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510(k) Data Aggregation

    K Number
    K161926
    Date Cleared
    2017-02-22

    (224 days)

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

    The ND YAG Q-switch Laser Therapy Machine is indicated for the treatment of: benign cutaneous lesions, such as Warts, Scars, Striae and Psoriasis; benign pigmented lesions, such as Lentigines, nevus, and birthmark; and the removal of black or blue tattoos.

    Device Description

    The ND YAG Q-switch Laser Therapy Machine is laser system which delivers laser at a wavelength 1064nm or 532nm.

    There are 3 models included, FG 2010, FG 2010-B, FG 2010-C, the three models have same intended use, mechanism of action, principle and specification, only differences are the configurations.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting novel acceptance criteria or comprehensive study results for a new AI/software system. Therefore, much of the requested information regarding AI-specific criteria, studies, and ground truth establishment is not applicable or available in this document.

    However, I can extract the relevant information from the provided text as it pertains to the device's performance claims and the studies conducted to support its substantial equivalence.

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

    The document does not explicitly state acceptance criteria in the typical sense for a new AI/software device. Instead, it compares the proposed device's specifications and performance to a predicate device to demonstrate "substantial equivalence" (SE). The "reported device performance" is essentially the detailed specifications of the proposed device as presented for comparison.

    Criterion TypeAcceptance Criteria (Predicate Device K072536)Reported Device Performance (Proposed Device)Remark
    Regulatory Information
    Product CodeGEXGEXSE
    Regulation No.21 CFR 878.481021 CFR 878.4810SE
    Class22SE
    Intended UseBenign cutaneous lesions, benign pigmented lesions, tattoo removal, vascular lesions, non-ablative treatment of facial wrinkles, laser skin resurfacing, reduction of red pigmentation in scars, use on all skin types.Benign cutaneous lesions (Warts, Scars, Striae, Psoriasis); benign pigmented lesions (Lentigines, nevus, birthmark); removal of black or blue tattoos.SE
    Performance Comparison
    Laser MediumNd:YAGNd:YAGSE
    Wavelength1064 nm, 532 nm1064 nm, 532 nmSE
    Output energy400-1200mJ100-1000mJ for 1064nm, 50-500mJ for 532nmSE
    Max. Energy Density16.9 J/cm²31.8 J/cm² (for 1064nm), 15.9 J/cm² (for 532nm)Analysis
    Spot Size3, 5 mm2-10mmAnalysis
    Pulse Width20 ns5ns-8nsAnalysis
    Repetition Rate1, 2, 4 Hz1-10 HzAnalysis
    Disinfection---Disinfect the handpiece before and after every treatment by 75% medicinal alcoholAnalysis
    Laser ClassClass 4Class 4SE
    Cooling method for treated skinN.A.N.A.SE
    Aiming BeamN.A.Red Laser, < 6mWAnalysis
    Safety Comparison
    Patient Contact MaterialsTreatment Probe (Stainless Steel)Treatment Probe (Stainless Steel)SE
    CytotoxicityComply with ISO 10993-1No Cytotoxicity
    Sensitization---No evidence of sensitizationSE
    Irritation---No evidence of irritation
    Electrical SafetyComply with IEC 60601-1, IEC 60601-2-22Comply with IEC 60601-1, IEC 60601-2-22SE
    EMCComply with IEC 60601-1-2Comply with IEC 60601-1-2SE
    Laser SafetyComply with IEC 60601-2-22, IEC 60825Comply with IEC 60601-2-22, IEC 60825SE

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

    No clinical test set or data provenance is mentioned as this device is not an AI/software product requiring such a test set. This submission relies on non-clinical testing to demonstrate substantial equivalence to a predicate device.

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

    Not applicable. No ground truth establishment by experts for a test set is described, as the device is not an AI/software product that requires diagnostic performance evaluation.

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

    Not applicable. No test set adjudication method is described.

    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 therapy machine, not an AI-assisted diagnostic tool, so an MRMC study 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 laser therapy machine, not an algorithm.

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

    Not applicable. The equivalence is based on technical specifications and safety standards rather than diagnostic ground truth.

    8. The sample size for the training set

    Not applicable. No training set is mentioned for this device.

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

    Not applicable. No training set or ground truth establishment for a training set is described.

    Summary of the Study Proving Acceptance Criteria (Substantial Equivalence):

    The study primarily consisted of non-clinical tests to verify that the proposed device met design specifications and was substantially equivalent (SE) to the predicate device (Harmony XL Multiple Application Platform, K072564).

    The tests conducted focused on:

    • Compliance with International Standards:
      • IEC 60601-1:2012 (Medical Electrical Equipment - Basic Safety and Essential Performance)
      • IEC 60601-2-22:2007 (Medical Electrical Equipment - Surgical, Cosmetic, Therapeutic And Diagnostic Laser Equipment)
      • IEC 60825-1:2007 (Safety of laser products - Equipment classification and requirements)
      • IEC 60601-1-2:2007 (Electromagnetic compatibility)
    • Biocompatibility:
      • ISO 10993-5:2009 (Tests for Vitro cytotoxicity)
      • ISO 10993-10:2002/Amd. 1: 2006 (Test for irritation and delay-type hypersensitivity)
    • Specific Device Performance Tests:
      • Performance Testing for Spot Size Accuracy.
      • Thermal Energy Distribution Test (to determine the difference for thermal energy distribution of proposed device with predicate device).

    No clinical study was included in this submission. The approach relied on demonstrating that the proposed device performed "as safe, as effective, and performs as well as the legally marketed predicate device" based on direct technical and safety comparisons and adherence to established medical device standards.

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