truSculpt iD

K223110 · Cutera, Inc. · GEI · Nov 3, 2022 · General, Plastic Surgery

Device Facts

• Record ID: K223110
• Device Name: truSculpt iD
• Applicant: Cutera, Inc.
• Product Code: GEI · General, Plastic Surgery
• Decision Date: Nov 3, 2022
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 878.4400
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The truSculpt iD device is intended to generate heat within body tissues for the treatment of selected medical conditions, such as the relief of minor aches, pain, and muscle spasms; an increase in local circulation; a reduction in circumference of the abdomen; and non-invasive lipolysis (breakdown of fat) of the abdomen. The truGlide roller is intended to provide temporary reduction in the appearance of cellulite.

Device Story

System consists of console, RF handpieces, and mechanical massage roller. Console contains RF generator, control electronics, and touchscreen interface. Handpieces deliver RF energy (1 MHz or 2 MHz) to subcutaneous tissue to generate heat; system monitors epidermal temperature to maintain therapeutic range (40°-45°C). Used in clinical settings by trained operators. Output provides controlled thermal energy for pain relief, muscle spasm reduction, increased circulation, abdominal circumference reduction, and lipolysis. Massage roller provides temporary cellulite appearance reduction. Device benefits patients by providing non-invasive treatment for fat reduction and musculoskeletal conditions.

Clinical Evidence

No clinical data. Bench testing only: skin temperature testing on 3 human subjects demonstrated the 2 cm² RF applicator maintains therapeutic temperatures (40°-45°C) without exceeding 45°C. Software verification and validation testing performed.

Technological Characteristics

Console-based RF system. Materials: PVDF (handpieces), liquid resin adhesive, silicone (cummerbund), hydrogel (electrodes), stainless steel (roller). Energy: 1 MHz and 2 MHz RF. Bipolar/Monopolar modes. Max power 300W. Features: active temperature sensing/control, touchscreen UI, microprocessor control. Sterilization: not specified.

Indications for Use

Indicated for topical heating to elevate tissue temperature for relief of pain, muscle spasms, and increased local circulation. The 2MHz setting for the 40 cm2 handpiece is indicated for reduction in abdominal circumference and non-invasive lipolysis of the abdomen. The massage device is indicated for temporary reduction in the appearance of cellulite.

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

• truSculpt iD (K221407)

Submission Summary (Full Text)

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November 3, 2022

Image /page/0/Picture/1 description: The image contains 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.

Cutera Inc. Julia Brown Sr Manager, Regulatory Affairs 3240 Bayshore Blvd. Brisbane, California 94005

## Re: K223110

Trade/Device Name: truSculpt iD Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories Regulatory Class: Class II Product Code: GEI, PBX Dated: September 30, 2022 Received: October 3, 2022

Dear Julia Brown:

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.

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

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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,

for

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

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# Indications for Use

510(k) Number (if known) K223110

Device Name truSculpt iD

#### Indications for Use (Describe)

The trusculpt RF energy is intended to provide topical heating for the purpose of elevating tissue temperature for the treatment of selected medical conditions, such as relief of pain and muscle spasms and increase in local circulation.

Additionally, the 2MHz setting for the 40 cm2 handpiece is indicated for reduction in circumference of the abdomen and non-invasive lipolysis (breakdown of fat) of the abdomen.

The trusculpt massage device is intended to provide a temporary reduction in the appearance of cellulite.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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This 510(k) Summary of safety and effectiveness for the truSculpt iD device is submitted in accordance with the requirements of the SMDA 1990 and following guidance concerning the organization and content of a 510(k) Summary.

| Applicant: | Cutera, Inc. |
|-------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Address: | 3240 Bayshore Blvd<br>Brisbane, CA 94005 |
| Contact Person: | Ms. Julia Brown<br>Sr. Manager, Regulatory Affairs<br>3240 Bayshore Blvd<br>Brisbane, CA 94005<br>[e-mail]<br>m. [phone]<br>o. [phone]<br>f. [phone] |
| Preparation Date: | September 30, 2022 |
| Device Trade Name: | truSculpt iD |
| Common Name: | Massager, Vacuum, Radio Frequency Induced Heat |
| Regulation Name: | Electrosurgical cutting and coagulation device and accessories |
| Regulation Number: | 21 CFR 878.4400 |
| Product Codes: | GEI, PBX |
| Primary Predicate<br>Device: | truSculpt iD (K221407) |
| Intended Use: | The truSculpt iD device is intended to generate heat within body<br>tissues for the treatment of selected medical conditions, such as the<br>relief of minor aches, pain, and muscle spasms; an increase in local<br>circulation; a reduction in circumference of the abdomen; and non-<br>invasive lipolysis (breakdown of fat) of the abdomen. The truGlide<br>roller is intended to provide temporary reduction in the appearance of<br>cellulite. |
| Indications for Use: | The truSculpt RF energy is intended to provide topical heating for the<br>purpose of elevating tissue temperature for the treatment of selected<br>medical conditions, such as relief of pain and muscle spasms and<br>increase in local circulation.<br>Additionally, the 2 MHz setting for the 40 cm² handpiece is indicated<br>for reduction in circumference of the abdomen and non-invasive<br>lipolysis (breakdown of fat) of the abdomen.<br>The truSculpt massage device is intended to provide a temporary<br>reduction in the appearance of cellulite. |
| Device Description: | The truSculpt iD device consists of a console, one or more RF<br>handpieces that connect to the console with umbilical cables, and a<br>truGlide massage roller. All system functions are controlled through<br>the console. The handpieces deliver RF energy to generate a<br>heating profile that produces a moderate temperature rise in the<br>subcutaneous tissue, while monitoring epidermal temperature. The<br>truGlide is a separate mechanical roller that can be used as a<br>massager. |
| Summary of<br>Technological<br>Characteristics: | The modified truSculpt iD device has similar technological<br>characteristics as the existing truSculpt iD device (K221407). Both<br>devices comprise a console and RF applicators. The consoles for<br>both devices consist of a mechanical enclosure, an RF generator,<br>control electronics, a touchscreen user interface, and a control<br>microprocessor.<br><br>The modified truSculpt iD device includes a new 2 cm² RF applicator.<br>The RF applicators of the modified and existing truSculpt iD devices<br>are constructed of the same materials and have similar functional<br>features and capabilities.<br><br>The modified truSculpt iD device heats tissue through delivery of RF<br>energy at 1 MHz and 2 MHz, which is identical to the existing<br>truSculpt iD device. |
| Performance Data: | • Skin temperature testing on 3 human subjects to demonstrate that<br>the 2 cm² RF applicator can maintain therapeutic temperatures of<br>40°-45°C on the skin surface and that skin temperatures do not<br>exceed 45°C during the course of the treatment<br><br>• Software verification and validation testing |
| Clinical Data: | Not applicable; non-clinical performance testing (as provided above)<br>is sufficient to demonstrate substantial equivalence |

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| Table 5A-Technical Specification Comparison of Modified Device to Existing Device | | | | |
|-----------------------------------------------------------------------------------|--|--|--|--|
|-----------------------------------------------------------------------------------|--|--|--|--|

| | Modified truSculpt iD Device<br>(current submission) | Existing truSculpt iD Device<br>(K221407) |
|-------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Energy type | Radiofrequency | Radiofrequency |
| Massage | Yes | Yes |
| Temperature sensing | Yes | Yes |
| Temperature sensing<br>active control | Yes | Yes |
| Treatment activation | Control screen button or<br>fingerswitch | Control screen button or<br>fingerswitch |
| Area treated | Handheld: 2-40 cm²<br>Hands-free: 40-240 cm² | Handheld: 16-40 cm²<br>Hands-free: 40-240 cm² |
| Electrode shape | Square or Rectangle | Square or Rectangle |
| RF frequency | 1 MHz and 2 MHz | 1 MHz and 2 MHz |
| RF type | Bipolar/Monopolar | Bipolar/Monopolar |
| Max RF power | 300 W | 300 W |
| Patient contact material | • Polyvinylidene fluoride (PVDF)<br>for handheld handpieces<br>• Liquid resin adhesive for patient<br>decals (for hands-free<br>handpieces)<br>• Silicone for cummerbund (for<br>hands-free handpieces)<br>• Hydrogel for neutral electrode<br>pads<br>• Stainless steel for massage roller | • Polyvinylidene fluoride (PVDF)<br>for handheld handpieces<br>• Liquid resin adhesive for patient<br>decals (for hands-free<br>handpieces)<br>• Silicone for cummerbund (for<br>hands-free handpieces)<br>• Hydrogel for neutral electrode<br>pads<br>• Stainless steel for massage roller |
| Attachment of hands-<br>free handpieces to<br>patient | Adhesive patient decals and<br>cummerbund | Adhesive patient decals and<br>cummerbund |

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Conclusion: The modified truSculpt iD device has equivalent technological characteristics and principles of operation as the existing truSculpt iD device (K221407). Cutera performed a detailed risk analysis of the modified device to assess the impact of the changes, and no new risks were identified.

> Performance data demonstrates that any differences between the modified and existing truSculpt iD devices do not raise new safety or effectiveness questions. Skin temperature testing with the 2 cm2 RF applicator on three human subjects further demonstrates that the modified truSculpt iD device can maintain therapeutic temperatures of 40°-45°C on the skin surface and that maximum skin temperatures do not exceed 45°C.

> The addition of the 2 cm² RF applicator only impacts the relief of pain and muscle spasms and increase in local circulation indications. The reduction in circumference and lipolysis indications are achieved through the use of the 2 MHz setting for the 40 cm2 handpiece, and the cellulite indication is achieved through the use of the truSculpt massage device.

> The modified truSculpt iD device is substantially equivalent to the existing truSculpt iD device.