K Number
K072256
Device Name
HF54 COMBINATION ULTRASOUND INTERFERENTIAL AND PREMODULATED STIMULATION SYSTEM WITH OPTIONAL HANDS-FREE OPERATION, MODEL
Date Cleared
2008-03-12

(212 days)

Product Code
Regulation Number
890.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HF54 interferential therapy and premodulated therapy is indicated for: Pain relief for: Symptomatic relief of chronic intractable pain and/or management of traumatic or post surgical pain. Ultrasound therapy is available from the HF54 and indicated for: Applying therapeutic deep heat within body tissues for the treatment of selected chronic and sub-chronic medical conditions such as: Relief of pain joint contractures This can be done using One or two ultrasound applicators. The second ultrasound applicator is optional. Ultrasound therapy, either alone or in combination with interferential therapy or premodulated therapy can be used in a scanned manner (where the therapist moves the applicator) or for specific treatment areas identified in the operator's manual, the applicator can be used in a hands-free manner (where the applicator remains stationary). An Infrared Therapy Probe is available as an optional accessory (HF023) for use with the Hill Laboratories HF54 Combination Ultrasound Interferential and premodulated stimulation system or for stand-alone use with an optional external medical grade, isolated power supply. It is used to provide topical heating for: Temporary increases in local blood flow and circulation. Temporary relief of minor muscle and joint aches Temporary relief of pain and stiffness Relaxation of muscles. Temporary relief (or relaxation) of muscle spasms. Temporary relief of minor pain and stiffness associated with arthritis
Device Description
The HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation is a device that provides ultrasonic diathermy, interferential current therapy, and infrared lamp therapy. It can be used with one or two ultrasound applicators, and the ultrasound therapy can be applied in a scanned or hands-free manner. An optional infrared light probe is also available.
More Information

Not Found

No
The document describes a combination therapy device (ultrasound, interferential, infrared) with various modes of operation (scanned, hands-free). There is no mention of AI, ML, or any features that suggest the device learns, adapts, or makes decisions based on data analysis beyond pre-programmed therapy parameters. The performance studies focus on thermal safety, not algorithmic performance.

Yes
The device is indicated for pain relief, managing chronic intractable pain, treating traumatic or post-surgical pain, applying therapeutic deep heat, and providing temporary relief for various musculoskeletal conditions, all of which are considered therapeutic applications.

No

Explanation: The document describes the device's therapeutic functions for pain relief, heating, and muscle relaxation, but it does not mention any diagnostic capabilities such as identifying diseases, conditions, or the cause of symptoms.

No

The device description explicitly mentions hardware components such as ultrasound applicators, an infrared light probe, and a system that provides ultrasonic diathermy, interferential current therapy, and infrared lamp therapy.

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

Here's why:

  • Intended Use/Indications for Use: The intended uses described (pain relief, deep heat therapy, topical heating) are all related to treating conditions within the body. IVDs are used to examine specimens from the body (like blood, urine, tissue) to diagnose or monitor conditions.
  • Device Description: The device provides ultrasonic diathermy, interferential current therapy, and infrared lamp therapy. These are all therapeutic modalities applied to the body, not used to analyze samples from the body.
  • No mention of analyzing biological samples: There is no indication that this device interacts with or analyzes any biological specimens.

Therefore, the HF54 Combination Ultrasound Interferential and Premodulated Stimulation System is a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Interferential and Premodulated Modes

  • Pain relief for:
    • Symptomatic relief of chronic intractable pain and/or management of traumatic . or post surgical pain.

Ultrasound Therapy
Ultrasound therapy is available from the HF54 and indicated for:

Applying therapeutic deep heat within body tissues for the treatment of selected chronic and sub-chronic medical conditions such as:

  • . Relief of pain
  • . Joint contractures

This can be done using One or two ultrasound applicators. The second ultrasound applicator is optional.

Ultrasound therapy, either alone or in combination with interferential therapy or premodulated therapy can be used in a scanned manner (where the therapist moves the applicator) or for specific treatment areas identified in the operator's manual, the applicator can be used in a hands-free manner (where the applicator remains stationary).

Infrared Therapy
An Infrared light probe is available as an optional accessory (HF023) for use with the Hill Laboratories HF54 Combination Ultrasound Interferential and premodulated stimulation system or with an optional external medical grade, isolated power supply. It is used to provide topical heating for:

  • Temporary increases in local blood flow and circulation .
  • . Temporary relief of minor muscle and joint aches
  • . Temporary relief of pain and stiffness
  • . Relaxation of muscles
  • . Temporary relief (or relaxation) of muscle spasms
  • . Temporary relief of minor pain and stiffness associated with arthritis

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

IMI, LIH, ILY

Device Description

Not Found

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): 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.

K062256

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

§ 890.5300 Ultrasonic diathermy.

(a)
Ultrasonic diathermy for use in applying therapeutic deep heat for selected medical conditions —(1)Identification. An ultrasonic diathermy 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.(2)
Classification. Class II (performance standards).(b)
Ultrasonic diathermy for all other uses —(1)Identification. An ultrasonic diathermy 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 that is intended for the treatment of medical conditions by means other than the generation of deep heat within body tissues 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 ultrasonic diathermy 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 ultrasonic diathermy described in paragraph (b) of this section that was in commercial distribution before May 28, 1976. Any other ultrasonic diathermy 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

K072256

510(k) SUMMARY

For

Hill Laboratories

HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation

l. Submitter's Name and Address

Submitter's Name:Hill LaboratoriesMAR 12 2008
Address:3 Bacton Hill Rd
City, State, and Zip:Frazer, PA 19355

2. Contact Person

Name:Brady Aller
Title:Sales/Service Manager
Telephone:(610)644-2867
Facsimile:(610)647-6297
E-mail:bradyaller@hilllabs.com

3, Manufacturing Facility Address

Manufacturer:Hill Laboratories
Address:3 Bacton Hill Rd
City, State, and ZIP:Frazer, PA 19355

4. Establishment Registration Number

Establishment Registration 2510425 Number:

5. Reason for Submission

Expanded Indications for Use

6. Device Details

| Proprietary or Trade
Name: | HF54 Combination Ultrasound Interferential and
Premodulated Stimulation System with optional
hands-free operation |
|-------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Ultrasonic Diathermy |

1

7. Device Common Name, Classification, Product Code & CFR No.

Common NameClassProCodeCFR
Ultrasonic Diathermy2IMI890.5300
Interferential Current Therapy2LIH
Infrared lamp2ILY890.5500

8. Classification Name

  • (i) diathermy, ultrasonic, for use in applying therapeutic deep heat
  • (ii) interferential current therapy
  • lamp, infrared, therapeutic heating (iii)

9. Device Classification Panel

Physical Medicine & Neurology

10. Indications for Use

Interferential and Premodulated Modes 10.1

  • Pain relief for:
    • Symptomatic relief of chronic intractable pain and/or management of traumatic . or post surgical pain.

10.2 Ultrasound Therapy

Ultrasound therapy is available from the HF54 and indicated for:

Applying therapeutic deep heat within body tissues for the treatment of selected chronic and sub-chronic medical conditions such as:

  • . Relief of pain
  • . Joint contractures

This can be done using One or two ultrasound applicators. The second ultrasound applicator is optional.

Ultrasound therapy, either alone or in combination with interferential therapy or premodulated therapy can be used in a scanned manner (where the therapist moves the applicator) or for specific treatment areas identified in the operator's manual, the applicator can be used in a hands-free manner (where the applicator remains stationary).

Infrared Therapy 10.3

An Infrared light probe is available as an optional accessory (HF023) for use with the Hill Laboratories HF54 Combination Ultrasound Interferential and premodulated stimulation system or with an optional external medical grade, isolated power supply. It is used to provide topical heating for:

  • Temporary increases in local blood flow and circulation .
  • . Temporary relief of minor muscle and joint aches
  • . Temporary relief of pain and stiffness
  • . Relaxation of muscles
  • . Temporary relief (or relaxation) of muscle spasms
  • . Temporary relief of minor pain and stiffness associated with arthritis

December 10, 2007

2

11. Standards

11.1 Mandatory Standards

21 CFR 1050.10 is applicable to therapeutic ultrasound. The HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with ontional hands-free operation complies with this mandatory standard.

11.2 Consensus Standards

The HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation is designed to comply with the following Consensus Standards:

STANDARD NO.TITLE
IEC 60601-1 +A1, +A2Medical Electrical Equipment- Part 1: General Requirements for
Safety
UI. 60601-1Medical Electrical Equipment- Part 1: General Requirements for
Safety
IEC 60601-1-2Medical electrical equipment - Part 1-2: General requirements for
safety - Collateral standard: Electromagnetic compatibility -
Requirements and tests
IEC 60601-2-5Medical electrical equipment - Part 2-5: Particular requirements for
the safety of ultrasonic physiotherapy equipment
IEC 60601-2-10Medical electrical equipment. Part 2: Particular requirements for the
safety of nerve and muscle stimulators

12. Predicate Devices

| 510(k) Number | Trade or Proprietary or Model
Name | Manufacturer | Class |
|---------------|---------------------------------------|-------------------|-------|
| K062256 | HF 54 | Hill Laboratories | 2 |

3

Substantial Equivalence (SE) Rationale 12.1

12.1.1 Technology

The HF54 with optional hands-free operation offers the same electrical stimulation, ultrasonic therapy and/or combination of the two and shares the same characteristics including waveforms, operating frequencies and the same use in physical medicine and neurology as the predicate device. The device with its proposed extended indications for use is intended to be used only by a qualified therapist.

12.1.2 Standards

The ultrasound output and electrical stimulation currents are consistent with FDA guidance and international standards. The new device is in compliance to the same standards.

12.1.3 Materials

The materials used in construction of the device and the method of information display are identical. The measured parameters for the proposed HF54 are the identical to those displayed on the device cleared under K062256. The software has not been changed from the cleared device.

12.1.4 Risk Analysis

The expanded indications for use (stationary ultrasound) needed a review of the risks posed by a stationary technique. The primary risks were identified as:

  • a) Temperatures in tissues above 45 °C
  • b) Temperature rise in bone
  • Standing waves c)
  • d) Self-heating of the ultrasound applicator
  • The patient falling asleep during hands-free operation possibly leading to e) overheating of tissues.

Temperatures in Tissues and In Bone 12.1.4.1

From Measurement and Thermal Index Calculations, it was shown that with an intensity of ≤ 10W, the temperature of Tissue or Bone would not rise above 45 °C when used as directed. See Attachment C-1. There is no new safety issue.

12.1.4.2 Standing Waves

The ultrasound output is pulsed and will not support standing waves. There is no new safety issue.

12.1.4.3 Self Heating of the Ultrasound Applicator

Measurements made during the original submission for the HF54 included thermal measurements of the ultrasound applicator surface. The tests demonstrated that the applicator surface temperature did not exceed 45 °C when stationary, over the whole treatment time. Measurements were made at equal distances across the surface of the treatment surface. There is no new safety issue.

HF54 With Optional Hands-free operation

4

Patient falling asleep during treatment 12.1.4.4

The operator's manual requires that the operator remain in the same area as the patient and must monitor the patient to ensure that the patient has not fallen asleep.

There are no new treatment modes, identical circuitry and software are used. The changes therefore do not change the effectiveness of the device.

12.2 Conclusion

The proposed HF54 with Optional Hands-free operation when used as directed in the operator's manual presents no new safety or effectiveness concerns and is Substantially Equivalent to the current version of the HF54 cleared under K062256.

5

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three lines representing its body and wings. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

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

February 5, 2014

Hill Laboratories c/o Mr. Brady Aller 3 Bacton Hill Rd. Frazer, PA 19355

Re: K072256

Trade/Device Name: HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation Regulation Number: 21 CFR 890.5300 Regulation Name: Ultrasonic Diathermy Regulatory Class: II Product Code: PFW; ILY; LIH Dated: December 10, 2007 Received: December 13, 2007

Dear Mr. Aller:

This letter corrects our substantially equivalent letter of March 12, 2008.

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 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

6

Page 2 - Mr. Brady Aller

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 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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.

Joyce M. Whang -S

for Carlos Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

510(k) No. If known

Indications For Use statement - Interferential and Premodulated Modes

Device Name:

HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation

Indications For Use:

The HF54 interferential therapy and premodulated therapy is indicated for:

Pain relief for:

Symptomatic relief of chronic intractable pain and/or management of traumatic or post surgical pain.

Continued on next page

Prescription Use ×

AND/OR

Over-The-Counter Use

(Per 21 CFR 801 Subpart D

(Per 21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NECESSARY) Concurrence of CDRH, Office of Device Evaluation (ODE)

Nelke Dsl for nxm
Division Size: 18

Division of General Restorative

and Neurological Devices

510(1) * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

HF54 With Optional Hands-free operation

December 10, 2007

Page 14 of 70

8

510(k) No. If known

Indications For Use statement - Ultrasound Therapy

Device Name:HF54 Combination Ultrasound Interferential and Premodulated Stimulation System with optional hands-free operation
Indications For Use:Ultrasound therapy is available from the HF54 and indicated for:
Applying therapeutic deep heat within body tissues for the treatment of selected chronic and sub-chronic medical conditions such as:
Relief of pain
joint contractures
This can be done using One or two ultrasound applicators. The second ultrasound applicator is optional.
Ultrasound therapy, either alone or in combination with interferential therapy or premodulated therapy can be used in a scanned manner (where the therapist moves the applicator) or for specific treatment areas identified in the operator's manual, the applicator can be used in a hands-free manner (where the applicator remains stationary).

Continued on next page

Prescription UseXAND/OROver-The-Counter Use
---------------------------------------------------

Prescription Use X Over-The-Counter Use

(Per 21 CFR 801 Subpart D

(Per 21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NECESSARY) Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Nilpeaglh formxm

Division of General, Restorative, and Neurological Devices

510(k) Number: K072256

HF54 With Optional Hands-free operation

December 10, 2007

9

510(k) No. If known

Indications For Use statement -Infrared Applicator

Device Name:

Infrared Therapy (using optional HF023)

Indications For Use:

An Infrared Therapy Probe is available as an optional accessory (HF023) for use with the Hill Laboratories HF54 Combination Ultrasound Interferential and premodulated stimulation system or for stand-alone use with an optional external medical grade, isolated power supply. It is used to provide topical heating for:

  • Temporary increases in local blood flow and circulation .
  • Temporary relief of minor muscle and joint aches
  • Temporary relief of pain and stiffness
  • Relaxation of muscles ●
  • . Temporary relief (or relaxation) of muscle spasms
  • . Temporary relief of minor pain and stiffness associated with arthritis
Prescription UseXAND/OR
(Per 21 CFR 801 Subpart D

Over-The-Counter Use

(Per 21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON ANOTHER PAGE IF NECESSARY) Concurrence of CDRH, Office of Device Evaluation (ODE)

Neil Ogden for mxm

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

510(k) Number K072256

HF54 With Optional Hands-free operation

December 10, 2007

Page 16 of 70