K Number
K082218
Device Name
MAX ADJUSTING INSTRUMENT
Date Cleared
2008-08-13

(7 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MAX is indicated for chiropractic adjustment of the spine and/or extremities. MAX should be used by a licensed health care professional only. Intended for external use only.
Device Description
MAX is a hand-held chiropractic adjusting instrument that features automatic battery-powered operation instead of manual thrust. The electromechanical instrument uses a plunger-like mechanism to deliver thrust for chiropractic adjustment. The instrument is intended for use by a health care professional licensed by the law of the state in which he or she practices.
More Information

K080261 Impulse iQ Adjusting Instrument, K072519 Activator V Spinal Adjusting Instrument, K010851 Harrison Hand Held Adjusting Instrument

Not Found

No
The description focuses on the electromechanical nature of the device and its force settings, with no mention of AI or ML terms or functionalities.

Yes
The device is indicated for chiropractic adjustment of the spine and/or extremities, which is a therapeutic intervention.

No
The device is used for chiropractic adjustments, which is a treatment, not for diagnosing conditions.

No

The device description clearly states it is a "hand-held chiropractic adjusting instrument" that is "electromechanical" and uses a "plunger-like mechanism," indicating it is a physical hardware 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 examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description and Intended Use: The description clearly states that MAX is a hand-held chiropractic adjusting instrument used for external application to the spine and/or extremities. It delivers mechanical thrusts for chiropractic adjustments.
  • Lack of Specimen Analysis: There is no mention of collecting or analyzing any biological specimens from the patient.

Therefore, MAX falls under the category of a therapeutic or physical medicine device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

MAX is indicated for chiropractic adjustment of the spine and/or extremities. MAX should be used by a licensed health care professional only. Intended for external use only.

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

LXM

Device Description

MAX is a hand-held chiropractic adjusting instrument that features automatic battery-powered operation instead of manual thrust. The electromechanical instrument uses a plunger-like mechanism to deliver thrust for chiropractic adjustment. The instrument is intended for use by a health care professional licensed by the law of the state in which he or she practices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

spine and/or extremities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

licensed health care professional

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)

MAX has four force settings that have been mechanically tested to deliver 75N, 125N, 175N, or 250N per thrust. The lithium-ion rechargeable battery has been tested for safety and performance.

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.

K080261 Impulse iQ Adjusting Instrument, K072519 Activator V Spinal Adjusting Instrument, K010851 Harrison Hand Held Adjusting Instrument

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

N/A

0

KOS 2218 fage 1

Manna Omni International, Inc.

5. 510(K) SUMMARY

AUG 1 3 2008

Canna Omni International, Inc.

This summary was prepared on the 25th day of June in the year 2008 per 21 CFR 807.92. This 510(k) submission is for the MAX Adjusting Instrument owned by Manna Omni International, Inc., which is located at 340 E. Commonwealth Avenue in Fullerton, CA 92832. The submitter and primary contact is Stephen Tsai, who can be contacted by phone at 714-871-7118 or fax at 714-871-3372. The device is submitted for regulation under product code LXM of unclassified devices that are plunger-like joint manipulators and reviewed by the physical medicine panel.

(a)(2)Device trade nameMAX Adjusting Instrument
Common nameChiropractic adjusting instrument
Classification nameManipulator, plunger-like joint
(a)(3)Legally marketed devices
for substantial equivalenceK080261 Impulse iQ Adjusting Instrument
K072519 Activator V Spinal Adjusting Instrument
K010851 Harrison Hand Held Adjusting Instrument
(a)(4)Device descriptionMAX is a hand-held chiropractic adjusting instrument that features
automatic battery-powered operation instead of manual thrust. The
electromechanical instrument uses a plunger-like mechanism to
deliver thrust for chiropractic adjustment. The instrument is intended
for use by a health care professional licensed by the law of the state in
which he or she practices.
(a)(5)Intended UseMAX is indicated for chiropractic adjustment of the spine and/or
extremities. MAX should be used by a licensed health care
professional only. Intended for external use only.
(a)(6)Technological CharacteristicsThe MAX adjusting device delivers an automatic thrust from the push
of a trigger by using a lithium ion rechargeable battery to power a
solenoid. The energy source is a lithium-ion rechargeable battery. A
manual switch allows the user to select single thrust or multiple thrust
modes. The instrument has four force settings.
(b)(1)Performance DataMAX has four force settings that have been mechanically tested to
deliver 75N, 125N, 175N, or 250N per thrust. The lithium-ion
rechargeable battery has been tested for safety and performance.
(b)(3)ConclusionMAX is substantially equivalent to predicate devices in terms of safety,
effectiveness, and performance. It uses a plunger-like mechanism for
chiropractic adjustment of the spine and extremities and is intended for
external use only. The device is only used by licensed health care
professionals. MAX delivers a similar force range to predicate devices
but uses a rechargeable battery to power the push-button, automatic
thrust.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 3 2008

Manna Omni International, Inc. % Stephen Tsai, M.D. President 340 East Commonwealth Avenue Fullerton, California 92832

Re: K082218

Trade/Device Name: MAX Adjusting Instrument Regulatory Class: Unclassified Product Code: LXM Dated: August 4, 2008 Received: August 6, 2008

Dear Dr. Tsai:

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. Iisting 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. 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

2

Page 2 -Stephen Tsai, M.D.

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 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 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 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

3

Manna Omni International, Inc.

4. INDICATIONS FOR USE STATEMENT

Indications for Use MAX Adjusting Instrument

MAX is indicated for chiropractic adjustment of the spine and/or extremities. MAX should be used by a licensed health care professional only. Intended for external use only.

X Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

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eral, Restorative. and Neurological Devices

510(k) Number K082218