K Number
K080465
Device Name
WS FAR INFRARED THERAPY UNIT, MODEL # TY-101 SERIES
Date Cleared
2008-07-18

(148 days)

Product Code
Regulation Number
890.5500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The WS™ THERAPY UNITS, TY-101N and TY-101F, may be used for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and relaxation of muscles. In addition, the lamp may also help muscle spasms, minor sprains and strains, and minor muscular back pain.
Device Description
The WS™ THERAPY UNIT (Model # TY-101 series), is an infrared heating system which emits topical heat to the human body for therapeutic applications. It consists of an IR emitter (Emission spectrum ranges from 3 ~ 25 microns.), a control box, a supporting arm to allow for adjustment of the emitter locations, and a protection net or the emitter to prevent fire or direct touch by the user. The entire unit is mounted on base that is easy to move. The device uses 110 Vac as power source. it meets the related requirement of IEC 60601-1 Electrical Safety.
More Information

Not Found

No
The device description and intended use focus on infrared heating and its therapeutic effects, with no mention of AI or ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is described as an "infrared heating system which emits topical heat to the human body for therapeutic applications" and its intended use is for "the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and relaxation of muscles." These uses clearly indicate a therapeutic purpose.

No
This device is an infrared heating system intended for therapeutic applications like pain relief and muscle relaxation, not for diagnosing medical conditions.

No

The device description clearly outlines hardware components including an IR emitter, control box, supporting arm, protection net, and a base. It is an infrared heating system, not a software-only device.

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

Here's why:

  • Intended Use: The intended use describes the device as being used for the temporary relief of pain, stiffness, and other physical ailments by applying topical heat to the human body. This is a therapeutic application, not a diagnostic one.
  • Device Description: The device is described as an infrared heating system that emits topical heat. This aligns with a therapeutic device, not a device used to examine specimens from the human body for diagnostic purposes.
  • Lack of IVD Characteristics: There is no mention of the device being used to analyze biological samples (blood, urine, tissue, etc.) or to provide information about a patient's health status based on such analysis.

IVD devices are specifically designed to perform tests on specimens taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This device does not fit that description.

N/A

Intended Use / Indications for Use

The WS TM THERAPY UNITS, TY-101N and TY-101F, may be used for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and relaxation of muscles. In addition, the lamp may also help muscle spasms, minor sprains and strains, and minor muscular back pain.

Product codes

ILY

Device Description

The WS™ THERAPY UNIT (Model # TY-101 series), is an infrared heating system which emits topical heat to the human body for therapeutic applications. It consists of an IR emitter (Emission spectrum ranges from 3 ~ 25 microns.), a control box, a supporting arm to allow for adjustment of the emitter locations, and a protection net or the emitter to prevent fire or direct touch by the user. The entire unit is mounted on base that is easy to move. The device uses 110 Vac as power source . it meets the related requirement of IEC 60601-1 Electrical Safety.

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)

K003538

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.5500 Infrared lamp.

(a)
Identification. An infrared lamp is a device intended for medical purposes that emits energy at infrared frequencies (approximately 700 nanometers to 50,000 nanometers) to provide topical heating.(b)
Classification. Class II (special controls). The device, when it is an infrared therapeutic heating lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

0

JUL 1 8 2008

510(K) SUMMARY

K080465

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA and 21 CFR §807.92

1. Submitter's Name:WS FAR IR MEDICAL TECHNOLOGY CO., LTD.
Address:2F, No. 4, Lane 130, Mincyuan Rd., Sindian City, Taipei
County 231, Taiwan
Phone:+886-2-8219-2005
Fax:+886-2-8219-2009
Contact:Miss Ruth Pui / Overseas sales Administrator
2. Device Name :
Trade Name:WS ™ THERAPY UNIT,
Model # TY-101 series
Common Name:Infrared Heating Lamp
Classification nameLamp, Infrared
3. DEVICE CLASSWS™ THERAPY UNIT (Model # TY-101 series) have been
classified as
Regulatory Class: II
Product Code: ILY
Panel : Physical Medicine
Regulation Number: 21CFR 890.5500
4. Predicate Device:The predicate device is the
• TDP CQ-27 Heat Lamp (K003538) marketed by
Lhasa OMS, Inc..
5. Device Description:The WS™ THERAPY UNIT (Model # TY-101 series), is
an infrared heating system which emits topical heat to the
human body for therapeutic applications. It consists of an
IR emitter (Emission spectrum ranges from 3 ~ 25
microns.), a control box, a supporting arm to allow for
adjustment of the emitter locations, and a protection net or
the emitter to prevent fire or direct touch by the user. The
entire unit is mounted on base that is easy to move. The
device uses 110 Vac as power source . it meets the related
requirement of IEC 60601-1 Electrical Safety.
6. Intended Use:The WS TM THERAPY UNITS, TY-101N and TY-101F, may be
used for the temporary relief of minor muscle and joint
pain and stiffness, the temporary relief of minor joint pain
associated with arthritis, the temporary increase in local
circulation where applied, and relaxation of muscles. In
addition, the lamp may also help muscle spasms, minor
sprains and strains, and minor muscular back pain.

Section 4 – 510(k) Summary REV.【B1】 Page 1 of 2

1

  • The device conforms to applicable standards includes IEC 7. Performance 60601-1, IEC 60601-1-2 & related standards----etc. Summary:

8. Conclusions:

The WS™ THERAPY UNIT (Model # TY-101 series) has the same intended use and similar technological characteristics as the TDP CQ-27 Heat Lamp (K003538) marketed by Lhasa OMS, Inc.. Moreover, bench testing contained in this submission demonstrate that any differences in their technological characteristics do not raise any new questions of safety or effectiveness. Thus, the ws™ THERAPY UNIT (Model # TY-101 series) is substantially equivalent to the predicate devices.

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

WS Far IR Medical Technology Corporation % Ms. Jennifer Reich Senior Consultant Harvest Consulting Corporation 2904 N Boldt Drive Flagstaff, Arizona 86001

JUL 1 8 2008

Re: K080465

Trade Name: WS Far Infrared Therapy Unit, Model # TY-101 Series Regulation Number: 21 CFR 890.5500 Regulation Name: Infrared Lamp Regulatory Class: Class II Product Code: ILY Dated: May 27, 2008 Received: May 27, 2008

Dear Ms. Reich:

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 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.

3

Page 2 - Ms. Jennifer Reich

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 procced to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number (800) 638-2041or (240) 276-3150 or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincercly yours,

Mark M. Millman

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

Enclosure

4

Indications for Use

510(k) Number (if known): K#080465

Device Name: WSTM THERAPY UNIT, Model # TY-101 series WS Far IR Medical Technology Co., Ltd.

Indications for Use:

The WS™ THERAPY UNITS, TY-101N and TY-101F, may be used for the temporary relief of minor muscle and joint pain and stiffness, the temporary relief of minor joint pain associated with arthritis, the temporary increase in local circulation where applied, and relaxation of cemporal y increason, the lamp may also help muscle spasms, minor sprains and strains, and minor muscular back pain.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use V (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

signature

Page 1 of 1

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

510(k) Number