NATURALASE DIODE LASER FAMILY NATURALASE MODEL NL980, NATURALASE DIODE LASER FAMILY NATURALASE NL810
K101152 · Focus Medical, LLC · GEX · Aug 18, 2010 · General, Plastic Surgery
Device Facts
Record ID
K101152
Device Name
NATURALASE DIODE LASER FAMILY NATURALASE MODEL NL980, NATURALASE DIODE LASER FAMILY NATURALASE NL810
Applicant
Focus Medical, LLC
Product Code
GEX · General, Plastic Surgery
Decision Date
Aug 18, 2010
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4810
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
NaturaLase 980 Laser System is intended for laser assisted lipolysis. The NaturaLase 980 Laser System is intended for surgical applications requiring the ablation, vaporization, excision, incision, hemostasis, or coagulation of soft tissues in medical specialties including dermatology, plastic surgery, dentistry, gastroenterology, general surgery, genitourinary, gynecology, neurosurgery, otolaryngology, orthopedics, ophthalmology, orthopedics, pulmonology, thoracic surgery arthroscopy and podiatry.
Device Story
NaturaLase 980 Laser System is a diode laser emitting 980 nm wavelength light. Device used by physicians in clinical/surgical settings for soft tissue management (ablation, vaporization, excision, incision, hemostasis, coagulation) and laser-assisted lipolysis. Laser energy delivered to target tissue to achieve desired surgical effect. System provides surgical precision, potentially reducing trauma compared to traditional methods. No automated analysis or AI/ML components described.
Clinical Evidence
No clinical data provided; substantial equivalence based on technological characteristics and intended use.
Technological Characteristics
Diode laser system; 980 nm wavelength; Class II medical device; regulation 21 CFR 878.4810; product codes GEX, ORK.
Indications for Use
Indicated for patients requiring soft tissue ablation, vaporization, excision, incision, hemostasis, or coagulation across various surgical specialties including dermatology, plastic surgery, dentistry, gastroenterology, general surgery, genitourinary, gynecology, neurosurgery, otolaryngology, orthopedics, pulmonology, thoracic surgery, arthroscopy, and podiatry; also indicated for laser-assisted lipolysis.
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.
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## 4. 510(K) SUMMARY
This 510 (k) summary of safety and effectiveness for the Focus Medical NaturaLase 980 Laser System is submitted in accordance with the requirements of SMDA 1990 and follows Office of Device Evaluation guidance concerning the organization and content of a 510 (k) summary.
This summary of safety and effectiveness information is being submitted in accordance with the requirements of the SMDA 1990 and 21 CFR 807.92.
| Applicant: | Focus Medical<br>23 Francis J. Clarke Circle<br>Bethel, CT 06801<br>203-730-8885 |
|----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer: | Focus Medical<br>23 Francis J. Clarke Circle<br>Bethel, CT 06801 |
| Contact Person: | Mr. John B. Lee, Jr.<br>President<br>Focus Medical |
| Name of the Device: | NaturaLase 980 Laser System |
| Predicate Devices: | This is device is substantially equivalent to:<br>Osyris Pharaon Lipo (K073617)<br>PhotoMedex LaserPro (K082721) |
| Device Description: | The NaturaLase 980 Laser System is a diode laser<br>system with 980 nm wavelength light. |
| Indications for Use: | NaturaLase 980 Laser System is intended for laser<br>assisted lipolysis. The NaturaLase 980 Laser System is<br>intended for surgical applications requiring the ablation,<br>vaporization, excision, incision, hemostasis, or<br>coagulation of soft tissues in medical specialties including<br>dermatology, plastic surgery, dentistry, gastroenterology,<br>general surgery, genitourinary, gynecology,<br>neurosurgery, otolaryngology, orthopedics,<br>ophthalmology, orthopedics, pulmonology, thoracic<br>surgery arthroscopy and podiatry. |
| Conclusion: | The specifications, indications for use and performance<br>of the NaturaLase 980 Laser System is substantially<br>equivalent to the legally marketed predicate devices. It<br>raises no new issues of safety and effectiveness and<br>should be approved for marketing under the general<br>controls provisions of the Federal Food, Drug, and<br>Cosmetic Act. |
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Image /page/1/Picture/1 description: The image is a seal for the Department of Health & Human Services USA. The seal is circular and contains the department's emblem, which is a stylized caduceus. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are written around the perimeter of the circle.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room-WO66-G609 Silver Spring, MD 20993-0002
Focus Medical, LLC % Mr. John B. Lee, Jr. President 23 Francis J. Clarke Circle Bethel, Connecticut 08801
AUG 1 8 2010
Re: K101152
Trade/Device Name: NaturaLase 980 Laser System 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, ORK Dated: July 26, 2010 Received: July 27, 2010
Dear Mr. Lee:
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 - Mr. John B. Lee. Jr.
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 (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Mark N. Molkeraan
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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## 3. INDICATIONS FOR USE STATEMENT
K101152
## 510(k) Number: K101152
Device Name: NaturaLase 980 Laser System
Indications For Use:
NaturaLase 980 Laser System is intended for laser assisted lipolysis. The NaturaLase 980 Laser System is intended for surgical applications requiring the ablation, vaporization, excision, incision, hemostasis, or coagulation of soft tissues in medical specialties including dermatology, plastic surgery, dentistry, gastroenterology, general surgery, genitourinary, gynecology, neurosurgery, otolaryngology, orthopedics, ophthalmology, orthopedics, pulmonology, thoracic surgery arthroscopy and podiatry.
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 IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE) The
Neil Mc Oghen for mxm
(Division Sign-Off) Division of Surgical, Orthopedic. and Restorative Devices
510(k) Number K101152