K Number
K151035
Device Name
PulseRelief
Date Cleared
2015-07-21

(95 days)

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

The OTC TENS/EMS stimulator PulseRelief is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities(arm) and lower extremities (leg) due to strain from exercise or normal household work activities. It should be applied to normal, healthy, dry and clean skin of adult patients, and is to be used for stimulate healthy muscles in order to improve and facilitate muscle performance.

Device Description

PulseRelief is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm) and lower extremities (leg) due to strain from exercise or normal household work activities and can be used to stimulate healthy muscles in order to improve and facilitate muscle performance. Pulse Relief is designed to be used at home, by adults of all genders.

For Transcutaneous Electrical Nerve Stimulation (TENS) Self-adhesive electrodes are placed on the skin close to the area of pain. The device delivers pulses across the skin through these electrodes. This activates the underlying sensory nerves. The user can choose 15 pre-set TENS programs with different pulse settings. In each program, the intensity of the pulse can be adjusted.

For Electrical Muscle Stimulation (EMS). the electrodes are placed near the muscle to be stimulated. The device generates electrical pulses and passes these pulses across the surface of the skin to activate the underlying motor nerves. This makes the muscle contract. Contraction helps to condition the muscle in in order to facilitate performance.

The PulseRelief system consists of the following elements:

  • Control unit with cable: generates the TENS/EMS pulses; connects to the 1st electrode; communicates with the mobile device; connects to the battery unit. The control unit has an on-off button.
  • Battery unit: contains a battery and charging circuit; connects the 200 electrode to the control unit.
  • Electrodes: Self-adhesive re-usable hydrogel electrodes with metal target plate for magnetic clamping to the control unit and battery unit.
  • App on mobile device. The app controls the functions of the PulseRelief device via a Bluetooth Low Energy connection between the mobile device and the PulseRelief device.
  • Adapter: for charging the battery unit via a micro-USB socket. To connect the USB-cable to the battery unit, the control unit needs to be disconnected.
AI/ML Overview

This document, K151035, is a 510(k) submission for the PulseRelief device, a Transcutaneous Electrical Nerve Stimulator (TENS) and Electrical Muscle Stimulator (EMS). It makes a claim of substantial equivalence to a predicate device (K130802). The document discusses performance data related to safety and electromagnetic compatibility (EMC), software verification, usability, and risk management. However, it does not contain information about acceptance criteria or a study that proves the device meets specific performance acceptance criteria related to its intended therapeutic efficacy (e.g., pain relief or muscle performance improvement).

The document focuses on demonstrating that the PulseRelief device is as safe and effective as the predicate device by meeting recognized standards for medical device development and manufacturing, rather than presenting a clinical study with performance-based acceptance criteria for its therapeutic claims.

Therefore, the following points will reflect the information available in the provided text.

Here's a breakdown of the requested information based on the provided text:

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

Based on the provided document, the "performance" described is primarily related to safety, electrical specifications, and adherence to regulatory standards, rather than direct therapeutic efficacy. Specific numerical acceptance criteria for clinical outcomes (e.g., percentage reduction in pain, improvement in muscle strength) are not provided.

The document indicates compliance with various standards, which serve as performance/acceptance criteria in the context of regulatory submission for substantial equivalence.

Acceptance Criteria CategorySpecific Criteria (Standard/Requirement)Reported Device Performance
BiocompatibilityFDA Blue Book Memorandum #G95-1 & ISO 10993-1 (Cytotoxicity, Sensitization, Irritation for intact skin contact)"The biocompatibility evaluation for the Brand X device was conducted in accordance with the FDA Blue Book Memorandum #G95-1... and International Standard ISO 10993-1... As dictated by the application and duration of contact with the intact skin, the battery of testing included the following tests: Cytotoxicity, Sensitization, Irritation." (Implies compliance, as no adverse findings are reported)
Electrical SafetyIEC 60601-1, IEC 60601-1-6, IEC 60601-1-11, IEC 60601-2-10"The system complies with the IEC 60601-1, IEC 60601-1-6, IEC 60601-1-11 and IEC 60601-2-10 standards for safety."
Electromagnetic Compatibility (EMC)IEC 60601-1-2, FCC Part 15 (Subpart B - Unintentional Radiators, Subpart C - Intentional Radiators)"The system complies with... the IEC 60601-1-2 standard for EMC, and IEC 62133 for battery safety. For FCC part 15 RADIO FREQUENCY DEVICES, Subpart B-Unintentional Radiators, Subpart C-Intentional Radiators."
Battery SafetyIEC 62133"The system complies with... IEC 62133 for battery safety."
Software Verification & ValidationFDA's Guidance for Industry and FDA Staff: "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices," IEC 62304 (for Moderate level of concern)"Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance... The software for this device was considered as a 'Moderate' level of concern. IEC 62304 was followed." (Implies compliance)
UsabilityIEC 62366, FDA Guidance 1757 ("Applying Human Factors and Usability Engineering to Optimize Medical Device Design")"Usability testing according to IEC 62366 and following FDA Guidance 1757, Applying Human Factors and Usability Engineering to Optimize Medical Device Design, was conducted." (Implies compliance/satisfaction of guidance, as no issues are reported)
Risk ManagementISO 14971:2007 Medical Devices - Application of risk management to medical devices (Second Edition)"The risks to people, property and the environment associated with the use of the PulseRelief was managed according to ISO 14971:2007..." (Implies compliance)
SymbolsISO 15223-1:2012 Medical Devices - Symbols To Be Used With Medical Device Labels, Labelling, And Information To Be Supplied - Part 1: General Requirements (Second Edition)"The symbols used on the PulseRelief itself, on its packaging or in the associated documentation is conform [sic] ISO 15223-1:2012..." (Implies compliance)
Output Specifications (TENS mode)Adherence to ranges for voltage, current, duration, frequency, net charge, current density, power density. For example, max average power density below 250mW/cm2 as per FDA guidance.E.g., Maximum Output Voltage: 31 @500Ω, 69 @ 2 kΩ, 70 @ 10 kΩ. Pulse Duration: 60 ~ 350 μs. Frequency: 1 ~ 100 Hz. Max Average Power Density: 0.24 ~ 1.69 @500Ω (stated as "well below 250mW/cm2 as required by the FDA-guidance"). (See tables on pages 9-11 for full details compared to predicate.)
Output Specifications (EMS mode)Adherence to ranges for voltage, current, duration, frequency, net charge, current density, power density.E.g., Maximum Output Voltage: 31 @500Ω, 69 @ 2 kΩ, 70 @10 kΩ. Pulse Duration: 150 ~ 350 µs. Frequency: 40 ~ 65 Hz. Max Average Power Density: 0.62~1.15 @500Ω. (See tables on pages 9-11 for full details compared to predicate.)

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

The document primarily focuses on engineering testing, regulatory compliance, and comparison to a predicate device rather than clinical trials for validating therapeutic efficacy. Therefore, there is no information provided regarding a clinical "test set" sample size or data provenance (country of origin, retrospective/prospective).

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)

Given the nature of the submission (safety, electrical performance, and regulatory compliance), there is no mention of a "ground truth" derived from experts related to clinical outcomes (e.g., pain assessment or muscle performance). The "ground truth" here is adherence to technical standards and specifications.

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

No adjudication method is mentioned as the submission is not focused on clinical diagnostic or treatment performance that would require such a process.

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

No MRMC comparative effectiveness study was done or mentioned. This type of study is not applicable to a TENS/EMS device submission focused on substantial equivalence based on technical and safety specifications. There is no AI component described in the device.

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

The PulseRelief device itself is the "standalone" device providing stimulation. The "performance" described here is the device's ability to meet its technical specifications and safety standards, as detailed in Table 1 above. There is no separate algorithm-only performance study mentioned distinct from the device's main function.

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

The "ground truth" in this submission relates to:

  • Compliance with recognized electrical, safety, software, and biocompatibility standards: This is implicitly defined by the standards themselves (e.g., IEC 60601-1, ISO 10993-1).
  • Device specifications: The engineering measurements of the device's electrical output parameters (voltage, current, frequency, pulse duration, etc.) are compared against defined design specifications and generally against the predicate device's reported parameters.
  • Risk assessment: Compliance with ISO 14971 for risk management.

There is no ground truth related to clinical outcomes data for therapeutic efficacy presented in this document.

8. The sample size for the training set

No training set is mentioned or applicable in the context of this device and submission type. The device is not based on machine learning or AI that would require a training set.

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

As there is no training set, this question is not applicable.

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles a human figure in profile, with flowing lines representing the body and head.

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

July 21, 2015

Philips Consumer Lifestyle Marta Walker Senior Safety, Compliance & Regulatory Manager 1600 Summer Street Stamford, Connecticut 06905

Re: K151035

Trade/Device Name: Pulserelief Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: NUH, NGX Dated: April 1, 2015 Received: June 25, 2015

Dear Marta Walker:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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,

Michael J.Hoffmann -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

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Indications for Use

510(k) Number (if known) K151035

Device Name PulseRelief

Indications for Use (Describe)

The OTC TENS/EMS stimulator PulseRelief is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities(arm) and lower extremities (leg) due to strain from exercise or normal household work activities.

It should be applied to normal, healthy, dry and clean skin of adult patients, and is to be used for stimulate healthy muscles in order to improve and facilitate muscle performance.

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

Experimental Use (Specific to 21 CFR 58.3(d) - Laboratory Research)
Clinical Trial (Specific to 21 CFR 58.3(c) - Clinical Investigations)

| | Prescription Use (Part 21 CFR 801 Subpart D)

|X | Over-The-Counter Use (21 CFR 801 Subpart C)

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Department of Health and Human Services Centre of Device and Radiological Health Office of Device Evaluation Traditional 510(k) section

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION as required by section 21 CFR 807.92

1. SUBMITTER OF 510(K):

Company name:Registration number:Address:Philips Consumer Lifestyle30091815611600 Summer StreetStamford, CT 06905 USA
Phone:emailCorrespondent:+31 6 319 78 546marta.walker@philips.comMarta Walker,Sr. Manager Safety, Compliance & Regulatory
Date of Preparation:July 16th, 2015

2. DEVICE:

Trade/Proprietary Name:PulseRelief
Common/Usual Name:TENS
Regulation NameTranscutaneous Electrical Nerve Stimulator for Pain Relief
Classification Name:Neurological Therapeutic Devices
Classification:21CFR 882.5890 and 890.5850 Class II
Product Code:NUH and NGX

The PulseRelief device is to be used with the Philips Self-Adhesive Electrode (K151033).

3. PREDICATE DEVICE

Our new device is based on the legally marketed device cited in the table below:

Table 1: Predicate device

ManufacturerDevice510(k) #Product Code:
ShenzhenDongdixinTechnologyCo., Ltd.OTC Electrical stimulator Models MT900I, LT3060K 130802NUH, NGX

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4. DEVICE DESCRIPTION

PulseRelief is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm) and lower extremities (leg) due to strain from exercise or normal household work activities and can be used to stimulate healthy muscles in order to improve and facilitate muscle performance. Pulse Relief is designed to be used at home, by adults of all genders

For Transcutaneous Electrical Nerve Stimulation (TENS) Self-adhesive electrodes are placed on the skin close to the area of pain. The device delivers pulses across the skin through these electrodes. This activates the underlying sensory nerves. The user can choose 15 pre-set TENS programs with different pulse settings. In each program, the intensity of the pulse can be adjusted.

For Electrical Muscle Stimulation (EMS). the electrodes are placed near the muscle to be stimulated. The device generates electrical pulses and passes these pulses across the surface of the skin to activate the underlying motor nerves. This makes the muscle contract. Contraction helps to condition the muscle in in order to facilitate performance

The PulseRelief system consists of the following elements:

  • Control unit with cable: generates the TENS/EMS pulses; connects to the 1st electrode; . communicates with the mobile device; connects to the battery unit. The control unit has an on-off button.
  • . Battery unit: contains a battery and charging circuit; connects the 200 electrode to the control unit.
  • . Electrodes: Self-adhesive re-usable hydrogel electrodes with metal target plate for magnetic clamping to the control unit and battery unit.
  • . App on mobile device. The app controls the functions of the PulseRelief device via a Bluetooth Low Energy connection between the mobile device and the PulseRelief device.
  • Adapter: for charging the battery unit via a micro-USB socket. To connect the USB-cable . to the battery unit, the control unit needs to be disconnected.
ParameterPulseRelief Specification
Treatment modesTENS15 programs
EMS5 programs
Pulse Output parametersNumber of output channels1
Current pulse shapeBiphase symmetricalImage: pulse shape
Frequency range1-100 Hz
Pulse duration60-350 $\mu$ s
Treatment duration1-59min or continuous
General specificationsPower supplyDC 3.7V Li-ion
System IP ClassificationIP22
Size53.5mm x 53.5mm x 11.5mm
Weight62 grams

Table 2: Main device parameters

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ParameterPulseRelief Specification
Operating conditionsTemperature5°C to 40°C (41°F to 104°F)
Operating conditionsRelative humidity15%-93% (non-condensing)
Operating conditionsAtmospheric pressure700 to 1060 hPa
Storage conditions(device)Temperature-10°C to 50°C (14°F to 122°F)
Storage conditions(device)Relative humidityless than 93% (non-condensing)
Storage conditions(device)Atmospheric pressure700 to 1060 hPa
Storage conditions(electrodes)Temperature0°C to 40°C (32°F to 104°F)
Storage conditions(electrodes)Relative humidityless than 93% (non-condensing)
Storage conditions(electrodes)Atmospheric pressure700 to 1060 hPa
AdapterRated input100-240V / 150mA
AdapterRated frequency50-60 Hz
AdapterRated output5V DC / 300mA
ElectrodeDimensions50mm x 50mm (2.16in x 2.16in) (2pcs)

The PulseRelief device is controlled by means of an app on a mobile device (phone or tablet). The communication is done via Bluetooth Low Energy. The app operates on IOS and Android platforms (IOS 7 and 8, Android 4.4 KitKat and higher).

Interface with the user

With the app, the user can do the following:

  • Select a body part (optional); by selecting a body part, a list of suggested treatments is . provided
  • Enter a pain score (optional) .
  • . Select a treatment
  • . Select the treatment duration (optional)
  • . Start, pause and stop a treatment
  • . Increment and decrement the intensity
  • . Enter a post-treatment sensation score
  • . Display the Treatment Diary
  • . Display the Instructions for Use
  • . Display the battery status of the PulseRelief device
  • Clear the Treatment Diary on a PulsRelief device .
  • Decouple with a PulseRelief device ("forget my device") .

Diary function

The app contains a Diary function that shows the details of over 200 past treatments. For each treatment, the information consists of treatment data and time, treatment duration, treatment intensity, body part (if selected by user), pain score and satisfaction score (if scored by the user). The Diary data is stored on the PulseRelief device. The mobile device retrieves the actual Diary data from the connected PulseRelief.

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Interface with the PulseRelief device

The following functions are provided for communication between the PulseRelief device:

  • Pair with a PulseRelief device .
  • . Set or read the treatment program
  • . Read the connection status of the electrodes
  • Read the stimulation intensity .
  • Set the treatment time ●
  • . Read the remaining treatment time
  • Increment the stimulation intensity ●
  • . Decrement the stimulation intensity
  • Set the stimulation intensity to zero .
  • . Read the battery level of the PulseRelief device
  • . Set or read the body part
  • . Set or read the pain score
  • . Set or read the Post-treatment sensation
  • Read the Treatment Diary data, system data and event log data .
  • Set the system time of the PulseRelief device .
  • Read the system ID and unique device ID of the PulseRelief device .
  • Read the firmware revision of the PulseRelief device .
  • Factory reset of the PulseRelief device .

The controls and indicators of the PulseRelief device are listed in the Table below.

UnitControl/IndicatorUser interfaceFunction
Control UnitOn-off buttonPress button(when device is off)Device on, such that mobiledevice can connect
Press button(when device is on)Device off (at any time, before,during or after treatment)
LED indicatorOffDevice is off
Green continuousDevice is on, no signal output isactive
Yellow blinking (1Hz)Device is on, signal output isactive
Green rapid blinking (2Hz)Device is on and in connectionmode, no signal output is active
Battery UnitLED indicatorOffDevice is not connected tocharger
Red continuousDevice is connected to acharger, battery is charging
Green continuousDevice is connected to acharger, battery is fully charged

Table 3: PulseRelief device controls and indicators

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5. INDICATION FOR USE:

5.1 PulseRelief

The OTC TENS/EMS stimulator PulseRelief is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities(arm) and lower extremities (leg) due to strain from exercise or normal household work activities. It should be applied to normal, healthy, dry and clean skin of adult patients, and is to be used for stimulate healthy muscles in order to improve and facilitate muscle performance.

5.2 Predicate MT9001 OTC TENS/EMS stimulator

TENS: The device is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm), and lower extremities (leg) due to strain from exercise or normal household work activities. EMS: The device is designed to be used for stimulate healthy muscles in order to improve and facilitate muscle performance.

As demonstrated above, there are no differences in the intended use of the PulseRelief and the selected predicate, MT9001 OTC.

6. SUMMARY OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

6.1 Basic Unit Characteristics

Both the PulseRelief and Predicate Device utilise the application of electrical current through electrodes placed on the skin for pain control, or electrical muscle stimulation (EMS) the elicitation of muscle contraction using electric impulses. The impulses are generated by the device and delivered through electrodes on the skin in direct proximity to the (painful) muscles to be stimulated.

A comparison of the basic characteristics of the PulseRelief and that of the Predicate is shown in the Table below.

ParameterPulseReliefPredicate Device
510(k) Number(to be assigned)K130802
Device Name and ModelPulseReliefMT9001 OTCTENS/EMS stimulator
ManufacturerPhilips ConsumerLifestyleShenzhen DongdixinTechnology Co., Ltd.
Regulation Number882.5890890.5850882.5890890.5850
Product CodeNUHNGXNUHNGX
Power Source(s)†Li-ion 3.7V 500mAh9V battery

Table 4: Substantial Equivalence Comparison Table

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- Method of Line Current IsolationN/AN/A
- Patient Leakage Current††- Normal Condition (µA)<10 µA0.61µA

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ParameterPulseReliefPredicate Device
- Single Fault Condition (μA)<50 μA0.68μA
Average DC current through electrodes whendevice is on but no pulses are being applied (µA)00
Number of Output Modes †††15 TENS5 EMS2 (TENS/EMS)
Number ofOutputChannels††††:Synchronous or Alternating?N/A(1 output channel)Alternating
Method of Channel IsolationN/A(1 output channel)By electrical circuit andsoftware
Regulated Current or Regulated Voltage?Current controlCurrent control
Software/Firmware/Microprocessor Control?YesYes
Automatic Overload Trip?YesYes
Automatic No-Load Trip?YesYes
Automatic Shut Off?YesYes
User Override Control?Yespower on/off button onthe device, and poweron/off in the AppsoftwareYesPower on/off button onthe device
IndicatorDisplay:On/Off Status?YesYes
Low Battery?Yes (on app)Yes
Voltage/Current Level?Yes (on app)Yes
Timer Range (minutes)1~59 minutesand continuous1~60 minutes
Compliance with Voluntary Standards?IEC 60601-1,IEC 60601-1-2,IEC 60601-2-10,ISO10993-5/10IEC 60601-1,IEC 60601-1-2,IEC 60601-2-10,ISO10993-5/10
Compliance with 21 CFR 898⁷?YesYes
Weight (grams)62g(excl. electrodes)128g
Dimensions (mm) [W x H x D]2 units,each 54x54x14(excl electrodes)117x60x34
Housing Materials and ConstructionPC ABSPlastic ABS
ParameterPulseReliefPredicate DeviceK130802
Mode or Program NameTENS modeTENS mode
Waveform (e.g., pulsed monophasic, biphasic)BiphasicBiphasic
Shape (e.g., rectangular, spike, rectifiedsinusoidal)RectangularRectangular
Maximum Output Voltage (volts) (+/- 20%)31 @500Ω69 @ 2 kΩ70 @ 10 kΩ48 @500Ω100 @ 2 kΩ105 @10 kΩ
Maximum Output Current (specify units) (+/- 20%)62 @500Ω34 @ 2 kΩ7 @10 kΩ96 @500Ω50 @ 2 kΩ10.5 @10 kΩ
Duration of primary (depolarizing) phase†(msec)25 ~175 μs50μs ~ 300 μs
Pulse Duration† (μsec)60 ~ 350 μs50μs ~ 300 μs
Frequency† (Hz) [or Rate† (pps)]1 ~ 100 Hz1Hz ~ 150Hz
For multiphasicwaveforms only:Symmetrical phases?YesYes
Phase Duration† (includeunits),(state range, ifapplicable), (both phases, ifasymmetrical)25 ~ 175 μs50μs ~ 300 μs
Net Charge (microcoulombs (mC) per pulse) (Ifzero, state method of achieving zero netcharge.)0 μC @500Ω0 μC per pulse@500ohm symmetric,biphasic and leadingpolarity alternates foreach successive,Pulse + and pulse -pulse channel.
Maximum Phase Charge, (μC)1.6 ~ 6.8 @500Ω28.8 @500Ω
Maximum Current Density,††(mA/cm2, r.m.s.)0.002 ~ 0.045@500Ω1.15 @500Ω
Maximum Average Current (average absolutevalue), mA0.06 ~1.36 @500Ω4.32 @500Ω
Maximum Average Power Density,††(mW/cm2), (using smallest electrodeconductive surface area)0.24 ~ 1.69 @500Ω(* see comment 1)0.373 @500Ω
Burst Mode(i.e., pulse trains):(a) Pulses per burst5, 77
(b) Bursts per second1,2,30.5,1,2,3,4,5
(c) Burst duration (ms)62.5 ~ 87.570
(d) Duty Cycle: Line (b)x Line (c)6.3% ~ 19%3.5 ~ 35%
ON Time (seconds)N/AN/A
OFF Time (seconds)N/AN/A
Additional Features (specify, if applicable)N/AN/A
ParameterPulseReliefPredicate DeviceK130802
Mode or Program NameEMS modeEMS mode
Waveform (e.g., pulsed monophasic, biphasic)BiphasicBiphasic
Shape (e.g., rectangular, spike, rectifiedsinusoidal)RectangularRectangular
Maximum Output Voltage (volts) (+/- 20%)31 @500Ω69 @ 2 kΩ70 @10 kΩ48 @500Ω114 @ 2 kΩ115 @10 kΩ
Maximum Output Current (specify units) (+/- 20%)62 @500Ω34 @ 2 kΩ7 @10 kΩ96 @500Ω57 @ 2 kΩ11.5 @10 kΩ
Duration of primary (depolarizing) phase† (msec)75 ~175 µs50µs ~ 300 µs
Pulse Duration† (µsec)150 ~ 350 µs50µs ~ 300 µs
Frequency† (Hz) [or Rate† (pps)]40 ~ 65 Hz1Hz ~ 150Hz
For multiphasicwaveforms only:Symmetrical phases?YesYes
Phase Duration† (includeunits),(state range, if applicable),(both phases, ifasymmetrical)75 ~ 175 µs50µs ~ 300 µs
Net Charge (microcoulombs (mC) per pulse) (Ifzero, state method of achieving zero netcharge.)0 µC @500Ω0 µC per pulse@500ohm symmetric,biphasic and leadingpolarity alternates foreach successive,Pulse + and pulse –pulse channel.
Maximum Phase Charge, (µC)4.7 ~ 10.9 @500Ω28.8 @500Ω
Maximum Current Density,††(mA/cm², r.m.s.)0.019 ~ 0.037@500Ω1.15 @500Ω
Maximum Average Current (average absolutevalue), mA0.47 ~ 0.93 @500Ω4.32 @500Ω
Maximum Average Power Density,†† (W/cm²),(using smallest electrode conductive surfacearea)0.62~1.15 @500Ω(* see comment 1 inparagraph 6.2)0.373 @500Ω
Burst Mode(i.e., pulse trains):(a) Pulses per burstN/AN/A
(b) Bursts per secondN/AN/A
(c) Burst duration(seconds)N/AN/A
(d) Duty Cycle: Line (b)x Line (c)N/AN/A
ParameterPulseReliefPredicate DeviceK130802
ON Time (seconds)- Intensity ramp-up- Constant intensity- Intensity ramp-down2 ~ 4 sec5 ~ 6 sec1 ~ 2 sec1 ~ 30
OFF Time (seconds)15 sec1 ~ 60
Additional Features (specify, if applicable)N/AN/A

Note! Table template from: Draft Guidance for Industry and FDA Staff: Class II Special Controls Guidance Document: Transcutaneous Electrical Nerve Stimulator for Pain Relief Intended for Over the Counter Use

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6.2 Output Specifications TENS mode

Table 5: Output Specifications TENS mode

Additional comments relating to the differences between the PulseRelief and selected predicate:

  • Comment 1 Maximum Average Power Density: The predicate device has a lower .

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value, but the maximum average power density is well below 250mW/cm2 as required by the FDA-guidance for TENS OTC. The safety and effectiveness of the device is not affected.

6.3 Output specifications EMS mode

Table 6: Output specifications EMS mode

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7. PERFORMANCE DATA

The following performance data are provided in support of the substantial equivalence determination:

7.1 Biocompatibility testing

The biocompatibility evaluation for the Brand X device was conducted in accordance with the FDA Blue Book Memorandum #G95-1 "Use of International Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing." May 1, 1995, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA. As dictated by the application and duration of contact with the intact skin, the battery of testing included the following tests:

  • · Cytotoxicity
  • · Sensitization
  • Irritation

7.2 Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the PulseRelief. The system complies with the IEC 60601-1, IEC 60601-1-6, IEC 60601-1-11 and IEC 60601-2-10 standards for safety and the IEC 60601-1-2 standard for EMC, and IEC 62133 for battery safety.

For FCC part 15 RADIO FREQUENCY DEVICES, Subpart B-Unintentional Radiators, Subpart C-Intentional Radiators.

7.3 Software Verification and Validation Testing

Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff. "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "Moderate" level of concern. IEC 62304 was followed.

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7.4 Usability Testing

Usability testing according to IEC 62366 and following FDA Guidance 1757, Applying Human Factors and Usability Engineering to Optimize Medical Device Design, was conducted.

7.5 Risk management

The risks to people, property and the environment associated with the use of the PulseRelief was managed according to ISO 14971:2007 Medical Devices- Application of risk management to medical devices (Second Edition)

7.6 Symbols

The symbols used on the PulseRelief itself, on its packaging or in the associated documentation is conform ISO 15223-1:2012 Medical Devices - Symbols To Be Used With Medical Device Labels, Labelling, And Information To Be Supplied - Part 1: General Requirements (Second Edition)

8. CONCLUSION

The intended use and basic technological characteristics of the PulseRelief device are equivalent with those of the referenced Predicate device K130802. Any technological differences do not raise new questions regarding safety and effectiveness.

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§ 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).