K Number
K082149
Device Name
LYMPHA PRESS OPTIMAL, MODEL# 1201AP
Manufacturer
Date Cleared
2008-10-06

(68 days)

Product Code
Regulation Number
870.5800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lympha Press Optimal is intended for the following Indications for Use: Primary lymphedema (for example, congenital lymphedema/ milroy's disease) Secondary lymphedema (for example, post-mastectomy, chronic edema, post-traumatic edema) Venous disorders (for example, venous insufficiency, varicose veins, venous stasis ulcers) Dysfunction of the muscle pump (for example, promotion of wound recovery, reduction of edema and lower limb pain following trauma and sports injuries) The device is intended to be used by the patient at home, as well as by physicians at clinics or hospitals.
Device Description
Mego Afek's Lympha Press Optimal Model 1201AP Compression Therapy Device is a modification of the original Lympha Press Plus device. It utilizes a software controlled air compression pump, which sequentially inflates and deflates cells within a compression garment (sleeve) that is put around a limb. This helps to push excessive interstitial fluid in the treated limb, back into the venous and lymphatic systems; improve limb circulation; and thus treat the symptoms of a variety of lymphatic disorders, venous disorders and dysfunction of the "muscle pump". The device consists of a main console and compression garments. The main console contains an air compressor that is regulated by an electro-mechanical mechanism, including pressure sensors and a rotating disc controlling air outflow. The regulated compressed air is transferred via an air distributor through a series of hoses to the sleeve garments. In the Model 1201 device, each garment contains up to 12 overlapping pressure cells. The sleeve fits on the affected limb and can be easily adjusted to any limb size within the sleeve tolerance.
More Information

Not Found

No
The description focuses on a software-controlled air compression pump with electro-mechanical regulation, pressure sensors, and a rotating disc. There is no mention of AI, ML, or any learning algorithms. The software validation tests described are standard for medical device software and do not indicate AI/ML functionality.

Yes
The device is intended to treat various medical conditions such as lymphedema, venous disorders, and muscle pump dysfunction, by pushing excessive interstitial fluid, improving circulation, and thus treating symptoms. Its intended use and mechanism of action clearly indicate a therapeutic purpose.

No
The device is described as a "Compression Therapy Device" that "sequentially inflates and deflates cells within a compression garment (sleeve) that is put around a limb" to "push excessive interstitial fluid...improve limb circulation; and thus treat the symptoms of a variety of lymphatic disorders, venous disorders and dysfunction of the 'muscle pump'". Its intended use is for various conditions like lymphedema and venous disorders, indicating it is a treatment device, not one used for diagnosis.

No

The device description explicitly states it consists of a main console containing an air compressor, electro-mechanical mechanisms, pressure sensors, a rotating disc, and compression garments (sleeves). These are hardware components, making it a physical device with software control, not a software-only medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Lympha Press Optimal is a compression therapy device that applies external pressure to a limb using air inflation. It physically manipulates the limb to improve fluid flow and circulation.
  • Intended Use: The intended uses listed (lymphedema, venous disorders, muscle pump dysfunction) are treated through physical compression, not by analyzing biological samples.
  • Device Description: The description focuses on the mechanical components (pump, garments, air distribution) and the physical action of compression. There is no mention of analyzing biological samples.

Therefore, the Lympha Press Optimal is a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Lympha Press Optimal is intended for the following Indications for Use: Primary lymphedema (for example, congenital lymphedema/ milroy's disease) Secondary lymphedema (for example, post-mastectomy, chronic edema, post-traumatic edema) Venous disorders (for example, venous insufficiency, varicose veins, venous stasis ulcers) Dysfunction of the muscle pump (for example, promotion of wound recovery, reduction of edema and lower limb pain following trauma and sports injuries)
The device is intended to be used by the patient at home, as well as by physicians at clinics or hospitals.

Product codes

JOW

Device Description

Mego Afek's Lympha Press Optimal Model 1201AP Compression Therapy Device is a modification of the original Lympha Press Plus device. It utilizes a software controlled air compression pump, which sequentially inflates and deflates cells within a compression garment (sleeve) that is put around a limb. This helps to push excessive interstitial fluid in the treated limb, back into the venous and lymphatic systems; improve limb circulation; and thus treat the symptoms of a variety of lymphatic disorders, venous disorders and dysfunction of the "muscle pump". The device consists of a main console and compression garments. The main console contains an air compressor that is regulated by an electro-mechanical mechanism, including pressure sensors and a rotating disc controlling air outflow. The regulated compressed air is transferred via an air distributor through a series of hoses to the sleeve garments. In the Model 1201 device, each garment contains up to 12 overlapping pressure cells. The sleeve fits on the affected limb and can be easily adjusted to any limb size within the sleeve tolerance.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

limb

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The device is intended to be used by the patient at home, as well as by physicians at clinics or hospitals.

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)

The Lympha Press Optimal Model 1201AP Compression Therapy Test Data: device has been subjected to extensive safety, performance testing, and validation before release, as required by the risk analysis performed for device modifications. Final testing of the Model 1201AP Compression Therapy device included various performance tests and software validation tests, designed to ensure that the device met all its functional specifications. Tests have been performed to ensure the device complies with industry and safety standards.

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

Not Found

Predicate Device(s)

K013331

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5800 Compressible limb sleeve.

(a)
Identification. A compressible limb sleeve is a device that is used to prevent pooling of blood in a limb by inflating periodically a sleeve around the limb.(b)
Classification. Class II (performance standards).

0

SPECIAL 510(K) SUMMARY

LYMPHA PRESS OPTIMAL MODEL 1201AP

COMPRESSIBLE LIMB SLEEVE DEVICE

510(k) Number K082149

510(k) Number K082149
Applicant's Name:Mego Afek AC Ltd.
Kibbutz Afek
Post Afek
Phone: (972)-4-8784277
Fax: (972)-4-8784148
E-mail: moshe@megoafek.co.il
Contact Person:Ahava Stein/ Ofer Hornick
A. Stein - Regulatory Affairs Consulting
20 Hata'as St.
Kfar Saba 44425
Israel
Tel. + 972-9-7670002
Fax. +972-9-7668534
e-mail: ahava@asteinrac.com or ofer@asteinrac.com
Date Prepared:July 2008
Trade Name:Lympha Press Optimal Model 1201AP Compression Therapy
Device
Device Common or Usual Names:Compressible Limb Sleeve
Classification Name:CFR Classification section 870.5800 (Product code JOW)
Classification:Class II medical Device
Predicate Device:The Lympha Press Optimal Model 1201AP Compression Therapy
Device is substantially equivalent to the following predicate device

.

1

  • Lympha Press Plus Model 1033AL (K013331) manufactured also by Mego Afek AC, Ltd (Israel). Lympha Press Plus is a compressible limb sleeve, similar to the Lympha Press Optimal Compression Therapy Device.
    Device Description: Mego Afek's Lympha Press Optimal Model 1201AP Compression Therapy Device is a modification of the original Lympha Press Plus device. It utilizes a software controlled air compression pump, which sequentially inflates and deflates cells within a compression garment (sleeve) that is put around a limb. This helps to push excessive interstitial fluid in the treated limb, back into the venous and lymphatic systems; improve limb circulation; and thus treat the symptoms of a variety of lymphatic disorders, venous disorders and dysfunction of the "muscle pump". The device consists of a main console and compression garments. The main console contains an air compressor that is regulated by an electro-mechanical mechanism, including pressure sensors and a rotating disc controlling air outflow. The regulated compressed air is transferred via an air distributor through a series of hoses to the sleeve garments. In the Model 1201 device, each garment contains up to 12 overlapping pressure cells. The sleeve fits on the affected limb and can be easily adjusted to any limb size within the sleeve tolerance.

Intended Use / Indication for Use: The Lympha Press Optimal is intended for the following Indications for Use: Primary lymphedema (for example, congenital lymphedema/ milroy's disease)

Secondary lymphedema (for example, post-mastectomy, chronic edema, post-traumatic edema)

Venous disorders (for example, venous insufficiency, varicose veins, venous stasis ulcers)

2

Dysfunction of the muscle pump (for example, promotion of wound recovery, reduction of edema and lower limb pain following trauma and sports injuries)

The device is intended to be used by the patient at home, as well as by physicians at clinics or hospitals.

Performance Standards:

There are no performance standards under the Federal Food, Drug and Cosmetic Act, for a compressible limb sleeve device.

The Lympha Press Optimal Model 1201AP Compression Therapy Test Data: device has been subjected to extensive safety, performance testing, and validation before release, as required by the risk analysis performed for device modifications. Final testing of the Model 1201AP Compression Therapy device included various performance tests and software validation tests, designed to ensure that the device met all its functional specifications. Tests have been performed to ensure the device complies with industry and safety standards.

Substantial Equivalence: The Lympha Press Optimal Model 1201AP Compression Therapy device is similar to currently distributed Compression Therapy devices intended for treatment of venous and lymphatic disorders and dysfunction of the "muscle pump". The device uses sequential inflation and deflation of cells within compression sleeves put around a limb. Inflation/ Deflation pressures and sequences are similar to those of predicate devices. Operating modes are similar to those of predicate devices. All of the above features are similar to these features in the predicate devices.

3

Conclusions:

:

:

The conclusions drawn from the above Performance Testing and comparison to predicate devices is that the Lympha Press Optimal Model 1201AP compression therapy device is substantially equivalent in safety and efficacy to the predicate devices listed above.

:

.

.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/4/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the eagle. The eagle is rendered in black, and the text is also in black.

OCT 0 6 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mego Afek AC LTD c/o Dr. Ofer Hornick Regulatory Affairs Consultant A. Stein Regulatory Affairs Consulting Beit Hapaamon Suite (Box 124) 20 HATAAS Str. Kfar Saba 44425 Israel

K082149 Re:

Lympha Press Optimal™, Model # 1201AP Regulation Number: 21 CFR 870.5800 Regulation Name: Compressible Limb Sleeve Regulatory Class: Class II (two) Product Code: JOW Dated: July 27, 2008 Received: July 30, 2008

Dear Dr. Hornick:

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.

5

Page 2 - Dr. Ofer Hornick

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 (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/cdrb/industry/support/index.html.

Sincerely yours,

summer D. Willing

/ \ Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

INDICATIONS FOR USE

510(k) Number (if known): KO8 Z 149

Device Name:

Lympha Press Optimal (Model 1201AP) Compression Therapy device

Indications for Use:

  • Primary lymphedema (for example, congenital/ milroy's disease) 트
  • Secondary lymphedema (for example, post-mastectomy, chronic 트 edema, post-traumatic edema)
  • Venous disorders (for example, venous insufficiency, varicose veins, l venous stasis ulcers)
  • 트 Dysfunction of the muscle pump (for example, promotion of wound recovery, reduction of edema and lower limb pain following trauma and sports injuries)

The device is intended to be used by the patient at home, as well as by physicians at clinics or hospitals.

Prescription Use V OR Over-The-Counter Use (Per 21 C.F.R. 801 Subpart D) (Optional Format Subpart C)

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

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— — — — — — — —

Concurrence of CDRH, Office of Device Evaluation (ODE)

Nuna R. Evans

(Division Sign-Off) (Division Sign-Silvascular Devices

510(k) Number_ko 8214