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510(k) Data Aggregation

    K Number
    K121162
    Date Cleared
    2012-07-18

    (92 days)

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

    POLARIS Q-SWITCH RUBY SYSTEM

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

    The Polaris Long Pulse and Q-Switched Ruby Laser is intended to remove blue/black tattoos and benign dermal and epidermal pigmented lesions, and, to effect hair removal of patients with skin types 1-4 through selective targeting of melanin in hair follicles in dermatology and plastic surgery.

    Device Description

    The Polaris Long Pulse and Q-Switched Ruby Laser and controls are contained in a single console. Electrical power is supplied to the console by the facility's power source. Energy is delivered using an articulated arm with interchangeable handpieces to adjust spot size. The wavelength is 694.3nm. The user activates laser by means of a footswitch.

    AI/ML Overview

    The provided text describes a 510(k) summary for the Polaris Long Pulse and Q-Switched Ruby Laser, which is a medical device. For this type of device, the acceptance criteria and study designs are fundamentally different from those for AI/ML-based diagnostic devices. In the context of a 510(k) submission for a physical medical device, "acceptance criteria" typically refers to demonstrating substantial equivalence to a predicate device, based on technical specifications and intended use, rather than performance metrics like sensitivity, specificity, or F1 score derived from a clinical study.

    Here's an analysis based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    For this 510(k) submission, the "acceptance criteria" are not reported as statistical performance metrics. Instead, the acceptance criteria are implicitly met by demonstrating substantial equivalence to a predicate device, the LaseAway Long Pulse and Q-Switched Ruby Laser (K971193). The "reported device performance" is a comparison of technical specifications.

    Acceptance Criterion (Implicit for 510(k) Equivalence)Reported Device Performance (Polaris)Predicate Device Performance (LaseAway)
    Indications for Use:Remove blue/black tattoos, benign dermal and epidermal pigmented lesions, and hair removal for skin types 1-4.Remove blue/black tattoos, benign dermal and epidermal pigmented lesions, and hair removal for skin types 1-4.
    Technical Specifications:(See detailed table below)(See detailed table below)
    Laser TypePulsed Ruby (Single lamp)Pulsed Ruby (Single lamp)
    SizeH840 mm x W495 mm x D680 mmH840 mm x W495 mm x D680 mm
    Weight125Kg125Kg
    Power Requirement110V/220V 50/60 Hz (16A peak)110V/220V 50/60 Hz (16A peak)
    CoolingSelf contained refrigerated chillerSelf contained refrigerated chiller
    Cooling MediumDe-ionised waterDe-ionised water
    Wavelength694.3nm694.3nm
    Aiming Beam, HeNe633nm633nm
    Repetition Rate1Hz1Hz
    Pulse Duration, Q-Switched25 ns25 ns
    Pulse Duration, Long Pulse2ms2ms
    Maximum Energy Q-Switched1.25 joules1.25 joules
    Maximum Energy, Long Pulse5 joules5 joules
    Spot Size, Q-SwitchedSelectable from 4, 5 and 6mmSelectable from 4, 5 and 6mm
    Spot Size, Long PulseSelectable from 5. 6 and 7mmSelectable from 5. 6 and 7mm
    Beam DeliveryArticulated arm and focusing handpieceArticulated arm and focusing handpiece
    Ambient Conditions15° to 26°C, 10 to 80% humidity15° to 26°C, 10 to 80% humidity

    The conclusion states: "The Polaris Long Pulse and Q-Switched Ruby Laser is identical to the predicate device in terms of indications for use, technical specifications, operating performance features, general design." This statement acts as the "proof" that the device meets the implicit acceptance criteria for substantial equivalence to its predicate.

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

    The provided document explicitly states:

    • "Performance Data: None"
    • "Results of Clinical Study: None"

    Therefore, there was no test set or clinical data used in this 510(k) submission to demonstrate performance in the way one would for an AI/ML device. The basis for clearance was a comparison of technical specifications and intended use to a legally marketed predicate device.

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

    Since no clinical study or performance data was used, no ground truth was established by experts for a test set. This type of device relies on established safety and efficacy of the predicate device.

    4. Adjudication Method for the Test Set

    Not applicable, as no test set requiring ground truth adjudication was used.

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

    Not applicable. This device is a laser system, not an AI/ML diagnostic interpretation tool, and no MRMC study was conducted or required for this 510(k) submission.

    6. Standalone (Algorithm Only) Performance

    Not applicable. This is a physical medical device (laser system), not an algorithm.

    7. Type of Ground Truth Used

    Not applicable, as no clinical performance data requiring ground truth was submitted or used. The "ground truth" for this 510(k) is effectively the established safety and effectiveness profile of the predicate device, demonstrated through the "substantial equivalence" framework.

    8. Sample Size for the Training Set

    Not applicable. No training set was used as this is not an AI/ML device.

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

    Not applicable. No training set was used.

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