K Number
K130723
Device Name
FDES106 MINI TENS&EMS DEVICE,FDES106 MULTI-FUNCTION MINI TENS&EMS DEVICE,FDES105 PAIN RELIEF PLASTER,FDES107 ABDOMINAL
Date Cleared
2014-02-07

(326 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
FDES106 (ED406) Mini TENS &EMS Device For program N1, B and H of TENS mode To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities. For program E1 and E2 of EMS mode Used to stimulate healthy muscles in order to improve and facilitate muscle performance. FDES106A (ED406A) Multi-function Mini TENS &EMS Device For program N1, B and H of TENS mode To be used for temporary relief of pain associated with sore and aching muscles in the lower back, abdomen, thigh, and arm due to strain from exercise or normal household work activities. For program E1 and E2 of EMS mode Used to stimulate healthy muscles in the lower back, abdomen, thigh, and arm in order to improve and facilitate muscle performance. FDES105 (ED405) Pain Relief Plaster To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities. FDES107 (ED407) Abdominal Fitness Belt Used to stimulate healthy muscles in order to improve and facilitate muscle performance for abdominal.
Device Description
The FDES106(ED406) Series Stimulator, which includes models FDES106(ED406), FDES106A(ED406A), FDES105(ED405) and FDES107(ED407), are Transcutaneous Electrical Nerve Stimulator and muscle stimulator for pain relief and/or Electrical Muscle Stimulator. The stimulator sends gentle electrical current to underlying nerves and muscle group via electrodes applied on the skin. The parameters of units are controlled by the press buttons. Its intensity level is adjustable according to the needs of patients. The device unit of FDES106(ED406) and FDES106A(ED406A) are same, only the applied part are different: the applied part of FDES106(ED406) is electrode pad; the applied part of FDES106A(ED406A) is electrode belt. They are portable device, battery powered (3.0V DC) multi-function device offering both Transcutaneous Electrical Nerve Stimulator(TENS) and Powered Muscle Stimulator (EMS) qualities in one device. The FDES106 (ED406) includes FDE$105 (ED405). FDES106 (ED406) has TENS and EMS two treatment mode 5 programs (N, B, H, E1, E2), FDES105 (ED405) only has TENS mode 5 treatment programs (N1, N2, B, H, F).Their appearance, structure, circuit, software operation is exactly the same, only different output treatment procedure. FDES107 (ED407) has 10 EMS treatment process, whose intended use, waveform characteristics and is basically the same as FDES106 (ED406) EMS model, The difference is from only operation mode and structure appearance. Independent channel (by electrode pad or electrode belt) that effectively transfers your desired choice of pre-programmed electrical pulses directly through electrode pad or electrode belt) to suggested area of the body where the electrode are placed, causing minimal muscle contractions. The FDES106 (ED406 ) and FDES106A (ED406A ) have 3 TENS programs and 2 EMS programs; FDES105 (ED405) have 5 TENS programs; FDES107 (ED107) have 10 EMS programs.
More Information

Not Found

No
The device description and performance studies focus on standard electrical stimulation technology and compliance with relevant safety standards. There is no mention of AI, ML, or any adaptive or learning capabilities. The device parameters are controlled by press buttons and adjustable intensity, indicating a fixed set of programs rather than dynamic, AI-driven adjustments.

Yes

The device is described as a "Transcutaneous Electrical Nerve Stimulator and muscle stimulator for pain relief and/or Electrical Muscle Stimulator," with intended uses including "temporary relief of pain associated with sore and aching muscles" and stimulating "healthy muscles in order to improve and facilitate muscle performance," which are therapeutic applications.

No

The device is a TENS and EMS stimulator used for pain relief and muscle performance, not for diagnosing medical conditions.

No

The device description explicitly states it is a "Transcutaneous Electrical Nerve Stimulator and muscle stimulator" that "sends gentle electrical current to underlying nerves and muscle group via electrodes applied on the skin." It also mentions being "battery powered" and having "press buttons" for control. These are all hardware components, indicating it is not a software-only device. While software is mentioned for verification, it is part of a larger hardware system.

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 perform tests on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections.
  • Device Function: The FDES106 (ED406) Series Stimulator is a Transcutaneous Electrical Nerve Stimulator (TENS) and Electrical Muscle Stimulator (EMS). It works by applying electrical current to the skin to relieve pain or stimulate muscles.
  • Intended Use: The intended uses described are for pain relief and muscle stimulation, not for testing samples from the body.
  • Device Description: The description details the electrical stimulation mechanism and application via electrodes, which is consistent with TENS and EMS devices, not IVDs.

Therefore, the function and intended use of this device clearly fall outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

FDES106 (ED406) Mini TENS &EMS Device
For program N1, B and H of TENS mode
To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.
For program E1 and E2 of EMS mode
Used to stimulate healthy muscles in order to improve and facilitate muscle performance.
FDES106A (ED406A) Multi-function Mini TENS &EMS Device
For program N1, B and H of TENS mode
To be used for temporary relief of pain associated with sore and aching muscles in the lower back, abdomen, thigh, and arm due to strain from exercise or normal household work activities.
For program E1 and E2 of EMS mode
Used to stimulate healthy muscles in the lower back, abdomen, thigh, and arm in order to improve and facilitate muscle performance.
FDES105 (ED405) Pain Relief Plaster
To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.
FDES107 (ED407) Abdominal Fitness Belt
Used to stimulate healthy muscles in order to improve and facilitate muscle performance for abdominal.

Product codes

NUH, NGX

Device Description

The FDES106(ED406) Series Stimulator, which includes models FDES106(ED406), FDES106A(ED406A), FDES105(ED405) and FDES107(ED407), are Transcutaneous Electrical Nerve Stimulator and muscle stimulator for pain relief and/or Electrical Muscle Stimulator. The stimulator sends gentle electrical current to underlying nerves and muscle group via electrodes applied on the skin. The parameters of units are controlled by the press buttons. Its intensity level is adjustable according to the needs of patients.
The device unit of FDES106(ED406) and FDES106A(ED406A) are same, only the applied part are different: the applied part of FDES106(ED406) is electrode pad; the applied part of FDES106A(ED406A) is electrode belt. They are portable device, battery powered (3.0V DC) multi-function device offering both Transcutaneous Electrical Nerve Stimulator(TENS) and Powered Muscle Stimulator (EMS) qualities in one device.
The FDES106 (ED406) includes FDES105 (ED405). FDES106 (ED406) has TENS and EMS two treatment mode 5 programs (N, B, H, E1, E2), FDES105 (ED405) only has TENS mode 5 treatment programs (N1, N2, B, H, F). Their appearance, structure, circuit, software operation is exactly the same, only different output treatment procedure.
FDES107 (ED407) has 10 EMS treatment process, whose intended use, waveform characteristics and is basically the same as FDES106 (ED406) EMS model, The difference is from only operation mode and structure appearance.
Independent channel (by electrode pad or electrode belt) that effectively transfers your desired choice of pre-programmed electrical pulses directly through electrode pad or electrode belt) to suggested area of the body where the electrode are placed, causing minimal muscle contractions. The FDES106 (ED406 ) and FDES106A (ED406A ) have 3 TENS programs and 2 EMS programs; FDES105 (ED405) have 5 TENS programs; FDES107 (ED107) have 10 EMS programs.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lower back, abdomen, thigh, arm

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 FDES106(ED406) Series Electro-Stimulator did not conduct, nor rely upon, clinical tests to determine substantial equivalence. Nonclinical testing was performed in order to validate the design according with the company's specified design requirements, and to assure conformance with the following voluntary design standards:

  • IEC 60601-1, Medical electrical equipment Part 1: General requirements for safety".
  • IEC 60601-1-2, Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic compatibility- Requirements and tests, Interpretation Sheet."
  • IEC 60601-1-11, Medical electrical equipment Part 1-11: General Requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.
  • IEC 60601-1-4, Medical electrical equipment Part 1-4: General requirements for safety - Collateral standard: Programmable electrical medical systems
  • IEC 60601-2-10, Medical electrical equipment Part 2: Particular requirements for the safety of nerve and muscle stimulators
  • In addition to the compliance of voluntary standards, the software verification has been carried out according to the FDA software guidance.

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

Not Found

Predicate Device(s)

K060846, K030708

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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/0 description: The image shows the word "Famido" in a simple, outlined font. Each letter is clearly defined with a black outline, giving it a clean and slightly retro appearance. The word is presented in a straightforward, horizontal arrangement.

510(k) SUMMARY [As required by 21CFR 807.92]

FEB - 7 2014

FDES106(ED406) Series Electro-Stimulator, K (130723 )

Submitter's Information [21CFR 807.92(a)(1)] 1.

Company Name:Famidoc Technology Co., Ltd
Street Address:No. 212 Yilong Road, Hexi Industrial Zone, Jingxia, Changan
Town
City:Dongguan
State/ Province:Guangdong
Country:China
Telephone:+86(769) 89272488-8674
Fax:+86(769) 89272498
Contact Person:Reanny Wang
Contact Title:Vice-general Manager
Contact Email:qa@famidoc.com

2. Trade Name, Common Name, Classification [21CFR 807.92(a)(2)]

| a) Trade Name: | FDES106(ED406) Mini TENS&EMS Device
FDES106A(ED406A) Multi-function TENS&EMS Device |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Electro-Stimulator or Electrical Stimulator |
| Classification Name: | Stimulator, Muscle, Powered, for muscle conditioning
per 21 CFR § 890.5850;
Transcutaneous Electrical Nerve Stimulator for Pain Relief;
Stimulator, Nerve, Transcutaneous, Over-the-Counter
per 21 CFR § 882.5890 |
| Device Class: | Class II |
| Product Code: | NUH, NGX |

Section 07-Page 1 of 13

1

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b) Trade Name:FDES105(ED405) Pain Relief Plaster
Common Name:TENS or TENS Device
Classification Name:Transcutaneous Electrical Nerve Stimulator for Pain Relief
Stimulator, Nerve, Transcutaneous, Over-the-Counter
per 21 CFR § 882.5890
Device Class:Class II
Product Code:NUH
c) Trade Name:FDES107(ED407) Abdominal Fitness Belt
Common Name:Powered Muscle Stimulator, OTC
Classification Name:Stimulator, Muscle, Powered, for muscle conditioning
per 21 CFR § 890.5850;
Device Class:Class II
Product Code:NGX
    1. Identification of Predicate Device(s)[21 CFR 807.92(a)(3)]
PREDICATE DEVICES
ManufacturerEndurance TherapeuticsBio-Medical Research
Ltd
Legally Marketed DeviceT1040™Slenderton FLEX
Abdominal Training
system type 515
510 (K) NumberK060846K030708

Description of Device[21 CFR 807.92(a)(4)] 4.

The FDES106(ED406) Series Stimulator, which includes models FDES106(ED406), FDES106A(ED406A), FDES105(ED405) and FDES107(ED407), are Transcutaneous Electrical Nerve Stimulator and muscle stimulator for pain relief and/or Electrical Muscle Stimulator. The stimulator sends gentle electrical current to underlying nerves and muscle group via electrodes applied on the skin. The parameters of units are controlled by the press buttons. Its intensity level is adjustable according to the needs of patients.

2

The device unit of FDES106(ED406) and FDES106A(ED406A) are same, only the applied part are different: the applied part of FDES106(ED406) is electrode pad; the applied part of FDES106A(ED406A) is electrode belt. They are portable device, battery powered (3.0V DC) multi-function device offering both Transcutaneous Electrical Nerve Stimulator(TENS) and Powered Muscle Stimulator (EMS) qualities in one device.

The FDES106 (ED406) includes FDE$105 (ED405). FDES106 (ED406) has TENS and EMS two treatment mode 5 programs (N, B, H, E1, E2), FDES105 (ED405) only has TENS mode 5 treatment programs (N1, N2, B, H, F).Their appearance, structure, circuit, software operation is exactly the same, only different output treatment procedure.

FDES107 (ED407) has 10 EMS treatment process, whose intended use, waveform characteristics and is basically the same as FDES106 (ED406) EMS model, The difference is from only operation mode and structure appearance.

Independent channel (by electrode pad or electrode belt) that effectively transfers your desired choice of pre-programmed electrical pulses directly through electrode pad or electrode belt) to suggested area of the body where the electrode are placed, causing minimal muscle contractions. The FDES106 (ED406 ) and FDES106A (ED406A ) have 3 TENS programs and 2 EMS programs; FDES105 (ED405) have 5 TENS programs; FDES107 (ED107) have 10 EMS programs.

5. Intended Use[21 CFR 807.92(a)(5)] FDES106(ED406) Mini TENS &EMS Device

For program N, B and H of TENS mode

To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.

For program E1 and E2 of EMS mode

Used to stimulate healthy muscles in order to improve and facilitate muscle performance.

3

Image /page/3/Picture/0 description: The image shows the word "Famidoe" in a simple, outlined font. The letters are all capitalized except for the "i" and "o", which are lowercase. The word is horizontally oriented and appears to be a logo or brand name.

FDES106A(ED406A) Multi-function Mini TENS &EMS Device

For program N, B and H of TENS mode

To be used for temporary relief of pain associated with sore and aching muscles in the lower back, abdomen, thigh and arm due to strain from exercise or normal household work activities.

For program E1 and E2 of EMS mode

Used to stimulate healthy muscles in the lower back, abdomen, thigh and arm in order to improve and facilitate muscle performance.

FDES105(ED405) Pain Relief Plaster

To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.

FDES107(ED407) Abdominal Fitness Belt

Used to stimulate healthy muscles in order to improve and facilitate muscle performance for abdominal.

6. Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence are as follows: [21 CFR 807.92(a)(6)]

The FDES106(ED406) Series Electro-Stimulator did not conduct, nor rely upon, clinical tests to determine substantial equivalence. Nonclinical testing was performed in order to validate the design according with the company's specified design requirements, and to assure conformance with the following voluntary design standards:

  • IEC 60601-1, Medical electrical equipment Part 1: General requirements for safety".

  • IEC 60601-1-2, Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic compatibility- Requirements and tests, Interpretation Sheet."

  • IEC 60601-1-11, Medical electrical equipment Part 1-11: General Requirements for basic safety and essential performance - Collateral Standard: Requirements for

Section 07-Page 4 of 13

4

Image /page/4/Picture/0 description: The image shows the word "Famiddoc" in a simple, outlined font. The letters are evenly spaced and of similar size, creating a balanced appearance. The outline style gives the word a clean and modern look.

medical electrical equipment and medical electrical systems used in the home healthcare environment.

  • IEC 60601-1-4, Medical electrical equipment Part 1-4: General requirements for safety - Collateral standard: Programmable electrical medical systems

  • IEC 60601-2-10, Medical electrical equipment Part 2: Particular requirements for the safety of nerve and muscle stimulators

  • In addition to the compliance of voluntary standards, the software verification has been carried out according to the FDA software guidance.

7. Biocompatibility Certification for accessories [21 CFR 807.92(a)(7)]

The materials of applied part are Electrode pad and Electrode belt; the material of enclose is ABS. They are both meet the biocompatibility testing of ISO 10993-5 and ISO 10993-10 standards.

8. Comparison for Predicate Device & Subject Device [21 CFR 807.92(a)(8)}

We present the relevant information for the predicate device here for demonstrating the characteristics of the predicate device.

8.1 Comparison of significant device features

5

Sponsor: Famidoc Technology Co., Ltd.
File No: XVV-Stimulator A-FDA-07
Version: 1.2
Data: Feb.7, 2014

| Comparison item | Mini TENS&
EMS Device
FDES106 | Multi-function
Mini TENS
&EMS Device
FDES106A | Pain
Relief
Plaster
FDES105 | New device
Abdominal Fitness
Belt FDES107 | Predicate device
T1040™ | Predicate device
Slenderton FLEX
Abdominal Training
system type 515 |
|-----------------------------------------------|-------------------------------------|--------------------------------------------------------|--------------------------------------|-------------------------------------------------|-----------------------------------------------|------------------------------------------------------------------------------|
| 510K# | | | Pending | | K060846 | K030708 |
| Manufacturer | | | Famidoc Technology Co., Ltd. | | Endurance
Therapeutics | Bio-Medical
Research Ltd |
| Prescription or OTC | | | OTC | | OTC | OTC |
| FDA product code | | NUH, NGX | NUH | NGX | NUH, NGX | NGX |
| Power source | | Battery powered, d.c. 3.0V, 2 X AAA
batteries | | | Battery powered, d.c. 4.5V, 3 X AAA batteries | |
| User interface | | By LED light and silk-screen indication | | | By LCD display | |
| Output channel | | | Single channel | | Two channels | |
| Number of output models | | TENS and EMS | TENS | EMS | TENS and
PMS(EMS) | EMS |
| Number of treatment programs | | 5 | 5 | 10 | 10 | 7 |
| Number of
output channels | | Alternating | | | Alternating | Symmetrical
Biphasic |
| Number of output channels | | | 1 | | 1 | Dual |
| Method of channel isolation | | | By electrical circuit and software | | | By electrical circuit and software |
| Constant Current or Constant Voltage? | | | Constant Voltage | | | Constant Voltage |
| Waveform | | | Biphasic square | | | Biphasic |
| Software/Firmware/ Microprocessor
Control? | | | Yes | | | Yes |

Section 07-Page 6 of

Section 07-page 69

6

nsor: Famidoc Technology
No: XW-Stimulator A-FDAersion: 1.2
ata: Feb.7, 201

amidoc

Slenderton FLE)
bdominal Trainin output no pul
applied system type 51 lonadjustable Inknowabl Inknowabl nknowab nknowabl nknowab EMS: 0
EMS: MA 25 & 30 Yes Yes Yes Yes Yes astic (ABS) enclosu Predicate device lo output no
ulse applied onadjustab nknowabl nknowabl nknowabl nknowab EMS: 0
LEMS: 0 5 minute 1040™ Yes Yes Yes Yes Yes Yes 25 and 30m odominal Fitne
Belt FDES107 위 대한 함께 이상
onadjustab 1.26 0.8 Yes Pain Relie lastic (ABS) enclosu FDES10 Plaster EMS: NA o output applied pulse New devic (es (es Yes (es res res (es nadjustable 30 minute lulti-function EMS Devic Mini TENS FDES106 0.9 0.8 No TENS: 0
appliec lini TENS&
EMS Device FDES10 oltage/ current lev ngle fault conditi rmal condition age DC current through elect thereige D'O our on through olds.
When device is on but no pulses being applied (uA) On/off status w battery sing materials construct mparison ite omatic Over Current T tient Override Control? omatic No Load Trip omatic overload tri (UA) omatic shut off me range (mi ndicatior eakag function Current Patient

ction 07-Page 7

Section 07-Page 2

7

nsor: Famidoc Technology Co.,
No: XW-Stimulator A-FDA-07 Version: 1.2
Data: Feb.7, 201

Transparent silic Slenderton FLEX Enclosure - ABS ystem type 51 Abdome lectrode be Yes Predicate device (leg);
For EMS: Any are
which been
escribed in the
ser manual ca Electrode —
Transparent silic For TENS mode
Low back, upper
extremities(arm ower extremiti eatment are Enclosure — AB T1040T" not use Yes 2015 September 1998
Research
Requires (1988) Marquest (1988) Marques (1998) Marquin (1998) North (1998) North (1990)
Buyung (1990) Next (1990) Next (1990) Next (1 המטר המקום של המקום המקום המקום המקום המקום המקום המקום המקום המקום המוקדות המקום המוקדות המוקדות המוקדות המוקדות המוקדות המוקדות המוקדות המוקדות המוקדות המוקדות המונחים של Abdomer ្ម (Gal)
សូមមនុស្សនា
សេចក (Jul tremities Pain Relie ow bacl ranspare FDES10 silica gel
Enclosure upper Plaste ectrode ABS New devic Yes ב-1998 הגדולית
שניירות חיצוניים
Arm, Wais Abdomer Thigh an ow bacl Buttock, ni TENS& EMS lectrode –
ansparent silic or TENS mode
ow back, uppe
xtremities(arm xtremities (leg)
or EMS: Any nclosure - ABS ser manual ca rea which bee escribed in th ose treatmer Device
FDES106 rea (Excep ot use ower mparison ite mpliance with 21 Cl t of patient contact atment are material(s) 898 ?

tion 07-Page 8

8

Sponsor: Famidoc Technology Co., Ltd.
File No: XVV-Stimulator A-FDA-07
Version: 1.2
Data: Feb.7, 2014

Comparison itemNew devicePredicate device
Mini TENS&
EMS Device
FDES106Multi-function
Mini TENS
&EMS Device
FDES106APain Relief
Plaster
FDES105Abdominal
Fitness Belt
FDES107T1040™Slenderton FLEX
Abdominal Training
system type 515
ClassificationType of protection
against electric shockInternally powered equipmentInternally powered equipment
Degree of protection
against electric shockType BF applied partType BF applied part
Device ClassClass IIClass II
BiocompatibilityCompliant with requirements of ISO 10993-5 and ISO 10993-10SameSame
Compliance
withMechanical SafetyCompliant with requirements of IEC 60601-1, IEC 60601-2-10SameSame
Voluntary
Standards?Electrical SafetyCompliant with requirements of IEC 60601-1, IEC 60601-2-10,
IEC 60601-1-2 safety standardsSameSame
Energy deliveredThe delivered energy is limited according to requirements of
collateral IEC 60601-2-10 safety standardsSameSame
OtherCompliant with requirements of IEC 60601-11 safety standardUnknowableUnknowable
Applied partElectrode padElectrode
beltElectrode
padAbdominal
electrode beltAbdominal
electrode belt
Weight (lbs., oz.)0.0930.0930.0930.180.19
Dimensions(in.) [W × H × D]
For unit2.25"×1.77"×0.36"3.62"×3.19"×0.75"5.91"x2.68"x
1.02"
Unknowable
Unknowable

Section 07-Page 9 of

9

Sponsor: Famidoc Technology Co., Ltd.
File No: XVV-Stimulator A-FDA-07
Version: 1.2
Data: Feb.7, 2014

| Comparison item | Mini TENS&
EMS Device
FDES106 | Multi-function
Mini TENS
&EMS Device
FDES106A | Pain Relief
Plaster
FDES105 | Abdominal
Fitness Belt
FDES107 | New device | T1040™ | Abdominal Training
Slenderton FLEX
system type 515 | Predicate device |
|---------------------------------------|-------------------------------------|--------------------------------------------------------|-----------------------------------|--------------------------------------|------------|------------|----------------------------------------------------------|------------------|
| Operating temperature and
humidity | | 5-40°C, 30%-85% | | | | Unknowable | 0-35°C, 20%-65% | |
| Storage temperature and humidity | | -10-50°C, 10%-90% | | | | Unknowable | 0-52°C, 10%-90% | |

8.2 Comparison of significant output specifications

Comparison itemNew devicePredicate device
Mini TENS&
EMS Device
FDES106Multi-function
Mini TENS
&EMS Device
FDES106APain Relief
Plaster
FDES105Abdominal
Fitness Belt
FDES107T1040™Slenderton FLEX
Abdominal Training
system type 515
WaveformTENS modeBiphasicBiphasicBiphasicN/ABiphasicN/A
EMS modeBiphasicBiphasicN/ABiphasicBiphasicBiphasic
ShapeTENS modeSquareSquareSquareN/ASquareN/A
EMS modeSquareSquareN/ASquareSquareSquare
Max Output Voltage (V)TENS mode30.430.428N/A40.7N/A
500Ω loadEMS mode2828N/A46.440.747.3
2kΩloadTENS mode44.844.836.8N/A105.1N/A
EMS mode44.844.8N/A72105.189.3

Section 07-Page 10 of

10

nsor: Famidoc Technology No: XW-Stimulator A-Fl ersion: 1.2
ata: Feb.7, 201

Slenderton FLE)
bdominal Traini ystem type 51 Inknowable 200-300 45-75 28.41 91.3 94.7 89.3 60.7 n/A N/A n/A N/A N/A N/A N/A N/A redicate device 1040 T 4.1-50 4.1-50 154.1 47.8 47.8 15.4 15.4 154. 81.4 81.4 245 245 40.7 40.7 2.71 2.71 Fitness Bel Abdomina FDES10 92.8 3-80 23.2 23.2 120 N/A N/A 250 N/A N/A N/A N/A N/A N/A ਰੇ ਟ ਮ Pain Relie FDES10: 00-25 Plaste 41.6 15.2 15.2 18.4 2-80 N/A N/A N/A n/A 4.2 N/A N/A N/A N/A ്ക് New devic ulti-functior EMS Devic Mini TENS FDES106 00-250 60.8 22.4 15.2 15.2 54.4 54.4 22.4 2-80 2-50 5.4 5.4 250 す す റ്റ് ni TENS& MS Device
FDES106 00-25 15.2 54.4 54.4 60.8 22.4 22.4 2-80 2-50 5.2 5.4 5.4 250 56 ম す ENS mode ENS mode ENS mode ENS mod ENS mod ENS mod ENS mod ENS mod MS mode MS mode MS mode MS mode MS mode MS mode MS mode EMS mode omparison ite x Output Current (mA) Maximum Phas ulse cycle (ut let Charge pe equency(H: Charge (uC Pulse Widt Range(uS 00Ω load 0kΩ load 0kΩ load kQload 2000) 500Ω

tion 07-Page 1

amido

11

Sponsor: Famidoc Technology Co., Ltd.
File No: XVV-Stimulator A-FDA-07
Version: 1.2
Data: Feb.7, 2014

| Comparison item | | Mini TENS&
EMS Device
FDES106 | Multi-function
Mini TENS
&EMS Device
FDES106A | Pain Relief
Plaster
FDES105 | Abdominal
Fitness Belt
FDES107 | T1040™ | Slenderton FLEX
Abdominal Training
system type 515 |
|----------------------------------------------------------------------------------------------------|------------------------------------|--------------------------------------------------------|--------------------------------------------------------|--------------------------------------|--------------------------------------|----------------------------------------------------------|----------------------------------------------------------|
| Maximum Current Density
(mA/cm², 500Ω, r.m.s) | TENS mode | 4.1 | 3.4 | 4.1 | N/A | 2.71 | N/A |
| | EMS mode | 3.77 | 3.13 | N/A | 1.9 | 2.71 | Unknowable |
| Maximum Average
Current (average absolute
value) [mA, 500Ω] | TENS mode | 0.51 | 0.42 | 0.48 | N/A | Unknowable | N/A |
| | EMS mode | 0.41 | 0.34 | N/A | 0.3 | Unknowable | Unknowable |
| Maximum Power Density
(W/cm², 500Ω, r.m.s) | TENS mode | 0.124 | 0.103 | 0.105 | N/A | 0.099 | N/A |
| | EMS mode | 0.105 | 0.087 | N/A | 0.039 | 0.099 | Unknown |
| Maximum Average Power
Density (mW/cm²) [using
smallest electrode
conductive surface area] | TENS mode | 2 | 1.4 | 1.7 | N/A | 5.35 | N/A |
| | EMS mode | 1.2 | 1 | N/A | 1.8 | 5.35 | Unknowable |
| Duration of primary
(depolarizing) phase (ms) | TENS mode | 0.25 | 0.25 | 0.25 | N/A | 0.5 | N/A |
| | EMS mode | 0.25 | 0.25 | N/A | 0.25 | 0.5 | 0.3 |
| Burst Mode (For TENS mode only) | | | | | | | |
| a. Pulse per burst | | 7 | 7 | 7 | N/A | N/A | N/A |
| b. Bursts per second | | 2 | 2 | 2 | N/A | N/A | N/A |
| c. Burst duration (ms) | | 0.2 | 0.2 | 0.2 | N/A | N/A | N/A |
| d. Duty Cycle (ms) | | 1.4 | 1.4 | 1.4 | N/A | N/A | N/A |
| Comparison item | New device | | | | Predicate device | | |
| | Mini TENS
EMS Device
FDES106 | Multi-function
Mini TENS
&EMS Device
FDES106A | Pain Relief
Plaster
FDES105 | Abdominal
Fitness Belt
FDES107 | T1040™ | Slenderton FLEX
Abdominal Training
system type 515 | |
| For EMS mode only | | | | | | | |
| On Time (S) | 5 | 5 | N/A | 4-8 | N/A | Unknowable | |
| Off Time (S) | 10 | 10 | N/A | 2-10 | N/A | Unknowable | |
| Ramp up time(S) | 2 | 2 | N/A | 2-10 | N/A | Unknowable | |
| Ramp down time(S) | 2 | 2 | N/A | 0-12 | N/A | Unknowable | |

Section 07-Page 12 of 13

12

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sor: Famidoc Technolog No: XW-Stimulator A-Fl Data: Feb.7, 201 ersion: 1.2

Conclusion कं

ndamental scientific technology of the device. Thus, the FDES106(ED406) Series Electro-Stimulator is substantially equivalent t ES106(ED406) Series Stimulator, which includes models FDES106A(ED406A) and FDES107(ED407 tended use and technological characteristics and the similar technological characteristics as the predicate device T1040 lendertion FLEX Abdominal Training system type 515 (K030708). Moreover, bench testing, safety report and Risk Analysi umentation supplied in this submission demonstrates that the difference in the submitted models could maintain the same ectiveness as that of predicate device. In the other words, those engineering difference do not affect the intended use oredicate device

ction 07-Page 13

13

EPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

February 7, 2014

Famidoc Technology Co., Ltd. c/o Reanny Wang Vice-General Manager No. 212 Yilong Road, Hexi Industrial Zone, Jingxia, Changan Town, Dongguan 523853, Guangdong Province CHINA

Re: K130723

Trade Name: FDES106 (ED406) Series OTC Stimulator Models: Mini TENS&EMS Device Model FDES106 (ED406), Multi-function Mini TENS&EMS Device Model FDES106A (ED406A), Pain Relief Plaster Model FDES105 (ED405), Abdominal Fitness Belt Model FDES107 (ED407) Regulation Number: 21 CFR 890.5850

Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II

Product Code: NGX, NUH

Dated: January 7, 2014

Received: January 13, 2014

Dear Mr. Wang:

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.

14

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 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Carlos L. Pemal-S

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

15

Indications for Use

510(k) Number: K130723

FDES106 Series OTC Stimulator Models: Device Name: Mini TENS&EMS Device Model FDES106 (ED406), Multi-function Mini TENS&EMS Device Model FDES106A (ED406A), Pain Relief Plaster Model FDES105 (ED405), Abdominal Fitness Belt Model FDES107 (ED407),

Indications For Use:

FDES106 (ED406) Mini TENS &EMS Device

For program N1, B and H of TENS mode

To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.

For program E1 and E2 of EMS mode

Used to stimulate healthy muscles in order to improve and facilitate muscle performance.

FDES106A (ED406A) Multi-function Mini TENS &EMS Device

For program N1, B and H of TENS mode

To be used for temporary relief of pain associated with sore and aching muscles in the lower back, abdomen, thigh, and arm due to strain from exercise or normal household work activities.

For program E1 and E2 of EMS mode

Used to stimulate healthy muscles in the lower back, abdomen, thigh, and arm in order to improve and facilitate muscle performance.

FDES105 (ED405) Pain Relief Plaster

To be used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household work activities.

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FDES107 (ED407) Abdominal Fitness Belt

Used to stimulate healthy muscles in order to improve and facilitate muscle performance for abdominal.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR .

Over-The-Counter Use X (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of Center for Devices and Radiological Health (CDRH)

.

Carlos L.JRenia -S

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