K080374 · Bios S.R.L. · GEX · May 15, 2008 · General, Plastic Surgery
Device Facts
Record ID
K080374
Device Name
BIOSYAG MEDICAL SYSTEM
Applicant
Bios S.R.L.
Product Code
GEX · General, Plastic Surgery
Decision Date
May 15, 2008
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4810
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The BIOSYAG MEDICAL SYSTEM is a modular multi-laser and multi-use device for the cosmetic treatment of face and body. It is used to treat common imperfections and lessions of skin and body, including: 1. The removal of unwanted hair and to effect stable long term or permanent hair reduction, 2. Laser skin treatment procedures for the treatment of: acne scars wrinkles 3. Incision, excision, ablation, vaporisation of soft tissue, 4. The non-ablative treatment of facial wrinkles, such as, but not limited to: periocular wrinkles perioral wrinkles 5. Removal of tattoos and blemishes of the skin, the treatment of various pigmentation lesions. 6. Treatment of capillaries, teleangiectasies and vascular lesions. 7. Treatment of vitiligo and psoriasis. The equipment should only be used under medical supervision.
Device Story
Modular multi-laser system for cosmetic skin/body treatments. Inputs: electrical power; user-selected parameters via touch screen. Operation: flashlamp-pumped Nd:YAG (1064nm), Q-switched Nd:YAG (1064/532nm), Er:YAG (2940nm), and Pulsed Light (300-1000nm) sources. Light delivered via optical fiber and focusing handpieces. Cooling via internal deionised water/air heat exchanger. Output: controlled laser/light energy for tissue interaction. Used in clinical settings by medical professionals. Microprocessor-controlled; provides visual feedback via LCD. Benefits: enables precise soft tissue ablation, hair reduction, and dermatological lesion treatment.
Indicated for patients requiring cosmetic skin and body treatments, including hair removal, treatment of acne scars, wrinkles, soft tissue incision/excision/ablation, tattoo/pigmentation removal, vascular lesion treatment, and management of vitiligo and psoriasis. Contraindications not specified.
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.
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K080374
## 510(k) SUMMARY
| Submitter: | Bios Italia s.r.l.<br>Via Guido Rossa, 10/12<br>20090 Vimodrone (MI) - Italy | MAY 15 2008 |
|------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|
| Contact: | Aldo Casalino | |
| Date Summary Prepared: | January 21, 2008 (revised April 17, 2008) | |
| Device Trade Name: | BIOSYAG MEDICAL SYSTEM | |
| Common Name: | Medical Laser System | |
| Classification Name: | Instrument, surgical, powered, laser<br>GEX and FTC<br>21 CFR 878.4810 and 21 CFR 878.4630 | |
| Equivalent Device: | BIOS ITALIA S.R.L.<br>• Bios Yag 50 Med - 510(k) nº: K043521<br>• APL Medical System - 510(k) n°: K072344 | |
| Device Description: | The BIOSYAG MEDICAL SYSTEM is a modular multi-laser and multi-use device for the cosmetic treatment of face and body. It is used to treat common imperfections and lesions of skin and body.<br><br>The BIOSYAG MEDICAL SYSTEM includes the following light sources:<br>Nd:YAG 50 J (internal laser source)Nd:YAG Q-switched (handpiece)Er:YAG (handpiece)Pulsed Light source<br>The handpiece is the part that the user grips to carry out the laser treatment and consists of a main body and a removable end section that defines the size of the work beam.<br>At the resonator lead-in an appropriately dimensioned fibre is connected with a focussing device fitted on the end, used to treat the patient. | |
:
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The system is supplied with a set of adapters to be able to use different work beam dimensions. The cooling section consists of a deionised water/air heat exchanger. The foreseen operating cycle is intermittent, operating at maximum power for 10 minutes, followed by a 5 minute pause. The management of the source and the work parameters is by means of a control panel with a liquid crystal colour screen and touch screen functions. The Intended Uses for the BIOSYAG MEDICAL SYSTEM Intended Use: are the following: 1. The removal of unwanted hair and to effect stable long term or permanent hair reduction, 2. Laser skin treatment procedures for the treatment of: . acne scars wrinkles ● 3. Incision, excision, ablation, vaporization of soft tissue, 4. The non-ablative treatment of facial wrinkles, such as, but not limited to: periocular wrinkles . . perioral wrinkles 5. Removal of tattoos and blemishes of the skin, the treatment of various pigmentation lesions.
- 6. Treatment of capillaries, teleangiectasies and vascular lesions.
- 7. Treatment of vitiligo and psoriasis.
The correlation between type of light source, wavelength, and intended use is outlined in the table displayed on the following table.
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| Light<br>Source | Wavelength<br>(nm) | Specific Intended Use |
|-----------------------------------------|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ND:YAG<br>50J (internal<br>source) | 1064 | - Removal of tattoos and blemishes of the skin, the treatment of various pigmentation lesions<br>- The non-ablative treatment of facial wrinkles. |
| ND:YAG<br>Q-<br>SWITCHED<br>(handpiece) | 1064+532 | - Laser skin treatment procedures for the treatment of: acne scars; wrinkles<br>- The removal of unwanted hair and to effect stable long term or permanent hair reduction, |
| ER:YAG<br>(handpiece) | 2940 | - Incision, excision, ablation, vaporization of soft tissue,<br>- The non-ablative treatment of facial wrinkles.<br>- Treatment of capillaries, teleangiectasies and vascular lesions, |
| Pulsed Light | 300-1000 | - Treatment of vitiligo and psoriasis (300-380 nm).<br>- The removal of unwanted hair and to effect stable long term or permanent hair reduction (420-950 nm), |
Correlation between BIOSYAG Light Sources, wavelength and Intended Uses
The product specification, functionality, indication for use, Rationale for Substantial and treatment parameters of the APL MEDICAL SYSTEM Equivalence: are the same or very similar to the legally markcted laser Bios Italia srl – Bios Yag 50 Med and APL Medical System. Both systems have the same indication for use. Both systems comprise a flashlamp pumped laser rod (Nd:YAG) generating light at a wavelength of 1064 nm, which is subsequently delivered to the patient via an optical fiber delivery system, and focusing handpiece. The BIOSYAG MEDICAL SYSTEM output characteristics (including pulse duration and fluence) are identical, or very similar, to those of the predicate device. Both lasers utilize class IIIA aiming beams. Both lasers are microprocessor controlled devices. Both systems utilize an internal closed loop water-air heath exchanger circuit for optimal thermal control of laser cavity The risks and benefits for the BIOSYAG MEDICAL SYSTEM are comparable to those for the predicate device. Therefore, the introduction of this laser should not raise new questions of Safety and Effectiveness.
Non-Clinical Performance Data: None Clinical Performance Data: None
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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its body and wing. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAY 1 5 2008
Bios S.R.L.e, Inc. % Onde Consulting, LLC Alessandro Franchi 4235 E. Broadway Long Beach, California 90803
Re: K080374 Trade/Device Name: BIOSYAG MEDICAL SYSTEM
Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical insgrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: March 20, 2008 Received: March 24, 2008
Dear Alessandro Franchi:
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
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Page 2 - Alessandro Franchi
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.
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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely vours.
Mark M. Millman
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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## INDICATION FOR USE STATEMENT
510(k) Number (if known):
D
Device Name:
BIOSY AG MEDICAL SYSTEM
Sponsor Name: Bios Italia s.r.1.
Indication for Use:
The BIOSYAG MEDICAL SYSTEM is a modular multi-laser and multi-use device for the cosmetic treatment of face and body. It is used to treat common imperfections and lessions of skin and body, including:
- 1. The removal of unwanted hair and to effect stable long term or permanent hair reduction,
- 2. Laser skin treatment procedures for the treatment of:
- . acne scars
- . wrinkles
- 3. Incision, excision, ablation, vaporisation of soft tissue,
- 4. The non-ablative treatment of facial wrinkles, such as, but not limited to:
- periocular wrinkles .
- perioral wrinkles .
- 5. Removal of tattoos and blemishes of the skin, the treatment of various pigmentation lesions.
- 6. Treatment of capillaries, teleangiectasies and vascular lesions.
- 7. Treatment of vitiligo and psoriasis.
The correlation between type of light source, wavelength, and intended use is outlined in the table displayed on the following page.
The equipment should only be used under medical supervision.
## Do Not Write Below This Line – Continue on Another Page if Needed
Concurrence of CDRH, Office of Device Evaluation (ODE)
Neil R. Oehler for mrm
(Division Sign-Off)
Prescription Use ম Over-The-Counter Use Division of General, Restorative, and Neurological Devices
510(k) Number_
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| Light Source | Wavelength (nm) | Specific Intended Use |
|-------------------------------|-----------------|----------------------------------------------------------------------------------------------------------|
| ND:YAG 50J (internal source) | 1064 | Removal of tattoos and blemishes of the skin, the treatment of<br>various pigmentation lesions |
| | | The non-ablative treatment of facial wrinkles. |
| ND:YAG Q-SWITCHED (handpiece) | 1064+532 | Laser skin treatment procedures for the treatment of: acne scars;<br>wrinkles |
| | | The removal of unwanted hair and to effect stable long term or<br>permanent hair reduction, |
| ER:YAG (handpiece) | 2940 | Incision, excision, ablation, vaporisation of soft tissue, |
| | | The non-ablative treatment of facial wrinkles. |
| | | Treatment of capillaries, teleangiectasies and vascular lesions, |
| Pulsed Light | 300-1000 | Treatment of vitiligo and psoriasis (300-380 nm). |
| | | The removal of unwanted hair and to effect stable long term or<br>permanent hair reduction (420-950 nm), |
rrelation between BIOSYAG Light Sources, wavelength and Intended Us
(Division Sign-Off)
Division of General, Restorative,
Division of General, Restorative,
and Neurological Devices
K808374
510(K) Number
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.