K Number
K141893
Device Name
VIBRANCE KEGEL DEVICE (VKD)
Date Cleared
2014-12-18

(157 days)

Product Code
Regulation Number
884.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Vibrance Kegel Device (VKD) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.
Device Description
The Vibrance Kegel Device (VKD700) is an intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance Kegel Device incorporates an active vibration biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle. The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle. The device consists of a Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly, and is battery powered by two independent 3V CR 1220 Lithium Batteries operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance Kegel Device shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.
More Information

Not Found

No
The description focuses on mechanical resistance, vibration biofeedback based on direct force sensing, and audio guidance, with no mention of AI or ML algorithms for data analysis, pattern recognition, or adaptive feedback.

Yes
The device is intended for strengthening pelvic floor muscles to help with urinary incontinence, which is a therapeutic purpose. The description explicitly states that "The therapeutic effect is from the user using the device to exercise the pelvic floor muscles."

No.
The device description states its purpose is for strengthening pelvic floor muscles and providing biofeedback to verify correct muscle usage and effectiveness of exercises, not to diagnose a condition. Its output is biofeedback for exercise, not diagnostic information.

No

The device description explicitly states it is an "intra-vaginal exercise device" and details physical components like a "Main Body," "Resistance Sheaths," a "PCB assembly," and batteries. It also describes mechanical testing and biocompatibility testing related to these physical components.

Based on the provided information, the Vibrance Kegel Device (VKD) is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • VKD Function: The VKD is an intra-vaginal exercise device intended to strengthen pelvic floor muscles. It works by providing resistance and biofeedback based on the user's muscle contractions. It does not analyze any bodily fluids or tissues.
  • Intended Use: The intended use is for strengthening muscles to help with urinary incontinence, not for diagnosing a condition based on laboratory analysis.
  • Device Description: The description focuses on mechanical components, biofeedback mechanisms, and resistance levels, all related to physical exercise and muscle strengthening.
  • Performance Studies: The performance studies described (mechanical testing, biocompatibility, electromagnetic compatibility, risk analysis) are typical for a physical medical device, not an IVD. There are no studies related to analyzing biological samples or diagnostic accuracy metrics like sensitivity or specificity.

Therefore, the Vibrance Kegel Device falls under the category of a physical medical device used for therapeutic exercise and muscle strengthening, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Vibrance Kegel Device (VKD) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

Product codes

HIR

Device Description

The Vibrance Kegel Device (VKD700) is an intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance Kegel Device incorporates an active vibration biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle.

The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle.

The device consists of a Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly, and is battery powered by two independent 3V CR 1220 Lithium Batteries operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance Kegel Device shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.

Main Body
The chassis of the device consists of an Acrylonitrile Butadiene Styrene (ABS) plastic frame with the biofeedback mechanism. It is incorporated within a tubular sheath made of medical grade silicone rubber which encloses the whole chassis. This main body and resistance sheath are the parts of the device that directly contact the user's intra-vaginal cavity. The base of the tubular sheath and chassis are winged to prevent total ingestion of the device into the vaginal canal.

Resistance Sheath
Three Resistance Sheaths, each with varying levels of stiffness are included with the Vibrance Kegel Device. When a Resistance Sheath is placed over the Main Body, the challenge of the exercise is increased.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Vagina

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

Non-Clinical Performance Data: Mechanical Testing, Biocompatibility (In Vitro Cytotoxicity, Skin Sensitization, Irritation/Vaginal Irritation Study), Electromagnetic Compatibility (IEC 60601-1 and IEC 60601-1-11), Risk Analysis (ISO 14971). No clinical testing was required.

Key Metrics

Not Found

Predicate Device(s)

K002830

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.1425 Perineometer.

(a)
Identification. A perineometer is a device consisting of a fluid-filled sack for intravaginal use that is attached to an external manometer. The devices measure the strength of the perineal muscles by offering resistence to a patient's voluntary contractions of these muscles and is used to diagnose and to correct, through exercise, uninary incontinence or sexual dysfunction.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure or a caduceus, rendered in black.

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

December 18, 2014

Bioinflnity (M) Sdn, Bhd., LLC. % Carrie Hetrick Senior Consultant, RA Emergo Group 816 Congress Avenue, Suite 1400 Austin, TX 78701

Re: K141893

Trade/Device Name: Vibrance Kegel Device (VKD) Regulation Number: 21 CFR 884.1425 Regulation Name: Perineometer Regulatory Class: II Product Code: HIR Dated: November 16, 2014 Received: November 21, 2014

Dear Carrie Hetrick,

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 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

1

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" (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,

Herbert P. Lerner -S

for

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological 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) K141893

Device Name

Vibrance Kegel Device (VKD)

Indications for Use (Describe)

The Vibrance Kegel Device (VKD) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

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

] Prescription Use (Part 21 CFR 801 Subpart D)

X 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)

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510(k) Summary

for

Vibrance Kegel Device (VKD)

1. Submission Submitter

Bioinfinity (M) Sdn. Bhd. No. 21, Jalan 4/62A, Bandar Menjalara, Kepong 52200 Kuala Lumpur Malaysia Phone: +603-6270236 Fax: +603-62720093 Contact: Mr. Ng Shea Kang, Market Development Director

2. Submission Correspondent

Emergo Group 816 Congress Avenue, Suite 1400 Austin, TX 78701 Cell Phone: (720) 838-4113 Office Phone: (512) 327.9997 Fax: (512) 327.9998 Contact: Carrie Hetrick, Senior Consultant, RA Email: project.management@emergogroup.com

3. Date Prepared

December 18, 2014

4. Device Identification

Trade/Proprietary Name:Vibrance Kegel Device (VKD
Common/Usual Name:Perineometer
Classification Name:Perineometer
Classification Regulation:21 CFR § 884.1425
Product Code:HIR
Device Class:Class II
Classification Panel:Obstetrics/Gynecology

5. Legally Marketed Predicate Device

Colonial Medical Supply Pelvic Muscle Therapy 510(k) Number K002830

6. Device Description

The Vibrance Kegel Device (VKD700) is an intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance Kegel Device incorporates an active vibration

5

biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle.

The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle.

The device consists of a Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly, and is battery powered by two independent 3V CR 1220 Lithium Batteries operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance Kegel Device shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.

Main Body

The chassis of the device consists of an Acrylonitrile Butadiene Styrene (ABS) plastic frame with the biofeedback mechanism. It is incorporated within a tubular sheath made of medical grade silicone rubber which encloses the whole chassis. This main body and resistance sheath are the parts of the device that directly contact the user's intra-vaginal cavity. The base of the tubular sheath and chassis are winged to prevent total ingestion of the device into the vaginal canal.

Resistance Sheath

Three Resistance Sheaths, each with varying levels of stiffness are included with the Vibrance Kegel Device. When a Resistance Sheath is placed over the Main Body, the challenge of the exercise is increased.

7. Indication for Use Statement

The Vibrance Kegel Device (VKD) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

8. Substantial Equivalence Discussion

The following table compares the Vibrance Kegel Device to the predicate device with respect to intended use, technological characteristics and principles of operation, providing more detailed information regarding the basis for the determination of substantial equivalence.

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ManufacturerBioinfinity (M) Sdn. Bhd.Colonial Medical Supply
Trade NameVibrance Kegel DevicePelvic Muscle Therapy (PMTx)
Image: Vibrance Kegel DeviceImage: Pelvic Muscle Therapy (PMTx)
510(k) NumberK141893K002830
Product CodeHIRHIR
Regulation Number21 CFR § 884.142521 CFR § 884.1425
Regulation NamePerineometerPerineometer
Indications for UseThe Vibrance Kegel Device (VKR) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.Pelvic muscle trainer assists the user to perform Kegel exercises, by offering resistance, which may help in the treatment of urinary incontinence.
Over the Counter (OTC)YesYes
Anatomical SitesVaginaVagina
FeatureResistive vaginal exerciserResistive vaginal exerciser
Target PopulationWomen with mild incontinenceWomen with mild incontinence
Anatomical SiteVaginaVagina
Single Patient DeviceYesYes
Single Use or ReusableReusableReusable
Provided SterileClean, but not sterileClean, but not sterile
Biofeedback display informationNoNumerical response to muscle contraction strength
Device DesignHandheld device consisting of a Main Body and three gradual Resistance SheathsHandheld pneumatically based device with vaginal silicone sensor
MaterialMain Body: ABS Plastic, PCB Assembly, two low electrical energy coin cell batteries (CR1220)
Sheaths: Medical grade silicone (polydimethysiloxane)Vaginal Probe: Medical grade silicone (polydimethysiloxane)
Tubing: Medical grade silicone (polydimethysiloxane)
Monitor: Not known
RoHs CompliantYesNot applicable
Operating PrincipleResistive pelvic floor strengthenerResistive pelvic floor strengthener
Resistance ComponentThe Vibrance Kegel Device
Electromechanical spring contact offers 3 levels of resistance sheaths with increasing stiffnessBalloon silicone sensor
BiocompatibilityGuidelines set forth in ISO 10993 testing results indicate the material is biocompatible, nontoxic, and well tolerated by mucosal membranes.Guidelines set forth in ISO 10993 testing results indicate the material is biocompatible, nontoxic, and well tolerated by mucosal membranes.
Chemical SafetyAddressed by biocompatibility testing per ISO 10993Addressed by biocompatibility testing per ISO 10993
Instructions for UseManualManual
Energy Use and/orEnergy is supplied by two independentNone - pneumatic device provides an
ManufacturerBioinfinity (M) Sdn. Bhd.Colonial Medical Supply
Trade NameVibrance Kegel DevicePelvic Muscle Therapy (PMTx)
Deliveredreplaceable 3.0 Volt CR-1220 lithium
/manganese dioxide (Li/MnO2) Button
Cell batteriesair pressure reading that measures the
strength of the pelvic floor muscle
contractions
PackagingDevice in sealed plastic bag and
manual in cardboard boxDevice in sealed plastic bag and
manual in cardboard box
Dimensions6 cm x 2 cm7.5 cm x 3 cm

Table 5A – Comparison of Characteristics

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9. Non-Clinical Performance Data

The following testing has been performed to support substantial equivalence:

Mechanical Testing – Compression testing was conducted on the Vibrance Kegel Device to measure the forces required to vibrate the sensor for each of the three levels of resistance sheath. A pull off test was also conducted to evaluate how much force is needed for the sheath to be removed from the main body when the device is in use, but is adequate for removal of a sheath after use. A correlation measurement test was then conducted to evaluate the test results of the compression test. The mechanical testing concluded that the different components of the device would function properly and safely when exposed to loads and configurations representative of normal use.

Biocompatibility - The biological safety of the Vibrance Kegel Device was evaluated in accordance with ISO 10993-1:2009 and guidance document entitled Blue Book Memo, G95-1, Use of International Standard ISO-10993, and Biological Evaluation of Medical Devices: Part 1: Evaluation and Testing. Under these, for the stated indications for use, each component of the device's biological safety was evaluated for in vitro cytotoxicity, skin sensitization, and vaginal irritation.

  • In Vitro Cytotoxicity test was performed according to ISO 10993-12 and ISO 10993-5, with the results suggesting that the test articles did not induce a cytotoxic effect.
  • Skin Sensitization (Maximization Test) was performed according to ISO 10993-10, with the results suggesting that the device extracts did not produce skin sensitization in guinea pigs.
  • Irritation (Vaginal Irritation Study) was performed on New Zealand White Rabbits according to ISO 10993-10, with the results showing that there were no significant clinical signs and gross findings in either the control or test group, and there were no mortalities.

Electromagnetic Compatibility - The Vibrance Kegel Device complies with the applicable voluntary standards which include IEC 60601-1 and IEC 60601-1-11. The Vibrance Kegel Device complies with these voluntary standards including IEC 60601-1-11 for Electrical Safety and for systems used in the home healthcare environment.

Risk Analysis - Formal Risk Assessment of the Vibrance Kegel Device was performed in accordance with ISO 14971. With respect to perceivable conditions in which the device would be subjected to a worst-case environmental or human error scenario, Bioinfinity believes the outcomes of these risks are considered acceptable within the context of ISO 14971, and that all potential risks have been mitigated to the lowest form.

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Performance Testing Summary

As part of demonstrating safety and effectiveness of Vibrance Kegel Device and in showing substantial equivalence to the predicate devices that are subject to this 510(k) submission, Bioinfinity (M) Sdn. Bhd. completed a number of tests. The Vibrance Kegel Device meets all the requirements for overall design, biocompatibility, and electrical safety testing performance confirms that the output meets the design inputs and specifications. The Vibrance Kegel Device passed all testing stated above as shown by the acceptable results obtained.

The Vibrance Kegel Device complies with the applicable voluntary standards for biocompatibility. The device passed all the testing in accordance with national and international standards.

10. Clinical Performance Data

There was no clinical testing required to support the medical device as the indications for use is equivalent to the predicate device. These types of devices, including the predicate devices, have been on the market for many years with a proven safety and efficacy for the use of the device. The non-clinical testing detailed in this submission supports the substantial equivalence of the device.

11. Statement of Substantial Equivalence

By definition, a device is substantially equivalent to a predicate device when the device has the same intended use and the same technological characteristics as the previously cleared predicate device; or the device has the same intended use and different technological characteristics that can be demonstrated as substantially equivalent to the predicate device, and that the new device does not raise different questions regarding its safety and effectiveness as compared to the predicate device.

It has been shown in this 510(k) submission that the differences between the Vibrance Kegel Device and the predicate device do not raise any questions regarding its safety and effectiveness. The Bioinfinity (M) Sdn. Bhd. Vibrance Kegel Device, as designed and manufactured, is determined to be substantially equivalent to the referenced predicate device.