CAPOGEN Laser Cap

K201854 · Nature, Inc.redible, Inc. · OAP · Sep 1, 2020 · Physical Medicine

Device Facts

• Record ID: K201854
• Device Name: CAPOGEN Laser Cap
• Applicant: Nature, Inc.redible, Inc.
• Product Code: OAP · Physical Medicine
• Decision Date: Sep 1, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5500
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

CAPOGEN Laser Cap is indicated to promote hair growth in males with androgenic alopecia who have Norwood-Hamilton classifications of IIa-V or females with androgenic alopecia who have Ludwig-Savin Classifications of I-II and both with Fitzpatrick Skin Phototypes I-IV.

Device Story

Dome-shaped low-level laser therapy (LLLT) device; promotes hair growth via photobiostimulation. Inputs: electrical power from battery pack. Operation: 272 (Model CG-272) or 148 (Model CG-148) visible red light-emitting diodes (650nm, 5mW each) expose scalp. Used in home environment; patient self-operated. Treatment regimen: 30 minutes, every other day. Output: visible red light exposure to scalp. Benefits: non-invasive hair growth promotion for specified alopecia classifications.

Clinical Evidence

Bench testing only. Biocompatibility testing performed per ISO 10993-5 and ISO 10993-10. Electrical and EMC safety testing performed per IEC 60601-1, IEC 60601-1-11, and IEC 60601-1-2. Laser classification verified per IEC 60825-1 (Class 3R). Battery and charger safety verified per IEC 62133 and IEC 60950.

Technological Characteristics

Dome-shaped LLLT device; 148 or 272 visible red LEDs (650nm, 5mW each). Powered by battery pack. Biocompatible materials per ISO 10993-5/10. Safety standards: IEC 60601-1, IEC 60601-1-11, IEC 60601-1-2, IEC 60825-1 (Class 3R), IEC 62133, IEC 60950. Dimensions: 22x18x9cm; Weight: 0.26kg.

Indications for Use

Indicated for males with androgenic alopecia (Norwood-Hamilton IIa-V) or females with androgenic alopecia (Ludwig-Savin I-II) with Fitzpatrick Skin Phototypes I-IV to promote hair growth.

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

• Diode Laser Cap (K173678)

Submission Summary (Full Text)

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September 1, 2020

Nature Incredible Inc % Gamma Zhang RA Manager Feiying Drug & Medical Consulting Technical Service Group Rm. 3005, Area B, Bldg. 1, Southward Ruifeng Business Center Guimiao Road Shenzhen, Guangdong 518000 China

Re: K201854

Trade/Device Name: CAPOGEN Laser Cap Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared Lamp Regulatory Class: Class II Product Code: OAP Dated: July 6, 2020 Received: July 6, 2020

Dear Gamma Zhang:

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.

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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 medical devices and radiation-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 ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Purva Pandya Acting 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

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# Indications for Use

510(k) Number (if known) K201854

Device Name CAPOGEN Laser Cap, Model: CG-148, CG-272

Indications for Use (Describe)

CAPOGEN Laser Cap is indicated to promote hair growth in males with androgenic alopecia who have Norwood-Hamilton classifications of Ila-V or females with androgenic alopecia who have Ludwig-Savin Classifications of I-II and both with Fitzpatrick Skin Phototypes I-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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# 510(k) Summary

"510(k) Summary" as required by 21 CFR Part 807.92.

#### Date: 2020-06-28

#### I. Submitter

Nature Incredible Inc. 3422 OLD CAPITOL TRAIL #569 WILMINGTON, DELAWARE 19808 Tel.: [phone]

John Lee (General Manager) Tel: [phone] Email: [e-mail]

#### II. Device

Type of 510(k): Traditional Common Name: Lamp, non-heating, for promotion of hair growth Trade Name: CAPOGEN Laser Cap, Model: CG-148, CG-272 Classification Name: Infrared lamp per 21 CFR 890.5500 Review Panel: General & Plastic Surgery Regulatory Class: II Product Code: OAP Regulation Number: 21 CFR 890.5500

## III. Predicate Device

| Applicant | Predicate Device | 510(k) Number |
|--------------------------------------|------------------|---------------|
| Cosmo Far East<br>Technology Limited | Diode Laser Cap | K173678 |

#### IV. Device Description

The CG-272 CAPOGEN Laser Cap is a dome-shaped low level laser therapy (LLLT) device designed to promote hair growth in women and men by exposing the entire scalp to the photobiostimulation of 272visible red light-emitting diodes at 650mm and 5mW each. The Cap is designed with an outer plastic cover and a protective inner (containing the electronics

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and laser array) and is powered by an included battery pack. The CG-148 CAPOGEN Laser Cap is exactly the same as the CG-272 with the exception of the number of diodes which is respective of model (148 diodes in CG-148).

#### V. Indications for Use

CAPOGEN Laser Cap is indicated to promote hair growth in males with androgenic alopecia who have Norwood-Hamilton classifications of IIa-V or females with androgenic alopecia who have Ludwig-Savin Classifications of I-II and both with Fitzpatrick Skin Phototypes I-IV.

## VI. Comparison of Technological Characteristics With the Predicate Device

The CAPOGEN Laser Cap and predicate device Diode Laser Cap is the same product, and they only differ from trade name.

The CAPOGEN Laser Cap raises no safety or efficacy concerns when compared to the predicate devices.

| Comparison<br>Elements | Subject Device | Predicate Device |
|----------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| K Number | Pending | K173678 |
| Trade name | CAPOGEN Laser Cap | Diode Laser Cap |
| Model | CG-148<br>CG-272 | COSMO-020<br>COSMO-030 |
| Classification<br>name | Infrared Lamp | Infrared Lamp |
| Product code | OAP | OAP |
| Intended<br>use/Indications | CAPOGEN Laser Cap is indicated to<br>promote hair growth in males with<br>androgenic alopecia who have<br>Norwood-Hamilton classifications of<br>IIa~V or females with androgenic<br>alopecia who have Ludwig- Savin<br>Classifications of I~II and both with<br>Fitzpatrick Skin Phototypes I to IV. | Diode Laser Cap is indicated to<br>promote hair growth in males with<br>androgenic alopecia who have<br>Norwood-Hamilton classifications of<br>IIa~V or females with androgenic<br>alopecia who have Ludwig- Savin<br>Classifications of I~II and both with<br>Fitzpatrick Skin Phototypes I to IV. |
| Location for use | OTC application | OTC application |
| Type of Light | Visible red light-emitting diodes | Visible red light-emitting diodes |
| Wavelength | 650nm | 650nm |
| Amount of laser<br>diodes | CG-148: 148<br>CG-272: 272 | COSMO-020: 148<br>COSMO-030: 272 |
| Energy of per<br>laser diode | 5mW | 5mW |
| Classification<br>according to<br>IEC60825-1 | Class 3R | Class 3R |
| Comparison<br>Elements | Subject Device | Predicate Device |
| Treatment time | Each treatment: 30min<br>16 weeks, every other day (indefinite) | Each treatment: 30min<br>16 weeks, every other day (indefinite) |
| Applicable people | Norwood-Hamilton IIa~V (males)<br>Ludwig-Savin I~II (females) | Norwood-Hamilton IIa~V (males)<br>Ludwig-Savin I~II (females) |
| Applicable skin | Fitzpatrick Skin Phototypes I-IV | Fitzpatrick Skin Phototypes I-IV |
| Helmet/Cap<br>design | Yes | Yes |
| Dimension | (L*W*H)<br>CG-148:22*18*9cm CG-<br>272:22*18*9cm | (L*W*H)<br>COSMO-020:22*18*9cm<br>COSMO-030: 22*18*9cm |
| Weight | CG-148: 0.26kg<br>CG-272: 0.26kg | COSMO-020: 0.26kg<br>COSMO-030: 0.26kg |
| Environment<br>for<br>operation | Temperature: 10℃~30℃<br>(50°F~86°F)<br>Humidity: 20%~80% | Temperature: 10℃~30℃<br>(50°F~86°F)<br>Humidity: 20%~80% |
| Environment<br>for<br>storage | Temperature: -10°C~60°C<br>(14°F~140°F)<br>Humidity: 20%~80% | Temperature: -10℃~60℃<br>(14°F~140°F)<br>Humidity: 20%~80% |
| Safety feature | Complied with IEC60601-1,<br>IEC60601-1-11, IEC60601-<br>1-2 and IEC60825-1<br>Complied with IEC62133<br>(Battery pack)<br>Complied with IEC60950<br>(Adapter) | Complied with IEC60601-1,<br>IEC60601-1-11, IEC60601-<br>1-2 and IEC60825-1<br>Complied with IEC62133<br>(Battery pack)<br>Complied with IEC60950<br>(Adapter) |
| Biocompatibility<br>feature | All body-contacting<br>materials are complied with<br>ISO10993-5 and ISO 10993-<br>10. | All body-contacting<br>materials are complied with<br>ISO10993-5 and ISO 10993-<br>10. |

A technical comparison to the predicate is provided below:

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#### VII.Performance Data

The following performance data were provided in support of the substantial equivalence determination.

#### 1)Biocompatibility Testing

The biocompatibility evaluation for the body-contacting components of the CAPOGEN Laser Cap was conducted in accordance with the "Use of International Standard ISO 10993-1, 'Biological Evaluation of Medical Devices -Part 1: Evaluation and Testing Within a Risk Management Process, Document Issued on June 16, 2016", as recognized by FDA. The battery of testing was performed to, and passed, including:

- > ISO 10993-5:2009/(R)2014, Biological Evaluation of Medical Devices –Par t 5: Tests for In Vitro Cytotoxicity
- > ISO 10993-10:2010, Biological Evaluation of Medical Devices -Par t 10: Tests for Irritation and Skin Sensitization

## 2)Electrical and EMC Safety

Electrical safety and EMC safety testing was performed to, and passed, the following standards:

- > IEC 60601-1 Medical electrical equipment -Part 1: General requirements for basic safety and essential performance
- > IEC 60601-1-11 Medical electrical equipment -Part 1-11: General requirements for basic safety and essential performance -Collateral standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment
- > IEC 60601-1-2 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance -Collateral standard: electromagnetic compatibility -Requirements and tests

In addition, testing to IEC 60825-1 certifies the laser system to classification 3R, which is the same as the predicate devices. And the charger conforms to IEC 60950 and the battery to IEC 62133.

#### Summary

Based on the above performance as documented in this application. CAPOGEN Laser Cap was found to have a safety and effectiveness profile that is same as the predicate device.

#### VIII. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the comparison of intended use, design, materials and performance, the CAPOGEN Laser Cap is to be concluded same to its predicate devices.