MODIFIED ALMA LASERS FAMILY OF SOPRANO XL MULTI-APPLICATION PLATMFORMS
K102716 · Alma Lasers, Inc. · GEX · Sep 28, 2010 · General, Plastic Surgery
Device Facts
Record ID
K102716
Device Name
MODIFIED ALMA LASERS FAMILY OF SOPRANO XL MULTI-APPLICATION PLATMFORMS
Applicant
Alma Lasers, Inc.
Product Code
GEX · General, Plastic Surgery
Decision Date
Sep 28, 2010
Decision
SESE
Submission Type
Special
Regulation
21 CFR 878.4810
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Modified Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] is intended for use in dermatologic and general surgical procedures. The Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] includes a Diode Laser Module and an optional NIR Module. The Diode Laser Module: The HR Mode is intended for hair removal, permanent hair reduction. The LaserBlanche Mode is intended for the treatment of benign vascular and pigmented lesions. The NIR Module is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles; may also help muscle spasms, minor sprains and strains, and minor muscular back pain. The Modified Alma Lasers Family of Soprano™ Diode Laser Systems [Soprano XL, Soprano XLi] is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.
Device Story
Multi-application platform utilizing diode laser and near-infrared (NIR) light technologies; console-based system with interchangeable handpieces and footswitch. Handpiece tip provides active, continuous skin cooling during application. Physician/clinician-operated; parameters controlled via LCD touch-screen interface connected to system micro-controller. Diode laser module delivers light pulses for hair removal and lesion treatment; NIR module provides topical heating for pain relief and increased local circulation. Output allows clinicians to perform dermatologic procedures; benefits include permanent hair reduction and temporary relief of musculoskeletal pain/stiffness.
Clinical Evidence
Bench testing only; no clinical data provided.
Technological Characteristics
Multi-application platform; diode laser and NIR light sources; active skin cooling handpiece; LCD touch-screen control panel; micro-controller based system; standalone console unit.
Indications for Use
Indicated for dermatologic and general surgical procedures, including hair removal, permanent hair reduction, treatment of benign vascular and pigmented lesions, and topical heating for relief of minor muscle/joint pain, stiffness, arthritis-related pain, muscle spasms, sprains, and strains. Suitable for all Fitzpatrick skin types I-VI, including tanned skin.
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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2010 SEP 288
CONFIDENTIAL
# Appendix 7 - 510(k) Summary for Modified Alma Lasers Family of Soprano™ Diode Laser Systems [Soprano, Soprano XLi]
Summary Preparation Date: September 15, 2010
# · General Information
| Sponsor/<br>510(k) Owner | Sponsor | | |
|------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------|------------------------------------|--------------------------------------------------------------------|
| Address and<br>Establishment<br>Registration # | Alma Lasers, Inc.<br>485 Half Day Rd. Suite No. 100<br>Buffalo Grove, IL 60089, USA<br>FDA Registration #: 3004167969 | | |
| | Tatiana Epstein<br>VP QA&RA<br>Alma Lasers, Inc. | Telephone:<br>Facsimile:<br>Email: | (224 ) 377-2011<br>(224 ) 377-2050<br>tatianae@almalasers.com |
| Contact Person: | Main Contact:<br>Tatiana Epstein<br>VP QA&RA<br>Alma Lasers, Inc. | Telephone:<br>Facsimile:<br>Email: | (224 ) 377-2011<br>(224 ) 377-2050<br>tatianae@almalasers.com |
| | Secondary Contact:<br>Avi Farbstein<br>EVP and GM North America<br>Alma Lasers, Inc. | Telephone:<br>Facsimile:<br>Email: | (224 ) 377-2011<br>(224 ) 377-2050<br>Avi.Farbstein@almalasers.com |
· Names
| Device Names: | Modified Alma Lasers Family of Soprano XL™ Multi-<br>Application Platforms [Soprano XL, Soprano XLi] |
|-------------------------------|------------------------------------------------------------------------------------------------------|
| Primary Classification Names: | Laser Instrument, Surgical, Powered; GEX<br>Lamp, Infrared, Therapeutic Heating |
### · Predicate Devices
- Soprano Hair Removal Diode Laser system (K052874), cleared 11/22/2005, .
- . Alma Lasers Soprano XL Multi-Application Platform (K083848), cleared 04/14/2009
- Alma Lasers NIR Module (K080318), cleared 03/07/2008, .
# · Product Description
The Alma Lasers Soprano XLi system is a multi-application, multi-technology platform that supports the following technologies:
- · Diode laser technology
- · Near-infrared light technology (NIR) .
The Soprano XLi Diode Laser Module is intended for hair removal and long-term hair reduction, as well as for the treatment of benign vascular and pigmented lesions.
The Soprano XL system is indicated for use on all skin types (Fitzpatrick Skin Types I-VI), including tanned skin.
The Soprano XLi NIR Module is indicated to elevate the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, the temporary relief of
<sup>5</sup> The Alma Lasers NIR Module is separately cleared under K080318.
Appendix 7: 510(k) Summary - Page 1 Special 510(k) Premarket Notification for: Alma Lasers Family of Soprano XL™ Multi-Application Platforms [Soprano XL, Soprano XLi]
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minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles; may also help muscle spasms, minor sprains and strains, and minor muscular back pain.
The complete Soprano XLi platform consists of its console, two available module handpieces and a footswitch (refer to Figure 1). The module is pressed against the patient's skin and a light pulse is delivered when the handpiece trigger and/or the footswitch are activated. The handpiece tip is cooled to provide active and continuous skin cooling.
Output parameters and other system features are controlled from the touch-screen control panel on the console, which provides an interface to the system micro-controller through an LCD touch-screen.
### · Indications for Use
The Modified Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] is intended for use in dermatologic and general surgical procedures.
The Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] includes a Diode Laser Module and an optional NIR Module.
The Diode Laser Module:
The HR Mode is intended for hair removal, permanent hair reduction.
The LaserBlanche Mode is intended for the treatment of benign vascular and pigmented lesions.
The NIR Module is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles; may also help muscle spasms, minor sprains and strains, and minor muscular back pain.
The Modified Alma Lasers Family of Soprano™ Diode Laser Systems [Soprano XL. Soprano XLi] is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.
The intended use is identical to that previously cleared for the Soprano™ (K052874), Alma Lasers NIR Module (K080318) and Alma Lasers Soprano XL Multi-Application Platform (K083848).
The Indications for Use statement can be found in Appendix 4.
### · Rationale for Substantial Equivalence
The Modified Alma Lasers Family of Soprano XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] has the following similarities to the previously cleared Soprano™ Hair Removal Diode Laser System (K052874), Alma Lasers NIR Module (K080318) and Alma Lasers Soprano XL Multi-Application Platform (K083848):
- Has the same intended use and indications for use, ■
- Uses the same operating principle (technology), .
- " Incorporates the same basic design,
- Incorporates the same materials, ■
- Is packaged using the same materials and processes. .
In summary, the Modified Alma Lasers Family of Soprano™ XL™ Multi-Application Platforms [Soprano XL, Soprano Xli] is substantially equivalent to the predicate devices.
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# • Safety and Effectiveness Information
The review of the indications for use and technical characteristics provided demonstrates that the Modified Alma Lasers Family of Soprano XLTM Multi-Application Platforms [Soprano XL, Soprano XLi] is substantially equivalent to the predicate devices.
### · Conclusion
Modified Alma Lasers Family of Soprano XLTM Multi-Application Platforms [Soprano XL, Soprano XLi] was found to be substantially equivalent to the predicate Soprano Family systems and devices.
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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 eagle faces left and has a small, curved beak. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.
#### Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Alma Lasers, Inc. % Ms. Tatiana Epstein Vice President, QA & RA 485 Half Day Road, Suite 100 Buffalo Grove, Illinois 60089
SEP 2 8 2010
Re: K102716
Trade/Device Name: Modified Alma Lasers Family of Soprano XL." Multi-Application Platforms Regulation Number: 21 CFR 878.34810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: Class II Product Code: GEX Dated: September 16, 2010 Received: September 21, 2010
Dear Ms. Epstein:
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 note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.
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Page 2 - Ms. Tatiana Epstein
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 (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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm11.5809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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 go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely vours.
Mark N. Melkerson
Director Division of Surgical, Orthopedic And Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known): K10
### Modified Alma Lasers Family of Soprano™ Multi-Application Platforms Device Name: [Soprano XL, Soprano XLi]
Indications for Use:
The Modified Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XL, Soprano XLi] is intended for use in dermatologic and general surgical procedures.
The Alma Lasers Family of SOPRANO XL™ Multi-Application Platforms [Soprano XLi] includes a Diode Laser Module and an optional NIR Module.
The Diode Laser Module:
The HR Mode is intended for hair removal, permanent hair reduction. The LaserBlanche Mode is intended for the treatment of benign vascular and pigmented lesions.
The NIR Module is intended to emit energy in the infrared spectrum to provide topical heating for the purpose of elevating the tissue temperature for the temporary relief of minor muscle pain and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and the relaxation of muscles; may also help muscle spasms, minor sprains and strains, and minor muscular back pain.
The Modified Alma Lasers Family of Soprano™ Diode Laser Systems [Soprano XL, Soprano XLi] is intended for use on all skin types (Fitzpatrick skin types I-VI), including tanned skin.
Prescription Use (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)
Nil RP Splem for mxm
Division of Surgical, Orthopedic, and Restorative Devices
510(k) Number
Page 1 of 1
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.