Who is the manufacturer of Cryojet Plus (SHE-ACP001-1)?

Beijing Sano Laser S&T Development Co.,Ltd filed the 510(k) submission for Cryojet Plus (SHE-ACP001-1) (K233416).

What is the FDA product code for Cryojet Plus (SHE-ACP001-1)?

GEX. It is classified under 21 CFR 878.4810 as a Class 2 device in the General, Plastic Surgery panel.

What is the regulatory pathway for Cryojet Plus (SHE-ACP001-1)?

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

Who can help prepare an FDA 510(k) submission like Cryojet Plus (SHE-ACP001-1)?

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.

Cryojet Plus (SHE-ACP001-1)

K233416 · Beijing Sano Laser S&T Development Co.,Ltd · GEX · Feb 6, 2024 · General, Plastic Surgery

Device Facts

Record ID	K233416
Device Name	Cryojet Plus (SHE-ACP001-1)
Applicant	Beijing Sano Laser S&T Development Co.,Ltd
Product Code	GEX · General, Plastic Surgery
Decision Date	Feb 6, 2024
Decision	SESE
Submission Type	Traditional
Regulation	21 CFR 878.4810
Device Class	Class 2
Attributes	Therapeutic

Intended Use

Cryojet Plus is indicated to be used to: Minimize pain and thermal injury during laser and dermatological treatments and for temporary topical anesthetic relief for injections.

Device Story

Cryojet Plus is a non-contact skin cooling device used in clinical settings by trained medical operators. It utilizes a compressor-based refrigeration system (R404a refrigerant) to generate cold air, which is delivered to the patient's skin via a wind tube and interchangeable adapters. The device operates through conduction, evaporation, and forced convection to cool the local skin area. The operator controls therapy time and wind intensity via an LCD touch screen. By cooling the skin, the device aims to reduce pain and thermal damage during procedures. It is a mobile unit supported by casters.

Clinical Evidence

No clinical testing is included in this 510(k). Evidence consists of bench testing, including electrical safety (IEC 60601-1), electromagnetic compatibility (IEC 60601-1-2), and software verification/validation (IEC 62304).

Technological Characteristics

Closed-loop compressor cooling system using R404a refrigerant. Components include compressor, evaporator, condenser, fan, and DC brushless motor. Features a 10.1-inch LCD touch screen interface. Dimensions: 810mm x 400mm x 845mm; Weight: 65kg. IPX0 rating. Power: 100V-120V/50-60Hz. Includes three interchangeable ABS+PC adapters. Software controls system initialization, UI, and cooling parameters.

Indications for Use

Indicated for patients undergoing laser or dermatological treatments to minimize pain and thermal injury, and for temporary topical anesthetic relief for injections.

Regulatory Classification

Identification

(1) A carbon dioxide laser for use in general surgery and in dermatology is a laser device intended to cut, destroy, or remove tissue by light energy emitted by carbon dioxide.(2) An argon laser for use in dermatology is a laser device intended to destroy or coagulate tissue by light energy emitted by argon.

Predicate Devices

Cryo 7 (K220020)

Related Devices

K060395 — CRYO, MODEL V6.0 · Zimmer Elektromedizin GmbH · Feb 24, 2006
K040727 — CRYO 5 · Zimmer Elektromedizin GmbH · Apr 23, 2004
K090618 — CYNOSURE SMARTCOOL FAMILY COLD AIR DEVICE: SMARTCOOL, SMARTCOOL 6 AND CRYO C · Cynosure, Inc. · Apr 14, 2009
K242132 — FREDDO · Fabinject Lndustria E Comercio Lmportacao E Exportacao Ltda · Oct 18, 2024
K220020 — Cryo 7 · Zimmer Medizinsysteme GmbH · Feb 4, 2022

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. The words "U.S. FOOD & DRUG" are on the top line, and the word "ADMINISTRATION" is on the bottom line. February 6, 2024 Beijing Sano Laser S&T Development Co., Ltd % Zhao Huifang Correspondent Microkn Business Consulting (Shanghai) Co., Ltd. Room 1319, Block A, No 3699, Gonghexin Road Jingan District Shanghai, 200040 China Re: K233416 Trade/Device Name: Cryojet Plus (SHE-ACP001-1) Regulation Number: 21 CFR 878.4810 Regulation Name: Laser Surgical Instrument For Use In General And Plastic Surgery And In Dermatology Regulatory Class: Class II Product Code: GEX Dated: December 26, 2023 Received: December 26, 2023 Dear Zhao Huifang: 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 (the 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 available 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. {1}------------------------------------------------ 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. Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to. 21 CFR 820.30. Design controls: 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.70) and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). 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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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). {2}------------------------------------------------ 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-devices/deviceadvice-comprehensive-regulatory-assistance/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. Tanisha L. Tanisha L.Hithe -S 2024.02.06 Hithe -S 17:09:18 -05'00' Tanisha Hithe Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical & Infection Control Devices, Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {3}------------------------------------------------ ## Indications for Use 510(k) Number (if known) K233416 Device Name Cryojet Plus (SHE-ACP001-1) Indications for Use (Describe) Cryojet Plus is indicated to be used to: Minimize pain and thermal injury during laser and dermatological treatments and for temporary topical anesthetic relief for injections. | 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." {4}------------------------------------------------ # I. Contact Details | Applicant Name: | Beijing Sano Laser S&T Development Co., Ltd. | |-----------------|-------------------------------------------------------------------------------------------------------------------------------| | | Room 201, 2nd Floor, No.7 Building, Maohuagongchang, NO.1 CAIDA Third Street, Nancai Town, Shunyi District, Beijing, China | | | TEL: 086-10-57150601 | | Contact: | Hongbo Zhang, CEO | | | 360349720@qq.com | Date Prepared: Oct 06, 2023 ## II. Device Name Device Name : Cryojet Plus (Model: SHE-ACP001-1) Generic Name: Powered Laser Surgical Instrument Classification Name: Laser surgical instrument for use in general and plastic surgery and in dermatology (21CFR 878.4810) Regulatory Class: II Product Code: GEX # III. Predicate Device | 510(k) Number | Product Code | Trade Name | Applicant | |---------------|--------------|------------|----------------------------| | K220020 | GEX | Cryo 7 | Zimmer MedizinSysteme GmbH | This predicate has not been subject to a design-related recall. No reference devices were used in this submission. # IV. Device Description Cryojet Plus is intended to minimize pain and thermal injury during laser and dermatological treatments and for the temporary topical anesthetic relief for injections. And it shall be used by professionally trained medical operators. {5}------------------------------------------------ Cryojet Plus is composed of main body (including power supply system, cooling system), power cable, supporting arm rod (a group of supporting rod, two support clips), wind tube, adapters, casters and other accessories. Control system consists of LCD screen display and control board, etc; Cooling system includes compressor, evaporator, radiator, fan, water tank; Power supply system is composed of power cable, filter and ON/OFF switch power. How It Works: Gaseous refrigerant is compressed into high-temperature and high-pressure gas by high-power compressor and sent to condenser for cooling. Refrigerant can produce cold air by condenser and evaporation system for skin cooling through conduction, evaporation and forced convection. Evaporator absorbs heat in air and vaporizes the heat, then heat is gaseous, then the gas is back to compressor and continue to be compressed. Thus cooling is done through such circulation. Defrosting system melts the frost inside evaporation system into liquid water and discharge the water through drain valve. Software is used for system initialization, displaying user interface and cooling system control. Parameter setting (therapy time and wind level) can be done by touching LCD screen, thus START/STOP and defrosting of device can be controlled. The software can be used in conjunction with hardware system during treatment to minimize thermal damage to tissues and reduce pain. ## V. Intended Use/Indications for use Cryojet Plus is indicated to be used to: Minimize pain and thermal injury during laser and dermatological treatments and for temporary topical anesthetic relief for injections. Main components of device are listed below: | Components | Function Description | |------------|--------------------------------| | Air Switch | Control of Device Power ON/OFF | ## Table 2 Main Components of Proposed Device {6}------------------------------------------------ | Touch Screen | Display User Interface, Operation Control System, Treatment Parameter Setting | |--------------|--------------------------------------------------------------------------------------| | Wind Tube | Deliver cold air from blower to adapter. | | Adapter | Different sizes of adapters are applicable to different body parts to be treated. | ## VI. Substantial Equivalence Comparison / Comparison of technological characteristics with the predicate device The predicate device for this submission is Cryo 7(K220020) from Zimmer MedizinSysteme GmbH that has been approved under K220020. The submitted proposed device (Cryojet Plus) and predicate device (Cryo 7) are both classified as II. They are both for skin cooling by blowing cold wind to patient's local skin parts (the device is not intended to be in contact with patient). The indications of proposed device (Cryojet Plus) and predicate device (Cryo 7) are the same. The submitted proposed device (Cryojet Plus) and predicate device (Cryo 7) are based on the same scientific theories: 1. The working theories principles are identical. They both apply compressor cooling. Refrigerant is compressed into high-temperature and high-pressure gas (by high-power compressor) and sent to condenser for cooling and liquefaction. Refrigerant goes through expansion valve for throttle in evaporator and it absorbs heat in air and generate cold air surrounding it. Meanwhile, the fan blows natural air into evaporator for coldness and heat exchange, then the cold air is conducted to skin by wind tube. Forced convection makes skin cooling. Refrigerant absorbs heat in evaporator and becomes evaporated, then back to compressor to continue compression. Thus cooling is done through such circulation. {7}------------------------------------------------ Defrosting system melts the frost inside evaporation system into liquid water and discharge the water through drain valve. - 2. While the wind current flow level range, lowest temperature of output wind, cooling spot coverage area at a distance of 5cm, therapy time and defrost for both devices are identical or similar to reach the indicated effect, they do differ in appearance, size (dimension), weight and the product code of control system. The whole device is supported and moved through casters. - Product Components: The two devices are both substantially composed of compressor, 3. evaporator, condenser, DC brushless motor, fan, temperature sensor and wind tubes. - 4. Their energy sources are also identical. The comparison of technical characteristics between proposed device (Cryojet Plus) and predicate device (Cryo 7) are as follows: - 1. For Cryojet Plus produced by SANO Laser, there are 3 sizes of adapters (listed below) for therapy on different body parts; for Cryo 7 produced by Zimmer, there is no adapter for choice, wind is blown out from end of wind tube directly. (Vary in cooling spot coverage area at a distance of 5cm). | Item | Adapter Specifications | Size | Intended for use | |------|--------------------------------|------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------| | 1 | Small Sized Round Adapter | Image: Small Sized Round Adapter | For small area treatment and skin cooling meanwhile (e.g. eyebrow, armpits, forehead.) | | 2 | Medium Sized Square Adapter | Image: Medium Sized Square Adapter | For medium area treatment and skin cooling meanwhile (especially used for hair removal on arms, armpits and legs, in conjunction with hair | {8}------------------------------------------------ | | | | removal machine.) | |---|-------------------------------|----------------|------------------------------------------------------------------------------------------------------------------------------------------------------| | 3 | Large Sized Square Adapter | Image: Adapter | For large area treatment and skin cooling meanwhile (especially used for hair removal on thighs, abdomen, in conjunction with hair | - 2. Different Display Screen Size: Proposed device (Cryojet Plus) screen size is 10.1 inch and predicate device (Cryo 7) screen size is 5 inch; - IP Protection Level Difference: Proposed device (Cryojet Plus) is IPX0 and predicate 3. device (Cryo 7) is IP20; - Weight Difference: Proposed device (Cryojet Plus) is 65kg and predicate device (Cryo 7) 4. is 60kg. However, these differences do not affect the substantial equivalence; they are still based on the same technical characteristics to achieve the same purpose. For technical characteristics and operating principle associated with therapy, proposed device (Cryojet Plus) and predicate device (Cryo 7) are identical similarities and differences between the proposed device and the predicate device are described below in the comparison table. The differences do not raise any new issues of safety or effectiveness. {9}------------------------------------------------ | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | |-------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Product Code and Regulation | General & Plastic Surgery 21 CFR 878.4810 GEX – Powered Laser Surgical Instrument | General & Plastic Surgery 21 CFR 878.4810 GEX - Powered Laser Surgical Instrument. | Identical | | Device Description | The Cryojet Plus Air Device consists of a compressor, evaporator and fan to cool the patient's skin locally without contact to skin. | The Cryo 7 Cold Air Device consists of a compressor, evaporator and fan to cool the patient's skin locally without contact to skin. | Identical | | Intended Use | The Cryojet Plus is intended to minimize pain and thermal injury during laser and dermatological treatments and for temporary topical anesthetic relief for injections. | The Cryo 7 is intended to minimize pain and thermal injury during laser and dermatological treatments and for temporary topical anesthetic relief for injections. | Identical | | Performance Characteristics Measurement at device outlet | -25°C ± 3°C, At an air speed of 200 ± 50 to 620 ± 60 liters/minute. | -30°C ± 3°C, At an air speed of 210 ± 40 to 600 ± 100 liters/minute. | Similar, not significantly different | | Cooling Method, Operation Principle | Cooling agent-based condenser and evaporation system. Cold air is produced which is then delivered to skin for skin cooling by conduction, evaporation, and forced convection. | Cooling agent-based condenser and evaporation system. Cold air is produced which is then delivered to skin for skin cooling by conduction, evaporation, and forced convection. | Identical | | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | | Cooling Material | Gas (Air) | Gas (Air) | Identical | | Mains Voltage | 100V - 120V / 50-60Hz | 100V - 120V / 50-60Hz | Identical | | Main Fuse | Without circuit breaker in main switch | 16A circuit breaker in main switch | No impact | | Power Consumption | Max. 8A | Max. 10A | No impact | | IP Classification | IPX0 | IP20 | No impact | | Design | Internal metal chassis and framework by industrial designed ABS plastic shell, adapter material is ABS+PC | Internal metal chassis covered by industrial designed plastic shell | Similar, no impact on device safety and effectiveness evaluation | | Materials | Environmentally approved R404a, closed loop cooling system | Environmentally approved R452a, closed loop cooling system | No impact | | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | | Cooling Spot Size | Varies in cooling spot size (coverage area) with a distance of 5cm from wind outlet part to skin - 10cm $^{2}$ | Varies in cooling spot size (coverage area) with a distance of 5cm from wind outlet part to skin - 10cm $^{2}$ | The difference of adapter quantity does not raise different questions of safety and effectiveness: SANO Cryojet Plus machine has 3 adapter sizes for choice according to different body parts to be treated; Zimmer machine has only one adapter size. | | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | | Fan Speed Settings | 1-10 | 1-9 | Similar, not significantly different | | Interface | TTL, PWM | USB 2.0, RS232 | Difference in interfaces doesn't affect device safety and effectiveness evaluation | | Therapy time, Treatment time | 1:00 - 100:00 min - adjustable for users | 1:00 - 100:00 min - adjustable for users | Identical | | Time Delay to Operate | Immediate from pressing START button when system turns to standby mode | Immediate from pressing START button when system turns to standby mode | Identical | | Compatibility with the environment | R404 Ozone destruction level 0 | R452a Ozone destruction level 0 | Both environmenta lly approved, no impact | | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | | Display | 5.0 inch touch screen display | 10.1 inch touch screen display | Different screen sizes have no impact on the device safety and effectiveness evaluation | | Net Weight without accessories | 65kg | 60kg | Similar, not significantly different | | Dimensions | H810 mm x W400 mm x D845mm | H1060 mm x W500 mm x D560 mm | Different dimensions have no impact on the device safety and effectiveness evaluation | | Specification | PROPOSED DEVICE Beijing Sano Laser S&T Development Co., Ltd. Cryojet Plus (This Submission) | PREDICATE DEVICE Zimmer MedizinSysteme GmbH Cryo 7 (K220020) | Discussion of Similarities/ Differences | | Working Environment Temperature and Humidity | Temperature: 10 - 35°C | Temperature: 10 - 35°C | Identical | | | Humidity: 20-80% relative humidity (no condensation) | Humidity: 20-80% relative humidity (no condensation) | | | | Atmosphere Pressure: 900-1030 hPa | Atmosphere Pressure: 900-1030 hPa | | | Storage and Transport | Temperature: -10 - 50°C | Temperature: -10 - 50°C | Identical | | | Humidity: 10-90% relative humidity (no condensation) | Humidity: 10-90% relative humidity (no condensation) | | | | Atmosphere Pressure: 700-1060 hPa | Atmosphere Pressure: 700-1060 hPa | | | Environmental Specifications | For indoor use only | For indoor use only | Identical | ## Table Summary of Similarities and Differences {10}------------------------------------------------ {11}------------------------------------------------ {12}------------------------------------------------ {13}------------------------------------------------ {14}------------------------------------------------ {15}------------------------------------------------ ## Cryojet Plus 510(k) Notification K233416 Performance Data By investigation and test, Cryojet Plus has been considered to comply with the following voluntary standards: | Standards | Standards Organization | Standards Title | |------------------------------------------|---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | IEC 60601- 1:2005;A1:2012;A 2:2020 | IEC | Medical electrical equipment-Part1:General requirements for basic safety and essential performance | | IEC 60601-1- 2:2014 | IEC | Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance – Collateral standard: Electromagnetic disturbances - Requirements and tests | | IEC 60601-1- 6:2013 | IEC | Medical electrical equipment – Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability | | IEC 62366-1:2015 | IEC | Medical devices – Part 1: Application of usability engineering to medical devices | | IEC 62304:2015 | IEC | Medical devices software –software life cycle processes | | ISO 14971:2019- 12 | ISO | Medical devices – Application of risk management to medical devices | | ISO 15223-1:2016 | ISO | Medical devices - Symbols to be used with medical device labels, labeling, and information to be supplied - Part 1: General requirements | | ISO 13485:2016 | ISO | Medical devices – Quality management systems-- | | | | Requirements for regulatory purposes | | ISO 10993-1:2018 | ISO | Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process | {16}------------------------------------------------ # Software Verification and Validation Testing After evaluation on specified use conditions, it could be proved that the technical design (including software flow and device application) of Cryojet Plus is suitable to fulfill the specified intended use. In both formative and summative testing performed, no application problems were found that could lead to any risk for the user, patient or the third parties. The verification of software requirements was performed according to IEC 62304. All the tests were performed successfully and met their acceptance criteria. ## Biocompatibility Testing The device has been assessed for the requirement of biocompatibility testing as per ISO 10993-1. Since the device is not intended to be in contact with the patient, and the user wears medical gloves when touching the device, there is no additional biocompatibility requirement for device. ## Electrical Safety and Electromagnetic Compatibility (EMC) The device has undergone electrical and mechanical safety performance testing and electromagnetic compatibility testing as a result of the changes referenced. The system complies with IEC 60601-1:2005 + A1:2012+ A2:2020, and IEC 60601-1-2:2014+ A1:2020 . # Non-clinical Testing Non-clinical testing for Cryojet Plus included electrical safety testing according to IEC 60601-1, electromagnetic compatibility testing according to IEC 60601-1-2. The device has been assessed for the requirement of biocompatibility testing as per ISO 10993-1. Since the device is not intended to be in contact with the patient, and the user wears medical gloves when touching the device, there is no additional biocompatibility requirement for device. In addition, software verification and validation was completed. # Clinical Testing No clinical testing is included in this 510(k). {17}------------------------------------------------ ## Summary / Conclusion The Cryojet Plus are substantially equivalent to the Cryo 7 in intended use, device characteristics and application parameters.