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510(k) Data Aggregation

    K Number
    K100487
    Date Cleared
    2010-11-29

    (283 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EQUINOX CO2 LASER SYSTEM

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

    The Equinox CO 2 laser when used in traditional non-fractionated scanner mode is indicated for incision, excision, ablation, vaporization, and coagulation of body soft tissues.

    The Equinox CO 2 laser when used in fractionated mode is indicated for ablative skin resurfacing.

    Device Description

    The Equinox CO2 laser has a wavelength of 10,600nm. CO2 fractional laser uses scanning optics to deliver a pattern of thermal energy to the epidermis and upper dermis. Device accessories include tip attachments. This system consists of main body, color touch screen, Arm, hand-piece and Foot switch.

    AI/ML Overview

    The Equinox CO2 Laser System's performance for the fractionated mode was shown by histology data. The study involved using the device on a human arm with varying energy levels (10mJ, 40mJ, 70mJ per microbeam). The target area was then biopsied to evaluate the effect, specifically looking at the depth and width of thermal damage zones and the healing response over time.

    Here's the breakdown of the information requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission does not explicitly state "acceptance criteria" in the traditional sense of pre-defined thresholds that the device must meet to be deemed acceptable. Instead, it presents the histology data from the study and then concludes that based on this data (and similar technology characteristics), the device is substantially equivalent to the predicate device. The performance data itself serves as the support for this claim of substantial equivalence for ablative skin resurfacing.

    Therefore, the "acceptance criteria" can be inferred to be the demonstration of typical thermal damage and healing patterns consistent with fractional CO2 laser resurfacing, which the provided data aims to illustrate. The reported device performance is the histology data.

    Performance Metric10 mJ (Day 0)40 mJ (Day 0)70 mJ (Day 0)10 mJ (Day 3)40 mJ (Day 3)70 mJ (Day 3)70 mJ (Day 14)
    Depth of Thermal Damage115.01 µm200.24 µm272.56 µm94.78 µm164.50 µm217.22 µm43.87 µm
    Width of Thermal Damage347.30 µm358.75 µm362.13 µm293.71 µm313.20 µm334.49 µm95.28 µm

    (Note: Data for 10mJ and 40mJ at Day 14 were "X", indicating they were not provided or not relevant for the conclusion at those specific energy levels and time points in this summary.)

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

    • Sample Size: The document states the device was "used on a human arm." It does not specify the number of subjects or the number of sites on the arm. It implies a single human subject ("a human arm").
    • Data Provenance: The document does not explicitly state the country of origin. It is a retrospective report of a study that was conducted.

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

    The document does not provide details on the number or qualifications of experts used to establish the ground truth for the histology (e.g., who interpreted the biopsies). It simply states the target area "was biopsied to evaluate the effect."

    4. Adjudication Method for the Test Set

    The document does not describe any adjudication method.

    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

    No MRMC study was done, as this is a laser device, not an AI diagnostic tool involving human readers.

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

    This refers to a standalone performance of the laser device itself, directly evaluating its physical effects on tissue, which is precisely what the histology study represents. The device's performance was assessed based on the direct results (thermal damage depth and width) in the biological tissue.

    7. The Type of Ground Truth Used

    The ground truth used was histology from biopsied tissue. This is considered objective biological evidence of the device's effects on human skin.

    8. The Sample Size for the Training Set

    The document does not mention a training set. This is a medical device performance study, not an AI model requiring separate training data.

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

    Not applicable, as there is no training set for this type of device performance study.

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