K Number
K150720
Device Name
XP3000
Date Cleared
2015-09-16

(181 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The XP3000 RF device is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The XP3000 massage device is intended to provide a temporary reduction in the appearance of cellulite.
Device Description
The XP3000 is a state-of-the-art radiofrequency device with massage attachments that enables the application of therapy by a non-invasive, high-frequency field. The control unit of the system is fitted with a color touch screen, to facilitate use of the device. The on-screen information guides the operator through the entire therapy. For easier control, the handpieces are equipped with buttons, enabling operation of the device during therapy. Quality of the energy flow is indicated by the illuminated treatment tip. Contact quality monitoring system is present for monitoring of the contact quality under the patch electrode. An easy-to-read handpiece displays show the selected treatment parameters. Any therapeutic parameter can be set easily by simple use of the touch-screen buttons. During the entire therapy time the device informs you about the therapeutic method, the type of the therapy applied, the set power, and other necessary data. The XP3000 consists of the following main components: microprocessor-driven control unit, high-frequency electromagnetic energy generator, user interface with 8.4" color touch screen, handpiece XP (215/3), two massage attachments for the XP handpiece, large handpiece (215/1) with integrated massage part, large handpiece (215/1).
More Information

Not Found

No
The device description focuses on standard electronic and mechanical components, user interface, and basic control systems. There is no mention of AI, ML, or related concepts in the provided text.

Yes
The intended use statement explicitly states the device is "intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation," which are therapeutic effects.

No

The device description and intended use clearly state that the XP3000 RF device is for therapy (heating for pain relief, muscle spasms, circulation, and cellulite reduction) and provides information about the therapeutic method during treatment. It does not describe any function for diagnosing medical conditions.

No

The device description explicitly details hardware components such as a control unit, handpieces, massage attachments, and a high-frequency electromagnetic energy generator, indicating it is a physical device with integrated software, not a software-only device.

Based on the provided information, the XP3000 RF device is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is for providing heating to elevate tissue temperature for therapeutic purposes (pain relief, muscle spasms, circulation) and for temporary reduction in the appearance of cellulite. These are all in vivo applications, meaning they are performed on a living organism.
  • Device Description: The description details a radiofrequency device with massage attachments designed to apply energy to the body. There is no mention of analyzing biological samples (blood, urine, tissue, etc.) which is the core function of an IVD.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens.
    • Detecting or measuring substances in biological samples.
    • Providing information for diagnosis, monitoring, or screening based on biological sample analysis.

In summary, the XP3000 is a therapeutic device that applies energy to the body for treatment purposes, not a device that analyzes biological samples for diagnostic purposes.

N/A

Intended Use / Indications for Use

The XP3000 RF device is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The XP3000 massage device is intended to provide a temporary reduction in the appearance of cellulite.

Product codes

PBX

Device Description

The XP3000 is a state-of-the-art radiofrequency device with massage attachments that enables the application of therapy by a non-invasive, high-frequency field.
The control unit of the system is fitted with a color touch screen, to facilitate use of the device. The on-screen information guides the operator through the entire therapy. For easier control, the handpieces are equipped with buttons, enabling operation of the device during therapy. Quality of the energy flow is indicated by the illuminated treatment tip.
Contact quality monitoring system is present for monitoring of the contact quality under the patch electrode. An easy-to-read handpiece displays show the selected treatment parameters.
Any therapeutic parameter can be set easily by simple use of the touch-screen buttons. During the entire therapy time the device informs you about the therapeutic method, the type of the therapy applied, the set power, and other necessary data.
The XP3000 consists of the following main components:

  • microprocessor-driven control unit .
  • . high-frequency electromagnetic energy generator
  • . user interface with 8.4" color touch screen
  • . handpiece XP (215/3)
  • . two massage attachments for the XP handpiece
  • . large handpiece (215/1) with integrated massage part
  • . large handpiece (215/1)

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

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)

Clinical testing: The substantial equivalence determination for the XP3000 is based on clinical performance testing. The aim of the performance test was to prove that XP3000 device reaches the effective treatment temperature and maintain it for required time.

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

Not Found

Predicate Device(s)

Exilis XP (K143040)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

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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 stylized caduceus with three human profiles incorporated into the design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

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

September 16, 2015

BTL Industries Incorporated Ms. Jan Zarsky Executive Vice President 47 Loring Drive Framingham, Massachusetts 01702

Re: K150720

Trade/Device Name: XP3000 Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: PBX Dated: August 18, 2015 Received: August 20, 2015

Dear Mr. Zarsky:

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-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

1

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.

Sincerelv vours.

Joshua C. Nipper -S

Binita S. Ashar, M.D., M.B.A., F.A.C.S. For Director Division of Surgical 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)

K150720

Device Name XP3000

Indications for Use (Describe)

The XP3000 RF device is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The XP3000 massage device is intended to provide a temporary reduction in the appearance of cellulite.

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)

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Image /page/3/Picture/0 description: The image shows a logo for an organization with the letters BTL in it. The letters are inside of three diamond shapes that are connected to each other. The logo is blue.

Section 5 - 510(k) Summary

General Information

| Sponsor: | BTL Industries, Inc.
47 Loring Drive
Framingham, MA 01702
Tel: +1-866-285-1656
Fax: +1-888-499-2502 |
|-----------------|-----------------------------------------------------------------------------------------------------------------|
| Applicant: | BTL Industries, Inc.
47 Loring Drive
Framingham, MA 01702
Tel: +1-866-285-1656
Fax: +1-888-499-2502 |
| Contact Person: | Jan Zarsky
BTL Industries, Inc.
Executive VP |

zarsky@btlnet.com

Summary Preparation 12 February 2015 Date:

Device Names

Trade/Proprietary Name:XP3000
Primary Classification Name:Massager, Vacuum, Radio Frequency Induced Heat
Classification Regulation:878.4400
Product Code:PBX

Legally Marketed Predicate Devices

The XP3000 system is a state-of-the-art high-frequency energy device with accessories, and is substantially equivalent to the current product that is already cleared for USA distribution under the following 510(k) Premarket Notification number:

Product Description

The XP3000 is a state-of-the-art radiofrequency device with massage attachments that enables the application of therapy by a non-invasive, high-frequency field.

The control unit of the system is fitted with a color touch screen, to facilitate use of the device. The on-screen information guides the operator through the entire therapy. For

4

Image /page/4/Picture/0 description: The image shows a logo with the letters B, T, and V. The letters are arranged in a row, with each letter enclosed in a diamond shape. The diamonds are connected to each other, forming a chain-like pattern. The logo is blue in color and has a modern, geometric design.

easier control, the handpieces are equipped with buttons, enabling operation of the device during therapy. Quality of the energy flow is indicated by the illuminated treatment tip.

Contact quality monitoring system is present for monitoring of the contact quality under the patch electrode. An easy-to-read handpiece displays show the selected treatment parameters.

Any therapeutic parameter can be set easily by simple use of the touch-screen buttons. During the entire therapy time the device informs you about the therapeutic method, the type of the therapy applied, the set power, and other necessary data.

The XP3000 consists of the following main components:

  • microprocessor-driven control unit .
  • . high-frequency electromagnetic energy generator
  • . user interface with 8.4" color touch screen
  • . handpiece XP (215/3)
  • . two massage attachments for the XP handpiece
  • . large handpiece (215/1) with integrated massage part
  • . large handpiece (215/1)

Indications for Use

The XP3000 RF device is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The XP3000 massage device is intended to provide a temporary reduction in the appearance of cellulite.

Non-clinical Testing

The XP3000 device has been thoroughly evaluated for electrical safety. The XP3000 has been found to conform with applicable medical device safety standards. The system complies with the following standards:

ISO 14971 - Medical devices - Application of risk management to medical devices IEC 62304 - Medical Device Software - Software Life Cycle Processes

Medical Electrical Equipment

  • ISO 60601-1 General requirements for safety
  • ISO 60601-1-2 Electromagnetic compatibility-Requirements and Tests
  • ISO 60601-2-2 Particular requirements for the basic safety and essential performance of high frequency surgery equipment and high frequency surgical accessories
  • ISO 60601-1-6 Usability
  • Evaluation and testing within a risk management process ISO 10993-1
  • ISO 10993-5 Biological Evaluation of Medical Devices-Tests for In Vitro toxicity

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Image /page/5/Picture/0 description: The image shows a logo with three interconnected squares in blue. Inside the squares are the letters 'B', 'T', and 'L', respectively. Below the logo, the text 'ISO 1099' is displayed, indicating a reference to the ISO 1099 standard.

ISO 10993-10 Biological Evaluation of Medical Devices—Test for Irritation and Skin Sensitization

Clinical testing

The substantial equivalence determination for the XP3000 is based on clinical performance testing. The aim of the performance test was to prove that XP3000 device reaches the effective treatment temperature and maintain it for required time.

Comparison with the Predicate Device
----------------------------------------
Device NameXP3000Exilis XP
ManufacturerBTL Industries, Inc.BTL Industries, Inc.
510(k) NumberCurrent SubmissionK143040
Product CodeGeneral & Plastic Surgery
21 CFR 878.4400General & Plastic Surgery
21 CFR 878.4400
Regulation· PBX, Massager, Vacuum, Radio
Frequency Induced Heat· PBX, Massager, Vacuum, Radio
Frequency Induced Heat
Indications for
UseThe XP3000 RF device is
intended to provide heating for the
purpose of elevating tissue
temperature for selected medical
conditions such as temporary
relief of pain, muscle spasms, and
increase in local circulation. The
XP3000 massage device is
intended to provide a temporary
reduction in the appearance of
cellulite.The Exilis XP RF device is
intended to provide heating for the
purpose of elevating tissue
temperature for selected medical
conditions such as temporary relief
of pain, muscle spasms, and
increase in local circulation. The
Exilis XP massage device is
intended to provide a temporary
reduction in the appearance of
cellulite.
Device
TechnologiesApplication of the heat to the
tissue via RF energy. Massaging
of body parts with massage
attachment.Application of the heat to the
tissue via RF energy. Massaging
of body parts with massage
attachment.
Electrical
ProtectionClass II, BFClass II, BF
Color Touch
Screen8.4" (215mm)/640×480 pixel8.4" (215mm)/640×480 pixel
RF Tip
Diameter XP
Handpiece
(215/3)18mm18mm
RF Tip
Diameter
Large21.4mmN/A
Device NameXP3000Exilis XP
ManufacturerBTL Industries, Inc.BTL Industries, Inc.
510(k) NumberCurrent SubmissionK143040
Handpiece
with Integrated
Massage Part
(215/1)
RF Tip21.4mmN/A
Diameter
Large
Handpiece
without
Integrated
Massage Part
(215/1)
MaximumHandpiece 215/3 - 120WHandpiece 215/3 - 120W
OutputHandpiece 215/1 - 170WHandpiece 215/1 - N/A
Power
Energy0.473 W/mm²0.472 W/mm²
Density
Effective40 - 45 °C40 - 45 °C
Treatment
Temperature
LargeYESN/A
Handpiece
(215/1) Cooling
Modes ofMonopolarMonopolar
Operation
Output3.25MHz ± 50kHz3.25MHz ± 50kHz
Frequency
MassageGrey Plastic materialGrey Plastic material
Attachment
Material
MassageDiameter 80 mm,Diameter 80 mm,
Attachment 1Massage ball diameter 19mm,Massage ball diameter 19mm,
(XPMassage ball number: 5Massage ball number: 5
Handpiece)
MassageDiameter 52mm,Diameter 52mm,
Attachment 2Massage ball diameter 12mmMassage ball diameter 12mm
(XPMassage ball number: 5Massage ball number: 5
Handpiece)
Massage PartDiameter 80mm,N/A
(LargeMassage ball diameter 19mm,
Handpiece)Massage ball number: 5
Device NameXP3000Exilis XP
ManufacturerBTL Industries, Inc.BTL Industries, Inc.
510(k) Number Current SubmissionK143040
Energy Source 100 - 240 VAC, max 4A, 50-60 Hz 110 - 240 V, max 4A, 50-60 Hz
Dimensions
(W x H x D)600 × 1000 × 600mm
(24" × 39" × 24")406 × 270 × 302mm
(15.98" × 10.63" × 11.87")
Weight66 lb (30 kg)16 lb (7.3 kg)

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Image /page/6/Picture/0 description: The image shows a blue logo with the letters B, T, and L. Each letter is inside of a diamond shape. The diamonds are connected to each other, creating a chain-like effect. The logo is simple and modern.

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Image /page/7/Picture/0 description: The image shows a logo with the letters B, T, and L. The letters are in a stylized font and are arranged in a row. Each letter is enclosed in a diamond shape. The logo is blue and the background is white.

Substantial Equivalence

Based upon the intended use and technical information provided in this pre-market notification, the XP3000 device has been shown to be substantially equivalent to currently marketed predicate device.

Conclusion

Based on the aforementioned information, the XP3000 is safe and effective and substantially equivalent to the identified predicate device.