K Number
K060538
Device Name
BEAVERITE BODY FAT SCALES, MODELS 8901, 8903, 8905, 8909, 8911, 8915, 9563 AND 9568
Date Cleared
2006-10-10

(224 days)

Product Code
Regulation Number
870.2770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Beaverite Body Fat Scales -- Models 8921, 8925, 8931, 8935 and 9576 -- measure body weight and impedance, and estimate percentages of body fat and total body water. They are intended for use by healthy adults. The Beaverite Body Fat Scales -- Models 8919, 8923, 8929, 9580, 9583, and 9588 -- measure body weight and impedance, and estimate percentages of body fat, total body water, and total muscle mass. They are intended for use by healthy adults.
Device Description
The 11 models of Beaverite body fat scales submitted in this 510(k) are plethysmograph body composition analyzers. The devices estimate percentages of body fat, body water and muscle mass (as noted in the Indications statement) based on bioelectrical impedance analysis (BIA). Body composition analyzer/scale that utilizes a 'foot-to-foot' bioelectrical impedance (BIA) technology to determine internal body composition.
More Information

Not Found

No
The description focuses on bioelectrical impedance analysis (BIA) and does not mention AI or ML.

No
The device measures body weight, impedance, and estimates body fat, water, and muscle mass. It is intended for use by healthy adults to provide information about their body composition, not to treat or diagnose a disease or condition.

No

The device measures body weight, impedance, and estimates body fat, total body water, and total muscle mass. While these measurements provide health-related information, they are stated as being for "healthy adults" and estimate body composition, rather than diagnosing a disease or condition. Diagnostic devices are typically used to identify the presence of a disease, condition, or an abnormal health state, which is not the stated intended use here.

No

The device description explicitly states it is a "Body composition analyzer/scale" that utilizes "foot-to-foot bioelectrical impedance (BIA) technology," indicating it is a physical hardware device with integrated technology, not software only.

Based on the provided information, the Beaverite Body Fat Scales are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: IVD devices are used to examine specimens derived from the human body, such as blood, urine, or tissue, to provide information for the diagnosis, treatment, or prevention of disease.
  • Beaverite Body Fat Scales Function: The Beaverite Body Fat Scales measure body weight and impedance using bioelectrical impedance analysis (BIA) through contact with the feet. They estimate body composition parameters like body fat, water, and muscle mass. This process does not involve the analysis of specimens taken from the body.
  • Intended Use: The intended use is for "healthy adults" to measure body composition, not for diagnosing or monitoring a disease through analysis of bodily fluids or tissues.

Therefore, the Beaverite Body Fat Scales fall under the category of a general wellness or body composition analysis device, not an IVD.

N/A

Intended Use / Indications for Use

The Beaverite Body Fat Scales -- Models 8921, 8925, 8931, 8935 and 9576 -- measure body weight and impedance, and estimate percentages of body fat and total body water. They are intended for use by healthy adults.
The Beaverite Body Fat Scales -- Models 8919, 8923, 8929, 9580, 9583, and 9588 -- measure body weight and impedance, and estimate percentages of body fat, total body water, and total muscle mass. They are intended for use by healthy adults.

Product codes

MNW

Device Description

The 11 models of Beaverite body fat scales submitted in this 510(k) are plethysmograph body composition analyzers. The devices estimate percentages of body fat, body water and muscle mass (as noted in the Indications statement) based on bioelectrical impedance analysis (BIA).

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

Adults

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)

Tanita Innerscan Body Composition Monitor, K040778

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2770 Impedance plethysmograph.

(a)
Identification. An impedance plethysmograph is a device used to estimate peripheral blood flow by measuring electrical impedance changes in a region of the body such as the arms and legs.(b)
Classification. Class II (special controls). The device, when it is a body composition analyzer which is not intended to diagnose or treat any medical condition, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

Beaverite Body Fat Scales Traditional 510(k)

Section 5.0 510(k) Summary

Beaverite Body Fat Scales

Submitter Name:Beaverite International Ltd
Submitter Address:West Wing, 8/F
CNT Group Building
822 Lai Chi Kok Road
Cheung Sha Wan, Kowloon, Hong Kong
Contact Person:Patsy J. Trisler, J.D., RAC
Regulatory Consultant - Medical Devices
Phone Number:301-652-5344
Fax Number:301-654-6976
Date:September 25, 2006
Device Trade Name:Beaverite Body Fat Scales
Device Common Name:Analyzer, Body Composition
Classification Name:Impedance Plethysmograph
Classification Number:21 CFR 870.2770
Product Code:MNW
Predicate Device:Tanita Innerscan Body Composition Monitor, K040778
Statement of
Intended Use:The Beaverite Body Fat Scales -- Models 8921, 8925, 8931, 8935
and 9576 -- measure body weight and impedance, and estimate
percentages of body fat and total body water. They are intended for
use by healthy adults.
The Beaverite Body Fat Scales -- Models 8919, 8923, 8929, 9580,
9583, and 9588 -- measure body weight and impedance, and
estimate percentages of body fat, total body water, and total muscle
mass. They are intended for use by healthy adults.
Device Description,
Summary of
Technological
Characteristics, and
Comparison to the
Predicate DeviceThe 11 models of Beaverite body fat scales submitted in this 510(k)
are plethysmograph body composition analyzers. The devices
estimate percentages of body fat, body water and muscle mass (as
noted in the Indications statement) based on bioelectrical impedance
analysis (BIA). The following table illustrates the substantial
equivalence in technology and intended use to the predicate device.

OCT 1 0 2006

1

| Feature | Proposed Device:
Beaverite Body Fat Scales | Predicate Device:
Tanita InnerScan Body Composition
Monitor (Model BC-533) |
|------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number | | K040778 |
| Manufacturer | Beaverite International Ltd | Tanita Corp of America |
| Classification #
Product Code
Indications for
Use | 21 CFR 870.2770
MNW
The Beaverite Body Fat Scales -- Models
8921, 8925, 8931, 8935 and 9576 --
measure body weight and impedance,
and estimate percentages of body fat
and total body water. They are intended
for use by healthy adults.
The Beaverite Body Fat Scales -- Models
8919, 8923, 8929, 9580, 9583, and 9588
-- measure body weight and impedance,
and estimate percentages of body fat,
total body water, and total muscle mass.
They are intended for use by healthy adults. | 21 CFR 870.2770
MNW
The Tanita family of InnerScan Body
Composition Monitors measure body
weight and impedance and estimate
percentage of body fat and body water,
visceral fat rating, bone mass, muscle
mass, physique rating, daily caloric intake
(DCI) and metabolic age using BIA. They
are intended for use by healthy children 7-
17 years old and healthy adults with active,
moderately active, to inactive lifestyles for
body composition assessment in the home
environment. |
| Device
description | Body composition analyzer/scale that
utilizes a 'foot-to-foot' bioelectrical
impedance (BIA) technology to determine
internal body composition. | Body composition analyzer/scale that
utilizes a 'foot-to-foot' bioelectrical
impedance (BIA) technology to determine
internal body composition. |
| Analysis
Method | BIA | BIA |
| Operating
Parameters | 20 KHz (Models 8923, 8929)
54 KHz (Models 8919, 8921, 8925, 8931,
8935, 9576, 9580, 9583, 9588) | 54 KHz |
| Power source | Replaceable 9V or 3V batteries,
depending on the model. | AA batteries |
| Operating keys | Range of 2 to 5, depending on the model. | 13 |
| Number of
electrodes | 4 (except for Model 8929 = 2) | 4 |

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized eagle or bird.

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

OCT 1 @ 2006

Patsy J. Trisler, J.D., R.A.C. Regulatory Consultant - Medical Devices Beaverite International Ltd. 5600 Wisconsin Avenue., Suite 509 CHEVY CHASE MD 20815

Re: K060538

Trade/Device Name: Beaverite Body Fat Scales; Models 8919, 8921, 8923, 8925, 8929, 8931, 8935, 9576, 9580, 9583 and 9588 Regulation Number: 21 CFR §870.2770 Regulation Name: Impedance plethysmograph Regulatory Class: II Product Code: MNW Dated: September 25, 2006 Received: September 25, 2006

Dear Ms. Trisler:

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 (Premarket Approval), 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.

Image /page/2/Picture/10 description: The image shows a logo with the text "FDA Centennial 1906-2006" in a circular design. Below the logo, there is some text that reads "noting Public Health". The text is written in a decorative font. The image appears to be a scan of a document.

3

Page 2 -

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) 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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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 (240) 276-3150

or at its Internet address http://www.fda.gov/cdrlv/industry/support/index.html.

Sincerely yours,

Nancy C. Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K060538

Device Name: __ Beaverite Body Fat Scales

Indications for Use:

The Beaverite Body Fat Scales -- Models 8921, 8925, 8931, 8935 and 9576 -measure body weight and impedance, and estimate percentages of body fat and total body water. They are intended for use by healthy adults.

The Beaverite Body Fat Scales -- Models 8919, 8923, 8929, 9580, 9583, and 9588 -- measure body weight and impedance, and estimate percentages of body fat, total body water, and total muscle mass. They are intended for use by healthy adults.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use X (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Eva

Rata Rall,

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K060538

(Posted November 13, 2003)

Section 4.0, 09/25/06