K Number
K021436
Device Name
TTECH MODEL 200E + TENS DEVICE
Manufacturer
Date Cleared
2002-07-30

(85 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ttech Model 200E + TENS Device is intended for symptomatic relief of chronic intractable pain.
Device Description
The Ttech 200E + TENS Device is a battery-operated device that includes controllable output channels. This TENS device creates electrical impulses whose intensity, duration, number per second and modulation can be altered with the controls and switches. There are two separate amplitude controls (channels). Every channel can be connected with the lead wire, on which two pieces of electrodes are to be connected to the end of the wire to provide stimulation for the intended part of the body. There are three operation modes: - . Convention Mode (c) - Burst Mode (b) - Modulated Mode (c) . The operator may choose any one of them, as applicable. The device includes the following: - 1 TENS Unit . - . 2 Leads - 1 9v Battery ● - 1 Operation Manual . - 1 Carrying Case .
More Information

K# 002874/S002

Not Found

No
The device description focuses on standard TENS technology with controllable electrical impulses and different operation modes, with no mention of AI or ML capabilities.

Yes.
The device is intended for symptomatic relief of chronic intractable pain, which is a therapeutic purpose.

No
The device is described as a TENS device intended for symptomatic relief of chronic intractable pain, which is a therapeutic purpose, not a diagnostic one. It generates electrical impulses for stimulation, not for detecting or identifying a medical condition.

No

The device description explicitly states it is a battery-operated device that includes controllable output channels, leads, a battery, and electrodes, indicating it is a hardware device with electrical components, not software only.

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

Here's why:

  • Intended Use: The intended use is "symptomatic relief of chronic intractable pain." This is a therapeutic use, not a diagnostic one.
  • Device Description: The device description clearly outlines a TENS (Transcutaneous Electrical Nerve Stimulation) device, which delivers electrical impulses to the body for pain relief. This is a physical intervention, not a test performed on biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

In summary, the Ttech Model 200E + TENS Device is a therapeutic device used for pain management, not a diagnostic device used to test biological samples.

N/A

Intended Use / Indications for Use

The Ttech Model 200E + TENS Device is intended for symptomatic relief of chronic intractable pain.

Product codes

GZJ

Device Description

The Ttech 200E + TENS Device is a battery-operated device that includes controllable output channels. This TENS device creates electrical impulses whose intensity, duration, number per second and modulation can be altered with the controls and switches. There are two separate amplitude controls (channels). Every channel can be connected with the lead wire, on which two pieces of electrodes are to be connected to the end of the wire to provide stimulation for the intended part of the body.

There are three operation modes:

  • Convention Mode (c)
  • Burst Mode (b)
  • Modulated Mode (c) .
    The operator may choose any one of them, as applicable.

The device includes the following:

  • 1 TENS Unit .
  • . 2 Leads
  • 1 9v Battery ●
  • 1 Operation Manual .
  • 1 Carrying Case .

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

Not Applicable

Key Metrics

Not Found

Predicate Device(s)

K# 002874/S002

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5890 Transcutaneous electrical nerve stimulator for pain relief.

(a)
Identification. A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to electrodes on a patient's skin to treat pain.(b)
Classification. Class II (performance standards).

0

JUL 3 0 2002

EXHIBIT #1

510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 5l0(k) number is:_KO21436

1. Submitter's Identification:

Theratech. Inc. 1109 Myatt Blvd Madison, TN 37115

Date Summary Prepared:

Contact: Ms. Tammy McGarr

2. Name of the Device:

Ttech Model 200E + TENS Device

3. Predicate Device Information:

K# 002874/S002, Well-TENS, Model WL-2103A, Well-Life Healthcare Inc.

4. Device Description:

The Ttech 200E + TENS Device is a battery-operated device that includes controllable output channels. This TENS device creates electrical impulses whose intensity, duration, number per second and modulation can be altered with the controls and switches. There are two separate amplitude controls (channels). Every channel can be connected with the lead wire, on which two pieces of electrodes are to be connected to the end of the wire to provide stimulation for the intended part of the body.

There are three operation modes:

  • . Convention Mode (c)
  • Burst Mode (b)
  • Modulated Mode (c) .

The operator may choose any one of them, as applicable.

The device includes the following:

1

  • 1 TENS Unit .
  • . 2 Leads
  • 1 9v Battery ●
  • 1 Operation Manual .
  • 1 Carrying Case .

5. Intended Use:

The Ttech 200E + TENS Device is intended for symptomatic relief of chronic intractable pain.

Please refer to our "Indications for Use" statement which is attached as Exhibit B.

દ. Comparison to Predicate Devices:

The Ttech Model 200E+ is identical in all parameters, materials, processes, etc. to the Well-TENS Model WL-2103A device (K# 002874).

7. Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence are as follows:

All required sections of the FDA "Guidance for TENS Devices" were met. All required IEC 60601-1 and IEC 60601-1-2 testing was met.

8. Discussion of Clinical Tests Performed:

Not Applicable

9. Conclusions:

The Ttech Model 200E + TENS Device is identical to the predicate device with no new safety or effectiveness issues raised.

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name encircling a symbol. The symbol is a stylized representation of a human figure with three faces in profile, suggesting a focus on people and well-being. The overall design is simple and conveys a sense of government authority and public service.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 3 0 2002

Theratech. Inc. MDI Consultants, Inc. c/o Susan D. Goldstein-Falk 55 Northern Boulevard, Suite 200 Great Neck. New York 11021

Re: K021436

Trade Name: Ttech Model 200 E + TENS Device Regulation Number: 882.5890 Regulation Name: Transcutaneous electrical muscle stimulator Regulatory Class: II Product Code: GZJ Dated: May 2, 2002 Received: May 9, 2002

Dear Ms. Goldstein-Falk:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) 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) 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.

3

Page 2 - Ms. Susan D. Goldstein-Falk

This letter will allow you to begin marketing your device as described in your Section 510(k) 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) 594-4659. 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,

Sincerely yours,

Mark N Millenson

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

4

Exhibit B

Page _ 1 __ of _ 1 __

510(k) Number (if known): _ K 021436

Device Name: Ttech Model 200E + TENS Device

Indications For Use:

  1. 1

The Ttech Model 200E + TENS Device is intended for symptomatic relief of chronic intractable pain.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Signature

(Division Sign-Off)
Division of General, Restorative and Neurological Devices

510(k) NumberK021436
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Prescription Use (Per 21 CFR 801.109)OROver-The-Counter Use (Optional Format 1-2-96)
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