Who is the manufacturer of V30 System, V20 System, V10 System, V-FR Handpiece?

Viora , Ltd. filed the 510(k) submission for V30 System, V20 System, V10 System, V-FR Handpiece (K201064).

What is the FDA product code for V30 System, V20 System, V10 System, V-FR Handpiece?

PBX. It is classified under 21 CFR 878.4400 as a Class 2 device in the General, Plastic Surgery panel.

What is the regulatory pathway for V30 System, V20 System, V10 System, V-FR Handpiece?

510(k) clearance (submission type: Traditional).

What are the predicate devices for V30 System, V20 System, V10 System, V-FR Handpiece?

Viora V30 system (K162363); Viora V20 system (K152611); Viora V10 system (K150035); Syneron Medical Matrix RF Applicator (K090025).

Who can help prepare an FDA 510(k) submission like V30 System, V20 System, V10 System, V-FR Handpiece?

Innolitics — a medical-device software consultancy — provides regulatory and engineering support for FDA 510(k) submissions. See https://innolitics.com/services/510ks/ or contact https://innolitics.com/contact.

V30 System, V20 System, V10 System, V-FR Handpiece

K201064 · Viora , Ltd. · PBX · Jul 15, 2020 · General, Plastic Surgery

Device Facts

Record ID	K201064
Device Name	V30 System, V20 System, V10 System, V-FR Handpiece
Applicant	Viora , Ltd.
Product Code	PBX · General, Plastic Surgery
Decision Date	Jul 15, 2020
Decision	SESE
Submission Type	Traditional
Regulation	21 CFR 878.4400
Device Class	Class 2
Attributes	Therapeutic

Intended Use

The Viora V10 system is intended for dermatological procedures. The V10 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V20 system is intended for dermatological procedures. The V20 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V30 system is intended for dermatological procedures. The V30 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin.

Device Story

V-FR handpiece is a fractional bipolar radiofrequency (RF) applicator compatible with Viora V10, V20, and V30 multi-technology platforms. Device delivers RF energy to skin to induce controlled coagulation and ablation of epidermis and superficial dermis. Used in clinical settings by trained professionals. System console includes touch-screen interface for parameter control (energy, pulse duration, depth). Output is thermal energy causing tissue necrosis in small, circumscribed islets, leaving surrounding tissue intact to promote healing. Benefits include skin resurfacing and ablation. System incorporates power supply, cooling, and switching modules.

Clinical Evidence

Bench testing and animal study (female domestic pigs) performed. Animal study evaluated safety/effectiveness via multiple topical RF exposures at varying energy/duration settings. Histopathology confirmed coagulation/ablation of epidermis and superficial dermis with healing from intact skin islets. No serious adverse events reported. Biocompatibility testing (ISO 10993-1) for V-FR tip confirmed safety for limited contact with breached skin.

Technological Characteristics

Fractional bipolar RF handpiece. Materials meet ISO 10993-1. Energy source: RF generator. Connectivity: Handpiece to console. Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-2-57, IEC 60601-2-22, IEC 60825-1. Software: Verified and validated per FDA guidance.

Indications for Use

Indicated for dermatological procedures requiring ablation and resurfacing of the skin.

Regulatory Classification

Identification

An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.

Predicate Devices

Viora V30 system (K162363)
Viora V20 system (K152611)
Viora V10 system (K150035)
Syneron Medical Matrix RF Applicator (K090025)

Related Devices

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K150161 — Venus Viva SR Device · Venus Concept , Ltd. · May 12, 2015
K102461 — FRACTORA · Invasix , Ltd. · Jun 2, 2011
K212107 — Reverso · Intelis Instruments , Ltd. · Nov 10, 2021
K131758 — SURGEN U · Pollogen, Ltd. · Dec 18, 2013

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue. July 15, 2020 Viora Ltd. Simona Krant QA/RA Director 6 Hagavish Street Neanya, 4250706 Israel Re: K201064 Trade/Device Name: V30 System, V20 System, V10 System, V-FR Handpiece Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: PBX, ISA, GEX, GEI Dated: March 31. 2020 Received: April 21, 2020 Dear Simona Krant: 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. {1}------------------------------------------------ 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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems. For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely. Long Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K201064 Device Name V30, V20, V10 systems V-FR handpiece Indications for Use (Describe) The Viora V10 system is intended for dermatological procedures. The V10 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V20 system is intended for dermatological procedures. The V20 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V30 system is intended for dermatological procedures. The V30 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. | Type of Use (Select one or both, as applicable) | |-------------------------------------------------| |-------------------------------------------------| X Prescription Use (Part 21 CFR 801 Subpart D) | Over-The-Counter Use (21 CFR 801 Subpart C) #### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Shape the Fu 510(k) K201064 ## 510(k) - Summary Device Page 1 of 6 This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 CFR 807.92. | Submitter Name and Address: | Viora Ltd. 6 Hagavish Street Netanya, Israel 4250706 Israel | |------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Contact Person: | Ms. Simona F. Krant QA/RA Director Email: Simona@Vioramed.com Phone Number: +972 9955 1344 Fax Number: +972 9955 1345 | | Establishment Registration Number: | 3005695724 | | Date Prepared: | July 14, 2020 | | Device Trade Name(s): | V-FR Handpiece compatible with V30, V20, V10 Systems | | Device Common Name: | Multi-application RF, IPL and Laser device, RF based applicator | | Classification: | Name: Electrosurgical cutting and coagulation device and accessories and Laser surgical instrument for use in general and plastic surgery and in dermatology. Product code: PBX, ISA, GEI, GEX (for V30 system) PBX, ISA GEI, GEX (for V20 system) PBX, ISA, GEI (for V10 system) Regulation No: 21CFR878.4400, 21CFR878.4810 Class: II Panel: General and plastic surgery devices | | Predicate Device(s): | Viora V30 system (K162363) Viora V20 system (K152611) Viora V10 system (K150035) Syneron Medical Matrix RF Applicator (K090025) | {4}------------------------------------------------ Image /page/4/Picture/0 description: The image shows the logo for VIORA, a company with the tagline "Shape the Future." Below the logo is the text "510(k) K201064". The logo features the company name in a bold, sans-serif font, with a stylized graphic above it. The graphic appears to be a curved line that resembles a strand of hair. #### Device description | System | Description | Applications | 510(k) Clearance | |--------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|---------------------------------------------------------------| | V30 | Multi-application, multi-technology platform device intended for use in dermatologic procedures. The main console unit incorporates a touch-screen control panel, power supply modules, cooling system, switching module and service panel. | Nd:YAG (V30) | November 18, 2016 (K162363). | | V20 | dermatologic procedures. The main console unit incorporates a touch-screen control panel, power supply modules, cooling system, switching module and service panel. Cooled by deionized water | For V20 & V30: V-ST, V-IPL, V- and V-FORM (with BC Small, Medium and Large applicators) | February 19, 2016 (K152611) & November 18, 2016 (K162363). | | V10 | based on the well-established bipolar radiofrequency (RF) technology used for heating of soft tissues. The main console unit incorporates a touch-screen control panel, power supply modules, RF generator and service panel. | V-ST and V-FORM (with BC Small and Large applicators) | May 1, 2015 (K150035) & November 18, 2016 (K162363). | The V-FR Handpiece is fractional Bi-polar radiofrequency (RF) Handpiece is supported by Viora's V10, V20 and V30 systems. #### Indication for Use for V-FC Handpiece compatible with V30, V20, V10 Systems The Viora V10 system is intended for dermatological procedures. The V10 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V20 system is intended for dermatological procedures. The V20 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. The Viora V30 system is intended for dermatological procedures. The V30 system with V-FR is indicated for dermatological procedures requiring ablation and resurfacing of the skin. #### Predicate Devices The predicate device to Viora systems V10, V20 and V30 are the cleared V10, V20 and V30 systems themselves (please refer to the table below) and the V-FR handpiece is Syneron Medical Matrix RF Applicator that was cleared for marketing on January 8, 2010 (K090025). | Device name | 510k No. | Date of Clearance | |--------------------------------------|----------|------------------------------| | Viora V10 | K150035 | Cleared on May 1, 2015 | | Viora V20 | K152611 | Cleared on February 19, 2016 | | Viora V30 | K162363 | Cleared on November 18, 2016 | | Syneron Medical Matrix RF Applicator | K090025 | Cleared on January 8, 2010 | {5}------------------------------------------------ Image /page/5/Picture/0 description: The image shows the logo for VIORA, with the tagline "Shape the Future" underneath. Above the company name is a stylized graphic that resembles a needle and thread. Below the logo is the text "510(k) K201064", which likely refers to a medical device clearance or approval number. Page 3 of 6 ## Substantial Equivalence to Predicate Device | Comparison Parameter | Subject Device: V10,V20 and V30 systems with V-FR Handpiece | Predicate Device: Matrix RF Applicator Syneron Medical Ltd. | Characteristic Comparison (same/different) | |----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------| | Device Class | Class II | Class II | Same | | Classification Panel | General and Plastic Surgery devices | General and Plastic Surgery devices | Same | | Product code | PBX, ISA , GEI (V10,V20 & V30) GEX (V20 & V30) | GEI | Same for FR Technology | | Regulation number | 21CFR878.4400 (V10,V20 & V30) 21CFR878.4810 (V20 & V30) | 21CFR878.4400 | Same | | Regulation description | Laser Surgical Instrument for Use in General and plastic surgery and in dermatology. Electrosurgical cutting and coagulation device and accessories | Electrosurgical cutting and coagulation device and accessories. | Same | | Device main components | Cleared V10,V20 and V30 systems with: V-FC Handpiece, connector, cable handpiece. | • Matrix RF Applicator, connector, cable handpiece • Disposable, sterilized treatment tips • Disposable, sterilized test tips | Same | | Supported technologies | The cleared V10,V20 and V30 systems -with V-FR Handpiece, are supported with RF technology | Matrix RF Applicator is supported with RF technology | Same | | Intended use and indication for use | The V10,V20 and V30 systems with V-FC Handpiece are intended for dermatological procedures requiring ablation and resurfacing of the skin circulation and temporary reduction in the appearance of cellulite. | The Matrix RF Applicator is intended for use in dermatological procedures, requiring ablation and resurfacing of the skin, and for the treatment of facial wrinkles, circulation and temporary reduction in the appearance of cellulite | Similar, V-FR does not treat facial wrinkles | | System user interface | V10 & V20: 8.1-inch touch screen V30:10.4-inch touch screen | High-resolution color, 15" LCD V30:10.4-inch touch screen | Different but equivalent | | Handpiece dimensions: | 18x16cm | 15x16cm | Different but equivalent | | Handpiece weight | 0.4 kg | 0.5 kg | Different but equivalent | | Electrical requirements: | 100-240 V~ 10A 50/60 Hz (V10,V20 & V30) 100-120 V~ 10A 50/60 Hz (V20 & V30) Single Phase | 100-230 VAC ±10%; 3A; 50/60Hz Single Phase | Same | | Software | The V10,V20 and V30 systems software supports the V-FR Handpieces. The software was verified and validated according to the FDA guidance. | According to 510(k) summary K090025, the software was verified and validated according to the FDA guidance | Same | {6}------------------------------------------------ Image /page/6/Picture/0 description: The image shows the logo for VIORA, a company with the tagline "Shape the Future." The logo features the company name in a bold, sans-serif font, with a stylized graphic above the name. Below the logo is the text "510(k) K201064", which likely refers to a regulatory submission or approval number. ### Summary of technologic characteristics The technological differences between Viora V-FR Handpiece compatible with V30, V20, V10 Systems and the predicate device Matrix RF Applicator Syneron Medical Ltd. do not raise any new questions of safety or effectiveness. The non-clinical testing, software verification and validation testing and animal study were performed to evaluate the performance of V-FR Handpiece compatible with V30, V20, V10 Systems. Based on comparison of the technological characteristics of the devices and results of the performance testing, V-FR Handpiece compatible with V30, V20, V10 Systems is substantially equivalent to the predicate device Matrix RF Applicator Syneron Medical Ltd. for requested intended use." In conclusion, the V-FC Handpiece compatible with V30, V20, V10 Systems is substantially equivalent to its predicate device. Therefore, we concluded that the Matrix RF Applicator Syneron Medical Ltd. for the V-FR Handpiece compatible with V30, V20, V10 Systems appears to be an adequate predicate for this submission. ### Performance standards The V-FC Handpiece compatible with V30, V20, V10 Systems comply with the following performance standards: | System Relevance | Standard Number | Part Title | |------------------|---------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | V10,V20,V30 | IEC 60601-1:2012 | Medical Electrical Equipment Part 1:General Requirements for Basic Safety and Essential Performance | | V10,V20,V30 | IEC 60601-1-2: 2014 | Medical Electrical Equipment Part 1-2:General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility – Requirements and Tests. | | V20,V30 | IEC 60601-2-57:2011 | Particular Requirements for The Basic Safety and Essential Performance of Non-Laser Light Source Equipment Intended for Therapeutic, Diagnostic, Monitoring and Cosmetic/Aesthetic Use. | | V20,V30 | IEC 60601-2-22:2007 | Particular Requirements for Basic Safety And Essential Performance of Surgical, Cosmetic, Therapeutic and Diagnostic Laser Equipment. | | V20,V30 | IEC 60825-1:2014 | Safety of Laser Products Part 1: Equipment Classification. And Requirements | #### Electrical Safety and Electromagnetic Compatibility: The V-FR Handpiece compatible with V30, V20, V10 Systems was determined to be in conformance with applicable IEC standards as described in the above table. #### Performance Bench Tests: Bench testing demonstrated that the V-FR Handpiece compatible with V30, V20, V10 Systems performs per its device specifications and are as safe and effective as the cleared predicate devices. {7}------------------------------------------------ Image /page/7/Picture/1 description: The image shows the logo for VIORA, a company that is shaping the future. The logo features a stylized symbol above the word "VIORA" in a bold, sans-serif font. Below "VIORA" is the tagline "Shape the Future" in a smaller, lighter font. The text "510(k) K201064" is located at the bottom of the image. ## Biocompatibility: The materials and biocompatibility characteristics of Viora V10, V30 systems remains the same as approved (K150035, K152611, and K162363 respectively). Addition biocompatibility tests were performed according to ISO 10993-1 for the V-FR tip - Cytotoxicity test, Irritation test, Sensitization test. Results showed that the V-FR tip materials meet the requirement of the ISO 10993-1 for surface device that contacts breached or compromised surface in limited contact duration with the skin. ## Software: Software verification and validation testing was conducted, and results demonstrated that testing results were found acceptable for software release. All performance testing demonstrated that the V-FR Handpiece compatible with V30, V20, V10 Systems performs according to specifications and functions as intended. ## Pre-Clinical (Animal) study The Animal prospective study was conducted to evaluate the safety and effectiveness of the V-FR Handpiece compatible with V30, V20, V10 Systems for dermatological procedures requiring ablation and resurfacing of the skin. The study was comprised female domestic pigs (Sus scrofa domestica), each subjected to multiple topical exposures of fractional radio frequency pulses via the V-FR handpiece connected to Viora V10, V20, V30 systems by which different settings, such as depth of penetration, pulse energy and duration. Animals were evaluated macroscopically for local reaction at Day 0, Day 3, Day 7 and at study's termination 14 days post Activation. Skin biopsies were harvested on the same days and evaluated for depth/width of the ablated tissue and coagulative necrosis. Action of the V-FR handpiece (i.e., a fractional radiofrequency system) was confirmed in this study to consist of coagulation and ablation of the epidermis and the superficial dermis. Histopathological evaluation of the tissue samples indicated that, there was a well circumscribed condensation of the epidermis (i.e., coagulation necrosis), strictly limited only to small "islets" of the treated tissue, leaving intact skin in-between these islets. The healing was confirmed to be initiated from these intact skin areas resulting in lack of any evidence for adjacent tissue complications (i.e., inflammation, thrombosis). Histopathological evaluation of the activation sites indicated a clear and consistent time-related progressive change in the morphologic aspect of the sites, generally reflecting trend for healing without associated adverse reaction. This trend was evident in all combinations of type of programs / energy settings / pulse durations. Ablations were mainly restricting pod to the high-power settings (i.e. 8 & 10.) and coagulated necrosis was noted in all type of setting combinations on the day of application. The results of the animal study demonstrated the favorable safety and effectiveness profile for the Viora V10, V20, V30 systems for the indicated use for ablation and resurfacing of the skin with no device related serious adverse events. All performance testing demonstrated that the V-FR Handpiece compatible with V30, V20, V10 Systems performs according to specifications and functions as intended. {8}------------------------------------------------ Image /page/8/Picture/0 description: The image shows the logo for VIORA, with the tagline "Shape the Future" underneath. Below the logo and tagline, the text "510(k) K201064" is displayed. The logo features a stylized, abstract design above the company name. ## Conclusion: The technological differences between subject and predicate devices do not raise any new questions of safety or effectiveness. The non-clinical testing, software verification testing and animal study were performed to evaluate the performance of Viora V10, V20, V30 system with V-FR Handpiece. Based on comparison of the technological characteristics of the devices and results of the performance testing, Viora V10, V20, V30 system with V-FR Handpiece are substantially equivalent to the predicate devices for requested intended use.