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510(k) Data Aggregation

    K Number
    K201109
    Date Cleared
    2020-07-15

    (79 days)

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

    K162169, K133895

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

    The CO2 Laser Therapy System is used for body soft tissue vaporization and coagulation in dermatology and plastic surgery, general surgery, gynecology.

    Device Description

    The CO2 Laser Therapy Systems generate a 10,600nm wavelength, which is absorbed by water in the tissue. The laser energy heats up the water until it reaches a boiling point causing the evaporation of the affected tissue. Some heat is absorbed by tissue adjacent to the ablated target area, causing tissue coagulation which induces hemostasis (the cessation of bleeding) as well as thermal stimulation of deep skin layers, which induces fibroblast stimulation and neocollagenesis (the formation of new collagen).

    AI/ML Overview

    I'm sorry, but the provided text describes a medical device called "CO2 Laser Therapy System" and its FDA 510(k) clearance application. It details the device's indications for use, technological characteristics, and comparison to predicate devices, along with non-clinical testing performed to meet electrical safety and electromagnetic compatibility standards.

    However, the document explicitly states in section "VIII Clinical Testing" that "It is not applicable." This means that no clinical studies, which would typically involve testing the device's performance against defined acceptance criteria on a test set with ground truth, were conducted or included in this submission for the purpose of demonstrating substantial equivalence.

    Therefore, I cannot provide the information requested regarding acceptance criteria, device performance, sample sizes, data provenance, expert adjudication, MRMC studies, standalone performance, or ground truth establishment, as this type of information is not present in the provided text. The FDA clearance was based on substantial equivalence to predicate devices and non-clinical performance testing.

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    K Number
    K191518
    Device Name
    CO2 Laser System
    Date Cleared
    2019-09-12

    (97 days)

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

    K162398,K162169

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

    The equipment is used for human tissue vaporization in dermatology, plastic surgery, and general surgery. The classical scanner is only for the treatment of wrinkles and skin resurfacing.

    Device Description

    The subject device, CO2 Laser System (Model: GP900F) mainly consist of console, articulated arm and a foot switch. CO2 laser wavelength is 10600nm, which is used to gasify the skin tissue based on the principle of the theory selective photothermolysis. The water in skin absorbs laser energy and evaporates. By setting up the suitable energy and other parameters on skin tissue, the device can be used for human tissue vaporization and coagulation as well as for the treatment of wrinkles and skin resurfacing.

    AI/ML Overview

    This document describes the CO2 Laser System (Model: GP900F) and its substantial equivalence to predicate devices, but it does not contain information about specific acceptance criteria, device performance metrics (e.g., accuracy, sensitivity, specificity), or a study designed to prove the device meets such criteria in terms of clinical effectiveness.

    The document focuses on demonstrating substantial equivalence to existing legally marketed predicate devices through comparisons of technological characteristics, safety standards, and non-clinical testing. This type of submission (510(k)) generally does not require clinical effectiveness studies in the same way a PMA (Premarket Approval) would.

    Therefore, many of the requested details cannot be extracted from the provided text. I will answer the questions based on the information that is available.


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

    Based on the provided text, specific acceptance criteria for clinical performance (e.g., accuracy, sensitivity, specificity) and corresponding device performance metrics are not detailed. The acceptance criteria are implicit in the demonstration of substantial equivalence to predicate devices and compliance with safety and performance standards.

    The "performance" described relates to adherence to safety standards and the ability to deliver set laser energy parameters within specifications, not clinical outcomes or diagnostic accuracy.

    CategoryAcceptance Criteria (Implied by equivalence to predicates and standards)Reported Device Performance (as demonstrated for SE)
    Functional EquivalenceSimilar Indications for Use to Predicate DevicesEquipment used for human tissue vaporization, coagulation in dermatology, plastic surgery, and general surgery. Classical scanner for wrinkles and skin resurfacing. (Same as predicate)
    SafetyCompliance with IEC 60601-1, IEC 60601-2-22, IEC 60825-1, IEC 60601-1-2Passed tests for these standards.
    BiocompatibilityCompliance with ISO 10993-5, ISO 10993-10Passed tests for In Vitro Cytotoxicity, Skin Sensitization, Intracutaneous Reactivity.
    Software ValidationCompliance with FDA guidance for "moderate" level of concern softwareSoftware functions as specified in requirement specifications.
    Bench PerformanceDeliver set laser energy parameters within specificationsDevice delivers set laser energy parameters within specifications.
    Technological CharacteristicsSimilar key specifications (Output Power, Laser Wavelength, etc.) to Predicate DevicesDevice matches or is similar in key specifications to predicate devices (e.g., 30W output, 10600nm wavelength,
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