LUMENIS FAMILY OF ULTRAPULSE SURGITOUCH CO2 SURGICAL LASERS
K030147 · Lumenis, Ltd. · GEX · Apr 15, 2003 · General, Plastic Surgery
Device Facts
Record ID
K030147
Device Name
LUMENIS FAMILY OF ULTRAPULSE SURGITOUCH CO2 SURGICAL LASERS
Applicant
Lumenis, Ltd.
Product Code
GEX · General, Plastic Surgery
Decision Date
Apr 15, 2003
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4810
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
Lumenis UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers (and their delivery accessories) are used to deliver light energy and are indicated for use in surgical applications requiring the ablation, vaporization, excision, and coagulation of soft tissue in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery. In addition, the Lumenis UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers are safe and effective when indicated for use in specific surgical applications in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
Device Story
CO2 laser system delivering light energy for soft tissue surgery; comprises laser console, tower, counterbalanced articulated arm, control panel, microprocessor electronics, footswitch/handswitch, optional air purge pump, and delivery accessories including pattern generator. Operated by physicians in clinical/surgical settings. System transforms electrical input into CO2 laser energy; microprocessor controls delivery parameters. Output used for ablation, vaporization, excision, and coagulation. Clinical benefit: precise tissue removal/treatment across diverse specialties. Healthcare providers use output to perform surgical procedures; device facilitates tissue management in aesthetic, ENT, GYN, neuro, ortho, and general surgery.
Clinical Evidence
Clinical study data provided to demonstrate safety and effectiveness for specific applications across listed medical specialties. Study specifically noted skin resurfacing of wrinkles, rhytids, and furrows increases sub-epidermal collagen.
Technological Characteristics
CO2 laser system; microprocessor-controlled; articulated arm delivery; includes pattern generator and optional air purge pump. Operates as a laser surgical instrument (21 CFR 878.4810).
Indications for Use
Indicated for ablation, vaporization, excision, and coagulation of soft tissue across multiple surgical specialties including dermatology, plastic surgery, podiatry, ENT, gynecology, neurosurgery, orthopedics, general/thoracic surgery, dental/oral surgery, and genitourinary surgery. Specific applications include skin resurfacing, tumor/lesion removal, laparoscopy, and various soft tissue procedures.
Regulatory Classification
Identification
(1) A carbon dioxide laser for use in general surgery and in dermatology is a laser device intended to cut, destroy, or remove tissue by light energy emitted by carbon dioxide.(2) An argon laser for use in dermatology is a laser device intended to destroy or coagulate tissue by light energy emitted by argon.
Predicate Devices
Lumenis Family of UltraPulse Encore CO2 Laser Systems (K022060)
Lumenis Family of UltraPulse CO2 Laser Systems (K963339)
Submission Summary (Full Text)
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K030147
# Attachment 7 510(k) Summary Statement for the Modified Lumenis Family of UltraPulse SurgiTouch CO2 Laser Systems
#### I. General Information
APR 1 5 2003
| Submitter: | Lumenis, Inc.<br>2400 Condensa Street<br>Santa Clara, CA 95051 |
|---------------------------|----------------------------------------------------------------|
| Contact Person: | Anne C Worden<br>Regulatory Consultant |
| Summary Preparation Date: | January 12, 2003 |
#### II. Names
Device Names:
Modified Lumenis Family of UltraPulse SurgiTouch CO2 Laser Systems
Primary Classification Name: Laser Powered Surgical Instrument (and Accessories)
#### Predicate Devices III.
- · Lumenis Family of UltraPulse Encore CO2 Laser Systems (K022060);
- · Lumenis Family of UltraPulse CO2 Laser Systems (K963339).
### Product Description IV.
The modified Lumenis family of UltraPulse SurgiTouch CO2 Laser Systems are comprised of the following main components:
- A laser console .
- A laser console tower .
- A counterbalanced articulated arm and delivery system .
- . Control and display panel
- System microprocessor control electronics .
- A covered footswitch or handswitch for specific delivery device accessories ●
- An optional air purge pump system with an insufflator filter for purge of delivery device . accessories
- Operating software .
- A variety of delivery device accessories or handpieces, including a pattern generator .
### V. Indications for Use
Lumenis UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers (and their delivery accessories) are used to deliver light energy and are indicated for use in surgical applications requiring the ablation, vaporization, excision, and coagulation of soft tissue in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
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In addition, the Lumenis UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers are safe and effective when indicated for use in specific surgical applications in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
### VI. Rationale for Substantial Equivalence
The modified Lumenis family of UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers (and their delivery accessories) share the same indications for use, similar design features. functional features, and therefore are substantially equivalent to the predicate devices, including the Lumenis UltraPulse Encore CO2 Surgical Laser Systems (K022060) and the Lumenis (formerly Coherent Medical Group) UltraPulse CO2 Surgical Laser Systems In addition, medical and clinical data demonstrated that UltraPulse (K963339). SureiTouch Carbon Dioxide Surgical Lasers are safe and effective when indicated for use of additional specific applications in a variety of medical specialties.
### Safety and Effectiveness Information VII.
Medical and clinical study information was provided to demonstrate that the modified Lumenis family of UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers are safe and effective, when indicated in specific applications in the medical specialties of aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
# VIII. Conclusion
The modified Lumenis family of UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers (and their delivery accessories) were found to be substantially equivalent to the predicate Lumenis family of UltraPulse Encore Carbon Dioxide Surgical Lasers (K022060), and to the Lumenis family of UltraPulse Carbon Dioxide Surgical Lasers (K963339). The modified Lumenis family of UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers share the same intended uses, similar indications for use, and identical technological characteristics, and thus are substantially equivalent to, the currently marketed predicate devices.
Medical and clinical study information was provided to demonstrate that the modified Lumenis family of UltraPulse SurgiTouch Carbon Dioxide Surgical Lasers are safe and effective, when indicated in specific applications in the medical specialties of aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
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Image /page/2/Picture/1 description: The image is a circular seal for the U.S. Department of Health & Human Services. The seal features the department's name in a circular arrangement around the edge. In the center of the seal is a stylized image of an eagle with its wings spread, created with thick, flowing lines.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
APR 1 5 2003
Ms. Anne C. Worden Regulatory Consultant Lumenis, Inc. 2400 Condensa Street Santa Clara, California 95051
Re: K030147
Trade/Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: January 13, 2003 Received: January 15, 2003
Dear Ms. Worden:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration. Iisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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Page 2 - Ms. Anne C. Worden
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours.
Marti N. Millikan
Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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KO30147
## Attachment 2 Indications For Use Statement as Requested by FDA
510(k) Number (if Known): K030147
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
The Modified Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers (and the delivery accessories that are used with them to deliver laser energy) are indicated for use in surgical applications requiring the ablation, vaporization, incision, and coagulation of soft tissue in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.
The Modified Lumenis Family of UltraPulse Surgical Lasers are indicated for use in the performance of specific surgical applications in aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery as follows:
## Dermatology & Plastic Surgery
The ablation, vaporization, excision, incision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:
- . laser skin resurfacing;
- laser derm-abrasion; .
- laser burn debridement. .
Laser skin resurfacing (ablation and/or vaporization) for treatment of:
- wrinkles, rhytids, and furrows (including fine lines and texture irregularities). ●
Clinical study demonstrated that skin resurfacing of wrinkles, rhytids, and furrows with the UltraPulse CO2 laser increases the amount of sub-epidermal collagen.
*** Page 1 of 8 (Indications For Use Continued on Next Page; 8 pages total) ***
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation(ODE)

(Division Sign-Off)
Division of General. Restorative
and Neurological Devices
| 510(k) Number | K030147 |
|---------------|---------|
|---------------|---------|
| Prescription Use | <span style="text-decoration: underline;">✓</span> |
|----------------------|----------------------------------------------------|
| (Per 21 CFR 801.109) | |
| | Over-The-Counter Use |
|--|--------------------------|
| | (Optional Format 1-2-96) |
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K030147
510(k) Number (if Known): K030147
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
## Dermatology & Plastic Surgery, continued
Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of:
- keratoses, including actinic and seborrheic keratosis, seborrhoecae vulgares, seborrheic . wart, and verruca seborrheica;
- vermillionectomy of the lip;
- cutaneous horns; .
- . solar/actinic elastosis;
- cheilitis, including actinic cheilitis; .
- lentigines, including lentigo maligna or Hutchinson's malignant freckle; ●
- uneven pigmentation/ dyschromia; ●
- acne scars;
- . surgical scars;
- keloids including acne keloidalis nuchae; .
- hemangiomas (including Buccal, port wine and pyogenic granulomas/granuloma . pyogenicum/granuloma telagiectaticum);
- ◆ tattoos;
- telangiectasia; ●
- removal of small skin tumors, including periungual (Koenen) and subungual fibromas; ●
- superficial pigmented lesions; .
- adenosebaceous hypertrophy or sebaceous hyperplasia; ●
- . rhinophyma reduction;
- . cutaneous papilloma (skin tags);
- . milia:
- debridement of eczematous or infected skin; ●
- basal and squamous cell carcinoma, including keratoacanthomas, Bowen's disease ◆ (Erythroplasia of Queyrat), and Bowenoid Papulosis (BP) lesions;
- . nevi, including spider, epidermal and protruding;
- . neurofibromas;
- laser de-epithelialization; .
- tricoepitheliomas; ●
- xanthelasma palpebrarum;
- syringoma
Mark N. Milker
General. Restorative
510(k) Number K030147
*** Page 2 of 8 (Indications For Use Continued on Next Page; 8 pages total) ***
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K030147 510(k) Number (if Known):
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
## Dermatology & Plastic Surgery, continued
Laser ablation, vaporization and/or excision for complete and partial nail matrixectomy
Vaporization/coagulation of:
- benign/malignant vascular/avascular skin lesions; ●
- Moh's Surgery; ●
- lipectomy; ●
- verrucae and seborrhoecae vulgares, including paronychial, periungal, and subungual . warts:
Laser incision and/or excision of soft tissue for the performance of upper and lower eyelid blepharoplasty.
Laser incision and/or excision of soft tissue for the creation of recipient sites for hair transplantation
## Podiatry
Laser ablation, vaporization and/or excision of soft tissue for the reduction, removal, and/or treatment of:
- verrucae vulgares/plantar (warts), including paronychial, periungal, and subungual warts; .
- . fungal nail treatment;
- . porokeratoma ablation;
- . ingrown nail treatment;
- . neuromas/fibromas, including Morton's neuroma;
- . debridement of ulcers;
- other soft tissue lesions. ●
Laser ablation, vaporization and/or excision in podiatry for complete and partial matrixectomy;
Mark N Milliken
eral. Restorative
) Number K030147
*** Page 3 of 8 (Indications For Use Continued on Next Page; 8 pages total) **
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K030147
000
## Attachment 2 Indications For Use Statement as Requested by FDA
510(k) Number (if Known): K030147
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
# Otolaryngology (ENT)
Laser incision, excision, ablation and/or vaporization of soft tissue in otolaryngology for treatment of:
- choanal atresia; ●
- leukoplakia, including oral, larynx, uvula, palatal, upper lateral pharyngeal tissue; ●
- nasal obstruction; ●
- adult and juvenile papillomatosis polyps;
- polypectomy of nose and nasal passages; ●
- lymphangioma removal; ●
- removal of vocal cord/fold nodules, polyps and cysts; ●
- . removal of recurrent papillomas in the oral cavity, nasal cavity, larynx, pharynx and trachea, including the uvula, palatal, upper lateral pharyngeal tissue, tongue and vocal cords;
- laser/tumor surgery in the larynx, pharynx, nasal, ear and oral structures and tissue;
- Zenker's Diverticulum/ pharyngoesophageal diverticulum fendoscopic laser-assisted ● esophagodiverticulostomy (ELAED)];
- stenosis, including subglottic stenosis; ●
- tonsillectomy (including tonsillar cryptolysis, neoplasma) and tonsil ● ablation/tonsillotomy;
- . pulmonary bronchial and tracheal lesion removal;
- benign and malignant nodules, tumors and fibromas (larynx, pharynx, trachea, tracheobronchial/endobronchial);
- benign and malignant lesions and fibromas (nose and nasal passages); ●
- benign and malignant tumors and fibromas (oral);
- stapedotomy/stapedectomy;
- . acoustic neuroma in the ear;
- . superficial lesions of the ear, including chondrodermatitis nondularis chronica helices/Winkler's disease;
- telangiectasia/hemangioma of larynx, pharynx and trachea (includes uvula, palatal or upper lateral pharyngeal tissue);
- cordectomy, cordotomy (for the treatment of vocal fold paralysis/vocal fold motion ● impairment), and cordal lesions of larynx, pharynx and trachea;
- myringotomy/tympanostomy (tympanic membrane fenestration);
- uvulopalatoplasty (LAUP, laser UPPP); ●
- turbinectomy and turbinate reduction/ablation);
- septal spur ablation/reduction and septoplasty;
- partial glossectomy;
- tumor resection on oral, subfacial and neck tissues;
# ** Page 4 of 8 (Indications For Use Continued on Next Page; 8 pages total) ***
510(k) Submission: Modified Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
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K030147
@00
K030147 510(k) Number (if Known):
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
# Otolaryngology (ENT) - continued
- rhinophyma; ●
- . verrucae vulgares (warts);
- . gingivoplasty/gingivectomy
# Gynecology (GYN)
Laser incision, excision, ablation and/or vaporization of soft tissue in gynecology (GYN) for treatment of:
- conization of the cervix, including cervical intraepithelial neoplasia (CIN), vulvar and ● vaginal intraepithelial neoplasia (VIN, VAIN);
- condyloma acuminata, including cervical, genital, vulvar, perineal, and Bowen's disease, . (Erythroplasia of Queyrat) and Bowenoid papulosa (BP) lesions;
- leukoplakia (vulvar dystrophies); .
- incision and drainage (I&D) of Bartholin's and nubuthian cysts; .
- herpes vaporization; .
- urethral caruncle vaporization; .
- cervical dysplasia: .
- benign and malignant tumors; ●
- hemangiomas .
# GYN Laparoscopy
Vaporization, incision, excision, ablation, or photocoagulation of soft tissue in endoscopic and laparoscopic surgery, including GYN laparoscopy, for treatment of:
- endometrial lesions, including ablation of endometriosis; ●
- excision/lysis of adhesions; ●
- salpingostomy; .
- oophorectomy/ovariectomy; .
- fimbroplasty;
- . metroplasty;
- . microsurgery (tubal);
- uterine myomas and fibroids; ●
- ovarian fibromas and follicle cysts; ●
- uterosacral ligament ablation; .
- hysterectomy
Mark N Millman
ivision Sign-Off) rision of Ceneral, Restorativ and Neurological Devices
10(k) Number K030147
- *** Page 5 of 8 (Indications For Use Continued on Next Page; 8 pages total) ***
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### LUMENIS INC
K030147
000
# Attachment 2 Indications For Use Statement as Requested by FDA
K030147 510(k) Number (if Known):
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
## Neurosurgery
Laser incision, excision, ablation and/or vaporization of soft tissue in neurosurgery for the treatment of:
## Cranial
- posterior fossa tumors; .
- peripheral neurectomy; .
- benign and malignant tumors and cysts (e.g. gliomas, menigiomas (including basal . tumors), acoustic neuromas, lipomas and large tumors);
- arteriovenous malformation; .
- pituitary gland tumors (transphenoidal approach) ●
### Spinal Cord
- incision/excision and vaporization of benign and malignant tumors and cysts; ●
- intra- and extradural lesions; ●
- laminectomy/ laminotomy/ microdiscectomy .
# Orthopedics
Incision/excision and vaporization of soft tissue in orthopedic surgery. Applications include:
## Arthroscopy
- menisectomy; ●
- chondromalacia: ●
- chondroplasty; .
- ligament release (lateral and other); .
- excision of plica; .
- . partial synovectomy;
## General
- . debridement of traumatic wounds;
- debridement of dualifatio woulds;
debridement of decubitus and diabetic ulcers; and New .
- microsurgery; .
- . artificial joint revision;
- PMMA removal
Mark N. Milkum
Restorative
710(k) Number K030147
## *** Page 6 of 8 (Indications For Use Continued on Next Page; 8 pages total) ***
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K030147
510(k) Number (if Known): K030147
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
## General/Thoracic Surgery
Incision, excision and vaporization of soft tissue in general and thoracic surgery including endoscopic and open procedures. Applications include:
- debridement of decubitus ulcers, stasis, diabetic and other ulcers; .
- mastectomy; ●
- debridement of burns; ●
- rectal and anal hemorrhoidectomy; .
- breast biopsy; .
- reduction mammoplasty; .
- cytoreduction for metastatic disease; .
- laparotomy and laparoscopic applications; .
- mediastinal and thoracic lesions and abnormalities; .
- skin tag vaporization; ●
- atheroma; .
- cysts, including sebaceous cysts, pilar cysts, and mucous cysts of the lips; .
- pilonidal cyst removal and repair; .
- abscesses; ●
- other soft tissue applications .
## Dental/Oral Surgery
Incision/excision and vaporization of soft tissue in dentistry and oral surgery. Applications include:
- gingivectomy- removal of hyperplasias; .
- gingivoplasty: ●
- incisional and excisional biopsy; ●
- treatment of ulcerous lesions, including aphthous ulcers; .
- incision of infection when used with antibiotic therapy; ●
- frenectomy (frenum release); .
- excision and ablation of benign and malignant lesions; .
- homeostasis; ●
- operculectomy; .
- crown lengthening; .
- removal of soft tissue, cysts and tumors;
- oral cavity tumors and hemangiomas;
- abscesses;
Mark A Milbern
Division of General. Restorative
710(k) Number K030147
# *** Page 7 of 8 (Indications For Use Continued on Next Page; 8 pages total) **
510(k) Submission:
Modified Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Attachment 2 - Page 7
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@ 0 1
## Attachment 2 Indications For Use Statement as Requested by FDA
510(k) Number (if Known): K030147
Device Name: Lumenis Family of UltraPulse SurgiTouch CO2 Surgical Lasers
Indications For Use:
Continued from previous page:
# Dental/Oral Surgery - continued
- extraction site hemostasis; .
- salivary gland pathologies; ●
- preprosthetic gum preparation; .
- leukoplakia; .
- . partial glossectomy;
- periodontal gum resection .
# Genitourinary
Incision/excision and vaporization of soft tissue in genitourinary procedures. Applications include:
- benign and malignant lesions of external genitalia; .
- condyloma; .
- phimosis; .
- . erythroplasia
Mark A. Milliken
Restorative
K030147
## *** Page 8 of 8 ***
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.