HM-RUBY

K974142 · American Lasers, Inc. · GEX · Jan 28, 1998 · General, Plastic Surgery

Device Facts

• Record ID: K974142
• Device Name: HM-RUBY
• Applicant: American Lasers, Inc.
• Product Code: GEX · General, Plastic Surgery
• Decision Date: Jan 28, 1998
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

ALL TATTOO REMOVAL OR LIGHTENING EXCEPT FOR TREATMENT OF EPIDERMAL PIGMENTED NEVUS OR FOR TREATMENT OF

Device Story

HM-Ruby is a laser device intended for tattoo removal or lightening. Operated by a physician in a clinical setting. Device emits laser energy to target and break down tattoo pigments in the skin. Clinical benefit is the removal or reduction of unwanted tattoos. Output is controlled by the clinician to achieve desired aesthetic results.

Clinical Evidence

No clinical data provided; substantial equivalence based on 510(k) notification review.

Technological Characteristics

Ruby laser system; intended for dermatological applications. Class II device (Product Code GEX).

Indications for Use

Indicated for tattoo removal or lightening in adult patients. Contraindicated for the treatment of epidermal pigmented nevus.

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)

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a stylized eagle-like symbol with three curved lines representing the bird's body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the symbol. The seal is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 28 1998

David K. Ouon. MD. President American Lasers, Incorporated 300 East Main Street Alhambra, California 91801

K974142 Re:

> Trade Name: HM-Ruby Regulatory Class: II Product Code: GEX Dated: November 1, 1997 Received: November 3, 1997

Dear Dr. Quon:

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 (OS) 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

{1}------------------------------------------------

Page 2 - Dr. Quon

devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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,

Cla atta

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

{2}------------------------------------------------

P01

| Page | of | |
|------|----|--|
|------|----|--|

K 97 4142 510(k) Number (if known): KU B l)evice Name:_ Indications For Use:

ALL 7A7700 FOR 02 (D) LIGHTENING RED I-xcEPT

R TONIC 7-0 R JRZATMENT 1 151 FRIDERMAL PIGATENTED

0 L o 7 A NEVUS of FOR RZATMITENT (

(PLEASE DO NOT WRITE BELOW THIS-LINE - CONTINUE ON ANOTHER PAGE IF NEEDDED)

Concurrence of CDRH, Office of Device Evaluation (ONF)

(Division Sign-Off)
Division of General Restorative Devices..
510(k) Number K974142

OR

Prescription Use (Per 21 CFR 801.109)

Over-Tle-Countor Use

(Optional Format 1-2-96)