MODEL FAMILY OF AEROLASE ND:YAG LASERS: FRIENDLYLIGHT ND: YAG LASERS, FRIENDLYLIGHT NEO, LIGHTPOD ND: YAG LASERS, LIGHTP

K120235 · Aerolase Medical Lasers, LLC · GEX · Sep 17, 2012 · General, Plastic Surgery

Device Facts

• Record ID: K120235
• Device Name: MODEL FAMILY OF AEROLASE ND:YAG LASERS: FRIENDLYLIGHT ND: YAG LASERS, FRIENDLYLIGHT NEO, LIGHTPOD ND: YAG LASERS, LIGHTP
• Applicant: Aerolase Medical Lasers, LLC
• Product Code: GEX · General, Plastic Surgery
• Decision Date: Sep 17, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Aerolase Nd:YAG Laser is intended for use in the medical specialties of general and plastic surgery, dermatology, endoscopic/laparoscopic general surgery, gastroenterology, gynecology, otolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, pulmonary/thoracic surgery, podiatry, and urology for surgical and aesthetic applications. Dermatology: The Aerolase Nd:YAG Laser is intended for the coagulation and hemostasis of benian vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangiectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte: and treatment of benian cutaneous lesions, such as warts, scars, striae, debridement of decubitus ulcer, treatment of keloids, and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratoses, nevi, chloasma, verrucae, skin tags, keratoses, tattoos (significant reduction in the intensity of black and/or blue/black tattoos) and plaques. Additionally, the Aerolase Nd:YAG Laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments. The Aerolase Nd:YAG Laser is also indicated for the treatment of wrinkles, such as. but not limited to, periocular and perioral wrinkles. The Aerolase Nd:YAG Laser is also indicated for the reduction of red pigmentation in hypertrophic and keloid scars where vascularity is an integral part of the scar. The Aerolase Nd:YAG Laser is also indicated for treatment of mild to moderate inflammatory acne vulgaris. The Aerolase Nd: YAG Laser is also indicated for the removal of unwanted hair, for stable long-term, or permanent, hair reduction through selective targeting of melanin in hair follicles, and for the treatment for pseudofolliculitis barbae (PFB). Permanent hair reduction is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regime. The Aerolase Nd:YAG Laser is indicated for use on all skin types (Fitzpatrick I-VI), including tanned skin. Podiatry: Podiatry (ablation, vaporization, incision, excision, and coaqulation of soft tissue), including: - . Matrixectomy: - . Periungual and subungual warts: - Plantar warts: ● - Radical nail excision; ◆ - Neuromas. . General Surgery: The Aerolase Nd: YAG Laser is indicated for the incision/excision and cutting, ablation, coaqulation/hemostatis of soft tissue in the performance of surgical applications in endoscopy/laparoscopy gastroenterology, general surgery, head and neck/otolaryngology (ENT) neurosurgery, oculaplastics, orthopedics, plastic surgery, pulmonary/ thoracic surgery, gynecology (e.g. menorrhagia), podiatry and urology. All soft tissue is included, striated and smooth tissue, muscle, cartilage, meniscus, mucous membrane, lymph vessels and nodes, organs and glands.

Device Story

Nd:YAG 1064nm laser system; delivers laser energy for soft tissue ablation, coagulation, incision, and excision. Components include power supply, air-cooling system, and handpiece. Operated by clinicians in medical settings. Energy targets melanin in hair follicles or vascular/pigmented structures for therapeutic effect. Benefits include hair reduction, lesion removal, and surgical hemostasis. Parameters controlled via front panel display.

Clinical Evidence

Bench testing only; compliance with 21 C.F.R. 1040, IEC-60601-1, IEC-60601-2, IEC-60601-2-22, and IEC-60825-1 standards confirmed. Published clinical data cited to support safety and effectiveness.

Technological Characteristics

Neodymium-doped Yttrium-Aluminum-Garnet (Nd:YAG) laser; 1064nm wavelength. Includes power supply, air-cooling system, and handpiece. Controlled via front display panel. Standards: 21 C.F.R. 1040, IEC-60601-1, IEC-60601-2, IEC-60601-2-22, IEC-60825-1.

Indications for Use

Indicated for patients requiring soft tissue surgical/aesthetic procedures across multiple specialties (dermatology, surgery, podiatry, etc.). Includes treatment of vascular/pigmented lesions, acne, wrinkles, scars, unwanted hair, and PFB. Suitable for all Fitzpatrick skin types (I-VI).

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

• The FriendlyLight® Nd:YAG Lasers (K033251)
• Cutera GenesisPlus Laser System (K103626)
• PinPointe™ FootLaser Nd:YAG Lasers (K093545, K093547)
• Fotona XP / Dynamis Nd:YAG Laser Systems (K090126, K101306)

Submission Summary (Full Text)

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K120235. 1/3

# 510(k) SUMMARY

#### Aerolase Model Nd:YAG 1064nm Laser

SEP 1 7 2012

# Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

Aerolase Corporation/Aerolase Medical LLC (formerly Innotech USA, Inc.) 777 Old Saw Mill River Road, Suite 205 Tarrytown, NY 10591 Phone: [phone] Facsimile: [phone] Contact Person: Pavel Efremkin, Ph.D.

Date Prepared: September 7, 2012

#### Device Trade Names and Name/Address of Sponsor

Aerolase Model Nd: YAG 1064nm Laser: FriendlyLight Nd: YAG, FriendlyLight Neo ™ LiahtPod®ND:YAG™, LightPod® Neo™, LightPod® Forte™, LightPod® Allure™, LightPod® Nova™

# Common or Usual Name

Nd:YAG Laser

### Classification Name

Powered, Surgical Laser Instrument (21 C.F.R. §878.4810)

### Predicate Devices

Innotech USA, , The FriendlyLight® Nd:YAG Lasers (K033251) Cutera, Inc., Cutera GenesisPlus Laser System (K103626) Incisive, Inc., PinPointe™ FootLaser" Nd:YAG Lasers (K093545, K093547) Fotona d.d., Fotona XP / Dynamis Nd:YAG Laser Systems (K090126, K101306)

#### Intended Use / Indications for Use

The Aerolase Nd:YAG Laser is intended for use in the medical specialties of general and plastic surgery, dermatology, endoscopic/laparoscopic general surgery, gastroenterology, gynecology, otolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, pulmonary/thoracic surgery, podiatry, and urology for surgical and aesthetic applications.

#### Dermatology:

The Aerolase Nd:YAG Laser is intended for the coagulation and hemostasis of benian vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangiectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte: and treatment of benian cutaneous lesions, such as warts, scars, striae, debridement of decubitus ulcer, treatment of keloids, and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to,

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(λ623) 2/3

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lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratoses, nevi, chloasma, verrucae, skin tags, keratoses, tattoos (significant reduction in the intensity of black and/or blue/black tattoos) and plaques.

Additionally, the Aerolase Nd:YAG Laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments.

The Aerolase Nd:YAG Laser is also indicated for the treatment of wrinkles, such as. but not limited to, periocular and perioral wrinkles.

The Aerolase Nd:YAG Laser is also indicated for the reduction of red pigmentation in hypertrophic and keloid scars where vascularity is an integral part of the scar.

The Aerolase Nd:YAG Laser is also indicated for treatment of mild to moderate inflammatory acne vulgaris.

The Aerolase Nd: YAG Laser is also indicated for the removal of unwanted hair, for stable long-term, or permanent, hair reduction through selective targeting of melanin in hair follicles, and for the treatment for pseudofolliculitis barbae (PFB). Permanent hair reduction is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regime.

The Aerolase Nd:YAG Laser is indicated for use on all skin types (Fitzpatrick I-VI), including tanned skin.

# Podiatry:

Podiatry (ablation, vaporization, incision, excision, and coaqulation of soft tissue), including:

- . Matrixectomy:
- . Periungual and subungual warts:
- Plantar warts: ●
- Radical nail excision; ◆
- Neuromas. .

# General Surgery:

The Aerolase Nd: YAG Laser is indicated for the incision/excision and cutting, ablation, coaqulation/hemostatis of soft tissue in the performance of surgical applications in endoscopy/laparoscopy gastroenterology, general surgery, head and neck/otolaryngology (ENT) neurosurgery, oculaplastics, orthopedics, plastic surgery, pulmonary/ thoracic surgery, gynecology (e.g. menorrhagia), podiatry and urology. All soft tissue is included, striated and smooth tissue, muscle, cartilage, meniscus, mucous membrane, lymph vessels and nodes, organs and glands.

# Technological Characteristics/Principles of Operation

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120235 3/3

The Aerolase Nd:YAG 1064nm Laser is Neodynmium doped Yttriuim-Aluminum-Garnet ("Nd:YAG") Laser. This device consists of the following components and accessories: a power supply unit with an air-cooling system, and a laser hand piece connected to the power supply/air cooling system using umbilical cords. Laser parameters are controlled from a display panel located on the front of the power supply unit.

# Performance Data

Product testing was performed to confirm compliance with the following standards: 21 C.F.R. 1040, IEC-60601-1, IEC-60601-2, IEC-60601-2-22, and IEC-60825-1. In all instances, the Aerolase 1064nm Laser functioned as intended and results observed were as expected. In addition, published clinical data supports the safe and effective use of this device.

# Substantial Equivalence

The Aerolase Nd:YAG 1064nm Laser is as safe and effective as the identified predicate devices listed above. The Aerolase Nd: YAG 1064nm Laser has the same intended uses / indications for use, technological characteristics, and principles of operation as its predicate devices. Performance data demonstrate that the Aerolase Nd:YAG 1064nm Laser is as safe and effective as the predicate devices. Thus, the Aerolase Nd:YAG 1064nm Laser is substantially equivalent.

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# DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The symbol is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA", which is arranged in a circular fashion around the left side of the logo.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

SEP 17 2012.

Aerolase Medical Lasers, LLC % Hogan Lovells US LLP Ms. Jennifer A. Henderson Regulatory Counsel 555 Thirteenth Street, Northwest Washington, District of Columbia 20004

Re: K120235

Trade/Device Name: Aerolase Model Nd: YAG 1064nm Laser (Trade Names: FriendlyLight Nd: YAG, FriendlyLight Neo", LightPod®ND: YAG™ Tra: TAO, PricharyLight Ne0", Eight Od ND: FAG",
LightPod"Neo", LightPod"Forte"", LightPod" Allure", LightPod® Nova")

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: September 13, 2012

Received: September 14, 2012

Dear Ms. Henderson:

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. 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.

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# Page 2 - Ms. Jennifer A. Henderson

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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

For

Nef rlin 1.

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### Indications for Use Statement

### 510(k) Number (if known): K120235

# Device Name: Aerolase Model Nd: YAG 1064nm Laser (Trade Names: FriendlyLight Nd: YAG, FriendlyLight Neo™ , LightPod®ND:YAG™ , LightPod® Neo™ , LightPod® Forte™ , LightPod® Allure™ , LightPod® Nova™)

Indications for Use: -

The Aerolase Nd: YAG Laser is intended for use in the medical specialties of general and plastic surgery, dermatology, endoscopic general surgery, gastroenterology, gynecology, otolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, pulmonary/thoracic surgery, podiatry, and urology for surgical and aesthetic applications.

#### Dermatology:

The Aerolase Nd:YAG Laser is intended for the coagulation and hemostasis of benign vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangiectasia, rosacea, venus lake, leg veins, spider veins and poikiloderma of civatte, and treatment of benign cutaneous lesions, such as warts, scars, striae, debridement of decubitus ulcer, treatment of keloids, and psoriasis. The laser is also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), café au lait macules, seborrheic keratoses, nevi, chloasma, verrucae, skin tags, keratoses, tattoos (significant reduction in the intensity of black and/or blue/black tattoos) and plaques.

Additionally, the Aerolase Nd:YAG Laser is indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments.

The Aerolase Nd: YAG Laser is also indicated for the treatment of wrinkles, such as, but not limited to, periocular and perioral wrinkles.

The Aerolase Nd:YAG Laser is also indicated for the reduction of red pigmentation in hypertrophic and keloid scars where vascularity is an integral part of the scar.

The Aerolase Nd:YAG Laser is also indicated for treatment of mild to moderate inflammatory acne vulgaris.

The Aerolase Nd:YAG Laser is also indicated for the removal of unwanted hair, for stable long term, or permanent, hair reduction through selective targeting of melanin in hair follicles, and for the treatment for pseudofolliculitis barbae (PFB). Permanent hair reduction is defined as the long-term, stable reduction in the number of hairs regrowing when measured at 6, 9, and 12 months after the completion of a treatment regime.

The Aerolase Nd:YAG Laser is indicated for use on all skin types (Fitzpatrick I-VI), including tanned skin.

Page 1 of 2

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### Podiatry:

Podiatry (ablation, vaporization, incision, excision, and coagulation of soft tissue), including:

- Matrixectomy; .
- Periungual and subungual warts; .
- Plantar warts; .
- Radical nail excision; ●
- Neuromas. .

### General Surgery:

The Aerolase Nd: YAG Laser is indicated for the incision/excision and cutting, ablation, coagulation/hemostatis of soft tissue in the performance of surgical applications in endoscopy/laparoscopy gastroenterology, general surgery, head and neck/otolaryngology (ENT) neurosurgery, oculaplastics, orthopedics, plastic surgery; pulmonary/ thoracic surgery, gynecology (e.g. menorrhagia), podiatry and urology. All soft tissue is included, striated and smooth tissue, muscle, cartilage, meniscus, mucous membrane, lymph vessels and nodes, organs and glands.

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

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

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 2 of 2

Neil R. Dale for mtm

ision Sign-O (Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K120235