K Number
K140642
Device Name
PCD 737A
Manufacturer
Date Cleared
2014-06-10

(90 days)

Product Code
Regulation Number
870.5800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
PCD 737A is intended for use by medical professionals, and patients who are under medical supervision, in treating many conditions such as: - Primary lymphedema - Secondary lymphedema - Venous insufficiency - Venous stasis ulcers - Dysfunction of the muscle pump - Post mastectomy edema - Edema following trauma and sports issues - Post immobilization edema - Reducing wound healing time - Prevention of deep vein thrombosis (DVT) in patients who may be susceptible - Reduction of pain and swelling after injury and surgery - Enhancement of venous circulation - Prevention of venous stasis - Assistance in healing of cutaneous ulcers - Reduction of compartmental pressures The device is intended for hospital, home, and clinic use.
Device Description
Not Found
More Information

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Not Found

No
The provided text does not contain any mention of AI, ML, deep learning, or related concepts, nor does it describe functionalities typically associated with AI/ML in medical devices (e.g., image analysis, predictive modeling based on complex data).

Yes
The device is described as treating various medical conditions, indicating its therapeutic purpose.

No

The provided text states the device is intended for "treating many conditions" and "Assistance in healing of cutaneous ulcers," among other therapeutic uses, rather than for diagnosing conditions.

Unknown

The provided text only describes the intended use and user/care setting. It lacks a device description, which is crucial for determining if the device is software-only or includes hardware components.

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

Here's why:

  • Intended Use: The intended use describes the device as being used for treating various medical conditions related to circulation and edema. This involves direct interaction with the patient's body for therapeutic purposes.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. The provided description does not mention any testing of samples or diagnostic purposes.
  • Therapeutic Focus: The listed conditions and actions (treating, reducing, preventing, enhancing, assisting) are all therapeutic in nature, aiming to improve the patient's physical state.

Therefore, the PCD 737A appears to be a therapeutic medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

PCD 737A is intended for use by medical professionals, and patients who are under medical supervision, in treating many conditions such as:

  • · Primary lymphedema
  • · Secondary lymphedema
  • · Venous insufficiency
  • Venous stasis ulcers
  • · Dysfunction of the muscle pump
  • · Post mastectomy edema
  • · Edema following trauma and sports issues
  • · Post immobilization edema
  • · Reducing wound healing time
  • · Prevention of deep vein thrombosis (DVT) in patients who may be susceptible
  • · Reduction of pain and swelling after injury and surgery
  • Enhancement of venous circulation
  • Prevention of venous stasis
  • Assistance in healing of cutaneous ulcers
  • · Reduction of compartmental pressures

Product codes

JOW

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

medical professionals, and patients who are under medical supervision / hospital, home, and clinic use.

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

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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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.5800 Compressible limb sleeve.

(a)
Identification. A compressible limb sleeve is a device that is used to prevent pooling of blood in a limb by inflating periodically a sleeve around the limb.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines representing its body and wings. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular pattern around the eagle. The text is in all capital letters and is black.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drue Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MI) 20993-0002

June 10, 2014

Mego Afek AC Ltd. Aharon Cohen QA & RA Manager Kibbutz Afek Afek lsrael 30042 ﺭﺍ ﺍ

Re: K140642

Trade/Device Name: PCD 737A Regulation Number: 21 CFR 870.5800 Regulation Name: Compressible limb sleeve Regulatory Class: Class II Product Code: JOW Dated: March 5, 2014 Received: March 12, 2014

Dear Mr. Cohen:

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 mislcading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA `s issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical

1

Page 2 - Mr. Aharon Cohen

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 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" (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 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,

Bram D. Zuckerman -S

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

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

510{k} Number (if known) K 140642

Device Name PCD 737A

Indications for Use (Describe)

PCD 737A is intended for use by medical professionals, and patients who are under medical supervision, in treating many conditions such as:

  • · Primary lymphedema
  • · Secondary lymphedema
  • · Venous insufficiency
  • Venous stasis ulcers
  • · Dysfunction of the muscle pump
  • · Post mastectomy edema
  • · Edema following trauma and sports issues
  • · Post immobilization edema
  • · Reducing wound healing time
  • · Prevention of deep vein thrombosis (DVT) in patients who may be susceptible
  • · Reduction of pain and swelling after injury and surgery
  • Enhancement of venous circulation
  • Prevention of venous stasis
  • Assistance in healing of cutaneous ulcers
  • · Reduction of compartmental pressures

The device is intended for hospital, home, and clinic use.

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

[x] 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) (Signalure)

Bram D. Zuckerman -S 2014.06.10 16:49:52 -04'00'

FORM FDA 3881 (1/14)

3

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

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