NUTRA STIM HAIR LASER COMB

K141596 · Nutra Luxe MD, LLC · OAP · Jan 8, 2015 · Physical Medicine

Device Facts

• Record ID: K141596
• Device Name: NUTRA STIM HAIR LASER COMB
• Applicant: Nutra Luxe MD, LLC
• Product Code: OAP · Physical Medicine
• Decision Date: Jan 8, 2015
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5500
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The Nutra Stim Hair Laser Comb is indicated to treat androgenetic alopecia, promote hair growth and prevent further hair loss in males who have Norwood Hamilton Classifications of IIa to V patterns of hair loss and Fitzpatrick Skin Types I to IV.

Device Story

Hand-held low-level laser device; emits laser light to scalp to promote hair growth. Comb teeth part hair to ensure light reaches scalp. Powered by internal Ni-MH rechargeable battery; includes control unit and stop button. Used in home setting by patient. Device provides distributed laser light; user operates device by combing scalp. Output is laser light; intended to stimulate hair follicles. Benefits include potential hair growth and prevention of further hair loss in specified male population.

Clinical Evidence

OTC Usability Study conducted with 80 participants. Goals: verify intended user identification, self-selection based on labeling, and ability to correctly assemble, operate, and care for the device. All study goals were met.

Technological Characteristics

Hand-held low-level laser device. Materials: medical-grade biocompatible plastics (ISO 10993). Energy source: internal Ni-MH rechargeable battery. Standards: IEC 60601-1 (electrical safety), IEC 60601-1-2 (EMC), IEC 60601-1-11 (home healthcare), IEC 60825 (laser safety). No software used.

Indications for Use

Indicated for males with androgenetic alopecia, Norwood Hamilton Classifications IIa to V, and Fitzpatrick Skin Types I to IV to promote hair growth and prevent further hair loss.

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

• HairMax Pro 12 LaserComb (K103368)

Submission Summary (Full Text)

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

January 8, 2015

NutraLuxe MD, LLC % Jill Cleasy Regulatory and ISO Consulting 5575 Santa Rosa Court Sparks. Nevada 89436

Re: K141596

Trade/Device Name: Nutra Stim Hair Laser Comb Model NSL-6319 Regulation Number: 21 CFR 890.5500 Regulatory Name: Infrared lamp Regulatory Class: Class II Product Code: OAP Dated: December 03, 2014 Received: December 09, 2014

Dear Ms. Cleasy:

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.

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

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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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/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/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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# David Krause -S

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

cc: Enclosed

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K141596

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## Indications for Use

510(k) Number (if known): K

Device Name: Nutra Stim Laser Comb

Indications for Use:

The Nutra Stim Hair Laser Comb is indicated to treat androgenetic alopecia, promote hair growth and prevent further hair loss in males who have Norwood Hamilton Classifications of IIa to V patterns of hair loss and Fitzpatrick Skin Types I to IV.

Prescription Use (21 CFR Part 801 Subpart D)

AND/OR

Over-The-Counter Use X (21 CFR Part 807 Subpart C)

(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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## 510K Summary Nutra Stim Hair Laser Comb

### 1. General Information

| Submitter: | NutraLuxe MD, LLC<br>6835 International Center Blvd Suite 4-5<br>Fort Myers, Florida 33912 |
|---------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | C/O Jill Creasy<br>RIC - Regulatory & ISO Consulting<br>5575 Santa Rosa Ct.<br>Sparks, NV 89436<br>775-622-9591<br>[e-mail] |
| Summary Preparation Date: | June 13, 2014 |
| Device Name | |
| Device Name: | Nutra Stim Hair Laser Comb Model NSL-6319 |
| Regulatory Name: | Lamp, non-heating, for promotion of hair growth |
| Regulation Numbers: | 21 CFR 890.5500 |
| Regulatory Class: | II |
| Product Codes: | OAP |

## 3. Predicate Device

2.

The Nutra Stim Hair Laser Comb is substantially equivalent to the HairMax Pro 12 LaserComb (K103368)

#### 4. Device Description

The Nutra Stim Hair Laser Comb is a hand-held low level laser device that emits laser light with the intention to promote hair growth. The device provides distributed laser light to the scalp while the comb teeth simultaneously part the user's hair to ensure the laser light reaches the user's scalp.

The Nutra Stim Hair Laser Comb unit contains the power supply, internal NI-MH rechargeable battery and the control unit. The enclosure and laser lens are made of medical grade biocompatility plastics via injection molding. The STOP button directly on the unit allows the user to immediately remove all power to the unit. The Nutra Stim Hair Laser Comb does not use any software.

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#### 5. Intended Use and Indications:

The Nutra Stim Hair Laser Comb is indicated to treat androgenetic alopecia, promote hair growth and prevent further hair loss in males who have Norwood Hamilton Classifications of IIa to V patterns of hair loss and Fitzpatrick Skin Types I to IV.

#### Substantial Equivalency & Comparison of Technological Similarities and Differences 6.

The Nutra Stim Hair Laser Comb are as safe and effective as the predicate device. The Nutra Stim Hair Laser Comb have the same indications, (i.e to treat androgenetic alopecia, promote hair growth and prevent further hair loss in males who have Norwood Hamilton Classifications of Ila to V patterns of hair loss and Fitzpatrick Skin Types I to IV as the predicate device).

The Nutra Stim Hair Laser Comb are identical in technological characteristics as the predicate, including its laser power, wavelength, laser delivery method, its comb component, its instructions for use and its audible timer.

The Nutra Stim Hair Laser Comb have the following similarities to the HairMax Pro

- Has the same indicated use 1.
- Same identical laser modules 2.
- Similar hair parting teeth 3.
- 4 . Uses the same operating principle
- న్. Similar device design and physical properties
- Incorporates the same materials 6.
- 7. Utilizes a same treatment duration
- 8. Utilizes a similar treatment regimen

Any differences between The Nutra Stim Hair Laser Comb and the predicates device are not significant to its safety or effectiveness for its intended use.

#### 7. Clinical Performance Data

An OTC Usability Study was conducted with the following four goals in mind 80 participants;

- 1. To attract participants that represented the "intended users" of the device:
- To determine if consumers could correctly self-select using the packaging labeling only 2.

To test consumer knowledge of the packaging labeling and user manual and actually assembly, 3.

operate and care for the device correctly. All four goal of the study were met.

#### 8. Nonclinical Performance Data

Based on the Risk Analysis, the verification and validation tests that were performed and the acceptance criteria applied for each are listed in Section 10

The Nutra Stim Hair Laser Comb device was also tested and complies with Electrical Safety and EMC testing, which include the requirements of IEC 60601-1:2012 3rd Edition "Medical Electrical Equipment Part 1 - General Requirements for Safety" IEC 60601-1-2 "Medical Electrical Equipment Part 1-2, General Requirements for Safety - Collateral Standard Electromagnetic Compatibility Requirements and Tests IEC 60601-1-11 Home healthcare medical equipment and IEC 60825 Safety of laser products - Part 1: Equipment classification and requirements. In addition, testing and analysis have demonstrated compliance of the plastic within ISO 10993 (Biocompatibility).

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Image /page/5/Picture/0 description: The image shows the logo for Nutra Luxe MD. The words "nutra" and "luxe MD" are written in different fonts and colors. A black flower is placed between the two words.

### 9. Regulatory Requirements

NutraLuxe MD manufactures under strict quality assurance guidelines and US FDA Good Manufacturing Practice (GMP)

Nutra Luxe MD is fully compliant with 21 CFR Part 820, US FDA Quality Systems Regulations (QSR), Risk Analysis and Risk Management files (RMF) conforms to ISO 14971,

Conclusion: Nutra Luxe MD, Inc. found The Nutra Stim Hair Laser Comb device to be substantially equivalent to the legally marketed predicate devices.