K Number
K032833
Date Cleared
2003-09-23

(12 days)

Product Code
Regulation Number
882.1320
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The MyoSystem with Customizing is intended for adult(s) who require an external electric upper extremity system.

Device Description

The MyoSystem with Customizing is an adult external electric upper extremity system which allows the CPO to adjust all relevant parameters of the control of an external powered upper extremity prosthesis by a Personal Computer (PC). The system allows the connection of the control of a prosthesis with a PC by serial communication. A PC Software program allows the monitoring of how the patient performs with the prosthesis and enables the practitioner to change the control parameters according to the patient's needs. In addition, the practitioner can do the same program changes between control programs of a component as he/she can do by changing a colored coding plug. As it is a much faster process to change a program by the click of a button rather than to dismantle the prosthesis to gain access to the coding plug of a component, there is less disruption in the fitting process. This makes it less tiring for the patient and practitioner. As this system allows only additional adjustments to the existing adjustment possibilities by dials, there is no program change in the components, The same components which are used by the current conventional adjustment process are used with the adjustment process by CUSTOMIZING.

AI/ML Overview

The provided text is a 510(k) summary for the Otto Bock MyoSystem with Customizing. It describes the device, its intended use, and its substantial equivalence to a predicate device. However, it does not contain any information regarding acceptance criteria or a study that proves the device meets specific performance criteria.

The document is a regulatory submission for premarket notification, focusing on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting specific performance study results against defined acceptance criteria.

Therefore, I cannot provide the requested information from the given text.

Here's why each point cannot be addressed:

  1. A table of acceptance criteria and the reported device performance: This information is not present. The document focuses on describing the device and asserting substantial equivalence.
  2. Sample sized used for the test set and the data provenance: No test set or study data are mentioned.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable as no test set or ground truth establishment is described.
  4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
  5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This device is an external limb prosthetic system, not an AI diagnostic tool.
  6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
  7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable.
  8. The sample size for the training set: Not applicable.
  9. How the ground truth for the training set was established: Not applicable.

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Otto Bock
HEALTH CARE

K032833

510(k) SUMMARY of SAFETY and EFFECTIVENESS

A. General Information

1. Submitter's Name:Otto Bock Health Care, LP
2. Address:Two Carlson Parkway, Suite 100Minneapolis, MN 55447-4467
3. Telephone:763-553-9464
4. Contact Person:Bert Harman
  • June 25, 2003 5. Date Prepared:
    1. Registration Number: 2182293

B. Device

  1. Trude Name:

  2. Common Name:

  3. Product Code:

  4. Class:

  5. Classification Name:

  6. Regulation Number:

1. Name:MyoSystem with Customizing
--------------------------------------
  • MyoSystem with Customizing
    MyoSystem

  • MyoSystem with Customizing

External Limb Prosthetic Component

C. Identification of Legally Marketed Devices

    1. Name:
    1. K Number: Exempt
    1. Date Cleared: Exempt

QUALITY FOR LIFE

North American Headquarters Two Carlson Parkway N., Suite 1 Minneapolis, MN 55447 Phone 1.800.328.4058 Fax 1.800.655.4963

14630 28ª Avenue North Minneapolis, MN 55447 nc 1.800.328.4058

Avenue North, Suite anolis MN 55447 1.800.795.8841

00 3 200 254 50

Ohio Area Fabrication Center
84 Westpark Road
Centerville, OH 45459
Phone 1.937.432.0082
Fax 1.937.432.0087

  • 11 8411

Minnesota Design &
Manufacturing Center
820 Sundial Drive
Waite Park, MN 56387
Phone 1.800.688.4832
Fax 1.320.251.0110

ner Satisfaction Hotli 7.08SOIVF

ttobockus.com

1

363

{1}------------------------------------------------

D. Description of the Device

The MyoSystem with Customizing is an adult external electric upper extremity system which allows the CPO to adjust all relevant parameters of the control of an external powered upper extremity prosthesis by a Personal Computer (PC).

The system allows the connection of the control of a prosthesis with a PC by serial communication. A PC Software program allows the monitoring of how the patient performs with the prosthesis and enables the practitioner to change the control parameters according to the patient's needs.

In addition, the practitioner can do the same program changes between control programs of a component as he/she can do by changing a colored coding plug. As it is a much faster process to change a program by the click of a button rather than to dismantle the prosthesis to gain access to the coding plug of a component, there is less disruption in the fitting process. This makes it less tiring for the patient and practitioner.

As this system allows only additional adjustments to the existing adjustment possibilities by dials, there is no program change in the components, The same components which are used by the current conventional adjustment process are used with the adjustment process by CUSTOMIZING.

The MyoSystem with Customizing is composed of the following parts:
MyoBoy757M10
MyoBoy, Test adapter, Infrared cable757P23
MyoBock System
EnergyPack757B20
Li-lon battery charger757L20
System Electric Greifer DMC plus8E33=8X047108
Electric wrist rotator10S17
Ergo arm electronic plus12K50=50-1
SensorHand8E38=5-L7¾
Transcarpal Hand Digital Twin8E44=7-L7¾
Four channel processor II13E195
Adjustment cap13E196
2 x Myobock-Elektrode 228 (Electrode 60Hz)13E125=60
2 x Myobock-Elektrode 392 (Electrode 60Hz)13E68=60
Distributor13E68190
Battery connection cable13E188=200
Coaxial plug9E169

2

{2}------------------------------------------------

3 x Electrode cable for 13E683E48=G800
Electrode cable for 13E1253E129=G1000
Lamination ring10S1=50
Coding Plug set13E182
Coupling piecenone
Battery mounting set757Z184=1
MyoCom757T11
MyoCom hardware757T9
Myo simulator757T10
Light wave cable519K27=430
Serial port converter519K28
PC adaptornone
Connection cable MyoCom-MyoBoy757P37
Connection cable MyoCom-battery mounting set757P38
Battery mounting set for EnergyPack757B20
Battery mounting set for EnergyPack757P21
Software / Instructions / Manuals / Customizing
Product ComponentRevision
Myo SoftRev. 1222H, Update
Rev. 12222K
Myosoft CustomizingRev. 1.0, Rev. 2.X
CustomizingRev. D1 (Beta-review)
Rev. 2.0.3, Rev.2.1.1
Training Instructions Customizing

(Powerpoint presentation)

E. Intended Use Statement

The MyoSystem with Customizing is intended for adult(s) who require an external electric upper extremity system.

F. Technological Characteristics Summary

The MyoSystem with Customizing is substantially equivalent to Otto Bock's MyoSystem, a Class I Exempt Device according to 21 CFR Price 890.3420.

Differences that exist between these devices, relating to technical specifications, physical appearance and design, do not affect the relative safety and effectiveness of the MyoSystem with Customizing.

કુદર્ડ

3

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings outstretched, enclosed within a circle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the upper portion of the circle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

JUN -3 2010

Otto Block Health Care, LP % Mr. Bert Herman 2 Carlson Pkwy. Suite 100 Minneapolis, Minnesota 55447

Re: K032833

Trade/Device Name: Myosystem with Customizing Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous Electrode Regulatory Class: Class II Product Code: GXY, IQZ Dated: June 25, 2003 Received: September 11, 2003

Dear Mr. Herman:

This letter corrects our substantially equivalent letter of September 23, 2003.

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 (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 additional controls. Existing major regulations affecting your device (1 n 1 e 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 aft 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 liating (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

{4}------------------------------------------------

Page 2 - Mr. Bert Herman

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Sincerely yours,

Barbace Buehnd

Mark N. Me Director Division of Surgical, Orthopedic, and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

{5}------------------------------------------------

K032833 510(k) Number:

Device Name: MyoSystem with Customizing

Indications for Use:

  • Adult External Electric Upper Extremity System ●

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X

OR

OVER-THE-COUNTER USE (optional Form 1-2-96)

Division Sign-Off

(Division Sign-Off Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K032833

§ 882.1320 Cutaneous electrode.

(a)
Identification. A cutaneous electrode is an electrode that is applied directly to a patient's skin either to record physiological signals (e.g., the electroencephalogram) or to apply electrical stimulation.(b)
Classification. Class II (performance standards).