K Number
K031017
Device Name
SYS*STIM 208 AND 208A
Date Cleared
2003-05-30

(60 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain 2. Temporary relaxation of muscle spasm 3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles 4. Increase of blood flow in the treatment area. 5. Prevention or retardation of disuse atrophy in post-injury type conditions. 6. Muscle re-education. 7. Maintaining or increasing range of motion.
Device Description
Sys*Stim 208, Model ME 208: The microprocessor controlled Sys*Stim 208 produces low volt current through one channel. The unit produces an asymmetrical electrically balanced waveform. There are three modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz and Surge-80 Hz, On/Off times variable. The Sys*Stim 208 is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys*Stim 208 is the Patient Termination Switch, which is connected to the jack located on back of the unit. Sys*Stim 208A, Model ME 208A: The microprocessor controlled Sys*Stim 208A produces low volt current through two channels. The unit produces an asymmetrical electrically balanced waveform. There are four modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz, Surge-80 Hz, On/Off times variable and Recip-80 Hz, output alternates between the two channels. The Sys*Stim 208A is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys+Stim 208A is the Patient Termination Switch, which is connected to the jack located on back of the unit.
More Information

No
The description mentions a "microprocessor controlled" device with selectable modes and adjustable parameters via knobs and buttons. There is no mention of AI, ML, or any adaptive or learning capabilities based on data input.

Yes
The 'Intended Use / Indications for Use' section lists several pain relief, muscle relaxation, and rehabilitation purposes.

No

The Intended Use / Indications for Use describe therapeutic applications like pain relief, muscle relaxation, blood flow increase, and muscle re-education, not diagnosis. The Device Description details how it produces low volt current for treatment, not for obtaining diagnostic information.

No

The device description explicitly details physical hardware components, including a microprocessor-controlled unit, knobs, buttons, and an optional patient termination switch, which are not characteristic of a software-only medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are 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).
  • Device Description and Intended Use: The description and intended uses of the Sys*Stim 208 and 208A clearly indicate that they are devices that apply electrical stimulation to the body for therapeutic purposes (pain relief, muscle stimulation, etc.). They do not involve the analysis of bodily specimens.

Therefore, the Sys*Stim 208 and 208A are therapeutic devices, not IVDs.

N/A

Intended Use / Indications for Use

Indications for use:

  1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain.
  2. Temporary relaxation of muscle spasm.
  3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles.
  4. Increase of blood flow in the treatment area.
  5. Prevention or retardation of disuse atrophy in post-injury type conditions.
  6. Muscle re-education.
  7. Maintaining or increasing range of motion.

Also listed as:

  1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain
  2. Temporary relaxation of muscle spasm
  3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles
  4. Increasing local blood circulation
  5. Prevention or retardation of disuse atrophy
  6. Muscle re-education
  7. Maintaining or increasing range of motion

Product codes

IPF, GZJ

Device Description

Sys*Stim 208, Model ME 208
The microprocessor controlled SysStim 208 produces low volt current through one channel. The unit produces an asymmetrical electrically balanced waveform. There are three modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz and Surge-80 Hz, On/Off times variable. The SysStim 208 is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys*Stim 208 is the Patient Termination Switch, which is connected to the jack located on back of the unit.

Sys*Stim 208A, Model ME 208A
The microprocessor controlled SysStim 208A produces low volt current through two channels. The unit produces an asymmetrical electrically balanced waveform. There are four modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz, Surge-80 Hz, On/Off times variable and Recip-80 Hz, output alternates between the two channels. The SysStim 208A is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys+Stim 208A is the Patient Termination Switch, which is connected to the jack located on back of the unit.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K861248, Pre-amendment device

Reference Device(s)

Not Found

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

SYS*STIM ® 208/208A, MODEL ME 208/208A KO31017 510(K) SUMMARY

Submitter's Name:Mettler Electronics Corp.
Address:1333 South Claudina Street
Anaheim, CA 92805

MAY 3 0 2003

Telephone: 714-533-2221

Robert E. Fleming Contact: Director, QA/RA

March 26, 2002 Date Prepared:

Device Name:

  • a. TRADE NAME:
  • b. CLASSIFICATION NAME:
  • c. COMMON NAME:

Sys*Stim® 208/208A, Model ME 208/208A Powered Muscle Stimulator Electrical Muscle Stimulator

Predicate Devices:

| a. TRADE NAME: | Chattanooga's Intelect LV110/LV120
AMREX' MS322/MS324 |
|-------------------|----------------------------------------------------------|
| b. 510(k) Number: | K861248
Pre-amendment device |

Description of Device:

Sys*Stim 208, Model ME 208

The microprocessor controlled SysStim 208 produces low volt current through one channel. The unit produces an asymmetrical electrically balanced waveform. There are three modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz and Surge-80 Hz, On/Off times variable. The SysStim 208 is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys*Stim 208 is the Patient Termination Switch, which is connected to the jack located on back of the unit.

Image /page/0/Picture/16 description: The image shows a device with a screen that displays the number 212. The device has a white border and a dark screen. A cable is connected to the device on the right side.

1

SYS*STIM ® 208/208A, MODEL ME 208/208A 510(K) SUMMARY

Sys*Stim 208A, Model ME 208A

The microprocessor controlled SysStim 208A produces low volt current through two channels. The unit produces an asymmetrical electrically balanced waveform. There are four modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz, Surge-80 Hz, On/Off times variable and Recip-80 Hz, output alternates between the two channels. The SysStim 208A is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys+Stim 208A is the Patient Termination Switch, which is connected to the jack located on back of the unit.

Image /page/1/Picture/3 description: The image shows a medical device with a digital display. The device has a white casing and a dark screen. The screen displays the number 22. There is a cable attached to the device.

Device Intended Use Statement:

510(k) Number: Device Name: Sys*Stim® 208/208A, Model ME 208/208A

Indications for use:

  1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain.

  2. Temporary relaxation of muscle spasm.

  3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles.

    1. Increase of blood flow in the treatment area.
    1. Prevention or retardation of disuse atrophy in post-injury type conditions.
    1. Muscle re-education.
    1. Maintaining or increasing range of motion.

KO31017

2

K031017

SYS*STIM®208/208A, MODEL ME 208/208A 510(K) SUMMARY

Comparison of Technological Characteristics Between Sys*Stim® 208/208A, Model ME 208/208A and Predicate Devices:

510 K #KK880235Pre-amendment
Device NameSys-Stim 208LV-110MS322
ManufacturerMettler ElectronicsChattanoogaAmrex-Zetron
Power Source110 V AC, 60 Hz ±10%120 V AC, 50/60 Hz120 V AC, 60 Hz
Number Of Output Modes333
Channel(S)111
SynchronousN/AN/AN/A
ReciprocalN/AN/AN/A
ComputerizedNoNoNo
Software ProvidedN/AN/AN/A
Constant CurrentNoNot stated in the manualNot stated in the manual
Constant VoltageYesNot stated in the manualNot stated in the manual
Max Output Current (mA)184 mA peak ±20% into 500 Ω
72 mA peak ±20% into 2 KΩ
17 mA peak ±20% into 10 KΩNot Stated in the manualNot Stated in the manual
Max Output Voltage (V)92 V peak ±20% into 500 Ω
144 V peak ±20% into 2 KΩ
166 peak ±20% into 10 KΩ110 V peak into 1K ohm
load110 V peak into 1K ohm
load
28 V peak into 100 ohm load
Waveforms & Channels
All ChannelsAsymmetrical biphasic with
zero net DCAsymmetrical biphasic with
zero net DCAsymmetrical biphasic with
zero net DC
Output DisplaysNoNoNo
Channel IsolationIn this system all the outputs
are isolated from each other,
they have their own
amplifiers which are
independent from
neighboring channels or
outputs. The only common
thing between the outputs is
the microprocessor & the
power supply.Not Stated in the manualNot Stated in the manual
Line Current IsolationAC power supply is
converted to DC Power
supply through transformer.
Hence there is an insulation
of mains from circuitry.
From circuitry to output
again there is insulation
through the transformer,
there by double separation
between mains and the
human body.Not Stated in the manualNot Stated in the manual
Automatic Overload TripNoNot Stated in the manualNot Stated in the manual
Automatic Over Current TripNoNot Stated in the manualNot Stated in the manual
Current/Voltage LevelNoNot Stated in the manualNot Stated in the manual
Automatic No Load TripNoNoNo
Automatic Shut-OffYesYesYes
Patient OverrideYesOptionalOptional
Control MethodRemote stopRemote stopRemote stop
Max Leakage Current (µA)
Normal
(Per 21 CFR 801.109)
OROver-The-Counter Use

11

Attachment 1 b

Page_ of

510(k) Number (if known): K031017

Device Name: Sys*Stim 208A (ME208A)

Indications For Use:

    1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain
    1. Temporary relaxation of muscle spasm
    1. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles
    1. Increasing local blood circulation
    1. Prevention or retardation of disuse atrophy
    1. Muscle re-education
    1. Maintaining or increasing range of motion

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

Concurrent of CDRH Office of Device Evaluation (ODE)

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

510(k) Number K031017
OR Over-The-Counter Use
Prescription Use
(Per 21 CFR 801.109)