A systematic literature review of 33 studies involving 7,725 patients (including 5,692 pediatric patients) was used to support the expansion of indications for the Vbeam 595-nm PDL to include the pediatric population for the treatment of port wine stains and infantile/congenital hemangiomas.
Pediatric population; Port wine stains; Infantile hemangiomas; Literature review; Retrospective analysis
Clinical Evidence
Study Design
Population
Comparator
Key Endpoints
Systematic Literature Review (33 articles); Includes randomized controlled trials, prospective open-label trials, and retrospective evaluator-blinded studies
7,725 patients total (5,692 pediatric; 2,033 adult/mixed); Sample Size: 7,725; Number of Sites: Global (USA, UK, Europe, Asia)
Not applicable for this study
Safety and efficacy of 595-nm PDL for cutaneous capillary malformations and hemangiomas
Indications for Use
Vbeam Prima is indicated for the following: 595 nm General Surgery: Photocoagulation of benign cutaneous vascular lesions and benign cutaneous lesions. Dermatology/Plastic Surgery: For treatment of benign cutaneous vascular lesions, such as facial and leg telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars, striae and Psoriasis and the treatment of wrinkles. Treatment of Benign Epidermal Pigmented Lesions. Treatment of Inflammatory Acne Vulgaris. Gynecology: Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology. Podiatry: Treatment of benign cutaneous lesions, such as warts. Pediatric Population Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas 1064 nm The Vbeam Prima laser system 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 lakes, leg veins, and poikiloderma of Civatte and treatment of benign cutaneous 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, and keratoses. The laser is also indicated for the treatment of wrinkles such as, but not limited to, peri-ocular and peri-oral wrinkles. Vbeam Perfecta is indicated for the following: 595 nm General Surgery: Photocoagulation of benign cutaneous vascular lesions and benign cutaneous lesions. Dermatology/Plastic Surgery: For treatment of benign cutaneous vascular lesions, such as facial and leg telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars, striae and Psoriasis and the treatment of wrinkles. Treatment of Benign Epidermal Pigmented Lesions. Treatment of Inflammatory Acne Vulgaris. Gynecology: Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology. Podiatry: Treatment of benign cutaneous lesions, such as warts. Pediatric Population Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas
Device Story
Candela Vbeam Family (Vbeam Prima, Vbeam Perfecta) are flash lamp-excited pulsed dye lasers (PDL) and Nd:YAG lasers (Prima only). Devices deliver laser energy to target tissue for photocoagulation and hemostasis. Operated by clinicians in dermatology, plastic surgery, gynecology, and podiatry settings. Input is user-selected laser parameters (wavelength, energy, pulse width, repetition rate); output is laser energy applied to skin. Clinical benefit includes treatment of vascular anomalies, pigmented lesions, and skin rejuvenation. Device output allows clinicians to perform non-invasive or minimally invasive dermatological procedures. Pediatric use specifically targets port wine stains and infantile/congenital hemangiomas.
Clinical Evidence
Systematic literature review of 33 peer-reviewed articles (randomized controlled, prospective, and retrospective studies) involving 7,725 patients (5,692 pediatric). Evidence supports safety and efficacy of 595-nm PDL for treating port wine stains and infantile/congenital hemangiomas in pediatric populations.
Technological Characteristics
Flash lamp-excited pulsed dye laser (595 nm) and Nd:YAG laser (1064 nm, Prima only). Pulse energy up to 12J (Prima) or 8J (Perfecta). Pulse width 0.45-40 ms (up to 60 ms for Prima). Repetition rate up to 1.5 Hz (up to 10 Hz for Prima). Distance gauges made of ULTEM 1000-1000. Class II device.
Indications for Use
Indicated for pediatric and adult patients with benign cutaneous vascular lesions (e.g., port wine stains, hemangiomas, telangiectasia, rosacea, angiomas, Poikiloderma of Civatte), benign cutaneous lesions (e.g., warts, scars, striae, psoriasis, lentigos, seborrheic keratoses, skin tags), inflammatory acne vulgaris, and wrinkles. Includes gynecological and podiatric applications.
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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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 and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.
June 1, 2023
Candela Corporation Danielle Gibboney Sr. Regulatory Affairs Specialist 251 Locke Drive Marlborough, Massachusetts 01752
Re: K230990
Trade/Device Name: Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta) 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: April 5, 2023 Received: April 6, 2023
Dear Danielle Gibboney:
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 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
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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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Jianting Wang -S
Jianting Wang Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known)
#### K230990
Device Name
Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta)
Indications for Use (Describe)
Vbeam Prima is indicated for the following:
595 nm
· General Surgery:
· Photocoagulation of benign cutaneous vascular lesions and benign cutaneous lesions.
· Dermatology/Plastic Surgery:
o For treatment of benign cutaneous vascular lesions, such as facial and leg telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars. striae and Psoriasis and the treatment of wrinkles.
· Treatment of Benign Epidermal Pigmented Lesions.
- · Treatment of Inflammatory Acne Vulgaris.
· Gynecology:
o Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology.
· Podiatry:
- o Treatment of benign cutaneous lesions, such as warts.
- · Pediatric Population
o Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas
#### 1064 nm
The Vbeam Prima laser system 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 lakes, leg veins, and poikiloderma of Civatte and treatment of benign cutaneous 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, and keratoses. The laser is also indicated for the treatment of wrinkles such as, but not limited to, peri-ocular and peri-oral wrinkles.
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.
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# Indications for Use
# K230990
Device Name
Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta)
Indications for Use (Describe)
Vbeam Perfecta is indicated for the following:
595 nm
· General Surgery:
- · Photocoagulation of benign cutaneous vascular lesions and benign cutaneous lesions.
- · Dermatology/Plastic Surgery:
o For treatment of benign cutaneous vascular lesions, such as facial and leg telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars, striae and Psoriasis and the treatment of wrinkles.
- · Treatment of Benign Epidermal Pigmented Lesions.
- · Treatment of Inflammatory Acne Vulgaris.
- · Gynecology:
o Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology.
- · Podiatry:
- o Treatment of benign cutaneous lesions, such as warts.
- · Pediatric Population
Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas
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."
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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."
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Image /page/5/Picture/0 description: The image shows the Candela logo. The logo features a stylized purple icon to the left of the word "CANDELA" in black, sans-serif font. Below the wordmark is the tagline "Science. Results. Trust." in a smaller, purple, sans-serif font.
# 510(k) SUMMARY K230990 Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta)
This summary of 510(k) submitted in accordance with the requirements of 21 CFR 807.92.
# 1. Date Prepared
April 5, 2023
# 2. APPLICANT NAME
Candela Corporation 251 Locke Drive Marlborough MA 01752 USA
# 3. Official Correspondent
Danielle Gibboney Sr. Regulatory Affairs Specialist Candela Corporation 251 Locke Drive Marlborough MA 01752 USA Phone: 617-904-3820 Email: danielleq@candelamedical.com
#### 4. Product Information
Name of Device: Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta)
Common/Usual Name: Powered Laser Surgical Instrument
Classification Name: Laser surgical instrument for use in general and plastic surgery and in dermatology (per 21 CFR Part 878.4810)
Device Classification: Class II (per 21 CFR Part 878.4810)
Product Code: GEX
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# 5. Legally Marketed Predicate Device for Claimed Equivalence:
Predicate Device: Vbeam Prima Laser System (K183452) Predicate Device: Candela Family of Pulse Laser Systems (K050673)
# 6. Device Description:
The Candela Vbeam Family of Pulsed Dye Lasers includes both the Vbeam Prima and Vbeam Perfecta Laser Systems.
The Vbeam Prima Laser System has been previously cleared for both port wine stains, and hemangiomas under K183452.
The Vbeam Perfecta (Candela Family of Pulse Laser Systems) has been previously cleared for both port wine stains, and hemangiomas under K050673.
This 510(k) Premarket Notification is to expand the indications for use for the Candela Vbeam Family of Pulsed Dye Lasers for the Vbeam Prima Laser System and Vbeam Perfecta to include the pediatric population for treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas for the 595 nm wavelength. There is no new technology being introduced than what has been previously cleared Vbeam Prima Laser System under its predicate K183452 and Vbeam Perfecta under its predicate K050673.
# 7. INTENDED USE AND INDICATIONS FOR USE:
#### Vbeam Prima:
Vbeam Prima is indicated for the following: 595 nm
- General Surgery:
- Photocoagulation of benign cutaneous vascular lesions and benign cutaneous ● lesions.
- Dermatology/Plastic Surgery: o
- o For treatment of beniqn cutaneous vascular lesions, such as facial and leq telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars, striae and Psoriasis and the treatment of wrinkles.
- Treatment of Benign Epidermal Pigmented Lesions. ●
- Treatment of Inflammatory Acne Vulgaris. ●
- Gynecology: ●
- Photocoaqulation of benign cutaneous lesions and benign vascular lesions in o gynecology.
- Podiatry: ●
- o Treatment of benign cutaneous lesions, such as warts.
- Pediatric Population ●
- Treatment of cutaneous capillary malformations, also known as port wine o stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas
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#### 1064 nm
The Vbeam Prima laser system 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 lakes, leg veins, spider veins, and poikiloderma of Civatte and treatment of benign cutaneous 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, and keratoses. The laser is also indicated for the treatment of wrinkles such as, but not limited to, peri-ocular and peri-oral wrinkles.
#### Vbeam Perfecta:
Vbeam Perfecta is indicated for the following:
595 nm
- General Surgery:
- Photocoagulation of benign cutaneous vascular lesions and benign cutaneous ● lesions.
- Dermatoloqy/Plastic Surgery: .
- For treatment of benign cutaneous vascular lesions, such as facial and leq o telangiectasia, rosacea, port wine stains, hemangiomas, angioma, spider angioma, Poikiloderma of Civatte, and benign cutaneous lesions, such as warts, scars, striae and Psoriasis and the treatment of wrinkles.
- Treatment of Benign Epidermal Pigmented Lesions. ●
- Treatment of Inflammatory Acne Vulgaris. ●
- Gynecology: ●
- Photocoagulation of benign cutaneous lesions and benign vascular lesions in o gynecology.
- o Podiatry:
- Treatment of benign cutaneous lesions, such as warts. O
- . Pediatric Population
- Treatment of cutaneous capillary malformations, also known as port wine o stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas
# 8. Technological Comparison:
The subject device Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta) is substantially equivalent and identical in the design, function, and intended use to the Vbeam Prima Laser System under K183452 and Vbeam Perfecta under K050673. The difference between the subject Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta) and its predicates is the additional indications for Pediatric Population: Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas that this Premarket Notification is proposing. The expanded indications between the subject device and its predicates does not raise any new concerns of safety or effectiveness of the device. Thus, based on the information presented in this Premarket Notification, Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta) is substantially equivalent to its predicates Vbeam Prima Laser System under K183452 and Vbeam Perfecta under K050673. Please refer to specification comparison tables in Table 1 and Table 2 for comparisons between intended use/indications for use, and technological & biological characteristic comparison below.
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| Name of Device:<br>510(k)<br>Product Code<br>Device Class | Candela Vbeam Family of<br>Pulsed Dye Lasers (Vbeam<br>Prima)<br>Proposed<br>Not Assigned<br>GEX<br>Class II | Vbeam Prima Laser System<br>Predicate<br>K183452<br>GEX<br>Class II | Vbeam Perfecta Laser System<br>Predicate<br>K050673<br>GEX<br>Class II |
|-----------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended use /<br>Indications: | Vbeam Prima is indicated for the<br>following:<br>595 nm:<br>General Surgery:<br>Ο Photocoagulation of<br>benign cutaneous<br>vascular lesions and<br>benign cutaneous<br>lesions.<br>Dermatology/Plastic Surgery:<br>Ο For treatment of benign<br>cutaneous vascular<br>lesions, such as facial<br>and leg telangiectasia,<br>rosacea, port wine<br>stains, hemangiomas,<br>angioma, spider<br>angioma, Poikiloderma of<br>Civatte, and benign<br>cutaneous lesions, such<br>as warts, scars, striae<br>and Psoriasis and the<br>treatment of wrinkles. | Vbeam Prima is indicated for<br>following:<br>595 nm:<br>General Surgery:<br>Ο Photocoagulation of<br>benign cutaneous<br>vascular lesions and<br>benign cutaneous<br>lesions.<br>Dermatology/Plastic Surgery:<br>Ο For treatment of benign<br>cutaneous vascular<br>lesions, such as facial<br>and leg telangiectasia,<br>rosacea, port wine<br>stains, hemangiomas,<br>angioma, spider<br>angioma, Poikiloderma<br>of Civatte, and benign<br>cutaneous lesions, such<br>as warts, scars, striae<br>and Psoriasis and the<br>treatment of wrinkles. | 595 nm:<br>General Surgery:<br>Ο Photocoagulation of benign<br>cutaneous vascular lesions<br>and benign cutaneous<br>lesions.<br>Dermatology/Plastic Surgery:<br>Ο For treatment of benign<br>cutaneous vascular lesions,<br>such as facial and leg<br>telangiectasia, rosacea, port<br>wine stains, hemangiomas,<br>angioma, spider angioma,<br>Poikiloderma of Civatte, and<br>benign cutaneous lesions,<br>such as warts, scars, striae<br>and Psoriasis and the<br>treatment of wrinkles.<br>Ο Treatment of Benign<br>Epidermal Pigmented<br>Lesions.<br>Ο Treatment of Inflammatory<br>Acne Vulgaris. |
| Name of Device:<br>510(k)<br>Product Code<br>Device Class | Candela Vbeam Family of<br>Pulsed Dye Lasers (Vbeam Prima)<br>Proposed<br>Not Assigned<br>GEX<br>Class II | Vbeam Prima Laser System<br>Predicate<br>K183452<br>GEX<br>Class II | Vbeam Perfecta Laser System<br>Predicate<br>K050673<br>GEX<br>Class II |
| | Treatment of Benign Epidermal Pigmented Lesions. Treatment of Inflammatory Acne Vulgaris. | Treatment of Benign Epidermal Pigmented Lesions. Treatment of Inflammatory Acne Vulgaris. | Gynecology: Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology. |
| | Gynecology: Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology. | Gynecology: Photocoagulation of benign cutaneous lesions and benign vascular lesions in gynecology. | Podiatry: Treatment of benign cutaneous lesions, such as warts. |
| | Podiatry: Treatment of benign cutaneous lesions, such as warts. | Podiatry: Treatment of benign cutaneous lesions, such as warts. | |
| | Pediatric Population: Treatment of cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas 1064 nm | 1064 nm The Vbeam Prima laser system 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 lakes, leg veins, spider veins, and poikiloderma of Civatte and treatment of benign cutaneous | |
| Name of Device:<br>510(k)<br>Product Code<br>Device Class | Candela Vbeam Family of<br>Pulsed Dye Lasers (Vbeam<br>Prima)<br>Proposed<br>Not Assigned<br>GEX<br>Class II | Vbeam Prima Laser System<br>Predicate<br>K183452<br>GEX<br>Class II | Vbeam Perfecta Laser System<br>Predicate<br>K050673<br>GEX<br>Class II |
| | and hemostasis of benign<br>vascular lesions such as, but not to lentigos (age spots), solar<br>limited to, port wine stains,<br>hemangiomas, warts,<br>telangiectasia, rosacea, Venus<br>lakes, leg veins, spider veins,<br>and poikiloderma of Civatte and<br>treatment of benign cutaneous<br>lesions such as, but not limited<br>to lentigos (age spots), solar<br>lentigos (sun spots), café-au-lait<br>macules, seborrheic keratoses,<br>nevi, chloasma, verrucae, skin<br>tags, and keratoses. The laser is<br>also indicated for the treatment<br>of wrinkles such as, but not<br>limited to, peri-ocular and peri-<br>oral wrinkles. | lesions such as, but not limited<br>to lentigos (age spots), solar<br>lentigos (sun spots), café-au-lait<br>macules, seborrheic keratoses,<br>nevi, chloasma, verrucae, skin<br>tags, and keratoses. The laser<br>is also indicated for the<br>treatment of wrinkles such as,<br>but not limited to, peri-ocular<br>and peri-oral wrinkles. | |
| | Vbeam Perfecta is indicated for<br>the following:<br>595 nm:<br>General Surgery:<br>• Photocoagulation of<br>benign cutaneous<br>vascular lesions and<br>benign cutaneous | | |
| Name of Device:<br>510(k)<br>Product Code<br>Device Class | Candela Vbeam Family of<br>Pulsed Dye Lasers (Vbeam<br>Prima)<br>Proposed<br>Not Assigned<br>GEX<br>Class II | Vbeam Prima Laser System<br>Predicate<br>K183452<br>GEX<br>Class II | Vbeam Perfecta Laser System<br>Predicate<br>K050673<br>GEX<br>Class II |
| | lesions.<br>Dermatology/Plastic Surgery:<br>• For treatment of benign<br>cutaneous vascular<br>lesions, such as facial<br>and leg telangiectasia,<br>rosacea, port wine<br>stains, hemangiomas,<br>angioma, spider<br>angioma, Poikiloderma of<br>Civatte, and benign<br>cutaneous lesions, such<br>as warts, scars, striae<br>and Psoriasis and the<br>treatment of wrinkles.<br>• Treatment of Benign<br>Epidermal Pigmented<br>Lesions.<br>• Treatment of<br>Inflammatory Acne<br>Vulgaris.<br>Gynecology:<br>• Photocoagulation of<br>benign cutaneous lesions<br>and benign vascular<br>lesions in gynecology. | | |
| Name of Device:<br>510(k)<br>Product Code<br>Device Class | Candela Vbeam Family of<br>Pulsed Dye Lasers (Vbeam<br>Prima)<br>Proposed<br>Not Assigned<br>GEX<br>Class II | Vbeam Prima Laser System<br>Predicate<br>K183452<br>GEX<br>Class II | Vbeam Perfecta Laser System<br>Predicate<br>K050673<br>GEX<br>Class II |
| | Podiatry:<br>• Treatment of benign<br>cutaneous lesions, such<br>as warts.<br>Pediatric Population:<br>Treatment of cutaneous<br>capillary malformations, also<br>known as port wine stains<br>(PWS), and infantile<br>hemangiomas (IH) / congenital<br>hemangiomas | | |
| Similarities/Differences | Identical to Predicate device, but<br>with expanded indications<br>identified in <b>BOLD</b> . | Identical to the subject device,<br>but without the expanded<br>indications. | Identical to the subject device, but<br>without the expanded indications. |
| General<br>Specifications | Candela Vbeam Family of Pulsed Dye<br>Lasers (Vbeam Prima, Vbeam Perfecta)<br>Proposed<br>Not Assigned | Vbeam Prima Laser System<br>Predicate<br>K183452 | Vbeam Perfecta<br>Predicate<br>K050673 |
| Technical<br>Characteristics | Identical | Identical | Identical |
| Wavelength | 595 nm<br>IDENTICAL | 595 nm<br>IDENTICAL | 595 nm<br>IDENTICAL |
| | 1064 nm (Vbeam<br>Prima only)<br>IDENTICAL | 1064 nm<br>IDENTICAL | |
| Laser Type | Flash lamp-excited,<br>pulsed dye laser<br>IDENTICAL | Flash lamp-<br>excited,<br>pulsed dye<br>laser<br>IDENTICAL | Flash lamp-excited, pulsed<br>dye laser<br>IDENTICAL |
| | Flashlamp-excited,<br>Nd:YAG laser<br>(Vbeam Prima Only)<br>IDENTICAL | Flashlamp-excited,<br>Nd:YAG laser<br>IDENTICAL | |
| Pulse Energy | Up to 12 J (Vbeam<br>Prima only)<br>IDENTICAL | Up to 12 J<br>IDENTICAL | Up to 8 J<br>IDENTICAL |
| | Up to 8 J (Vbeam<br>Perfecta only)<br>IDENTICAL | Up to 45 J<br>IDENTICAL | |
| | Up to 45 J (Vbeam<br>Prima only)<br>IDENTICAL | | |
| Pulse Width | 0.45-40 ms<br>IDENTICAL | 0.45-40 ms<br>IDENTICAL | 0.45-40 ms<br>IDENTICAL |
| | Up to 60 ms (Vbeam<br>Prima Only)<br>IDENTICAL | Up to 60 ms<br>IDENTICAL | |
| Laser Pulse<br>Repetition<br>Rate | Up to 1.5 Hz<br>IDENTICAL | Up to 1.5<br>Hz<br>IDENTICAL | Up to 1.5 Hz<br>IDENTICAL |
| | Up to 10 Hz ( Vbeam<br>Prima only)<br>IDENTICAL | Up to 10 Hz<br>IDENTICAL | |
| General<br>Specifications | Candela Vbeam Family of Pulsed Dye<br>Lasers (Vbeam Prima, Vbeam Perfecta)<br>Proposed<br>Not Assigned | Vbeam Prima Laser System<br>Predicate<br>K183452 | Vbeam Perfecta<br>Predicate<br>K050673 |
| Spot Size (mm) | DCD (Vbeam Prima only):<br>3-15mm HP<br>3x10mm HP<br>1.5 Zoom HP<br>CC (Vbeam Prima only):<br>3-15mm Zoom HP<br><br>Vbeam Perfecta Only:<br>3, 5, 7, 10, 12 millimeters and 3x10<br>(elliptical)<br>IDENTICAL | DCD:<br>3-15mm HP<br>3x10mm Zoom HP<br>1.5 ZHP<br>CC:<br>3-15mm Zoom HP<br>IDENTICAL | 3, 5, 7, 10, 12 millimeters<br>and 3x10 (elliptical)<br>IDENTICAL |
| Electrical<br>Power | 200-240 VAC~; 4600 VA; 50/60 Hz ; single<br>phase (Vbeam Prima only)<br>IDENTICAL<br>20 - 230 V~ , 50/60 Hz, single phase, 4,000<br>VA or 17.4 A at 230 V~ (Vbeam Perfecta<br>only) | 200-240 VAC~; 4600 VA; 50/60<br>Hz ; single phase<br>IDENTICAL | 220 - 230 V~ , 50/60 Hz,<br>single phase, 4,000 VA or<br>17.4 A at 230 V~<br>IDENTICAL |
| Physical<br>Dimensions<br>/Weight<br>(Console) | 280 lbs. (Vbeam Prima only)<br>IDENTICAL<br>290 lbs. (Vbeam Perfecta only)<br>IDENTICAL | 280 lbs.<br>IDENTICAL | 290 lbs.<br>IDENTICAL |
| Patient<br>Contacting<br>Material | Distance Gauges: ULTEM 1000-1000<br>IDENTICAL | Distance Gauges: ULTEM 1000-<br>1000<br>IDENTICAL | Distance Gauges: ULTEM<br>1000-1000<br>IDENTICAL |
# Table 1: Intended/Indication for use comparison table.
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# Table 2: Technological & Biological specification comparison
Page 9 of 16
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# 9. PERFORMANCE DATA:
# Performance Testing: Bench:
The performance testing of the subject Candela Vbeam of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta) is based on the established testing previous cleared under Vbeam Prima Laser System under its predicate K183452 and Vbeam Perfecta under its predicate K050673. There are no changes in the design therefore the subject Candela Vbeam of Pulsed Dye Lasers is based on the established performance testing of the device's predicates.
# Performance Testing-Clinical
A systematic literature search using PubMed, Embase and Cochrane databases, and a supplemental search in Clinicaltrials.gov, was conducted to identify peerreviewed articles in which the Vbeam PDL System with the 595-nm wavelength was used to treat cutaneous capillary malformations, also known as port wine stains (PWS), and infantile hemangiomas (IH) / congenital hemangiomas in the pediatric population. A total of 33 articles were identified that reported on randomized controlled, prospective, open label, evaluator-blinded clinical trials, or retrospective evaluator-blinded studies that treated at least 10 individuals in each study using the Vbeam 595-nm PDL. The studies were conducted globally in the USA, UK, Europe, and Asia, which included China, Japan, Taiwan, India, and the Middle East. Th…
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Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.