K Number
K013768
Device Name
POWERED MUSCLE STIMULATOR
Manufacturer
Date Cleared
2002-07-03

(232 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
As an NMES device, the Ttech NMES is indicated for the following conditions: - Relaxation of muscle spasms . - . Prevention or retardation of disuse atrophy - Increasing local blood circulation . - . Muscle re-education - Immediate post-surgical stimulation of calf muscles to prevent . venous thrombosis; and - t Maintaining or increasing range of motion
Device Description
The Ttech NMES is a dual channel NMES device that produces a mild electrical current that is transmitted via leads to electrodes placed on the skin in areas predetermined by the clinician. The device, a set of electrodes with their lead wires, a battery (9 volt), carrying case, and instructions for use make up the Ttech NMES system.
More Information

No
The device description and intended use are typical for a standard NMES device and do not mention any AI or ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is indicated for conditions such as relaxation of muscle spasms, prevention or retardation of disuse atrophy, and increasing local blood circulation, which are therapeutic applications.

No
The device is a Neuromuscular Electrical Stimulator (NMES) used for therapeutic purposes like muscle relaxation, re-education, and circulation, not for diagnosing conditions.

No

The device description explicitly states that the Ttech NMES system includes hardware components such as electrodes with lead wires, a battery, and a carrying case, in addition to the device itself which produces the electrical current. This indicates it is not a software-only device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body ("in vitro").
  • Ttech NMES Function: The Ttech NMES is a Neuromuscular Electrical Stimulator (NMES). It applies electrical current to the body through electrodes placed on the skin. This is an in vivo (within the living body) application, not an in vitro test.
  • Intended Use: The listed intended uses are all related to directly stimulating muscles and affecting physiological responses within the body. None involve analyzing biological specimens.
  • Device Description: The description details a device that delivers electrical current via leads and electrodes, not a device that processes or analyzes biological samples.

Therefore, based on the provided information, the Ttech NMES is a therapeutic medical device used for direct electrical stimulation of muscles, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

As an NMES device, the Ttech NMES is indicated for the following conditions:

  • Relaxation of muscle spasms
  • Prevention or retardation of disuse atrophy
  • Increasing local blood circulation
  • Muscle re-education
  • Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis; and
  • Maintaining or increasing range of motion

Product codes

IPF

Device Description

The Ttech NMES is a dual channel NMES device that produces a mild electrical current that is transmitted via leads to electrodes placed on the skin in areas predetermined by the clinician. The device, a set of electrodes with their lead wires, a battery (9 volt), carrying case, and instructions for use make up the Ttech NMES system.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Bench testing raised no additional patient safety or performance issues so clinical testing was not indicated

Key Metrics

Not Found

Predicate Device(s)

K951951, K003596

Reference Device(s)

K002874, K002219

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.5850 Powered muscle stimulator.

(a)
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.(b)
Classification. Class II (performance standards).

0

Exhibit #1

Page 1 of 4

510(K) SUMMARY

This summary of 5l0(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

2013768 The assigned 5l0(k) number is:_

Submitter's Identification:

Theratech, Inc. 1109 Myatt Blvd. Madison, TN 37115 FDA Registration: To be applied for Phone: 615-865-4000 Fax: 800-485-2626

Date Summary Prepared:

November 6, 2001

Name of the Device:

  • Trade Name: Ttech NMES a.
  • b. Common Name or Classification Name of Device: Powered Muscle Stimulator/Neuromuscular Stimulation (NMES) System

The Physical Medicine Device Panel (DGRD) has classified this device as Class II. 21 CFR Part 890.5850, Product Code 89 IPF.

Predicate Device Information:

NMES:

K951951, EMPI Focus Powered Muscle Stimulator (NMES), EMPI, Inc., 5255 East River Road, Fridley, MN 55421; K003596, RESTIM, Smith and Nephew, Inc. N104 W13400 Donges Bay Rd., Germantown, WI 53022.

Electrode Leads:

K002874. Well-TENS (various model of TENS). Well-Life Healthcare, Inc., Ltd., Taichaung, Taiwan. (the leads are the same for the NMES as for the TENS)

1

Electrodes:

Wandy Rubber Industrial Co., Ltd. Self-Adhesive Neurostimulation Electrodes, K002219

Device Description: The Ttech NMES is a dual channel NMES device that produces a mild electrical current that is transmitted via leads to electrodes placed on the skin in areas predetermined by the clinician. The device, a set of electrodes with their lead wires, a battery (9 volt), carrying case, and instructions for use make up the Ttech NMES system.

Intended Use:

As an NMES device, the Ttech NMES is indicated for the following conditions:

  • Relaxation of muscle spasms .
  • . Prevention or retardation of disuse atrophy
  • Increasing local blood circulation .
  • . Muscle re-education
  • Immediate post-surgical stimulation of calf muscles to prevent . venous thrombosis; and
  • t Maintaining or increasing range of motion

Comparison to Predicate Devices:

See attached comparison chart

Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence:

In addition to performance testing for comparison purposes, the following testing was also completed:

2

Page 3 of 4

Patient Lead Safety Testing (21 CFR 898) Test for open /short circuit performance Temperature endurance test Incorrect battery installation test Vibration Test Mechanical Shock Test Humidity endurance test Water immersion endurance test

Discussion of Clinical Tests Performed:

Bench testing raised no additional patient safety or performance issues so clinical testing was not indicated

Conclusions:

The Ttech NMES has the same intended use and technological characteristics as the predicates. No new questions of safety or effectivness have been raised, therefore the Ttech NMES is substantially equivilent to the predicates.

3

ManufacturesEmpiSmith & NephewTheratech
Model NumberEmpi FOCUSRESTIMTtech NMES
510(k) NumberK951951K003596To be assigned
Equipment ClassificationHand held. Internally
PoweredHand held. Internally
poweredHand held. Internally
powered
Output Modalityprogrammable pulse on/off
times and biphasic.Fixed, Single.
rechargeable NiMN 8.4VFixed. Single
Power sourcePrimary cell, 9V PP3 batteryPP3 battery9 Volt Battery
Recharge RegimeReplace battery.In situ.Replace battery
Patient connectionType BF. Isolated.Type BF. Isolated. No
patient connection is
possible during recharge.Type BF. Isolated
Current pulse regulationGood.GoodGood
Maximum output current60mA90mA93mA
Load range8ohm to 10Kohm8ohm to open circuit8ohm to open circuit
Maximum ouput voltage+120V+55V+100V
Maximum phase charge3.12 uC.2.73 uC.21uC
Peak current density*7.92mA/cm212.45 mA/cm²0.125MAKm²
Maximum Power Density**4.09X10-5W/cm24.29X10-6W/cm2.0058W/cm²
Pulse shapeSymmetric or asymmetric
biphasic.Asymmetric BiphasicAsymmetrical Biphasic
Pulse patternSimple. Programmable
repetition rate.Complex. One second
repetition rateComplex
User set-up methodMultiple rotary dials.Two switches for intensity
increase/decreaseMultiple Rotary Dials
User displayNone.2 digit LCD plus LEDnone
Low battery detectPartialYesPartial
Connection error indicationNone.Yes (open cct)None
Treatement timeSelectable between 15 mins
or continuous.1 hour fixed15min - 30min or
Continuous
Pulse widthNominal 260 usec. User
adjustableNominal 250usec. Can be
set between 50 and
350usec by the user.250usec (fixed)

ﺮ ﺍ

,

4

Image /page/4/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an emblem featuring a stylized depiction of an eagle with three human profiles incorporated into its body.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

3 2002 JUL

Theratech, Inc. C/o Ms. Susan Goldstein-Falk MDI Consultants, Inc. 55 Northern Blvd., Suite 200 Great Neck, New York 11021

Re: K013768

Trade/Device Name: Ttech NMES Regulation Number: 21 CFR 890.5850 Regulation Name: Powered muscle stimulator Regulatory Class: Class II Product Code: IPF Dated: April 5, 2002 Received: April 9, 2002

Dear Ms. Goldstein-Falk:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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 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); 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. This letter will allow you to begin marketing your device as described in your Section 510(k)

5

Page 2 - Ms. Goldstein-Falk

premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

Styp Rhodes

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Exhibit B

Page 1 of of 1

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: Theratech, Inc. Ttech NMES

Indications For Use:

As an NMES device, the Ttech NMES is indicated for the following conditions:

  • Relaxation of muscle spasms 1.
    1. Prevention or retardation of disuse atrophy
    1. Increasing local blood circulation
  • Muscle re-education 4.
    1. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis; and
    1. Maintaining or increasing range of motion

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
---------------------

Division of General, Restorative and Neurological Devices

510(k) NumberK013768
------------------------

510(k) Number_________________________________________________________________________________________________________________________________________________________________

Prescription Use × (Per 21 CFR 801.109)

OR

Over-The-Counter Use (Optional Format 1-2-96)