K Number
K130847
Manufacturer
Date Cleared
2014-02-28

(339 days)

Product Code
Regulation Number
890.5360
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A software system used with the Microsoft Kinect intended to support the physical rehabilitation of adults in the clinic/ at home. The system includes rehabilitation exercises for the upper extremity and trunk with audio-visual feedback & graphic movement representations for patients as well as remotely accessible patient performance metrics for the medical professional. Patient assessment, exercise guidance and approval by the medical professional is required prior to use.

Device Description

The device or software comprises of a client application called JRS Wave and a web application or portal called JRS Portal. The JRS is to be used with the Microsoft Kinect motion sensing technology. JRS Wave includes medically recognized gaming exercises for rehabilitation, audio-visual feedback & graphic movement representations for patients. Using the Microsoft Kinect for Windows to track motion, JRS Wave records performance metrics providing them to qualified medical professionals via JRS Portal. Medical professionals can monitor patient performance, assign or modify rehabilitation exercises in JRS Wave for their patients through the JRS Portal allowing for patients to perform their prescribed rehabilitation program even from the comfort of their home.

AI/ML Overview

Here's a summary of the acceptance criteria and study detailed in the provided document for the Jintronix Rehabilitation System (JRS):

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance CriterionReported Device Performance
JRS movements are clinician-recognized rehabilitation movements.Predominantly 100% of clinicians' responses agreed that JRS activity movements were medically recognized rehabilitation exercises, exceeding the 80% acceptance criterion.
Accuracy of JRS in data processing (for rehabilitation movements).The study results validated the accuracy of the JRS in data processing, also indicated by the predominantly 100% clinician recognition of movements.
General Safety (e.g., electrical, mechanical, thermal, chemical, radiation)The device is a software product; external hardware (Microsoft Kinect) uses 12 watts of energy, delivering no energy to the subject. It is non-invasive and a Class 1 laser (posing no safety issue). No mechanical, thermal, or chemical safety concerns were identified for the JRS system itself.
Usability & Effectiveness (Clinician Recommendation of JRS Movements)88% of clinicians fully recommended JRS movements. 8.5% recommended depending on patient ability. 3.5% not recommended without clinician intervention. The JRS was predominantly recommended by medical professionals for physical rehabilitation.

2. Sample Size Used for the Test Set and Data Provenance

  • Sample Size for Test Set: 20 healthy adult subjects (men and women of various ages).
  • Data Provenance: Prospective, conducted in Canada.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

  • Number of Experts: 4 clinicians.
  • Qualifications of Experts: Physical and occupational therapists.

4. Adjudication Method for the Test Set

  • Adjudication Method: Each of the 4 clinicians assessed one video (a portion of the overall video recording) and completed 50 online questionnaires (10 activity components per subject x 5 subjects). There is no explicit mention of an adjudication process between the clinicians if their assessments differed. However, the reported results are "predominantly 100%," suggesting a high level of agreement.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • No, an MRMC comparative effectiveness study regarding human readers improving with AI vs. without AI assistance was not done. The study focused on validating the JRS movements themselves as rehabilitative and the accuracy of data processing.

6. Standalone Performance

  • Yes, a standalone (algorithm only without human-in-the-loop performance) validation was implicitly done as the study aimed to "verify that they [movements recorded by JRS] were rehabilitation movements" and "validating the accuracy of the JRS in data processing." The video recording presented to clinicians excluded the software and hardware, focusing only on the subject's movements as captured by the JRS.

7. Type of Ground Truth Used

  • Type of Ground Truth: Expert consensus (clinician assessment). Clinicians were asked to identify the movements seen, potential risks, and if they would recommend the movements to their patients.

8. Sample Size for the Training Set

  • The document does not explicitly state a separate "training set" for the JRS algorithm in the context of this clinical study. The system's rehabilitation program was "developed in consultation with clinicians," implying that clinical input guided its initial design and exercise content. The study described functions more as a validation of the pre-existing system.

9. How the Ground Truth for the Training Set Was Established

  • As mentioned above, a distinct "training set" with established ground truth for an AI algorithm isn't explicitly described in this context. The JRS rehabilitation program was "developed in consultation with clinicians." This suggests that the "ground truth" for the exercises themselves was established through expert clinical input and recognized medical practices during the system's development.

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K130847

Image /page/0/Picture/2 description: The image shows the logo for Jintronix. The logo consists of a square with rounded corners, inside of which are several smaller squares arranged in a pattern. Below the square is the word "JINTRONIX" in a bold, sans-serif font.

JINTRONIX REHABILITATION SYSTEM (JRS) TRADITIONAL 510(k)

7. 510(k) Summary

7.1 Owner Information

Name:Jintronix Inc.
Device common name:Jintronix Rehabilitation System (JRS)
Address:999 3rd Avenue, Suite 3400, Seattle, WA 98104
Phone:1-514-754-6688
Fax:None
Contact:Mark Evin
Title:Regulatory Affairs & Quality Assurance Head (RAQA)
Email:mark@jintronix.com
Date of Preparation:Jun 03, 2013

7.2 Regulatory Correspondent Information

Name:AxSource Consulting Inc.
Address:336 Bronte Street South, Suite 224-225 Milton, Ontario, L9T 7W6
Office Phone:905-854-6059
Cell:416-452-0100
Contact Person:Ms. Navneet Sekhon, President
Contact Person:Rachelle D'Souza, Regulatory Affairs Consultant
Email:nav.sekhon@axsource.ca
Emailrachelle@axsource.ca

7.3 Device Information

Trade NameJintronix Rehabilitation System (JRS)
Common Namesoftware system utilizing optical position recording for rehabilitation
exercises
ClassificationSystem, optical position/movement recording
name
Model NumberVersion 1.0
510(k) Submitter /Jintronix Inc.
Holder
510(k) NumberK130847
Device PanelPhysical Medicine
Product CodeLXJ
ClassificationNone.
RegulationReason: JRS is substantially equivalent to predicates in product code
LXJ. The product code is 'unclassified' in FDA's product classification
database with the reason being 'pre-amendment'. Refer to URL:
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPCD/classification.
cfm?ID=4731

The device or software comprises of a client application called JRS Wave and a web application or portal called JRS Portal. The JRS is to be used with the Microsoft Kinect motion sensing technology.

JRS Wave includes medically recognized gaming exercises for rehabilitation, audio-visual feedback & graphic movement representations for patients. Using the Microsoft Kinect for Windows to track motion, JRS Wave records performance metrics providing them to qualified medical

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professionals via JRS Portal. Medical professionals can monitor patient performance, assign or modify rehabilitation exercises in JRS Wave for their patients through the JRS Portal allowing for patients to perform their prescribed rehabilitation program even from the comfort of their home.

General 510(k)informationPredicate Device(s)[510(k) summaries attached - Appendices 5 & 12]
Trade NamePeak Motus Motion Measurement SystemCoda cx1 Motion Analysis System
Model Numberunknownunknown
510(k) Submitter /HolderPeak Performance TechnologiesInc.Charnwood Dynamics Limited
510(k) NumberK030714K033514
Device PanelPhysical MedicinePhysical Medicine
Product CodeLXJLXJ

7.4 Predicate(s) / Substantially Equivalent Device(s)

7.5 Intended Use

A software system used with the Microsoft Kinect intended to support the physical rehabilitation of adults in the clinic/ at home. The system includes rehabilitation exercises for the upper extremity and trunk with audio-visual feedback & graphic movement representations for patients as well as remotely accessible patient performance metrics for the medical professional. Patient assessment, exercise guidance and approval by the medical professional is required prior to use.

Differences in indications statementsWhy differences do notaffect safety &effectiveness of Jintronixdevice when used aslabeled
JRSPredicates
Gaming exercises intended toelicit medically recognizedrehabilitation exercises frompatientsDo not provide gamingexercises intended toelicit medicallyrecognized rehabilitationexercises from patients.All JRS gamingexercises are medicallyrecognized (by clinicians/ medical professionals)to be physicalrehabilitation exercises.This is supported by aclinical study andscientific references(refer to Performance –Clinical section).
Safety & Effectivenesswere considered in thedevice risk hazardanalysis & in the

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Performance sections ofthe 510(k) package
Provides audio feedbackDo not provide audiofeedbackDoes not impact safety /effectiveness of JRS
Require patient assessmentand exercise guidance fromclinician / medical professionalprior to any exerciseprescription. Exercisesprescribed include originalJRS medically recognizedexercises recommended andJRS exercises modified /customized by the medicalprofessional.Do not include suchrequirementExtra precaution toensure proper movementtechnique for home-useof JRS. This puts theJRS at an equivalentlevel of clinicalsupervision as clinician-directed home basedrehabilitation exercises,which are widelyrecommended byscientific literature.

7.6 Comparative Summary of Technological Characteristics

The JRS and predicates are software / hardware systems that share in common an intended use / indications for use, target populations, anatomical sites, location of use and technological characteristics like principle of operation, design and technology used. All the devices are intended for the physical rehabilitation of patients with orthopedic and neurological conditions. All the devices track limb and body motion, however, JRS body motion tracking is limited to the upper extremity and trunk. All the devices provide visual feedback, process and report on kinematic parameters measured like velocity and joint angular change during movement. JRS provides additional safety and convenience of use in being a prescription use device that enables home based rehabilitation exercises with remote medical professional control. JRS and predicates make use of optical motion sensing technology and a computer operating system. JRS and the predicates also neither deliver energy to patients nor pose any issues in terms of electrical, chemical, mechanical, thermal, radiation safety or compatibility. JRS is validated for system compatibility and performance. There were no issues for JRS in relation to human factors as safety, accuracy performance / effectiveness and usability were thoroughly considered.

Predicate Device(s)[510(k) summaries attached]JintronixJRS and
RehabilitationSystem (JRS)Predicate(s)Discussion
Peak MotusMotionMeasurementSystem1Coda cx1 MotionAnalysisSystem2
Technological Characteristics Comparison
Predicate Device(s)JintronixRehabilitationSystem (JRS)JRS andPredicate(s)Discussion
[510(k) summaries attached]
Peak MotusMotionMeasurementSystem1Coda cx1 MotionAnalysisSystem2
Principles ofOperationThis systemtracks andprovides visualfeedback ofpatientmovement whilereporting onkinematicparameters suchas velocity andjoint anglesmeasured duringmovement.1Information fromthe Codawebsite revealshumanperformanceunderprofessionalsupervision. Asthere are novisual movementcues providedby the Coda, it ispossible toassume, fromthe location ofuse and lab setup video that theguiding cliniciantells the patientwhat movementactivities toperform.7, 8Movementsperformed aretracked,recorded, andanalyzed by theCoda2.The JRS systemallows a medicalprofessional toassignmovementactivities topatients. Likethe Peak Motus1and the Coda2, 7,the JRS tracksupper extremityand trunkmovementproviding visualfeedback ofpatientmovement andreports onkinematicparameters likevelocity and jointangular changesduringmovement.NodifferencebetweenJRS andpredicates.
Energy Used /DeliveredElectrical energyused byhardware isvariable due tovarious videoinputtechnologies. Noenergy isElectrical energyis used by bothCODA units andby the activeinfra-red emittingmarkers.6 Noenergy isdelivered intothe subject asthere is noNot applicableas JRS is asoftwareproduct. TheKinect for usewith the JRS foroptical motioncapture isowned andNotapplicable toJRS, asoftwareproduct.Energy usedby externalhardware(Microsoft
Predicate Device(s)JintronixJRS and
[510(k) summaries attached]RehabilitationSystem (JRS)Predicate(s)Discussion
Peak MotusMotionMeasurementSystem¹Coda cx1 MotionAnalysisSystem²
delivered intothe subject. 1electricalconnection tothe patient.²distributed byMicrosoft Inc.and uses only12 watts ofenergy. Noenergy isdelivered intothe subject.Kinect) hasno negativeimpact tosafety.
Human FactorsNo comment onhuman factors in510(k)summary.¹Erroneousmarker / sensorplacement onpatients canpose safetyhazard inparametric dataanalysis. Multi-componentsystem maypose usabilityissues.No comment onhuman factors in510(k)summary.²Erroneousmarker / sensorplacement onpatients canpose safetyhazard inparametric dataanalysis. Multi-componentsystem maypose usabilityissues.No safetyconcern as nodirect contact ofJRS / Kinect withpatients.Externalhardware,Microsoft Kinectis a Class I laserposing no safetyissue.JRS prescriptionand remotemedicalprofessionalmonitoring ofpatients allowssafe home basedrehabilitationexercises.JRS has beenvalidated foraccuracy /performanceeffectivenessboth clinically(section 22) andthrough softwaretesting withappropriatechanges.Safety,accuracy,effectivenessand usabilityhave beenconsideredthoroughlyby Jintronix.
Predicate Device(s)JintronixRehabilitationSystem (JRS)JRS andPredicate(s)Discussion
[510(k) summaries attached]
Peak MotusMotionMeasurementSystem1Coda cx1 MotionAnalysisSystem2management anddesign controls(section 18). TheJRS alsoincorporatescorrection oferror in Kinectmotion sensing toachieve optimalKinect accuracy(section 18.4).Usability &Effectivenessconsideration:JRS waspredominantlyrecommended bymedicalprofessionals forthe physicalrehabilitation oftheir patients(section 22.1,table 3).
DesignThe system usesoff-the-shelfvideo cameras,sensors, andcomputers tocollect, quantify,and documenthumanmovement intwo-dimensionalor three-dimensionalspace. ItincludesThe technologyincludescomponents forcapturing three-dimensionalmovements ofpatients,acquiring thedata into a hostPC, analyzingand processingthe data, anddisplaying theRefer to section18.3. Like thepredicates, JRSdesign alsorequires opticalmotion sensingtechnology andcomputeroperatingsystem withWindows foroperation.Similardesignconsiderations employedby JRS andpredicates.
Predicate Device(s)[510(k) summaries attached]Jintronix Rehabilitation System (JRS)JRS and Predicate(s) DiscussionCoda cx1 Motion Analysis System2
Peak Motus Motion Measurement System1components for processing the kinematic data, and displaying it graphically.1Materials / Technology usedThe system comprises of various software and hardware components which are used with a Microsoft Windows computer workstation. Refer to 510(k) summary for details.1Codamotion software with following hardware:• the 'CODA' unit3: the optical capture component• the active infrared-emitting markers3 mounted on the user's body• marker drivebox3: required in order to power the markers• charger tray3• codamotion hub3: in order to provide power to the CODA unit• RS422 data cable3Jintronix Rehabilitation System (JRS) comprises of JRS Wave (client application software) & JRS Portal (web portal). The JRS is to be used with the Kinect for optical motion capture and a Microsoft Windows computer workstation.
BiocompatibilityNot Applicable to JRS and predicates. JRS / Kinect has no direct contact with patient.Materials as indicated. Optical motion sensing technology and computer system common to JRS and predicates.

The following is a comparison of the technological characteristics between the JRS and those of the predicate devices.

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7-5

.

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.

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Predicate Device(s)[510(k) summaries attached]JintronixRehabilitationSystem (JRS)JRS andPredicate(s)Discussion
Peak MotusMotionMeasurementSystem¹Coda cx1 MotionAnalysisSystem²
Compatibility withthe environmentand other devices /SystemCompatibilityThe system iscompatible withMicrosoftWindows.¹The system iscompatible withany standarddesktop orlaptop machinerunningMicrosoftWindows 98,NT, ME, 2000,XP. A processorspeed of at least500MHz isrecommended.The host PCmust have oneserial portinterface foreach CODA unit;these can beRS-232 or RS-422.⁴The compatibilityof JRS softwarewith Kinecthardware andcomputeroperatingsystemrequirementshave beenvalidated.Suitable changemanagementand designcontrols havebeenimplemented(see section 17).JRS isvalidatedsoftware.
Safety
Electrical safetyNo energy isdelivered intothe subject.¹No energy isdelivered intothe subject asthe system isnon-invasivewith no electricalconnection tothe user.² Referto standardsbelow.Not applicableas JRS is asoftwareproduct. Likeboth predicates,no energy isdelivered intothe subject. Likeboth predicates¹², the JRS isnon-invasive.The Kinect foruse with JRS isNotapplicable toJRS, asoftwareproduct.Energy usedby externalhardware(MicrosoftKinect) hasno negativeimpact tosafety.

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Predicate Device(s)[510(k) summaries attached]JintronixRehabilitationSystem (JRS)JRS andPredicate(s)Discussion
Peak MotusMotionMeasurementSystem1Coda cx1 MotionAnalysisSystem2
owned anddistributed byMicrosoft Inc.and uses only12 watts ofenergy.
Mechanical safetyPer the 510(k)summary, safetyis not an issue.1Markers andtheir associateddrive boxes areattached to thesubject beingstudied usingmedical doublesided adhesivetape.5Not applicableas JRS issoftware.No issue ofmechanicalsafety toJRS system.
Codamotiondocumentation2,4,5 does not citeissues regardingmechanicalsafety.
Thermal safetyUndisclosed in510(k)summary1 butsystemcomponents donot provide forthermal safetyconcern.Per the 510(k)summary2, thissystem does notproduce sourcesof localized heatso no thermalsafety hazardarises.Not applicableas JRS issoftware.No issue ofthermalsafety for theJRS system.
Chemical safetyNot applicable.Software andhardwaresystem.1Not applicable.Software andhardwaresystem.2Not applicable.Software only.Nodifferences

.

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Predicate Device(s)[510(k) summaries attached]JintronixRehabilitationJRS andPredicate(s)
Peak MotusMotionMeasurementSystem1Coda cx1 MotionAnalysisSystem2System (JRS)Discussion
Radiation safetyPassive sensorsare used. Perthe 510(k)summary, safetyis not an issue.1LED markersare used4,5. Noionizing radiationgenerated.2Microsoft TMKinect used withthe JRS emitsinfra-redradiation butcomplies withClass 1 laserstandard.No adverseimpact tosafety ofpatientsusing JRS
SterilityJRS and predicates1.2 are non-sterile products. JRS is a softwaresystem that uses Microsoft Kinect and a computer operating system.Both predicates are software and hardware systems.

References in SE Discussion

1 FDA 510(k) Database. Peak Motion Measurement System. 510(k) Summary (attached), Retrieved May 1, 2013, from http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=11114

2 FDA 510(k) Database. Coda cx1 Motion Analysis System. 510(k) Summary (attached). Retrieved May 1, 2013, from http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=13571

3 Codamotion website. Hardware Components. Retrieved Mav 16, 2013. from http://www.codamotion.com/product-catalogue/hardware-components.html

4 Codamotion System User Guide .. Retrieved May 19, 2013 .. from http://www.codamotion.com/forum/docs/uploads/Codamotion%20System%20UserGuide-7%20Sept%202011.pdf. 9.

5 Codamotion System User Guide. Retrieved May 19, 2013, fromhttp://www.codamotion.com/forum/docs/uploads/Codamotion%20System%20UserGuide-7%20Sept%202011.pdf. 11.

6 Codamotion website. Technology Overview. Retrieved May 16, 2013, from http://www.codamotion.com/systems/technology-overview.html

7 Codamotion website. Clinical Movement Analysis. Retrieved May 16, 2013, from http://www.codamotion.com/applications/clinical.html

8 Codamotion website. Advantages and Capabilities. Retrieved May 16, 2013, from http://www.codamotion.com/applications/clinical/advantages-and-capabilities.html

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* Notation on the Motus 10 web references (3, 4, 5):

The design of the Peak Motus Motion Measurement System approved by CDRH on May 16, 20031 allowed the use of off-the-shelf cameras technologies and was compatible to run on Microsoft Windows. It is in these areas that the system was changed when acquired by Vicon Inc. Beside a name change to Vicon Motus 10, the system was made adaptable to the latest computer operating systems, Windows 7 and 8 and incorporated camera technologies of Contemplas Templo .

The Motus 10 web references # 4 and # 5 concur with the information in the 510(k) summary approved by CDRH1. Only reference # 3 is solely relied on to indicate target patients with orthopedic and neurologic conditions. As the approved 510(k) summary1 lists physical rehabilitation in the indications for use, it is reasonable to assume that the original Peak Motus Motion Measurement System was used for patients with neurologic and orthopedic conditions. Therefore, the changes to the CDRH approved Peak Motus Motion Measurement System does not impact the SE demonstration.

7.7 Predicate Device(s) Non Clinical Summary for Substantial Equivalence Determination

This section is not applicable as no non clinical study for either predicate was used for substantial equivalence determination.

7.8 Clinical Performance Data

Clinical Trial Design

A clinical study was conducted in Canada to study the movements recorded by the JRS and verify that they were rehabilitation movements. The clinical study involved a video recording of 20 healthy adult subjects, men and women of various ages that were required to perform the customized JRS rehabilitation program developed in consultation with clinicians. The video recording meant for clinician assessment focused on the subject and excluded the software and hardware involved, thereby eliminating potential clinician distraction and bias that may have occurred if the clinician liked the software seen in the video. The video was edited to remove unnecessary time gaps between JRS exercises and split into 4 videos for assessment by 4 clinicians (physical and occupational therapists). All raw and edited video footage were backed up and stored on a secure remote server. The 4 videos were uploaded to the web for clinicians to access through a private

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URL. Each clinician accessed one video and completed 50 online questionnaires (10 activity components per subject x 5 subjects). Each questionnaire asked clinicians

    1. To select the movement(s) seen in the video from a list of all JRS supported rehabilitation movements
    1. Identify any potential risks for their patients posed by the movements seen in the video and
  • Whether they would recommend the movement seen in the video to their patients. 3.

Safety & Effectiveness Summary

The clinical study results were predominantly 100% exceeding the 80% acceptance criterion for all JRS activity movements demonstrating that the JRS movements are clinician recognized rehabilitation movements and validating the accuracy of the JRS in data processing. The use of JRS movements in the rehabilitation of the intended patient populations have been supported by scientific literature and clinical guidelines. Please refer to section 22.3 Performance Testing -Clinical.

As part of study, clinicians identified the following potential risks, their corresponding vulnerable patient populations and mitigation options (Table 2). As a result, Jintronix has updated labeling accordingly (section 15 Proposed Labeling).

PotentialRisk(s)VulnerablePatientPopulation(s)% Clinicians'responses [n=200(20 subjects x 10JRS activitycomponents)]Mitigation option(s) for clinicians
FallsBalance Deficits24.5%Modify JRS rehabilitation program toreduce movement range
Clinician intervention prior to JRSuse
Clinician advises non use of sittingbalance, standing and pop clapactivities of JRS.
Shoulder Pain /ImpingementGeriatric21%Clinician intervention prior to JRSuse
Back PainPatientswithback injuries2.5%
Knee InjuryGeriatricPatients withknee injury /surgery5%Modify JRS rehabilitation program toreduce movement range, number ofmovement repetitions
Clinician intervention prior to JRSuse
Clinician advises non use ofstanding activity of JRS

Table 2: JRS Movements - Potentials Risks, Vulnerable Patient Populations and Mitigation Options

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Feedback from clinicians as to whether they would recommend the JRS movements (demonstrated during the clinical trial) to their patients was reported (Table 3).

Table 3: Clinicians Recommendations of JRS Movements

% Clinicians responses[n=200, (20 subjects x10 JRS activity components)]Clinicians recommendations of JRS movements in videos
88%Fully recommended
8.5%Recommendation depends on patient ability
3.5%Not recommended without clinician intervention

Adverse Effects

No adverse effects were reported as expected by study subjects.

7.9 Non Clinical & Clinical Conclusions

The Canadian clinical study demonstrates that the JRS movements are medically recognized rehabilitation movements. The study results also validate the accuracy of the JRS in data processing. Scientific literature in section 22.3 Performance Testing - Clinical further supports the use of JRS movements in the rehabilitation of the patient populations in the JRS intended use.

7.10 Other Information

Kinect Precision

Jintronix with McGill university researchers won a grant from the National Sciences and Engineering Research Council of Canada to conduct a study to determine the accuracy of the Kinect. Kinect's accuracy was determined in terms of kinematics over a range of distances between the Kinect and the user. In the study, the Kinect was compared to the Optotrak, a gold standard in motion sensing technology with a reported precision of less than 0.5mm.

Jintronix Compliance to FDA Quality System Regulation (QSR) 21 CFR 820

Jintronix has implemented a quality system in accordance with FDA's Quality System Requlation 21 CFR 820. Standard Operating Procedures relevant to this 510(k) have been referenced herein.

7.11 This summary

  • . includes only information that is also covered in the body of the 510(k).
  • . does not contain any puffery or unsubstantiated labeling claims.
  • does not contain any raw data, i.e., contains only summary data. ●
  • . does not contain any trade secret or confidential commercial information.
  • does not contain any patient identification information. .

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Public Health Service

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

February 28, 2014

Jintronix, Inc. c/o Navneet Sekhon AxSource Consulting, Inc. 336 Bronte Street South, Suite 224-225 Milton, Ontario L9T 7W6 CANADA

Re: K130847

Trade/Device Name: Jintronix Rehabilitation System Regulatory Class: Unclassified Product Code: LXJ Dated: January 22, 2014 Received: January 23, 2014

Dear Mr. Sekhon:

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

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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 (OS) 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. Pena -S

Carlos L. Peña, Ph.D., M.S. Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K130847

Device Name Jintronix Rehabilitation System

Indications for Use (Describe)

A software system used with the Microsoft Kined in be used to support the physical rehabilitation of advisio' at home. The system includes rehabilitation exercises for the upper extremity and trunk with audio-visual feedback & graphic movement representations for patients as well accessible patient performance metrics for the medical professional. Patient assessment, exercise guidance and approval by the medical professional is required prior to use.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

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

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Carlos L. Pena -S

FORM FDA 3881 (1/14)

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

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This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

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§ 890.5360 Measuring exercise equipment.

(a)
Identification. Measuring exercise equipment consist of manual devices intended for medical purposes, such as to redevelop muscles or restore motion to joints or for use as an adjunct treatment for obesity. These devices also include instrumentation, such as the pulse rate monitor, that provide information used for physical evaluation and physical planning purposes., Examples include a therapeutic exercise bicycle with measuring instrumentation, a manually propelled treadmill with measuring instrumentation, and a rowing machine with measuring instrumentation.(b)
Classification. Class II (special controls). The device, when it is a measuring exerciser or an interactive rehabilitation exercise device for prescription use only, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.