K Number
K110068
Device Name
MODEL PM3030
Date Cleared
2011-12-08

(332 days)

Product Code
Regulation Number
882.5890
Panel
NE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This device is intended for the relief of pain associated with sore or aching muscles of the lower back, arms, or legs due to strain from exercise or normal household and work activities.

Device Description

The PM3030 is a small, battery operated, three (3) output mode TENS device for pain relief intended for OTC use. The output modes are intended for application to the following areas: Shoulder/Arm, Lower Back and Ley/Foot. The accessories include an electrode cord / cable and electrodes pads (Long Life) which are placed on the specific body part. As above the device is battery powered there is no connection to AC mains supply.

AI/ML Overview

The provided text describes a Premarket Notification 510(k) for the Omron OTC TENS device (Model PM3030). This document focuses on demonstrating substantial equivalence to existing legally marketed predicate devices, rather than presenting a standalone study with acceptance criteria for device performance in the way one might for a diagnostic or therapeutic medical AI device.

Therefore, the information typically requested for AI/ML device studies (such as sample sizes for test/training sets, expert qualifications, adjudication methods, MRMC studies, or standalone performance against a ground truth) is not applicable to this 510(k) summary. The document is primarily concerned with comparing the technical specifications and intended use of the new device to a predicate device to establish that it is as safe and effective.

Here's an analysis based on the provided text, focusing on what is available:


Acceptance Criteria and Device Performance (based on Substantial Equivalence comparison)

The "acceptance criteria" here are implicitly that the Omron PM3030 device is "substantially equivalent" to its predicate device (Endurance Therapeutics, Model T1040, K060846) in terms of safety and effectiveness. The reported device performance is presented as a comparison of specifications between the new device and the predicate.

1. Table of Acceptance Criteria and Reported Device Performance

Attribute (Implicit Acceptance Criteria: Substantially Equivalent)Omron PM3030 (Reported Device Performance)Predicate: Endurance Model T1040 (K060846)Result (Substantial Equivalence)
Indications for UseRelief of pain associated with sore or aching muscles of the lower back, arms, or legs due to strain from exercise or normal household and work activities.Relief of pain associated with sore and aching muscles in the lower back, upper extremities (arm), and lower extremities (leg) due to strain from exercise or normal household work activities.Equivalent
Product CodeNUHNUH, NGX, GZXSimilar (primary code matches)
CFR Regulation882.5890882.5890, 890.5850Similar (primary code matches)
Patient PopulationAdultNot specified (implied adult for OTC TENS)Equivalent
Prescriptive or OTCOTCOTCEquivalent
Environment of UseClinics, hospital and home environmentsNot specified (implied home for OTC)Equivalent
ContraindicationsHas standard contraindications (cardiac pacemaker, implanted defibrillator, other implanted metallic/electronic device).Has standard contraindications.Equivalent
Warnings/Precautions/Adverse ReactionsStandard warnings/precautions/adverse reactions.Standard warnings/precautions/adverse reactions.Equivalent
Power source2 - AAA3 - AAADifference, but not significant for safety/effectiveness
Number of Output modes310Difference, but deemed insignificant for safety/effectiveness
Number of output channels11Equivalent
WaveformBiphasic(Not specified for predicate, but TENS generally uses biphasic)Implied similar
ShapeRectangular(Not specified for predicate)Implied similar
Maximum Output Voltage (500 ohm)35.4 V40.7 VDifference, but deemed insignificant (lower output)
Maximum Output Voltage (2k ohm)46.7 V105.1 VDifference, but deemed insignificant (lower output)
Maximum Output Voltage (10k ohm)50.8 V154.1 VDifference, but deemed insignificant (lower output)
Maximum Output Current (500 ohm)4.4 mA81.4 mADifference, but deemed insignificant (lower output)
Maximum Output Current (2k ohm)1.7 mA47.8 mADifference, but deemed insignificant (lower output)
Maximum Output Current (10k ohm)0.4 mA15.4 mADifference, but deemed insignificant (lower output)
Maximum Phase charge (500 ohm)133 microC16.9 microCDifference, but deemed insignificant (higher charge, but within safe limits for TENS)
Maximum Current Density (500 ohm)0.095 mA/cm²2.71 mA/cm²Difference, but deemed insignificant (lower density)
Maximum Average Current (500 ohm)3.5 mANot specifiedNot directly comparable, but overall output deemed safe.
Maximum Average Power Density (500 ohm)89 mW/cm²10.2 mW/cm²Difference, but deemed insignificant.
Frequency (Hz)

§ 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).