K Number
K141978
Device Name
MAXPOWER RELIEF
Date Cleared
2014-12-03

(135 days)

Product Code
Regulation Number
882.5890
Panel
NE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This device is intended for the relief of pain associated with sore or aching muscles of the lower back, arms, legs, shoulder or foot due to strain from exercise or normal household and work activities.

Device Description

The Maxpower relief (Model PM3032) is a small, battery operated TENS device for pain relief intended for OTC use. The device complies with AAMI ANSI ES60601-1, IEC 60601-1-2 and IEC 60601-2-10. The output modes are intended for application to the following areas: lower back, arms, legs, shoulder or foot. Software controls all controls and indicators. Software controls waveform characteristics. The accessories include an electrode cord / cable and electrodes pads (Long Life) which are placed on the specific body part. As above the device is battery powered there is no connection to AC mains supply nor connection to any other device.

AI/ML Overview

The provided text is a 510(k) summary for the Omron Maxpower relief (PM3032), a Transcutaneous Electrical Nerve Stimulator (TENS) for pain relief. It describes the device and compares it to predicate devices to establish substantial equivalence, rather than detailing a specific study to prove acceptance criteria for a novel device. Therefore, much of the requested information regarding acceptance criteria, study design, sample sizes, expert involvement, and ground truth establishment is not directly present as it would be for a clinical trial demonstrating the efficacy or performance of a new device against predefined metrics.

However, based on the provided document, here's what can be extracted and inferred:

1. A table of acceptance criteria and the reported device performance

The document establishes "substantial equivalence" as the primary acceptance criterion, specifically, that the Maxpower relief (PM3032) is substantially equivalent to predicate devices (K110068 - Omron PM3030 and K121757 - Healthmate International Pro-8AB).

Acceptance Criteria (Substantial Equivalence)Reported Device Performance (Maxpower relief (PM3032) vs. Predicates)
Indications for Use: Relief of pain associated with sore or aching muscles of the lower back, arms, legs, shoulder or foot due to strain from exercise or normal household and work activities.Substantially equivalent / Virtually identical to both predicate devices (PM3030: lower back, arms, or legs; Pro-8AB: shoulder, waist, back, neck, upper/lower extremities).
Prescriptive Status: Over-The-Counter Use (OTC)Identical (all devices are OTC).
Design and Technology: Equivalent design and features, identical technology to PM3030.Equivalent design and features when compared to predicates; identical technology to PM3030.
Performance and Specifications: Equivalent specifications of performance.Equivalent specifications of performance when compared to the predicates (Tables 5.1, 5.2, and Output Specifications show detailed electrical parameter comparisons).
Compliance with Standards: AAMI ANSI ES6060-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60601-2-10.Complies with AAMI ANSI ES60601-1, IEC 60601-1-2, IEC 60601-1-11, and IEC 60601-2-10. Predicates comply with similar, though sometimes older, versions of these standards.
Patient Contacting Materials (Biocompatibility): Long Life Pads must be compatible.Long Life Pads data presented in K120516 (Irritation, delayed-type hypersensitivity, Cytotoxicity tests per ISO 10993-10 and ISO 10993-5).
Patient Population: AdultsIdentical (adults).
Environment of Use: Clinics, hospital and home environments.Identical to predicate K110068.
Non-Clinical Testing: Testing of all controls, indicators, battery state indicators, waveforms, and compliance with specified electrical and environmental standards (drop, vibration, temperature, humidity).Performed and met requirements (specific results not detailed in this summary, but statement confirms testing was done).
Usability Testing: Performed.Performed (results not detailed).

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This information is not applicable in the context of this 510(k) summary, as it describes a substantial equivalence submission based on non-clinical engineering and performance comparisons, not a clinical study on a human "test set." The "test set" here refers to the device itself being tested for its electrical and physical characteristics against established engineering standards and comparison with predicate devices.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not applicable. Ground truth, in the context of clinical expert consensus, is not relevant here as no clinical study with human data requiring expert interpretation was performed or referenced for performance. The "ground truth" for the non-clinical tests would be the specifications derived from the predicate devices and the requirements of the standards themselves, established by engineering and regulatory experts, but not individually enumerated here.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not applicable. No clinical adjudication process was described or required for this type of submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

This information is not applicable. The device is a Transcutaneous Electrical Nerve Stimulator (TENS), not an AI-powered diagnostic or assistive tool for human readers. No MRMC study was performed.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

This information is not applicable. The device is a TENS unit, not an algorithm. Performance evaluation was based on its physical and electrical characteristics as a standalone medical device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" in this context is established by:

  • Engineering specifications of the predicate devices.
  • Regulatory requirements and consensus standards (e.g., IEC 60601 series, ISO 10993 series), which represent a form of expert consensus in their development.
  • Previous FDA clearances (510(k) numbers K110068 and K121757) for the predicate devices, which serve as a benchmark for what is already considered safe and effective.

8. The sample size for the training set

This information is not applicable. There is no "training set" in the machine learning sense for this device. The device's design and manufacturing are based on established engineering principles and prior device models, not on a data-driven training process.

9. How the ground truth for the training set was established

This information is not applicable as there is no training set for this device.

§ 882.5890 Transcutaneous electrical nerve stimulator for pain relief.

(a)
Identification. A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to electrodes on a patient's skin to treat pain.(b)
Classification. Class II (performance standards).