CO2 FRACTIONAL LASER

K131837 · Beijing Honkon Technologies Co., Ltd. · GEX · Jan 22, 2014 · General, Plastic Surgery

Device Facts

• Record ID: K131837
• Device Name: CO2 FRACTIONAL LASER
• Applicant: Beijing Honkon Technologies Co., Ltd.
• Product Code: GEX · General, Plastic Surgery
• Decision Date: Jan 22, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4810
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The CO2 Laser (10600nm) is indicated for use in dermatological procedures requiring ablation, resurfacing and coagulation of soft tissue.

Device Story

CO2 laser system (10600nm) for dermatological, oral, and plastic surgery; utilizes semiconductor solid-state laser, switching power supply, and articulated arm with handpiece; emits coherent infrared light beam absorbed by water in soft tissue; enables precise tissue ablation without charring; operated by clinicians in clinical settings; provides controlled energy output (2-200mj) for surgical procedures; benefits patients through targeted tissue removal and coagulation.

Clinical Evidence

Bench testing only. No clinical data provided. Equivalence established through performance testing against standards including IEC 60601-1, IEC 60601-1-2, IEC 60825-1, IEC 60601-2-22, ISO 10993-5, and ISO 10993-10.

Technological Characteristics

CO2 laser (10600nm); semiconductor solid-state laser source; articulated arm delivery; max 30W RF module; pulse duration 5-100ms; frequency 10-200Hz; aluminum patient-contacting materials; complies with IEC 60601-1 (electrical), IEC 60601-1-2 (EMC), IEC 60825-1/60601-2-22 (radiation), and ISO 10993-5/10 (biocompatibility).

Indications for Use

Indicated for patients requiring dermatological procedures involving soft tissue ablation, resurfacing, and coagulation.

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

• K080496

Submission Summary (Full Text)

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K13183

| HONKON |
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| 北京宏强富瑞技术有限公司 |

510(k) Premarket Notification Submission

JAN 2 2 2014

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510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

| Date: | 18 June, 2013 |
|---------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter: | Beijing Honkon Technologies Co., Ltd.<br>Address: No.3 Building, No.11 Yard, Kangding Street, BDA,<br>100176, Beijing, P.R.China |
| Primary Contact Person: | Mike Gu<br>Address: 7th floor, Jingui Business Building, 982 Congyun Road,<br>Baiyun District, 510420, Guangzhou, China<br>OSMUNDA Medical Device Consulting Co., Ltd.<br>Tel: [phone]<br>Fax:[phone] |
| Secondary Contact Person: | Zhao Li<br>Management representative<br>Beijing Honkon Technologies Co., Ltd.<br>Tel: [phone]<br>Fax: [phone] |
| Trade Name: | CO2 Laser (10600nm) |
| Common/Usual Name: | CO2 Laser |
| Regulatory Number: | 878.4810 |
| Regulation Name: | Laser surgical instrument for use in general and plastic surgery<br>and in dermatology |
| Product Code: | GEX |
| Predicate Device(s): | K080496 |
| Device Description: | The CO2 Laser consists of semiconductor solid-state lasers,<br>switching power supply, laser power, treatment handle, key<br>switch, cooling system and accessories. The CO2 Laser produces<br>a beam of coherent infrared light with 10600nm wavelength. |
| | The CO2 laser comprises five models: YILIYA-10600AH, YILIYA-<br>10600AL, YILIYA-10600CH, Aeslight-10600EH, Aeslight-Ultra<br>peel; their technical parameters and functions are the same, the<br>only difference is their appearances and sizes. |
| Intended Use: | The CO2 Laser (10600nm) is indicated for use in dermatological<br>procedures requiring ablation, resurfacing and coagulation of<br>soft tissue. |

Confidential and Privileged. This document contains contidential and privileged trade secrets and other information of Beijing Contridential and i Whileged. "This document contribution the provinced by Beijing Honkon Technologies Co., Ltd. All rights reserved

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Image /page/1/Picture/1 description: The image shows a logo with the word "HONKON" in bold, black letters on the top line. Below the word, there is a line of Chinese characters that reads "北京宏强富瑞技术有限公司". The text is enclosed in a rectangular box.

510(k) Premarket Notification Submission

Technology: The CO2 laser therapy device emits a highly focused laser beam. Absorbed by water of the soft tissue, the CO2 laser incorporating the advanced technologies can immediate ablate discrete columns of tissue without charring. This device can be used in multiple specialties, such as Oral Surgery, Plastic Surgery, Dermatology.

| Determination<br>of Substantial<br>Equivalence: | Specification | Predicate Device<br>K080496 | Proposed<br>CO2 Laser |
|-------------------------------------------------|--------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|
| | Manufacturer | Lutronic Corporation | Honkon |
| | Intended Use | It is indicated for use in dermatological procedures requiring ablation (removal), resurfacing and coagulation of soft tissue. | The CO2 Laser is indicated for use in dermatological procedures requiring ablation (removal), resurfacing and coagulation of soft tissue. |
| | Energy output | 2-240mj | 2-200mj |
| | Laser transfer method | Articulated Arm with Handpiece | Articulated Arm with Handpiece |
| | CO₂ RF Module<br>Maximum Power | Maximum 30w at continuous wave | Maximum 30w at continuous wave |
| | Wavelength (nm) | 10600 | 10600 |
| | Pulse duration (ms) | 5-100 | 5-100 |
| | Frequency (Hz) | 10-200Hz | 10-200Hz |
| | Patient contacting materials | Aluminum | Aluminum |
| | Compatibility with environment and other devices | Comply with the IEC 60601-1-2 | Comply with the IEC 60601-1-2 |
| | Electrical Safety | Comply with the IEC 60601-1 | Comply with the IEC 60601-1 |
| | Radiation Safety | IEC 60825-1;<br>IEC 60601-2-22 | IEC 60825-1;<br>IEC 60601-2-22 |
| | Biocompatibility | ISO 10993-5;<br>ISO 10993-10 | ISO 10993-5;<br>ISO 10993-10 |

Confidential and Privileged. This document contidential and privileged trade secrets and other information of Heijing Honkon Technologies Co., Ltd. and as such may not be disclosed to others not employed by Beijing Honkon Technologies Co., Ltd. All rights reserved

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| | 510(k) Premarket Notification Submission | |
|----------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|
| Other: Device<br>Specific Guidance<br>Requirements for<br>Comparison | Guidance on the Content and<br>Organization of a Premarket<br>Notification for a Medical<br>Laser;<br>21 CFR 1040.10 | Guidance on the Content and<br>Organization of a Premarket<br>Notification for a Medical<br>Laser;<br>21 CFR 1040.10 |

- The CO2 Laser and its application comply with standards as detailed in section 9, 11 Conclusion: and 17 of this premarket notification. Therefore, Beijing Honkon states that the non-clinical tests determined that the CO2 Laser to be as safe, as effective and performance is substantially equivalent to the predicate device(s).
Confidential and Privileged. This document confidential and privileged trade secrets and other information of Beijing Honkon Technologies Co., Ltd. and as such may not be disclosed to others not employed by Beijing Honkon Technologies Co., Ltd. All rights reserved

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

January 22, 2014

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

Osmunda Medical Device Consulting Co., Ltd. Mike Gu Regulatory Affairs Manager 7th floor. Jingui Business Building, 982 Congyun Road, Baiyun District, 510420, Guangzhou, China

Re: K131837

Trade/Device Name: CO2 Laser Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: January 15, 2014 Received: January 17, 2014

Dear Mr. Gu:

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.

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

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Page 2 - Mr. Mike Gu

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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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.

Joshua CDNhipper-S

For

Dr. Binita Ashar Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## 510(k) Premarket Notification Submission

510(k) Number: K131837

Device Name: CO2 Laser (10600nm)

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Indications for Use:

The CO2 Laser (10600nm) is indicated for use in dermatology procedures requiring ablation,
resurfacing and coagulation of soft tissue.

Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)

Over-The-Counter Use_ . (Part 21 CFR 801 Subpart C)

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Concurrence of CDRH, Office of Device Evaluation (ODE)

Neil R Ogden -S 2014.01.21 13:10:40
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(Division Sign-Off) for BSA Division of Surgical Devices K131837 S10(k) Number __