K Number
K121719
Device Name
SM TENS & PMS
Date Cleared
2013-05-10

(333 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
TENS: To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm), and lower extremities (leg) due to strain from exercise or normal household work activities. PMS: It is intended to be used to stimulate healthy muscles in order to improve and facilitate muscle performance.
Device Description
SM TENS & PMS is a portable and DC 3.7V battery powered multi function device, offering both Transcutancous Electrical Nerve Stimulator (TENS) and Powered Muscle Stimulator (PMS) qualities in one device. SM TENS & PMS has 6 operation modes, which can give certain electrical pulses through electrode adhesive pads to the suggested area of the body where the electrodes are placed. The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys, Timing key, Pause key, Output socket, and USB port for battery charging. The display screen can show battery power, selected mode, current intensity, time remaining of an application mode, and indication of a pause. The device is equipped with accessories of electrode pads, electrode cables, battery chargers, and USB cables. The electrode cables are used to connect the pads to the device; the USB cable is used to connect the charger and the built-in lithium battery. All accessories, including USB cables, electrode pads, electrode cables, chargers can only be changed by special person. The electrodes are interchangeable. The application area of electrode pads must be larger than 4cm². The electrode pads are provided by GMDASZ Manufacturing Co., Ltd. with 510(k) cleared Number K092546.
More Information

No
The description details a standard TENS/PMS device with pre-set modes and manual controls, with no mention of adaptive algorithms, learning capabilities, or AI/ML terminology.

Yes
The device is used for temporary pain relief and to improve muscle performance, which are therapeutic purposes.

No

The device description clearly states its purpose is for "temporary relief of pain" and to "stimulate healthy muscles in order to improve and facilitate muscle performance," which are therapeutic functions, not diagnostic ones.

No

The device description explicitly states it is a "portable and DC 3.7V battery powered multi function device" with physical components like a display screen, keys, output socket, and USB port, and includes accessories like electrode pads and cables. This indicates it is a hardware device with 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 states the device is for temporary pain relief and muscle stimulation on the body (shoulder, waist, back, neck, arms, legs). This is a therapeutic use, not a diagnostic one.
  • Device Description: The description details a device that delivers electrical pulses through electrodes applied to the skin. This is consistent with a TENS/PMS device used for physical therapy or pain management, not for analyzing samples from the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.

In summary, the device's function and intended use are entirely focused on external application to the body for therapeutic purposes, which falls outside the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

TENS: To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm), and lower extremities (leg) due to strain from exercise or normal household work activities. PMS: It is intended to be used to stimulate healthy muscles in order to improve and facilitate muscle performance.

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

NUH, NGX

Device Description

SM TENS & PMS is a portable and DC 3.7V battery powered multi function device, offering both Transcutancous Electrical Nerve Stimulator (TENS) and Powered Muscle Stimulator (PMS) qualities in one device. SM TENS & PMS has 6 operation modes, which can give certain electrical pulses through electrode adhesive pads to the suggested area of the body where the electrodes are placed. The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys, Timing key, Pause key, Output socket, and USB port for battery charging. The display screen can show battery power, selected mode, current intensity, time remaining of an application mode, and indication of a pause. The device is equipped with accessories of electrode pads, electrode cables, battery chargers, and USB cables. The electrode cables are used to connect the pads to the device; the USB cable is used to connect the charger and the built-in lithium battery. All accessories, including USB cables, electrode pads, electrode cables, chargers can only be changed by special person. The electrodes are interchangeable. The application area of electrode pads must be larger than 4cm². The electrode pads are provided by GMDASZ Manufacturing Co., Ltd. with 510(k) cleared Number K092546.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

shoulder, waist, back, neck, upper extremities (arm), and lower extremities (leg)

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)

Not Found

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.

K102598

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.

K092546

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

§ 890.5850 Powered muscle stimulator.

(a)
Identification. A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.(b)
Classification. Class II (performance standards).

0

l long Qiangxing (Shen Zhen) Electronics Limited 4F. Jingcheng Building. Xicheng Industrial Zone. Xixiang Road. Bao an District. Shenzhen. Guangdong. China

Tcl: 86-755 26423605 / Url: www.sunmas.hk

Section 5 510(k) Summary [As required by 21 CFR 807.92]

  1. Submission Information:

Type of 510(k) Submission:

Basis for 510(k) Submission:

Submitter/Manufacturer:

510(k) Number:

Date:

Contactor:

·K121719 October 23td, 2012 Traditional New device Hong Qiangxing (Shen Zhen) Electronics Limited 4F, Jingcheng Building, Xicheng Industrial Zone, Xixiang Road, Bao'an District, Shenzhen City, Guangdong, China 518126 Doris Dong [Consultant, from Shanghai CV Technology Co., Ltd.] Add .: Room 1706 Yuesha, No. 128 Songle Rd., Songjiang, Shanghai, China 201600 E-mail: doris_d@l26.com Tel: 86 21-31261348 Fax: 86 21-37824346

  1. Device Description: Proprietary Name: Common Name: . Classification Name:

Regulation Number: Product Code: Device Class: Review Panel: Device Description:

TENS & PMS Stimulator, nerve, transcutaneous, over-the-counter, Stimulator, muscle, powered, for muscle conditioning 882.5890. 890.5850 NUH, NGX II

Neurology & Physical Medicine

SM TENS & PMS

SM TENS & PMS is a portable and DC 3.7V battery powered multi function device, offering both Transcutancous Electrical Nerve Stimulator (TENS) and Powered Muscle Stimulator (PMS) qualities in one device. '

SM TENS & PMS has 6 operation modes, which can give certain electrical pulses through electrode adhesive pads to the suggested area of the body where the electrodes are placed.

The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys, Timing key, Pause key, Output socket, and USB port for battery charging

The display screen can show battery power, selected mode, current intensity, time remaining of an application mode, and indication of a pause.

The device is equipped with accessories of electrode pads, electrode cables, battery chargers, and USB cables. The electrode cables are used to connect the pads to the device; the USB cable is used to connect the charger and the built-in lithium battery. All accessories, including USB cables, electrode pads, electrode cables, chargers can only be changed by special

MAY 1 0 2013

1

Hong Qiangxing (Shen Zhen) Electronics Limited

Hong Qiangxing (Shen Zhen) Electronics Limited
4ti, Jingsteng Building, Xicheng Industrial Zone, Xixiang Road, Bao' an District, Shenzhen, Ghangdong. China
Tel: 86-755 264

| Indications for use: | person.
The electrodes are interchangeable. The application area of electrode pads
must be larger than 4cm². The electrode pads are provided by GMDASZ
Manufacturing Co., Ltd. with 510(k) cleared Number K092546.
TENS:
To be used for temporary relief of pain associated with sore and aching
muscles in the shoulder, waist, back, neck, upper extremities (arm), and
lower extremities (leg) due to strain from exercise or normal household
work activities.
PMS:
It is intended to be used to stimulate healthy muscles in order to improve |

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

3. Substantial Equivalence to Predicate device:

Detailed comparison data is included in "Section 9 - Substantial Equivalence Discussion" of this 510(k) submission. .

and facilitate muscle performance.

ParametersNew DevicePredicate Device
1.510(k) NumberK121719K102598
2.Marketing clearance date:-May 13, 2011
3.Device NameSM TENS & PMSPowered Muscle Stimulator, JQ-SC
4.ManufacturerHong Qiangxing (Shenzhen) Electronics
LimitedHi-Dow International, Inc.
5.AccessoriesSelf-adhesive electrodes, electrode wires.Self-adhesive electrodes, electrode wires,
Battery charger, USB cable.Battery charger, USB cable
6.Intended useTENS (Mode 1, 3, 4, 5, 6):TENS (Mode 1. 3. 4. 5. 6):
To be used for temporary relief of painTo be used for temporary relief of pain
associated with sore and aching muscles inassociated with sore and aching muscles
the shoulder, waist, back, neck, upperin the shoulder, waist, back, neck, upper
extremities (arm), and lower extremitiesextremities (arm), and lower extremities
(leg) due to strain from exercise or normal(leg) due to strain from exercise or
household work activities.normal household work activities.
PMS (Mode 1, 2, 3, 6):PMS (Mode 1, 2, 3, 6):
It is intended to be used to stimulate healthyIt is intended to be used to stimulate
muscles in order to improve and facilitatehealthy muscles in order to improve and
muscle performance.facilitate muscle performance.
7.Power Source(s)DC 3.7V lithium batteryDC 3.7V lithium battery
- Method of Line CurrentType BFType BF
Isolation
- Patient Leakage Current--
- Normal Condition2μA2μA
- Single Fault