K Number
K102610
Device Name
FOCUS EMG DEVICE
Manufacturer
Date Cleared
2011-03-04

(175 days)

Product Code
Regulation Number
890.1375
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Focus is intended for use by a healthcare provider to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. The machine can also use electrical stimulus or sound stimulus for evoked potentials (EP) studies.
Device Description
The Focus is a 2-channel neurodiagnostic testing system designed to enable reliable recording, display and documentation of electrophysiological information from the human nervous and muscular systems in a clinical environment. The system enables the healthcare provider to perform evoked potentials, nerve conductions and needle EMG studies as an aid in the evaluation of patients with central and peripheral nervous system symptoms. The device provides functionality for the Electromyography (EMG), Nerve Conduction Studies (NCS), and Evoked Potential (EP) testing for a range of clinical applications and has a fast, intuitive and flexible graphical user interface (GUI) that conforms to a Windows philosophy. The Focus EMG Device consists of a handheld electronic unit, a stimulator unit with steel electrodes and felt pads, and a footswitch.
More Information

Not Found

No
The summary describes a standard neurodiagnostic testing system for EMG, NCS, and EP studies, with no mention of AI or ML capabilities in the intended use, device description, or performance studies.

No
The device is used for diagnostic purposes (nerve conductions, EMG studies, evoked potentials) to aid in the evaluation of patients, rather than for treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is intended "as an aid in the evaluation of patients with diseases of muscle and nerves," and "to perform nerve conductions and EMG studies," which are diagnostic procedures. The "Device Description" further reinforces this by mentioning its role in "recording, display and documentation of electrophysiological information from the human nervous and muscular systems" to "aid in the evaluation of patients with central and peripheral nervous system symptoms."

No

The device description explicitly states that the Focus EMG Device consists of a handheld electronic unit, a stimulator unit with steel electrodes and felt pads, and a footswitch, indicating it includes hardware components.

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, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Focus device directly interacts with the human body to record electrical signals from nerves and muscles. It uses electrical or sound stimuli and records the body's response. This is an in vivo (within the living body) process, not an in vitro (in glass/outside the body) process.
  • Intended Use: The intended use is to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. This involves directly testing the patient's physiological responses.
  • Device Description: The description details a system that records electrophysiological information from the human nervous and muscular systems.

Therefore, the Focus device falls under the category of a medical device used for physiological measurement and stimulation, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Focus is intended for use by a healthcare provider to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. The machine can also use electrical stimulus or sound stimulus for evoked potentials (EP) studies.

Product codes

IKN, JXE

Device Description

The Focus is a 2-channel neurodiagnostic testing system designed to enable reliable recording, display and documentation of electrophysiological information from the human nervous and muscular systems in a clinical environment. The system enables the healthcare provider to perform evoked potentials, nerve conductions and needle EMG studies as an aid in the evaluation of patients with central and peripheral nervous system symptoms.

The device provides functionality for the Electromyography (EMG), Nerve Conduction Studies (NCS), and Evoked Potential (EP) testing for a range of clinical applications and has a fast, intuitive and flexible graphical user interface (GUI) that conforms to a Windows philosophy.

The Focus provides the healthcare professional with:

  • A means of adjusting or activating all of the unit's settings and controls.
  • Multiple ways in which a user can carry a task, such as from a menu, using the mouse or the keyboard or by double-clicking on an icon.
  • Configurable function keys and fields that enable the user to customize the interface to meet their requirements.
  • Single-stroke keyboard function keys for key tasks carried out during a patient examination.

In addition to using the GUI, key tasks can be carried out via control switches on the Control Panel, Patient Interface Unit, Amplifiers, and Footswitch.

The device's principle of operation is based on the recording and input of electrical physiological signals (biopotentials) to a computer with the purpose of its analysis.

The Focus EMG Device consists of a handheld electronic unit, a stimulator unit with steel electrodes and felt pads, and a footswitch.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human nervous and muscular systems

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare provider, clinical environment

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)

Performance evaluation of the features described in the Focus user's manual has been successfully completed utilizing hardware and software tests and validations. Hardware qualification is performed using the following industry standards: IEC 60601-1-1:2000, IEC 60601-1-2:2001, IEC 60601-2-40:1998, IEC 62471:2006. The TeleEMG Focus EMG Device has met the IEC 62471:2006 Photobiological safety of lamps and lamp systems. According to IEC 62471, the LED goggles luminance is 1,203 cd/m2 that is much less than the admissible level 10.000 cd/m2 specified in clause 4.1 of this standard.

The TeleEMG Focus is of a "moderate" level of concern according to the FDA draft software guidance document ("Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"), and meets the requirements set forth in the FDA draft software guidance document for a "moderate" in the level of concern device.

No clinical testing was conducted to support this submission.

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

Not Found

Predicate Device(s)

Nemus System, K073415, Synergy LT, K981405

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.1375 Diagnostic electromyograph.

(a)
Identification. A diagnostic electromyograph is a device intended for medical purposes, such as to monitor and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor and display the electrical activity produced by nerves, for the diagnosis and prognosis of neuromuscular disease.(b)
Classification. Class II (performance standards).

0

510(k) Summary for the TeleEMG, LLC

Focus

(per 21 CFR 807.92 and http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/default.htm)

1. SUBMITTER/510(K) HOLDER

TeleEMG, LLC 65 Arlington Road Woburn, MA 01801, USA

Contact Person: Joe F. Jabre, M.D. Telephone: 617-840-3253 Date Prepared: August 10, 2010

2. DEVICE NAME

Proprietary Name:Focus EMG Device
Common/Usual Name:Diagnostic Electromyograph
Classification Name:Diagnostic Electromyograph
Product Code:IKN, JXE

3. PREDICATE DEVICES

4. DEVICE DESCRIPTION

Physical Description

The Focus is a 2-channel neurodiagnostic testing system designed to enable reliable recording, display and documentation of electrophysiological information from the human nervous and muscular systems in a clinical environment. The system enables the healthcare provider to perform evoked potentials, nerve conductions and needle EMG studies as an aid in the evaluation of patients with central and peripheral nervous system symptoms.

The device provides functionality for the Electromyography (EMG), Nerve Conduction Studies (NCS), and Evoked Potential (EP) testing for a range of clinical applications and has a fast, intuitive and flexible graphical user interface (GUI) that conforms to a Windows philosophy.

The Focus provides the healthcare professional with:

TeleEMG LLC, Traditional 510(k) - Focus K102610

1

  • · A means of adjusting or activating all of the unit's settings and controls.
  • · Multiple ways in which a user can carry a task, such as from a menu, using the mouse or the keyboard or by double-clicking on an icon.
  • · Configurable function keys and fields that enable the user to customize the interface to meet their requirements.
  • · Single-stroke keyboard function keys for key tasks carried out during a patient examination.

In addition to using the GUI, key tasks can be carried out via control switches on the Control Panel, Patient Interface Unit, Amplifiers, and Footswitch.

Intended Use

The Focus is intended for use by a healthcare provider to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. The machine can also use electrical stimulus or sound stimulus for evoked potentials (EP) studies.

How the Device Functions

The device's principle of operation is based on the recording and input of electrical physiological signals (biopotentials) to a computer with the purpose of its analysis. The functional scheme of the device is represented in the figure below:

2

Image /page/2/Figure/0 description: This image is a block diagram of a biopotential recording system. The diagram includes several components, such as a galvanically isolated amplifier unit, an auditory and photic stimulators unit, and a board of indication and keyboard. The diagram also shows the connections between the different components, as well as the input and output signals. The system is designed to record biopotentials from electrodes and stimulate the auditory and visual senses.

Figure 5-1. Device Functional Scheme

EMG biopotentials are amplified by the channels amplifier (CA) and quantized by time and level with the use of the analog-digital converter (ADC) under the control of microcontroller MC1. The commands of the microcontroller MC1 control are transferred from the microcontroller MC4 via the galvanic isolation device (GID), the counts of the input signal are delivered in the reverse direction.

The microcontroller MC1 controls the gain and bandpass of EMG channels amplifiers, is used in the calibration procedures and electrode impedance measurement, and performs the internal diagnostic operations.

The power supply of the amplifier unit is done via the galvanically isolated direct voltage transducer DVT1. The microcontroller MC4 controls the DVT1.

The galvanically isolated electrical stimulator unit includes the electrical stimulus generator (ESG). The microcontroller MC1 specifies the pulse amplitude and duration for the electrical stimulus generator. ESG unit measures the value of the real stimulus current via a patient and transfers it to the microcontroller MC1.

The control of the auditory stimulator, photic stimulator and checkerboard stimulator

3

is performed via the corresponding auditory, photic, checkerboard pattern generators with the use of the microcontroller MC2 which receives the commands from the computer via MC4.

The microcontroller MC3 performs the displaying of the information to the indicator and entering of information from the buttons, encoders, footswitch and patient button. The given block is located constructively on a separate board.

The microcontroller MC4 also generates the synchro-signal input/output.

The supply unit (SU) transforms the supplying voltage of USB bus to 3.3 V voltage which is required for MC4 operation.

The device operates under control of a PC (IBM PC type) with the mouse, keyboard, laser or jet printer and an installed licensed Windows operational system.

The electronic unit is attached to the USB connector of a computer via the interface cable.

4

Significant Physical and Performance Characteristics of the Device, such as Device Design, Material Used, and Physical Properties

The Focus EMG Device consists of a handheld electronic unit, a stimulator unit with steel electrodes and felt pads, and a footswitch.

Image /page/4/Picture/2 description: The image shows a device with a variety of buttons and labels. The word "FOCUS" is prominently displayed in the center of the device. There are also labels such as "Tab", "Test", "Esc", and "NEUROSOFT" visible on the device. The device appears to be some sort of medical or scientific instrument.

Figure 5-2. The Electronic Unit

Table 5-1. Controls for Handheld Unit
----------------------------------------------
Button/EncoderMenu Command/Action
Image: ZAcquisition Impedance
Image: TabKey [Tab] (intended for switching between input and traces review windows)
Image: TestTest Next, Test Previous
Image: TraceTrace Next
Image: SigmaAcquisition Accumulation/averaging

5

Image: Diamond shape with patternAcquisition Stimulus protocol (autoincrement)
Image: Hand clicking
Image: Oval shape with text EscAcquisition Cancel, same as [Esc] key
Image: Circle shapeAcquisition Monitoring
Image: Triangle shape
Image: Oval shape with dotsAcquisition Repetitive stimulation
Image: Diamond shape with patternAcquisition Pause
Image: Two parallel lines
Image: Circle shape with dotAcquisition Start acquisition/stimulus
Image: Diamond shape with patternAcquisition Stop
Image: Square shape
Image: Circle shape with rotation arrow (rotation)Trace Marker Move left
and Trace Marker Move right

··

(

6

Button/EncoderMenu Command/Action
Image: Button with squiggly lineSelection of next marker
(pressing)
Image: Button with HView Sweep Increase and View Sweep Decrease
(rotation)
Image: Button with IView Sensitivity Increase and View Sensitivity Decrease
(rotation)
Image: Button with squiggly line and arrowAcquisition Stimulus Increase stimulus duration and Acquisition Stimulus Decrease Stimulus duration
(rotation)
Image: Button with speaker iconFor tests with stimulation: Acquisition Stimulus Stimulus increase and Acquisition Stimulus Stimulus decrease. For tests without stimulation: Acquisition Sound Volume up and Acquisition Sound Volume down
(rotation)
Image: Button with speaker iconFor tests without stimulation: Acquisition Sound Sound on/off
(pressing)

Table 5-1. Controls for Handheld Unit (Continued)

The connectors that attach electrodes for measuring potentials are shown in Figure 5-3.

Image /page/6/Figure/3 description: The image shows a diagram of a connector panel with labels and descriptions. The panel has two channels, labeled 1 and 2, each with a positive (+) and negative (-) touch-proof connector. There is also a ground connector in the center of the panel. The text provides descriptions for each connector, specifying whether it is for the anode or cathode of each channel.

Figure 5-3. Panel View showing Electrode Connectors

7

300 V, 0+100 mA electrical stimulator connector. - connector for USB computer attachment. connector for photic or checkerboard stimulation pattern attachment. auditory stimulator connector. trig in/out connector. patient button connector. footswitch connector.

View of the panel with connectors for the stimulators is given in Figure 5-4.

Figure 5-4. Panel View showing Stimulator Connectors

The electronic unit measures 92x167x46 mm and weighs .35kg.

Image /page/7/Picture/4 description: The image shows a coiled cable with a connector on one end and some small metal parts near the other end. The cable appears to be a type of electrical or data cable, given the connector. The metal parts near the other end of the cable could be components used for connecting or securing the cable in a specific application.

Figure 5-5. The Stimulator Unit

The footswitch allows the operator to control the electronic unit. The footswitch measures 103x273x43 mm and weighs 1 kg.

Image /page/7/Picture/7 description: In the image, there is a black electric griddle with three sandwiches on top of it. The sandwiches are rectangular and appear to be toasted. The griddle is plugged in with a cord visible on the right side of the image. The griddle has a curved shape and is sitting on a flat surface.

Figure 5-6. Foot Switch

The auditory stimulator is used for auditory Evoked Potentials testing. It is connected to the device via the auditory stimulator connection.

TeleEMG LLC, Traditional 510(k) - Focus K102610

8

| Multiply Transducer Calibration | Supports up to 6 different transducers
with saved calibration values |
|---------------------------------|-------------------------------------------------------------------------|
| Intensity | 0-126 dBSPL, 0-96dBHL |
| Polarity | -ve, +ve or alternating |
| Stimulation Frequency | 0.05-30 Hz |
| Tone Frequency | 100-8000 Hz |
| Click Duration | 0.1-6 ms |
| Pips/Tone Bursts Intensity | 0-126 dBSPL, 0-96dBHL |
| Presentation | Left / Right / Binaural |
| Loudspeakers | External (computer) |

Figure 5-6. Foot Switch

The LED goggles are used in the "Flash Visual EP Test". They are connected via the connector for photic or checkerboard stimulation pattern.

Image /page/8/Figure/3 description: The image shows a pair of LED goggles and a table of specifications. The goggles are black with a coiled wire and a strap. The table lists the maximum brightness of the LED goggles as (1100 ± 110) kd/m², the flash duration as 1-500 ms, the stimulation frequency as 0.05-50 Hz, and the presentation as Left / Right / Both.

Figure 5-6. Technical Characteristics of the LED Goggles

5. INTENDED USE

The Focus is intended for use by a healthcare provider to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. The machine can also use electrical stimulus or sound stimulus for evoked potentials (EP) studies.

9

6. SUMMARY OF TECHNOLOGICAL CHARACTERISTICS COMPARED TO THE\PREDICATE DEVICE

PRODUCTFOCUS EMG DEVICENEMUS SYSTEMSYNERGY LT
FEATURESNEUROSOFT, LTD.EBNEURO S.P.A.OXFORD INSTRUMENTS
PROPOSEDK073415K981405
Intended UseThe Focus is intended for use
by a healthcare provider to
perform nerve conductions and
EMG studies as an aid in the
evaluation of patients with
diseases of muscle and nerves.
The machine can also use
electrical stimulus or sound
stimulus for evoked potentials
(EP) studies.The NEMUS system is
intended to monitor,
record and display the
bioelectric signal produced by
the muscles, to stimulate
peripheral nerves, and
to monitor, record and display
the electrical activity produced
by nerves to aid the clinician in
the diagnosis and prognosis of
neuro-muscular diseases
(EMG). The device may use
electrical stimulus or sound
stimulus for use in evoked
response measurements (EP).2 channel electromyograph
which provides facilities for
EMG and Evoked Potentials
testing for a range of clinical
application. Synergy LT is
designed to enable reliable
recording display and
documentation of
electrophysiological
information from the human
nervous and muscular system in
a clinical environment.
WarningsItems related to off-label use.Items related to off-label use.Items related to off-label use.
ContraindicationsItems related to design and
indicated use limitations, such
as not for use in the presence of
flammable anesthetics or in
conjunction with defibrillation
equipment.Items related to design and
indicated use limitations, such
as not for use in the presence of
flammable anesthetics or in
conjunction with defibrillation
equipment.Items related to design and
indicated use limitations, such
as not for use in the presence of
flammable anesthetics
Design - General
General system
approachComputer based equipment
with dedicated hardware
peripherals/componentsComputer based equipment
with dedicated hardware
peripherals/componentsComputer based equipment
with dedicated hardware
peripherals/components
User input deviceMicrosoft Windows
mouse/keyboard driven graphic
interface. Built-in keyboardMicrosoft Windows mouse
keyboard driven graphic
interface. Dedicated external
keyboard (optional)Microsoft Windows
mouse/keyboard driven graphic
interface.
User output deviceDigital color display
Commercial printersDigital color display
Commercial printersDigital color display
Commercial printers
Patient inputs2 channels preamplifiers,
isolated2 channels preamplifiers,
isolated2 channels preamplifiers,
isolated
Signal acquisitionAnalog-to-digital conversion at
variable sampling rateAnalog-to-digital conversion at
variable sampling rateAnalog-to-digital conversion at
variable sampling rate
Trigger input
(synchronization to
external events)YesYesYes
Trigger output
(synchronization for
external devices)YesYesYes
Footswitch for hands-
free operationYesYes (Optional)Yes
Use of standard
software platform
(Operating System)YES - Microsoft WindowsYES - Microsoft WindowsYES - Microsoft Windows
PRODUCT
FEATURESFOCUS EMG DEVICE
NEUROSOFT, LTD.
PROPOSEDNEMUS SYSTEM
EBNEURO S.P.A.
K073415SYNERGY LT
OXFORD INSTRUMENTS
K981405
Customization of
clinical protocolsVia storage / retrieval of user-
defined settingsVia storage / retrieval of user-
defined settingsVia storage / retrieval of user-
defined settings
Application flexibility
/expandabilityVia software updateVia software updateVia software update
Safety Standards60601-1-1-2000
60601-1-2-2001
60601-1-2-40-1998
62471-2006IEC 60601-1
IEC 60601-1-1
IEC 60601-2-26
IEC 60601-2-40
IEC 60601-1-2IEC 60601-1
Patient circuitry
isolationOptic/transformerOpticOptic
System ComponentsFocus EMG Device
USB Cable
Footswitch
Electrical Stimulator
Notebook PC based systemNemus I Base Unit
(Amplifier) Host
Computer (PC) Printer
(optional) Cart (optional)
Dedicated Keyboard
(optional)Headbox (Amplifier)
Computer (PC)
Cart
Printer (optional)
Amplifier- Computer
interfaceUSBLAN Ethernet 100 MbitProprietary
System Power SupplyElectronic unit: 5V DC System
with Personal Computer: 100-
120/200-240 V AC (50-60 Hz)
System with Notebook: 100-
120/200-240 V AC (50-60 Hz)From mains (110-240 VAC)
trough isolation transformerFrom mains (110-240 VAC)
Amplifier Power Supply5V DC from USB15 VDC from medical
approved AC/DC converterInternal power supply
Size (H/W/D) mmElectronic Unit:
90x270x50 mmNemus System:
1250/750/850 (complete
system, with cart, monitor, arm)500/209/321
(cart : 720/640/780 )
Weight (complete
system-kg)Electronic Unit: 0.35
System: 3.5Nemus System: 90
(complete system, with
cart, monitor, arm)55 (with cart)
Design - Acquisition
Number of channels222
CMRR>100 dB>100 dB>110dB
Noise100 MOhm 1000 MOhm / 8 pF> 1000 MOhm / 30 pF
Low pass filter(-12dB/octave) 10, 20, 35, 50,
75, 100, 150, 200, 300, 500,
1000, 2000, 3000, 5000, 10000
Hz20 Hz - 16 kHz (15 step)50 Hz - 16 kHz (10 step)
High pass filter(-6dB/octave) 0.05, 0.1, 0.2,
0.3, 0.5, 1, 2, 3, 5, 10, 20, 30,
50, 100, 200, 300, 500, 1000,
2000, 3000 Hz0.01 - 500 Hz (11 step)DC, 30 - 2000 Hz
Notch filter50/60 Hz selectable50/60 Hz selectable50/60 Hz selectable
A/D conversion16 Bit ADC24 bit Sigma-Delta16 bit
Sampling rate200-80000 Hz4.194 MHz50 kHz
Analysis time2 ms - 5 min5 ms - 10 s5 ms - 10s
Time baseSingleSingleSingle
PRODUCTFOCUS EMG DEVICENEMUS SYSTEMSYNERGY LT
FEATURESNEUROSOFT, LTD.EBNEURO S.P.A.OXFORD INSTRUMENTS
PROPOSEDK073415K981405
Trigger modeFree, Auto, Internal, ExternalFree, Auto, Internal, ExternalAuto, Internal, External
Signal delay (pre/post)0-10 s0-5 div0 - 9 div
Ohmmeter0-100 kOhm0-100 kOhm (auto full scale)0-32 kOhm
Design - Stimulators
Somatosensory
(electrical ) StimulatorType: constant current
N. output 1
Max output: 100 mA Pulse
width: 0.1 - 5 ms Mode: single,
train (50 Hz)Type: constant current
N. output 1
Max output: 100 mA Pulse
width: 0.05 - 1 ms Mode:
single, trainType: constant current/voltage
N. output : 1
Max output: 100 mA
Pulse width: 0.05-1 ms Mode:
single, double, train (200Hz)
Audio StimulatorOutput mode: click, tone
Sound pressure: 0-126 dB SPL
(TDH 39)
Phase: condens., raref, alternate
Signal frequency: 1008000 Hz
Click width: 100-5000 us
Stimulus presen. Left, right,
binaural
Headset: TDH 39Output mode: click, tone
Sound pressure: 0-132 dB SPL
Phase: condens., raref, alternate
Signal frequency: 1258000 Hz
Plateau time: 1-200 ms
Rise/fall time: 1-100 ms Mask
level: -40 + 10 dB (relative)
Click width: 1-100 us Stimulus
presen. Left, right, binaural
Headset: TDH 39Output mode: click, pip, tone
Sound pressure: 0-122 dB SPL
Phase: condens., raref, alternate
Signal frequency: 1258000 Hz
Plateau time: 1-999 ms
Rise/fall time: 1-255 ms Mask
level: -40 + 10 dB (relative)
Click width: 0.05 - 1 ms
Stimulus presen. Left, right
binaural
Headset: TDH 39
Basic EMG Application Modules
Free run acquisitionYesYesYes
Nerve conduction studyYesYesYes
Self triggered
acquisitionYesYesYes
Spontaneous activityYesYesYes
Single fiber EMGYesYesYes
Motor Unit AnalysisYesYesYes
F wave analysisYesYesYes
H-Reflex analysisYesNoYes
Galvanic Skin Response
Also known as
Sympathetic Skin
Response (SSR)YesNoYes (Referred to as
Sympathetic Skin Response or
SSR)
Basic EP Application Modules
Somatosensory EPYesYesYes
Auditory EPYesYesYes
Visual EP (flash)YesNoYes
P300 EPYesNoYes
Visual EP (pattern)YesNoYes

Table 5-2. Side-by-Side Comparison of the Proposed Device with Cited Predicate Devices

TeleEMG LLC, Traditional 510(k) – Focus K102610

:

: : ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・

10

Table 5-2. Side-by-Side Comparison of the Proposed Device with Cited Predicate Devices (Continued)

11

Table 5-2. Side-by-Side Comparison of the Proposed Device with Cited Predicate Devices (Continued)

7. SUMMARY OF NON-CLINICAL PERFORMANCE TESTING AS BASIS FOR SUBSTANTIAL EQUIVALENCE

Performance Testing

Performance evaluation of the features described in the Focus user's manual has been successfully completed utilizing hardware and software tests and validations. Hardware qualification is performed using the following industry standards:

12

  • · IEC 60601-1-1:2000 Medical electric equipment Part 1-1: Safety requirements for medical electrical systems
  • · IEC 60601-1-2:2001 Medical electric equipment Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility -Requirements and tests
  • · IEC · 60601-2-40:1998 Medical electric equipment Part 2-40: Particular requirements for the safety of electromyographs and evoked response equipment
  • · IEC 62471:2006 The TeleEMG Focus EMG Device has met the IEC 62471:2006: Photobiological safety of lamps and lamp systems. According to IEC 62471, our LED goggles luminance is 1,203 cd/m2 that is much less than the admissible level 10.000 cd/m2 specified in clause 4.1 of this standard. That is why it is not required to make additional spectral calculations according to IEC 62471.

The TeleEMG Focus is of a "moderate" level of concern according to the FDA draft software guidance document ("Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"), and meets the requirements set forth in the FDA draft software guidance document for a "moderate" in the level of concern device.

Biocompatibility Testing

The only patient contacting surfaces of the Focus EMG device are the stainless steel electrodes and felt pads applied during testing. The electrodes and pads were cleared under the submission of the NC Stat, K060584.

CLINICAL TESTING AS BASIS FOR SUBSTANTIAL 8. SUMMARY OF EQUIVALENCE

No clinical testing was conducted to support this submission.

9. SUMMARY OF OTHER INFORMATION

No other information is available.

10. CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL TESTS

Based on the information and supporting documentation provided in the premarket notification, the Focus EMG Device is substantially equivalent to the cited predicate device. Testing demonstrates that the Focus EMG Device fulfills prospectively defined design and performance specifications.

13

Image /page/13/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged in a circular pattern around the symbol. The caduceus is a common symbol associated with healthcare and medicine. The text is written in a simple, sans-serif font.

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

TeleEMG, LLC c/o Joe F. Jabre, M.D. 65 Arlington Road Woburn, MA 01801

MAR - 4 201

Re: K102610

Trade/Device Name: Focus EMG Regulation Number: 21 CFR 890.1375 Regulation Name: Diagnostic Electromyograph Regulatory Class: Class II · Product Code: IKN, JXE

Dated: January 22, 2011 Received: January 24, 2011

Dear Dr. Jabre:

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.

14

Page 2 - Joc F. Jabre, M.D.

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 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kesia 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

15

Indications for Use

510(k) Number (if known): K102610

Device Name: Focus EMG Device

Indications for Use:

The Focus is intended for use by a healthcare provider to perform nerve conductions and EMG studies as an aid in the evaluation of patients with diseases of muscle and nerves. The machine can also use electrical stimulus or sound stimulus for evoked potentials (EP) studies.

Prescription Use X (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)

KRISTEN BOWSHER

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

510(k) Number K102610

TeleEMG Traditional 510(k) K102610

Focus EMG Device