IPL Home Use Hair Removal Device Model(s): D-1128, D-1103, D-1119, D-1129, D-1130

K192432 · Shenzhen Bosidin Technology Co., Ltd. · OHT · Nov 8, 2019 · General, Plastic Surgery

Device Facts

• Record ID: K192432
• Device Name: IPL Home Use Hair Removal Device Model(s): D-1128, D-1103, D-1119, D-1129, D-1130
• Applicant: Shenzhen Bosidin Technology Co., Ltd.
• Product Code: OHT · General, Plastic Surgery
• Decision Date: Nov 8, 2019
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

IPL Home Use Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/or facial hair.

Device Story

Personal, light-based hair reduction device; uses Intense Pulsed Light (IPL) via Xenon arc flashlamp; intended for OTC home use. Device includes skin sensor to ensure full contact before pulse emission; finger switch operation. Powered by external adapter. Models (D-1128, D-1103, D-1119, D-1129, D-1130) vary by appearance, LCD display, and treatment window size. User applies device directly to skin; light pulses target hair follicles below surface to reduce growth. Benefits include hair reduction without cutting or pulling, with minimal pain. Healthcare providers do not operate; device is for single-person use.

Clinical Evidence

Bench testing only. No clinical data provided. Evidence includes biocompatibility (ISO 10993-5, ISO 10993-10), electrical safety (IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60601-2-57), and photobiological safety (IEC 62471). Software verification and validation performed for moderate level of concern.

Technological Characteristics

Xenon arc flashlamp; 510-1100nm (regular) or 600-1100nm (filter) wavelength; 2.0-4.5 J/cm2 energy density; 7.5-14ms pulse duration. External power adapter. Skin contact sensor for safety. Standards: ISO 10993-1, IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60601-2-57, IEC 62471.

Indications for Use

Indicated for removal of unwanted body and/or facial hair in over-the-counter, home-use settings.

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

• PerfectSmooth/CB-014 (K161428)
• IPL Salon Hair Reduction System/F60001 (K181568)
• iPulse SmoothSkin Gold Hair Removal System (K160968)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

November 8, 2019

Shenzhen Bosidin Technology Co. Ltd. % Rain Yip Registered Engineer Feiying Drug & Medical Consulting Technical Service Group Rm. 3005. Area B. Bldg. 1. Southward Ruifeng Business Center Guimiao Road Shenzhen, 518000 CN

Re: K192432

Trade/Device Name: IPL Home Use Hair Removal Device Model(s): D-1128, D-1103, D-1119, D-1129, D-1130 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: OHT Dated: August 21, 2019 Received: September 5, 2019

Dear Rain Yip:

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

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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 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,

Purva Pandva Acting 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) K192432

Device Name IPL Home Use Hair Removal Device Model(s): D-1128, D-1103, D-1119, D-1129, D-1130

Indications for Use (Describe)

IPL Home Use Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/or facial hair.

Type of Use (Select one or both, as applicable)

| Prescription Use (Part 21 CFR 801 Subpart D)

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

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# 510(k) Summary

## "510(k) Summary" as required by 21 CFR Part 807.92.

#### Date: 2019-08-21

#### I. Submitter

Shenzhen Bosidin Technology Co.,Ltd. Rm.101&201, Bldg.4, Haoer Jiashitai Technology Park, Fengtang Avenue No.164, Heping Community, Fuhai Street, Bao'an District, Shenzhen, Guangdong, China Post code: 518100 Tel.: [phone]

WANG JIAOYAN General Manager Assistant Tel: [phone] Email: [e-mail]

### II. Device

Name of Device: IPL Home Use Hair Removal Device Model(s): D-1128, D-1103, D-1119, D-1129, D-1130 Common or Usual Name: Light Based Over-The-Counter Hair Removal Classification Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: OHT Regulation Number: 21 CFR 878.4810

# III. Predicate Device

| Manufacturer | Predicate Device | 510(k) Number | Approval Date |
|----------------------------------------------------------------------|-----------------------------------------------|---------------|---------------|
| Shen Zhen CosBeauty Co.,<br>Ltd | PerfectSmooth/CB-014 | K161428 | Mar. 23, 2017 |
| Medical Device Branch of<br>Zhangzhou Easepal<br>Industiral Co.,Ltd. | IPL Salon Hair Reduction<br>System/F60001 | K181568 | Sep. 11, 2018 |
| CyDen Limited. | iPulse SmoothSkin Gold<br>Hair Removal System | K160968 | Apr.04, 2016 |

#### IV. Device Description

The IPL Home Use Hair Removal Device is a personal, light-based, hair reduction device intended to be sold over-the-counter directly to the end user. The device provides hair reduction

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using Intense Pulsed Light (IPL) technology. It works below the skin's surface and does not involve any cutting or pulling, reducing hair growth with minimal pain. The device is only powered by the external power adapter and its IPL emission is by finger switch. The device contains a Xenon lamp and a skin sensor to detect appropriate skin contact. If the device is not properly applied to the treatment area (in full contact with the skin), the device cannot emit the treatment light pulses. The device is for single-person use only.

The IPL Home Use Hair Removal Device includes D-1103, D-1119, D-1129 and D-1130 five models. Their intended use, performance, structure design and operation are basically identical, with the differences contains product appearance, LCD display contents, hair removal lamp cartridge's quantity and appearance, as well as lamp tube's placement location; in addition, due to the size of the treatment window in different lamp cartridge, the treatment area (spot size) is different; but these differences do not affect or change the intended use of the device.

### V. Indications for Use

IPL Home Use Hair Removal Device is an over-the-counter device intended for removal of unwanted body and/or facial hair.

### VI. Comparison of Technological Characteristics With the Predicate Device

The IPL Home Use Hair Removal Device has the same intended use, mode of action and similar operational characteristics as the predicate devices. Any minor differences between the subject device and the listed predicate devices do no raise any issues of safety or efficacy. Performance data supports that the device is safe and as effective as the predicate device for its intended use. Therefore, the IPL Home Use Hair Removal Device may be found substantially equivalent to its predicate device.

IPL Home Use Hair Removal Device is compared with the following Predicate Devices in terms of intended use, design, material, specifications, and performance:

1) K181568, "IPL Salon Hair Reduction System", manufactured by "Medical Device Branch of Zhangzhou Easepal Industiral Co.,Ltd." in Fujian, China

2) K161428, "PerfectSmooth", manufactured by "Shen CosBeauty Co., Ltd" in Guangdong, China

3) K160968, "iPulse SmoothSkin Gold Hair Removal System ", manufactured by "CyDen Limited" in Wales, UK

| Comparison<br>Elements | Subject Device | Predicate Device | | |
|------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | | K161428<br>(Primary) | K181568 | K160968 |
| K Number | Pending | K161428 | K181568 | K160968 |
| Trade name | IPL Home Use<br>Hair Removal<br>Device | PerfectSmooth | IPL Salon Hair<br>Reduction<br>System | iPulse<br>SmoothSkin<br>Gold Hair<br>Removal System |
| Wavelength | Regular window: | $≥$ 510nm | 475-1200nm | 510-1100nm |
| Comparison<br>Elements | Subject Device | Predicate Device | | |
| | | K161428<br>(Primary) | K181568 | K160968 |
| range | 510-1100nm<br>Filter window: 600-<br>1100nm | | | |
| Energy<br>medium | Xenon Arc<br>Flashlamp | Xenon Arc<br>Flashlamp | Xenon Arc<br>Flashlamp | Xenon Arc<br>Flashlamp |
| Energy density | 2.0~4.0J/cm2<br>(applicable for<br>model D-1128, D-<br>1119, D-1129, D-<br>1130)<br>2.5~4.5J/cm2<br>(applicable for<br>model D-1103) | 4.7 J/cm²Max. | 5J/cm²Max. | 3~6 J/cm² |
| Spot size | Regular window:<br>4.5cm2<br>3.0cm2<br>Filter window:<br>2.0cm2<br>2.5cm2 | 4.5 cm² | Regular window:<br>4.5cm²<br>Facial adapter:<br>1.72cm² | 3 (3cm by 1cm) |
| Pulse duration | 7.5~14ms | 11-13ms | Unknown | 2-10ms |
| Pulsing control | Finger switch | Finger switch | Finger switch | Finger switch |
| Delivery device | Direct illumination<br>to tissue | Direct<br>illumination<br>tissue | Direct<br>illumination to<br>tissue | Direct<br>illumination<br>tissue |
| Indication<br>for<br>use/Intended<br>use | IPL Home Use<br>Hair Removal<br>Device is an over-<br>the-counter device<br>intended for<br>removal of<br>unwanted body<br>and/or facial hair. | The<br>PerfectSmooth is<br>an over-the-<br>counter device<br>intended for<br>removal of<br>unwanted hair<br>such as but not<br>limited to small<br>areas such as<br>underarm and<br>facial hair below<br>the chin line and<br>large areas such<br>as legs. | The IPL Salon<br>Hair Reduction<br>System (Model:<br>F60001) is an<br>over the Counter<br>device intended<br>for the removal<br>of unwanted<br>body and/or<br>facial hair in<br>adults. It is also<br>intended for<br>permanent<br>reduction in<br>unwanted hair.<br>Permanent hair<br>reduction is<br>defined as the | The iPulse<br>SmoothSkin<br>Gold Hair<br>Removal System<br>is indicated for<br>the removal of<br>unwanted hair.<br>The iPulse<br>Smoothskin Gold<br>is also indicated<br>for the permanent<br>reduction in hair<br>regrowth, defined<br>as the long-term,<br>stable reduction<br>in the number of<br>hairs regrowing<br>when measured |
| Comparison<br>Elements | Subject Device | Predicate Device | | |
| | | K161428<br>(Primary) | K181568 | K160968 |
| | | | long-term stable<br>reduction in the<br>number of hairs<br>re-growing when<br>measured at 6, 9<br>and 12 months<br>after the<br>completion of a<br>treatment<br>regimen. | at 6, 9 and 12<br>months after the<br>completion of a<br>treatment regime. |
| Location for<br>use | OTC | OTC | OTC | OTC |

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# VII.Performance Data

The following performance data were provided in support of the substantial equivalence determination.

#### 1) Biocompatibility Testing

The biocompatibility evaluation for the body-contacting components of the IPL Home Use Hair Removal Device was conducted in accordance with the "Use of International Standard ISO 10993-1, 'Biological Evaluation of Medical Devices -Part 1: Evaluation and Testing Within a Risk Management Process, Document Issued on June 16, 2016", as recognized by FDA. The battery of testing was performed to, and passed, including:

- > ISO 10993-5:2009/(R)2014, Biological Evaluation of Medical Devices -Par t 5: Tests for In Vitro Cytotoxicity
- > ISO 10993-10:2010/(R)2014, Biological Evaluation of Medical Devices –Par t 10: Tests for Irritation and Skin Sensitization

#### 2) Electrical Safety and Eye Safety

Electrical safety and Eye safety testing was performed to, and passed, the following standards:

- > IEC 60601-1-2 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance -Collateral standard: electromagnetic compatibility
- > IEC 60601-1 Medical electrical equipment -Part 1: General requirements for basic safety and essential performance
- > IEC 60601-1-11 Medical Electrical Equipment -Part 1: General Requirements for Basic Safety and Essential Performance -Collateral Standard: Requirements for Medical Electrical Equipment and Medical Electrical Systems Used in the Home Healthcare Environment

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- > IEC 60601-2-57 Medical electrical equipment –Part 2-57: Particular requirements for the basic safety and essential performance of non-laser source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use
### 3) Eye Safety

- > IEC 62471 Photobiological safety of lamps and lamp systems
#### 4) Software Verification and Validation

Software documentation consistent with moderate level of concern was submitted in this 510(k). System validation testing presented in this 510(k) demonstrated that all software requirement specifications are met and all software hazards have been mitigated to acceptable risk levels.

#### Summary

Based on the above performance as documented in this application, IPL Home Use Hair Removal Device was found to have a safety and effectiveness profile that is similar to the predicate device.

#### VIII. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the comparison of intended use, design, materials and performance, the IPL Home Use Hair Removal Device is to be concluded substantial equivalent to its predicate devices.