MULTI-CHANNEL LASER THERAPY SYSTEM

K082686 · United Integrated Services Co., Ltd. · ILY · May 11, 2009 · Physical Medicine

Device Facts

• Record ID: K082686
• Device Name: MULTI-CHANNEL LASER THERAPY SYSTEM
• Applicant: United Integrated Services Co., Ltd.
• Product Code: ILY · Physical Medicine
• Decision Date: May 11, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5500
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Multi-Channel Laser Therapy System (Model no.: LA-400) is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and the joint pain and stiffness, for the temporary relief of minor joint pain associated with arthritis, for the temporary increase in local circulation where applied and the relaxation of muscles.

Device Story

Multi-Channel Laser Therapy System (LA-400) delivers light energy to target tissue via four channels; utilizes hand-held cup and laser diode assemblies placed directly on patient skin. Device emits energy in red (660nm) and infrared (808nm) spectrums to elevate tissue temperature. Operated by clinician or user to provide topical heating; intended for temporary relief of minor muscle/joint pain, arthritis-associated pain, stiffness, and muscle relaxation; increases local circulation. Output is thermal energy; clinical decision-making based on patient need for localized heat therapy.

Clinical Evidence

Bench testing only; no clinical data provided.

Technological Characteristics

Four-channel laser system; wavelengths 660nm (red) and 808nm (infrared); hand-held cup/laser diode assembly; conforms to ISO 13485, IEC 60825-1, IEC 60601-1, and IEC 60601-1-2.

Indications for Use

Indicated for patients requiring topical heating for temporary relief of minor muscle/joint pain and stiffness, minor joint pain associated with arthritis, temporary increase in local circulation, and muscle relaxation.

Regulatory Classification

Identification

An infrared lamp is a device intended for medical purposes that emits energy at infrared frequencies (approximately 700 nanometers to 50,000 nanometers) to provide topical heating.

Special Controls

*Classification.* Class II (special controls). The device, when it is an infrared therapeutic heating lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

Predicate Devices

• ACUMED LASER, MODEL 1000 (K060153)

Submission Summary (Full Text)

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# 510(K) SUMMARY K082686

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA and 21 CFR ? 07.92

- Submitter's Name: United Integrated Services Co., Ltd. 1.

| Address: | 3F, No. 4, Lane 7, PaoKao Road, Hsintien City, Taipei Hsien,<br>TAIWAN, 23144 |
|-----------------|-------------------------------------------------------------------------------|
| Phone: | [phone] ext 8301 |
| Mobile Phone: | [phone] |
| Fax: | [phone] |
| Contact: | Mr. David O. Chang / Vice President |
| Contact E-mail: | [e-mail] |
| Prepare Date : | Feb.24,2009 |

Multi-Channel Laser Therapy System,

Regulation Number: 21CFR 890.5550

- 2. Device Name:
Trade Name:

Model no.: LA-400 1 Common Name: Laser Therapy Classification name lamp, infrared, therapeutic heating

- 3. DEVICE CLASS
- The Multi-Channel Laser Therapy System, (Model no.: LA-400) has been classified as Regulatory Class: II Product Code: ILY
- 4. Predicate Device:
- 5. Intended Use:

and the relaxation of muscles. 6. Device Description: The Multi-Channel Laser Therapy System LA-400 is a noninvasive, conamic casel Therapy System LA-400 is a not deliver light energy to the target tissue. It is intended to emit energy in the infrared spectrum for the purpose of temporary relief of minored spectrum for the purpos
temporary relief of minor muscle and the joint pain associated with arthritis, for the temporary increase in local circulation where arthritis, for the temporary increase in le
l Lacer The

The predicate device is the ACUMED LASER, MODEL 1000

(Model no.: LA-400) is interapy System
infrared spectrum to provide to emit energy in the infrared spectrum to provide topical heating for the
of elevating tissue temporature for the purpose of elevating tissue temperature for the temporary relief of

temporary relief of minor joint pain associated with arthritis, for the temporary increase in local circulation where applied

minor muscle and the joint pain and stiffness, for the temporary relia
temporary relief of miner in in in in the

(K060153) marketed by LASER THERA, LLC..

The Multi-Channel Laser Therapy System

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Product : Multi-Channel Laser Therapy System , Model #: LA-400
2009/4/24 Section 4 - 510(k) Summary

REV.【D】

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LA-400 is the low level laser of two wave bands. One is 660nm (red light, visibility) and the other is 808nm (infrared light, invisibility).

LA-400 contains four (4) channels of laser. For each channel of the Multi-Channel Laser Therapy System , LA-400 makes use of cup + laser diode assembly hand-held to deliver the light energy to the designated treatment areas. The cup + laser diode assembly are put on the skin for treatment.

Note A : Basic operation and treatment of LA-400 is utilizing the laser module mounted in the cup (we call laser module cup) which will be hand-held and put on skin easily.

- 7. Performance Summary:
In terms of operating specification, Safety & EMC requirements, the device conforms to applicable standards included ISO 13485, IEC 60825-1, IEC 60601-1 and IEC 60601-1-2 requirements.

### 8. Conclusions:

The Multi-Channel Laser Therapy System (Model no.: LA-400) has the same intended use and similar technological characteristics as the ACUMED LASER, MODEL 1000 (K060153) marketed by LASER THERA, LLC.. Moreover, bench testing contained in this submission demonstrate that any differences in their technological characteristics do not raise any new questions of safety or effectiveness. Thus, the Multi-Channel Laser Therapy System (Model no.: LA-400) is substantially equivalent to the predicate devices.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like figure with flowing lines, representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" is arranged in a circular fashion around the emblem.

Public Health Service

MAY 1 1 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

United Integrated Services Co., Ltd. % Mr. David O. Chang Vice President 3F, No. 4, Lane 7, Pao-Kao Road Hsintien City, Taipei Hsien Taiwan, 23144

Re: K082686

Trade/Device Name: Multi-Channel Laser Therapy System Model no .: LA-400 Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared lamp Regulatory Class: II Product Codc: IL Y Dated: April 28, 2009 Received: April 29, 2009

Dear Mr. Chang:

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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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. David O. Chang

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 [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at [phone]. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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/industry/support/index.html.

Sincerely yours.

Sincerely yours,

Mark N. Melkerson

Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known): K082686

Device Name: Multi-Channel Laser Therapy System Model no.: LA-400 United Integrated Services Co., Ltd.

## Indications For Use:

The Multi-Channel Laser Therapy System (Model no.: LA-400) is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and the joint pain and stiffness, for the temporary relief of minor joint pain associated with arthritis, for the temporary increase in local circulation where applied and the relaxation of muscles.

| Prescription Use<br>(Part 21 CFR 801 Subpart D) | V AND/OR |
|-------------------------------------------------|----------|
|-------------------------------------------------|----------|

Over-The-Counter Use (21 CFR 807 Subpart

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Nil Kpogl formxm
(Division Sign-Off)

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Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K 082686