K Number
K140592
Device Name
CERAGEM AUTOMATIC THERMAL MASSAGER
Date Cleared
2014-12-17

(285 days)

Product Code
Regulation Number
890.5880
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the Ceragem® Thermal Massager Model CGM-MB-1101 Automatic Thermal Massager is to provide muscle relaxation therapy by delivering heat and soothing massage. Additionally, the product provides topical radiant infrared heat for: - Temporary relief of minor muscle and joint pain stiffness - Temporary relief of minor joint pain associated with arthritis - Temporary increase in local circulation where applied - Relaxation of muscles
Device Description
This device is comprised of the main body and optional components. The main body components are the main mat which includes the internal projector and the up/down movement motor, and the lower mat. The optional components are the external projectors (3-sphere). This device is an electrically powered, motorized, multi-functional physical therapy table intended to use for temporary relief of muscle and joint pain and stiffness by applying massage pressure from the vertical and horizontal movements, and heat from the internal and external projectors.
More Information

No
The summary describes a thermal massager with mechanical movement and heat, with no mention of AI or ML capabilities.

Yes
The device description and intended use clearly state that it is for "muscle relaxation therapy" and "temporary relief of minor muscle and joint pain stiffness," which are therapeutic benefits.

No

The device is described as a "Thermal Massager" intended for muscle relaxation, pain relief, and increased circulation through heat and massage. There is no mention of it being used to diagnose conditions or capture physiological data for diagnostic purposes.

No

The device description clearly states it is comprised of a main body with internal projectors and a motor, and a lower mat, along with optional external projectors. These are physical hardware components, not software.

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

Here's why:

  • Intended Use: The intended use clearly describes a physical therapy device that provides muscle relaxation, heat, and massage for pain relief and circulation. This is a therapeutic function, not a diagnostic one.
  • Device Description: The description details a physical therapy table with mechanical and thermal components. There is no mention of analyzing biological samples (blood, urine, tissue, etc.) which is the core function of an IVD.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples.
    • Providing diagnostic information about a disease or condition.
    • Using reagents or assays.
    • Measuring biomarkers.

In summary, the Ceragem® Thermal Massager Model CGM-MB-1101 is a physical therapy device intended for therapeutic purposes, not for diagnosing conditions based on in vitro analysis of biological samples.

N/A

Intended Use / Indications for Use

The intended use of the Ceragem® Thermal Massager Model CGM-MB-1101 Automatic Thermal Massager is to provide muscle relaxation therapy by delivering heat and soothing massage. Additionally, the product provides topical radiant infrared heat for:

  • Temporary relief of minor muscle and joint pain stiffness
  • Temporary relief of minor joint pain associated with arthritis
  • Temporary increase in local circulation where applied
  • Relaxation of muscles

Product codes

JFB

Device Description

This device is comprised of the main body and optional components. The main body components are the main mat which includes the internal projector and the up/down movement motor, and the lower mat. The optional components are the external projectors (3-sphere). This device is an electrically powered, motorized, multi-functional physical therapy table intended to use for temporary relief of muscle and joint pain and stiffness by applying massage pressure from the vertical and horizontal movements, and heat from the internal and external projectors.

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

Adult

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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

Not Found

Predicate Device(s)

K040031

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.5880 Multi-function physical therapy table.

(a)
Identification. A multi-function physical therapy table is a device intended for medical purposes that consists of a motorized table equipped to provide patients with heat, traction, and muscle relaxation therapy.(b)
Classification. Class II (performance standards).

0

Public Health Service

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

December 17, 2014

Ceragem International, Inc. % E.J. Smith Consultant Smith Associates 1468 Harwell Avenue Crofton, Maryland 21114

Re: K140592

Trade/Device Name: Ceragem Automatic Thermal Massager, Model CGM-MB-1101 Regulation Number: 21 CFR 890.5880 Regulation Name: Multi-Function Physical Therapy Table Regulatory Class: Class II Product Code: JFB Dated: November 17, 2014 Received: November 17, 2014

Dear E.J. Smith,

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

1

Page 2 - E.J. Smith

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 of medical devicerelated 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 Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,

Felipe Aquel -S

for

Carlos L. Peña. PhD. MS 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) K140592

Device Name

Ceragem Automatic Thermal Massager, Model CGM-MB-1101

Indications for Use (Describe)

The intended use of the Ceragem® Thermal Massager Model CGM-MB-1101 Automatic Thermal Massager is to provide muscle relaxation therapy by delivering heat and soothing massage. Additionally, the product provides topical radiant infrared heat for:

  • Temporary relief of minor muscle and joint pain stiffness
  • Temporary relief of minor joint pain associated with arthritis
  • Temporary increase in local circulation where applied
  • Relaxation of muscles

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)

3

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

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

807.92(c)

510(k) Summary

Sponsor:Ceragem International, Inc. 807.92(a)(1)
Address:3699 Wilshire Blvd., 930
Los Angeles, CA 90010
Contact Person:Raymond Chung
Phone:213-480-7070
Fax:213-341-2338
Summary Prepared:November 11, 2014
Device Name:807.92(a)(2
Trade Name:Ceragem Automatic Thermal Massager
Model CGM-MB-1101
Common/Usual Name:Massage Table
Classification Name:Table, Physical Therapy, Multi-Function
Establishment Registration Number:2087361
Product Code:JFB
Device Classification:Class II
Regulation Number:21 CFR 890.5880
ManufacturerBrand Name510(k) Number
Ceragem International, Inc.CERAGEM-C Thermal MassagerK040031

Device Description

This device is comprised of the main body and optional components. The main body components are the main mat which includes the internal projector and the up/down movement motor, and the lower mat. The optional components are the external projectors (3-sphere). This device is an electrically powered, motorized, multi-functional physical therapy table intended to use for temporary relief of muscle and joint pain and stiffness by applying massage pressure from the vertical and horizontal movements, and heat from the internal and external projectors.

Indications for Use

The intended use of the Ceragem® Thermal Massager Model CGM-MB-1101 Automatic Thermal Massager is to provide muscle relaxation therapy by delivering heat and soothing massage. Additionally, the product provides topical radiant infrared heat for:

  • Temporary relief of minor muscle and joint pain stiffness -
  • । Temporary relief of minor joint pain associated with arthritis
  • -Temporary increase in local circulation where applied
  • -Relaxation of muscles

807.92(a)(4)

807.92(a)(5)

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12.3 Predicate Product Comparison Chart

807.92(a)(6)

Predicate DeviceSubject Device
Device Brand Name andManufacturerCERAGEM-C Thermal Massager
Ceragem International, Inc.CGM MB-1101
Automatic Thermal Massager
Ceragem International, Inc.
510(k) NumberK040031
Rated VoltageAC 120V 60Hz100-127Vac 50/60Hz
Operation PowerMaximum 280 Watts360 VA
240 Watts]
Home UseYesYes
StyleFlood Model (Massage Bed)Flood Model (Massage Bed)
Remote ControlYesYes
Operation MethodAuto / ManualAuto / Manual
Emission SourceJade ProjectorsJade Projectors
Infrared Emission SpectrumJade: 5 ~ 20
Epoxy Carbon Panel: 5 ~ 20Jade: 5 ~ 20
Epoxy Carbon Panel: 5 ~ 20
Heating LampVoltage12V24Vdc
Power10W15W
Operating Temperature Range30°C - 60°C (86°F - 140°F)1. Internal : 30°C – 65°C
(86°F - 149°F)
  1. External, main, Auxiliary :
    30°C - 60°C (86°F – 140°F) |
    | Extra Overheating Protection | | Yes | Yes |
    | Moving Device | | Geared DC Motor | Geared DC Motor |
    | Limit Detector | | Limit Switch | Limit Switch |
    | Temperature Sensor | | Temperature Coefficient
    Variable Resistor | Thermistor |
    | Control Method | | Microchip's Microcontroller | Microchip's Microcontroller |
    | Tugging Method | | Wire-Chain | Wire-Chain |
    | Material | Support Frame | Steel | Steel, ABS |
    | | Massager | Vinyl | Polyester, Cotton, Rayon, Poly
    urethane |
    | | Cover | | |
    | | Cover Sheet | Cotton | Oxford |
    | | Rails | Ergonomically Molded
    Polyethylene | Ergonomically Molded
    Polyethylene |
    | Internal Projector | | Ergonomic Tilting Jade Rollers | Ergonomic Tilting Jade Rollers |
    | Jade Heads | Internal
    Projector | 1 Jade Ball in the Middle 4 Jade
    Rollers (Total of 5) | 1 Jade Ball in the Middle 4 Jade
    Rollers (Total of 5) |
    | | External
    Projectors | Three (3) Jade Heads Projector
    Nine (9) Jade Heads Projector | Three (3) Jade Heads Projector
    Nine (9) Jade Heads Projector |
    | | | | |
    | Mat Dimensions | | 1920mm x 550mm x 130mm
    76 in x 22 in x 5 in
    (L x W x H) | 1. When spread out
    : 700mm×2016mm×450mm(±5mm)
  2. When folded
    :700mm×1258mm×450mm(±5mm) |
    | Weight | | Approximately 38 Kg (84 lb.) | Main body: 23kg(±2kg) |
    | | | Sliding support: 14kg(±2kg)
    Frame: 16kg(±2kg) | |
    | Patient Population | Adult | Adult | |

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12.4 Differences Table

Predicate DeviceSubject DeviceDifference
Rated VoltageAC 120V 60Hz100-127Vac 50/60HzChanged SMPS
(switched-mode
power supply)
Operation PowerMaximum 280 Watts360 VA
[240 Watts]Changed SMPS
(switched-mode
power supply)
Heating LampVoltage12V24VdcChanged the heating
element
Power10W15W
Operating Temperature Range30°C – 60°C (86°F –
140°F)1. Internal : 30°C−65°C
(86°F - 149°F)
  1. External, main,
    Auxiliary :
    30°C – 60°C (86°F – 140°F) | Changed internal
    temperature range |
    | Temperature Sensor | | Temperature Coefficient
    Variable Resistor | Thermistor | No changes |
    | Material | Support Frame | Steel | Steel, ABS | Added new
    components |
    | | Massager
    Cover | Vinyl | Polyester, Cotton, Rayon,
    Poly urethane | Changed components |
    | | Cover Sheet | Cotton | Oxford | Changed components |
    | | Rails | Ergonomically Molded
    Polyethylene | Ergonomically Molded
    Polyethylene | |
    | Mat Dimensions | | 1920mm x 550mm x
    130mm
    76 in x 22 in x 5 in
    (L x W x H) | 1. When spread out
    : 700mm×2016mm×450mm
    (±5mm)
  2. When folded
    : 700mm×1258mm×450mm | New design (Sliding
    in/out structure) |
    | | | (±5mm) | | |
    | Static Weight | 300 | 298 pounds | Substantially
    Equivalent | |
    | Maximum Permissible Weight | 300 | 298 pounds | Substantially
    Equivalent | |
    | Weight | Approximately 38 Kg
    (84 lb.) | Main body: 23kg(±2kg)
    Sliding support:
    14kg(±2kg)
    Frame: 16kg(±2kg) | Changed design | |

7

12.4 Discussion of Technological Characteristics

807.92(b)(1)

Both CGM MB-1101 and the predicate device use massage rollers and heat to provide muscle relaxation therapy. The CGM MB-1101 emits topical radiant infrared heat in the range of 5-20 microns from the jade massage rollers, heated by lamps located inside the rollers. The predicate device also emits topical heat through lamps located in the jade massage rollers in the range of 5-20 microns. Both the CGM MB-1101 device and the predicate provide the massage component by attaching the jade rollers to a carriage mounted under a padded cushion that traverses the torso. The CGM MB-1101 device also transmits heat through the two Epoxy Carbon Panels and an infrared-rays heating element. While the predicate device does not include Epoxy Carbon Panels, the maximal heat of the CGM MB-1101 remains lower than that of the predicate. Additionally, both CGM MB-1101 and the predicate device have been tested to and meet the following standards:

    1. UL 60601-1, 1st Edition, 2006-04-26 (include National Differences for USA)
  • CAN/CSA-C22.2 No. 601.1-M90 (R2005) (includes National Differences for Canada) 2.
    1. IEC 60601-1:2005 + CORR.1 (2006) + CORR.2 (2007)
    1. EN 60601-1:2006 + CORR: 2010 (Medical electrical equipment Part 1: General requirements for basic safety and essential performance)
    1. IEC 60601-1-2: 2007 Medical Electrical Equipment Part 1-2: General Requirements for Electromagnetic Compatibility
  • IEC 62304 Medical device Software Software Life Cycle Processes 6.
    1. ISO 10993-10 Biological Evaluation of medical Devices Part 10: Tests for Irritation and Skin Sensitization
    1. ISO 14971 Medical Devices Application of Risk Management to Medical Devices

12.5 Conclusions

807.92(b)(3)

Based on comparison of the CGM Mb-1101 to the predicate device, we conclude that the CGM MB-1101 has the same intended use, indications for use, and intended population, and similar

8

functional and performance characteristics. The addition of the two Epoxy panels and one infrared-rays heating element does not raise new safety or effectiveness issues since the temperature never exceeds the maximal temperature of the predicate device. Other visual distinctions do not impact safety or effectiveness.