NutraStim Hair Laser Helmet

K160728 · Nutra Luxe MD, LLC · OAP · Sep 16, 2016 · Physical Medicine

Device Facts

• Record ID: K160728
• Device Name: NutraStim Hair Laser Helmet
• Applicant: Nutra Luxe MD, LLC
• Product Code: OAP · Physical Medicine
• Decision Date: Sep 16, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5500
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

NutraStim Hair Laser Helmet is indicated to treat Androgenetic Alopecia and promote hair growth in males who have Norwood Hamilton Classifications of IIa to V patterns of hair loss and treat androgenetic alopecia, and promote hair growth in females who have Ludwig (Savin) Scale I-4, II-1, II-2, or frontal, both with Fitzpatrick Skin Types I to IV.

Device Story

Low-level laser therapy device; helmet form factor; 82 laser diodes; 650 +/- 5 nm wavelength; 5 mW output per diode. Intended for OTC home use; hands-free operation; rechargeable battery/adapter powered. Device emits distributed laser light to scalp; promotes hair growth. User self-selects based on labeling; follows manual instructions for treatment. Benefits include non-invasive hair growth stimulation for specified alopecia patterns.

Clinical Evidence

No clinical efficacy data provided. Bench testing confirmed compliance with IEC 60601-1, 60601-1-2, 60601-1-11, and IEC 60825-1 (Class 3R). Lay-user and self-selection studies conducted under IRB oversight demonstrated that users could correctly interpret labeling and operate the device as intended.

Technological Characteristics

Low-level laser therapy (LLLT) device; 82 laser diodes; 650 +/- 5 nm wavelength; 5 mW output per diode; Class 3R laser. Portable helmet design; rechargeable battery/adapter. Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60825-1, ISO 14971.

Indications for Use

Indicated for males with Androgenetic Alopecia (Norwood Hamilton IIa-V) and females with Androgenetic Alopecia (Ludwig/Savin I-4, II-1, II-2, or frontal), all with Fitzpatrick Skin Types I-IV.

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

• Sunetics Clinical Laser “G” or “W2326” (K132646)
• Hairmax Laser Comb 82 (K142573)

Reference Devices

• LH80 Pro Laser Helmet (K122950)
• MEP-90 Hair Growth Stimulation System (K091496)
• Capillus 82 (K151516)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

September 16, 2016

Nutra Luxe MD LLC Ms. Gloria Avendano Regulatory Affairs Manager 12801 Commonwealth Drive, Unit 2-6 Fort Myers, Florida 33976

Re: K160728

Trade/Device Name: Nutrastim Hair Laser Helmet Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared Lamp Regulatory Class: Class II Product Code: OAP Dated: August 18, 2016 Received: August 18, 2016

Dear Ms. Avendano:

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 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR Part 803); good manufacturing practice requirements as set forth

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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 Parts 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

# Christopher J. Ronk -S

For 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

Enclosure

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# Indications for Use

510(k) Number (if known) K160728

Device Name NutraStim Hair Laser Helmet

### Indications for Use (Describe)

NutraStim Hair Laser Helmet is indicated to treat Androgenetic Alopecia and promote hair growth in males who have Norwood Hamilton Classifications of 11a to V patters of hair loss and treat Androgenetic Alopecia and promote hair growth in females who have Ludwig (Savin) Scale 1-4. 11-1, 11-2, or frontal, both with Fitzpatrick Skin Types I to IV.

| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|--|
|-------------------------------------------------|--|

Prescription Use (Part 21 CFR 801 Subpart D)

|X | Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the logo for Nutra Luxe MD. The words "nutra" are in black, followed by a black flower. The words "luxe MD" are in pink. The logo has a reflection underneath it.

# 510 (k) Summary NutraStim Hair Laser Helmet

# 1. General Information

| Submitter: | NutraLuxe MD, LLC |
|---------------------------|-------------------------------------------------------|
| Address: | 12801 Commonwealth Dr. Unit 2<br>Fort Myers, FL 33913 |
| Contact Person: | Gloria Avendano<br>Regulatory Affairs Manager |
| Telephone: | 239-208-7541 |
| E-mail: | [e-mail] |
| Summary Preparation Date: | |
| <b>2. Device</b> | |
| Device Name: | NutraStim Hair Laser Helmet |
| Common or usual name: | Lamp, non-heating, for promotion of hair grov |

Classification Name: Classification Code:

th Infrared lamp per 21 CFR 890.5500 OAP (Laser, comb, hair)

# 3. Predicate Devices:

NutraStim Hair Laser Helmet is substantially equivalent to the following predicate devices;

| Device | 510(k) Number | Manufacturer |
|-------------------------------------------|---------------|-------------------------|
| Sunetics Clinical Laser “G” or<br>“W2326” | K132646 | Sunetics International |
| Hairmax Laser Comb 82 | K142573 | Lexington International |

# Reference devices:

| Device | 510(k) Number | Manufacturer |
|------------------------------------------|---------------|----------------|
| LH80 Pro Laser Helmet | K122950 | Theradome Inc. |
| MEP-90 Hair Growth<br>Stimulation System | K091496 | Midwest RF LLC |
| Capillus 82 | K151516 | Capillus LLC |

#### 4. Intended Use/Indications for Use:

NutraStim Hair Laser Helmet is indicated to treat Androgenetic Alopecia and promote hair growth in males who have Norwood Hamilton Classifications of IIa to V patterns of hair loss and treat androgenetic alopecia, and promote hair growth in females who have Ludwig (Savin) Scale I-4, II-1, II-2, or frontal, both with Fitzpatrick Skin Types I to IV.

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Image /page/4/Picture/0 description: The image shows the logo for Nutra Luxe MD. The word "nutra" is in black font, followed by a black flower graphic. The words "luxe MD" are in pink font.

# 5. Technological Characteristics:

NutraStim Hair Laser Helmet is a low-level laser device and is intended/indicated for over- the -counter use. The device emits laser light with the intention to promote hair growth. The device provides timed treatments of distributed laser light to 100% of the scalp at 650 +/- 5 nanometers. The lasers are configured inside a helmet, designed for hands-free operation during treatment. The helmet is for portable use with rechargeable battery and adapter.

#### Performance Data 6.

Testing to IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11confirms the device adherence to safety and EMC requirements. Testing to IEC 60825-1 certifies the laser system to classification 3R, same as predicate and referenced devices.

# Lay user and Self-selection studies

A lay-user study and self-selection study was conducted with Institutional Review Board (IRB) approval and oversight to determine if lay users could read the product labeling and then self-assess if the laser helmet would be beneficial for them to use. Study data was collected and demonstrated that the intended users of the device could successfully follow the instructions and use the device as intended. The performance data supplied in this 510(k) demonstrated that the vast majority of lay users were able to properly self-select themselves using the box labeling and lay users were able to properly use the device by reading instructions in the user manual without any assistance.

In summary, the conclusion was that an average lay user can read and comprehend correctly the user manual and package labeling.

# 7. Nonclinical Performance Data:

Performance testing was conducted and confirm compliance to design specifications; similar wavelength, output power, energy type, laser field, treatment areas and energy delivery as predicate and referenced devices.

## 8. Substantial equivalence

NutraStim Hair Laser Helmet is substantially equivalent to other hair laser therapy devices currently in commercial distribution. NutraStim Hair Laser Helmet has the same intended use as the predicate devices: Treat androgenetic alopecia with red low level laser light classification 3 R. NutraStim Hair Laser Helmet delivers treatment to the entire scalp for hands-free operation during treatment and has same treatment schedule as the predicate and referenced devices. NutraStim Hair Laser Helmet shares the same indication for treating both male and female as K142573 (Hairmax 82) and K132646 (Sunetics Clinical Laser "G"). NutraStim Hair Laser Helmet is as safe and (commensurate to number of diodes) effective as its predicate and referenced devices. NutraStim Hair Laser Helmet has 650 +/- 5nm wavelength and similar output to the treatment area as the predicate and referenced devices. Thus, NutraStim Hair Laser Helmet is substantially equivalent to legally marketed medical devices.

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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 a stylized font, with a flower in between them. The word "nutra" is written in black, while the words "luxe MD" are written in pink.

# Comparison Table

| Comparative<br>Item | NutraStim Hair<br>Laser Helmet | Sunetics Clinical<br>Laser "G" | Capillus 82 | Hairmax 82 | LH80 PRO | MEP 90 |
|---------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510 (k)<br>Number | k160728 | K132646 | K151516 | K142573 | K122950 | K091496 |
| Product Code | OAP | OAP | OAP | OAP | OAP | OAP |
| Regulation<br>Number | 21 CFR 890.5500 | 21 CFR 890.5500 | 21 CFR 890.5500 | 21 CFR 890.5500 | 21 CFR 890.5500 | 21 CFR 890.5500 |
| Device Type | Portable helmet, sits<br>on patient's head,<br>spherical laser helmet. | Free Standing, movable<br>laser helmet, spherical<br>laser helmet | Portable helmet,<br>sits on patient's<br>head, spherical<br>laser helmet. | Portable helmet, sits on<br>patient's head, spherical<br>laser helmet. | Portable helmet, sits<br>on patient's head,<br>spherical laser helmet. | Free Standing, movable<br>laser helmet, spherical<br>laser helmet |
| Indications<br>for Use | Indicated to treat<br>Androgenetic<br>Alopecia and promote<br>hair growth in Males<br>who have Norwood<br>Hamilton<br>Classifications of IIa<br>to V patterns of hair<br>loss and treat<br>Androgenetic<br>Alopecia and promote<br>hair growth in females<br>who have Ludwig<br>(Savin) Scale I-4, II-1,<br>II-2, or frontal, both<br>with Fitzpatrick Skin<br>Types I to IV. | Indicated to treat<br>Androgenetic Alopecia<br>and promote hair<br>growth in males who<br>have Norwood<br>Hamilton<br>Classifications of IIa to<br>V and Fitzpatrick Skin<br>Types I to IV and also<br>in Females who have<br>Ludwig (Savin) I-4, II-<br>1, II-2, or frontal<br>patterns of hair loss and<br>Fitzpatrick Skin Types<br>I to IV. | Indicated to<br>promote hair<br>growth in females<br>who have<br>androgenetic<br>alopecia and<br>Ludwig-Savin<br>Classifications of<br>I-11; and with<br>Fitzpatrick<br>Classifications of<br>Skin Phototypes I<br>to IV. | Indicated to treat<br>Androgenetic Alopecia<br>and promote hair growth<br>in Males who have<br>Norwood Hamilton<br>Classifications of IIa to<br>V patterns of hair loss<br>and treat Androgenetic<br>Alopecia and promote<br>hair growth in females<br>who have Ludwig<br>(Savin) Scale I-4, II-1,<br>II-2, or frontal, both with<br>Fitzpatrick Skin Types I<br>to IV. | Intended to treat<br>Androgenetic<br>Alopecia to promote<br>hair growth in females<br>with female pattern<br>hair loss (FPHL) on<br>the Ludwig and Savin<br>Hair Loss scale I-II,<br>Fitzpatrick Skin Types<br>I to IV. | Intended for the treatment<br>of alopecia in females by<br>promoting hair growth of<br>females with androgenetic<br>alopecia who have<br>Ludwig and Savin Hair<br>Loss Scale classifications<br>of I to II and who have<br>been determined to have<br>Fitzpatrick Skin Typing of<br>I to IV. |
| Number of<br>Laser Diodes | 82 | 107 | 82 | 82 | 80 | 82 |
| Wavelength<br>(nanometer) | 650 +/- 5 | 650 +/- 5 | 650 +/- 5 | 650 +/- 5 | 678 | 650 +/- 5 |
| Output (Per<br>diode) | 5 mW | 5 mW | 5 mW | 5 mW | 5 mW | 5 mW |
| Laser<br>Classification | Class 3R | Class 3R | Class 3R | Class 3R | Class 3R | Class 3R |
| Treatment<br>Protocol | 20 Minutes- 3 times a<br>week | 20 minutes- 3 times a<br>week | 30 minutes- 3<br>times a week | 90 seconds- 3 times a<br>week | 20 minutes- 3 times a<br>week | 20 minutes- 3 times a<br>week |
| Standards<br>Applied | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60601-1-11<br>IEC 60825-1<br>ISO 14971 | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60601-1-11<br>IEC 60825-1 | IEC 60825-1<br>ISO 14971 | IEC 60825-1 | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60825-1 | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60825-1 |
| Device Class | Class II | Class II | Class II | Class II | Class II | Class II |
| Accessories | Medical Grade Power<br>Cord | Medical Grade Power<br>Cord | Medical Grade<br>Power Cord | Medical Grade Power<br>Cord | Medical Grade Power<br>Cord | Medical Grade Power<br>Cord |
| Common<br>Name | Lamp, Non-Heating | Lamp, Non-Heating | Lamp, Non-<br>Heating | Lamp, Non-Heating | Lamp, Non-Heating | Lamp, Non-Heating |

# 9. Conclusion:

Based upon the indications for use and data provided in this pre-market notification, all functional modes of the NutraStim Hair Laser Helmet have been shown to be substantially equivalent to current marketed predicate and referenced devices with respect to intended use, technological characteristics and safety characteristics. NutraLuxe MD believes that no significant differences exist between the device and the predicates. Therefore, Substantial equivalency is requested.