K Number
K132137
Device Name
MULTISTIM
Date Cleared
2013-09-12

(63 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- I. Relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain (Interferential, TNS and Microcurrent waveforms); - 2. Relaxation of muscle spasm (all waveforms except Microcurrent); - 3. Prevention or retardation of disuse atrophy (all waveforms except Microcurrent); - 4. Increasing local blood flow (all waveforms except Microcurrent); - 5. Muscle re-education (all waveforms except Microcurrent); - 6. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis (all waveforms except Microcurrent); and - 7. Maintaining or increasing range of motion (all waveforms except Microcurrent).
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary does not contain any keywords or descriptions related to AI or ML technology. The device appears to be a standard electrical stimulator with various waveforms for pain relief and muscle stimulation.

Yes
The device is intended for various therapeutic purposes such as pain relief, muscle relaxation, prevention of disuse atrophy, increasing blood flow, muscle re-education, preventing venous thrombosis, and maintaining or increasing range of motion, all of which are direct therapeutic applications.

No
The 'Intended Use / Indications for Use' lists therapeutic applications such as pain relief, muscle relaxation, increasing blood flow, and preventing disuse atrophy, but no diagnostic purposes.

Unknown

The provided summary lacks a device description, making it impossible to determine if the device is software-only or includes hardware components. The intended use suggests a device that delivers electrical stimulation, which typically requires hardware.

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

Here's why:

  • Intended Use: The intended uses listed are all related to treating or managing physical conditions (pain relief, muscle issues, blood flow, range of motion). IVDs are used to diagnose diseases or conditions by examining samples from the human body (like blood, urine, tissue).
  • Device Description: While the description is "Not Found," the listed intended uses clearly point to a therapeutic device, not a diagnostic one.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information.

This device appears to be a therapeutic electrical stimulator used for various physical therapy and pain management applications.

N/A

Intended Use / Indications for Use

    1. Relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain (Interferential, TNS and Microcurrent waveforms);
    1. Relaxation of muscle spasm (all waveforms except Microcurrent);
    1. Prevention or retardation of disuse atrophy (all waveforms except Microcurrent);
    1. Increasing local blood flow (all waveforms except Microcurrent);
    1. Muscle re-education (all waveforms except Microcurrent);
    1. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis (all waveforms except Microcurrent); and
    1. Maintaining or increasing range of motion (all waveforms except Microcurrent).

Product codes

IPF, GZJ, LIH

Device Description

Not Found

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

Prescription Use

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

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 seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with its wings spread, symbolizing protection and care. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular pattern around the eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

September 12, 2013 `

Metron Medical Australia Ptv Ltd c/o David Mitchell. Manager Research and Development 57 Aster Avenue Carrum Downs. Victoria 3201 Australia

Re: K132137

Trade/Device Name: Metron Multi-Stim Model MS-100A Regulation Number: 21 CFR 890.5850 Regulation Name: Powered muscle stimulator Regulatory Class: Class II Product Code: IPF. GZJ, LIH Dated: August 8, 2013 Received: August 13. 2013

Dear Mr. Mitchell:

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 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. Ilsting 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.

1f your device is classified (see above) into cither class 11 (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 device-related adverse events) (21 CFR 803): good manufacturing practice requirements as set

1

Page 2 – David Mitchell

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,

Joyce M. Whang -S

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

2

Indications for Use

510(k) Number (if known):_K132137

Device Name: Metron Multi-Stim Model MS-100A

Indications For Use:

  • I. Relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain (Interferential, TNS and Microcurrent waveforms);
    1. Relaxation of muscle spasm (all waveforms except Microcurrent);
    1. Prevention or retardation of disuse atrophy (all waveforms except Microcurrent);
    1. Increasing local blood flow (all waveforms except Microcurrent);
    1. Muscle re-education (all waveforms except Microcurrent);
    1. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis (all waveforms except Microcurrent); and
    1. Maintaining or increasing range of motion (all waveforms except Microcurrent).

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

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of Center for Devices and Radiological Health (CDRH)

Joyce M. Whang -S

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