BTL-785S

K233604 · BTL Industries, Inc. · GEI · Mar 28, 2024 · General, Plastic Surgery

Device Facts

Record IDK233604
Device NameBTL-785S
ApplicantBTL Industries, Inc.
Product CodeGEI · General, Plastic Surgery
Decision DateMar 28, 2024
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4400
Device ClassClass 2
AttributesTherapeutic

Intended Use

The BTL-785S with BTL-785-1 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785S with BTL-785-2 applicator is indicated to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785S with BTL-785-3 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-4 applicator used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis. The Applicator BTL-785-4 of BTL-785S device used with tips BTL-785-4-3, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin. At higher energy levels greater than 62 mJ/pin, use of the BTL-785-4 applicator is limited to Skin Types I-IV. The BTL-785S with BTL-785-7 Handpiece used with hands-free applicators: BTL-785-7-1 & BTL-785-7-7, BTL-785-7-2 & BTL-785-7-8 single-use applicators are intended to provide: Heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. BTL-785-7-1 & BTL-785-7-2 single-use applicators are intended to provide: Non-invasive temporary reduction of facial wrinkles. BTL-785-7-9 single-use applicator is intended to: Affect the appearance of lax tissue in the submental area.

Device Story

BTL-785S is a radiofrequency (RF) system for dermatological and general surgical use. System comprises a microprocessor-controlled console with 15.6" touch screen, RF generator, and various applicators. Applicators deliver RF energy (monopolar) to tissue; some integrate ultrasound, active cooling, or electromagnetic muscle stimulation. User interface guides therapy; handpieces include control buttons. Device used in clinical settings by trained professionals. Output includes tissue heating, coagulation, or muscle stimulation. Benefits include pain relief, wrinkle reduction, and submental laxity improvement. Safety monitored via integrated thermometers and patient feedback.

Clinical Evidence

Single-center, open-label, interventional study (N=56). Evaluated BTL-785-7-9 applicator for submental laxity. Primary endpoints: safety, submental skin laxity, patient satisfaction, comfort. Results: 91% (51/56) showed GAIS improvement ≥1 point; 82% (46/56) showed ≥20 mm² reduction in submental area; 100% satisfaction; 98% reported none-to-mild pain. No adverse events reported.

Technological Characteristics

RF generator (3.2 MHz for most applicators, 1 MHz for BTL-785-4); Monopolar mode; 15.6" color touch screen; Integrated thermometer; Ethylene oxide sterilization for single-use tips; 100-240V AC power. Materials/specs per ISO 10993, IEC 60601 series.

Indications for Use

Indicated for patients requiring tissue heating for pain relief, muscle spasms, or increased local circulation; cellulite reduction; electrocoagulation/hemostasis; fractional skin treatment; facial wrinkle reduction; and submental lax tissue improvement. BTL-785-4 applicator limited to Skin Types I-IV at energy >62 mJ/pin.

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

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 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. March 28, 2024 BTL Industries, Inc. David Chmel CEO North America 362 Elm Street Marlborough, Massachusetts 01752 Re: K233604 Trade/Device Name: Btl-785s Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories Regulatory Class: Class II Product Code: GEI, PBX Dated: February 27, 2024 Received: February 27, 2024 Dear David Chmel: 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. 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). {1}------------------------------------------------ 2 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 820.30 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). 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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, Digitally signed by Mark Mark Trumbore -S Trumbore -S Date: 2024.03.28 11:09:32 -04'00' Mark Trumbore, 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 {2}------------------------------------------------ Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below. DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration ### Indications for Use 510(k) Number (if known) K233604 Device Name BTL-785S Indications for Use (Describe) The BTL-785S device has the following indications for use: The BTL-785S with BTL-785-1 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785S with BTL-785-2 applicator is indicated to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785S with BTL-785-3 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-4 applicator used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis. The Applicator BTL-785-4 of BTL-785S device used with tips BTL-785-4-3, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin. At higher energy levels greater than 62 mJ/pin, use of the BTL-785-4 applicator is limited to Skin Types I-IV. The BTL-785S with BTL-785-7 Handpiece used with hands-free applicators: BTL-785-7-1 & BTL-785-7-7, BTL-785-7-2 & BTL-785-7-8 single-use applicators are intended to provide: - Heating for the purpose of elevaing tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. BTL-785-7-1 & BTL-785-7-2 single-use applicators are intended to provide: - Non-invasive temporary reduction of facial wrinkles. BTL-785-7-9 single-use applicator is intended to: - Affect the appearance of lax tissue in the submental area. 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. {3}------------------------------------------------ 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}------------------------------------------------ K233604 Image /page/4/Picture/1 description: The image shows the logo for BTL Industries. The logo consists of three blue squares, each containing a letter of the company's name. The words "BTL Industries" are written in gray to the right of the squares. # 510(k) Summary # K233604 # General Information | Sponsor: | BTL Industries, Inc.<br>362 Elm Street<br>Marlborough, MA 01752<br>Tel: +1-866-285-1656<br>Fax: +1-888-499-2502 | |------------------------------|-----------------------------------------------------------------------------------------------------------------| | Applicant: | BTL Industries, Inc.<br>362 Elm Street<br>Marlborough, MA 01752<br>Tel: +1-866-285-1656<br>Fax: +1-888-499-2502 | | Contact Person: | David Chmel<br>BTL Industries, Inc.<br>chmel@btlnet.com | | Summary Preparation<br>Date: | March 27, 2024 | | Device | | | Trade/Proprietary Name: | BTL-785S | | Primary Classification Name: | Electrosurgical cutting and coagulation device and accessories | | Classification Regulation: | 21 CFR 878.4400, Class II | Classification Product Code: GEI, PBX {5}------------------------------------------------ ## Legally Marketed Predicate Device The BTL-785S is a state-of-the-art radiofrequency device with accessories, and is substantially equivalent to the following products that are already cleared for distribution in the USA under the following 510(k) Premarket Notification numbers: BTL-785X Original 510(k) Sponsor: BTL Industries Inc. 510(k) Number: K222556 Reference device: SculpSure Original 510(k) Sponsor: Cynosure 510(k) Number: K182741 ## Product Description The BTL-785S is a state-of-the-art radiofrequency device that enables the application of therapy by a high-frequency field. The control unit of the system is equipped with a large color touch screen that significantly facilitates the use of the device. The on-screen information guides the user step-by-step through the entire therapy procedure. The therapeutic parameters are easily set using the touch screen of the device. During the therapy the device displays information about the applied therapy type, remaining therapy time and main therapy parameters on the screen. For easier control, the hand-pieces are equipped with buttons, enabling operation of the device during therapy. The energy flow's quality is indicated by the illuminated treatment tip. The BTL-785S device comes with five different types of applicators. The BTL-785S device consists of the following main components: - · microprocessor-driven control unit - · radiofrequency generator - user interface with 15.6" color touch screen - · applicators - · exchangeable applicator tips #### Technological characteristics The BTL-785S device has identical technological characteristics compared to its primary predicate device. The BTL-785S device and the predicate are comprised of a system console and applicators. The system console consists of the RF generator, computer, and a touch-screen control panel. The device is accompanied by the followinq applicators: - . BTL-785-1 applicator providing treatment by integration of radiofrequency, ultrasound and active cooling. Suitable for the treatment of large body areas. 510(k) Summary {6}------------------------------------------------ ![]() - BTL-785-2 applicator providing treatment by integration of radiofrequency and ultrasound. . Suitable for the treatment of small areas. - BTL-785-3 applicator providing radiofrequency treatment. The therapy is provided with single o use tips only. - BTL-785-4 applicator delivering radiofrequency via an array of microneedles and/or superficial 0 pins. Therapy is provided with single use tips only. - BTL-785-7 hands-free applicators providing treatment by integration of radiofrequency heating . and muscle stimulation resulting in induced muscle workout. Muscle workout naturally increases local blood circulation. Suitable for the treatment of face and small and sensitive areas. The therapy is provided with single use electrodes only. {7}------------------------------------------------ Page 4 of 13 ### Indications for Use The BTL-785S device has the following indications for use: The BTL-785S with BTL-785-1 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms. and increase in local circulation. The BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785S with BTL-785-2 applicator is indicated to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785S with BTL-785-3 applicator is intended to provide heating for the purpose of elevating tissue temperature, for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The applicator BTL-785-4 of BTL-785S device used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis. The applicator BTL-785-4 of BTL-785S device used with tips BTL-785-4-3, BTL-785-4-4, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin. At higher energy levels greater than 62 mJ/pin, the use of the BTL-785-4 applicator is limited to Skin Types I-IV. The BTL-785S with BTL-785-7 Handpiece used with hands-free applicators: BTL-785-7-1 & BTL-785-7-7, BTL-785-7-2 & BTL-785-7-8 single-use applicators are intended to provide: - Heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. BTL-785-7-1 & BTL-785-7-2 single-use applicators are intended to provide: - Non-invasive temporary reduction of facial wrinkles. ● BTL-785-7-9 single-use applicator is intended to: - . - Affect the appearance of lax tissue in the submental area. {8}------------------------------------------------ stries # Performance Data The BTL-785S device has been thoroughly evaluated for electrical safety. The device has been found to comply with applicable medical device safety standards: | IEC 60601-1 | Medical electrical equipment - Part 1: General requirements for basic safety and<br>essential performance | |---------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | IEC 60601-1-2 | Medical electrical equipment - Part 1-2: General requirements for basic safety<br>and essential performance - Collateral standard: Electromagnetic disturbances<br>- Requirements and tests | | IEC 60601-2-2 | Medical electrical equipment - Part 2-2: Particular requirements for the basic<br>safety and essential performance of high frequency surgery equipment and high<br>frequency surgical accessories | | IEC 60601-2-5 | Medical electrical equipment - Part 2-5: Particular requirements for the basic<br>safety and essential performance of ultrasonic physiotherapy equipment | | IEC 60601-1-6 | Medical electrical equipment - Part 1-6: General requirements for basic safety<br>and essential performance - Collateral standard: Usability | | IEC 62304 | Medical device software - Software life cycle processes | | ISO 14971 | Medical devices - Application of risk management to medical devices | | ISO 10993-1 | Biological evaluation of medical devices – Part 1: Evaluation and testing within<br>a risk management process | | ISO 10993-5 | Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity | | ISO 10993-7 | Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization<br>residuals | | ISO 10993-10 | Biological evaluation of medical devices - Part 10: Tests for irritation and skin<br>sensitization | | ISO 10993-11 | Biological evaluation of medical devices -- Part 11: Tests for systemic toxicity | | ISO 11135 | Sterilization of health-care products -- Ethylene oxide -- Requirements for the<br>development, validation and routine control of a sterilization process for medical<br>devices | | ISO 11607-1 | Packaging for terminally sterilized medical devices - Part 1: Requirements for<br>materials, sterile barrier systems and packaging systems | | ISO 11607-2 | Packaging for terminally sterilized medical devices - Part 2: Validation<br>requirements for forming, sealing and assembly processes | {9}------------------------------------------------ ## BTL-785S with BTL-785-7 handpiece and BTL-785-7-9 single-use applicator clinical performance data A clinical study was conducted to demonstrate the performance, clinical efficacy and safety of the BTL-785-7-9 non-invasive single-use applicator for its effect on the appearance of lax tissue in the submental area. This study has a single-center single-arm, open-label, interventional design. The study was conducted at a single site. All the enrolled participants were treated with the BTL-785-7-9 non-invasive single-use applicator. In total, N=56 subjects respected the study schedule and completed all the required study treatment visits and follow-up visits. No adverse events occurred throughout the whole clinical investigation. The analysis of baseline and 3-month photography data indicates clinically favorable cosmetic results achieving the secondary endpoints: A score improvement of at least 1.0 grade point in at least 75% of treated subjects. GAIS evaluation by three independent reviewers showed that a score of at least 1 point on the scale (referring to improved appearance) was documented in 51 of 56 subjects (91%). Evaluation of effect on appereance of lax skin in submental area. At 3 months, 46 subjects (82%) exhibited a ≥ 20 mm² reduction in the submental area. The tissue lift and the response rate vielded consistent results for both the right and left side of the face. Furthermore, of those 46 subjects with tissue lift ≥ 20 mm², 43 (93%) were identified by the independent reviewers by using GAIS as having visible improvement in the treated area at 3 months. The overall satisfaction with the study treatment outcome and therapy comfort. At 3 months, the vast majority of subjects reported their satisfaction with the therapy outcomes as 56 (100%) subjects answered "satisfied" or "very satisfied" to the question "Overall how are you satisfied with the therapy?". The 56 subjects (100%) answered "satisfied or "very satisfied" to the question "Overall how satisfied are you with the chin-toning after the therapy" and 55 subjects (98%) answered "satisfied" of "very satisfied" to the question "Overall how satisfied are you with the skin laxity of the treated area after the therapy". In total 54 subjects (96%) "agreed" or "strongly agreed" with the statement "I found the treatment comfortable". Pain sensation assessed by 10-point analogue scale yielded an average score of 0.46 ± 0.81 points. Scores of 55 (98%) subjects fell into the none to mild pain range (0-3). Based on 3-month follow-ups, the treatment with the BTL-785S device equipped with BTL-785-7 handpiece and BTL-785-7-9 single-use applicator has shown to be both safe and effective for its effect on the appearance of lax tissue in the submental area with high satisfaction levels. {10}------------------------------------------------ Image /page/10/Picture/1 description: The image shows the logo for BT. The logo consists of three interconnected blue squares, each containing a letter: B, T, and L. To the right of the square logo is the text "BT" in a gray sans-serif font. ## The below table is a summary of the study design and results: | Study design | Single-center single-arm, open-label, interventional design | |----------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Sample size | 56 patients completed all study treatments and follow-up visits. | | Number of treatments<br>and follow-up visits | 4 treatments and 2 follow-ups at 1 and 3 months | | Secondary endpoints | To evaluate the safety of the BTL-785F device with the BTL-785-7-9<br>applicator | | | To evaluate the effect on submental skin laxity. | | | To assess the participants' satisfaction from the therapy outcome. | | | To assess how comfortable the therapy is. | | Secondary endpoint<br>results | GAIS evaluation by three independent reviewers showed that a score of at<br>least 1 point on the scale (referring to improved appearance) was<br>documented in 51 of 56 subjects (91%). | | | At 3 months, 46 subjects (82%) exhibited a $\ge$ 20 mm² reduction in the<br>submental area. In addition 43 (93%) of responders were identified by the<br>independent reviewers by using GAIS as having visible improvement in the<br>treated area at 3 months. | | | At 3 months, the vast majority of subjects reported their satisfaction with<br>the therapy outcomes and found the treatment comfortable (fell into the<br>none to moderate pain) | {11}------------------------------------------------ Image /page/11/Picture/2 description: The image shows the logo for BTL Industries. The logo consists of three blue squares nested inside each other, with the letters "BTL" in white inside the innermost square. To the right of the logo is the text "BTL Industries" in a gray sans-serif font. The logo is simple and modern, and the colors are clean and professional. # Comparison with the Predicate Device | 510(k) number | Not assigned | K222556 | K182741 | |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Device name | BTL-785S | BTL-785X | SculpSure | | Company<br>name | BTL Industries, Inc. | BTL Industries, Inc. | Cynosure | | Type | Subject device | Primary predicate | Reference device | | Product Code<br>and Regulation | General & Plastic Surgery<br>21 CFR 878.4400<br>GEI - Electrosurgical,<br>Cutting & Coagulation &<br>Accessories<br>PBX - Massager, Vacuum,<br>Radiofrequency Induced<br>Heat | General & Plastic Surgery<br>21 CFR 878.4400<br>GEI - Electrosurgical,<br>Cutting & Coagulation &<br>Accessories<br>PBX - Massager, Vacuum,<br>Radiofrequency Induced<br>Heat | General & Plastic Surgery<br>21 CFR 878.5400<br>PKT - Laser for disruption of<br>adipocyte cells for aesthetic<br>use | | Indications for<br>Use | The BTL-785S device has<br>the following indications for<br>use:<br>The BTL-785S with BTL-<br>785-1 applicator is intended<br>to provide heating for the<br>purpose of elevating tissue<br>temperature for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation.<br>The BTL-785-1-4 massage<br>device is intended to provide<br>a temporary reduction in the<br>appearance of cellulite.<br>The BTL-785S with BTL-<br>785-2 applicator is indicated<br>to provide heating for the | The BTL-785X device has<br>the following indications for<br>use:<br>The BTL-785X with BTL-<br>785-1 applicator is intended<br>to provide heating for the<br>purpose of elevating tissue<br>temperature for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation.<br>The BTL-785-1-4 massage<br>device is intended to provide<br>a temporary reduction in the<br>appearance of cellulite.<br>The BTL-785X with BTL-<br>785-2 applicator is indicated<br>to provide heating for the | The Cynosure SculpSure™<br>is intended for non-invasive<br>lipolysis of the abdomen,<br>flanks, back, and thighs in<br>individuals with a Body<br>Mass Index (BMI) of 30 or<br>less.<br>In addition, the device is<br>intended for non-invasive<br>lipolysis of the submental<br>area in individuals with a<br>BMI of 49 or less.<br>The device is intended to<br>affect the appearance of<br>visible fat bulges in the<br>abdomen, flanks, back,<br>thighs and submental area.<br>When using the petite mask<br>for non-invasive lipolysis of<br>the submental area, the<br>device can also affect the | | | | | | | purpose of elevating tissue<br>temperature for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation. | purpose of elevating tissue<br>temperature for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation. | appearance of lax tissue in<br>the submental area. | | | The BTL-785S with BTL-<br>785-3 applicator is intended<br>to provide heating for the<br>purpose of elevating tissue<br>temperature, for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation. | The BTL-785X with BTL-<br>785-3 applicator is intended<br>to provide heating for the<br>purpose of elevating tissue<br>temperature for selected<br>medical conditions such as<br>temporary relief of pain,<br>muscle spasms, and<br>increase in local circulation. | | | | The applicator BTL-785-4 of<br>BTL-785S device used with<br>tips BTL-785-4-1, BTL-785-<br>4-2, BTL-785-4-5 and BTL-<br>785-4-6 is indicated for use<br>in dermatological and<br>general surgical procedures<br>for electrocoagulation and<br>hemostasis. | The Applicator BTL-785-4 of<br>BTL-785X device used with<br>tips BTL-785-4-1, BTL-785-<br>4-2, BTL-785-4-5 and BTL-<br>785-4-6 is indicated for use<br>in dermatological and<br>general surgical procedures<br>for electrocoagulation and<br>hemostasis. | | | | The applicator BTL-785-4 of<br>BTL-785S device used with<br>tips BTL-785-4-3, BTL-785-<br>4-4, BTL-785-4-7 and BTL-<br>785-4-8 is intended for<br>dermatological procedures<br>requiring fractional treatment<br>of the skin. | The Applicator BTL-785-4 of<br>BTL-785X device used with<br>tips BTL-785-4-3, BTL-785-<br>4-4, BTL-785-4-7 and BTL-<br>785-4-8 is intended for<br>dermatological procedures<br>requiring fractional treatment<br>of the skin. | | | | At higher energy levels<br>greater than 62 mJ/pin, the<br>use of the BTL-785-4<br>applicator is limited to Skin<br>Types I-IV. | At higher energy levels<br>greater than 62 mJ/pin,<br>use of the BTL-785-4<br>applicator is limited to Skin<br>Types I-IV. | | | | | The BTL-785X with BTL-<br>785-7 hands-free applicator | | | | | The BTL-785S with BTL-<br>785-7 handpiece used with<br>hands-free applicators:<br>BTL-785-7-1 & BTL-785-7-7,<br>BTL-785-7-2 & BTL-785-7-8<br>single-use applicators are<br>intended to provide:<br>Heating for the<br>purpose of elevating<br>tissue temperature<br>for selected medical<br>conditions such as<br>temporary relief of<br>pain, muscle spasms,<br>and increase in local<br>circulation. BTL-785-7-1 & BTL-785-7-2<br>single-use applicators are<br>intended to provide: Non-invasive<br>temporary reduction<br>of facial wrinkles. BTL-785-7-9 single-use<br>applicator is intended to: Affect the<br>appearance of lax<br>tissue in the<br>submental area. | used with BTL-785-7-1 and<br>BTL-785-7-2 single-use<br>electrodes is intended to<br>provide: heating for the<br>purpose of elevating<br>tissue temperature<br>for selected medical<br>conditions such as<br>temporary relief of<br>pain, muscle<br>spasms, and<br>increase in local<br>circulation. non-invasive<br>temporary reduction<br>of facial wrinkles. | | | Principle of<br>Action | Application of the heat to the<br>tissue via RF energy.<br>Massaging of body parts<br>with massage attachment.<br>(785-1 applicator only).<br>Radiofrequency | Application of the heat to the<br>tissue via RF energy.<br>Massaging of body parts<br>with massage attachment.<br>(785-1 applicator only).<br>Radiofrequency | Application of the heat to the<br>tissue via Laser energy. | | | accompanied by | accompanied by | | | | electromagnetic stimulation<br>(785-7 applicator only). | electromagnetic stimulation<br>(785-7 applicator only). | | | Clinical Use | Prescription use | Prescription use | Prescription use | | Energy Source | 100 – 120 V AC,<br>50/60 Hz<br>200 - 240 V AC,<br>50/60 Hz | 100 – 120 V AC,<br>50/60 Hz<br>200 - 240 V AC,<br>50/60 Hz | 200-240V~, Single Phase | | Type of Energy<br>Applied | Electromagnetic Energy –<br>Radiofrequency | Electromagnetic Energy –<br>Radiofrequency | Laser energy - Diode Laser | | Frequency | 3.2 MHz ± 5%<br>(BTL-785-1, BTL-785-2, and<br>BTL-785-3, BTL-785-7) | 3.2 MHz ± 5%<br>(BTL-785-1, BTL-785-2, and<br>BTL-785-3, BTL-785-7) | N/A | | | 1 MHz ± 5%<br>(BTL-785-4) | 1 MHz ± 5%<br>(BTL-785-4) | | | Mode of<br>Operation | Monopolar | Monopolar | N/A | | User Interface | Color Touch-screen | Color Touch-screen | Color Touch-screen | | | 140 W (BTL-785-1-1)<br>62 W (BTL-785-2-1) | 140 W (BTL-785-1-1)<br>62 W (BTL-785-2-1)…
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