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510(k) Data Aggregation

    K Number
    K083123
    Manufacturer
    Date Cleared
    2009-11-24

    (398 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Dermatology, Plastic & General Surgery

    The CO2 laser, model MedArt 610, is intended to be used by physicians in the performatice of the following specialities:

    The ablation and coagulation of soft tissue in dermatology, plastic and general surgery in the performance of:

    • Skin Resurfacing .
    • . Treatment of wrinkles and rhytids
    • Treatment of furrows .
    • Soft tissuc ablation .
    Device Description

    The MedArt 610 system comprises the following major parts:

    • A laser console containing a CO2 laser module capable of providing a laser beam having a wave-. length of 10,600 nm.
    • A scanner that is intended to manipulate and place a pulsed beam received from the laser console in . a pre-specified pattern on the skin being treated.
    • An optical fiber providing a beam path from the laser to the scanner. .
    AI/ML Overview

    The MedArt 610 Laser system is identified as substantially equivalent to the Uni-Laser 450P (K991297) manufactured by ASAH Medico A/S. The submission demonstrates substantial equivalence through a side-by-side comparison of device specifications and indications for use, rather than a primary clinical study with predefined acceptance criteria. Therefore, the information provided focuses on the comparative data rather than a direct performance study against specific acceptance criteria.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are implicitly met by demonstrating substantial equivalence to the predicate device, Uni-Laser 450P. This implies that the MedArt 610 is expected to perform at least as safely and effectively as the predicate device for its stated indications. The document does not provide explicit numerical acceptance criteria, but rather a direct comparison of features and performance parameters.

    Acceptance Criteria (Implied by Predicate Equivalence)MedArt 610 Performance (Reported Device Performance)Predicate Device (Uni-Laser 450P) Performance
    Indications for Use:
    Skin ResurfacingYes (Identical application)Yes
    Treatment of wrinkles and rhytidsYes (Identical application)Yes
    Treatment of furrowsYes (Identical application)Yes
    Soft tissue ablationYes (Identical application)Yes
    Technology:
    CO2 laser moduleYesYes
    Scanner for pattern productionYesYes
    Beam delivering system (fiber)YesYes
    Physical Parameters:
    Length of beam delivering system165cm165cm
    Type of beam delivering systemFiber providing full freedom of movementFiber providing full freedom of movement
    Wavelength10,600nm10,600nm
    Max power0.1 - 12W0.1 - 12W
    Minimum scanner spot sizeØ400µmØ400µm
    Max power density17 kW/cm2 (Computed from 12W/Ø300µm)17 kW/cm2 (Computed from 12W/Ø300µm)
    Aiming beam635nm, max 5mW635nm, max. 2mW
    Scanning speed0.3-100 HzNot specified, but "In the range of 1 sec. Actual time is depending on scan pattern chosen" for full scan time.
    Time for a full scanIn the range of 1 sec. Actual time is depending on scan pattern chosenIn the range of 1 sec. Actual time is depending on scan pattern chosen
    Beam activationFoot switchFoot switch

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

    No specific test set or clinical data is provided for the MedArt 610 within this 510(k) summary. The submission relies on a comparison to a legally marketed predicate device (Uni-Laser 450P) to demonstrate substantial equivalence. Therefore, there is no sample size for a test set or data provenance from a new study provided for the MedArt 610.

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

    Not applicable. The submission does not involve a test set requiring expert ground truth establishment for the MedArt 610. The equivalence is based on engineering specifications and comparison to the predicate device's cleared indications and performance characteristics.

    4. Adjudication Method for the Test Set

    Not applicable. There was no test set or clinical study requiring an adjudication method presented in this 510(k) summary.

    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 system for surgical and dermatological procedures, not an AI-assisted diagnostic or interpretative tool. Therefore, an MRMC study and
    effect size related to AI assistance for human readers is not relevant.

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

    Not applicable. This device is a medical laser system operated by physicians, not a standalone algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the MedArt 610's substantial equivalence determination is the previously cleared performance and indications for use of the predicate device, the Uni-Laser 450P. This is based on the regulatory clearance of a similar device with known safety and effectiveness.

    8. The Sample Size for the Training Set

    Not applicable. This submission does not involve training data for an algorithm.

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

    Not applicable. This submission does not involve a training set or ground truth establishment for an algorithm.

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