Import Alert 86-09

(Note: This import alert represents the Agency's current guidance to FDA field personnel regarding the manufacturer(s) and/or products(s) at issue. It does not create or confer any rights for or on any person, and does not operate to bind FDA or the public).

Import Alert # 86-09
Published Date: 11/22/2022
Type: DWPE

Import Alert Name:

"Detention Without Physical Examination Of Excimer Lasers Manufactured For Export"

Reason for Alert:

Note: The revision of this Import Alert (IA) dated 11/22/2022 updates the name of the alert, subtype to firm alert, reason for alert and guidance sections including agency contacts, charge code language, PAF, PAC. Changes to the import alert are bracketed by asterisks (***).

***These Excimer lasers laser systems are for the correction of refractive error by reshaping the surface of the cornea. The high-energy ultraviolet (UV) light is from pulsed gas (e.g., argon-fluoride) excimer laser system. The wavelength for argon-fluoride excimer lasers used for refractive surgery is 193 nm. The UV energy from the excimer laser disrupts the chemical bonds in the cornea without causing any thermal damage to surrounding tissue.

These devices were exported under Section 801(e)(2) prior to approval of the PMA and then introduced or delivered for introduction into U.S. interstate commerce for commercial distribution. These devices are not the same as those approved under the PMA.

The software and specifications for these devices differ from the devices under the approved PMAs. The software and specification differences, however, are not discernable from an outside inspection of the device. Most of the exported devices also do not contain a
counting device used to monitor the number of procedures, and the labeling on the exported devices differs from that of the approved devices.***

Guidance:

***Divisions may detain, without physical examination, shipments of the products identified on the Red List of this alert if they are coming back into the U.S. for commercial distribution.

Recommendations for additions to the Red List of this import alert, should be forwarded to the Division of Import Operations (DIO) and FDA's Center for Devices and Radiological Health (CDRH) will evaluate regulatory packages on a case-by-case basis.

Removal from Detention without Physical Examination (REMOVE FROM RED LIST):

In order to remove a firm's product from the Red List, information should be provided to the Agency to adequately demonstrates that the firm has resolved the conditions that gave rise to the appearance of the violation. The purpose of this is so that the Agency will have confidence that future shipments/entries will be in compliance with the Federal Food Drug and Cosmetic Act (FD&C Act). For further guidance on removal from detention without physical examination, refer to FDAs Regulatory Procedures Manual (RPM), Chapter 9-8, "Detention without Physical Examination (DWPE)."

If a firm and/or a representative thereof would like to petition for removal from detention without physical examination under this Import Alert, all relevant information supporting the request should be forwarded to the following address:

Food and Drug Administration
Division of Import Operations
12420 Parklawn Drive, ELEM-3109
Rockville, MD 20857

Or via email to: Importalerts2@fda.hhs.gov

Questions or issues involving import operations should be addressed to ORA/DIO (301) 796-0356 or FDAImportsInquiry@fda.hhs.gov.

Questions concerning these types of products or other compliance issues, should be addressed to the CDRH Imports and Registration & Listing Team via email: CDRH Import Mailbox cdrhimport@fda.hhs.gov

                                                                                                                                                                         ***

Product Description:

***Ophthalmic Excimer Lasers***

Charge:

*** The article is subject to refusal of admission pursuant to Section 801(a)(3) in that the device appears to be a Class III device and does not appear to have in effect an approved application for
premarket approval pursuant to Section 515 of the Act, or an exemption pursuant to Section 520(g)(1). [Adulteration, Section 501(f)(1)(B)] ***

OASIS charge code - NO PMA

List of firms and their products subject to Detention without Physical Examination (DWPE) under this Import Alert (a.k.a. Red List)


COSTA RICA


Lasersight Technologies Inclst Laser S.A.
Date Published : 09/16/2009
Zona Franca Metropolitana , Heredia, COSTA RICA
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: No models should be imported


GERMANY


Bausch & Lomb/Technolas Gmbh
Date Published : 08/24/2022
Max Planck Strasse 6 , Aschheim, GERMANY
86 L - - ZS Laser, System, Excimer
Date Published: 08/24/2022

Desc: Laser; System; Excimer
Notes: Keracor 116-versions mfgj'd for non-U.S. All Technolas Excimer Laser Systems for non-U.S.

Chiron Technolas Gmbh
Date Published : 09/16/2009
Max Planck-Str 6domach , Munchen, GERMANY
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: Keracor 116-versions mfgj'd for non-U.S. All Technolas Excimer Laser Systems for non-U.S.

Technolas Gmbh
Date Published : 08/24/2022
Ammerthalstr 34 , Kirchheim, GERMANY
86 L - - ZS Laser, System, Excimer
Date Published: 08/24/2022

Desc: Laser; System; Excimer
Notes: Keracor 116-versions mfgj'd for non-U.S. All Technolas Excimer Laser Systems for non-U.S.


IRELAND


Summit Technology Ireland B.V.
Date Published : 09/16/2009
Model Farm Road , Cork, IRELAND
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: Versions mfg'd for non-U.S. Apex Plus OmniMed Excimed Apex


JAPAN


NIDEK Co., Ltd.
Date Published : 09/16/2009
34-14 MAEHAMA, HIROISHI-CHO , GAMAGORI, Aichi JAPAN
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: EC-5000 versions mfg'd for non-U.S. and All Excimer Laser Systems for non-U.S.


UNITED STATES


Alcon Refractive Horizons, Inc.
Date Published : 09/16/2009
2501 and 2800 Discovery Drive , Orlando, FL 32826-3010 UNITED STATES
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: LADARVision Scanning Laser

Summit Technology, Inc.
Date Published : 09/16/2009
21 Hickory Dr , Waltham, MA 02451-1011 UNITED STATES
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Desc: All units with serial # beginning with 2XXX.
Notes: Summit ExciMed Laser System;OmniMed Excimer Laser System and SVS Apex Laser Systems. S/N All units with serial # beginning with 2XXX. *Summit OmniMed Excimer Laser System,Summit SVS Apogee EX and SVS Apex Plus EX Laser Systems. *CONTACT CDRH FOR SPECIFIC SERIAL NUMBERS (MARY LOU DAVID) 301-594-4613.*

VISX Incorporated A Subsidiary of AMO Inc
Date Published : 09/16/2009
3400 Central Expy , Santa Clara, CA 95051-0703 UNITED STATES
86 L - - ZS Laser, System, Excimer
Date Published: 09/16/2009

Notes: VISX Excimer Laser System Models B&C for Phototherapeutic keratectomy (PTK), and Photorefractive Keratectomy (PRK); Star-2 version mfg'd for non-U.S.