K Number
K092448
Device Name
HIVOX ELECTRIC STIMULATOR TENS & EMS, HD2
Manufacturer
Date Cleared
2010-03-30

(232 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TENS programs of HIVOX Electric Stimulator TENS & EMS, HD2: The device is an electrical nerve stimulator indicated for use for pain relief by applying an electrical current to electrodes on a patient's skin to treat pain. In particular, this device is indicated for use for (1) Symptomatic relief of chronic (long term) intractable pain, and (2) adjunctive treatment in the management of post-surgical and post-traumatic pain problems. The EMS programs of HIVOX Electric Stimulator TENS & EMS, HD2: The device is an electrical powered muscle stimulator indicated for medical purpose to repeatedly contract muscles by passing electrical currents through electrodes contacting the affected body area. In particular, this device is indicated for use for (1) Relaxing muscle spasms, (2) Increasing local blood circulation, (3) Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis, (4) Muscle re-education, (5) Maintaining or increasing range of motion, and (6) Preventing or retarding disuse atrophy.
Device Description
The HIVOX Electric Stimulator TENS & EMS, HD2 generates small pulses of electrical current. Delivered along lead cables to electrodes placed on your skin, these pulses pass through the skin and activated underlying nerves. The relief from chronic and acute pain that the HD2 can provide results from this electrical stimulation.
More Information

Not Found

No
The document describes a standard electrical stimulator (TENS/EMS) and does not mention any AI or ML capabilities in its description, intended use, or performance studies.

Yes
The device is indicated for medical purposes such as pain relief, relaxing muscle spasms, and muscle re-education, which are therapeutic applications.

No

Explanation: The device is an electrical nerve and muscle stimulator used for pain relief and muscle conditioning (e.g., relaxing muscle spasms, preventing disuse atrophy). It delivers electrical currents to treat conditions, not to diagnose them.

No

The device description explicitly states that the device "generates small pulses of electrical current. Delivered along lead cables to electrodes placed on your skin". This indicates the presence of hardware components (generator, cables, electrodes) that are integral to the device's function, making it a hardware device with potentially embedded software, not a software-only medical device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as an electrical nerve and muscle stimulator for pain relief and muscle treatment by applying electrical currents to the patient's skin. This is a therapeutic use, not a diagnostic one.
  • Device Description: The description reinforces that the device generates electrical pulses delivered to the skin to activate nerves. This aligns with the therapeutic function.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to perform tests on samples from the body, while this device is used to treat the body directly with electrical stimulation.

N/A

Intended Use / Indications for Use

For TENS programs: The device is an electrical nerve stimulator indicated for use for pain relief by applying an electrical current to electrodes on a patient's skin to treat pain. In particular, this device is indicated for use for (1) Symptomatic relief of chronic (long term) intractable pain, and (2) adjunctive treatment in the management of post-surgical and post-traumatic pain problems.
For EMS programs: The device is an electrical powered muscle stimulator indicated for medical purpose to repeatedly contract muscles by passing electrical currents through electrodes contacting the affected body area. In particular, this device is indicated for use for (1) Relaxing muscle spasms, (2) Increasing local blood circulation, (3) Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis, (4) Muscle re-education, (5) Maintaining or increasing range of motion, and (6) Preventing or retarding disuse atrophy.

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

GZJ, IPF

Device Description

The HIVOX Electric Stimulator TENS & EMS, HD2 generates small pulses of electrical current. Delivered along lead cables to electrodes placed on your skin, these pulses pass through the skin and activated underlying nerves. The relief from chronic and acute pain that the HD2 can provide results from this electrical stimulation.

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)

The relevant standards including:

  1. IEC/EN 60601-1 : Medical electrical equipment Part 1. General requirements for safety, 1996.
  2. IEC/EN 60601-1-2 : Medical electrical equipment, Part 2. Electromagnetic compatibility - Requirements and tests, 2004.
  3. IEC/EN 60601-2-10 : Medical electrical equipment Part 2.Safety of Nerve and Muscle Stimulators, 1987.

Non-Clinical Tests Submitted:
The HIVOX Electric Stimulator TENS & EMS, HD2 has been tested in accordance with applicable standards for medical device electrical safety, electromagnetic compatibility, and the particular requirements for safety of nerve stimulators.
Accessories also meet safety requirements: 510(k) electrodes are specified, and the patient cable utilizes shrouded connectors to meet lead wire safety requirements.
System level testing including waveform testing was performed in combination the HIVOX Electric Stimulator TENS & EMS, HD2.

Clinical Tests Submitted:
None

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.

K082514

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

§ 882.5890 Transcutaneous electrical nerve stimulator for pain relief.

(a)
Identification. A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to electrodes on a patient's skin to treat pain.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the word "HIVOX" in a bold, sans-serif font, followed by the registered trademark symbol. To the right of the word is a stylized graphic that resembles a plus sign or cross, composed of interconnected squares or blocks. The graphic has a three-dimensional appearance due to the shading on some of the blocks.

HIVOX BIOTEK INC

8/F, No.98 Shingde Road Sanchong City Taipei 241 Taiwan ROC Fax: +886 2 8511 2669 Phone: +886 2 8511 2668

SUMMARY OF SAFETY AND EFFECTIVENESS for TENS & EMS

510(k): K092448

DATE OF SUBMISSION

i

MAR 3 0 2010

SUBMISSION:July 27, 2009
SUBMITTER:HIVOX BIOTEK INC.
8F, No.98, Shinde Road,
Sanchong City, Taipei, 24158, TAIWAN
TEL: 886-2-85112668 FAX:886-2-85112669
Email: ceirs.jen@msa.hinet.net

ESTABLISHMENT REGISTRATION NO: 9611558

OFFICIAL

CONTACT:

Dr. JEN, KE-MIN NO 58, Fu-Chiun Street, Hsin-Chu City, 30067, TAIWAN TEL: 886-3-5208829 FAX:886-3-5209783 Email: ceirs.jen@msa.hinet.net

HIVOX Electric Stimulator TENS & EMS, HD2 TRADE NAME:

COMMON/USUAL Transcutaneous Nerve Stimulator & NAME: Electric Muscle Stimulator

Transcutaneous Nerve Stimulator CLASSIFICATION

NAME:

GZJ, Class II, 882.5890 REGULATION

NUMBER:

ID# Class II 800 59850

SECONDARY PRODUCT CODE: IPF, Class II, 890.5850

PREDICATED DEVICE:

MEDIHIGHTEC Medical Co., Ltd. TENS/EMS Combo, EMS, TENS K082514

1

| HIVOX

Image: [logo]HIVOX BIOTEK INC
8/F, No.98 Shingde Road Sanchong City Taipei 241 Taiwan ROC
Phone: +886 2 8511 2668 Fax: +886 2 8511 2669
Intended Use:For TENS programs: The device is an electrical nerve stimulator
indicated for use for pain relief by applying an electrical current to
electrodes on a patient's skin to treat pain. In particular, this device
is indicated for use for (1) Symptomatic relief of chronic (long
term) intractable pain, and (2) adjunctive treatment in the
management of post-surgical and post-traumatic pain problems.
For EMS programs: The device is an electrical powered muscle
stimulator indicated for medical purpose to repeatedly contract
muscles by passing electrical currents through electrodes
contacting the affected body area. In particular, this device is
indicated for use for (1) Relaxing muscle spasms, (2) Increasing
local blood circulation, (3) Immediate post-surgical stimulation of
calf muscles to prevent venous thrombosis, (4) Muscle
re-education, (5) Maintaining or increasing range of motion, and
(6) Preventing or retarding disuse atrophy.
Description of Device:The HIVOX Electric Stimulator TENS & EMS, HD2 generates
small pulses of electrical current. Delivered along lead cables to
electrodes placed on your skin, these pulses pass through the skin
and activated underlying nerves. The relief from chronic and
acute pain that the HD2 can provide results from this electrical
stimulation.
Performance Tests
Submitted:The relevant standards including:
  1. IEC/EN 60601-1 : Medical electrical equipment Part 1.
    General requirements for safety, 1996.
  2. IEC/EN 60601-1-2 : Medical electrical equipment, Part 2.
    Electromagnetic compatibility - Requirements and tests, 2004.
  3. IEC/EN 60601-2-10 : Medical electrical equipment Part 2.Safety
    of Nerve and Muscle Stimulators, 1987. | |
    | Non-Clinical Tests
    Submitted: | The HIVOX Electric Stimulator TENS & EMS, HD2 has been
    tested in accordance with applicable standards for medical device
    electrical safety, electromagnetic compatibility, and the particular
    requirements for safety of nerve stimulators.
    Accessories also meet safety requirements: 510(k) electrodes are
    specified, and the patient cable utilizes shrouded connectors to
    meet lead wire safety requirements.
    System level testing including waveform testing was performed in
    combination the HIVOX Electric Stimulator TENS & EMS, HD2. | |
    | Clinical Tests
    Submitted: | None | |
    | Conclusion: | As the product description and tests as above, the new device:
    HIVOX Electric Stimulator TENS & EMS, HD2 is as safe and
    effective as, and the function in a manner equivalent to the
    predicate device: MEDIHIGHTEC TENS/EMS Combo, EMS,
    TENS, K082514. | |

. .

devices in this aspect.

2

HIVOXiff

HIVOX BIOTEK INC

8/F . No.98 Shingde Road Sanchong City Taipei 241 Taiwan ROC Fax: +886 2 8511 2669 Phone: +886 2 8511 2668

Comparison for Predicate Device & Subject Device

Comparison AreasNEW DEVICEPREDICATE DEVICE
510(k) numberK092448K082514
ManufacturerHIVOX Biotek IncMedihightec Medical Co. Ltd.
Device nameHD2
TENS & EMSMH8000/6000
TENS/EMS Combo
Power sourceDC 4.5V
(AAA Battery x 3 )One DC 9V battery
Channels
Synchronous
ReciprocalSAME2
YES
YES
ComputerizedSAMENo
Software providedSAMENo
Constant currentNoYES
Constant voltageYESNo
Max output voltage
(Vp ±20%)24.0V ±20% @ 500 Ω load20.4V±20% @500 Ω load
(40.8 Vp-p)
Max output current
(mA ±20%)48.0mA ±20% ( 500 Ω load )40.8 mA±20% ( 500Ω load)
(81.6 mA, p-p)
Pulse Width ( µs )250 µs (fixed)50~300 µs
Maximum Frequency2~120.2 Hz (adjustable)2~150 Hz (adjustable)
Max phase charge□12.0 µC @ 500 ohms load24.0 µC @ 500 ohm
Maximum Current
Density0.59 mA/cm² @500Ω1.06 mA/cm² @500Ω
Maximum Power
Density0.014 W/cm² @500Ω2.4 m W/cm² @500Ω
Comparison AreasNEW DEVICEPREDICATE DEVICE
Channel isolationSAMEYES
Line current isolationSAMEN/A
Patient override
control methodSAMEYES
Burst modeSAMEYES
Housing
material
and construction:SAMEPlastic material
Standards:SAMEIEC 60601-1:1988
EN 60601-1-2:1990
Timer setting
Automatic shut offSAME
2 minutesYES (05~90Min)
30 Sec
Automatic overload
trip current/voltage
levelN/AYES
Automatic no load tripN/AYES
Indicator display
Unit functioning:Power ONPower ON, Vpp
Low batteryYesNO
indicator:
Voltage level:NOYES
Weight ( unit )105 g w/o Battery162 grams w/ battery
Dimensions ( unit )120 x 52 x 17 mm136 x 70 x 27 mm
Size of electrodeCarbon silicon of 45x45 mmIrregular: 10x15cm

3

K092448

Image /page/3/Picture/1 description: The image shows the word "HIVOX" in all caps, followed by a small superscript symbol and a stylized plus sign. The plus sign is made up of several small squares connected in a winding pattern. The text and symbol are all in black and are set against a white background.

HIVOX BIOTEK INC

8/F, No.98 Shingde Road Sanchong City Taipei 241 Taiwan ROC Phone: +886 2 8511 2668 Fax: +886 2 8511 2669

4

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three tail feathers, representing the three levels of government: federal, state, and local. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter.

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

Hivox Biotek Inc. c/o Dr. Ke-Min Jen 8F, No. 98, Shinde Rd., Sanchong City Taipei Hsien China (Taiwan) 24158

MAR 3 0 2010

Re: K092448

Trade/Device Name: Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous electrical nerve stimulator for pain relief Regulatory Class: Class II Product Code: GZJ, IPF Dated: March 12, 2010 Received: March 19, 2010

Dear Dr. Jen:

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. 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 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

5

Page 2 - Dr. Ke-Min Jen

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Kevin Alexander

Malvina B. Eydelman, M.D. Director Division of Ophthalmic, Neurological, and Ear. Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number:

K092448

Device Name:

HIVOX Electric Stimulator TENS & EMS, HD2

Indications for Use :

The TENS programs of HIVOX Electric Stimulator TENS & EMS, HD2:

The device is an electrical nerve stimulator indicated for use for pain relief by applying an electrical current to electrodes on a patient's skin to treat pain. In particular, this device is indicated for use for (1) Symptomatic relief of chronic (long term) intractable pain, and (2) adjunctive treatment in the management of post-surgical and post-traumatic pain problems.

The EMS programs of HIVOX Electric Stimulator TENS & EMS, HD2:

The device is an electrical powered muscle stimulator indicated for medical purpose to repeatedly contract muscles by passing electrical currents through electrodes contacting the affected body area. In particular, this device is indicated for use for (1) Relaxing muscle spasms, (2) Increasing local blood circulation, (3) Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis, (4) Muscle re-education, (5) Maintaining or increasing range of motion, and (6) Preventing or retarding disuse atrophy.

Prescription Use _ V (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (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)

(Division Sign-Off) Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

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510(k) Number K092448