K Number
K124016
Device Name
EMPI PHOENIX
Manufacturer
Date Cleared
2013-05-06

(130 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
As an NMES device, indications are for the following conditions: - Retarding or preventing disuse atrophy - Maintaining or increasing range of motion - Re-educating muscles - Relaxation of muscle spasms - Increasing local blood circulation As a TENS device, indications are for the following conditions: - Symptomatic relief and management of chronic, intractable pain - Adjunctive treatment for post-surgical and post-trauma acute pain - Relief of pain associated with arthritis As a pulsed current device, indications are for the following conditions: - Reduction of edema (under negative electrodes) - Reduction of muscle spasm - Influencing local blood circulation (under negative electrode) - Retardation or prevention of disuse atrophy - Facilitation of voluntary motor function - Maintenance of increase of range of motion
Device Description
The Empi Phoenix is a multifunctional electrotherapy device indicated for retarding or preventing disuse atrophy, maintaining or increasing range of motion, and re-educating muscles. The Empi Phoenix device provides two channels of neuromuscular electrical stimulation (NMES), transcutaneous electrical stimulation (TENS) for pain management, and a pulsed DC Edema program to increase local blood circulation and reduce edema (swelling). These programs allow the patient to receive electrotherapy throughout the recovery cycle using a single device. Its simplified programming makes the Empi Phoenix device convenient for home use: after placing the electrodes and selecting the program as prescribed by a healthcare professional, the patient only needs to increase the intensity to begin therapy. The device may be used with conventional leadwires and electrodes. For NMES treatment, it also may be paired with the Empi Phoenix™ Thigh Garment (provided as an accessory), which is designed to make electrode placement and treatment of the knee/quadriceps easier for the patient and clinician.
More Information

Not Found

No
The document describes a standard electrotherapy device (NMES, TENS, pulsed current) with simplified programming for home use. There is no mention of AI, ML, or any features that would suggest the use of such technologies. The performance studies focus on software validation, usability, and compliance with electrical safety standards, not on the performance metrics typically associated with AI/ML devices (e.g., sensitivity, specificity, AUC).

Yes
The device is indicated for various medical conditions, including relieving pain, reducing edema, maintaining/increasing range of motion, and re-educating muscles, all of which are therapeutic purposes.

No

Explanation: The device is described as a multi-functional electrotherapy device (NMES, TENS, pulsed current) used for therapeutic purposes such as pain relief, muscle re-education, increasing range of motion, and reducing edema. It does not mention any diagnostic capabilities.

No

The device description explicitly states "The Empi Phoenix is a multifunctional electrotherapy device" and mentions it provides "two channels of neuromuscular electrical stimulation (NMES), transcutaneous electrical stimulation (TENS) for pain management, and a pulsed DC Edema program". It also mentions the use of "conventional leadwires and electrodes" and a "Thigh Garment (provided as an accessory)". These are all hardware components that deliver the therapy, indicating it is not a software-only device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Empi Phoenix is an electrotherapy device that applies electrical stimulation to the body through electrodes. Its intended uses are for conditions like muscle atrophy, pain management, and edema reduction. These are therapeutic applications, not diagnostic tests performed on specimens.
  • Lack of Specimen Analysis: The description does not mention any analysis of biological specimens. The device interacts directly with the patient's body.

Therefore, the Empi Phoenix falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Empi Phoenix is a multifunctional electrotherapy device with various treatment modes that allow for neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) and pulsed current stimulation (PCS).

As an NMES device, indications are for the following conditions:

  • Retarding or preventing disuse atrophy -
  • Maintaining or increasing range of motion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  • Re-educating muscles
  • Relaxation of muscle spasms -
  • -Increasing local blood circulation

As a TENS device, indications are for the following conditions:

  • -Symptomatic relief and management of chronic, intractable pain
  • -Adjunctive treatment for post-surgical and post-trauma acute pain
  • Relief of pain associated with arthritis -

As a pulsed current device, indications are for the following conditions:

  • -Reduction of edema (under negative electrode)
  • Reduction of muscle spasm -
  • Influencing local blood circulation (under negative electrode) -
  • Retardation or prevention of disuse atrophy -
  • Facilitation of voluntary motor function -
  • -Maintenance of increase of range of motion

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

IPF, GZJ, NYN

Device Description

The Empi Phoenix is a multifunctional electrotherapy device indicated for retarding or preventing disuse atrophy, maintaining or increasing range of motion, and re-educating muscles. The Empi Phoenix device provides two channels of neuromuscular electrical stimulation (NMES), transcutaneous electrical stimulation (TENS) for pain management, and a pulsed DC Edema program to increase local blood circulation and reduce edema (swelling). These programs allow the patient to receive electrotherapy throughout the recovery cycle using a single device.

Its simplified programming makes the Empi Phoenix device convenient for home use: after placing the electrodes and selecting the program as prescribed by a healthcare professional, the patient only needs to increase the intensity to begin therapy. The device may be used with conventional leadwires and electrodes. For NMES treatment, it also may be paired with the Empi Phoenix™ Thigh Garment (provided as an accessory), which is designed to make electrode placement and treatment of the knee/quadriceps easier for the patient and clinician.

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

Home use. "Prescribed by a healthcare professional" as well as "clinician".

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 device's software has been validated in accordance with the requirements set forth in the FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices (May 11, 2005). The software validation tests demonstrated that the software version meets its design requirements.
  • A Human Factors and Usability Study was conducted to validate the usability of the Empi Phonix device in the home environment. The results of the Summative Validation support the instructions for successfully using the device as intended. The result of the Human Factors and Usability Study substantiates the acceptability of the risks identified during the risk assessment activities.
  • The Empi Phoenix was tested and found to comply with the following standards: .
    • IEC 60601-1 for basic safety and essential performance
    • IEC 60601-1-2 for electromagnetic compatibility
    • IEC 60601-1-11 for use in a home healthcare environment
    • IEC 60601-2-10 for performance of nerve and muscle stimulators .

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.

Compex® Rehab (K090632), EMPI Continuum (K093324)

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

§ 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

Image /page/0/Picture/1 description: The image shows the logo for DJO Global. The logo consists of a stylized globe on the left and the text "DJO GLOBAL" on the right. The word "DJO" is in a larger font than the word "GLOBAL". The globe is black and white and has a textured surface.

Section 5 510(k) Summary

MAY 0 6 2013

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

The assigned 510(k) number is: K124016

Submitted by:

DJO, LLC 1430 Decision Street Vista, CA 92081 .

Contact Person:

Maria Pronina Regulatory Affairs Specialist Phone: 760-734-3047 Fax: 760-734-5694

Date Summary Prepared: December 21, 2012

Trade Name:

Empi Phoenix

NMES; TENS

Class II

Common/Usual Name:

Classification Name:

Powered muscle stimulator (21 CFR 890.5850); Transcutaneous electrical nerve stimulator for pain relief (21 CFR 882.5890)

Product Code:

IPF, Powered muscle stimulator GZJ, Transcutaneous electrical nerve stimulator for pain relief NYN, Stimulator, electrical, transcutaneous, for arthritis

Regulatory Class:

Predicate Device(s):

Compex® Rehab (K090632) EMPI Continuum (K093324)

1

Image /page/1/Picture/1 description: The image shows the logo for DJO Global. The logo consists of a stylized globe on the left and the text "DJO GLOBAL" on the right. The word "GLOBAL" is smaller and located below "DJO".

Device Description:

The Empi Phoenix is a multifunctional electrotherapy device indicated for retarding or preventing disuse atrophy, maintaining or increasing range of motion, and re-educating muscles. The Empi Phoenix device provides two channels of neuromuscular electrical stimulation (NMES), transcutaneous electrical stimulation (TENS) for pain management, and a pulsed DC Edema program to increase local blood circulation and reduce edema (swelling). These programs allow the patient to receive electrotherapy throughout the recovery cycle using a single device.

Its simplified programming makes the Empi Phoenix device convenient for home use: after placing the electrodes and selecting the program as prescribed by a healthcare professional, the patient only needs to increase the intensity to begin therapy. The device may be used with conventional leadwires and electrodes. For NMES treatment, it also may be paired with the Empi Phoenix™ Thigh Garment (provided as an accessory), which is designed to make electrode placement and treatment of the knee/quadriceps easier for the patient and clinician.

Intended Use:

As an NMES device, indications are for the following conditions:

  • Retarding or preventing disuse atrophy -
  • Maintaining or increasing range of motion -
  • Re-educating muscles -
  • Relaxation of muscle spasms ・
  • Increasing local blood circulation -

As a TENS device, indications are for the following conditions:

  • Symptomatic relief and management of chronic, intractable pain -
  • Adjunctive treatment for post-surgical and post-trauma acute pain -
  • Relief of pain associated with arthritis -

As a pulsed current device, indications are for the following conditions:

  • -Reduction of edema (under negative electrodes)
  • Reduction of muscle spasm -
  • Influencing local blood circulation (under negative electrode) -
  • Retardation or prevention of disuse atrophy ー
  • Facilitation of voluntary motor function -
  • Maintenance of increase of range of motion -

2

Image /page/2/Picture/1 description: The image shows the logo for DJO Global. The logo consists of a stylized globe on the left and the text "DJO GLOBAL" on the right. The word "GLOBAL" is placed below "DJO" in a smaller font size. There is a trademark symbol to the right of the letters DJO.

Technological Comparison to Predicate Devices:

The Empi Phoenix device is technologically equivalent to Compex® Rehab (K090632) and EMPI Continuum (K093324) with respect to technical and performance characteristics.

The Empi Phoenix and the Compex Rehab have the same NMES indications for use. Both are hand-held devices. The Empi Phoenix uses two AA batteries that must be removed from the device for recharging. The Compex Rehab uses one 4.6 V NiMH battery that is charged in the device. The Empi Phoenix is a simpler form of the Compex Rehab. The Phoenix provides two channels of stimulation instead of four. For the Phoenix, the user only needs to select the desired program and adjust the intensity. On the Compex Rehab, the user has several display options and must choose the appropriate body part before selecting the program. The progression of warm-up, work (contraction alternating with active rest), and cool down is the same on the two devices.

The Empi Phoenix and Empi Continuum devices both provide TENS and Pulsed DC treatments. Both are 2-channel devices using two removable AA batteries. Both have an optional remote switch. The Phoenix is more convenient for home use because the user only needs to select the program and the intensity. The Continuum can be locked by the clinician so that the user only has these options, but if the device is not locked, the Continuum has more display and parameter choices for the user.

For TENS, the Continuum offers five body-part specific programs and one custom program. All programs have adjustable treatment time and frequency, and the custom program also allows the selection of type and degree of modulation and cycling time. Both devices use a fixed pulse duration of 300 us. The type of modulation is different between the two devices. Continuum uses either intensity modulation or a simple modulated pulse (SMP) which modulates both frequency and intensity. The Phoenix uses frequency modulation. The purpose of modulation in a TENS treatment is to reduce the body's acclimation to the signal, and either type of modulation can do this effectively.

For PDC, the Continuum and the Phoenix both provide 266 uA of dc current regardless of the amplitude. The Continuum does this by mixing triphasic (2 positive 60 usec pulses and one negative one) and biphasic (one positive and one negative pulse) waveforms. The Phoenix achieves the same result by adjusting the pulse width of the positive waveform compared to the set 60 usec negative pulse width. On the Continuum, the user selects between acute or chronic edema and the software provides net positive or net negative dc waveforms. The Phoenix always generates a net positive waveform, and the user connects the leadwires to the electrodes differently for acute or chronic edema.

3

The Phoenix and both predicate devices use a microprocessor and a transformer to generate symmetrical square biphasic waveforms for NMES and TENS. All devices use an LCD to display the selected program, remaining time, and channel intensity, and to show open load and low battery icons.

Performance Testing:

  • . The device's software has been validated in accordance with the requirements set forth in the FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices (May 11, 2005). The software validation tests demonstrated that the software version meets its design requirements.
  • 하 A Human Factors and Usability Study was conducted to validate the usability of the Empi Phonix device in the home environment. The results of the Summative Validation support the instructions for successfully using the device as intended. The result of the Human Factors and Usability Study substantiates the acceptability of the risks identified during the risk assessment activities.
  • The Empi Phoenix was tested and found to comply with the following standards: .
    • . IEC 60601-1 for basic safety and essential performance
    • IEC 60601-1-2 for electromagnetic compatibility
    • 루 IEC 60601-1-11 for use in a home healthcare environment
    • IEC 60601-2-10 for performance of nerve and muscle stimulators .

Conclusion:

Based on the performance testing and the supporting documentation, it can be concluded that the Empi Phoenix device is safe, effective and substantially equivalent to the predicate devices.

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized emblem featuring three abstract shapes resembling birds in flight, stacked vertically.

DEPARTMENT OF HEALTH & HUMAN SERVICES

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

May 6, 2013

DJO, LLC Attention: Ken Fisher SVP Quality Assurance and Regulatory Affairs 1430 Decision Street Vista, CA 92081

Re: K124016

Trade/Device Name: Empi Phoenix Regulation Number: 21 CFR 890.5850 Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II Product Code: IPF, GZJ, NYN Dated: March 13, 2013 Received: March 27, 2013

Dear Mr. Fisher:

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.

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

5

Page 2 - Mr. Ken Fisher

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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address:

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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,

Joyce M. Whang -S

for V

for Victor Krauthamer, Ph.D. Acting Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Section 4 Indications for Use

K124016 510(k) Number (if known):

Device Name: _________________________________________________________________________________________________________________________________________________________________

The Empi Phoenix is a multifunctional electrotherapy device with various treatment modes that allow for neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) and pulsed current stimulation (PCS).

As an NMES device, indications are for the following conditions:

  • Retarding or preventing disuse atrophy -
  • Maintaining or increasing range of motion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  • Re-educating muscles
  • Relaxation of muscle spasms -
  • -Increasing local blood circulation

As a TENS device, indications are for the following conditions:

  • -Symptomatic relief and management of chronic, intractable pain
  • -Adjunctive treatment for post-surgical and post-trauma acute pain
  • Relief of pain associated with arthritis -

As a pulsed current device, indications are for the following conditions:

  • -Reduction of edema (under negative electrode)
  • Reduction of muscle spasm -
  • Influencing local blood circulation (under negative electrode) -
  • Retardation or prevention of disuse atrophy -
  • Facilitation of voluntary motor function -
  • -Maintenance of increase of range of motion

Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)

Over-the-Counter Use (Part 21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER

PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Joyce M. Whang -S

Page 1 of 1

K124016 Empi Phoenix Abbreviated 510(k): New Device

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