2 Trio CO2 laser is indicated for incision, ablation, vaporization, and coagulation of body soft tissues in medical specialties including aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynaecology, neurosurgery, orthopaedics, general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.

    The DEKA Smartxide2 Trio 940nm diode laser is incision, excision, vaporization ablation and coagulation of soft tissues (open surgery), cutting, vaporization of soft tissues (endoscopic surgery) in medical specialties including: plastic surgery, dermatology, ENT, gynaecology, urology, general surgery, gastroenterology and dental procedures.

    The DEKA SmartXide2 Trio 980mm diode laser is incision, excision, vaporization ablation and coagulation of soft tissues (open and endoscopic surgery) in medical specialties including plastic surgery, dermatology, ear, nose and throat and oral surgery (otolaryngology), gynaecology, neurosurgery, general and thoracic surgery, gastroenterology and dental procedures.

    Device Description

    The DEKA SmartXide2 Trio is a medical laser system equipped with a 80W CO2 laser source and an (optional) 980nm or 940nm 50W diode laser source.

    The CO2 laser radiation has a wavelength of 10600nm and is delivered to the treatment area through an articulated arm and a delivery accessory (handpiece/scanner/micromanipulator) connected to its distal end, or through a hollow waveguide.

    The articulated arm is an optical assembly that delivers free beam laser radiation. It is made up of seven mirrors placed on rotating knuckles: the mechanical accuracy of the articulated arm allows the CO2 laser beam to travel inside it and along its axis regardless of the arm orientation.

    The waveguide consists of a flexible silica capillary whose inside wall has been coated with a durable coating which is highly reflective at the intended wavelength of use.

    The waveguides used with DEKA Smartxided Trio are manufactured by Laser Engineering and have been cleared by FDA with K112166.

    The diode laser source can be provided in two alternative wavelengths: 940nm and 980mm.

    The diode laser radiation is delivered to the treatment area through optical fibers, which are guided to the target tissue with the aid of handpieces. The spot size is effectively the diameter of the fiber being connected to the system.

    Emission parameters are selected on the front panel while laser emission is activated by a footswitch. The on-off switch and emergency switch are also located on the front panel of the svstem.

    A warning light is located on the top cover, close to the control panel. Light ON state indicates that the system is enabled and ready.

    Overall weight of the device is 100 kg, and the size is 240 cm x 59 cm x 56 cm (H x W x D). Electrical requirement is 100-120Vac 50/60Hz, 220-230Vac 50Hz, 16A.

    The modification to the device is the addition of a hollow waveguide delivery system as an alternative to the articulated arm for the CO2 laser beam . It allows easier delivery of laser energy to the targeted tissue in some surgical procedures.

    The intended use of the modified devices, as described in the labelling, has not changed as a result of the modification.

    AI/ML Overview

    The provided document is a 510(k) summary for the DEKA Smartxide2 Trio, a medical laser system. The purpose of this document is to demonstrate "substantial equivalence" to a predicate device, not necessarily to provide a detailed study proving the device meets specific acceptance criteria in the format requested.

    Therefore, the information required for a comprehensive answer regarding acceptance criteria and a detailed study proving the device meets these criteria is largely not present in this type of FDA submission.

    Here's an attempt to answer the questions based only on the provided text, highlighting what is available and what is missing:


    1. A table of acceptance criteria and the reported device performance

    The document does not provide a specific table of acceptance criteria linked to reported device performance metrics in the way one might expect from a detailed clinical or performance study. Instead, it focuses on demonstrating equivalence in features and specifications between the proposed device and the predicate device.

    The Feature table on pages 4 and 5 implicitly shows the "performance" by comparing the specifications of the new device to the predicate. The "acceptance criteria" for this submission appear to be that the new device's specifications (including the new delivery system) are within an acceptable range or identical to the predicate, and that the "Intended Use" and "Principle of operation" remain the same.

    Feature TypeAcceptance Criteria (Implied from Predicate)Reported Device Performance (DEKA SmartXide2 Trio)
    CO2 Laser
    Laser typeCO2 laser - sealed off - RF excitedCO2 laser - sealed off - RF excited
    Wavelength10.6 µm10.6 µm
    Delivery systemArticulated armArticulated arm, Waveguide
    Output power0.1 W to 80 W0.1 W to 80 W
    Spot size0.125 mm - 1.5 mm (articulated arm)0.125 mm - 1.5 mm (articulated arm), 0.3 -0.5 mm (waveguide)
    Pulse length0.04ms to 0.9s0.04ms to 0.9s
    Pulse Rate5 to 800 Hz5 to 800 Hz
    Aiming beam635 nm, 5mW max635 nm, 5mW max
    Surgical scanning systemIntegrated (HiScan Surg., Endoscan)Integrated (HiScan Surg., Endoscan)
    Diode Laser
    Laser typeSemiconductor Diode LaserSemiconductor Diode Laser
    Wavelength (nm)940, 980 nm940, 980 nm
    Output power0.5W - 50W0.5W - 50W
    Spot size (mm)0.2, 0.3, 0.6 mm0.2, 0.3, 0.6 mm
    Laser Operating ModesCW, pulsedCW, pulsed
    Pulsed mode Ton5ms to 2s5ms to 2s
    Delivery systemOptical FiberOptical Fiber
    Aiming beam630-670mm, 3mW max630-670mm, 3mW max

    The key change is the addition of a hollow waveguide delivery system for the CO2 laser. The "acceptance criteria" for this modification would be that its performance (e.g., CO2 laser output characteristics when using the waveguide) is safe and effective for the stated indications, and equivalent to the existing articulated arm delivery or the predicate device's capabilities.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided. The document explicitly states "Clinical Performance Data: None" and describes "Non-Clinical Performance Data" as verification and validation activities. These are typically in-house engineering and bench tests, not studies with patient samples.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not provided. As "Clinical Performance Data: None" and the data being non-clinical verification/validation, there would be no ground truth established by medical experts in this context.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not provided. Not applicable given the type of data presented.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This information is not provided. This device is a surgical laser system, not an AI-powered diagnostic tool. Therefore, an MRMC study with AI assistance is not relevant to this submission.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    This information is not provided. As mentioned, this is not an AI algorithm. The performance evaluation focuses on the physical device's specifications.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

    For the "Non-Clinical Performance Data," the "ground truth" would be established by engineering specifications, technical standards, and internal test procedures. For example, a laser power meter would provide the "ground truth" for laser output power, or precise measurement tools for spot size. This is not derived from medical expert consensus or patient outcomes.

    8. The sample size for the training set

    This information is not provided. The device is a physical laser system, not an AI model, so there is no "training set."

    9. How the ground truth for the training set was established

    This information is not provided. Not applicable as there is no training set.


    Summary of Study that Proves the Device Meets Acceptance Criteria:

    The document broadly refers to "Non-Clinical Performance Data" as the study proving the device meets acceptance criteria. These activities included:

    • Verification of CO2 laser output using the waveguide: This would involve testing the power, wavelength, beam stability, and other characteristics of the CO2 laser when delivered through the new waveguide. The acceptance criteria would be that these outputs meet predefined engineering specifications and are comparable to or within the established range of the predicate device's articulated arm delivery.
    • Verification and validation of modified software: This ensures that any software changes related to the new waveguide or other aspects of the device operate correctly, safely, and as intended. Acceptance criteria would be based on software requirements and testing protocols.

    The document explicitly states that "The test methods, acceptance criteria and test results are documented in the Design History File of Smartxide2 Trio," but these specific details are not included in this 510(k) summary. The overarching "proof" is that these non-clinical tests confirmed the modified device (including the new waveguide) performs equivalently and safely to the predicate device, allowing it to maintain the same indications for use.

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    K Number
    K181510
    Device Name
    ECHOLASER X4
    Date Cleared
    2018-09-04

    (88 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    El.En Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ECHOLASER X4 laser system is intended for use in cutting, vaporization, ablation and coagulation of soft tissue in conjunction with endoscopic equipment (including laparoscopes, bronchoscopes, gastroscopes, cystoscopes and colonoscopies), in incision/excision, ablation and coagulation of soft tissue in contact and non-contact open surgery (with or without a handpiece), and in the treatment and/or removal of vascular lesions (tumors).

    Device Description

    The ECHOLASER X4 is a medical device equipped with a diode laser source emitting at 1064nm wavelength in CW mode. The laser beam is transmitted via 1 to 4 optical fibres. The operator can use 1 to 4 fibres simultaneously, one independent from the other in both activation and power adjustment. Laser activation is controlled by footswitch.

    AI/ML Overview

    The provided text describes a medical laser system, the ECHOLASER X4, and its substantial equivalence to a predicate device for the purpose of FDA 510(k) clearance. However, it does not include information about acceptance criteria or a study proving the device meets specific performance criteria in terms of clinical or algorithmic efficacy.

    The document focuses on regulatory compliance and comparison with a predicate device (DORNIER MEDILAS D 1064 laser system) based on technical specifications and intended use.

    Therefore, most of the requested information cannot be extracted from this document, as it pertains to clinical or algorithmic performance, which is not detailed here.

    Here's a breakdown of what can and cannot be answered based on the provided text:

    1. A table of acceptance criteria and the reported device performance:

    • Cannot be fully provided. The document lists technical specifications of the device and compares them to a predicate device. It doesn't define explicit "acceptance criteria" in terms of clinical performance metrics (e.g., accuracy, sensitivity, specificity for a diagnostic device, or a specific outcome measure for a therapeutic device) or detailed "reported device performance" against such criteria. The performance shown is primarily technical parameters.
    Acceptance Criteria (Implied for Substantial Equivalence to Predicate)Reported Device Performance (ECHOLASER X4)Predicate Device Performance (DORNIER MEDILAS D 1064)
    Indications for Use: Cutting, vaporization, ablation, coagulation of soft tissue (endoscopic, open surgery), treatment/removal of vascular lesions (tumors)SameSame
    Laser Type: DIODEDIODEDIODE
    Wavelength: 1064 nm ± 10%1064 nm ± 10%1064 nm ± 10%
    Output Mode: MultimodeMultimodeMultimode
    Maximum Delivered Power: Comparable28W30W
    Stability of Output Power Level: ±20%±20%±20%
    Beam Diameter: 0.3 mm0.3 mm0.3 mm
    Mode of Operation: Continuous waveContinuous waveContinuous wave
    Aiming Beam Laser Type: DiodeDiodeDiode
    Aiming Beam Wavelength: Comparable630-670 nm632 nm
    Aiming Beam Maximum Delivered Output Power: Comparable
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    K Number
    K172362
    Date Cleared
    2017-11-17

    (105 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    EL.EN Electronic Engineering Spa

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Incision, excision, ablation, vaporization of body soft tissue including intraoral tissue, in medical specialities including aesthetic (dermatology and plastic surgery), otolaryngology (ENT), gynaecology, neurosurgery, dental and oral surgery and genitourinary surgery. The use with the scanning unit is indicated for ablative skin resurfacing.

    Device Description

    The DEKA SMARTXIDE TOUCH is a medical device equipped with a 10.600 nm Carbon Dioxide (CO2) laser source having a maximum power of 40W. The laser energy is delivered to the treatment area via an articulated arm and a delivery accessory connected to its distal end. The articulated arm is an optical assembly that delivers free beam laser radiation. It is made up of seven mirrors placed on rotating knuckles: the mechanical accuracy of the articulated arm allows the CO2 laser beam to travel inside it and along its axis regardless of the arm orientation. The DEKA SMARTXIDE TOUCH laser is equipped with a Scanning Unit, HiScan DOT+, that allows to perform skin resurfacing treatments.

    AI/ML Overview

    This document is an FDA 510(k) premarket notification for the DEKA SMARTXIDE TOUCH laser system. It describes the device and claims substantial equivalence to a predicate device. However, it does not contain information about acceptance criteria or a study proving the device meets said criteria related to clinical performance.

    Here's a breakdown of why the requested information cannot be fully provided from this document:

    • Clinical Performance Data: The document explicitly states "Clinical Performance Data: None" (page 4). This means no clinical study was presented to demonstrate the device's effectiveness in a clinical setting against specific acceptance criteria.
    • Substantial Equivalence: The FDA's 510(k) pathway often relies on demonstrating substantial equivalence to a legally marketed predicate device, rather than requiring new clinical studies for every device. For devices like lasers that perform well-understood physical actions (ablation, vaporization), non-clinical testing for safety and electrical performance is often sufficient if the device operates similarly to existing ones.

    Therefore, most of your specific questions cannot be answered based on the provided text. I will provide what can be gleamed from the document related to "acceptance criteria" through non-clinical testing.


    Acceptance Criteria and Study for DEKA SMARTXIDE TOUCH

    Based on the provided FDA 510(k) summary, the device's acceptance criteria are primarily related to non-clinical performance data and conformance to established international standards for medical electrical equipment and laser safety. There is no clinical performance data or associated acceptance criteria presented in this document.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific CriteriaReported Device Performance
    Non-Clinical Performance DataConformance to IEC 60601-1 (Medical electrical equipment - General requirements for basic safety and essential performance)The DEKA SMARTXIDE TOUCH was tested for standards conformance with IEC 60601-1. (Implies compliance was achieved to meet this criterion for substantial equivalence).
    Conformance to IEC 60601-1-2 (Medical electrical equipment - Collateral standard: Electromagnetic compatibility - Requirements and tests)The DEKA SMARTXIDE TOUCH was tested for standards conformance with IEC 60601-1-2. (Implies compliance was achieved).
    Conformance to IEC 60601-2-22 (Medical electrical equipment - Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment)The DEKA SMARTXIDE TOUCH was tested for standards conformance with IEC 60601-2-22. (Implies compliance was achieved).
    Conformance to IEC 60825-1 (Safety of laser products - Equipment classification and requirements)The DEKA SMARTXIDE TOUCH was tested for standards conformance with IEC 60825-1. (Implies compliance was achieved).
    (Implied) Performance Equivalence to Predicate Device (Non-Clinical)Operates with similar technical specifications and function for its intended use as the AFFIRM CO2 and AFFIRM CO2 HP laser systems (K081424).The table on page 4 demonstrates comparable technical specifications:
    • Laser Type: CO2 (matches predicate)
    • Wavelength: 10.6μm (matches predicate)
    • Max Power: 40W (within range of predicate: 25W, 60W HP)
    • Handpieces Spot Sizes: 0.2 mm, 0.4 mm (matches predicate)
    • Pulse Duration: 0.02 to 70 ms (comparable to predicate: 0.2 to 80 ms)
    • Pulse Rep Rate: 5 to 100 Hz (matches predicate)
    • Scanner Spot size: 350μm (matches predicate)
    • Scanner Focal length (EFL): 100mm (matches predicate)
      The document states: "The DEKA SMARTXIDE TOUCH has the same indications for use as the abovementioned predicate device, with same principle of operation and essentially the same performances." |

    Note: The "reported device performance" for the standards conformance is an interpretation that the device met these standards, as non-conformance would likely prevent 510(k) clearance.

    2. Sample size used for the test set and the data provenance

    • Test set sample size: Not applicable for a clinical test set as no clinical performance data was provided. For non-clinical (engineering/safety) testing, the "sample size" typically refers to the device itself and its components, which are tested against relevant standards. The provenance for these tests would be internal laboratory testing by the manufacturer or accredited testing bodies.
    • Data provenance: Not explicitly stated beyond "The DEKA SMARTXIDE TOUCH was tested for standards conformance...". This likely refers to in-house testing by the manufacturer or third-party labs contracted by the manufacturer.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • This information is not applicable as no clinical study with a "ground truth" established by human experts was conducted or referenced in this 510(k) summary.

    4. Adjudication method for the test set

    • Not applicable as no clinical study requiring adjudication was conducted or referenced.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • Not applicable. This device is a laser surgical instrument, not an AI-powered diagnostic or assistive tool for human readers. No MRMC study was performed.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • Not applicable. This device is a laser surgical instrument, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • Not applicable for clinical performance. For non-clinical testing, the "ground truth" would be the specifications and requirements of the international standards (e.g., specific electrical safety limits, laser output parameters).

    8. The sample size for the training set

    • Not applicable as no clinical training set was used.

    9. How the ground truth for the training set was established

    • Not applicable as no clinical training set was used.

    In summary, the provided document focuses on demonstrating substantial equivalence to an existing lawfully marketed device through comparison of technical specifications and conformance to recognized safety and electrical standards. It explicitly states there is no clinical performance data. Therefore, the questions related to clinical trials, expert ground truth, and AI performance are not addressed by this FDA submission.

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