K Number
K063135
Device Name
SONIC-STIM
Manufacturer
Date Cleared
2007-02-05

(112 days)

Product Code
Regulation Number
890.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For Russian, and High Volt: - Relaxation of muscle spasms - Prevention or retardation of disuse atrophy - Increase local blood circulation - Muscle re-education - Maintaining or increasing range of motion - Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis For interferential and premodulated interferential: - Symptomatic relief of chronic, intractable pain - Management of pain associated with post-traumatic or post-operative conditions For Ultrasound: Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as: - Pain Relief - Reduction of muscle spasms - Joint contractures For TENS and EMS: - Symptomatic relief and management of chronic intractable pain - Adjunctive treatment in the management of post surgical and post traumatic acute pain condition
Device Description
Ultrasound and Muscle Stimulator. Transcutaneous electrical nerve stimulator for pain relief, Powered muscle stimulator. Available as 2 channel stimulator, 4 channel stimulator, ultrasound, 2 channel stimulator with ultrasound, and 4 channel stimulator with ultrasound. Units are supplied with electrodes listed in 510(K) K050469, typically 2 x 2 inch. Units are supplied with a bottle of ultrasound coupling gel listed in 510(K) K012522, or similar gels already in the market.
More Information

Not Found

No
The device description and intended uses are for standard physical therapy modalities (electrical stimulation and ultrasound) and do not mention any features or capabilities related to AI or ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The device’s intended use includes various therapeutic applications such as relaxation of muscle spasms, pain relief, prevention of disuse atrophy, and increased local blood circulation.

No

The device is described as a therapeutic device for conditions like muscle spasms, pain relief, and increasing circulation, rather than for diagnosing medical conditions.

No

The device description explicitly states it is an "Ultrasound and Muscle Stimulator" and lists hardware components like electrodes and ultrasound coupling gel, indicating it is a physical device, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states the device is an "Ultrasound and Muscle Stimulator" and a "Transcutaneous electrical nerve stimulator for pain relief, Powered muscle stimulator." Its intended uses involve applying energy (electrical stimulation and ultrasound) to the body for therapeutic purposes like pain relief, muscle stimulation, and increasing blood circulation.
  • Lack of Sample Analysis: There is no mention of the device analyzing any biological samples from a patient. Its function is external application of energy.

Therefore, this device falls under the category of therapeutic medical devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

For Russian, and High Volt

  • Relaxation of muscle spasms
  • Prevention or retardation of disuse atrophy
  • Increase local blood circulation
  • Muscle re-education
  • Maintaining or increasing range of motion
  • Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis
    For interferential and premodulated interferential
  • Symptomatic relief of chronic, intractable pain
  • Management of pain associated with post-traumatic or post-operative conditions
    For Ultrasound
    Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as:
  • Pain Relief
  • Reduction of muscle spasms
  • Joint contractures
    For TENS and EMS
  • Symptomatic relief and management of chronic intractable pain
  • Adjunctive treatment in the management of post surgical and post traumatic acute pain condition

Product codes (comma separated list FDA assigned to the subject device)

IMG, GZJ, IPF, GZI

Device Description

Ultrasound and Muscle Stimulator. Transcutaneous electrical nerve stimulator for pain relief, Powered muscle stimulator. Available as 2 channel stimulator, 4 channel stimulator, ultrasound, 2 channel stimulator with ultrasound, and 4 channel stimulator with ultrasound. Units are supplied with electrodes listed in 510(K) K050469, typically 2 x 2 inch. Units are supplied with a bottle of ultrasound coupling gel listed in 510(K) K012522, or similar gels already in the market.

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)

Non-clinical Testing: Not Applicable
Clinical Testing: Not Applicable
Conclusions: As provided in the Comparison and Standards sections, the Sonic-Stim device models have similar characteristics and are equivalent to models of the VECTRA GENISYS and the QUADSTAR II.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K031077 (Chattanooga Group Vectra GENiSYS), K010749 (Biomedical Life Science, QUADSTAR II)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 890.5860 Ultrasound and muscle stimulator.

(a)
Ultrasound and muscle stimulator for use in applying therapeutic deep heat for selected medical conditions —(1)Identification. An ultrasound and muscle stimulator for use in applying therapeutic deep heat for selected medical conditions is a device that applies to specific areas of the body ultrasonic energy at a frequency beyond 20 kilohertz and that is intended to generate deep heat within body tissues for the treatment of selected medical conditions such as relief of pain, muscle spasms, and joint contractures, but not for the treatment of malignancies. The device also passes electrical currents through the body area to stimulate or relax muscles.(2)
Classification. Class II (performance standards).(b)
Ultrasound and muscle stimulator for all other uses —(1)Identification. An ultrasound and muscle stimulator for all other uses except for the treatment of malignancies is a device that applies to the body ultrasonic energy at a frequency beyond 20 kilohertz and applies to the body electrical currents and that is intended for the treatment of medical conditions by means other than the generation of deep heat within body tissues and the stimulation or relaxation of muscles as described in paragraph (a) of this section.(2)
Classification. Class III (premarket approval).(c)
Date PMA or notice of completion of PDP is required. A PMA or notice of completion of a PDP for a device described in paragraph (b) of this section is required to be filed with the Food and Drug Administration on or before July 13, 1999 for any ultrasound and muscle stimulator described in paragraph (b) of this section that was in commercial distribution before May 28, 1976, or that has, on or before July 13, 1999, been found to be substantially equivalent to an ultrasound and muscle stimulator described in paragraph (b) of this section that was in commercial distribution before May 28, 1976. Any other ultrasound and muscle stimulator described in paragraph (b) of this section shall have an approved PMA or declared completed PDP in effect before being placed in commercial distribution.

0

K063135
Pag 1:2

5 2007

www.naimco.com

Plant: 888-549-4945 Fax: 423-648-7735

4120 South Creek F Chattanooga, TN 374

510(k) Summary

Submitter's Information:

Julie Creasman, Regulatory Affairs Manager NAlmco, Inc. 4120 South Creek Road Chattanooga, TN 37406

Ultrasound and Powered Muscle Stimulator

K031077 (Chattanooga Group Vectra GENiSYS) K010749 (Biomedical Life Science, QUADSTAR II)

890.5860 and 21 CFR 882.5890)

Ultrasound and Powered Muscle Stimulator (per 21 CFR

Phone: 888-549-4945 Fax: 423-648-7735

Date of Preparation:

Sonic-Stim

February 1, 2007

Common Name:

Proprietary Name:

Classification Name:

Predicate Device:

Description of Device:

Ultrasound and Muscle Stimulator. Transcutaneous electrical nerve stimulator for pain relief, Powered muscle stimulator. Available as 2 channel stimulator, 4 channel stimulator, ultrasound, 2 channel stimulator with ultrasound, and 4 channel stimulator with ultrasound.

Units are supplied with electrodes listed in 510(K) K050469, typically 2 x 2 inch.

Units are supplied with a bottle of ultrasound coupling gel listed in 510(K) K012522, or similar gels already in the market.

Intended Use:

For Russian, and High Volt

  • Relaxation of muscle spasms ●
  • Prevention or retardation of disuse atrophy .
  • . Increase local blood circulation
  • Muscle re-education .
  • Maintaining or increasing range of motion ●

1

  • Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis

For interferential and premodulated interferential

  • Symptomatic relief of chronic, intractable pain ●
  • Management of pain associated with post-traumatic or . post-operative conditions

Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as: Pain Relief . Reduction of muscle spasms . Joint contractures . For TENS and EMS Symptomatic relief and management of chronic . intractable pain . Adjunctive treatment in the management of post surgical and post traumatic acute pain condition Technological Comparison: Summary of the technological characteristics compare to the predicate devices. Labeling Comparison: Labeling of the device compares to that of predicate devices.

Non-clinical Testing: Not Applicable

.

For Ultrasound

  • Clinical Testing: Not Applicable
  • Conclusions: As provided in the Comparison and Standards sections, the Sonic-Stim device models have similar characteristics and are equivalent to models of the VECTRA GENISYS and the QUADSTAR II.

2

Image /page/2/Picture/12 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with its wings spread, symbolizing protection and service. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", indicating the department's name and national affiliation. The seal is presented in black and white, emphasizing its official and formal nature.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

North American Industrial Manufacturing Company % Julie Creasman Regulatory Affairs Manager 4120 South Creek Road Chattanooga, TN 37406

್ನೆ ಮತ್ತು 5 2007

Re: K063135

Trade/Device Name: Sonic-Stim Regulation Number: 21 CFR 890.5860, 21 CFR 882.5890 Regulation Name: Ultrasound and muscle stimulator Transcutaneous electrical nerve stimulator for pain relief Regulatory Class: Class II Product Code: IMG, GZJ, IPF, GZI. Dated: December 19, 2006 Received: December 28, 2006

Dear Ms. Creasman:

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

3

Page 2 - Ms. Julie Creasman

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 (240) 276-0120. 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/cdrh/industry/support/index.html.

Sincerely yo

full

Mark N. Melkerson, M.S. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

Image /page/4/Picture/1 description: The image shows a logo for "North American Industrial manufacturing company". The logo features the letters "NA" in a large, bold font, with a globe-like image above the letters. To the right of the letters "NA" are the letters "mco" in a smaller font.

4120 South Creek Chattanooga, TN 37 K063135

Device Name: Sonic-Stim

For Russian, and High Volt

  • Relaxation of muscle spasms ●
  • Prevention or retardation of disuse atrophy ●
  • Increase local blood circulation .
  • Muscle re-education .
  • Maintaining or increasing range of motion ●
  • Maintaining of incroacing range in the cles to prevent venous thrombosis

For interferential and premodulated interferential

  • Symptomatic relief of chronic, intractable pain .
  • Oymptomatio roller of essociated with post-traumatic or post-operative . conditions

For Ultrasound

Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as:

  • Pain Relief .
  • Reduction of muscle spasms .
  • Joint contractures �

For TENS and EMS

  • Symptomatic relief and management of chronic intractable pain .
  • Adjunctive treatment in the management of post surgical and post . traumatic acute pain condition

| Prescription Use

(Part 21 CFR 801 Subpart D)X AND/OR Over-The-Counter Use (21 CFR 801 Subpart C)
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(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (QDE)
Page 1 of ______ | (Division Sign-Off)
Division of General, Restorative,
and Neurological Devices |
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| 510(k) Number | 1063136 |