LASER PERIPHERALS HOLMIUM BARE FIBERS

K972272 · Laser Peripherals, LLC · GEX · Jul 29, 1997 · General, Plastic Surgery

Device Facts

• Record ID: K972272
• Device Name: LASER PERIPHERALS HOLMIUM BARE FIBERS
• Applicant: Laser Peripherals, LLC
• Product Code: GEX · General, Plastic Surgery
• Decision Date: Jul 29, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Laser Peripherals Holmium Bare Fibers are indicated for a variety of surgical uses including open, laparoscopic or endoscopic ablation, coagulation, incision, excision, and vaporization. The delivery system may be used in each surgical specialty or procedure for which compatible Holmium and Nd: YAG lasers have received regulatory clearance.

Device Story

Laser Peripherals Holmium Bare Fibers function as optical delivery systems for laser energy. The device transmits energy from compatible Holmium or Nd:YAG laser sources to target tissue. Used by surgeons in open, laparoscopic, or endoscopic settings to perform ablation, coagulation, incision, excision, and vaporization. The fiber acts as a conduit; the surgeon controls the laser output and fiber positioning to achieve the desired clinical effect. Benefits include precise tissue interaction enabled by the laser energy delivered through the fiber, facilitating various surgical interventions.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Optical fiber delivery system for Holmium and Nd:YAG laser energy. Designed for open, laparoscopic, and endoscopic surgical applications. Device is a passive accessory for laser systems.

Indications for Use

Indicated for surgical ablation, coagulation, incision, excision, and vaporization in open, laparoscopic, or endoscopic procedures. Intended for use with cleared Holmium and Nd:YAG lasers across all surgical specialties where such lasers are indicated.

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.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Nancy L. Arnold President Laser Peripherals, Inc. . . . . . . . . . . . 5484 Feltl Road Minnetonka, Minnesota 55343

JUL 29 1997

Re: K972272

> Trade Name: Laser Peripherals Holmium Bare Fibers Regulatory Class: II Product Code: GEX Dated: June 16, 1997 Received: June 18, 1997

Dear Ms. Arnold:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements , as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Ms. Nancy L. Arnold

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market ... .....................................................................................................................................

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## INDICATIONS FOR USE K972272

The Laser Peripherals Holmium Bare Fibers are indicated for a variety of surgical uses including open, laparoscopic or endoscopic ablation, coagulation, incision, excision, and vaporization. The delivery system may be used in each surgical specialty or procedure for which compatible Holmium and Nd: YAG lasers have received regulatory clearance.

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(Division Sign-Off)
Division of General Restorative Devices K472272
510(k) Number.

Prescription Use
(Per 21 CFR 801.109)