THE PL-1064 LASER SYSTEM

K120938 · Sheaumann Laser, Inc. · PDZ · Sep 24, 2012 · General, Plastic Surgery

Device Facts

• Record ID: K120938
• Device Name: THE PL-1064 LASER SYSTEM
• Applicant: Sheaumann Laser, Inc.
• Product Code: PDZ · General, Plastic Surgery
• Decision Date: Sep 24, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The PL-1064 laser, collimated handpiece will be indicated for ablation, vaporizing, excision, incision, and coagulation of soft tissue encountered in dermatology, plastic surgery, and podiatry including but not limited to plantar warts, periungual warts and telangiectasia. . The PL-1064 will also be indicated for the temporary increase of clear nail in patients with onychomycosis (e.g., derniatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

Device Story

Solid-state, infrared AlGaAs diode laser (1064 nm); delivers continuous or pulsed energy via 1.0 mm collimated handpiece. Operated by clinicians in podiatry, dermatology, or plastic surgery settings. System includes laser diode optical deck, cooling system, power supply, and touch screen control panel for selecting operation modes (continuous, pulsed, Clear Nail), repetition rates, and aiming beam. Provides visual procedural information and emergency stop functionality. Used for soft tissue procedures and temporary increase of clear nail in onychomycosis patients. Clinical benefit derived from laser-tissue interaction for ablation/coagulation and nail clearing.

Clinical Evidence

No clinical data provided. No clinical performance data.

Technological Characteristics

Solid-state AlGaAs infrared diode laser; 1064 nm wavelength; continuous or pulsed operation; 1.0 mm collimated handpiece; touch screen interface; cooling system; voltage power supply; system control electronics.

Indications for Use

Indicated for patients with onychomycosis (dermatophytes or yeasts) for temporary increase of clear nail; also indicated for soft tissue ablation, vaporization, excision, incision, and coagulation in dermatology, plastic surgery, and podiatry (e.g., plantar/periungual warts, telangiectasia).

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

• PathoLase PinPointe Foot Laser (K093547)

Submission Summary (Full Text)

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# K120938 1/2 SHEAU

#### . VII 510(k) Summary

Title: Sheaumann Laser PL-1064

- Submitter: Sheaumann Laser, Inc. 45 Bartlett Street Marlborough. MA 01752
- Contact: Timothy J. Shea Vice President, Sheaumann Laser, Inc. 189 Winding Oaks Lane Oviedo, Fl 32765 Phone: [phone] Email: [e-mail]

Date

Prepared: March 5, 2012

## Device Trade

- Sheaumann Laser PL-1064 Name:
#### Common

Name: Laser instrument for use in podiatry, dermatology and plastic surgery.

#### Classification

Instrument, surgical, powered laser Name: GEX 21 CFR 878.4810

#### Predicate

### Device

- The Sheaumann PL-1064 is a medical grade, solid-state, infrared diode laser (AlGaAs). Description: The laser is designed to deliver continuous or pulsed, infrared laser energy with a wavelength at 1064 nm. The touch screen display consists of a user interactive screens that allows selection of continuous, pulsed and the TMP/CLEAR NAIL/ Clear Nail modes of operation, repetition rates, aiming beam on/off, procedural information display keys, a Standby/Ready key, the manual emergency stop button and the master key switch.
THE LASER SYSTEM: The laser system consists of a laser diode optical deck, cooling system, voltage power supply and system control electronics that include the touch screen control panel.

SEP 24. 2012

PathoLase PinPointe Foot Laser (K093547) Device:

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## 12120938 212 IEAUMAN

The mail console: Contains major electrical components.

DELIVERY SYSTEM: The reusable 1.0 mm collimated handpiece has been designed to deliver a spot size of 1.0 mm. Safety glasses/goggles and a safety sign are also provided with the PL-1064.

#### Intended

Podiatry (ablation, vaporization, incision, excision, and coagulation of soft tissue) Use: including:

* Plantar warts

* Periungual and subungual warts

Sheaumann PL-1064 is seeking indication for use for the temporary increase of clear nail in patients with onychomycosis (e.g., demiatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

The Sheaumann PL-1064 is an extremely similar device as the PathoLase PinPointe Comparison: FootLaser (K093584), the safety and effectiveness of the PL-1064 is based upon a determination of the substantial equivalence as well as the safety and effectiveness of the medical devices.

- From a design and clinical perspective, the predicate and candidate laser device, are the Summary: same technology and have the same intended use. Based upon the fact that the devices are extremely similar, the PL-1064 should not raise any concerns regarding its overall safety and/or effectiveness.
Non clinical Performance Data:

None

Clinical Performance Data: None

> Sheaumann Laser, Inc. • 45 Bartlett Street • Marlborough, MA 01752 USA Tel: [phone] • Fax: [phone] • Web: www.sheaumann.com

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Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus symbol. The logo is black and white.

#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

May 13, 2013

Sheaumann Laser, Incorporated % Mr. Timothy J. Shea Vice President 189 Winding Oaks Lane Oviedo, Florida 32765

Re: K120938

Trade/Device Name: PL-1064 Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: Class II Product Code: PDZ, GEX Dated: August 07, 2012 Received: August 13, 2012

Dear Mr. Shea:

This letter corrects our substantially equivalent letter of September 24, 2012.

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 - Mr. Timothy J. Shea

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers. International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/Safetv/ReportalProblem/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 [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

FOR

Peter D. Rumm -S

Mark N. Melkerson Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number: K120938

Device Name: PL-1064

Indications for Use

The PL-1064 laser, collimated handpiece will be indicated for ablation, vaporizing, excision, incision, and coagulation of soft tissue encountered in dermatology, plastic surgery, and podiatry including but not limited to plantar warts, periungual warts and telangiectasia. .

The PL-1064 will also be indicated for the temporary increase of clear nail in patients with onychomycosis (e.g., derniatophytes Trichophyton rubrum and T. mentagrophytes, and/or yeasts Candida albicans, etc.).

Neil R.P. Oglan formain
(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K120938

Prescription Use [ X ]

AND/OR

Over-the-counter [ ]

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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