ARION

K042474 · Wavelight Laser Technologie AG · GEX · Sep 29, 2004 · General, Plastic Surgery

Device Facts

• Record ID: K042474
• Device Name: ARION
• Applicant: Wavelight Laser Technologie AG
• Product Code: GEX · General, Plastic Surgery
• Decision Date: Sep 29, 2004
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic, 3rd-Party Reviewed

Intended Use

The ARION Alexandrite Laser is intended for use in dermatology for hair removal for skin types Fitzpatrick I - IV.

Device Story

ARION is a 755 nm solid-state long-pulsed Alexandrite laser system used in dermatology for hair removal. The device delivers laser energy to the skin via a transmission system consisting of a handpiece or a MedArt 928 scanner. The handpiece features interchangeable inserts with spot sizes of 6, 8, 10, 12, and 14 mm; the scanner uses spacers for spot sizes of 8, 9, 10, and 12 mm. The system includes integrated handpiece detection that automatically identifies the selected spot size and adjusts parameter ranges on the laser display. An optional cooling device can be adapted to the handpiece or scanner for epidermal cooling. The device is operated by a clinician to target hair follicles, with the output parameters automatically configured based on the detected spot size to ensure appropriate energy density delivery.

Clinical Evidence

No clinical data presented; bench testing only.

Technological Characteristics

755 nm solid-state long-pulsed Alexandrite laser. Features include a transmission system with interchangeable handpiece inserts (6-14 mm spot sizes) and a MedArt 928 scanner (8-12 mm spot sizes). Integrated handpiece detection automatically adjusts parameter ranges based on spot size. Supports optional epidermal cooling attachment.

Indications for Use

Indicated for hair removal in patients with Fitzpatrick skin types I - IV.

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

• Light Age Epicare Model LPX (K983977)
• Sharplan EpiTouch 5000 Alexandrite laser system (K971874)
• Sharplan EpiTouch 5000 Alexandrite laser system (K973354)
• Candela Gentlelase family of laser systems (K024260)
• Candela Gentlelase family of laser systems (K024335)
• Candela Gentlelase GL (K994260)
• Cynosure Apogee-Tks II (K031488)
• Cynosure Apogee-Tks (K992757)

Submission Summary (Full Text)

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Wavelight Arion: 510(k) Review August 31, 2004

SEP 2 9 2004

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510K Summary

| WaveLight® | |
|-----------------------------------------------------------|--|
| 510(k) Summary of Safety and Effectiveness - ARION Device | |

This 510(k) Summary of Safety and Effectiveness is being submitted in accordance with the requirements of the SMDA 1990 and 21 CFR 807.92.

| 1. General Information | |
|---------------------------|----------------------------------------------------------------------------------------------------|
| Submitter: | WaveLight Laser Technologie, AG<br>Am Wolfsmantel 5<br>91058 Erlangen<br>Germany |
| Contact Person: | Alexander Popp<br>WaveLight Laser Technologie, AG<br>Am Wolfsmantel 5<br>91058 Erlangen<br>Germany |
| Summary Preparation Date: | July 30, 2004 |
| 2. Names | |
| Device Name: | ARION |
| Classification Name: | Laser Instrument, Surgical Powered<br>Product Code: GEX<br>Panel: Dermatology and Plastic Surgery |

## 3. Predicate Devices

The ARION laser system is substantially equivalent to the Light Age Epicare Model LPX (K983977), the Sharplan EpiTouch 5000 Alexandrite laser system (K971874), the Sharplan EpiTouch 5000 Alexandrite laser system (K973354), the Candela Gentlelase family of laser systems (K024260), the Candela Gentlelase family of laser systems (K024335), the Candela Gentlelase GL (K994260), the Cynosure Apogee-Tks II (K031488), and the Cynosure Apogee-Tks (K992757).

.

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K042474
p. 2 of 2

Wavelight Arion: 510(k) Review August 31, 2004

510K Summary (con't)

# 510(k) Summary of Safety and Effectiveness - ARION Device

### 4. Device Description

The ARION is a 755 nm solid-state long-pulsed Alexandrite laser system. The beam is directed to the treatment area by a transmission system which is connected to the laser device. The EPI Zoom Ax transmission system consists of a hand piece attachment with a firmly attached fiber and a hand piece. The hand piece insert can be moved within the hand piece and determine the application and parameter ranges. The hand piece insert in the transmission system hand piece can snap into various positions. The number located closest to the hand piece indicates the spot diameter on the skin in mm (spot sizes: 6/8/10/12/14 mm). The integrated hand piece detection feature automatically shows the selected spot diameter on the laser display. The parameter range is also automatically adjusted for the corresponding range. The MedArt 928 scanner for ARION consists of a scanner with a connected transmission system and a spacer with a 8, 9, 10 and 12 mm spot size. The spacer determines the spot diameter on the skin and therefore the parameter range of the configurable energy densities as well. The spacers are inserted into the scanner as shown below and must be inserted into the scanner up to the limit stop position. The spacers now automatically sets a spot diameter of 8, 9, 10, and 12 mm on the skin; this is also shown automatically on the laser display. The parameter range is also automatically adjusted for the corresponding range. For epidermal cooling can be a cooling device adapted to the handpiece / scanner.

#### 5. Indications for Use

The ARION laser system is indicated:

1. The ARION Alexandrite Laser is intended for use in dermatology for hair removal for skin types Fitzpatrick I - IV.

- 6. Performance Data None presented.
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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

SEP 2 9 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

WaveLight Laser Technologie, AG c/o Mr. William J. Sammons Conformity Assessment Services Underwriters Laboratories, Inc 12 Laboratory Drive P.O. Box 13995 Research Triangle Park, North Carolina 27709

Re: K042474 Trade/Device Name: ARION 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: August 31, 2004 Received: September 13, 2001

Dear Mr. Sammons:

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 for association 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, listing 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 - William J. Sammons

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 11 you a the Office of Compliance at [phone]. 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 from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Miriam C. Provost

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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Wavelight Arion: 510(k) Review August 31, 2004

Indication for use

S WaveLight®

K042474

510 (k) Indication for Use

510(k) Number (if known)

Device Name___________________________________________________________________________________________________________________________________________________________________ ARION

Indications for Use:

1. The ARION Alexandrite Laser is intended for use in dermatology for hair removal for skin types Fitzpatrick I - IV.

| Prescription Use<br>(Part 21 CFR 801 Subpart D) | |
|-------------------------------------------------|--|
|-------------------------------------------------|--|

AND/OR

| Over-The-Counter Use<br>(21 CFR 801 Subpart C) | |
|------------------------------------------------|--|
|------------------------------------------------|--|

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Muriam C. Provost

(Division Sign-Off) Division of General, Restorative, and Neurological Devices

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**510(k) Number** k042474

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