MS300
K984021 · Lsi Intl., Inc. · IPF · Jan 28, 1999 · Physical Medicine
Device Facts
| Record ID | K984021 |
| Device Name | MS300 |
| Applicant | Lsi Intl., Inc. |
| Product Code | IPF · Physical Medicine |
| Decision Date | Jan 28, 1999 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 890.5850 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
Relaxation of muscle spasm. 1 ) Prevention of retardation of disuse atrophy. 2) Increasing local blood circulation. 3) - Muscle re-education. 4) - Immediate postsurgical stimulation of calf muscles to 5) prevent venous thrombosis. - Maintaining or increasing range of motion. 6)
Device Story
MS300 is an electrical muscle stimulator used in clinical settings by healthcare professionals. Device delivers electrical impulses to muscles to induce contraction; functions include muscle spasm relaxation, atrophy prevention, blood circulation enhancement, muscle re-education, postsurgical venous thrombosis prevention, and range of motion maintenance. Output is applied via electrodes to patient musculature. Clinical benefit derived from therapeutic muscle stimulation to support rehabilitation and postsurgical recovery.
Clinical Evidence
No clinical data provided; substantial equivalence determination based on device description and intended use.
Technological Characteristics
Electrical muscle stimulator; device utilizes electrical energy to induce muscle contraction. Technical specifications, materials, and software details are not provided in the source document.
Indications for Use
Indicated for patients requiring muscle spasm relaxation, prevention/retardation of disuse atrophy, increased local blood circulation, muscle re-education, immediate postsurgical calf muscle stimulation to prevent venous thrombosis, and maintenance/increase of range of motion.
Regulatory Classification
Identification
A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.
Related Devices
- K994065 — MS-ONE, MODEL MS-1 · Home Wellness West · Apr 4, 2000
- K984113 — MS400 · Lsi Intl., Inc. · Jan 28, 1999
- K972055 — MSI MAGNA-STYM · Microvas Systems, Inc. · Aug 29, 1997
- K182163 — Shear Stress Therapeutics SST 3000 · Shear Stress Therapeutics, LLC · Jul 9, 2019
- K964434 — SD-970EMS ELECTRICAL MUSCULAR STIMULATOR · Skylark Device Co., Ltd. · Oct 9, 1997
Submission Summary (Full Text)
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 28 1999
Mr. James C. Lane CEO, Regulatory Affairs LSI International 8849 Bond Overland Park, Kansas 66214
K984021 Re: MS300 Trade Name: K984113 Trade Name: MS400 Regulatory Class: II IPF Product Code: November 3 and 5, 1998 Dated: November 12 and 17, 1998 Received:
Dear Mr. Lane:
We have reviewed your Section 510(k) notifications of intent to market the devices referenced above and we have determined these devices are substantially equivalent (for the indications for use stated in the enclosures) to 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). You may, therefore, market the devices, 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.
If your devices are classified (see above) into either class (Special Controls) or class III (Premarket Approval), they II may be subject to such additional controls. Existing major regulations affecting your devices can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical General regulation (21 CFR Part 820) and that, Devices: through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your devices in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
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Page 2 - Mr. James C. Lane
This letter will allow you to begin marketing your devices as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your devices to legally Finding of babbeaneral ous results in a classification for your devices and thus, permits your devices to proceed to the market.
If you desire specific advice for your devices on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your devices, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
the regulation entitled, "Misbranding by reference fo information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
Celia M. Witten, Ph.D., M.D.
Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosures
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510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________
I Device Name: _________ MS300
Indications For Use:
Relaxation of muscle spasm. 1 )
Prevention of retardation of disuse atrophy. 2)
Increasing local blood circulation. 3)
- Muscle re-education. 4)
- Immediate postsurgical stimulation of calf muscles to 5) prevent venous thrombosis.
- Maintaining or increasing range of motion. 6)
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Concurrence of CDRH, Office of Device Evaluation (ODE)
pcoee
(Divisia Sign-Off)
Division of General Restorative Devices
510(k) Number. K984021
Prescription Use
X
(Per 21 CFR 801.109)
OR
Over-The-Counter Use
(Optional Format 1-2-96)
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