PMD Clean Redvolution (4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA , 4005-twilight-INT, 4005-grey-NA, 4005-grey- INT)

K241203 · Dongguan Hunter Electronic Technology Co., Ltd. · OHS · Jul 25, 2024 · General, Plastic Surgery

Device Facts

Record IDK241203
Device NamePMD Clean Redvolution (4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA , 4005-twilight-INT, 4005-grey-NA, 4005-grey- INT)
ApplicantDongguan Hunter Electronic Technology Co., Ltd.
Product CodeOHS · General, Plastic Surgery
Decision DateJul 25, 2024
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4810
Device ClassClass 2
AttributesTherapeutic

Intended Use

The PMD Clean Redvolution (All 4005 models) is a hand-held device for over-the counter aesthetic purposes. The red light is intended for the use in treating wrinkles on the face.

Device Story

Hand-held device; utilizes red light emitting diodes (LEDs) at 630nm±5nm wavelength to irradiate facial skin for wrinkle treatment; includes reverse-side soft silicone bristles for facial cleansing prior to light therapy; powered by internal rechargeable Li-ion battery; operated by user in home environment; includes protective goggles to prevent ocular exposure; device output is red light energy; intended to improve facial appearance by treating wrinkles.

Clinical Evidence

No clinical data. Bench testing only. Device performance verified through electrical safety (IEC 60601-1, 60601-1-11, 60601-2-57), electromagnetic compatibility (IEC 60601-1-2), photobiological safety (IEC 62471), battery safety (IEC 62133-2), and biocompatibility (ISO 10993-5, -10, -23).

Technological Characteristics

Hand-held LED device; 630nm±5nm red light; 70mW/cm² irradiance; 11cm² irradiation area; silicone/plastic/glass construction; internal 3.7V 1000mAh Li-ion battery; microprocessor-controlled; home-use environment; non-sterile. Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60601-2-57, IEC 62471, IEC 62133-2, ISO 10993-5/10/23.

Indications for Use

Indicated for over-the-counter aesthetic use on the face to treat wrinkles.

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

Reference Devices

Related Devices

Submission Summary (Full Text)

{0} FDA U.S. FOOD & DRUG ADMINISTRATION July 25, 2024 Dongguan Hunter Electronic Technology Co., Ltd. % Riley Chen Official Correspondent Feiying Drug & Medical Consulting Technical Service Group Rm 2401 Zhenye International Business Center, No. 3101-90, Qianhai Road Shenzhen, Guangdong 518052 China Re: K241203 Trade/Device Name: PMD Clean Redvolution (4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA, 4005-twilight-INT, 4005-grey-NA, 4005-grey- INT) 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: OHS Dated: April 30, 2024 Received: April 30, 2024 Dear Riley Chen: 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. U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.gov {1} K241203 - Riley Chen Page 2 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). 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 (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-reporting-combination-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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). {2} K241203 - Riley Chen Page 3 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-devices/device-advice-comprehensive-regulatory-assistance/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, TANISHA Digitally signed by TANISHA L. HITHE -S Date: 2024.07.25 21:25:28 -04'00' Tanisha Hithe 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 {3} DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below. Submission Number (if known) K241203 Device Name PMD Clean Redvolution (4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA, 4005-twilight-INT, 4005-grey-NA, 4005-grey-INT) Indications for Use (Describe) The PMD Clean Redvolution (All 4005 models) is a hand-held device for over-the counter aesthetic purposes. The red light is intended for the use in treating wrinkles on the face. Type of Use (Select one or both, as applicable) ☐ Prescription Use (Part 21 CFR 801 Subpart D) ☑ Over-The-Counter Use (21 CFR 801 Subpart C) ## CONTINUE ON A SEPARATE PAGE IF NEEDED. 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} Dongguan Hunter Electronic Technology Co., Ltd. 510(k)s -510 (k) Summary # 510 (k) Summary K241203 This “510(k) Summary” of 510(k) safety and effectiveness information is submitted in accordance with requirements of Title 21, CFR Section 807.92. ## (1) Applicant information: 510(k) owner's name: Dongguan Hunter Electronic Technology Co., Ltd. Address: Room 301, Building 6, 74 Qiaodong Road, Tangxia Town, Dongguan City, Guangdong, P.R. China Contact person: Hunter Ye Phone number: +86 13554760590 Email: 13554760590@139.com Date of summary prepared: 2024-7-25 ## (2) Proprietary name of the device Trade name/model: PMD Clean Redvolution (4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA, 4005-twilight-INT, 4005-grey-NA, 4005-grey-INT) Common name: Laser surgical instrument for use in general and plastic surgery and in dermatology Classification: Light Based Over The Counter Wrinkle Reduction Regulation number: 21 CFR 878.4810 Product code: OHS Review panel: General & Plastic Surgery Regulation class: Class II ## (3) Predicate & Reference device | Predicate | Predicate Trade Name | Produce code | | --- | --- | --- | | K202055 | Looper (Model: ZX-579S) | OHS , OLP | | Reference | Reference Trade Name | Produce code | | K162098 | LED Phototherapy Device. Model:PL-120 | OHS , OLP | ## (4) Description/ Design of device: PMD Clean Redvolution adopts light emitting diodes (LED) in the red (630nm±5nm) spectrum to irradiate on the face for the treatment of facial wrinkles. PMD Clean Redvolution adopts handheld design, LEDs are contained in the red light therapy treatment window, and on its reverse side, the soft silicone bristles can be used to clean the face before the red light treatment. The product is Page 1 of 5 {5} Dongguan Hunter Electronic Technology Co., Ltd. 510(k)s -510 (k) Summary provided with internal battery and it can be charged by external adaptor. To prevent irradiation of LED lights to eyes during the treatment, PMD Clean Redvolution is equipped with goggles which blocks light energy from LEDs. PMD Clean Redvolution includes 10 models, the only difference between these models is the enclosure color. # (5) Indications for use: The PMD Clean Redvolution (All 4005 models) is a hand-held device for over-the counter aesthetic purposes. The red light is intended for the use in treating wrinkles on the face. # (6) Technological characteristics and substantial equivalence: | Item | Subject device | Predicate device | Reference device | Remark | | --- | --- | --- | --- | --- | | Trade name and model | PMD Clean Redvolution Model: 4005-moab-NA, 4005-moab-INT, 4005-pepper-NA, 4005-pepper-INT, 4005-cream-NA, 4005-cream-INT, 4005-twilight-NA, 4005-twilight-INT, 4005-grey-NA, 4005-grey-INT, | Looper (Model: ZX-579S) | LED Phototherapy Device. Model:PL-120 | / | | 510 (k) number | Pending | K202055 | K162098 | / | | Manufacturer | Dongguan Hunter Electronic Technology Co., Ltd. | Heat In A Click | Li-Tek Electronics Technologies | / | | Regulation number | 21 CFR 878.4810 | 21 CFR 878.4810 | 21 CFR 878.4810 | Same | | Classification name | Light Based Over The Counter Wrinkle Reduction | Light Based Over The Counter Wrinkle Reduction, Over-The-Counter Powered Light Based Laser For Acne | Light Based Over the Counter Wrinkle Reduction, Over-The-Counter Powered Light Based Laser For Acne | Same | | Product code | OHS | OLP, OHS | OLP, OHS | Same | | Class | II | II | II | Same | | Indications for use/ Intended use | The PMD Clean Redvolution (All 4005 models) is a hand-held | Looper (Model: ZX-579S) is a hand-held device for over-the counter aesthetic | The red light is intended for the treatment of periorbital | Same | {6} Dongguan Hunter Electronic Technology Co., Ltd. 510(k)s -510 (k) Summary | | device for over-the counter aesthetic purposes. The red light is intended for the use in treating wrinkles on the face. | purposes. The Photon mode red light is indicated for the use in treating wrinkles on the face, and the blue light is indicated for the treatment of the mild to moderate inflammatory acne. | wrinkles, and the blue light is intended for the treatment of the mild to moderate inflammatory acne. | | | --- | --- | --- | --- | --- | | Location for use | Face | Entire Face | Face | Same | | OTC or prescription | OTC | OTC | OTC | Same | | Basic unit characteristics | | | | | | Design | Hand-held device | Hand-held device | Hand-held device | Same | | Power supply | 3.7V 1000mAh Li-ion Battery | DC 3.7V 1000mA Li battery | 3.7V 1050mAh Li battery | Same | | Weight | 135g | 230g | 150g | Different | | Dimensions | 175.2 * 56 * 37mm | 234.5mm x 30mm x 46mm | 187*65*51mm | Different | | Irradiation area | 11cm² (±5%) | 12cm²±10% | 30cm²±5% | Similar | | Software/Firmware/Microprocessor Control? | Yes | Yes | Yes | Same | | Sterilization | Not required | No publicity | Not required | Same | | Output specifications | | | | | | Light source | Light Emitting Diodes (LED) | Light Emitting Diodes (LED) | Light Emitting Diodes (LED) | Same | | Wavelength | Red: 630nm±5nm | Red: 630±10nm Blue: 415±10nm | Red: 630 ± 3nm Blue: 415 ± 3nm | Same | | Irradiance | Red: 70mW/cm²±10% | Red: 55mW/cm²±10% Blue: 48mW/cm²±10% | Red: 80mW/cm²±10% Blue: 65mW/cm²±10% | Similar | | Additional features | | | | | | Treatment duration | 3 minutes for each part | 3 minutes per target area | 3 minutes per target area | Same | | Materials of skin-contacting components | Silicone, plastic, glass | ABS Plastic & Stainless Steel | ABS plastic | Different | | Environment for Operating | Temperature: 5-40°C Humidity: 10-80%RH Atmospheric pressure: 700hPa-1060hPa | Temperature: 5-35°C Humidity: 10-80%RH Atmospheric pressure: 700hPa-1060hPa | Temperature: 5 ~ 40°C Humidity: 10%-80% Atmospheric pressure: 700hPa-1060hPa | Same | | Biocompatibility feature | Comply with ISO 10993-1, ISO 10993-5, ISO 10993-10 and ISO 10993-23 | Comply with ISO 10993-5:2009 and ISO 10993-10: 2010 | ABS plastic in hand hold part can be considered safety | Same | {7} Dongguan Hunter Electronic Technology Co., Ltd. 510(k)s -510 (k) Summary | Electrical safety | IEC 60601-1 | IEC 60601-1 | IEC 60601-1 | Same | | --- | --- | --- | --- | --- | | | IEC 60601-1-11 | IEC 60601-1-11 | IEC 60601-1-11 | | | | IEC 60601-2-57 | IEC 60601-2-57 | IEC 60601-2-57 | | | EMC | IEC 60601-1-2 | IEC 60601-1-2 | 60601-1-2 | Same | | Photobiological safety | IEC 62471 | Unknown | IEC 62471 | Same | ## (7) Non-clinical and/or Clinical Tests Summary & Conclusions Non-clinical testings have been conducted to verify that the PMD Clean Redvolution meets all design specifications which supports the conclusion that it's Substantially Equivalent (SE) to the predicate device. The testing results demonstrate that the subject device complies with the following standards: - IEC 60601-1, Edition 3.2 2020-08 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance - IEC 60601-1-2, Edition 4.1 2020-09 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic disturbances - Requirements and tests - IEC 60601-1-11, Edition 2.1 2020-07 Medical electrical equipment - Part 1-11: 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 - IEC 60601-2-57, Edition 1.0 2011-01 Medical Electrical Equipment - Part 2-57: Particular requirements for the basic safety and essential performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring and cosmetic/aesthetic use - IEC 62471, First edition 2006-07 Photobiological safety of lamps and lamp systems - IEC 62133-2, Edition 1.0 2017-02 Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications - Part 2: Lithium systems The device has been tested for biocompatibility, it complies with the following standards: - ISO 10993-5, Third edition 2009-06-01 Biological Evaluation of Medical Devices - Part 5: Tests for In Vitro Cytotoxicity - ISO 10993-10, Fourth edition 2021-11 Biological evaluation of medical devices - Part 10: Tests for skin sensitization - ISO 10993-23, First edition 2021-01 Biological evaluation of medical devices - Part 23: Tests for irritation We have also conducted: Software verification and validation test according to the requirements of the FDA "Guidance for Pre Market Submissions and for Software Contained in Medical Devices" Clinical test is not applicable, so there is no clinical data. Page 4 of 5 {8} Dongguan Hunter Electronic Technology Co., Ltd. 510(k)s –510 (k) Summary Based on the above analysis and non-clinical tests performed, the subject device and predicate device have the same indications for use and technological characteristics, it can be concluded that the subject device is as safe, as effective and performs as well as the predicate device. Page 5 of 5
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