K053421 · Cynosure, Inc. · GEX · Feb 1, 2006 · General, Plastic Surgery
Device Facts
Record ID
K053421
Device Name
YAG MIR FAMILY LASER
Applicant
Cynosure, Inc.
Product Code
GEX · General, Plastic Surgery
Decision Date
Feb 1, 2006
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4810
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Cynosure YAG MIR Family Laser is indicated for permanent hair reduction and the treatment of vascular and pigmented lesions and wrinkles.
Device Story
Cynosure YAG MIR Family Laser is a Nd:YAG laser system utilizing a Nd:YAG crystal rod as the lasing medium. It operates at 1064nm and 1440nm wavelengths. The device is activated via footswitch or finger switch by a clinician in a clinical setting. It delivers laser energy to target soft tissue for surgical applications (incision, excision, ablation, vaporization, coagulation, hemostasis) or dermatological treatments (hair reduction, lesion removal, wrinkle reduction). The system is a floor-standing unit weighing 285 lbs, requiring 220 VAC power. By targeting melanin in hair follicles or specific vascular/pigmented structures, the laser provides therapeutic effects for skin conditions and unwanted hair. Clinicians use the device to perform procedures that improve patient aesthetic appearance or treat dermatological pathologies.
Indicated for adults requiring coagulation/hemostasis of vascular lesions (port wine stains, hemangiomas, warts, telangiectasia, rosacea, venous lakes, scars, striae, psoriasis, poikiloderma of Civatte); treatment of benign pigmented lesions (lentigos, solar lentigos, Café au lait macules, seborrheic keratoses, nevi, chloasma, verrucae, skin tags, keratoses, tattoos); treatment of wrinkles (periocular, perioral); removal of unwanted hair; and treatment of pseudofolliculitis barbae (PFB). Also indicated for general surgery/dermatology use (incision, excision, ablation, vaporization, coagulation, hemostasis of soft tissue).
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
Cynosure YAG Family laser
Submission Summary (Full Text)
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にER) 2006
K 053421
## 510(K) Summary
| Submitter: | Cynosure, Inc.<br>5 Carlisle Road<br>Westford, MA 01886 |
|-------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact: | George Cho<br>Senior Vice President of Medical Technology |
| Date Summary Prepared: | December 7, 2005 |
| Device Trade Name: | Cynosure YAG MIR Family Laser |
| Common Name: | Medical Laser System |
| Classification Name: | Instrument, surgical, powered, laser<br>79-GEX<br>21 CFR 878.4810 |
| Equivalent Device: | The Cynosure YAG Family laser |
| Device Description: | The Cynosure YAG MIR Family laser is a Nd:YAG laser, having a<br>ND:YAG crystal rod as a lasing medium.<br>Laser activation is by footswitch or finger switch. Overall weight of<br>the laser is 285lbs, and the size is 41"x18"x32" (HxWxD).<br>Electrical requirement is 220 VAC, 30A, 50-60 Hz, single phase. |
| Intended Use: | The Cynosure YAG MIR Family Laser is indicated for permanent hair<br>reduction and the treatment of vascular and pigmented lesions and<br>wrinkles. |
| Comparison: | The Cynosure YAG MIR Family Laser has the same indications for<br>use, the same principle of operation, and similar wavelengths and<br>pulse energy range as the predicate device(s). |
| Nonclinical Performance Data: | none |
| Clinical Performance Data: | none |
| Conclusion: | The Cynosure YAG MIR Family Laser is a safe and effective device<br>for the indications specified. |
| Additional Information: | none |
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Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
FEB 1 2006
Mr. George Cho Senior Vice President Medical Technology Cynosure, Inc. 5 Carlisle Road Westford, Massachusetts 01886
Re: K053421 K053421
Trade/Device Name: Cynosure YAG MIR Family Laser Frade/Dovider: 21 CFR 878.4810 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: December 7, 2005 Received: December 9, 2005
Dear Mr. Cho:
We have reviewed your Section 510(k) premarket notification of intent to market the device
s and the many of the county of the device is substantially equivalent (for the ind We have reviewed your Section > I'v(x) premium in the minutent (for the indications
referenced above and have determined the device is substantially interstate referenced above and have delemined the devices marketed in interstate
for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the enclosure) to legily manced te of the Medical Device Amendments, or to
commerce prior to May 28, 1976, the enactment the organison of the Federal Food. commerce prior to May 28, 1976, the enactively with the provisions of the Federal Food. Drug,
devices that have been reclassified in accordance with the provisions of the Fed devices that have been reclassified in accordance while in the proval application (PMA).
and Cosmetic Act (Act) that do not require approval control enonvisions of the Act. and Cosmetic Act (Act) that do not require approval or a provisions of the Act. The
You may, therefore, market the device, subject to the general constructions of the Act. You may, therefore, market the uevice, subject to the genting for annual registration, listing of
general controls provisions of the Act include requirements mishranding and general controls provisions of the Act mende requirements of the security misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (see a000) into chief regulations affecting your device
it may be subject to such additional controls. Existing major regulations FDA it may be subject to such additions. Extrails includes of the 800 to 898. In addition, FDA
can be found in the Code of Federal Regulations, Title 21, Parts 800 to Angel can be found in the Code of Federal Regalations, The Bedgral Register.
Please be advised that FDA's issuance of a substantial equivalence determination docs not mean Please be advised that FDA s Issualited on a substitution with other requirements of the Act
that FDA has made a determination that your device also accepcies . You must that FDA has made a determination mat your de ros seem agencies. You must or any Federal statutes and regulations administration of the tregistration and listing (21
comply with all the Act's requirements, including, but not to regurements as set comply with all the Act s requirements, mendams, out manufacturing practice requirements as school CFR Part 807); labeling (21 CFR Part 801); good and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, 1960 forin in the quality systems (QD) regulations (Sections 531-542 of the Act); 21 CFR 1000-1050.
product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000
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Page 2 -- Mr. Cho
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 (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Barbara Buehrig
Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known): _
Device Name: _ Cynosure YAG MIR Family Laser
Indications For Use:
1064nm: The Cynosure YAG MIR Family laser is intended for the coagulation and hemostasis of 1004mm. The Cynosure 1710 mitted to, port wine stains, hemangiomas, warts, belligh vascular icsions, such as , out hovement and poikiloderma of civatte; and treatment of telangicolasia, rosacca, vehas sates, scars, stiae and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), Café au lait macules, seborrheic keratoses, nevi, chloasma, verrucea, skin tags, keratoses, tattoos spors), Caro an fair masures, of black and/or blue/black tattoos) and plaques.
The laser is also indicated for the treatment of wrinkles such as, but not limited to, periocular and perioral wrinkles.
Additionally, the laser is indicated for the removal of unwanted hair, for the stable long term, or Adultionally, the laser is marbated for attreating of melanin in the hair follicles, and for the treatment of pseudofolliculitis barbae (PFB).
1440mm: The Cynosure YAG MIR Family laser is indicated for use in general surgery and dermatology for the incision, excision, ablation, vaporization, coagulation and hemostasis of soft tissue. It is also ior the meision, oneible, actuacia, winkles and perioral wrinkles and pigmented lesions.
> Over-The-Counter Use X OR Prescriptive Use (Part 21 CFR 801 Subpart C) (Part 21 CFR 801 Subpart D)
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Carlene Beecher Der MKM
Division of General. Restorative, and Neurological Desires
510(k) Number_ (05 542 _
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.