GENTLERAY 980 DIODE LASER SYSTEM
K072262 · Kavo America · GEX · Oct 26, 2007 · General, Plastic Surgery
Device Facts
| Record ID | K072262 |
| Device Name | GENTLERAY 980 DIODE LASER SYSTEM |
| Applicant | Kavo America |
| Product Code | GEX · General, Plastic Surgery |
| Decision Date | Oct 26, 2007 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 878.4810 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric, 3rd-Party Reviewed |
Intended Use
Intra- and extra-oral surgery including incision, excision, hemostasis, coagulation and vaporization of soft tissue. The GENTLEray 980 Diode Dental Laser System is intended for use in the following procedures: Frenectomy, Frenotomy, Biopsy, Operculectomy, Implant Recovery, Gingivectomy, Gingivoplasty, Gingival Troughing, Crown Lengthening, Hemostasis of Donor Site, Removal of Granulation Tissue, Laser-assisted Flap Surgery, Debridement of Deseased Epithelial Lining, Incisions and Draining of Abscesses, Tissue Retraction for Impressions, Papillectomy, Vestibuloplasty, Excision of Lesions, Leukoplakia, Exposure of Unerupted/Partially Erupted Teeth, Removal of Hyperplastic Tissues, Treatment of Aphthous Ulcers, Sulcular Debridement, Pulpotomy, Pulpotomy as an Adjunct to Root Canal Therapy, and Light Activation of Bleaching Materials.
Device Story
GENTLEray 980 is a portable diode laser system for intraoral soft tissue surgery. Device uses 980 nm wavelength laser energy delivered via contact fiber optic system to ablate, incise, excise, and coagulate tissue. System includes peristaltic pump for irrigation. Operated by dental professionals in clinical settings. Clinician controls laser parameters (power, pulse duration, frequency) via device interface; output is delivered to target tissue to achieve surgical goals like hemostasis or tissue removal. Benefits include precise tissue management and reduced bleeding during dental procedures.
Clinical Evidence
Bench testing only. No clinical data provided. Validation included electrical safety, electromagnetic compatibility, and hardware/software functional testing to demonstrate performance equivalent to predicate devices.
Technological Characteristics
Diode laser system; 980 nm wavelength; 0.4-12W output power; pulsed or continuous operating modes; 635 nm red aiming beam; air-cooled; peristaltic pump for irrigation; steam autoclave sterilization for accessories; portable form factor (10.5" x 7" x 6"); 100-240V power requirement.
Indications for Use
Indicated for intra- and extra-oral soft tissue surgery including incision, excision, hemostasis, coagulation, and vaporization in adult and pediatric patients. Procedures include frenectomy, biopsy, gingivectomy, implant recovery, abscess drainage, and tooth whitening.
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
- Ceramoptec Ceralas D15 (K983058, K991891)
- ADT Diolase 980 D Laser System (K023547)
- Elexxion Claros (K063152)
Related Devices
- K023547 — DIOLASE 980 D LASER SYSTEM · American Dental Technologies, Inc. · Apr 15, 2003
- K082445 — CURATIVE980 DIODE LASER · Oroscience, Inc. · Oct 15, 2008
- K972325 — PULSEMASTER 1000 ST DENTAL LASER SYSTEM · American Dental Technologies, Inc. · Sep 19, 1997
- K061366 — DENLASER 800 PLUS · CAO Group, Inc. · Jul 10, 2006
- K042114 — MDL SERIES DIODE LASERS, MODEL MDL-10/15 · Vision Lasertechnik, GmbH · Feb 3, 2006
Submission Summary (Full Text)
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KO 72262
Image /page/0/Picture/1 description: The image contains two logos, one on the left and one on the right. The logo on the left is a stylized design, while the logo on the right contains the words "GENDEX" on the top line and "DEXIS" on the bottom line. The text in the logos is in a simple, sans-serif font.
| Applicant: | KaVo Dental Corporation | OCT 26 2007 |
|------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|
| Address: | 340 East Main Street<br>Lake Zurich, IL 60047<br>USA | |
| Phone Number:<br>Fax Number: | 847-550-6800<br>847-550-6825 | |
| Contact Person: | Mari Lambert | |
| Summary Prepared: | October 4, 2007 | |
| Name of Device: | KaVO GENTLEray 980 | |
| Trade Name: | GENTLEray 980 | |
| Common Name: | GENTLEray | |
| Classification Name: | Laser surgical instrument for use in general and plastic surgery<br>and in dermatology | |
| CFR Number: | 21 CFR §878.4810 | |
| Product Code: | GEX | |
| Product Description: | The GENTLEray 980 Diode Dental Laser System is a portable<br>instrument intended for ablating, incising, excising, and<br>coagulating intraoral soft tissue (including the marginal and<br>interdental gingiva) using a contact fiber optic delivery system. | |
| Intended Use: | Intra- and extra-oral surgery including incision, excision,<br>hemostasis, coagulation and vaporization of soft tissue.<br>The GENTLEray 980 Diode Dental Laser System is intended for<br>use in the following procedures: Frenectomy, Frenotomy,<br>Biopsy, Operculectomy, Implant Recovery, Gingivectomy,<br>Gingivoplasty, Gingival Troughing, Crown Lengthening,<br>Hemostasis of Donor Site, Removal of Granulation Tissue,<br>Laser-assisted Flap Surgery, Debridement of Deseased Epithelial<br>Lining, Incisions and Draining of Abscesses, Tissue Retraction<br>for Impressions, Papillectomy, Vestibuloplasty, Excision of<br>Lesions, Leukoplakia, Exposure of Unerupted/Partially Erupted<br>Teeth, Removal of Hyperplastic Tissues, Treatment of Aphthous<br>Ulcers, Sulcular Debridement, Pulpotomy, Pulpotomy as an<br>Adjunct to Root Canal Therapy, and Light Activation of | |
| Performance<br>Standards: | The GENTLEray 980 Diode Dental Laser System complies with<br>the appropriate sections of 21 CFR §1010 and 21 CFR §1040. | |
| Substantial<br>Equivalence: | The GENTLEray 980 Diode Dental Laser System has the same<br>intended use and the same or substantially equivalent technical<br>specifications and mechanism of action as compared with the<br>named predicated devices. The KaVo GENTLEray 980 Diode<br>Laser is substantially equivalent to the Ceramoptec Ceralas D15<br>(K983058, K991891) sold latterly under the BioLitec brand<br>name SmilePro™ 980, the ADT Diolase 980 D Laser System<br>(K023547) and the Elexxion Claros (K063152). Performance<br>testing to validate the safety and effectiveness of the<br>GENTLEray 980 Diode Dental Laser System includes electrical<br>safety, electromagnetic compatibility, and validation testing of<br>both hardware and software functions. The comparison of<br>specifications are as follows: | |
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KO72262
| Specifications | Proposed Device | Predicate Device | Predicate Device | Predicate Device |
|--------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Wavelength | KaVo GENTLEray 980 | Biolitec Smilepro 980 | ADT Diolase 980 D | Elexxion Claros |
| | 980 nm | 980 nm | 980 nm | 810 nm |
| Output Power | 12W | 15W | 15 W | 30 W |
| Power Range | .4 - 12W | 1-15W | .2 - 15 W | 0.01W - 30 W |
| Increments | .2 - 1W | 1W | .2 - 1W | 0.01W - 1 W |
| Operating Modes | Pulsed or Continuous | Pulsed or Continuous | Pulsed or Continuous | Pulsed or Continuous |
| Pulse Duration ON | 25μs to 99.9 Sec. | 0.01 to 99.9 Sec. | 0.01 to 99.9 Sec | 25μs to 99.9 Sec. |
| Pulse Duration OFF | 25μs to 99.9 Sec. | 0.01 to 99.9 Sec. | 0.01 to 99.9 Sec | 25μs to 99.9 Sec. |
| Frequency | 20.000 Hz | 100 Hz | 100 Hz | 20.000 Hz |
| Aiming beam | 635 nm, <1mW; Red | 635 nm, 4mW; Red | 635 nm, 4mW; Red | 635 nm, 4mW; Red |
| Cooling | Air Cooled | Air Cooled | Air Cooled | Air Cooled |
| Weight | 9 lbs. (4.5kg) | 15 lbs. (9kg) | 11 lbs. (5kg) | 48 lbs. (22kg) |
| Dimensions | 10.5" x 7" x 6" | 14" x 9" x 7" | 14" x 9" x 3" | 33" x 18" x 20" |
| Power<br>Requirements | 100 - 240 V | 110/220 V | 110/220 V | 110/220 V |
| Sterilization<br>Methods | Steam Autoclave | Steam Autoclave | Steam Autoclave | Steam Autoclave |
| Irrigant Supply | Peristaltic Pump | Peristaltic Pump | Peristaltic Pump | None |
| Indications for Use | Intra- and extra-oral<br>surgery including incision,<br>excision, hemostasis,<br>coagulation and<br>vaporization of soft tissue.<br>The device is intended for<br>use in the following<br>procedures: Frenectomy,<br>Frenotomy, Biopsy,<br>Operculectomy, Implant<br>Recovery, Gingivectomy,<br>Gingivoplasty, Gingival<br>Troughing, Crown<br>Lengthening, Hemostasis<br>of Donor Site, Removal of | Intra- and extra-oral<br>surgery including incision,<br>excision, hemostasis,<br>coagulation and<br>vaporization of soft tissue.<br>The device is intended for<br>use in the following<br>procedures: Frenectomy,<br>Frenotomy, Biopsy,<br>Operculectomy, Implant<br>Recovery, Gingivectomy,<br>Gingivoplasty, Gingival<br>Troughing, Crown<br>Lengthening, Hemostasis<br>of Donor Site, Removal of | Intra- and extra-oral<br>surgery including incision,<br>excision, hemostasis,<br>coagulation and<br>vaporization of soft tissue.<br>The device is intended for<br>use in the following<br>procedures: Frenectomy,<br>Frenotomy, Biopsy,<br>Operculectomy, Implant<br>Recovery, Gingivectomy,<br>Gingivoplasty, Gingival<br>Troughing, Crown<br>Lengthening, Hemostasis<br>of Donor Site, Removal of | Dental Soft Tissue<br>Indications Including<br>Pulpal Tissues*<br>Incision, excision,<br>vaporization, ablation and<br>coagulation of oral soft<br>tissues, including:<br>Excisional and incisional<br>biopsies, Exposure of<br>unerupted teeth, Fibroma<br>removal, Frenectomy,<br>Frenotomy, Gingival<br>troughing for crown<br>impressions,<br>Gingivectomy |
| | Laser-assisted Flap<br>Surgery, Debridement of<br>Deseased Epithelial<br>Lining, Incisions and<br>Draining of Abscesses,<br>Tissue Retraction for<br>Impressions,<br>Papillectomy,<br>Vestibuloplasty, Excision<br>of Lesions, Leukoplakia,<br>Exposure of<br>Unerupted/Partially<br>Erupted Teeth, Removal<br>of Hyperplastic Tissues,<br>Treatment of Aphthous<br>Ulcers, Sulcular<br>Debridement, Pulpotomy,<br>Pulpotomy as an Adjunct<br>to Root Canal Therapy,<br>and Light Activation of<br>Bleaching Materials. | Laser-assisted Flap<br>Surgery, Debridement of<br>Deseased Epithelial<br>Lining, Incisions and<br>Draining of Abscesses,<br>Tissue Retraction for<br>Impressions,<br>Papillectomy,<br>Vestibuloplasty, Excision<br>of Lesions, Leukoplakia,<br>Exposure of<br>Unerupted/Partially<br>Erupted Teeth, Removal<br>of Hyperplastic Tissues,<br>Treatment of Aphthous<br>Ulcers, Sulcular<br>Debridement, Pulpotomy,<br>Pulpotomy as an Adjunct<br>to Root Canal Therapy,<br>and Light Activation of<br>Bleaching Materials. | Laser-assisted Flap<br>Surgery, Debridement of<br>Deseased Epithelial<br>Lining, Incisions and<br>Draining of Abscesses,<br>Tissue Retraction for<br>Impressions,<br>Papillectomy,<br>Vestibuloplasty, Excision<br>of Lesions, Leukoplakia,<br>Exposure of<br>Unerupted/Partially<br>Erupted Teeth, Removal<br>of Hyperplastic Tissues,<br>Treatment of Aphthous<br>Ulcers, Sulcular<br>Debridement, Pulpotomy,<br>Pulpotomy as an Adjunct<br>to Root Canal Therapy,<br>and Light Activation of<br>Bleaching Materials. | incision and excision,<br>Hemostasis and<br>coagulation, Implant<br>recovery, Incision and<br>drainage of abscesses,<br>Leukoplakia,<br>Operculectomy, Oral<br>papillectomies,<br>Pulpotomy, Pulpotomy as<br>an adjunct to root canal<br>therapy, Reduction of<br>gingival hypertrophy, Soft<br>tissue crown lengthening,<br>Treatment of canker<br>sores, herpetic and<br>aphthous ulcers of the<br>oral mucosa, and<br>Vestibuloplasty.<br>*For use on adult and<br>pediatric patients<br>Laser Periodontal<br>Procedures<br>Laser soft tissue<br>curettage, Laser removal<br>of diseased, infected,<br>inflamed and necrosed<br>soft tissue within the<br>periodontal pocket,<br>Removal of highly<br>inflamed edematous<br>tissue affected by bacteria<br>penetration of the pocket<br>lining and junctional<br>epithelium, Sulcular<br>debridement (removal of<br>diseased or inflamed soft<br>tissue in the periodontal<br>pocket to improve clinical<br>indices including gingival<br>index, gingival bleeding<br>index, probe depth,<br>attachment loss and tooth<br>mobility)<br>Tooth Whitening<br>Laser assisted<br>whitening/bleaching of<br>teeth, Light activation for<br>bleaching materials for<br>teeth. |
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02262
Conclusion:
After analyzing both bench and user testing data, it is the conclusion of Kavo that the GENTLEray 980 Diode Laser System is as safe and effective as the predicate device, has few technological differences, and has no new indications for use, thus rendering it substantially equivalent to the predicate device.
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Image /page/3/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized graphic of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Kavo America % Intertek Testing Services Mr. Daniel W. Lehtonen 2307 East Aurora Road, Unit B7 Twinsburg, Ohio 44087
OCT 2 6 2007
Re: K072262 Trade/Device Name: GENTLEray 980 Diode Laser System Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and and in dermatology Regulatory Class: II Product Code: GEX Dated: October 10, 2007 Received: October 11, 2007
Dear Mr. Lehtonen:
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, 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 - Mr. Daniel W. Lehtonen
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" (21CFR Part 807.97). You may 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/suport/index.html
Sincerely yours,
Mark A. Milkeron
Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known): k022262
Device Name: GENTLEray 980 Diode Laser System
Indications for Use:
Intra- and extra-oral surgery including incision, excision, hemostasis, coagulation and vaporization of soft tissue.
The GENTLEray 980 Diode Dental Laser System is intended for use in the following procedures: Frenectomy, Frenotomy, Biopsy, Operculectomy, Implant Recovery, Gingivectomy, Gingivoplasty, Gingival Troughing, Crown Lengthening, Hemostasis of Donor Site, Removal of Granulation Tissue, Laser-assisted Flan Singgry, Debridement of Deseased Epithelial Lining, Incisions and Draining of Abscesses, Tissue Retraction for Impressions, Papillectomy, Vestibuloplasty, Excision of Lesions, Leukoplakia, Exposure of Unerupted/Partially Erupted Teeth, Removal of Hyperplastic Tissues, Treatment of Aphthous Ulcers, Sulcular Debridement, Pulpotomy, Pulpotomy as an Adjunct to Root Canal Therapy, and Light Activation of Bleaching Materials.
Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (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)
Arlene A. Millerson
(Division of General, Restorative, and Neurological Dev
KO 72262
510(k) Number